Behavioral Health Crisis Services Expansion Act

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, and private insurance Issues related to implementation of aspects of childrens health coverage under Medicaid, CHIP, the Exchanges, and private insurance Issues regarding the implementation of the ACE Kids Act S.1544/H.R. 3089 - Accelerating Kids Access to Care Act H.R. 7076/S. 3864, the Supporting Childrens Mental Health Care Access Act H.R. 7236 Strengthen Kids Mental Health Now Act S. 4472 Health Care Capacity for Pediatric Mental Health Act Issues regarding childrens and mothers health specifically continuous eligibility for children in Medicaid and CHIP, CHIP permanency, 12-months postpartum coverage for mothers and Medicaid coverage for children leaving the justice system. H.R. 4934, the Childrens Mental Health Infrastructure Act, H.R. 4944, the Helping Kids Cope Act, S.1902, the Behavioral Health Crisis Services Expansion Act Issues regarding childrens mental health, the national emergency in childrens mental health, and the Surgeon General Advisory on youth mental health. Issue regarding Medicaid supplemental payments HR. 3753/S. 1962 - Parity Implementation Act S.2762/H.R. 5131, the Pediatric Access to Critical Healthcare (PATCH) Act, and issues regarding pediatric health care infrastructure and capacity Issues regarding the importance of Medicaid to military and veteran families FY 2022 and FY 2023 Senate and House Labor-HHS appropriations provisions - Children's Hospitals Graduate Medical Education (CHGME) program funding Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program reauthorization appropriations Issues related to additional funding for CHGME Issues related to 340B Drug Pricing Program, prescription drug pricing, drug shortages, and pharmaceutical supply chain, including H.R. 4390, the PROTECT 340B Act of 2021 Issues related to Provider Relief Funding Issues related to pediatric nursing workforce Issues regarding the passage and implementation of COVID-19 relief packages, increased FMAP funding, and the impact of COVID-19 on childrens hospitals, the pediatric supply chain, and pediatric residency programs Issues regarding COVID-19 vaccination efforts for children Issues regarding surprise billing bad debt, and price transparency in health care H.R. 1397 - Telehealth Improvement for Kids Essential Services (TIKES) Act and broader telehealth policies Mental health funding provided in Consolidated Appropriations Act and ARPA Issues regarding the Public Health Emergency Issues regarding 340B drug program and other drug issues H.R. 7691, Safety from Violence for Healthcare Employees (SAVE) Act H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170, The Mental Health Reform Reauthorization Act of 2022 Issues regarding infant formula shortage Issues regarding food security and nutrition Issues regarding drugs and medical device shortages Issues regarding climate change S. 4747, Investing in Kids Mental Health Now Act VALID Act Issues regarding the uptake of childhood vaccines Issues included in the FY2023 Omnibus bill

Client expense: $780,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Treasury, Dept of

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act H.R. 721/S. 1841, the Mental Health Services for Students Act of 2021 H.R. 1475/S. 1795, the Pursuing Equity in Mental Health Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1902, The Behavioral Health Crisis Services Expansion Act; FY2023 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R.8295, S.4659); FY2023 Consolidated Appropriations Act (H.R.2617); mental health/severe mental illness.

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

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

American Rescue Plan Act of 2021, H.R.1319; Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, S.4441; Behavioral Health Crisis Services Expansion Act, (S.1902/HR 5611); FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; 2023 Consolidated Appropriations Act, H.R.2617

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; American Rescue Plan Act of 2021, H.R.1319; Behavioral Health Crisis Services Expansion Act, S.1902; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Bipartisan Safer Communities Act, S.2938; Restoring Hope for Mental Health and Well-Being Act, H.R.7666; 2023 Consolidated Appropriations Act, H.R.2617

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1902/HR 5611 - Behavioral Health Services Expansion Act -- to increase availability of crisis services and insurance coverage of behavioral health crisis services H.R. 7116 - 988 Implementation Act -- to ensure availability of 988 and related crisis services H.R. 7666 -Restoring Hope for Mental Health and Well-Being Act --Reauthorization and new funding for various mental health programs H.R. 7672 & S. 3704- Grants to increase the number of mental health and substance use providers in schools S. 4170 - The Mental Health Reform Reauthorization Act of 2022-- Reauthorization and increased funding for existing and new mental health programs H.R. 7803 - The Michelle Alyssa Go Act -- Ending the IMD exclusion S.4271 - The Garret Lee Smith Memorial Reauthorization Act of 2022 -- Reauthorization of various suicide prevention and mental health programs S. 2938 - The Bipartisan Safer Communities Act S. 2938: Increase funding for existing mental health programs H.R. 7232 - 988 and Parity Assistance Act -- to increase the availability of 988 crisis services and enforce mental health parity regulations Senate Finance mental health package to inform items for inclusion, including insurance coverage of mental health services, parity, workforce, integration of care, telehealth, children's mental health issues H.R. 8454- Medical Marijuana and Cannabidiol Research Expansion Act: To allow research into the potential therapeutic effects of cannabis H.R. 4040- Advancing telehealth Beyond COVID 19 Act: Extension of certain Medicare telehealth flexibilities after the end of the COVID-19 public health emergency S. 4472- Health Care Capacity for Pediatric Mental Health Act of 2022: To increase the number of pediatric mental health and substance use providers H.R. 8151 & S.3479- Building a Sustainable Workforce for Healthy Communities Act: Reauthorization of a program to promote community health workers S. 4461 & H.R. 8722- Expanding Access to Mental Health Training Act: Grants for school personnel to recognize the signs of mental illness H.R. 7051 & S. 3791- Access to Prescription Digital Therapeutics Act of 2022: provides for Medicare and Medicaid coverage of prescription digital therapeutics H.R. 8361- Preventing Suicide Through Voluntary Firearm Purchase Delay Act: Allowing individuals to put themselves on a do not sell list for firearms H.R. 8391 -CONNECT Act of 2022- grants to certain crisis centers to provide follow-up care to individuals who receive suicide prevention and crisis intervention services S. 2425 H.R. 2981 -Suicide Prevention Lifeline Act- Reauthorization of the National Suicide Prevention lifeline S. 4871 -988 Coordination and Improvement Act- Establishing an office to coordinate the work of the National Suicide Prevention Lifeline program Hospital Emergency Room Mental health boarding crisis Declaration of a National Youth Mental Health Emergency

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.1475/S.1795, Pursuing Equity in Mental Health Act H.R.2955/S.4448, Suicide Prevention Act H.R.3259/S.586, NOPAIN Act H.R.3467/S.4332, Improving Data Collection for Adverse Childhood Experiences Act H.R.4040, Advancing Telehealth Beyond COVID-19 Act H.R.5611/S.1902 Behavioral Health Crisis Services Expansion Act H.R. 6302, The Protecting the Health of Americas Older Adults Act H.R.7116, 9-8-8 Implementation Act of 2022 H.R.7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7780 Mental Health Matters Act H.R.8800, Supporting Medicare Providers Act of 2022 S. 5272 / H.R. 9577, Increasing Mental Health Options Act S.2086, RISE from Trauma Act S.2425, Suicide Prevention Lifeline Improvement Act of 2021 S. 3257 A bill to lengthen the period of time during which certain controlled substances must be administered S.4170, Mental Health Reform Reauthorization Act S.4301, Substance Use Prevention, Treatment, and Recovery Act S.4306, Improving Access to Behavioral Health Integration Act S.4472, Health Care Capacity for Pediatric Mental Health Act S.4616, Behavioral Health Coverage Transparency Act of 2022 S.4804, Parity Enforcement Act of 2022 S. 5310 Helping Kids Through Trauma Act H.R. 7644, Pride in Mental Health Act S. 4747, Invest in Kids' Mental Health Now Act H.R. 5218, Collaborate in an Orderly and Cohesive Manner Act S. 4306, Improving Access to Behavioral Health Integration Act H.R.8391, the CONtinuity in Necessary Evaluative Crisis Treatment (CONNECT) Act H.R. 9109, GRIEF Act H.R. 2617, Consolidated Appropriations Act, 2023 Discussion of population health-based approaches - Rep. Smith (WA) General population health and rural mental health access solutions Grass-tops summit on year-end mental health package Response to RFI re: No Surprises Act Response to RFI re: provider directory

Client expense: $480,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R.1475/S.1795, Pursuing Equity in Mental Health Act H.R.2955/S.4448, Suicide Prevention Act H.R.3259/S.586, NOPAIN Act H.R.3467/S.4332, Improving Data Collection for Adverse Childhood Experiences Act H.R.4040, Advancing Telehealth Beyond COVID-19 Act H.R.5611/S.1902 Behavioral Health Crisis Services Expansion Act H.R. 6302, The Protecting the Health of Americas Older Adults Act H.R.7116, 9-8-8 Implementation Act of 2022 H.R.7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7780 Mental Health Matters Act H.R.8800, Supporting Medicare Providers Act of 2022 S. 5272 / H.R. 9577, Increasing Mental Health Options Act S.2086, RISE from Trauma Act S.2425, Suicide Prevention Lifeline Improvement Act of 2021 S. 3257 A bill to lengthen the period of time during which certain controlled substances must be administered S.4170, Mental Health Reform Reauthorization Act S.4301, Substance Use Prevention, Treatment, and Recovery Act S.4306, Improving Access to Behavioral Health Integration Act S.4472, Health Care Capacity for Pediatric Mental Health Act S.4616, Behavioral Health Coverage Transparency Act of 2022 S.4804, Parity Enforcement Act of 2022 S. 5310 Helping Kids Through Trauma Act H.R. 7644, Pride in Mental Health Act S. 4747, Invest in Kids' Mental Health Now Act H.R. 5218, Collaborate in an Orderly and Cohesive Manner Act S. 4306, Improving Access to Behavioral Health Integration Act H.R.8391, the CONtinuity in Necessary Evaluative Crisis Treatment (CONNECT) Act H.R. 9109, GRIEF Act H.R. 2617, Consolidated Appropriations Act, 2023 Discussion of population health-based approaches - Rep. Smith (WA) General population health and rural mental health access solutions Grass-tops summit on year-end mental health package Response to RFI re: No Surprises Act Response to RFI re: provider directory

Client expense: $480,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act H.R. 721/S. 1841, the Mental Health Services for Students Act of 2021 H.R. 1475/S. 1795, the Pursuing Equity in Mental Health Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, and private insurance Issues related to implementation of aspects of childrens health coverage under Medicaid, CHIP, the Exchanges, and private insurance Issues regarding the implementation of the ACE Kids Act S.1544/H.R. 3089 - Accelerating Kids Access to Care Act H.R. 7076/S. 3864, the Supporting Childrens Mental Health Care Access Act H.R. 7236 Strengthen Kids Mental Health Now Act S. 4472 Health Care Capacity for Pediatric Mental Health Act Issues regarding childrens health included in Build Back Better Act/reconciliation H.R. 4934, the Childrens Mental Health Infrastructure Act, H.R. 4944, the Helping Kids Cope Act, S.1902, the Behavioral Health Crisis Services Expansion Act Issues regarding childrens mental health, the national emergency in childrens mental health, and the Surgeon General Advisory on youth mental health. Issue regarding Medicaid supplemental payments HR. 3753/S. 1962 - Parity Implementation Act S.2762/H.R. 5131, the Pediatric Access to Critical Healthcare (PATCH) Act, and issues regarding pediatric health care infrastructure and capacity Issues regarding the importance of Medicaid to military and veteran families FY 2022 and FY 2023 Senate and House Labor-HHS appropriations provisions - Children's Hospitals Graduate Medical Education (CHGME) program funding Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program reauthorization appropriations Issues related to 340B Drug Pricing Program, prescription drug pricing, drug shortages, and pharmaceutical supply chain, including H.R. 4390, the PROTECT 340B Act of 2021 Issues related to Provider Relief Funding Issues related to pediatric workforce Issues regarding the passage and implementation of COVID-19 relief packages, increased FMAP funding, and the impact of COVID-19 on childrens hospitals, the pediatric supply chain, and pediatric residency programs Issues regarding COVID-19 vaccination efforts for children Issues regarding surprise billing bad debt, and price transparency in health care H.R. 1397 - Telehealth Improvement for Kids Essential Services (TIKES) Act and broader telehealth policies Mental health funding provided in Consolidated Appropriations Act and ARPA Issues regarding the Public Health Emergency Issues regarding 340B drug program and other drug issues H.R. 7691, Safety from Violence for Healthcare Employees (SAVE) Act H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170, The Mental Health Reform Reauthorization Act of 2022 Issues regarding infant formula shortage Issues regarding food security and nutrition Issues regarding medical device shortages Issues regarding climate change S. 4747, Investing in Kids Mental Health Now Act

Client expense: $565,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Treasury, Dept of

S.1902, The Behavioral Health Crisis Services Expansion Act; FY2023 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R.8295, S.4659); mental health/severe mental illness.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021 (H.R. 1319), all provisions related to relief to address the continued impact of COVID-19. Mainstreaming Addiction Treatment Act (S. 445/H.R. 1384), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. Improving Access to Remote Behavioral Health Treatment Act of 2019, all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Medication Access and Training Expansion Act (H.R. 2067), all provisions related to requiring physicians and other prescribers of controlled substances to complete training on treating and managing patients with substance use disorders. CONNECT for Health Act of 2021 (H.R. 2903/S. 1512), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2021 (S. 2061), all provisions related to ensuring coverage of mental health services furnished through telehealth. HELP Act of 2021 (S. 1570), all provisions related to the accessibility and coordination of 211 services and 988 services. Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708/S. 168), all provisions related to temporary authorization of in-person and telehealth services. Behavioral Health Crisis Services Expansion Act (S. 1902), all provisions related to empowering communities to establish a continuum of care for individuals experiencing a behavioral health crisis. Preventing Overdoses and Saving Lives Act of 2021 (H.R. 5442), all provisions related to authorizing grants to develop strategic response plans with respect to the opioid crisis, and to require practitioners prescribing an opioid for certain patients to also prescribe an opioid overdose reversal drug. Coronavirus Mental Health and Addiction Assistance Act of 2021 (H.R. 593/S. 135), all provisions related to providing grants to entities that provide mental health and substance use disorder programs during the COVID-19 pandemic. Mental Health Services for Students Act of 2021 (H.R. 721/S. 1841), all provisions related to school-based mental health services. Stopping the Mental Health Pandemic Act (H.R. 7080/S. 4059), all provisions related to grants to support behavioral health treatment and services during the COVID-19 pandemic. Emergency Support for Substance Use Disorders Act (S. 4058), all provisions related to grants for harm reduction activities during the COVID-19 pandemic. Elementary and Secondary School Counseling Act (H.R. 6214/S. 3356), all provisions related to awarding grants to increase access to school-based, mental health services. Campus Prevention and Recovery Services for Students Act of 2019 (H.R. 3591), all provisions related to expanding the illicit drug and alcohol abuse prevention program to include campus efforts to prevent substance misuse. Opioid Treatment Access Act of 2022 (H.R. 6279), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 9-8-8 Implementation Act of 2022 (H.R. 7116), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. 9-8-8 and Parity Assistance Act of 2022 (H.R.7232), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. Into the Light for MMH and SUD Act of 2022 (H.R. 7073), all provisions related to reauthorizing a grant program for screening, assessment, and treatment services for maternal mental health and substance use disorders, and for other purposes. Anna Westin Legacy Act (H.R. 7249/S. 3686), all provisions related to providing education and training on eating disorders for health care providers and communities, and for other purposes. Behavioral Health Information Technology Act, (H.R.7427), all provisions related to CMI testing of incentive payments for behavioral health providers and certain other providers for adoption and use of certified electronic health record technology, and for other purposes Safe Step Act (H.R. 2163/S. 464), all provisions related to creating an exception for medication step-therapy. Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act (S. 586), all provisions related to establishing separate payments for certain non-opioid treatments under the Medicare prospective payment system for hospital outpatient department services and the payment system for ambulatory surgical center services Food and Drug Administration Safety and Landmark Advancements Act of 2022 (S.4348), all provisions related to addressing substance use disorders and the safe disposal of opioids. Telemental Health Access to Care Act (S.2061/H.R. 4058), all provisions related to intended to increase access to tele-mental health care and telehealth. Stop Pills That Kill Act (S.4151), all provisions related to penalizing the manufacture and/or facilitation of manufacturing counterfeit pills that contain fentanyl, an analogue of fentanyl, or a counterfeit substance. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666), all provisions related to reauthorizations, expansions, and modifications of programs, grants, and activities that focus on mental and behavioral health. CONNECT Act of 2022 (H.R.8391), all provisions related to awarding grants for crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services. BENEFIT Act of 2021 (H.R.4472), all provisions related to strengthen the use of patient-experience data within the benefit-risk framework for approval of new drugs. Advancing Telehealth Beyond COVID-19 Act of 2021 (H.R.4040), all provisions related to extending telehealth flexibilities under the Medicare program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization or other infrastructure funding for hospitals and public health systems. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund or other new funding vehicle. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act or other legislative vehicles. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency. Support behavioral health crisis, and 988 implementation and parity provisions in legislation including H.R. 7116, 9-8-8 Implementation Act and H.R. 7666, Restoring Hope for Mental Health and Well Being Act. Support measures to relieve the shortage of critical IV contrast solution for diagnostic testing.

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

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

S. 1902/HR 5611 - Behavioral Health Services Expansion Act -- to increase availability of crisis services and insurance coverage of behavioral health crisis services H.R. 7116 - 988 Implementation Act -- to ensure availability of 988 and related crisis services H.R. 7666 -Restoring Hope for Mental Health and Well-Being Act --Reauthorization and new funding for various mental health programs H.R. 7672 & S. 3704- Grants to increase the number of mental health and substance use providers in schools S. 4170 - The Mental Health Reform Reauthorization Act of 2022-- Reauthorization and increased funding for existing and new mental health programs H.R. 7803 - The Michelle Alyssa Go Act -- Ending the IMD exclusion S.4271 - The Garret Lee Smith Memorial Reauthorization Act of 2022 -- Reauthorization of various suicide prevention and mental health programs S. 2938 - The Bipartisan Safer Communities Act S. 2938: Increase funding for existing mental health programs H.R. 7232 - 988 and Parity Assistance Act -- to increase the availability of 988 crisis services and enforce mental health parity regulations Senate Finance mental health package to inform items for inclusion, including insurance coverage of mental health services, parity, workforce, integration of care, telehealth, children's mental health issues H.R. 8454- Medical Marijuana and Cannabidiol Research Expansion Act: To allow research into the potential therapeutic effects of cannabis H.R. 4040- Advancing telehealth Beyond COVID 19 Act: Extension of certain Medicare telehealth flexibilities after the end of the COVID-19 public health emergency S. 4472- Health Care Capacity for Pediatric Mental Health Act of 2022: To increase the number of pediatric mental health and substance use providers H.R. 8151 & S.3479- Building a Sustainable Workforce for Healthy Communities Act: Reauthorization of a program to promote community health workers S. 4461 & H.R. 8722- Expanding Access to Mental Health Training Act: Grants for school personnel to recognize the signs of mental illness H.R. 7051 & S. 3791- Access to Prescription Digital Therapeutics Act of 2022: provides for Medicare and Medicaid coverage of prescription digital therapeutics H.R. 8361- Preventing Suicide Through Voluntary Firearm Purchase Delay Act: Allowing individuals to put themselves on a do not sell list for firearms H.R. 8391 -CONNECT Act of 2022- grants to certain crisis centers to provide follow-up care to individuals who receive suicide prevention and crisis intervention services

Client expense: Not reported · Firm income: Not reported

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) 988 - S.1902/H.R.5611 - Behavioral Health Crisis Services Expansion Act Behavioral Health Workforce (additional GME slots, funding for Medicaid rate increases, adding LMFTs/LPCs to Medicare) S.828/H.R.432 - Mental Health Access Improvement Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs Behavioral Health Workforce (additional GME slots, funding for Medicaid rate increases, adding LMFTs/LPCs to Medicare) H.R.5611/S.1902 - Behavioral Health Crisis Services Expansion Act H.R.432/S 828 - Mental Health Access Improvement Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1475/S.1795, Pursuing Equity in Mental Health Act H.R.2955/S.4448, Suicide Prevention Act H.R.3259/S.586, NOPAIN Act H.R.3467/S.4332, Improving Data Collection for Adverse Childhood Experiences Act H.R.4040, Advancing Telehealth Beyond COVID-19 Act H.R.5611/S.1902 Behavioral Health Crisis Services Expansion Act H.R. 6302, The Protecting the Health of Americas Older Adults Act H.R.7116, 9-8-8 Implementation Act of 2022 H.R.7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7780 Mental Health Matters Act H.R.8800, Supporting Medicare Providers Act of 2022 S.2086, RISE from Trauma Act S.2425, Suicide Prevention Lifeline Improvement Act of 2021 S.4170, Mental Health Reform Reauthorization Act S.4301, Substance Use Prevention, Treatment, and Recovery Act S.4306, Improving Access to Behavioral Health Integration Act S.4472, Health Care Capacity for Pediatric Mental Health Act S.4616, Behavioral Health Coverage Transparency Act of 2022 S.4804, Parity Enforcement Act of 2022 H.R.9037/S.5011, KIDS Health Act Forthcoming bereavement care legislation - Rep. Morelle Listening session on No Surprises Act implementation - Rep. Wenstrup Discussion of population health-based approaches - Rep. Smith (WA) General population health and rural mental health access solutions

Client expense: $520,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, S.4441; Behavioral Health Crisis Services Expansion Act, (S.1902/HR 5611); FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; American Rescue Plan Act of 2021, H.R.1319; Behavioral Health Crisis Services Expansion Act, S.1902; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Bipartisan Safer Communities Act, S.2938; Restoring Hope for Mental Health and Well-Being Act, H.R.7666

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, S.4441; Behavioral Health Crisis Services Expansion Act, (S.1902/HR 5611); FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; American Rescue Plan Act of 2021, H.R.1319; Behavioral Health Crisis Services Expansion Act, S.1902; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Bipartisan Safer Communities Act, S.2938; Restoring Hope for Mental Health and Well-Being Act, H.R.7666

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, and private insurance Issues related to implementation of aspects of childrens health coverage under Medicaid, CHIP, the Exchanges, and private insurance Issues regarding the implementation of the ACE Kids Act S.1544/H.R. 3089 - Accelerating Kids Access to Care Act H.R. 7076/S. 3864, the Supporting Childrens Mental Health Care Access Act H.R. 7249/S. 2686, the Anna Westin Legacy Act S. 3663 Kids Online Safety Act H.R. 7236 Strengthen Kids Mental Health Now Act S. 4472 Health Care Capacity for Pediatric Mental Health Act Issues regarding childrens health included in Build Back Better Act/reconciliation H.R. 4934, the Childrens Mental Health Infrastructure Act, H.R. 4944, the Helping Kids Cope Act, S.1902, the Behavioral Health Crisis Services Expansion Act, H.R. 5772, Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R. 5703, the Post-Disaster Mental Health Response Act, Issues regarding childrens mental health, the national emergency in childrens mental health, and the Surgeon General Advisory on youth mental health. Issue regarding Medicaid supplemental payments HR. 3753/S. 1962 - Parity Implementation Act S.2762/H.R. 5131, the Pediatric Access to Critical Healthcare (PATCH) Act, and issues regarding pediatric health care infrastructure and capacity Issues regarding the importance of Medicaid to military and veteran families FY 2022 and FY 2023 Senate and House Labor-HHS appropriations provisions - Children's Hospitals Graduate Medical Education (CHGME) program funding Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program reauthorization appropriations Issues related to 340B Drug Pricing Program, prescription drug pricing, drug shortages, and pharmaceutical supply chain, including H.R. 4390, the PROTECT 340B Act of 2021 Issues related to Provider Relief Funding Issues related to pediatric workforce Issues regarding the passage and implementation of COVID-19 relief packages, increased FMAP funding, and the impact of COVID-19 on childrens hospitals, the pediatric supply chain, and pediatric residency programs Issues regarding COVID-19 vaccination efforts for children Issues regarding surprise billing in health care H.R. 1397 - Telehealth Improvement for Kids Essential Services (TIKES) Act and broader telehealth policies Mental health funding provided in Consolidated Appropriations Act and ARPA Issues regarding the Public Health Emergency Issues regarding 340B drug program and other drug issues H.R. 3467, Improving Data Collection for Adverse Childhood Experiences Act H.R. 7691, Safety from Violence for Healthcare Employees (SAVE) Act H.R. 7255, the Garrett Lee Smith Memorial Reauthorization Act H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170, The Mental Health Reform Reauthorization Act of 2022 Issues regarding infant formula shortage Issues regarding medical device shortages Issues regarding climate change HR 623, the Gabriella Miller Kids First Research Act 2.0

Client expense: $770,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069/ H.R.4323) 988 - S.1902/H.R.5611 - Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069/H.R.4323) H.R.5611/S.1902 - Behavioral Health Crisis Services Expansion Act H.R.432/S 828 - Mental Health Access Improvement Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1902/HR 5611 - Behavioral Health Services Expansion Act -- to increase availability of crisis services and insurance coverage of behavioral health crisis services HR 7116 - 988 Implementation Act -- to ensure availability of 988 and related crisis services HR 7666 -Restoring Hope for Mental Health and Well-Being Act --Reauthorization and new funding for various mental health programs H.R. 7672 & S. 3704- Grants to increase the number of mental health and substance use providers in schools S. 4170 - The Mental Health Reform Reauthorization Act of 2022-- Reauthorization and increased funding for existing and new mental health programs H.R. 7803 - The Michelle Alyssa Go Act -- Ending the IMD exclusion S.4271 - The Garret Lee Smith Memorial Reauthorization Act of 2022 -- Reauthorization of various suicide prevention and mental health programs S. 2938 - The Bipartisan Safer Communities Act S. 2938: Increase funding for existing mental health programs H.R. 7232 - 988 and Parity Assistance Act -- to increase the availability of 988 crisis services and enforce mental health parity regulations Senate Finance mental health package to inform items for inclusion, including insurance coverage of mental health services, parity, integration of care, telehealth

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act H.R. 721/S. 1841, the Mental Health Services for Students Act of 2021 H.R. 1475/S. 1795, the Pursuing Equity in Mental Health Act S. 2938, the Bipartisan Safer Communities Act of 2022

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1902, The Behavioral Health Crisis Services Expansion Act; Labor HHS Appropriations for FY2022/FY2023; mental health/severe mental illness.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization or other infrastructure funding for hospitals and public health systems. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund or other new funding vehicle. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act or other legislative vehicles. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency. Support behavioral health crisis, and 988 implementation and parity provisions in legislation including H.R. 7116, 9-8-8 Implementation Act and H.R. 7666, Restoring Hope for Mental Health and Well Being Act. Support measures to relieve the shortage of critical IV contrast solution for diagnostic testing.

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

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

American Rescue Plan Act of 2021 (H.R. 1319), all provisions related to relief to address the continued impact of COVID-19. Mainstreaming Addiction Treatment Act (S. 445/H.R. 1384), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. Improving Access to Remote Behavioral Health Treatment Act of 2019, all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Medication Access and Training Expansion Act (H.R. 2067), all provisions related to requiring physicians and other prescribers of controlled substances to complete training on treating and managing patients with substance use disorders. CONNECT for Health Act of 2021 (H.R. 2903/S. 1512), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2021 (S. 2061), all provisions related to ensuring coverage of mental health services furnished through telehealth. HELP Act of 2021 (S. 1570), all provisions related to the accessibility and coordination of 211 services and 988 services. Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708/S. 168), all provisions related to temporary authorization of in-person and telehealth services. Behavioral Health Crisis Services Expansion Act (S. 1902), all provisions related to empowering communities to establish a continuum of care for individuals experiencing a behavioral health crisis. Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 (H.R. 5414/S. 2689), all provisions related to ensuring children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid. Preventing Overdoses and Saving Lives Act of 2021 (H.R. 5442), all provisions related to authorizing grants to develop strategic response plans with respect to the opioid crisis, and to require practitioners prescribing an opioid for certain patients to also prescribe an opioid overdose reversal drug. Coronavirus Mental Health and Addiction Assistance Act of 2021 (H.R. 593/S. 135), all provisions related to providing grants to entities that provide mental health and substance use disorder programs during the COVID-19 pandemic. Mental Health Services for Students Act of 2021 (H.R. 721/S. 1841), all provisions related to school-based mental health services. Stopping the Mental Health Pandemic Act (H.R. 7080/S. 4059), all provisions related to grants to support behavioral health treatment and services during the COVID-19 pandemic. Emergency Support for Substance Use Disorders Act (S. 4058), all provisions related to grants for harm reduction activities during the COVID-19 pandemic. Elementary and Secondary School Counseling Act (H.R. 6214/S. 3356), all provisions related to awarding grants to increase access to school-based, mental health services. Campus Prevention and Recovery Services for Students Act of 2019 (H.R. 3591), all provisions related to expanding the illicit drug and alcohol abuse prevention program to include campus efforts to prevent substance misuse. Opioid Treatment Access Act of 2022 (H.R. 6279), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 9-8-8 Implementation Act of 2022 (H.R. 7116), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. 9-8-8 and Parity Assistance Act of 2022 (H.R.7232), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. Into the Light for MMH and SUD Act of 2022 (H.R. 7073), all provisions related to reauthorizing a grant program for screening, assessment, and treatment services for maternal mental health and substance use disorders, and for other purposes. Anna Westin Legacy Act (H.R. 7249/S. 3686), all provisions related to providing education and training on eating disorders for health care providers and communities, and for other purposes. Behavioral Health Information Technology Act, (H.R.7427), all provisions related to CMI testing of incentive payments for behavioral health providers and certain other providers for adoption and use of certified electronic health record technology, and for other purposes Safe Step Act (H.R. 2163/S. 464), all provisions related to creating an exception for medication step-therapy. Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act (S. 586), all provisions related to establishing separate payments for certain non-opioid treatments under the Medicare prospective payment system for hospital outpatient department services and the payment system for ambulatory surgical center services Food and Drug Administration Safety and Landmark Advancements Act of 2022 (S.4348), all provisions related to addressing substance use disorders and the safe disposal of opioids. Telemental Health Access to Care Act (S.2061/H.R. 4058), all provisions related to intended to increase access to tele-mental health care and telehealth. Stop Pills That Kill Act (S.4151), all provisions related to penalizing the manufacture and/or facilitation of manufacturing counterfeit pills that contain fentanyl, an analogue of fentanyl, or a counterfeit substance. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666), all provisions related to reauthorizations, expansions, and modifications of programs, grants, and activities that focus on mental and behavioral health.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act H.R. 721/S. 1841, the Mental Health Services for Students Act of 2021 H.R. 1475/S. 1795, the Pursuing Equity in Mental Health Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to mental health and addiction care, including: access and treatment, school mental health programs, prevention and early intervention, crisis response, and integration of mental health services S. 1902/H.R. 5611 the Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Section 340B Drug Pricing Program Sickle cell disease research funding generally Drug pricing reforms generally Implementation of Children's Hospital Graduate Medical Education program Mental and behavioral health legislation generally S. 1902 (Behavioral Health Crisis Services Expansion Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 6000 (Cures 2.0 Act), regarding regulation of new biomedical products and technologies H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions S. 3704 (ASSIST Act), all provisions H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization (infrastructure funding for hospitals and public health systems) in infrastructure legislation. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 1620, Violence Against Women Reauthorization Act. Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support Mental Health Parity provisions in Build Back Better Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency.

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

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

S 1902/HR 5611 - Behavioral Health Services Expansion Act -- to increase availability of crisis services and insurance coverage of behavioral health crisis services HR 7116 - 988 Implementation Act -- to ensure availability of 988 and related crisis services Senate Finance mental health package to inform items for inclusion, including insurance coverage of mental health services, parity, integration of care, telehealth Reauthorization of SAMHSA grant programs including Community Mental Health Services Block Grant

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, and private insurance Issues related to implementation of aspects of childrens health coverage under Medicaid, CHIP, the Exchanges, and private insurance Issues regarding the implementation of the ACE Kids Act S.1544/H.R. 3089 - Accelerating Kids Access to Care Act Issues regarding childrens health included in Build Back Better Act H.R. 4934, the Childrens Mental Health Infrastructure Act, H.R. 4944, the Helping Kids Cope Act, S.1902, the Behavioral Health Crisis Services Expansion Act, H.R. 5772, Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R. 5703, the Post-Disaster Mental Health Response Act, HR. 3753/S. 1962 - Parity Implementation Act S. 3698 /H.R. 1545 Crisis Counseling Act Issues regarding the crisis continuum of care for children and childrens needs related to implantation of the 988 Suicide lifeline. Issues regarding childrens mental health, the national emergency in childrens mental health, and the Surgeon General Advisory on youth mental health. Issue regarding Medicaid supplemental payments Issues regarding the importance of Medicaid to military and veteran families Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program Issues related to 340B Drug Pricing Program, prescription drug pricing, drug shortages, and pharmaceutical supply chain, including H.R. 4390, the PROTECT 340B Act of 2021 Issues related to Provider Relief Funding Issues related to pediatric workforce Issues regarding the passage and implementation of COVID-19 relief packages, increased FMAP funding, and the impact of COVID-19 on childrens hospitals, the pediatric supply chain, and pediatric residency programs Issues regarding COVID-19 vaccination efforts for children Issues regarding surprise billing in health care H.R. 1397 - Telehealth Improvement for Kids Essential Services (TIKES) Act and broader telehealth policies Mental health funding provided in Consolidated Appropriations Act and ARPA Issues regarding the Public Health Emergency Issues regarding 340B drug program and other drug issues

Client expense: $1,120,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Medicaid program reforms, including telemedicine Section 340B Drug Pricing Program Sickle Cell Disease research funding generally Drug pricing reforms generally Implementation of Children's Hospital Graduate Medical Education program Mental and behavioral health legislation generally S. 1902 (Behavioral Health Crisis Services Expansion Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 6000 (Cures 2.0 Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions S. 3704 (ASSIST Act), all provisions H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 5131 and S. 2762 (Pediatric Access to Critical Healthcare (PATCH) Act), all provisions

Client expense: $121,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1902, The Behavioral Health Crisis Services Expansion Act; Labor HHS Appropriations for FY2022/FY2023; mental health/severe mental illness.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069/ H.R.4323) 988 - S.1902/H.R.5611 - Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069/H.R.4323) H.R.5611/S.1902 - Behavioral Health Crisis Services Expansion Act H.R.432/S 828 - Mental Health Access Improvement Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, S.4441; Behavioral Health Crisis Services Expansion Act, (S.1902/H.R.5611); FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; American Rescue Plan Act of 2021, H.R.1319; Behavioral Health Crisis Services Expansion Act, S.1902; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021 (H.R. 1319), all provisions related to relief to address the continued impact of COVID-19. Mainstreaming Addiction Treatment Act (S. 445/H.R. 1384), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. Improving Access to Remote Behavioral Health Treatment Act of 2019, all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Medication Access and Training Expansion (MATE) Act (H.R. 2067), all provisions related to requiring physicians and other prescribers of controlled substances to complete training on treating and managing patients with substance use disorders. Comprehensive Addiction and Recovery Act (CARA) 3.0 Act of 2021 (H.R. 4341/S. 987), all provisions related to providing support with respect to the prevention of, treatment for, and recovery from, substance use disorder. CONNECT for Health Act of 2021 (H.R. 2903/S. 1512), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2021 (S. 2061), all provisions related to ensuring coverage of mental health services furnished through telehealth. HELP Act of 2021 (S. 1570), all provisions related to the accessibility and coordination of 211 services and 988 services. Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708/S. 168), all provisions related to temporary authorization of in-person and telehealth services. Behavioral Health Crisis Services Expansion Act (S. 1902), all provisions related to empowering communities to establish a continuum of care for individuals experiencing a behavioral health crisis. Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 (H.R. 5414/S. 2689), all provisions related to ensuring children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid. Preventing Overdoses and Saving Lives Act of 2021 (H.R. 5442), all provisions related to authorizing grants to develop strategic response plans with respect to the opioid crisis, and to require practitioners prescribing an opioid for certain patients to also prescribe an opioid overdose reversal drug. Coronavirus Mental Health and Addiction Assistance Act of 2021 (H.R. 593/S. 135), all provisions related to providing grants to entities that provide mental health and substance use disorder programs during the COVID-19 pandemic. Mental Health Services for Students Act of 2021 (H.R. 721/S. 1841), all provisions related to school-based mental health services. Stopping the Mental Health Pandemic Act (H.R. 7080/S. 4059), all provisions related to grants to support behavioral health treatment and services during the COVID-19 pandemic. Emergency Support for Substance Use Disorders Act (S. 4058), all provisions related to grants for harm reduction activities during the COVID-19 pandemic. Elementary and Secondary School Counseling Act (H.R. 6214/S. 3356), all provisions related to awarding grants to increase access to school-based, mental health services. Campus Prevention and Recovery Services for Students Act of 2019 (H.R. 3591), all provisions related to expanding the illicit drug and alcohol abuse prevention program to include campus efforts to prevent substance misuse. Opioid Treatment Access Act of 2022 (H.R. 6279), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 9-8-8 Implementation Act of 2022 (H.R. 7116), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. 9-8-8 and Parity Assistance Act of 2022 (H.R.7232), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. Into the Light for MMH and SUD Act of 2022 (H.R. 7073), all provisions related to reauthorizing a grant program for screening, assessment, and treatment services for maternal mental health and substance use disorders, and for other purposes. Anna Westin Legacy Act (H.R. 7249/S. 3686), all provisions related to providing education and training on eating disorders for health care providers and communities, and for other purposes. Community Behavioral Health Staff Retention Grants, all provisions related to authorizing grants to eligible community behavioral health facilities for the purpose of helping such providers retain clinical behavioral health workers.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE