Tele-Mental Health Improvement Act

Implementation of the Infrastructure Investment and Jobs Act (Public Law 117-58) Implementation of the Inflation Reduction Act of 2022 (Public Law 117-169) Implementation of the Consolidated Appropriations Act, 2023 (Public Law 117-328) Water System Threat Preparedness Act (S.660/H.R.1367) Farm Bill 2024 policy requests (no specific bill yet) Wastewater Pollution Prevention and Environmental Safety Act (WIPPES Act) (S.1350/H.R.2964) Promoting Innovation in Pipeline Efficiency and Safety (PIPES) Act of 2023 (H.R. 6494) Water Systems PFAS Liability Protection Act: Exemption of clean water utilities from liability for PFAS under CERCLA (S.1430)

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Infrastructure Investment and Jobs Act (Public Law 117-58) Implementation of the Inflation Reduction Act of 2022 (Public Law 117-169) Implementation of the Consolidated Appropriations Act, 2023 (Public Law 117-328) Water System Threat Preparedness Act (S.660/H.R.1367) Farm Bill 2023 policy requests (no specific bill yet) Wastewater Pollution Prevention and Environmental Safety Act (WIPPES Act) (S.1350/H.R.2964) PIPES Act (no specific bill yet) Water Systems PFAS Liability Protection Act: Exemption of clean water utilities from liability for PFAS under CERCLA (S.1430)

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Infrastructure Investment and Jobs Act (Public Law 117-58) Implementation of the Inflation Reduction Act of 2022 (Public Law 117-169) Implementation of the Consolidated Appropriations Act, 2023 (Public Law 117-328) Water System Threat Preparedness Act (S.660/H.R.1367) Farm Bill 2023 policy requests (no specific bill yet) Wastewater Pollution Prevention and Environmental Safety Act (WIPPES Act) (S.1350/H.R.2964) PIPES Act (no specific bill yet) Water Systems PFAS Liability Protection Act: Exemption of clean water utilities from liability for PFAS under CERCLA (S.1430)

Client expense: $90,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Infrastructure Investment and Jobs Act (Public Law 117-58) Implementation of the Inflation Reduction Act of 2022 (Public Law 117-169) Implementation of the Consolidated Appropriations Act, 2023 (Public Law 117-328) Water System Threat Preparedness Act (S.660/H.R.1367) Farm Bill 2023 policy requests (no specific bill yet) Wastewater Pollution Prevention and Environmental Safety Act (WIPPES Act) (no specific bill yet) PIPES Act (no specific bill yet) Exemption of clean water utilities from liability for PFAS under CERCLA (no specific bill yet)

Client expense: $90,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. - preexisting conditions H.R. 526 - Ensuring Coverage in Public Health Emergencies Act of 2021 - Rep. Doggett, Lloyd - SEP H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie - COVID-19 diagnostic testing H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa - COVID-19 H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy - preexisting conditions H.R. 898 - Care for COVID-19 Act of 2021 - Rep. Ruiz, Raul - COVID-19 H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia - MOOP & premium tax credit eligibility H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen - coverage for foster youth H.R. 1796 - Health Care Enrollment Innovation Act- Rep. Bera, Ami - state innovations and insurance coverage H.R. 1806 - ENROLL Act of 2021- Rep. Castor, Kathy - navigator program H.R. 1874 - Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2021 - Rep. Castor, Kathy - navigator program H.R. 1875 - To amend title XXVII of the Public Health Service Act to eliminate the short-term limited duration insurance exemption with respect to individual health insurance coverage - Rep. Castor, Kathy - short-term limited duration insurance H.R. 1878 - State Health Care Premium Reduction Act of 2021 - Rep. Craig, Angie - affordability H.R. 1916 - Ensuring Lasting Smiles Act - Rep. Eshoo, Anna G - diagnosis and treatment of a congenital anomaly or birth defect H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David - mental health and SUD H.R. 5376 - Inflation Reduction Act - Rep. Yarmuth, John A. - ACA premium tax credits, Medicaid redeterminations, PHE phase down H.R. 5981 - Telehealth Expansion Act - Rep. Steel, Michelle - treatment of telehealth services under a high deductible plan H.R. 6851 - No Surprises for COVID-19 Tests Act - Rep. Pallone, Frank, Jr. - COVID-19 test coverage S. 263 - Worker Health Coverage Protection Act - Sen. Durbin, Richard - coverage continuity & COBRA S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco - HSAs S. 499 - Improving Health Insurance Affordability Act of 2021 - Sen. Shaheen, Jeanne - cost-sharing subsidies S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina - telehealth parity in mental health and SUD coverage S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John -preexisting conditions S. 934 - Strengthening Rural Health Clinics Act of 2021 - Sen. Warner, Mark - rural health clinic payments S. 942 - No Junks Plans Act - Sen. Baldwin, Tammy - Short-Term, Limited Duration Insurance S. 1704 - Telehealth Expansion Act of 2021 - Sen. Daines, Steve - treatment of telehealth services under a high deductible plan Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to the expiration of Medicaid continuous eligibility and transitions in coverage; issues related to child and maternal health; benefit and payment parameters; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues related to specialty infant formula; issues related to coverage of crisis services; issues related to kidney dialysis; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; contraceptive coverage and reproductive health; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Proposals related to telehealth S. 1512/H.R 2903, The Connect for Health Act of 2021 H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 368/H.R. 1332, Telehealth Modernization Act H.R. 2264/S. 660, Tele-Mental Health Act Health care policy Proposals to reduce drug costs and improve access Proposals to modify the 340B program H.R.2617 - Consolidated Appropriations Act, 2023 - provisions related to health care

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants HR 7666 Reauthorizes, expands, and modifies programs, grants, and activities that focus on mental and behavioral health

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants HR 7666 Reauthorizes, expands, and modifies programs, grants, and activities that focus on mental and behavioral health

H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. - preexisting conditions H.R. 526 - Ensuring Coverage in Public Health Emergencies Act of 2021 - Rep. Doggett, Lloyd - SEP H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie - COVID-19 diagnostic testing H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa - COVID-19 H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy - preexisting conditions H.R. 898 - Care for COVID-19 Act of 2021 - Rep. Ruiz, Raul - COVID-19 H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia - MOOP & premium tax credit eligibility H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen - coverage for foster youth H.R. 1796 - Health Care Enrollment Innovation Act- Rep. Bera, Ami - state innovations and insurance coverage H.R. 1806 - ENROLL Act of 2021- Rep. Castor, Kathy - navigator program H.R. 1874 - Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2021 - Rep. Castor, Kathy - navigator program H.R. 1875 - To amend title XXVII of the Public Health Service Act to eliminate the short-term limited duration insurance exemption with respect to individual health insurance coverage - Rep. Castor, Kathy - short-term limited duration insurance H.R. 1878 - State Health Care Premium Reduction Act of 2021 - Rep. Craig, Angie - affordability H.R. 1916 - Ensuring Lasting Smiles Act - Rep. Eshoo, Anna G - diagnosis and treatment of a congenital anomaly or birth defect H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David - mental health and SUD H.R. 5376 - Inflation Reduction Act - Rep. Yarmuth, John A. - ACA premium tax credits, Medicaid redeterminations, PHE phase down H.R. 5981 - Telehealth Expansion Act - Rep. Steel, Michelle - treatment of telehealth services under a high deductible plan H.R. 6851 - No Surprises for COVID-19 Tests Act - Rep. Pallone, Frank, Jr. - COVID-19 test coverage S. 263 - Worker Health Coverage Protection Act - Sen. Durbin, Richard - coverage continuity & COBRA S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco - HSAs S. 499 - Improving Health Insurance Affordability Act of 2021 - Sen. Shaheen, Jeanne - cost-sharing subsidies S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina - telehealth parity in mental health and SUD coverage S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John -preexisting conditions S. 934 - Strengthening Rural Health Clinics Act of 2021 - Sen. Warner, Mark - rural health clinic payments S. 942 - No Junks Plans Act - Sen. Baldwin, Tammy - Short-Term, Limited Duration Insurance S. 1704 - Telehealth Expansion Act of 2021 - Sen. Daines, Steve - treatment of telehealth services under a high deductible plan Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues related to specialty infant formula; issues related to coverage of crisis services; issues related to kidney dialysis; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; contraceptive coverage and reproductive health; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Issues related to home health, behavioral health, adoption of electronic health records, and telehealth, generally; H.R.2264, Tele-Mental Health Improvement Act/S.660, Tele-Mental Health Improvement Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Proposals related to telehealth S. 1512/H.R 2903, The Connect for Health Act of 2021 H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 368/H.R. 1332, Telehealth Modernization Act H.R. 2264/S. 660, Tele-Mental Health Act Health care policy Proposals to reduce drug costs and improve access Proposals to modify the 340B program H.R. 5376, Inflation Reduction Act, provisions related to drug pricing and healthcare

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1475/S.1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act S.2873 - Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021 Draft Legislation to award grants to 10 eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services (Rep. Trone) Coalition letter to state governors re: emergency temporary licensure waivers for out-of-state practitioners H.R. 5848 / S. 3149: Rural Health Equity Act Draft legislation to support reimbursement for psychology interns and residents in Medicare Draft legislation to support the reauthorization of Title VII programs H.R. 4026 Social Determinants of Health Data Analysis Act of 2021 H.R. 3894 CARING for Social Determinants Act of 2021 H.R. 3173 / S. 3018 Improving Seniors Access to Timely Care Act H.R. 7116 988 Implementation Act Draft bereavement care bill Letter to CDC re: Office of Rural Health Coalition thank-you letter to Congressional leadership and White House re: omnibus package S. 4301 Substance Use Prevention, Treatment, and Recovery Act S. 4306 Improving Access to Behavioral Health Integration Act S.4170 Mental Health Reform Reauthorization Act S.3824/H.R. 7073 Into the Light for MMH and SUD Act of 2022 H.R. 7666 Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 2955/ S. 4448 Suicide Prevention Act

H.R. 1475/S.1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act S.2873 - Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021 Draft Legislation to award grants to 10 eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services (Rep. Trone) Coalition letter to state governors re: emergency temporary licensure waivers for out-of-state practitioners H.R. 5848 / S. 3149: Rural Health Equity Act Draft legislation to support reimbursement for psychology interns and residents in Medicare Draft legislation to support the reauthorization of Title VII programs H.R. 4026 Social Determinants of Health Data Analysis Act of 2021 H.R. 3894 CARING for Social Determinants Act of 2021 H.R. 3173 / S. 3018 Improving Seniors Access to Timely Care Act H.R. 7116 988 Implementation Act Draft bereavement care bill Letter to CDC re: Office of Rural Health Coalition thank-you letter to Congressional leadership and White House re: omnibus package S. 4301 Substance Use Prevention, Treatment, and Recovery Act S. 4306 Improving Access to Behavioral Health Integration Act S.4170 Mental Health Reform Reauthorization Act S.3824/H.R. 7073 Into the Light for MMH and SUD Act of 2022 H.R. 7666 Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 2955/ S. 4448 Suicide Prevention Act

H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. - preexisting conditions H.R. 526 - Ensuring Coverage in Public Health Emergencies Act of 2021 - Rep. Doggett, Lloyd - SEP H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie - COVID-19 diagnostic testing H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa - COVID-19 H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy - preexisting conditions H.R. 898 - Care for COVID-19 Act of 2021 - Rep. Ruiz, Raul - COVID-19 H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia - MOOP & premium tax credit eligibility H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen - coverage for foster youth H.R. 1796 - Health Care Enrollment Innovation Act- Rep. Bera, Ami - state innovations and insurance coverage H.R. 1806 - ENROLL Act of 2021- Rep. Castor, Kathy - navigator program H.R. 1874 - Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2021 - Rep. Castor, Kathy - navigator program H.R. 1875 - To amend title XXVII of the Public Health Service Act to eliminate the short-term limited duration insurance exemption with respect to individual health insurance coverage - Rep. Castor, Kathy - short-term limited duration insurance H.R. 1878 - State Health Care Premium Reduction Act of 2021 - Rep. Craig, Angie - affordability H.R. 1916 - Ensuring Lasting Smiles Act - Rep. Eshoo, Anna G - diagnosis and treatment of a congenital anomaly or birth defect H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David - mental health and SUD H.R. 5376 - Build Back Better Act - Rep. Yarmuth, John A. - ACA premium tax credits, Medicaid redeterminations, PHE phase down H.R. 5981 - Telehealth Expansion Act - Rep. Steel, Michelle - treatment of telehealth services under a high deductible plan H.R. 6851 - No Surprises for COVID-19 Tests Act - Rep. Pallone, Frank, Jr. - COVID-19 test coverage S. 263 - Worker Health Coverage Protection Act - Sen. Durbin, Richard - coverage continuity & COBRA S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco - HSAs S. 499 - Improving Health Insurance Affordability Act of 2021 - Sen. Shaheen, Jeanne - cost-sharing subsidies S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina - telehealth parity in mental health and SUD coverage S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John - preexisting conditions S. 934 - Strengthening Rural Health Clinics Act of 2021 - Sen. Warner, Mark - rural health clinic payments S. 942 - No Junks Plans Act - Sen. Baldwin, Tammy - Short-Term, Limited Duration Insurance S. 1704 - Telehealth Expansion Act of 2021 - Sen. Daines, Steve - treatment of telehealth services under a high deductible plan Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; contraceptive coverage and reproductive health; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Proposals related to telehealth S. 1512/H.R 2903, The Connect for Health Act of 2021 H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 368/H.R. 1332, Telehealth Modernization Act H.R. 2264/S. 660, Tele-Mental Health Act Health care policy Proposals to reduce drug costs and improve access Proposals to modify the 340B program Provisions that were H.R. 5376, "Build Back Better Act" - provisions related to health policy, Medicare, workforce and hospital emergency preparedness H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1475/S.1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act S.2873 - Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021 Draft Legislation to award grants to 10 eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services (Rep. Trone) Coalition letter to state governors re: emergency temporary licensure waivers for out-of-state practitioners H.R. 5848 / S. 3149: Rural Health Equity Act Draft legislation to support reimbursement for psychology interns and residents in Medicare Draft legislation to support the reauthorization of Title VII programs H.R. 4026 Social Determinants of Health Data Analysis Act of 2021 H.R. 3894 CARING for Social Determinants Act of 2021 H.R. 3173 / S. 3018 Improving Seniors Access to Timely Care Act H.R. 7116 988 Implementation Act Draft bereavement care bill Letter to CDC re: Office of Rural Health Coalition thank-you letter to Congressional leadership and White House re: omnibus package S. 4301 Substance Use Prevention, Treatment, and Recovery Act S. 4306 Improving Access to Behavioral Health Integration Act S.4170 Mental Health Reform Reauthorization Act S.3824/H.R. 7073 Into the Light for MMH and SUD Act of 2022 H.R. 7666 Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 2955/ S. 4448 Suicide Prevention Act

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE)

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

H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. - preexisting conditions H.R. 526 - Ensuring Coverage in Public Health Emergencies Act of 2021 - Rep. Doggett, Lloyd - SEP H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie - COVID-19 diagnostic testing H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa - COVID-19 H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy - preexisting conditions H.R. 898 - Care for COVID-19 Act of 2021 - Rep. Ruiz, Raul - COVID-19 H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia - MOOP & premium tax credit eligibility H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen - coverage for foster youth H.R. 1796 - Health Care Enrollment Innovation Act- Rep. Bera, Ami - state innovations and insurance coverage H.R. 1806 - ENROLL Act of 2021- Rep. Castor, Kathy - navigator program H.R. 1874 - Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2021 - Rep. Castor, Kathy - navigator program H.R. 1875 - To amend title XXVII of the Public Health Service Act to eliminate the short-term limited duration insurance exemption with respect to individual health insurance coverage - Rep. Castor, Kathy - short-term limited duration insurance H.R. 1878 - State Health Care Premium Reduction Act of 2021 - Rep. Craig, Angie - affordability H.R. 1916 - Ensuring Lasting Smiles Act - Rep. Eshoo, Anna G. - diagnosis and treatment of a congenital anomaly or birth defect H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David - mental health and SUD H.R. 5981 -Telehealth Expansion Act - Rep. Steel, Michelle - treatment of telehealth services under a high deductible plan H.R. 6851 - No Surprises for COVID-19 Tests Act - Rep. Pallone, Frank, Jr. - COVID-19 test coverage S. 263 - Worker Health Coverage Protection Act - Sen. Durbin, Richard - coverage continuity & COBRA S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco - HSAs S. 499 - Improving Health Insurance Affordability Act of 2021 - Sen. Shaheen, Jeanne - cost-sharing subsidies S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina - telehealth parity in mental health and SUD coverage S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John -preexisting conditions S. 934 - Strengthening Rural Health Clinics Act of 2021 - Sen. Warner, Mark - rural health clinic payments S. 942 - No Junks Plans Act - Sen. Baldwin, Tammy - Short-Term, Limited Duration Insurance S. 1704 - Telehealth Expansion Act of 2021 - Sen. Daines, Steve - treatment of telehealth services under a high deductible plan Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Proposals related to telehealth H.R. 2471, Consolidated Appropriations Act, 2022 - provisions related to telehealth and the 340B program S. 1512/H.R 2903, The Connect for Health Act of 2021 H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021 S. 368/H.R. 1332, Telehealth Modernization Act H.R. 2264/S. 660, Tele-Mental Health Act Health care policy Proposals to reduce drug costs and improve access Proposals to modify the 340B program S. 773/H.R. 3203, to ensure eligible hospitals continue to have access to the 340B Drug Pricing Program throughout the COVID-19 public health emergency Provisions that were H.R. 5376, "Build Back Better Act" - provisions related to health policy, Medicare, workforce and hospital emergency preparedness H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1475/S. 1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 Draft integrated care legislation H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act Draft PrEP Assistance Program Act S.2873 - Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021 Draft Legislation to award grants to 10 eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services (Rep. Trone) Coalition letter to state governors re: emergency temporary licensure waivers for out-of-state practitioners H.R. 5848 / S. 3149: Rural Health Equity Act Draft legislation to support reimbursement for psychology interns and residents in Medicare Draft legislation to support the reauthorization of Title VII programs H.R. 4026 Social Determinants of Health Data Analysis Act of 2021 H.R. 3894 CARING for Social Determinants Act of 2021 H.R. 3173 / S. 3018 Improving Seniors Access to Timely Care Act H.R. 7116 988 Implementation Act

H.R. 2471 - Consolidated Appropriations Act for Fiscal Year 2022 - Issues related to potential changes to the current ESRD bundled payment. Issues related to the extension of telemedicine polices in Medicare. CMMI demonstration programs that are geared toward enhancing care for people with ESRD. H.R. 5376 - The Build Back Better Act - Health care elements of the bill including policies supporting Medicare and Medicaid beneficiaries. H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to supporting Medicare Secondary Payment program protections for ESRD patients. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

H.R. 2471 - Consolidated Appropriations Act for Fiscal Year 2022 - Issues related to potential changes to the current ESRD bundled payment. Issues related to the extension of telemedicine polices in Medicare. CMMI demonstration programs that are geared toward enhancing care for people with ESRD. H.R. 5376 - The Build Back Better Act - Health care elements of the bill including policies supporting Medicare and Medicaid beneficiaries. H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to supporting Medicare Secondary Payment program protections for ESRD patients. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - Allys Act - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - Health Freedom and Flexibility Act - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - Justice for Patients Act - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - Increasing Health Coverage through HRAs Act of 2021 - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - WISH Act - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits H.R. 4385 - Cancer Drug Parity Act of 2021 - Rep. Higgins, Brian [D-NY-26] - cost sharing for oral anticancer drugs H.R. 4480 - Telehealth Coverage and Payment Parity Act - Rep. Phillips, Dean [D-MN-3] - payment parity for telehealth services H.R. 4669 - Capping Costs for Consumers Act of 2021 - Rep. Schrier, Kim [D-WA-8] - cost-sharing reductions H.R. 4911 - Medicare Advantage Quality Payment Relief Act of 2021 - Rep. Kind, Ron [D-WI-3] - Medicare Advantage payments H.R. 5157 - Direct Primary Care for America Act - Rep. Crenshaw, Dan [R-TX-2] - HSAs and spending requirements H.R. 5214 - To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements - Rep. Curtis, John R. [R-UT-3] - HSAs and spending requirements H.R. 5390 - COBRA Subsidy Extension for Workers and Families Act - Rep. Mrvan, Frank J. [D-IN-1] - COBRA coverage H.R. 5432 - COVID-19 Testing Coverage Act of 2021 - Rep. Miller-Meeks, Mariannette [R-IA-2] - COVID-19 testing coverage H.R. 5536 - SMART Act - Rep. Rush, Bobby L. [D-IL-1] - outpatient physical therapy payment rules in rural areas H.R. 5610 - Easy Enrollment in Health Care Act - Rep. Bera, Ami [D-CA-7] - health insurance affordability programs and minimum essential coverage H.R. 5981 - Telehealth Expansion Act of 2021 - Rep. Steel, Michelle [R-CA-48] - telehealth services and high deductible health plans H.R. 6271 - Health Savings Act of 2021 - Rep. LaTurner, Jake [R-KS-2] - HSAs S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - Ensuring Lasting Smiles Act - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - TELEHEALTH HSA Act of 2021 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - Health Savings Account Expansion Act of 2021 - Sen. Sasse, Ben [R-NE] - HSAs S. 3001 - Easy Enrollment in Health Care Act - Sen. Van Hollen, Chris [D-MD] - health insurance affordability programs and minimum essential coverage S. 3139 - Healthy Competition for Better Care Act - Sen. Braun, Mike [R-IN] - anticompetitive terms in insurance contracts S. 3239 - Healthy MOM Act - Sen. Brown, Sherrod [D-OH] - SEPs for pregnant women Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns.

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

H.R. 1475/S. 1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 4305: Crisis Care Enhancement Act H.R. 1385: Behavioral Health Coordination and Communication Act H.R. 5182: COCM Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 Draft integrated care legislation H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act Draft PrEP Assistance Program Act S.2873 - Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021 Draft Legislation to award grants to 10 eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services (Rep. Trone) Coalition letter to state governors re: emergency temporary licensure waivers for out-of-state practitioners H.R. 5848 / S. 3149: Rural Health Equity Act

Client expense: $300,000 · Firm income: Not reported

H.R. 5376 - The Build Back Better Act - Health care elements of the bill including policies supporting Medicare and Medicaid beneficiaries. S. 610 - Protecting Medicare and American Farmers from Sequester Cuts Act - Issues related to maintaining stability in the Medicare program. H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to supporting Medicare Secondary Payment program protections for ESRD patients. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

H.R. 5376 - The Build Back Better Act - Health care elements of the bill including policies supporting Medicare and Medicaid beneficiaries. S. 610 - Protecting Medicare and American Farmers from Sequester Cuts Act - Issues related to maintaining stability in the Medicare program. H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to supporting Medicare Secondary Payment program protections for ESRD patients. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - Allys Act - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - Health Freedom and Flexibility Act - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - Justice for Patients Act - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - Increasing Health Coverage through HRAs Act of 2021 - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - WISH Act - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits H.R. 4385 - Cancer Drug Parity Act of 2021 - Rep. Higgins, Brian [D-NY-26] - cost sharing for oral anticancer drugs H.R. 4480 - Telehealth Coverage and Payment Parity Act - Rep. Phillips, Dean [D-MN-3] - payment parity for telehealth services H.R. 4669 - Capping Costs for Consumers Act of 2021 - Rep. Schrier, Kim [D-WA-8] - cost-sharing reductions H.R. 4911 - Medicare Advantage Quality Payment Relief Act of 2021 - Rep. Kind, Ron [D-WI-3] - Medicare Advantage payments H.R. 5157 - Direct Primary Care for America Act - Rep. Crenshaw, Dan [R-TX-2] - HSAs and spending requirements H.R. 5214 - To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements - Rep. Curtis, John R. [R-UT-3] - HSAs and spending requirements H.R. 5390 - COBRA Subsidy Extension for Workers and Families Act - Rep. Mrvan, Frank J. [D-IN-1] - COBRA coverage H.R. 5432 - COVID-19 Testing Coverage Act of 2021 - Rep. Miller-Meeks, Mariannette [R-IA-2] - COVID-19 testing coverage S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - Ensuring Lasting Smiles Act - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - TELEHEALTH HSA Act of 2021 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - Health Savings Account Expansion Act of 2021 - Sen. Sasse, Ben [R-NE] - HSAs Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. Workforce shortage concerns.

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

H. Res. 349 - In support the goals of Overdose Awareness Day by lowering the United States flag to half-staff on all Federal buildings on August 31st of each year H.Res 538 - Bebe Moore Campbell BIPOC Mental Health Awareness Month H.R. 586/S. 1543- The STANDUP Act H.R. 588 - Stopping the Mental Health Pandemic Act H.R. 593 - Coronavirus Mental Health and Addiction Assistance Act of 2021 H.R. 654/S. 26 - Drug-Free Communities Pandemic Relief Act H.R. 666/ S. 162 - the Anti-Racism in Public Health Act H.R. 721/S. 1841 - Mental Health Services for Students Act H.R. 909/S. 484 - Moms Matter Act H.R. 912 - American Indian and Alaska Native Veterans Mental Health Act H.R. 925/S. 327 - Data to Save Moms Act H.R. 955/S. 285 - Medicaid Reentry Act H.R. 959/ S. 346 - the Black Maternal Health Momnibus Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 1195 - the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1205/S. 2157 - Improving Mental Health Access from the Emergency Department Act H.R. 1324/S. 467 - Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 1331 - the Strengthening Mental Health Supports for BIPOC Communities Act H.R. 1400 - the COVID-19 Health Disparities Action Act of 2021 H.R. 1475/S. 1795 - Pursuing Equity in Mental Health Act H.R. 1480 - Helping Emergency Responders Overcome (HERO) Act H.R. 1551/S.584 - Nutrition CARE Act H.R. 1554 - grants for community-based mental health and substance use disorder services H.R. 1587/S. 1731 - Medicare Audiologist Access and Services Act of 2021 H.R. 1667/S. 610 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1716/ S. 631 - the Covid-19 Mental Health Research Act H.R. 1738/S. 646 - Stabilize Medicaid and CHIP Act H.R. 2051/S. 854 - Methamphetamine Response Act of 2021 H.R. 2161/S. 971 - CAMRA Act Support Letter H.R. 2255/S. 1024 -the Healthcare Workforce Resilience Act H.R. 2256/S. 834 - the Resident Physician Shortage Reduction Act of 2021 H.R. 2264/ S. 660 - the Telemental Health Improvement Act H.R. 2364 - Synthetic Opioid Danger Awareness Act H.R. 2379 - State Opioid Response Grant Authorization Act of 2021 H.R. 2503 - Social Determinants Accelerator Act of 2021 H.R. 2591/S.957 - DUMP Opioids Act H.R. 2611 - Increasing Behavioral Health Treatment Act H.R. 2767/ S. 2144 - the Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act H.R. 2862 -the Campaign to Prevent Suicide Act H.R. 2874/S. 1576 - Behavioral Health Coverage Transparency Act of 2021 H.R. 2903/S. 1512 - the CONNECT for Health Act of 2021 H.R. 2929/ S. 157 - The Virtual Peer Support Act H.R. 2955 -the Suicide Prevention Act H.R. 2973 - the Strengthening Americas Families Act (SAFA) of 2021 H.R. 2981, the Suicide Prevention Lifeline Improvement Act of 2021 H.R. 3150/S. 1578 - the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 H.R. 3407/S. 411 - Mothers and Offspring Mortality and Morbidity Awareness Act MOMMAs Act H.R. 3441 - The Substance Use Disorder Workforce Act of 2021 H.R. 3447 - Permanency for Audio-Only Telehealth Act H.R. 3450/S. 1727, the Medicaid Bump Act H.R. 3541/S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R.3467 - the Improving Data Collection for Adverse Childhood Experiences Act H.R. 3753/S. 1962 - Parity Implementation Assistance Act H.R. 3755/S. 1975 - the Womens Health Protection Act H.R. 3894 - Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2021 H.R. 3931 / S. 2069 - Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 4026 - Social Determinants of Health Data Analysis Act of 2021 H.R. 4058/S. 2061- The Telemental Health Care Access Act H.R. 4146 - Therapeutic Fraud Prevention Act of 2021 H.R. 4151/S. 2238 - FASD Respect Act H.R.4217 - TRIUMPH for New Moms Act of 2021 H.R. 4305, the Crisis Care Enhancement Act H.R. 4351/S. 981 - CARA 3.0 Act of 2021 H.R. 4387/S. 1675 - Maternal Health Quality Improvement Act of 2021 H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 H.R. 4510 - Health Enterprise Zones Act of 2021 H.R. 4554 - Care That's Fair Act H.R. 4631- Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act H.R. 4649 - Supporting Underserved Populations by Placing Our Resources in Trusts (SUPPORT) for Mental Health Act H.R. 4770- Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2021 (EDOT Act) H.R. 4943 - the Childrens Mental Health Infrastructure Act of 2021 H.R. 4944, the Helping Kids Cope Act of 2021 H.R. 4970 - Rural Medical Residency Expansion Act of 2021 H.R. 5035 - Child Suicide Prevention and Lethal Means Safety Act H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 5224 - Preventing Overdoses and Saving Lives Act of 2021 S. 674 - Public Health Infrastructure Saves Lives Act S. 1024 - Healthcare Workforce Resilience Act S. 1902 - Behavioral Health Crisis Services Expansion Act S. 2086/ - Resilience Investment, Support, and Expansion from Trauma Act (RISE from Trauma Act) (Bill # TBD) - LAI Buprenorphine Access Act (No legislation) Amend Section 1834(m) of the Social Security Act to ensure that the Secretary has the tools to transition following the end of the public health emergency and ensure telehealth is regulated the same as in-person services.    (No legislation)_Retain the 3.75% increase to conversion factor for FY 22 and 23 in the MPFS

H.R. 1475/S. 1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 1364: Parity Enforcement Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 4305: Crisis Care Enhancement Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 764: CAHOOTS Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act S. 1962/H.R. 3753: Parity Implementation Assistance Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 Draft integrated care legislation H.R. 5218: Collaborate in an Orderly and Cohesive Manner Act Draft PrEP Assistance Program Act Draft Senate Preventing and Addressing Trauma with Health Services (PATHS) Act Draft Reconciliation package Future Senate Finance Committee mental health legislation Future Cures 2.0 legislation from Rep. DeGette and Rep. Upton Draft Child Abuse and Neglect Data Collection and Improvement Act of 2021

Client expense: $220,000 · Firm income: Not reported

H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

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

H.R. 4942/S. 2649 - The BETTER Kidney Care Act of 2021 - Support for the creation of a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access and administration of vaccines for people with ESRD and those who care for them.

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

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

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and the Patient Protection and Affordable Care Act to require coverage of hearing devices and systems in certain private health insurance plans, and for other purposes - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - To amend the Patient Protection and Affordable Care Act to require the Secretary of Health and Human Services to set forth a method of determining maximum out-of-pocket limits and annual updates to premium tax credit eligibility - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - To amend the Internal Revenue Code of 1986 to make improvements to Health Savings Accounts - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - To prohibit the inclusion of mandatory predispute arbitration clauses and clauses limiting class action lawsuits in health insurance contracts - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - To codify certain rules related to health reimbursement arrangements and other account-based group health plans - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - To amend title II of the Social Security Act to provide for long-term care insurance benefits - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - A bill to require parity in the coverage of mental health and substance use disorder services provided to enrollees in private insurance plans, whether such services are provided in-person or through telehealth - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - A bill to provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a congenital anomaly or birth defect - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - A bill to amend the Patient Protection and Affordable Care Act to ensure that preexisting condition exclusions with respect to enrollment in health insurance coverage and group health plans continue to be prohibited - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - A bill to amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - A bill to amend the Internal Revenue Code of 1986 to allow individuals who are not enrolled in a high deductible health plan to have access to health savings accounts - Sen. Sasse, Ben [R-NE] - HSAs Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE).

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

H.R. 1475/S. 1795 Pursuing Equity in Mental Health Act S. 660/H.R. 2264: Tele-Mental Health Improvement Act H.R. 959/S. 346 - Black Maternal Health Momnibus Act of 2021 H.R. 1364: Parity Enforcement Act H.R. 909/S. 484: Moms Matter Act S. 2086: The Resilience Investment, Support and Expansion (RISE) from Trauma Act S. 1927: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization of 2021 H.R 3467: Improving Data Collection for Adverse Childhood Experiences (ACEs) Act H.R. 4305: Crisis Care Enhancement Act H.R. 1385: Behavioral Health Coordination and Communication Act S. 764: CAHOOTS Act S. 445: Mainstreaming Addiction Treatment Act S. 854: Methamphetamine Response Act S. 1457: STOP Fentanyl Act H.R. 1643: PrEP Assistance Program Act Draft Global Enhancement of Mental Health and Psychosocial Support Access Act of 2021 Draft integrated care legislation

Client expense: $340,000 · Firm income: Not reported

H.R. 586, the STANDUP Act of 2021 H.R. 588/ S. 165, the Stopping the Mental Health Pandemic Act H.R 593 / S. 135, the Coronavirus Mental Health and Addiction Assistance Act of 2021 H.R. 666/ S. 162, the Anti-Racism in Public Health Act H.R. 721, the Mental Health Services for Students Act H.R. 909/ S. 484, the MOMS Matter Act H.R. 958, the Protecting Moms Who Served Act H.R. 959/ S. 346, the Black Maternal Health Momnibus Act H.R. 1195, the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1205, the Improving Mental Health Access from the Emergency Department Act of 2021 H.R. 1309/S. 194, the SERVE Act H.R. 1319, the American Rescue Plan Act H.R. 1324/ S. 467, the Effective Suicide Screening and Assessment in the Emergency Department Act of 2021 H.R. 1331, the Strengthening Mental Health Supports for BIPOC Communities Act H.R. 1368, the Mental Health Justice Act H.R. 1400, the COVID-19 Health Disparities Action Act of 2021 H.R. 1475/ S. 1795, the Pursuing Equity in Mental Health Act H.R. 1480, the HERO Act H.R. 1554, grants for community-based mental health and substance use disorder services H.R. 1587/ S. 1783, the Medicare Audiologist Access and Services Act of 2021 H.R. 1667/ S. 610, the Dr. Lorna Breen Health Care Provider Protection Act H.R. 1716/ S. 631, the Covid-19 Mental Health Research Act H.R. 1735/ S. 646, the Stabilize Medicaid and CHIP Coverage Act of 2021 H.R. 1803, grants for suicide prevention and mental health in high schools H.R. 1843/ S. 937, the Covid-19 Hate Crimes Act H.R. 2255/S. 1024, the Healthcare Workforce Resilience Act H.R. 2256, the Resident Physician Shortage Reduction Act of 2021 (S. 834, the Physician Shortage Reduction Act of 2021) H.R. 2264/ S. 660, the Telemental Health Improvement Act H.R. 2767/ S. 2144, the Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act H.R. 2862, the Campaign to Prevent Suicide Act H.R. 2903/S. 1512, the CONNECT for Health Act of 2021 H.R. 2955, the Suicide Prevention Act H.R. 2981, the Suicide Prevention Lifeline Improvement Act of 2021 H.R. 2973, the Strengthening Americas Families Act (SAFA) of 2021 H.R. 3150/S. 1578, the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 H.R. 3441/S. 1483, the Opioid Workforce Act H.R. 3447, the Permanency for Audio-Only Telehealth Act H.R. 3450/S. 1727, the Medicaid Bump Act H.R.3467, the Improving Data Collection for Adverse Childhood Experiences Act H.R. 3541/ S. 1810, the Conrad State 30 and Physician Access Reauthorization Act H.R. 3753/ S. 1962, the Parity Implementation Assistance Act H.R. 3755/S. 1975, the Womens Health Protection Act H.R. 4058/ S. 2061, the Telemental Health Care Access Act (Matsui/Cassidy? CHeck) H.R. 4305, the Crisis CareEnhancement Act H.Res.151, Condemning all forms of anti-Asian sentiment as related to COVID-19 H.R. 8084, the Lethal Means Safety Training Act S. 168, the TREAT Act S.176, the Ensuring Understanding of COVID-19 to Protect Public Health Act S.662, the ATTAIN Mental Health Act S. 2086, the Resilience Investment, Support, and Expansion (RISE) from Trauma Act S. 2069, the Excellence in Mental Health and Addiction Treatment Act The Collaborative Care Model

PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Work on the reintroduction of the Better Act, which would create a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. Medicare transparency and payment rules and regulations.

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

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

PL 117- 2- The American Rescue Plan Act Implementation - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Work on the reintroduction of the Better Act, which would create a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules. Issues related to the implementation of the Trump-era transparency rules and regulations. Issues related to ensuring ease of access to vaccines for people with ESRD.

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

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

H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. - preexisting conditions H.R. 526 - Ensuring Coverage in Public Health Emergencies Act of 2021 - Rep. Doggett, Lloyd - SEP H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie - COVID-19 diagnostic testing H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa - COVID-19 H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy - preexisting conditions H.R. 898 - Care for COVID-19 Act of 2021 - Rep. Ruiz, Raul - COVID-19 H.R. 1790 - To amend the Patient Protection and ACA to require HHS Services to set forth a method of determining maximum out-of-pocket limits and annual updates to premium tax credit eligibility - Rep. Axne, Cynthia - MOOP & premium tax credit eligibility H.R. 1795 - To amend title XIX of the Social Security Act to ensure health insurance coverage continuity for former foster youth - Rep. Bass, Karen - coverage for foster youth H.R. 1796 - To direct HHS to award grants to eligible State agencies to promote State innovations to expand health insurance coverage - Rep. Bera, Ami - state innovations and insurance coverage H.R. 1806 - To amend the Patient Protection and ACA to provide for additional requirements with respect to the navigator program - Rep. Castor, Kathy - navigator program H.R. 1874 - To amend the Patient Protection and ACA to provide for additional requirements with respect to the navigator program, and for other purposes - Rep. Castor, Kathy - navigator program H.R. 1875 - To amend title XXVII of the Public Health Service Act to eliminate the short-term limited duration insurance exemption with respect to individual health insurance coverage - Rep. Castor, Kathy - short-term limited duration insurance H.R. 1878 - To amend the Patient Protection and Affordable Care Act to establish a health insurance affordability fund - Rep. Craig, Angie - affordability H.R. 2264 - To require parity in the coverage of mental health and substance use disorder services provided to enrollees in private insurance plans, whether such services are provided in-person or through telehealth - Rep. Trone, David - mental health and SUD S. 263 - Worker Health Coverage Protection Act - Sen. Durbin, Richard - coverage continuity & COBRA S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco - HSAs S. 499 - Improving Health Insurance Affordability Act of 2021 - Sen. Shaheen, Jeanne - cost-sharing subsidies S. 660 - A bill to require parity in the coverage of mental health and substance use disorder services provided to enrollees in private insurance plans, whether such services are provided in-person or through telehealth - Sen. Smith, Tina - mental health and SUD S. 756 - A bill to amend the Patient Protection and Affordable Care Act to ensure that preexisting condition exclusions with respect to enrollment in health insurance coverage and group health plans continue to be prohibited - Sen. Kennedy, John -preexisting conditions S. 934 - A bill to amend title XVIII of the Social Security Act to improve rural health clinic payments - Sen. Warner, Mark - rural health clinic payments S. 942 - A bill to provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect - Sen. Baldwin, Tammy - Short-Term, Limited Duration Insurance Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

H.R. 588/ S. 165, the Stopping the Mental Health Pandemic Act H.R 593 / S. 135, the Coronavirus Mental Health and Addiction Assistance Act of 2021 H.R. 666/ S. 162, the Anti-Racism in Public Health Act H.R. 909, the MOMS Matter Act H.R. 959/ S. 346, the Black Maternal Health Momnibus Act H.R. 1195, the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1309/S. 194, the SERVE Act H.R. 1319, the American Rescue Plan Act H.R. 1331, the Strengthening Mental Health Supports for BIPOC Communities Act H.R. 1368, the Mental Health Justice Act H.R. 1400, the COVID-19 Health Disparities Action Act of 2021 H.R. 1475, the Pursuing Equity in Mental Health Act H.R. 1554, grants for community-based mental health and substance use disorder services H.R. 1667/ S. 610, the Dr. Lorna Breen Health Care Provider Protection Act H.R. 1803, grants for suicide prevention and mental health in high schools H.R. 2256/ S. 834, the Resident Physician Shortage Reduction Act H.R. 7159 / S. 4282, the Crisis Care Improvement and Suicide Prevention Act H.Res.151, Condemning all forms of anti-Asian sentiment as related to COVID-19 S. 168, the TREAT Act S.176, the Ensuring Understanding of COVID-19 to Protect Public Health Act S. 660, the Telemental Health Improvement Act S.662, the ATTAIN Mental Health Act Public health research on firearm morbidity and mortality prevention. Implementing a Science-Based and Public Health Approach to End the COVID-19 Pandemic; Expanding Health Care Coverage and Protecting Access to Care; Expanding and Strengthening Medicaid; Improving Health Care for Women; End Interference in the Patient-Physician Relationship; Addressing Physician Workforce Issues; Reducing Administrative Burden in Health Care Lethal Means Safety Training Act Mental Health Parity implementation The Collaborative Care Model Health disparities Telehealth provisions as related to and beyond the Covid-19 public health emergency Nation Health Service Corps Minority Fellowship Program

Mental health policy; Role of psychiatric pharmacists and reimbursements for the same; Enable access to mental health and substance use treatment services during COVID-19 pandemic; Mental Health Justice Act; Remove barriers to pharmacists engagement in public health; Use Prep Act to engage retired pharmacists for COVID vaccinations; Add a pharmacist to the COVID-19 Health Equity Task Force; Continuation of telehealth waivers through 2021, including audio only services and payment parity with in-person care; H.R. 792 Barriers to Suicide Act; H.R. 953, Coronavirus Mental Health and Addiction Relief Act; S. 168 Temporary Reciprocity to Ensure Access to Treatment Act; H.R. 721 Mental Health Services for Students Act; H.R. 1384/S. 445 Mainstreaming Addiction Act; H.R. H.R. 1475 Pursuing Equity in Mental Health Act; S. 660 Telemental Health Improvement Act; H.R. 1716 COVID-19 Mental Health Research Act; Mental Health Professionals Workforce Shortage Loan Repayment Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 432 and S 834 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion).

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1475 Pursuing Equity in Mental Health Act Tele-Mental Health Improvement Act (S.660 / H.R. 2264) H.R. 959 - Black Maternal Health Momnibus Act of 2021 HR 1480 - To require the Secretary of Health and Human Services to improve the detection, prevention, and treatment of mental health issues among public safety officers, and for other purposes. Parity Enforcement Act (H.R. 1364)

Client expense: $260,000 · Firm income: Not reported

PL 117- 2- The American Rescue Plan Act - Issues related to coverage of people with ESRD during the Covid-19 Pandemic and beyond regarding coverage, support for facilities and providers caring for kidney patients, and use of telemedicine and other technologies to correctly care for people living with ESRD. S. 660 - Tele-Mental Health Improvement Act - Issues related to ensuring that patients with ESRD are given the correct level of care to manage their disease with their providers. Work on the reintroduction of the Better Act, which would create a 5 year demonstration project for people with ESRD in Fee For Service Medicare to have better coordination of their care, which is currently not possible under the Medicare program's rules.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE