REDI Act

Support for: the Resident Education Deferred Interest (REDI) Act, to provide interest free deferment for physician and dental residents (HR 4122/S 3658); the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act (HR 4631) to reinstate eligibility for graduate and professional students with financial need to receive Direct Subsidized Stafford Loans, which are now only available to undergraduate students; the the Student Loan Refinancing Act (HR 2160) to enable borrowers to refinance their federal student loans on multiple occasions to take advantage of lower interest rates; and the Student Loan Refinancing and Recalculation Act (HR 1918) to provide a chance for borrowers to refinance their federal student loans when interest rates are lower, eliminate loan origination fees and allow medical and dental residents to defer payments until after completing their residency programs, as well as delay the accrual of interest for many low- and middle-income borrowers while they are in school; the Student Loan Interest Deduction Act of 2021 (HR 4726) to double the student loan interest deduction (from $2,500 to $5,000) and eliminate the income limits that prevent those with higher incomes from reaping the benefit; the Indian Health Service Health Professions Tax Fairness Act of 2022 (HR 7539/S 2874) to allow dentists participating in the Indian Health Service Loan Repayment Program to exclude interest and principal payments from their federal income taxes, as well as certain benefits received by those in the Indian Health Professions Scholarships Program; the Dental Loan Repayment Assistance Act (HR 1285/S 449) to allow full-time faculty members participating in the Dental Faculty Loan Repayment Program (DFLRP) to exclude the amount of the loan forgiveness from their federal income taxes; and the HIV Epidemic Loan-Repayment Program Act (HR 2295) that would offer up to $250,000 in educational loan repayment to dentists, physicians, and other health care professionals in exchange for up to five years of service at Ryan White-funded clinical sites and in health profession shortage areas.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 2954, Securing a Strong Retirement Act of 2022, provisions relating to student loans H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions S. 54, Strengthening Americas Health Care Readiness Act, all provisions S. 924, Rural America Health Corps Act, all provisions H.R. 8850, Fair Access In Residency (FAIR) Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 4330, Specialty Physicians Advancing Rural Care Act, all provisions H.R. 7539, Indian Health Service Health Professions Tax Fairness Act of 2022, all provisions S. 2874, Indian Health Service Health Professions Tax Fairness Act of 2021, all provisions H.R. 3671, Doctors of Community (DOC) Act, all provisions S. 1958, Doctors of Community (DOC) Act, all provisions H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions S. 3658, Resident Education Deferred Interest (REDI) Act, all provisions Public Sector Loan Forgiveness Program (PSLF)

Client expense: $5,060,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, White House Office

Indian Health Service Health Professions Tax Fairness Act (S. 2874/H.R. 6448) Student Loan Forgiveness for Frontline Health Workers Act (S. 3828 / H.R. 2418) 90/10 Rule Gainful Employment National Committee on Foreign Medical Education and Accreditation Student Financial Aid Resident Education Deferred Interest (REDI) Act (S. 3658/H.R. 4122) Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act (H.R. 4631) State Authorization Reciprocity Agreements Public Service Loan Forgiveness Program Temporary Expanded PSLF Waiver Foreign Medical School Accountability Fairness Act of 2022 (S. 4792/H.R. 8602) Borrower Defense to Repayment

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $23,000 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $23,000 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $236,000 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $236,000 · Firm income: Not reported

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

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Gun Violence Protection and Safety Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment H.R.5376 - Inflation Reduction Act of 2022 Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment H.R. 8800 - Supporting Medicare Providers Act of 2022 S. 5194 - Protecting Medicare Patients and Physicians Act Issues related to implementation of the No Surprises Act Issues related to telehealth H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act of 2022 Issues related to health equity

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act

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

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

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Gun Violence Protection and Safety Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment H.R.5376 - Inflation Reduction Act of 2022 Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment H.R. 8800 - Supporting Medicare Providers Act of 2022 S. 5194 - Protecting Medicare Patients and Physicians Act Issues related to implementation of the No Surprises Act Issues related to telehealth H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act of 2022 Issues related to health equity

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 432 - Mental Health Access Improvement Act H.R. 909 / S. 484 - The Moms Matter Act H.R. 1475/ S. 1795 - Pursuing Equity in Mental Health Act H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 H.R. 3541 / S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 3753/ S. 1962 - Parity Implementation Assistance Act H.R. 4058 / S. 2061 - Telemental Health Care Access Act H.R. 4122 / S. 3658 - Resident Education Deferred Interest (REDI) Act H.R. 4217 / S. 2779 - TRIUMPH for New Moms Act H.R. 4770 - Evaluating Disparities and Outcomes of Telehealth (EDOT) Act of 2021 H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 6000 - Cures 2.0 Act H.R. 6636 / S. 2697 - Due Process Continuity of Care Act H.R. 7073 / S. 3824 - Into the Light for Maternal Mental Health and Substance Use Disorders Act H.R. 7116 - 988 Implementation Act of 2022 H.R. 7232 - 988 and Parity Assistance Act of 2022 H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7667 - Food and Drug Amendments of 2022 H.R. 7857 - Minority Fellowship Program Reauthorization Act of 2022 H.R. 8180 - Undertaking Needed Investments in Therapy, Education, and De-Escalation (UNITED) Act of 2022 H.R. 8229 - Telemental Health Parity Act H.R. 8391 - CONNECT Act H.R. 8800 - Supporting Medicare Providers Act of 2022 H.R. 8830 / S. 4003 - Law Enforcement De-escalation Training Act H.R. 8878 - Intensive Outpatient Policy H.R. 8879 - Inpatient Psychiatric Facility Improvement Act H.R. 8881 - Mental Health Transparency Act H.R. 8884 - Medicare Opioid Use Disorder Outreach Act H.R. 8885 - Better Health Care Directories Act H.R. 8886 - Promoting Clarity in Mental Health and Substance Use Disorder Treatment Act H.R. 8889 - Readable Insurance Coverage Enhancement (RICE) Act H.R. 8890 - Physician Wellness Program Act H.R. 8891 - No Surprises for Survivors Act H.R. 8892 - Access to Mental Health Services Act H.R. 8908 - Fighting Stimulant and other Substance Use Disorders Act H.R. 8910 - Behavioral Health Integration Awareness Act H.R. 9201 - Community Mental Wellness and Resilience Act H.R. 9499 - CCBHC Expansion Act of 2022 S. 2144 - PEERS Act of 2021 S. 2425 - Suicide Prevention Lifeline Improvement Act S. 4747 - Investing in Kids Mental Health Now Act S. 4965 - A bill to amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology. S.5041 - Training Psychiatrists for the Future Act S.5042 - More Behavioral Health Providers Act S.5043 - Expand the Behavioral Health Workforce Act S.5061 - Expand Qualified Psychologist Services Act S.5062 - Protect Our Physicians Act S.5272 - Increasing Mental Health Options of 2022 Senate Finance Kids Mental Health Draft Senate Finance Telehealth Draft Senate Finance Integrated Care Draft Senate Finance Workforce Draft Senate Finance Parity Draft

Client expense: $194,975 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Educational debt, student loans, loan repayment programs, dental school accreditation Reauthorization of the Higher Education Act (student loans, accreditation) S. 449/H.R. 1285, Dental Loan Repayment Assistance Act H.R. 4122/S.3658, Resident Education Deferred Interest Act (REDI Act) H.R. 1918, Student Loan Refinancing and Recalculation Act H.R. 2160, Student Loan Refinancing Act S. 1958/H.R. 3671, the Doctors of Community Act (DOC Act) H.R. 2295, HIV Epidemic Loan-Repayment Program Act Indian Health Service Health Professions Tax Fairness Act H.R. 4631 POST GRAD Act Student loan relief during COVID-19 pandemic Open Access Publishing Public Service Loan Forgiveness Partial loan forgiveness H.R 4726, Student Loan Interest Deduction Act

Client expense: $650,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Indian Health Service, SENATE

The Affordable Care Act (P.L. 111-148, P.L. 111-152): Continued advocacy with Congress in support of expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Regarding CMS Medicare Physician Fee Schedule and Quality Payment Program (QPP) rules, expressed support for extending some of the services and increased flexibility for telehealth through the end of 2024, namely some audio-only services that were allowed during the COVID-19 public health emergency (PHE), support for collecting additional data on health equity issues to analyze disparities that occur across their programs, support for including chronic care management as one of the seven MIPS Value Pathways (MVPs) for 2023. Urged CMS to discontinue its split/shared visits policy and not move forward with the transition set to take effect in 2023. Urged Congress to support inclusion in must-pass legislation this year provisions to provide financial stability through a baseline positive annual update to the physician fee schedule reflecting inflation in practice costs, and eliminate, revise budget neutrality requirements to allow for appropriate changes in spending growth and prevent a 4.42 percent Medicare payment cut as contained in H.R. 8800, the Supporting Medicare Providers Act of 2022; Extend the moratoriums on sequester and PAYGO cuts that were approved by Congress at the end of last year. Recommended modifications to Medicare law to establish a mechanism for savings to be calculated across all aspects of the program-that is, increased investment in relative and absolute payments for primary care and preventive health care services (Part B) results in savings due to reduced emergency department visits and hospitalizations (Part A)-and to allow these savings to be reinvested back into primary and preventive care, as well as into social and public health services. With regard to Medicares Quality Payment Program, advocated with Congress to provide flexibility to CMS to set performance thresholds, improve the cost performance category, provide scoring flexibility to CMS to allow for multi-category credit, provide CMS flexibility to score and benchmark measures as appropriate and to test and incentivize new measures and MVPs to ensure successful implementation, update the Promoting Interoperability performance category, Extend the $500 million exceptional performance bonus for an additional six years , align comparisons in the MIPS Quality performance category and Physician Compare. FY2023 Appropriations: Urged Congress to support funding for the Centers for Disease Control and Preventions programs in the FY 2023 Labor, Health and Human Services, Education and Related Agencies Appropriations bill as well as funding shared evenly between the U.S. Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) to conduct public health research into firearm morbidity and mortality prevention. Advocated for funding for the Health Resources Services Administration (HRSA); Title VII, Section 747, Primary Care Training and Enhancement (PCTE), Health Resources and Services Administration (HRSA); National Health Service Corps (NHSC); Agency for Healthcare Research and Quality (AHRQ); the Centers for Disease Control and Preventions (CDC) Office on Smoking and Health (OSH). COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. Urged congress to mitigate the impact of covid across racial and ethnic minority populations by collect covid-19 and racial disparity data, equitably distribute covid-19 vaccines and treatments, protect essential workers, permanently expand access to family and medical leave, address environmental and social drivers of health, integrate primary care and behavioral health, improve mental health parity with increased federal oversight and enforcement, make naloxone more available to prevent overdose, expand medication-assisted treatment (mat) for physicians, establish a national prescription drug monitoring program (PDMP); urged support for administering COVID-19 vaccinations to all eligible immigrants in Customs and Border Protection (CBP) custody. Urged CMS to support increasing COVID-19 vaccine uptake by ensuring clinicians are appropriately paid for vaccine counseling for beneficiaries of Medicaid and Medicare. Urged that telehealth services should remain in place for at least two years after the end of the PHE to ensure that our physicians are able to continue to use this modality to enhance patient care. Urged Congress to support the concept of a congressionally-mandated bipartisan commission to examine the U.S. preparations for and response to the COVID-19 pandemic, in order to inform future public policy and health systems preparedness. Urged that any uses of technology in the U.S. in the context of the pandemic should be demonstrated to be effective, be temporary, and ensure that safeguards for privacy and confidentiality are in place. Womens Health: Urged HHS to support Title X funding and ensure unencumbered access to affordable, comprehensive, evidence-based reproductive health care; eliminate medically unnecessary restrictions and inappropriate political interference in the patient-physician relationship; and protect funding for and ensures consistent treatment of qualified service sites. Urged support for mandatory, permanent extension of postpartum Medicaid coverage, from 60 days to 12 months after delivery. Urged support for the Womens Health Protection Act of 2021 and 2022 (H.R. 3755/S. 1975), bills that would protect a persons ability to determine whether to continue or end a pregnancy and to protect the health care clinicians ability to provide abortion services free from medically unnecessary restrictions such as waiting periods, biased counselling and admitting privilege requirements for clinicians. Access to Care: Urged members of Congress to cosponsor and pass H.R. 340, the Incentivizing Medicaid Expansion Act of 2021, to expand federal matching assistance for states that choose to expand Medicaid, regardless of when such expansion takes place: Cosponsor and pass H.R. 369, the Health Care Affordability Act of 2021, to permanently expand eligibility for higher premium tax credits under the Affordable Care Act. Primary Care and the Physician Workforce: Urged members of Congress to cosponsor and pass H.R. 2256/S. 834, the Resident Physician Reduction Shortage Act of 2021, to increase the number of GME slots to 14,000 over seven years for specialties facing shortages, including internal medicine; Cosponsor and pass S. 1024, the Healthcare Workforce Resilience Act, to recapture 40,000 unused visas and use them to provide additional green cards to 15,000 physicians and 25,000 professional nurses; Cosponsor and pass H.R. 3541/S. 1810, the Conrad State 30 and Physician Access Reauthorization Act, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement; Cosponsor and pass H.R.4122/S.3658, the Resident Education Deferred Interest (REDI) Act, to make it possible for residents to defer interest on their loans; Support inclusion in FY2023 appropriations legislation funding for Title VII Primary Care and Training Enhancement (PCTE) at $71 million to support and expand the pipeline for individuals training in primary care. Public Health and Pandemic Preparedness: Urged members of Congress to support funding in FY2023 appropriations - $11 billion total for the CDC, $35 million for the CDCs Injury Prevention and Control, Firearm Injury and Mortality Prevention Research; $49 billion in total for the NIH, $25 million for the Office of the Director, Firearm Injury and Mortality Prevention Research; Cosponsor and pass the COVID Supplemental Appropriations Act, 2022, H.R. 7007, or a similar supplemental funding package, to provide $15.6 billion in additional funding for COVID relief; Cosponsor and pass the CONNECT for Health Act (H.R. 2903/S. 1512) and the Telehealth Extension Act of 2021 (H.R. 6202/S. 3593), to remove arbitrary restrictions on where a patient must be located to utilize telehealth services; enable patients to continue to receive telehealth services in their homes; ensure federally-qualified health centers and rural health centers can furnish telehealth services and improve data collection and analysis for at least two years. Prescription Drug Reform: Urged members of Congress to cosponsor and pass S. 898, the Fair Drug Pricing Act, to require drug companies to disclose and provide more information about imminent drug-price increases, including data about research and development costs; Cosponsor and pass S. 833, the Empowering Medicare Seniors to Negotiate Drug Prices Act of 2021, to help to reduce drug prices and out-of-pocket costs by allowing the federal government to negotiate lower drug prices on behalf of Medicare beneficiaries; Cosponsor and pass S. 464/H.R. 2163, the Safe Step Act, to ensure patient access to appropriate treatments based on clinical decision-making and medical necessity rather than arbitrary step therapy protocols. Telehealth Services: Urged Congress to support H.R. 2903/S. 1512, the CONNECT for Health Act, to remove arbitrary barriers to telehealth services such as geographic and site of service restrictions; S. 168/H.R. 708, the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act, to ensure that telehealth services can be provided across states lines after the public health emergency ends; H.R. 8487, the Improving Seniors Timely Access to Care Act that would help protect patients from unnecessary delays in care and reduce administrative burdens on physicians by standardizing and streamlining the prior authorization approval process in the Medicare Advantage (MA) program. Advocated with Congress for passage of H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2021, to extend coverage for critical telehealth services beyond the public health emergency. Mental and Behavioral Health: Urged members of Congress to cosponsor and pass H.R. 5218, the Collaborate in an Orderly and Cohesive Manner Act, to provide grants through the Department of Health and Human Services to primary care physicians who choose to deliver behavioral health care through the Collaborate Care Model (CoCM); Support enhanced reimbursement for CoCM payment codes under Medicare to more appropriately reflect the value of services provided to patients with mental health and substance use disorder needs. Scope of Practice: Urged Congress to oppose the Improving Care and Access to Nurses Act, or the I CAN Act, H.R. 8812, which allows non-physician clinicians to deliver care that is not commensurate with their training, skills, and demonstrated competencies in accord with national standards

Client expense: $69,651 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

The Affordable Care Act (P.L. 111-148, P.L. 111-152): Continued advocacy with Congress in support of expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Regarding CMS Medicare Physician Fee Schedule and Quality Payment Program (QPP) rules, expressed support for extending some of the services and increased flexibility for telehealth through the end of 2024, namely some audio-only services that were allowed during the COVID-19 public health emergency (PHE), support for collecting additional data on health equity issues to analyze disparities that occur across their programs, support for including chronic care management as one of the seven MIPS Value Pathways (MVPs) for 2023. Urged CMS to discontinue its split/shared visits policy and not move forward with the transition set to take effect in 2023. Urged Congress to support inclusion in must-pass legislation this year provisions to provide financial stability through a baseline positive annual update to the physician fee schedule reflecting inflation in practice costs, and eliminate, revise budget neutrality requirements to allow for appropriate changes in spending growth and prevent a 4.42 percent Medicare payment cut as contained in H.R. 8800, the Supporting Medicare Providers Act of 2022; Extend the moratoriums on sequester and PAYGO cuts that were approved by Congress at the end of last year. Recommended modifications to Medicare law to establish a mechanism for savings to be calculated across all aspects of the program-that is, increased investment in relative and absolute payments for primary care and preventive health care services (Part B) results in savings due to reduced emergency department visits and hospitalizations (Part A)-and to allow these savings to be reinvested back into primary and preventive care, as well as into social and public health services. With regard to Medicares Quality Payment Program, advocated with Congress to provide flexibility to CMS to set performance thresholds, improve the cost performance category, provide scoring flexibility to CMS to allow for multi-category credit, provide CMS flexibility to score and benchmark measures as appropriate and to test and incentivize new measures and MVPs to ensure successful implementation, update the Promoting Interoperability performance category, Extend the $500 million exceptional performance bonus for an additional six years , align comparisons in the MIPS Quality performance category and Physician Compare. FY2023 Appropriations: Urged Congress to support funding for the Centers for Disease Control and Preventions programs in the FY 2023 Labor, Health and Human Services, Education and Related Agencies Appropriations bill as well as funding shared evenly between the U.S. Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) to conduct public health research into firearm morbidity and mortality prevention. Advocated for funding for the Health Resources Services Administration (HRSA); Title VII, Section 747, Primary Care Training and Enhancement (PCTE), Health Resources and Services Administration (HRSA); National Health Service Corps (NHSC); Agency for Healthcare Research and Quality (AHRQ); the Centers for Disease Control and Preventions (CDC) Office on Smoking and Health (OSH). COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. Urged congress to mitigate the impact of covid across racial and ethnic minority populations by collect covid-19 and racial disparity data, equitably distribute covid-19 vaccines and treatments, protect essential workers, permanently expand access to family and medical leave, address environmental and social drivers of health, integrate primary care and behavioral health, improve mental health parity with increased federal oversight and enforcement, make naloxone more available to prevent overdose, expand medication-assisted treatment (mat) for physicians, establish a national prescription drug monitoring program (PDMP); urged support for administering COVID-19 vaccinations to all eligible immigrants in Customs and Border Protection (CBP) custody. Urged CMS to support increasing COVID-19 vaccine uptake by ensuring clinicians are appropriately paid for vaccine counseling for beneficiaries of Medicaid and Medicare. Urged that telehealth services should remain in place for at least two years after the end of the PHE to ensure that our physicians are able to continue to use this modality to enhance patient care. Urged Congress to support the concept of a congressionally-mandated bipartisan commission to examine the U.S. preparations for and response to the COVID-19 pandemic, in order to inform future public policy and health systems preparedness. Urged that any uses of technology in the U.S. in the context of the pandemic should be demonstrated to be effective, be temporary, and ensure that safeguards for privacy and confidentiality are in place. Womens Health: Urged HHS to support Title X funding and ensure unencumbered access to affordable, comprehensive, evidence-based reproductive health care; eliminate medically unnecessary restrictions and inappropriate political interference in the patient-physician relationship; and protect funding for and ensures consistent treatment of qualified service sites. Urged support for mandatory, permanent extension of postpartum Medicaid coverage, from 60 days to 12 months after delivery. Urged support for the Womens Health Protection Act of 2021 and 2022 (H.R. 3755/S. 1975), bills that would protect a persons ability to determine whether to continue or end a pregnancy and to protect the health care clinicians ability to provide abortion services free from medically unnecessary restrictions such as waiting periods, biased counselling and admitting privilege requirements for clinicians. Access to Care: Urged members of Congress to cosponsor and pass H.R. 340, the Incentivizing Medicaid Expansion Act of 2021, to expand federal matching assistance for states that choose to expand Medicaid, regardless of when such expansion takes place: Cosponsor and pass H.R. 369, the Health Care Affordability Act of 2021, to permanently expand eligibility for higher premium tax credits under the Affordable Care Act. Primary Care and the Physician Workforce: Urged members of Congress to cosponsor and pass H.R. 2256/S. 834, the Resident Physician Reduction Shortage Act of 2021, to increase the number of GME slots to 14,000 over seven years for specialties facing shortages, including internal medicine; Cosponsor and pass S. 1024, the Healthcare Workforce Resilience Act, to recapture 40,000 unused visas and use them to provide additional green cards to 15,000 physicians and 25,000 professional nurses; Cosponsor and pass H.R. 3541/S. 1810, the Conrad State 30 and Physician Access Reauthorization Act, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement; Cosponsor and pass H.R.4122/S.3658, the Resident Education Deferred Interest (REDI) Act, to make it possible for residents to defer interest on their loans; Support inclusion in FY2023 appropriations legislation funding for Title VII Primary Care and Training Enhancement (PCTE) at $71 million to support and expand the pipeline for individuals training in primary care. Public Health and Pandemic Preparedness: Urged members of Congress to support funding in FY2023 appropriations - $11 billion total for the CDC, $35 million for the CDCs Injury Prevention and Control, Firearm Injury and Mortality Prevention Research; $49 billion in total for the NIH, $25 million for the Office of the Director, Firearm Injury and Mortality Prevention Research; Cosponsor and pass the COVID Supplemental Appropriations Act, 2022, H.R. 7007, or a similar supplemental funding package, to provide $15.6 billion in additional funding for COVID relief; Cosponsor and pass the CONNECT for Health Act (H.R. 2903/S. 1512) and the Telehealth Extension Act of 2021 (H.R. 6202/S. 3593), to remove arbitrary restrictions on where a patient must be located to utilize telehealth services; enable patients to continue to receive telehealth services in their homes; ensure federally-qualified health centers and rural health centers can furnish telehealth services and improve data collection and analysis for at least two years. Prescription Drug Reform: Urged members of Congress to cosponsor and pass S. 898, the Fair Drug Pricing Act, to require drug companies to disclose and provide more information about imminent drug-price increases, including data about research and development costs; Cosponsor and pass S. 833, the Empowering Medicare Seniors to Negotiate Drug Prices Act of 2021, to help to reduce drug prices and out-of-pocket costs by allowing the federal government to negotiate lower drug prices on behalf of Medicare beneficiaries; Cosponsor and pass S. 464/H.R. 2163, the Safe Step Act, to ensure patient access to appropriate treatments based on clinical decision-making and medical necessity rather than arbitrary step therapy protocols. Telehealth Services: Urged Congress to support H.R. 2903/S. 1512, the CONNECT for Health Act, to remove arbitrary barriers to telehealth services such as geographic and site of service restrictions; S. 168/H.R. 708, the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act, to ensure that telehealth services can be provided across states lines after the public health emergency ends; H.R. 8487, the Improving Seniors Timely Access to Care Act that would help protect patients from unnecessary delays in care and reduce administrative burdens on physicians by standardizing and streamlining the prior authorization approval process in the Medicare Advantage (MA) program. Advocated with Congress for passage of H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2021, to extend coverage for critical telehealth services beyond the public health emergency. Mental and Behavioral Health: Urged members of Congress to cosponsor and pass H.R. 5218, the Collaborate in an Orderly and Cohesive Manner Act, to provide grants through the Department of Health and Human Services to primary care physicians who choose to deliver behavioral health care through the Collaborate Care Model (CoCM); Support enhanced reimbursement for CoCM payment codes under Medicare to more appropriately reflect the value of services provided to patients with mental health and substance use disorder needs. Scope of Practice: Urged Congress to oppose the Improving Care and Access to Nurses Act, or the I CAN Act, H.R. 8812, which allows non-physician clinicians to deliver care that is not commensurate with their training, skills, and demonstrated competencies in accord with national standards.

Client expense: $300,406 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

S. 411: MOMMA Act - Improve data collection, interventions, and expanded access for postpartum women S. 464/HR 2163: Safe Step Act-Implement transparency guidelines for step-therapy utilization S.1975/H.R. 3755: Womens Health Protection Act - Protect patient-physician relationship by allowing physicians to provide evidence-based womens health care S.1988: Protecting Rural Teleheath Access Act - Waive geographic restrictions and offer audio-only appointments S. 1893: Rural Physician Workforce Production Act - Provide federal support for rural residency training S1958/HR3671:DOC Act - Permanent authorization of THCGME program HR 379 Improving Social Determinants of Health Act: Would create a new SDoH program at the CDC HR 959: Black Maternal Health Momnibus Act - Comprehensive reforms to address maternal health challenges HR 976: Ensuring Transparent Honest Information on COVID-19 Act - Requires COVID-19 data reporting, including demographic information to the CDC, by states & localities & funds a study to examine public health data & infrastructure during & after the COVID-19 PHE. HR 1319: American Rescue Plan - Expansion of ACA coverage, investments in public health workforce, funding for COVID-19 response HR 1384: Mainstreaming Addiction Treatment Act of 2021- Eliminated the x-waiver HR 1848: LIFT America Act - Enhancing public health infrastructure, improve laboratory infrastructure, update care facilities, improve broadband infrastructure, and address social determinants of health HR 2125: Quit Because of Covid 19 Act - Would ensure that all Medicaid and CHIP enrollees have access to proven tobacco cessation treatments. HR 2347: Strengthening Vaccines for Childrens Act - Modifications to improve the Vaccine for Children (VFC) program HR 2418: Student Loan Forgiveness for Frontline Health Workers- Would forgive outstanding federal and private student loan debt for frontline physicians H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act H.R. 4387/S.1675: Maternal Health Quality Improvement Act H.R. 5054: Physicians Serving Patients Act of 2021 H.R. 4770: Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act H.R. 5376: Build Back Better Act H.R. 4387/S. 1675: Maternal Health Quality Improvement Act H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act H.R. 5541: Primary and Virtual Care Affordability Act S. 128: Primary Care Enhancement Act No Bill No: Physicians Serving Patients Act of 2021 No Bill No.: Congressional Primary Care Caucus;117th Congress membership in the bipartisan CPCC No Bill No.: Teaching Health Centers GME; Community Health Centers- National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians - Increased funding and allocation of resources for teaching health center programs No Bill No.: Primary Care Patient Protection Act - Create a primary care benefit in high deductible health plans No Bill No.: No Surprise Bills for New Moms - Require health plans to cover newborns under mothers coverage for set time, SEP for enrollment post childbirth, and notification requirements No Bill No.: FY 2022 Appropriations Requests - CDC Programs (Climate/Health; Gun Violence Research; vaccine infrastructure); HRSA; AHRQ; CMS No Bill No.: Rural MOMS Act-Demonstration program to train physicians about maternal care in rural communities No Bill No.: COVID-19 Safe Birthing Act-Expand maternal telehealth for Medicaid beneficiaries; Medicaid/CHP post-partum coverage extension to one year No Bill No.: Anti-Racism in Public Health Act-Direct CDC to declare racism a public health crisis; establish a CDC-based center for addressing violence prevention No Bill No.: Equality Act-Provide affirmative, statutory nondiscrimination protections for LGBTQ Americans No Bill No.: Covid 19 vaccinations - Ensure Primary Care Physicians can access COVID-19 vaccines. No Bill No.: Telehealth Expansion - Preserve key telehealth flexibilities beyond COVID-19 PHE Affordable Insulin Now Act FY22 COVID-19 supplemental H.R. 7232: 9-8-8 and Parity Assistance Act Prevent Pandemics Act H.R. 7076: Supporting Children's Mental Health Care Access Act H.R. 3085: Equity in Neuroscience and Alzheimer's Clinical Trials Act H.R. 6584: Diverse and Equitable Participation in Clinical Trials Act H.R. 4122/S. 3658: REDI Act H.R. 1667: Dr. Lorna Breen Health Care Provider Protection Act S. 1893: Workforce Production Act of 2021 H.R. 7894/S.4347: Affordability is Access Act H.R. 8297: Ensuring Access to Abortion Act S.4306: Improving Access to Behavioral Health Integration Act S. 4170: Mental Health Reform Reauthorization Act H.R. 7666: Restoring Hope for Mental Health and Well-Being Act H.R. 7232: 9-8-8 and Parity Assistance Act H.R. 7076: Supporting Children's Mental Health Care Access Act S. 4408: Health and Location Data Protection Act No Bill No.: Behavioral health integration w/i primary care H.R. 5376: Inflation Reduction Act S. 198: Data Mapping to Save Moms' Lives Act H.R. 4040: Advancing Telehealth Beyond COVID-19 Act of 2021 Consolidated Appropriations Act of 2023

Client expense: $788,015 · Firm income: Not reported

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

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation related to student debt policy. S.449 & H.R.1285 - Dental Loan Repayment Assistance Act H.R.1918 - Student Loan Refinancing and Recalculation Act S.3658 & H.R.4122 - REDI Act H.R.2295 - HELP Act of 2021 H.R.2160 - Student Loan Refinancing Act S.2874 & H.R.7539 - Indian Health Service Health Professions Tax Fairness Act H.R.4631 - POST GRAD Act H.R.4726 - Student Loan Interest Deduction Act of 2021

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

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

Legislation related to student debt policy. S.449 & H.R.1285 - Dental Loan Repayment Assistance Act H.R.1918 - Student Loan Refinancing and Recalculation Act S.3658 & H.R.4122 - REDI Act H.R.2295 - HELP Act of 2021 H.R.2160 - Student Loan Refinancing Act S.2874 & H.R.7539 - Indian Health Service Health Professions Tax Fairness Act H.R.4631 - POST GRAD Act H.R.4726 - Student Loan Interest Deduction Act of 2021

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

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

Advanced Research Projects Agency for Health Act (H.R. 5585) Resident Education Deferred Interest Act (S. 3658/H.R. 4122) Ensuring Lasting Smiles Act (S. 754/H.R. 1916) Oral Health Literacy and Awareness Act (H.R. 4555)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Educational debt, student loans, loan repayment programs, dental school accreditation Reauthorization of the Higher Education Act (student loans, accreditation) S. 449/H.R. 1285, Dental Loan Repayment Assistance Act H.R. 4122/S.3658, Resident Education Deferred Interest Act (REDI Act) H.R. 1918, Student Loan Refinancing and Recalculation Act H.R. 2160, Student Loan Refinancing Act S. 1958/H.R. 3671, the Doctors of Community Act (DOC Act) H.R. 2295, HIV Epidemic Loan-Repayment Program Act Indian Health Service Health Professions Tax Fairness Act H.R. 4631 POST GRAD Act Student loan relief during COVID-19 pandemic Open Access Publishing Public Service Loan Forgiveness Partial loan forgiveness H.R 4726, Student Loan Interest Deduction Act

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Indian Health Service, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response. Monitoring and outreach on legislative and administrative activity related to infrastructure. Monitoring and outreach on legislative and administrative activity related to reconciliation and the congressional budget resolution. H.R. 4432 - Department of Defense Appropriations Act, FY2022. Senate Draft, Department of Defense Appropriations Act, FY2022 P.L. 116-136, CARES Act P.L. 116-260, FY2021 Omnibus and COVID Relief and Response Act P.L. 117-2, American Rescue Plan Act of 2021 H.R. 3684 - Infrastructure Investment and Jobs Act S. 464 - Safe Step Act H.R. 2163 - Safe Step Act H.R. 1319 - American Rescue Plan Act of 2021 S. 834 - Resident Physician Shortage Reduction Act of 2021 H.R. 2256 - Resident Physician Shortage Reduction Act of 2021 H.R. 1868 - To prevent across-the-board direct spending cuts, and for other purposes H.R. 315 - Medicare Sequester COVID Moratorium Act S. 368 - Telehealth Modernization Act H.R. 1332 - Telehealth Modernization Act H.R. 366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 298 - Pharmacy Benefit Manager Accountability Study Act of 2021 S. 1024 - Healthcare Workforce Resilience Act H.R. 2255 - Healthcare Workforce Resilience Act H.R. 1819 - Pharmacy Benefit Manager Accountability Study Act H.R. 3107 - The Improving Seniors Timely Access to Care Act H.R. 3517 - Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act H.R. 315 - The Medicare Sequester COVID Moratorium Act S. 748 - Medicare Sequester Relief Act H.R. 5067 - Preserving Patient Access to Home Infusion Act S. 2652 - Preserving Patient Access to Home Infusion Act H.R. 3541 - Conrad State 30 and Physician Access Reauthorization Act S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5376 - Build Back Better Act S. 3314 - Supporting Medicare Providers Act H.R. 6020 - Supporting Medicare Providers Act H.R. 5801 - Help Ensure Lower Patient (HELP) Copays Act S. 4408 Health and Location Data Protection Act of 2022 H.R. 4122 - Resident Education Deferred Interest Act or the REDI Act S. 3658 - Resident Education Deferred Interest Act or the REDI Act H.R.8800 - Supporting Medicare Providers Act of 2022 FY2023 Labor Health and Human Services Appropriations content Draft House, Department of Defense Appropriations Act, FY2023 Draft Senate, Department of Defense Appropriations Act, FY2023

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response. Monitoring and outreach on legislative and administrative activity related to infrastructure. Monitoring and outreach on legislative and administrative activity related to reconciliation and the congressional budget resolution. H.R. 4432 - Department of Defense Appropriations Act, FY2022. Senate Draft, Department of Defense Appropriations Act, FY2022 P.L. 116-136, CARES Act P.L. 116-260, FY2021 Omnibus and COVID Relief and Response Act P.L. 117-2, American Rescue Plan Act of 2021 H.R. 3684 - Infrastructure Investment and Jobs Act S. 464 - Safe Step Act H.R. 2163 - Safe Step Act H.R. 1319 - American Rescue Plan Act of 2021 S. 834 - Resident Physician Shortage Reduction Act of 2021 H.R. 2256 - Resident Physician Shortage Reduction Act of 2021 H.R. 1868 - To prevent across-the-board direct spending cuts, and for other purposes H.R. 315 - Medicare Sequester COVID Moratorium Act S. 368 - Telehealth Modernization Act H.R. 1332 - Telehealth Modernization Act H.R. 366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 298 - Pharmacy Benefit Manager Accountability Study Act of 2021 S. 1024 - Healthcare Workforce Resilience Act H.R. 2255 - Healthcare Workforce Resilience Act H.R. 1819 - Pharmacy Benefit Manager Accountability Study Act H.R. 3107 - The Improving Seniors Timely Access to Care Act H.R. 3517 - Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act H.R. 315 - The Medicare Sequester COVID Moratorium Act S. 748 - Medicare Sequester Relief Act H.R. 5067 - Preserving Patient Access to Home Infusion Act S. 2652 - Preserving Patient Access to Home Infusion Act H.R. 3541 - Conrad State 30 and Physician Access Reauthorization Act S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5376 - Build Back Better Act S. 3314 - Supporting Medicare Providers Act H.R. 6020 - Supporting Medicare Providers Act H.R. 5801 - Help Ensure Lower Patient (HELP) Copays Act S. 4408 Health and Location Data Protection Act of 2022 H.R. 4122 - Resident Education Deferred Interest Act or the REDI Act S. 3658 - Resident Education Deferred Interest Act or the REDI Act H.R.8800 - Supporting Medicare Providers Act of 2022 FY2023 Labor Health and Human Services Appropriations content Draft House, Department of Defense Appropriations Act, FY2023 Draft Senate, Department of Defense Appropriations Act, FY2023

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response. Monitoring and outreach on legislative and administrative activity related to infrastructure. Monitoring and outreach on legislative and administrative activity related to reconciliation and the congressional budget resolution. H.R. 4432 - Department of Defense Appropriations Act, FY2022. Senate Draft, Department of Defense Appropriations Act, FY2022 P.L. 116-136, CARES Act P.L. 116-260, FY2021 Omnibus and COVID Relief and Response Act P.L. 117-2, American Rescue Plan Act of 2021 H.R. 3684 - Infrastructure Investment and Jobs Act S. 464 - Safe Step Act H.R. 2163 - Safe Step Act H.R. 1319 - American Rescue Plan Act of 2021 S. 834 - Resident Physician Shortage Reduction Act of 2021 H.R. 2256 - Resident Physician Shortage Reduction Act of 2021 H.R. 1868 - To prevent across-the-board direct spending cuts, and for other purposes H.R. 315 - Medicare Sequester COVID Moratorium Act S. 368 - Telehealth Modernization Act H.R. 1332 - Telehealth Modernization Act H.R. 366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 298 - Pharmacy Benefit Manager Accountability Study Act of 2021 S. 1024 - Healthcare Workforce Resilience Act H.R. 2255 - Healthcare Workforce Resilience Act H.R. 1819 - Pharmacy Benefit Manager Accountability Study Act H.R. 3107 - The Improving Seniors Timely Access to Care Act H.R. 3517 - Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act H.R. 315 - The Medicare Sequester COVID Moratorium Act S. 748 - Medicare Sequester Relief Act H.R. 5067 - Preserving Patient Access to Home Infusion Act S. 2652 - Preserving Patient Access to Home Infusion Act H.R. 3541 - Conrad State 30 and Physician Access Reauthorization Act S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5376 - Build Back Better Act S. 3314 - Supporting Medicare Providers Act H.R. 6020 - Supporting Medicare Providers Act H.R. 5801 - Help Ensure Lower Patient (HELP) Copays Act S. 4408 Health and Location Data Protection Act of 2022 H.R. 4122 - Resident Education Deferred Interest Act or the REDI Act S. 3658 - Resident Education Deferred Interest Act or the REDI Act H.R.8800 - Supporting Medicare Providers Act of 2022 FY2023 Labor Health and Human Services Appropriations content Draft House, Department of Defense Appropriations Act, FY2023 Draft Senate, Department of Defense Appropriations Act, FY2023

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

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

H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act of 2021, all provisions H.R. 2954, Securing a Strong Retirement Act of 2022, provisions relating to student loans S. 4330, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions S. 3658, REDI Act, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions S. 924, Rural America Health Corps Act, all provisions S. 3799, Prepare for and Respond to Existing Viruses, Emerging New Threats, and (PREVENT) Pandemics Act, provisions relating to student loan forgiveness for frontline workers H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions FY 2023 Labor-HHS Appropriations Act, provisions related to the implementation of Section 126 of the Consolidated Appropriations Act, 2021 H.R. 8850, Fair Access In Residency (FAIR) Act, provisions related to Osteopathic residency issues Public Service Loan Forgiveness (PSLF)

Client expense: $4,360,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 4122/S.3658, Resident Education Deferred Interest Act (REDI Act).

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment HR8800 Supporting Medicare Providers Act of 2022 Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to health equity Comment letter to OSTP Request for Information To Support the Development of a Federal Scientific Integrity Policy Framework

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment HR8800 Supporting Medicare Providers Act of 2022 Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to health equity

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act

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

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

H.R. 432 - Mental Health Access Improvement Act H.R. 1358 - Mental Health Parity Justice Act of 2021 H.R. 1475/ S. 1795 - Pursuing Equity in Mental Health Act H.R. 2754 - COVID-19 Long Haulers Act H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 H.R. 3467 - Improving Data Collection for Adverse Childhood Experiences (ACES) Act H.R. 3541 / S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 3753/ S. 1962 - Parity Implementation Assistance Act H.R. 4058 / S. 2061 - Telemental Health Care Access Act H.R. 4122 / S. 3658 - Resident Education Deferred Interest (REDI) Act H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act H.R. 4770 - Evaluating Disparities and Outcomes of Telehealth (EDOT) Act of 2021 H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 6000 - Cures 2.0 Act H.R. 7116 - 988 Implementation Act of 2022 H.R. 7180 / S. 4014 - Brycen Gray and Bren Price COVID-19 Cognitive Research Act H.R. 7232 - 988 and Parity Assistance Act of 2022 H.R. 7254 - Mental Health Justice and Parity Act of 2022 H.R. 7482 / S. 4015 - TREAT Act H.R. 7649 - To direct the Secretary of Health and Human Services to open a public docket for the submission of public comments regarding factors that should be taken into consideration when reviewing a proposed modification to an approved risk evaluation and mitigation strategy, and for other purposes. H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7667 - Food and Drug Amendments of 2022 H.R. 8180 - Undertaking Needed Investments in Therapy, Education, and De-Escalation (UNITED) Act of 2022 H.R. 8229 - Telemental Health Parity Act H.R. 8391 - CONNECT Act H.R. 8487 - Improving Seniors Timely Access to Care Act of 2022 H.R. 8512 - Behavioral Health Coverage Transparency Act H.R. 8542 - Mental Health Justice Act of 2022 H.R. 8637/ S. 4003 - Law Enforcement De-Escalation Training Act of 2022 H.R. 8800 - Supporting Medicare Providers Act of 2022 H.R. 8878 - Intensive Outpatient Policy H.R. 8879 - Inpatient Psychiatric Facility Improvement Act H.R. 8881 - Mental Health Transparency Act H.R. 8884 - Medicare Opioid Use Disorder Outreach Act H.R. 8885 - Better Health Care Directories Act H.R. 8886 - Promoting Clarity in Mental Health and Substance Use Disorder Treatment Act H.R. 8889 - RICE (Readable Insurance Coverage Enhancement) Act H.R. 8890 - Physician Wellness Program Act H.R. 8891 - No Surprises for Survivors Act H.R. 8892 - Access to Mental Health Services Act H.R. 8908 - Fighting Stimulant and other Substance Use Disorders Act H.R. 8910 - Behavioral Health Integration Awareness Act H.R. 9201 - Community Mental Wellness and Resilience Act S. 2086 - RISE from Trauma Act S. 2938 - Bipartisan Safer Communities Act S. 3726 - CARE for Long COVID Act S. 4132 - Womens Health Protection Act S. 4170 - Mental Health Reform Reauthorization Act of 2022 S. 4306 - Improving Access to Behavioral Health Integration Act S. 4348 - Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 S. 4448 - Suicide Prevention Act S. 4461 - Expanding Access to Mental Health Training Act S. 4472 - Health Care Capacity for Pediatric Behavioral Health Act S. 4804 - Parity Enforcement Act of 2022 S. 4839 - State Opioid Response Grant Authorization Act S.5041 - A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions in psychiatry and subspecialties S.5042 - A bill to amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services S.5043 - A bill to require the Secretary of Health and Human Services to issue guidance to States on strategies under Medicaid and CHIP to increase mental health and substance use disorder care provider education, training, recruitment, and retention S.5061 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage and coding for qualified psychologist services furnished by advanced psychology trainees S.5062 - A bill to amend title XVIII of the Social Security Act to increase access to mental health programs for physicians

Client expense: $192,727 · Firm income: Not reported

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

Indian Health Service Health Professions Tax Fairness Act (S. 2874/H.R. 6448) Student Loan Forgiveness for Frontline Health Workers Act (S. 3828 / H.R. 2418) 90/10 Rule Gainful Employment National Committee on Foreign Medical Education and Accreditation Student Financial Aid Resident Education Deferred Interest (REDI) Act (S. 3658/H.R. 4122) Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act (H.R. 4631) State Authorization Reciprocity Agreements Public Service Loan Forgiveness Program Temporary Expanded PSLF Waiver Foreign Medical School Accountability Fairness Act of 2022 (S. 4792/H.R. 8602)

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

The Affordable Care Act (P.L. 111-148, P.L. 111-152): Continued advocacy with Congress in support of expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases. Regarding CMS Medicare Physician Fee Schedule and Quality Payment Program (QPP) rules, expressed support for extending some of the services and increased flexibility for telehealth through the end of 2023, namely some audio-only services that were allowed during the COVID-19 public health emergency (PHE), support for collecting additional data on health equity issues to analyze disparities that occur across their programs, support for including chronic care management as one of the seven MIPS Value Pathways (MVPs) for 2023. Urged CMS to discontinue its split/shared visits policy and not move forward with the transition set to take effect in 2023. Urged Congress to support inclusion in must-pass legislation this year provisions to provide financial stability through a baseline positive annual update to the physician fee schedule reflecting inflation in practice costs, and eliminate, replace or revise budget neutrality requirements to allow for appropriate changes in spending growth; Extend the moratoriums on sequester and PAYGO cuts that were approved by Congress at the end of last year. FY2023 Appropriations: Urged Congress to support funding for the Centers for Disease Control and Preventions programs in the FY 2023 Labor, Health and Human Services, Education and Related Agencies Appropriations bill as well as funding shared evenly between the U.S. Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) to conduct public health research into firearm morbidity and mortality prevention. Advocated for funding for the Health Resources Services Administration (HRSA); Title VII, Section 747, Primary Care Training and Enhancement (PCTE), Health Resources and Services Administration (HRSA); National Health Service Corps (NHSC); Agency for Healthcare Research and Quality (AHRQ). COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. Urged congress to mitigate the impact of covid across racial and ethnic minority populations by collect covid-19 and racial disparity data, equitably distribute covid-19 vaccines and treatments, protect essential workers, permanently expand access to family and medical leave, address environmental and social drivers of health, integrate primary care and behavioral health, improve mental health parity with increased federal oversight and enforcement, make naloxone more available to prevent overdose, expand medication-assisted treatment (mat) for physicians, establish a national prescription drug monitoring program (PDMP); urged support for administering COVID-19 vaccinations to all eligible immigrants in Customs and Border Protection (CBP) custody. Urged CMS to support increasing COVID-19 vaccine uptake by ensuring clinicians are appropriately paid for vaccine counseling for beneficiaries of Medicaid and Medicare. Urged that telehealth services should remain in place for at least two years after the end of the PHE to ensure that our physicians are able to continue to use this modality to enhance patient care. Urged Congress to support the concept of a congressionally-mandated bipartisan commission to examine the U.S. preparations for and response to the COVID-19 pandemic, in order to inform future public policy and health systems preparedness. Urged that any uses of technology in the U.S. in the context of the pandemic should be demonstrated to be effective, be temporary, and ensure that safeguards for privacy and confidentiality are in place. Womens Health: Urged HHS to support Title X funding and ensure unencumbered access to affordable, comprehensive, evidence-based reproductive health care; eliminate medically unnecessary restrictions and inappropriate political interference in the patient-physician relationship; and protect funding for and ensures consistent treatment of qualified service sites. Urged support for mandatory, permanent extension of postpartum Medicaid coverage, from 60 days to 12 months after delivery. Urged support for the Womens Health Protection Act of 2021 and 2022 (H.R. 3755/S. 1975), bills that would protect a persons ability to determine whether to continue or end a pregnancy and to protect the health care clinicians ability to provide abortion services free from medically unnecessary restrictions such as waiting periods, biased counselling and admitting privilege requirements for clinicians. Access to Care: Urged members of Congress to cosponsor and pass H.R. 340, the Incentivizing Medicaid Expansion Act of 2021, to expand federal matching assistance for states that choose to expand Medicaid, regardless of when such expansion takes place: Cosponsor and pass H.R. 369, the Health Care Affordability Act of 2021, to permanently expand eligibility for higher premium tax credits under the Affordable Care Act. Primary Care and the Physician Workforce: Urged members of Congress to cosponsor and pass H.R. 2256/S. 834, the Resident Physician Reduction Shortage Act of 2021, to increase the number of GME slots to 14,000 over seven years for specialties facing shortages, including internal medicine; Cosponsor and pass S. 1024, the Healthcare Workforce Resilience Act, to recapture 40,000 unused visas and use them to provide additional green cards to 15,000 physicians and 25,000 professional nurses; Cosponsor and pass H.R. 3541/S. 1810, the Conrad State 30 and Physician Access Reauthorization Act, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement; Cosponsor and pass H.R.4122/S.3658, the Resident Education Deferred Interest (REDI) Act, to make it possible for residents to defer interest on their loans; Support inclusion in FY2023 appropriations legislation funding for Title VII Primary Care and Training Enhancement (PCTE) at $71 million to support and expand the pipeline for individuals training in primary care. Public Health and Pandemic Preparedness: Urged members of Congress to support funding in FY2023 appropriations - $11 billion total for the CDC, $35 million for the CDCs Injury Prevention and Control, Firearm Injury and Mortality Prevention Research; $49 billion in total for the NIH, $25 million for the Office of the Director, Firearm Injury and Mortality Prevention Research; Cosponsor and pass the COVID Supplemental Appropriations Act, 2022, H.R. 7007, or a similar supplemental funding package, to provide $15.6 billion in additional funding for COVID relief; Cosponsor and pass the CONNECT for Health Act (H.R. 2903/S. 1512) and the Telehealth Extension Act of 2021 (H.R. 6202/S. 3593), to remove arbitrary restrictions on where a patient must be located to utilize telehealth services; enable patients to continue to receive telehealth services in their homes; ensure federally-qualified health centers and rural health centers can furnish telehealth services and improve data collection and analysis for at least two years. Prescription Drug Reform: Urged members of Congress to cosponsor and pass S. 898, the Fair Drug Pricing Act, to require drug companies to disclose and provide more information about imminent drug-price increases, including data about research and development costs; Cosponsor and pass S. 833, the Empowering Medicare Seniors to Negotiate Drug Prices Act of 2021, to help to reduce drug prices and out-of-pocket costs by allowing the federal government to negotiate lower drug prices on behalf of Medicare beneficiaries; Cosponsor and pass S. 464/H.R. 2163, the Safe Step Act, to ensure patient access to appropriate treatments based on clinical decision-making and medical necessity rather than arbitrary step therapy protocols. Telehealth Services: Urged Congress to support H.R. 2903/S. 1512, the CONNECT for Health Act, to remove arbitrary barriers to telehealth services such as geographic and site of service restrictions; S. 168/H.R. 708, the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act, to ensure that telehealth services can be provided across states lines after the public health emergency ends; H.R. 8487, the Improving Seniors Timely Access to Care Act that would help protect patients from unnecessary delays in care and reduce administrative burdens on physicians by standardizing and streamlining the prior authorization approval process in the Medicare Advantage (MA) program. Mental and Behavioral Health: Urged members of Congress to cosponsor and pass H.R. 5218, the Collaborate in an Orderly and Cohesive Manner Act, to provide grants through the Department of Health and Human Services to primary care physicians who choose to deliver behavioral health care through the Collaborate Care Model (CoCM); Support enhanced reimbursement for CoCM payment codes under Medicare to more appropriately reflect the value of services provided to patients with mental health and substance use disorder needs.

Client expense: $302,378 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

The Affordable Care Act (P.L. 111-148, P.L. 111-152): Continued advocacy with Congress in support of expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases. Regarding CMS Medicare Physician Fee Schedule and Quality Payment Program (QPP) rules, expressed support for extending some of the services and increased flexibility for telehealth through the end of 2023, namely some audio-only services that were allowed during the COVID-19 public health emergency (PHE), support for collecting additional data on health equity issues to analyze disparities that occur across their programs, support for including chronic care management as one of the seven MIPS Value Pathways (MVPs) for 2023. Urged CMS to discontinue its split/shared visits policy and not move forward with the transition set to take effect in 2023. Urged Congress to support inclusion in must-pass legislation this year provisions to provide financial stability through a baseline positive annual update to the physician fee schedule reflecting inflation in practice costs, and eliminate, replace or revise budget neutrality requirements to allow for appropriate changes in spending growth; Extend the moratoriums on sequester and PAYGO cuts that were approved by Congress at the end of last year. FY2023 Appropriations: Urged Congress to support funding for the Centers for Disease Control and Preventions programs in the FY 2023 Labor, Health and Human Services, Education and Related Agencies Appropriations bill as well as funding shared evenly between the U.S. Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) to conduct public health research into firearm morbidity and mortality prevention. Advocated for funding for the Health Resources Services Administration (HRSA); Title VII, Section 747, Primary Care Training and Enhancement (PCTE), Health Resources and Services Administration (HRSA); National Health Service Corps (NHSC); Agency for Healthcare Research and Quality (AHRQ). COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. Urged congress to mitigate the impact of covid across racial and ethnic minority populations by collect covid-19 and racial disparity data, equitably distribute covid-19 vaccines and treatments, protect essential workers, permanently expand access to family and medical leave, address environmental and social drivers of health, integrate primary care and behavioral health, improve mental health parity with increased federal oversight and enforcement, make naloxone more available to prevent overdose, expand medication-assisted treatment (mat) for physicians, establish a national prescription drug monitoring program (PDMP); urged support for administering COVID-19 vaccinations to all eligible immigrants in Customs and Border Protection (CBP) custody. Urged CMS to support increasing COVID-19 vaccine uptake by ensuring clinicians are appropriately paid for vaccine counseling for beneficiaries of Medicaid and Medicare. Urged that telehealth services should remain in place for at least two years after the end of the PHE to ensure that our physicians are able to continue to use this modality to enhance patient care. Urged Congress to support the concept of a congressionally-mandated bipartisan commission to examine the U.S. preparations for and response to the COVID-19 pandemic, in order to inform future public policy and health systems preparedness. Urged that any uses of technology in the U.S. in the context of the pandemic should be demonstrated to be effective, be temporary, and ensure that safeguards for privacy and confidentiality are in place. Womens Health: Urged HHS to support Title X funding and ensure unencumbered access to affordable, comprehensive, evidence-based reproductive health care; eliminate medically unnecessary restrictions and inappropriate political interference in the patient-physician relationship; and protect funding for and ensures consistent treatment of qualified service sites. Urged support for mandatory, permanent extension of postpartum Medicaid coverage, from 60 days to 12 months after delivery. Urged support for the Womens Health Protection Act of 2021 and 2022 (H.R. 3755/S. 1975), bills that would protect a persons ability to determine whether to continue or end a pregnancy and to protect the health care clinicians ability to provide abortion services free from medically unnecessary restrictions such as waiting periods, biased counselling and admitting privilege requirements for clinicians. Access to Care: Urged members of Congress to cosponsor and pass H.R. 340, the Incentivizing Medicaid Expansion Act of 2021, to expand federal matching assistance for states that choose to expand Medicaid, regardless of when such expansion takes place: Cosponsor and pass H.R. 369, the Health Care Affordability Act of 2021, to permanently expand eligibility for higher premium tax credits under the Affordable Care Act. Primary Care and the Physician Workforce: Urged members of Congress to cosponsor and pass H.R. 2256/S. 834, the Resident Physician Reduction Shortage Act of 2021, to increase the number of GME slots to 14,000 over seven years for specialties facing shortages, including internal medicine; Cosponsor and pass S. 1024, the Healthcare Workforce Resilience Act, to recapture 40,000 unused visas and use them to provide additional green cards to 15,000 physicians and 25,000 professional nurses; Cosponsor and pass H.R. 3541/S. 1810, the Conrad State 30 and Physician Access Reauthorization Act, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement; Cosponsor and pass H.R.4122/S.3658, the Resident Education Deferred Interest (REDI) Act, to make it possible for residents to defer interest on their loans; Support inclusion in FY2023 appropriations legislation funding for Title VII Primary Care and Training Enhancement (PCTE) at $71 million to support and expand the pipeline for individuals training in primary care. Public Health and Pandemic Preparedness: Urged members of Congress to support funding in FY2023 appropriations - $11 billion total for the CDC, $35 million for the CDCs Injury Prevention and Control, Firearm Injury and Mortality Prevention Research; $49 billion in total for the NIH, $25 million for the Office of the Director, Firearm Injury and Mortality Prevention Research; Cosponsor and pass the COVID Supplemental Appropriations Act, 2022, H.R. 7007, or a similar supplemental funding package, to provide $15.6 billion in additional funding for COVID relief; Cosponsor and pass the CONNECT for Health Act (H.R. 2903/S. 1512) and the Telehealth Extension Act of 2021 (H.R. 6202/S. 3593), to remove arbitrary restrictions on where a patient must be located to utilize telehealth services; enable patients to continue to receive telehealth services in their homes; ensure federally-qualified health centers and rural health centers can furnish telehealth services and improve data collection and analysis for at least two years. Prescription Drug Reform: Urged members of Congress to cosponsor and pass S. 898, the Fair Drug Pricing Act, to require drug companies to disclose and provide more information about imminent drug-price increases, including data about research and development costs; Cosponsor and pass S. 833, the Empowering Medicare Seniors to Negotiate Drug Prices Act of 2021, to help to reduce drug prices and out-of-pocket costs by allowing the federal government to negotiate lower drug prices on behalf of Medicare beneficiaries; Cosponsor and pass S. 464/H.R. 2163, the Safe Step Act, to ensure patient access to appropriate treatments based on clinical decision-making and medical necessity rather than arbitrary step therapy protocols. Telehealth Services: Urged Congress to support H.R. 2903/S. 1512, the CONNECT for Health Act, to remove arbitrary barriers to telehealth services such as geographic and site of service restrictions; S. 168/H.R. 708, the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act, to ensure that telehealth services can be provided across states lines after the public health emergency ends; H.R. 8487, the Improving Seniors Timely Access to Care Act that would help protect patients from unnecessary delays in care and reduce administrative burdens on physicians by standardizing and streamlining the prior authorization approval process in the Medicare Advantage (MA) program. Mental and Behavioral Health: Urged members of Congress to cosponsor and pass H.R. 5218, the Collaborate in an Orderly and Cohesive Manner Act, to provide grants through the Department of Health and Human Services to primary care physicians who choose to deliver behavioral health care through the Collaborate Care Model (CoCM); Support enhanced reimbursement for CoCM payment codes under Medicare to more appropriately reflect the value of services provided to patients with mental health and substance use disorder needs.

Client expense: $68,579 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

S. 411: MOMMA Act - Improve data collection, interventions, and expanded access for postpartum women S. 464/HR 2163: Safe Step Act-Implement transparency guidelines for step-therapy utilization S.1975/H.R. 3755: Womens Health Protection Act - Protect patient-physician relationship by allowing physicians to provide evidence-based womens health care S.1988: Protecting Rural Teleheath Access Act - Waive geographic restrictions and offer audio-only appointments S. 1893: Rural Physician Workforce Production Act - Provide federal support for rural residency training S1958/HR3671:DOC Act - Permanent authorization of THCGME program HR 379 Improving Social Determinants of Health Act: Would create a new SDoH program at the CDC HR 959: Black Maternal Health Momnibus Act - Comprehensive reforms to address maternal health challenges HR 976: Ensuring Transparent Honest Information on COVID-19 Act - Requires COVID-19 data reporting, including demographic information to the CDC, by states & localities & funds a study to examine public health data & infrastructure during & after the COVID-19 PHE. HR 1319: American Rescue Plan - Expansion of ACA coverage, investments in public health workforce, funding for COVID-19 response HR 1384: Mainstreaming Addiction Treatment Act of 2021- Eliminated the x-waiver HR 1848: LIFT America Act - Enhancing public health infrastructure, improve laboratory infrastructure, update care facilities, improve broadband infrastructure, and address social determinants of health HR 2125: Quit Because of Covid 19 Act - Would ensure that all Medicaid and CHIP enrollees have access to proven tobacco cessation treatments. HR 2347: Strengthening Vaccines for Childrens Act - Modifications to improve the Vaccine for Children (VFC) program HR 2418: Student Loan Forgiveness for Frontline Health Workers- Would forgive outstanding federal and private student loan debt for frontline physicians H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act H.R. 4387/S.1675: Maternal Health Quality Improvement Act H.R. 5054: Physicians Serving Patients Act of 2021 H.R. 4770: Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act H.R. 5376: Build Back Better Act H.R. 4387/S. 1675: Maternal Health Quality Improvement Act H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act H.R. 5541: Primary and Virtual Care Affordability Act S. 128: Primary Care Enhancement Act No Bill No: Physicians Serving Patients Act of 2021 No Bill No.: Congressional Primary Care Caucus;117th Congress membership in the bipartisan CPCC No Bill No.: Teaching Health Centers GME; Community Health Centers- National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians - Increased funding and allocation of resources for teaching health center programs No Bill No.: Primary Care Patient Protection Act - Create a primary care benefit in high deductible health plans No Bill No.: No Surprise Bills for New Moms - Require health plans to cover newborns under mothers coverage for set time, SEP for enrollment post childbirth, and notification requirements No Bill No.: FY 2022 Appropriations Requests - CDC Programs (Climate/Health; Gun Violence Research; vaccine infrastructure); HRSA; AHRQ; CMS No Bill No.: Rural MOMS Act-Demonstration program to train physicians about maternal care in rural communities No Bill No.: COVID-19 Safe Birthing Act-Expand maternal telehealth for Medicaid beneficiaries; Medicaid/CHP post-partum coverage extension to one year No Bill No.: Anti-Racism in Public Health Act-Direct CDC to declare racism a public health crisis; establish a CDC-based center for addressing violence prevention No Bill No.: Equality Act-Provide affirmative, statutory nondiscrimination protections for LGBTQ Americans No Bill No.: Covid 19 vaccinations - Ensure Primary Care Physicians can access COVID-19 vaccines. No Bill No.: Telehealth Expansion - Preserve key telehealth flexibilities beyond COVID-19 PHE Affordable Insulin Now Act FY22 COVID-19 supplemental H.R. 7232: 9-8-8 and Parity Assistance Act Prevent Pandemics Act H.R. 7076: Supporting Children's Mental Health Care Access Act H.R. 3085: Equity in Neuroscience and Alzheimer's Clinical Trials Act H.R. 6584: Diverse and Equitable Participation in Clinical Trials Act H.R. 4122/S. 3658: REDI Act H.R. 1667: Dr. Lorna Breen Health Care Provider Protection Act S. 1893: Workforce Production Act of 2021 H.R. 7894/S.4347: Affordability is Access Act H.R. 8297: Ensuring Access to Abortion Act S.4306: Improving Access to Behavioral Health Integration Act S. 4170: Mental Health Reform Reauthorization Act H.R. 7666: Restoring Hope for Mental Health and Well-Being Act H.R. 7232: 9-8-8 and Parity Assistance Act H.R. 7076: Supporting Children's Mental Health Care Access Act S. 4408: Health and Location Data Protection Act No Bill No.: Behavioral health integration w/i primary care H.R. 5376: Inflation Reduction Act

Client expense: $746,388 · Firm income: Not reported

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

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for: the Resident Education Deferred Interest (REDI) Act, to provide interest free deferment for physician and dental residents (HR 4122/S 3658); the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act (HR 4631) to reinstate eligibility for graduate and professional students with financial need to receive Direct Subsidized Stafford Loans, which are now only available to undergraduate students; the the Student Loan Refinancing Act (HR 2160) to enable borrowers to refinance their federal student loans on multiple occasions to take advantage of lower interest rates; and the Student Loan Refinancing and Recalculation Act (HR 1918) to provide a chance for borrowers to refinance their federal student loans when interest rates are lower, eliminate loan origination fees and allow medical and dental residents to defer payments until after completing their residency programs, as well as delay the accrual of interest for many low- and middle-income borrowers while they are in school; the Student Loan Interest Deduction Act of 2021 (HR 4726) to double the student loan interest deduction (from $2,500 to $5,000) and eliminate the income limits that prevent those with higher incomes from reaping the benefit; the Indian Health Service Health Professions Tax Fairness Act of 2022 (HR 7539/S 2874) to allow dentists participating in the Indian Health Service Loan Repayment Program to exclude interest and principal payments from their federal income taxes, as well as certain benefits received by those in the Indian Health Professions Scholarships Program; the Dental Loan Repayment Assistance Act (HR 1285/S 449) to allow full-time faculty members participating in the Dental Faculty Loan Repayment Program (DFLRP) to exclude the amount of the loan forgiveness from their federal income taxes; and the HIV Epidemic Loan-Repayment Program Act (HR 2295) that would offer up to $250,000 in educational loan repayment to dentists, physicians, and other health care professionals in exchange for up to five years of service at Ryan White-funded clinical sites and in health profession shortage areas.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $23,100 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $23,100 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $229,000 · Firm income: Not reported

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

H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models

Client expense: $229,000 · Firm income: Not reported

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

Advanced Research Projects Agency for Health Act (H.R. 5585) Resident Education Deferred Interest Act (S. 3658/H.R. 4122) Ensuring Lasting Smiles Act (S. 754/H.R. 1916) Oral Health Literacy and Awareness Act (H.R. 4555)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation related to student debt policy. S.449 & H.R.1285 - Dental Loan Repayment Assistance Act H.R.1918 - Student Loan Refinancing and Recalculation Act S.3658 & H.R.4122 - REDI Act H.R.2295 - HELP Act of 2021 H.R.2160 - Student Loan Refinancing Act

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

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

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to health equity

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act

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

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

Childcare Issues related to childcare - no specific bill General Advocacy on COVID-19 relief, response, and pandemic preparedness, including issues related to: Additional COVID-19 relief funding Assistance for health care providers (Provider Relief Fund) Issues related to personal protective equipment (PPE) and medical supplies Support for resident physicians and medical students Student loan forgiveness/debt relief Federal Medicaid Match State and local funding Demographic data collection Telemedicine/Telehealth Vaccines Testing, contact tracing, and mitigation Hiring additional public health workers to support COVID-19 response Health disparities and protecting vulnerable populations Mental and behavioral health Expanding internet connectivity/broadband Grant program for childcare Food assistance programs Small business loans Reducing health care premiums for low- and middle-income families Incentives and federal funding to expand Medicaid and CHIP eligibility Allowing states to extend Medicaid and CHIP eligibility to women for 12 months postpartum. S.3799 PREVENT Pandemics Act (Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act) Gun Safety S. 2325/H.R.4238 - Making America Safe and Secure (MASS) Act Issues related to gun safety - no specific bill Health Care Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care Health Care Workforce S.3828/ H.R. 2418 - Student Loan Forgiveness for Frontline Health Workers Act S. 54 - Strengthening America's Health Care Readiness Act S. 834/ H.R.2256 - Resident Physician Shortage Reduction Act of 2021 S.610/ H.R.1667 - Dr. Lorna Breen Health Care Provider Protection Act S.3244/ H.R.5602 - BIO Preparedness Workforce Act of 2021 Issues related to health care workforce shortages Issues related to the affordability of medical education and federal loan programs Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project Immigration Issues related to Immigration - no specific bill S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act Infrastructure Issues related to broadband access Issues related to the Build Back Better framework Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Nutrition H.R.5370 - Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 Issues related to nutrition and food security Racial Justice/Health Equity S. 162/H.R. 666 - Anti-Racism in Public Health Act of 2021 Issues related to racial justice/health care equity Issues related to equitable policies around blood, tissue donations Maternal Health S. 411/ H.R. 3407 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act Medical Education Issues related to the affordability of medical education S.3658 /H.R. 4122 - Resident Education Deferred Interest (REDI) Act Medicare/Medicaid Issues related to Medicare physician payment H.R. 1587/ S. 1731 - Medicare Audiologist Access and Services Act of 2021 Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill S.3018/ H.R.3173 - Improving Seniors Timely Access to Care Act of 2021 Issues related to Medicare Advantage risk adjustment Opioids/ Substance Use Disorder H.R.6311/ S.3418 - Comprehensive Addiction Resources Emergency (CARE) Act S. 2354 - Safer Prescribing of Controlled Substances Act H.R.1026 / S.2353 - LABEL Opioids Act of 2021 Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill Publications Open access to information based on publicly funded research Issues related to scholarly and scientific publishing and public access S.1260 - United States Innovation and Competition Act of 2021 H.R.4521 - America COMPETES Act of 2022 Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act Telehealth Issues related to telehealth Issues related to telebehavioral health access Issues related to physician licensing S. 368/H.R. 1332 - Telehealth Modernization Act Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to health equity Comment letter to OSTP Request for Information To Support the Development of a Federal Scientific Integrity Policy Framework

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office