Safeguarding American Tourism Act

CY 2022 Outpatient Prospective Payment System Proposed Rule; FY 2022 Inpatient Prospective Payment System Final Rule; Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing interim final rule; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion Act of 2021, " (HR. 340)

Client expense: $25,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

CY 2022 Outpatient Prospective Payment System Proposed Rule; FY 2022 Inpatient Prospective Payment System Final Rule; Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing interim final rule; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion Act of 2021, " (HR. 340)

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 628 / No Senate Companion - Shellfish Aquaculture Improvement Act of 2021 - Discussions with staff regarding potential impacts on mariners from the legislation. S. 707 / H.R. 1819 - Energizing American Shipbuilding Act of 2021 - Discussions with staff over the legislative language, and advocacy in support of the legislation. H.R. 1561 / S. 575 - Great Lakes Winter Commerce Act of 2021 - Discussions with staff and members regarding the issues in the Great Lakes and advocacy in support of the legislation. S. 1994 / No House Companion - Protecting Jobs in American Ports Act - Advocacy in opposition to the legislation. S. 1998 / No House Companion - Safeguarding American Tourism Act - Advocacy in opposition to the legislation. H.R. 2696 / S.356 - Transportation Workforce Centers of Excellence Act / TOPS Act - Discussions with staff over potential impacts on union training schools. S. 2784 / No House Companion - Bill to establish grant program for the maritime workforce - Discussions with staff over potential impacts on union training schools. S. 2818 / No House Companion - Cruising for Alaskas Workforce Act - Discussion with staff regarding issues in Alaska that led to the introduction of the legislation. Advocacy in opposition to the legislation. H.R. 3684 / S. 1931, et. al - INVEST in America Act / Surface Transportation Reauthorization Act of 2021 - Discussions with staff regarding potential maritime provisions relating to cargo preference be included with the legislation. H.R. 3873 / S. 1992 - Open America's Ports Act - Advocacy in opposition to the legislation. H.R. 4373 / SENATE DRAFT - Department of State, Foreign Ops and Related Programs - Advocacy in support of funding for the Title II Food for Peace program. H.R. 4350 / S. 2792 - National Defense Authorization Act for FY 2022 - Discussions with staff regarding potential changes to the Tanker Security Program within the NDAA. Advocacy in support of the legislation. H.R. 4550 / SENATE DRAFT - Transportation, Housing and Urban Development Appropriations Act for FY 2022 - Discussions and advocacy with staff in support of full funding for the Maritime Security Program and Tanker Security Program, as well as other maritime funding priorities. Advocacy in support of the legislation. H.R. 4886 / No Senate Companion - Ocean Shipping Reform Act of 2021 - Discussions with staff regarding issues related to U.S.-flag companies that could be impacted by the legislation. H.R. 5059 / S. 363 - Make It in America Act - Discussions with staff regarding maritime related provisions. Advocacy in support of the legislation. H.R. 5573 / No Senate Companion - Bill to prohibit vessels from idling or anchoring in Southern California Coastal Waters - Advocacy in opposition to the legislation. H.R. 5376 / No Senate Companion - Build Back Better Act - Discussion with staff regarding potential maritime related programs included in the legislation, and advocacy in support of the legislation. Legislative Initiatives and General Issue Areas: Cargo Preference - On-going discussions in regards to increasing the percentages of cargo reserved under cargo preference programs to the U.S.-Flag fleet, and creating a new preference program for cargoes that may become available under the Jobs Act. COVID-19 Issues Relating to the Maritime Industry - On-going discussions with multiple members, staff and committee staff regarding the impact of the current pandemic on the maritime industry and mariners. This includes issues with crew relief, credential expiration, potential MSP program waivers and emergency appropriations, cargo preference expansion, and regulatory issues. Coast Guard Credentialing Issues - On-going discussions with members and staff regarding difficulties in obtaining initial and renewed credentials for Merchant Mariners through the Coast Guards National Maritime Center. Coast Guard Training Certification Issues - On-going discussions with members and staff regarding difficult in obtaining timely certification of training courses for Merchant Mariners through the Coast Guards National Maritime Center. Coast Guard Able-Bodied Seamen Training Program Issues - On-going discussions with members and staff over potential legislative changes to help bring existing, decades-long training programs into compliance with new Coast Guard interpretations of existing statutes and regulations regarding the sea service training time requirements for Able -Bodied Seamen serving in the deck department on vessels in the United States Merchant Marine. Jones Act - On-going discussions with staff regarding issues relating to the Jones Act, including wind-farm development and concerns with the effects of COVID. Ligado Order Recession - On-going discussions with staff regarding the potential impact of the Ligado Order on the maritime industry, in particular GPS and other maritime positioning systems. Maritime Security Program full funding for FY 22 - Discussions and advocacy to ensure MSP is funded at levels sufficient to maintain the fleet. Maritime tax issues - Preliminary discussions with staff around potential tax reforms to help promote the U.S.-flag merchant fleet. Offshore Wind OCSLA Issues - On-going discussions with members regarding issues around Customs and Border Protection guidance concerning use of US-Flag ships for movements of cargo to the pristine seabed in the Outer Continental Shelf for wind farm development, including issues regarding Customs and Border Protection guidance on OCSLA and the Jones Act in regards to off-shore wind installations. Passenger Vessel Services Act Waivers - On-going discussions with staff regarding issues surrounding the PVSA and its impact on certain cruise related voyages to Alaska and the Pacific Northwest. Tanker Security Program Authorization - Discussions with staff regarding potential legislative changes to the Tanker Security Program to make it more viable. Tanker Security Program full funding for FY 22 - Discussions and advocacy to ensure the TSP is provided its first funding since authorization so the program can be fully implemented.

CY 2022 Outpatient Prospective Payment System Proposed Rule; FY 2022 Inpatient Prospective Payment System Final Rule; Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing interim final rule; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion Act of 2021, " (HR. 340)

Client expense: $25,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

CY 2022 Outpatient Prospective Payment System Proposed Rule; FY 2022 Inpatient Prospective Payment System Final Rule; Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing interim final rule; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion Act of 2021, " (HR. 340)

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Any bill(s) or provision(s) urging the delay of CMSs hospital transparency rule requiring hospitals to publicly disclose negotiated rates with commercial health plans. Any provision(s) on the CMS hospital inpatient prospective payment system proposed rule for fiscal year 2021. Any provision(s) on the CMS hospital outpatient prospective payment system/ ambulatory surgical center proposed rule reducing payment rates received by hospitals. Any provision(s) concerning CMSs Medicaid Fiscal Accountability Proposed Rule, with hospitals urging the proposed rule be withdrawn. Any issue(s) related to Medicare pass-through funding and other payment technicalities in relation to colleges of nursing and allied health professions. Any bill(s) or provision(s) addressing Medicaid Disproportionate Share Hospital (DSH) cuts, namely having to do with a delay in cuts. H.R. 315, S. 748, or any other bill(s) or provision(s) addressing the elimination of Medicare sequester cuts during the COVID-19 public health emergency. H.R. 340. INCENTIVIZING MEDICAID EXPANSION ACT OF 2021, or any other bill(s) or provision(s) addressing the expansion of Medicaid and increasing the level of Federal matching assistance for states that choose to expand Medicaid coverage. Any bill(s) or provision(s) enabling or making it easier for providers to use telemedicine to increase access for patients. Any provision(s) expanding telehealth services and access. S. 368 THE TELEHEALTH MODERNIZATION ACT; S. 1998. PROTECTING RURAL TELEHEALTH ACCESS ACT.

Client expense: $200,565 · Firm income: Not reported

Any COVID-19 stimulus bill(s), package(s), or provision(s) impacting hospitals and health systems, including but not limited to: Forgiveness for Medicare accelerated payments; Additional money and reporting requirements for the Provider Relief Fund; Support for front-line caregivers; Liability protections for front-line medical providers and facilities; Maintaining health benefits for individuals and families and increasing coverage options for the uninsured; Expansion of resources for testing, tracing, and vaccine development; and Expansion of resources for vaccine rollout and administration. Any requirement(s) for hospitals to collect and report COVID-19 data. Any bill(s) or provision(s) urging the delay of CMSs hospital transparency rule requiring hospitals to publicly disclose negotiated rates with commercial health plans. Any provision(s) on the CMS hospital inpatient prospective payment system proposed rule for fiscal year 2021. Any provision(s) on the CMS hospital outpatient prospective payment system/ ambulatory surgical center proposed rule reducing payment rates received by hospitals. Any bill(s), provision(s), or action(s) impacting the 340B Drug Discount Program and hospitals and health systems ability to provide access to these drugs for patients. Any bill(s) or provision(s) addressing high drug prices. Any bill(s) or provision(s) addressing surprise medical billing proposals harmful to patients and hospitals/health systems. The No Surprises Act. Any bill(s) or provision(s) enabling or making it easier for providers to use telemedicine to increase access for patients. Any provision(s) expanding telehealth services and access. S. 368 THE TELEHEALTH MODERNIZATION ACT; S. 1998. PROTECTING RURAL TELEHEALTH ACCESS ACT. Any provision(s) concerning CMSs Medicaid Fiscal Accountability Proposed Rule, with hospitals urging the proposed rule be withdrawn. Any issue(s) related to Medicare pass-through funding and other payment technicalities in relation to colleges of nursing and allied health professions. Any bill(s) or provision(s) addressing Medicaid Disproportionate Share Hospital (DSH) cuts, namely having to do with a delay in cuts. Any bill(s) or provision(s) addressing access to mental health care for patients. Any bill(s) or provision(s) addressing access to rural health care for patients. H.R. 315, S. 748, or any other bill(s) or provision(s) addressing the elimination of Medicare sequester cuts during the COVID-19 public health emergency. H.R. 340. INCENTIVIZING MEDICAID EXPANSION ACT OF 2021, or any other bill(s) or provision(s) addressing the expansion of Medicaid and increasing the level of Federal matching assistance for states that choose to expand Medicaid coverage. Any bill(s) or provision(s) relating to funding for the Atrium Health/Wake Forest Baptist Innovation Quarter and Innovation Corridor. Any bill(s) or provision(s) relating to funding/support for the Atrium Health/Wake Forest Baptist School of Medicine. H.R.959/S. 346- BLACK MATERNAL HEALTH MOMNIBUS ACT OF 2021. Any provision(s) to help close disparities in material health outcomes. S.1931. SURFACE TRANSPORTATION REAUTHORIZATION ACT OF 2021. Any provision(s) related to funding for health care infrastructure. H.R.7616 - TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES APPROPRIATIONS ACT, 2021. Any provision(s) related to funding for health care infrastructure.

H.R. 628 / No Senate Companion - Shellfish Aquaculture Improvement Act of 2021 - Discussions with staff regarding potential impacts on mariners from the legislation. H.R. 1561 / No Senate Companion - Bill to require Coast Guard to conduct icebreaking operations in the Great Lakes - Discussions with staff and members regarding the issues in the Great Lakes and advocacy in support of the legislation. S. 707 / H.R. 1819 - Energizing American Shipbuilding Act of 2021 - Discussions with staff over the legislative language, and advocacy in support of the legislation. S. 1994 / No House Companion - Protecting Jobs in American Ports Act - Advocacy in opposition to the legislation. S. 1998 / No House Companion - Safeguarding American Tourism Act - Advocacy in opposition to the legislation. H.R. 2696 / No Senate Companion - Transportation Workforce Centers of Excellence Act - Discussions with staff over potential impacts on union training schools. H.R. 3684 / SENATE DRAFT - INVEST in America Act - Discussions with staff regarding potential maritime provisions relating to cargo preference be included with the legislation. H.R. 3873 / S. 1992 - Open America's Ports Act - Advocacy in opposition to the legislation. H.R. 4373 / No Senate Companion - Department of State, Foreign Ops and Related Programs - Advocacy in support of funding for the Title II Food for Peace program. WHITE HOUSE DRAFT - American Jobs Plan - Discussions with the White House on maritime related provisions to be included in the American Jobs Plan. HOUSE DRAFT / SENATE DRAFT - National Defense Authorization Act for FY 2022 - Preliminary discussions with staff regarding potential changes to the Tanker Security Program within the NDAA. HOUSE DRAFT / No Senate Companion - Transportation, Housing and Urban Development Appropriations Act for FY 2022 - Discussions and advocacy with staff in support of full funding for the Maritime Security Program and Tanker Security Program, as well as other maritime funding priorities. Legislative Initiatives and General Issue Areas: Tanker Security Program - Discussions with staff regarding potential legislative changes to the Tanker Security Program to make it more viable. Ligado Order Recession - On-going discussions with staff regarding the potential impact of the Ligado Order on the maritime industry, in particular GPS and other maritime positioning systems. Offshore Wind OCSLA Issues - On-going discussions with members regarding issues around Customs and Border Protection guidance concerning use of US-Flag ships for movements of cargo to the pristine seabed in the Outer Continental Shelf for wind farm development. COVID-19 Issues Relating to the Maritime Industry - On-going discussions with multiple members, staff and committee staff regarding the impact of the current pandemic on the maritime industry and mariners. This includes issues with crew relief, credential expiration, potential MSP program waivers and emergency appropriations, cargo preference expansion, and regulatory issues. Jones Act - On-going discussions with staff regarding issues relating to the Jones Act, including wind-farm development and concerns with the effects of COVID. Passenger Vessel Services Act Waivers - On-going discussions with staff regarding issues surrounding the PVSA and its impact on certain cruise related voyages to Alaska and the Pacific Northwest. Maritime Security Program full funding for FY 22 - Discussions and advocacy to ensure MSP is funded at levels sufficient to maintain the fleet. Tanker Security Program full funding for FY 22 - Discussions and advocacy to ensure the TSP is provided its first funding since authorization so the program can be fully implemented. Cargo Preference - On-going discussions in regards to increasing the percentages of cargo reserved under cargo preference programs to the U.S.-Flag fleet, and creating a new preference program for cargoes that may become available under the Jobs Act. Maritime regulatory issues - Discussions with staff over regulatory reform issues, particularly those that impact U.S.-Flag carriers but are not present in the foreign sailing international fleet.

Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); CMS proposed rule Inpatient Prospective Payment; Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion act of 2021, " (HR. 340)

Client expense: $25,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Extension of Medicare Sequester Moratorium; "Temporary Reciprocity to Ensure Access to Treatment Act" (TREAT); "Resident Shortage Reduction Act of 2021"; Drug Pricing; Surprise Billing; "Telehealth Modernization Act, (S.368); "Protecting Rural Health Access Act, " (S.1998); CMS proposed rule Inpatient Prospective Payment; Opioid Workforce Act of 2021; "Incentivizing Medicaid Expansion act of 2021, " (HR. 340)

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE