Stopping Doctor Shortages Act

S 2938: The Bipartisan Safer Communities Act (Gun violence). HR 6087: Improving Access to Workers compensation for Injured Federal Workers Act: Scope of practice expansion for nurse practitioners and physician assistants. COVID-19 pandemic related issues. COVID-19 Provider Relief Fund: Additional Funding and Distributions. HR 1133/S 311: Stopping Doctor Shortages Act (Public Service Loan Forgiveness Program). S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity. S 1675: Maternal Health Quality Improvement Act. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. Extending the Reporting Deadlines and the Need for Additional Funding. CDC-2-22-0024: Guidelines for Prescribing Opioids for Chronic Pain.

Client expense: $55,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

HR 1667 Lorna Breen, MD Health Care Provider Protection Act. COVID-19 pandemic related issues. COVID-19 Provider Relief Fund: Additional Funding and Distributions. HR 1133/S 311: Stopping Doctor Shortages Act (Public Service Loan Forgiveness Program). HR 1332: Telehealth Modernization Act. S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity. S 1675: Maternal Health Quality Improvement Act. Prior Authorization Gold Card draft legislation.

Client expense: $55,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Q4 Lobbying Report (October 1-December 31) Health Issues Provider Relief Fund Improvement Act (H.R. 5963) Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Protecting Medicare and American Farmers from Sequester Cuts Act (S.610) Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments SUBJECT: [Docket No. FDA-2016-D-0271], Hospital and Health System Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act; Revised Draft Guidance for Industry; (Vol 86, No 192), October 7, 2021 Subject: CMS-9908-IFC, Requirements Related to Surprise Billing; Part II; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 192), October 7, 2021 SUBJECT: CMS-9907-P, Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement, Federal Register (Vol. 86, No. 177), September 16, 2021 SUBJECT: [IS No. 2696-21; DHS Docket No. USCIS- 2021-0013; Public Charge Ground of Inadmissibility; Advanced Notice of Proposed Rulemaking; Federal Register (Vol. 86, No. 160), August 23, 2021

-HR 1133/S 311: Stopping Doctor Shortages Act (Public Service Loan Forgiveness Program) -November 1, 2020 Testified before the Department of Education; virtual public hearing regarding the Public Service Loan Forgiveness Program. Negotiated Rulemaking for Title IV Regulations: Higher Education Act: Public Service Loan Forgiveness Program: 86 FR 28299; Agency/Docket # ID ED-2021-OPE-0077; Document # 2021-11120

Client expense: $55,000 · Firm income: Not reported

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

-COVID-19 pandemic related issues and vaccine distribution. -COVID-19 Provider Relief Fund: Additional Funding and Distributions -HR 3755 The Womens Health Protection Act -HR 1133/S 311: Stopping Doctor Shortages Act -HR 1332: Telehealth Modernization Act -HR 3172: Seniors Timely Access to Care Act -S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity -S 1675: Maternal Health Quality Improvement Act -Comments to Energy & Commerce Committee on a Public Option -Covid-19 Response: Community Physicians as Vaccinators; Equitable Vaccine Distribution; -Support for Richard Pan, MD for Health Resources Services Administration (HRSA) Administrator -American Rescue Plan Act Physician Wellness Grants -Physician-led alternative payment models and Accountable Care Organizations.

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

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

The American Rescue Plan Act of 2021 (Public Law No: 117-2), legislation to provide additional relief to address the continued impact of COVID-19 on the economy, public health, state and local governments, individuals, and businesses. Request for additional funding to the Public Health and Social Services Emergency Fund. Request for medical liability protections for hospitals and providers responding to COVID pandemic. Request for regulatory relief for hospitals responding to the COVID-19 pandemic. Coronavirus Aid, Relief, and Economic Security (CARES) Act (P .L. 116-136), legislation to respond to the COVID-19 outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses. Request to quickly distribute the remaining funds in the Public Health and Social Services Emergency Fund in a manner that takes into account states, like Texas, that experienced a surge in COVID-19 cases after the June 10 cutoff date of the hotspot allocation. Request to cosponsor the Stopping Doctor Shortage Act (S.311: Cornyn/HR 1133: Harder/Castro/Taylor) - the Public Student Loan Forgiveness Program (PSLF) sought to encourage physicians to pursue careers in nonprofit and public service, especially in rural communities facing severe physician shortages, by forgiving federal student loans for physicians who have provided care in non-profit hospitals for ten years. This legislation closes a PSLF regulatory loophole and allows eligible doctors in Texas and California to receive federal student loan forgiveness. Request for members of the Congressional delegation to sign a Dear Colleague letter to the Department of Education asking for a regulatory fix that would allow physicians in California and Texas to participate in the PSLF. Infrastructure Investment and Jobs Act (HR 3684) - oppose extension of Medicare 2% sequestration cuts; support provisions providing funding for hospital infrastructure, strengthening the healthcare workforce, and expanding broadband internet services. Build Back Better Act (HR 5376) - support efforts to address the Medicaid coverage gap, improving maternal health services, making permanent the Children's Health Insurance Program and funding pandemic preparedness measures.

Q3 Lobbying Report (July 1-September 30) Health Issues Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments Subject: CMS-9909-IFC, Requirements Related to Surprise Billing; Part I; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 131), July 13, 2021 SUBJECT: CMS-1753-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals (Vol 86, No 147), August 4, 2021 SUBJECT: CMS-1751-P, Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post Payment Medical Review Requirements; Proposed Rule; Federal Register (Vol. 86, No.139), July 23, 2021 SUBJECT: CMS-1747-P, Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Update: Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements; Federal Register (Vol. 86, No.127), July 7, 2021 Subject: Information Collection Request Title: COVID-19 Provider Relief Fund Reporting Activities, OMB No. 0906- XXXX New, Federal Register (Vol. 86, No. 140), July 26, 2021

The American Rescue Plan Act of 2021 (Public Law No: 117-2), legislation to provide additional relief to address the continued impact of COVID-19 on the economy, public health, state and local governments, individuals, and businesses. Request for additional funding to the Public Health and Social Services Emergency Fund. Request for medical liability protections for hospitals and providers responding to COVID pandemic. Request for regulatory relief for hospitals responding to the COVID-19 pandemic. Coronavirus Aid, Relief, and Economic Security (CARES) Act (P .L. 116-136), legislation to respond to the COVID-19 outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses. Replace the $10 billion in Public Health and Social Services Emergency Fund payments that were spent on Operation Warp Speeds efforts. Request to quickly distribute the remaining funds in the Public Health and Social Services Emergency Fund in a manner that takes into account states, like Texas, that experienced a surge in COVID-19 cases after the June 10 cutoff date of the hotspot allocation. Request to cosponsor the Stopping Doctor Shortage Act (S.311: Cornyn/HR 1133: Harder/Castro/Taylor) - the Public Student Loan Forgiveness Program (PSLF) sought to encourage physicians to pursue careers in nonprofit and public service, especially in rural communities facing severe physician shortages, by forgiving federal student loans for physicians who have provided care in non-profit hospitals for ten years. This legislation closes a PSLF regulatory loophole and allows eligible doctors in Texas and California to receive federal student loan forgiveness. Request for Texas delegation members to sign on to a letter from Rep. Suozzi and Rep. Wenstrup to US Dept of HHS, Treasury and Labor about the No Surprises Act (Pub. L. No. 116-260, 134 Stat. 1182, Division BB, 109) and weighing arbitration factors for resolving surprise medical bills equally.

Q2 Lobbying Report (April 1-June 30) Health Issues Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 - S. 834 Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact (TRIA) Act of 2021 (H.R. 2455) Submitted Comments SUBJECT: CMS-1752-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Changes to Medicaid Provider Enrollment; and Proposed Changes to the Medicare Shared Savings Program (Vol 86, No 88), May 10, 2021 SUBJECT: CMS-1748-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program; Proposed Rule, Federal Register (Vol. 86, No. 68), April 12, 2021 SUBJECT: CMS-1746-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022, Federal Register (Vol. 86, No. 71), April 15, 2021 SUBJECT: CMS-1750-P, Medicare Program; FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022) Proposed Rule, Federal Register (Vol. 86, No. 69), April 13, 2021 SUBJECT: RIN 0945-AA00; Proposed Modifications to the HIPAA Privacy Rule to Support, and Remove Barriers to, Coordinated Care and Individual Engagement; Notice of Proposed Rulemaking, Federal Register (Vol. 86, No.12), January 21, 2021

-COVID-19 pandemic related issues and vaccine distribution -HR 1133/S 311: Stopping Doctor Shortages Act -HR 1332: Telehealth Modernization Act -HR 3172: Seniors Timely Access to Care Act -S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity -S 253: Cannabidiol and Marijuana Research Expansion Act -S 1675: Maternal Health Quality Improvement Act -Community Physicians as Vaccinators -Equitable Vaccine Distribution -American Rescue Plan Act Physician Wellness Grants

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

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

COVID-19 pandemic related issues and vaccine distribution (CMA Trustee testimony before Senate HELP Committee on vaccine distribution). HR 1319: American Rescue Plan Act of 2021 (Covid-19 assistance, vaccines, mental health, public health, physician wellness; Affordable Care Act insurance coverage; Medicaid). HR 1868: To prevent across the board direct spending cuts: Medicare sequestration HR 1133/S 311: Stopping Doctor Shortages Act HR 1332: Telehealth Modernization Act HR 8: Bipartisan Background Checks Act of 2021 S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity S 253: Cannabidiol and Marijuana Research Expansion Act

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

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