Better Care Better Jobs Act

Nursing home staffing standards Meetings and sample questions to Senate Finance and Senate HELP Committees Staff and members to ascertain qualifications for Bobby Kennedy for HHS Secretary and Dr. Mehmet Oz for CMS Administrator. Meeting with House Ways and Means, House Energy and Commerce and Senate Aging Committee on plans to reintroduce the Better Care, Better Jobs Acts (S 100/HR 547), HCBS Access Act (S 762/HR 1493), and HCBS Relief Act (S 3118/HR 6296) in 119th Congress. Endorsement of a Senate Resolution in support of expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their cosponsorship. Consultation with Rep. Alexandria Ocasio-Cortez Office on a letter to HHS Secretary Robert Kennedy Jr. and DOL Secretary Lori Chavez De Remer expressing some Members of Congress "deep concern with the Trump Administration's extreme immigration policies and the potential damage to our health car systems." Meeting with Rep. Pramila Jayapal office to discuss reintroduction and SEIU support for the Medicare for All Act of 2025. Meeting with House and Senate Dem Offices on HHS Reorganization. Meeting with Rep. Greg Landman's Office to support reversing the termination decisions at the National Institute Occupational Safety and Health.

Client expense: $22,222 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation (HRSA); Adolescent Health Issues (Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition) (FDA); Innovation in Pediatric Drugs Act (H.R. 6664) Child passenger safety; Appropriations for the Indian Health Service (IHS); Appropriations for Environmental Programs (including EPA); Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation (HRSA, CMS, HHS, ACF); Infant sleep product safety (CPSC); Lead exposure prevention (EPA, CDC, HUD); Food safety (FDA, EPA, CDC); Paid family and medical leave; Regulation of high-powered magnet sets (CPSC); Climate change, Inflation Reduction Act Implementation (CPSC); Vehicle emissions standards (EPA, NHTSA); Button battery ingestions (CPSC); Early childhood education (HHS); Child protection safety and injury prevention (CPSC); Furniture tip-overs (CPSC); Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants (ACF, HHS ASPE); Family First Prevention Services Act implementation (ACF); CAPTA Fatalities Prevention and Response (HHS); Title IV-B Reauthorization (including H.R. 9076: Protecting Americas Children by Strengthening Families Act) (ACF); Congregate care reform (HHS, ACF); Mental health supports for foster youth/former foster youth (HHS); Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation (EPA); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023) (ACF); Firearm Violence Prevention (Including Research Funding; Background Checks) (WH Domestic Policy Council; WH Office of Gun Violence Prevention; CDC; NIH; DOJ); Pregnant Workers Fairness Act Implementation (EEOC); Childcare Funding & Resources (HHS); Native American Child Health (DOI, EPA, HHS); Water Beads (including H.R. 4648: Ban Water Beads Act; S. 4298: Esthers Law (CPSC) Continuous Eligibility for Children in Medicaid and CHIP (including H.R. 9688 - Keep Kids Covered Act) (HHS/CMS); Medicaid Payment Parity (including H.R. 952 - Kids Access to Primary Care Act) (HHS/CMS); Access to Care in Medicaid/CHIP (HHS/CMS); Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP renewal policies (HHS/CMS); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Medicaid Early and Periodic Screening, Diagnostic, and Treatment requirement (HHS/CMS); Vaccines for Children program improvements (HHS/CMS, CDC); Medicaid prior authorization and medical necessity determinations Standards in ORR Custody (ORR, HHAS); Licensure of ORR Shelters (ORR, HHS); Public Charge; Child Nutrition Reauthorization/WIC (USDA); SNAP/Farm Bill (USDA); Mental Health for Children (HRSA); H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424) FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act (Department of Defense / Defense Health Agency); Defense Health Agency - Autism Care Demonstration (Department of Defense / Defense Health Agency); Defense Health Agency - Fluoride varnish (Department of Defense / Defense Health Agency); Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices (FDA); SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Act of 2024 (H.R. 7213/S.4762); Supplemental Security Income/Social Security (Social Security Administration); School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757/H.R.7189); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab and COVID-19 immunizations (CDC, HHS); WEAR IT Act (H.R. 6279); Probiotic use in the NICU (FDA, CDC, NIH) Strengthening Efforts to End Violence Against Children Act (H.R. 4798); MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act (USAID); FY26 Appropriations - global child health accounts impacting children and youth at USAID (Vulnerable Children, International Basic Education, Maternal and Child Health, Nutrition), Combating Child, Early and Forced Marriage, McGovern-Dole International Food for Education and Child Nutrition Program, Department of State Child Protection Compact (CPC) Partnership, Violence Against Children and Youth Surveys, CEIU, ILAB, UNICEF, IDA, MRA, PEPFAR (OMB); Violence Against Children Ministerial Meeting (HHS, NSC, USAID); U.S. Government pledge at the 2025 Nutrition for Growth Summit (USAID)

Client expense: $170,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act H.R.7513 s 3307: encounter data enhancement act hr 9803 hospice care, accountability, reform, and enforcement act hr 8107 Ensuring Access to Medicaid Buy-in Programs Act of 2024 H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act Home Health Payment Adult Day Reimbursement Congressional Review Act -- Nursing home staffing mandate

Client expense: $16,772 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Child passenger safety; Appropriations for the Indian Health Service - HIS; Appropriations for Environmental Programs (including EPA) - EPA; Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation - HRSA, CMS, HHS, ACF; Infant sleep product safety - CPSC; Lead exposure prevention - EPA, CDC, HUD, FDA; Food safety - FDA, EPA, CDC; Paid family and medical leave; Regulation of high-powered magnet sets - CPSC; Climate change, Inflation Reduction Act Implementation - EPA; Vehicle emissions standards - EPA, NHTSA; Button battery ingestions - CPSC; Early childhood education - HHS; Child product safety and injury prevention - CPSC; Furniture tip-overs - CPSC; Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants - HHS, ACF & ASPE; Family First Prevention Services Act implementation - HHS, ACF; CAPTA Fatalities Prevention and Response - HHHS, ACF; Title IV-B Reauthorization (including H.R. 9076: Protecting Americas Children by Strengthening Families Act) - HHS, ACF; Congregate care reform - HHS, ACF; Mental health supports for foster youth/former foster youth - HHS, ACF; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation - EPA; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023) - HHS, ACF; Firearm Violence Prevention (Including Research Funding; Background Checks) - WH Domestic Policy Council; WH Office of Gun Violence Prevention; CDC; NIH; DOJ; Pregnant Workers Fairness Act Implementation - EEOC; Childcare Funding & Resources - HHS, OCC; Native American Child Health - DOI; EPA, HHS, HIS; Water Beads (including H.R. 4648: Ban Water Beads Act; S. 4298: Esthers Law) - CPSC Continuous Eligibility for Children in Medicaid and CHIP (including H.R. 9688 - Keep Kids Covered Act) - HHS/CMS; Medicaid Payment Parity (including H.R. 952 - Kids Access to Primary Care Act) - HHS/CMS; Access to Care in Medicaid/CHIP - HHS/CMS; Medicaid/CHIP renewal policies - HHS/CMS; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Medicaid Early and Periodic Screening, Diagnostic, and Treatment requirement - HHS/CMS; Vaccines for Children program improvements - HHS/CMS, CDC; Medicaid prior authorization and medical necessity determinations; Telehealth - DEA tele-prescribing extension and Medicare telehealth extension - HHS, DEA; H.R. 10438 - Helping Families Access Pediatric Care Act; S. 2243 - Palliative Care and Hospice Education and Training Act (PCHETA); CY2025 Medicare Physician Fee Schedule - CMS Standards in ORR Custody - ORR, HHS; Licensure of ORR Shelters - ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC - USDA; SNAP/Farm Bill - USDA; Mental Health for Children HRSA; H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424) Strengthening Efforts to End Violence Against Children Act (H.R. 4798); MINDS Act (H.R. 1570/S. 767); FY25 SFOPS Appropriations - report language on children with disabilities globally; International Protections for Children with Disabilities Act (S.847) - subsection S.4797; Implementation of the Global Child Thrive Act - USAID; Violence Against Children Ministerial Meeting - HHS, NSC, USAID; Violence Against Children Surveys - Department of State; Issue/Bill - Agency FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act - Department of Defense / Defense Health Agency; Defense Health Agency - Fluoride varnish; Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices - FDA; SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Act of 2024 (H.R. 7213/S.4762); Supplemental Security Income/Social Security - Social Security Administration; School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757/H.R.7189); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab and COVID-19 immunizations - CDC, HHS; WEAR IT Act (H.R. 6279); Probiotic use in the NICU - FDA, CDC, NIH; Maternal mental health/perinatal mental health Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation - Health Resources and Services Administration; Adolescent Health Issues, including mpox -Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products -Food and Drug Administration; Innovation in Pediatric Drugs Act (H.R. 6664); Ethical Considerations when Studying Youth Online -White House Office of Science and Technology Policy

Client expense: $170,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". H.J.Res. 132: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Defense, the General Services Administration, and the National Aeronautics and Space Administration relating to the "Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects". H.J.Res. 134: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Improving Protections for Workers in Temporary Agricultural Employment in the United States". H.R. 11: Freedom to Vote Act H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023 H.R. 174: No Federal Funding for Teachers Unions Act H.R. 547: Better Care Better Jobs Act H.R. 720: Davis-Bacon Repeal Act H.R. 721: Union Integrity Act H.R. 762: Building Resilient Supply Chains Act H.R. 798: Protecting Americas Meatpacking Workers Act of 2023 H.R. 805: Industrial Agriculture Accountability Act of 2023 H.R. 953: Child Care for Every Community Act H.R. 1118: DISCLOSE Act of 2023 H.R. 1200: National Right-to-Work Act H.R. 1209: FOCA Act H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 H.R. 2700: Employee Rights Act H.R. 2851: National Apprenticeship Act of 2023 H.R. 3400: Small Businesses before Bureaucrats Act H.R. 3539: Public Safety Employer-Employee Cooperation Act H.R. 3854: Manufacturing Partnership Improvement Act H.R. 4319: Farm Workforce Modernization Act of 2023 H.R. 4320: Truth in Employment Act of 2023 H.R. 4559: Food Worker Pay Standards Act H.R. 4595: National Education Association Charter Repeal Act H.R. 4689: FASTER Act of 2023 H.R. 4948: College Athlete Economic Freedom Act H.R. 4963: Tax Fairness for Workers Act H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes. H.R. 4971: Paycheck Protection Act H.R. 4978: Agricultural Worker Justice Act H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023 H.R. 5314: Freedom From Union Violence Act of 2023 H.R. 5351: Nationwide Right to Unionize Act H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5502: FABRIC Act H.R. 5563: Schedules That Work Act H.R. 5572: Civilian Climate Corps for Jobs and Justice Act H.R. 5735: Union Auto Workers Job Protection Act H.R. 5760: Climate Resilience Workforce Act H.R. 5784: Green New Deal for Public Schools Act of 2023 H.R. 6270: State-Based Universal Health Care Act of 2023 H.R. 6569: EFFECTIVE Food Procurement Act H.R. 6616: College Athlete Right to Organize Act H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023 H.R. 7135: GHOST Act H.R. 7692: Taxpayer-Funded Union Time Transparency Act H.R. 7748: Scratch Cooked Meals for Students Act H.R. 7782: Green New Deal for Public Housing Act H.R. 7784: SALT Act H.R. 8253: BUILD GREEN Infrastructure and Jobs Act H.R. 8367: Union Transparency and Accountability Act H.R. 8370: Rights for the TSA Workforce Act of 2024 H.R. 8426: Public Service Freedom to Negotiate Act of 2024 H.R. 8518: Responsibility in Federal Contracting Act H.R. 8573: Union Members Right to Know Act H.R. 9191: No Union Time on the Taxpayer's Dime Act H.R. 9302: Worker Enfranchisement Act H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. S. 1: Freedom to Vote Act S. 100: Better Care Better Jobs Act S. 270: Protecting Americas Meatpacking Workers Act of 2023 S. 272: Industrial Agriculture Accountability Act of 2023 S. 388: Child Care for Every Community Act S. 512: DISCLOSE Act of 2023 S. 532: National Right-to-Work Act S. 537: FOCA Act S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023 S. 737: No Tax Breaks for Union Busting (NTBUB) Act S. 738: Tax Fairness for Workers Act S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 S. 1201: Employee Rights Act S. 1643: Reclaiming the Solar Supply Chain Act of 2023 S. 1804: FASTER Act of 2023 S. 2122: National Apprenticeship Act of 2023 S. 2148: LIFT Act S. 2344: Freedom to Vote Act S. 2554: College Athlete Economic Freedom Act S. 2601: Agricultural Worker Justice Act S. 2724: Nationwide Right To Unionize Act S. 2817: FABRIC Act S. 2838: Civilian Climate Corps for Jobs and Justice Act S. 2851: Schedules That Work Act S. 2988: Green New Deal for Public Schools Act of 2023 S. 3226: Offshore Wind Jobs and Opportunity Act S. 3390: EFFECTIVE Food Procurement Act S. 3415: College Athlete Right to Organize Act S. 3682: GHOST Act S. 3955: Taxpayer-Funded Union Time Transparency Act S. 4012: Green New Deal for Public Housing Act S. 4046: Department of Veterans Affairs Employee Fairness Act of 2024 S. 4226: Cannabis Administration and Opportunity Act S. 4277: BUILD GREEN Infrastructure and Jobs Act S. 4334: Rights for the TSA Workforce Act of 2024 S. 4363: Public Service Freedom to Negotiate Act of 2024 S. 4709: Protecting American Jobs Act S. 4868: No Union Time on the Taxpayer's Dime Act S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known as the Office of Congressional Workplace Rights, on August 19, 1996, and for other purposes.

Client expense: $348,012 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

H.R. 544: Veterans Infertility Treatment Act of 2023; all provisions of the bill H.R. 547: Better Care Better Jobs Act; all provisions of the bill H.R. 830: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill H.R. 2534: Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023(PROTECT 340B Act); all provisions of the bill H.R. 2880: Protecting Patients Against PBM Abuses Act; all provisions of the bill H.R. 5378: Lower Costs, More Transparency Act; all provisions of the bill H.R. 6283: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 100: Better Care Better Jobs Act; all provisions of the bill S. 1339: Pharmacy Benefit Manager Reform Act; all provisions of the bill S. 1375: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill S. 1542: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 1967: Patients Before Middlemen (PBM) Act; all provisions of the bill S. 2973: Modernizing and Ensuring PBM Accountability Act; all provisions of the bill S. 3430: Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023; provisions related to drug costs P.L. 117-169: Inflation Reduction Act of 2022; implementation of Drug pricing provisions General discussions related to 340B Drug Pricing Program policy issues General discussions related to Pharmacy Benefit Manager policy issues General discussions related to Healthcare supply chain policy issues General discussions related to Drug cost and pricing policy issues General discussions related to caregiving support and awareness policy issues General discussions related to the Cancer Moonshot Initiative and the Advanced Research Projects Agency for Health (ARPA-H)

Client expense: $530,000 · Firm income: Not reported

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

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, and legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act.

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; S. 1315, HEALTH Act of 2023; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165); S. 2513 Veterans Improvement Act of 2025

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Meeting with House and Senate Offices in support of the Better Care, Better Jobs Act (S 100/HR 547), HCBS Access Act (S 762/H.R.1493), and HCBS Relief Act (S. 3118/H.R. 6296). Meeting with Senate Committee on Aging Staffer Michael Gamel McCormick to discuss opportunities to advance a care agenda in 2025. Meeting with House Ways and Means Staffer Amy Hall to discuss opportunities to advance a care agenda in 2025.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 670/ S. 4174, the Think Differently Database Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $87,752 · Firm income: Not reported

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

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act H.R.7513 s 3307: encounter data enhancement act hr 9803 hospice care, accountability, reform, and enforcement act hr 8107 Ensuring Access to Medicaid Buy-in Programs Act of 2024 H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act Home Health Payment Adult Day Reimbursement Congressional Review Act -- Nursing home staffing mandate

Client expense: $11,995 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". H.J.Res. 132: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Defense, the General Services Administration, and the National Aeronautics and Space Administration relating to the "Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects". H.J.Res. 134: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Improving Protections for Workers in Temporary Agricultural Employment in the United States". H.R. 11: Freedom to Vote Act H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023 H.R. 174: No Federal Funding for Teachers Unions Act H.R. 547: Better Care Better Jobs Act H.R. 720: Davis-Bacon Repeal Act H.R. 721: Union Integrity Act H.R. 762: Building Resilient Supply Chains Act H.R. 798: Protecting Americas Meatpacking Workers Act of 2023 H.R. 805: Industrial Agriculture Accountability Act of 2023 H.R. 953: Child Care for Every Community Act H.R. 1118: DISCLOSE Act of 2023 H.R. 1200: National Right-to-Work Act H.R. 1209: FOCA Act H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 H.R. 2700: Employee Rights Act H.R. 2851: National Apprenticeship Act of 2023 H.R. 3400: Small Businesses before Bureaucrats Act H.R. 3539: Public Safety Employer-Employee Cooperation Act H.R. 3854: Manufacturing Partnership Improvement Act H.R. 4319: Farm Workforce Modernization Act of 2023 H.R. 4320: Truth in Employment Act of 2023 H.R. 4559: Food Worker Pay Standards Act H.R. 4595: National Education Association Charter Repeal Act H.R. 4689: FASTER Act of 2023 H.R. 4948: College Athlete Economic Freedom Act H.R. 4963: Tax Fairness for Workers Act H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes. H.R. 4971: Paycheck Protection Act H.R. 4978: Agricultural Worker Justice Act H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023 H.R. 5314: Freedom From Union Violence Act of 2023 H.R. 5351: Nationwide Right to Unionize Act H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5502: FABRIC Act H.R. 5563: Schedules That Work Act H.R. 5572: Civilian Climate Corps for Jobs and Justice Act H.R. 5735: Union Auto Workers Job Protection Act H.R. 5760: Climate Resilience Workforce Act H.R. 5784: Green New Deal for Public Schools Act of 2023 H.R. 6270: State-Based Universal Health Care Act of 2023 H.R. 6569: EFFECTIVE Food Procurement Act H.R. 6616: College Athlete Right to Organize Act H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023 H.R. 7135: GHOST Act H.R. 7692: Taxpayer-Funded Union Time Transparency Act H.R. 7748: Scratch Cooked Meals for Students Act H.R. 7782: Green New Deal for Public Housing Act H.R. 7784: SALT Act H.R. 8253: BUILD GREEN Infrastructure and Jobs Act H.R. 8367: Union Transparency and Accountability Act H.R. 8370: Rights for the TSA Workforce Act of 2024 H.R. 8426: Public Service Freedom to Negotiate Act of 2024 H.R. 8518: Responsibility in Federal Contracting Act H.R. 8573: Union Members Right to Know Act H.R. 9191: No Union Time on the Taxpayer's Dime Act H.R. 9302: Worker Enfranchisement Act H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. S. 1: Freedom to Vote Act S. 100: Better Care Better Jobs Act S. 270: Protecting Americas Meatpacking Workers Act of 2023 S. 272: Industrial Agriculture Accountability Act of 2023 S. 388: Child Care for Every Community Act S. 512: DISCLOSE Act of 2023 S. 532: National Right-to-Work Act S. 537: FOCA Act S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023 S. 737: No Tax Breaks for Union Busting (NTBUB) Act S. 738: Tax Fairness for Workers Act S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 S. 1201: Employee Rights Act S. 1643: Reclaiming the Solar Supply Chain Act of 2023 S. 1804: FASTER Act of 2023 S. 2122: National Apprenticeship Act of 2023 S. 2148: LIFT Act S. 2344: Freedom to Vote Act S. 2554: College Athlete Economic Freedom Act S. 2601: Agricultural Worker Justice Act S. 2724: Nationwide Right To Unionize Act S. 2817: FABRIC Act S. 2838: Civilian Climate Corps for Jobs and Justice Act S. 2851: Schedules That Work Act S. 2988: Green New Deal for Public Schools Act of 2023 S. 3226: Offshore Wind Jobs and Opportunity Act S. 3390: EFFECTIVE Food Procurement Act S. 3415: College Athlete Right to Organize Act S. 3682: GHOST Act S. 3955: Taxpayer-Funded Union Time Transparency Act S. 4012: Green New Deal for Public Housing Act S. 4046: Department of Veterans Affairs Employee Fairness Act of 2024 S. 4226: Cannabis Administration and Opportunity Act S. 4277: BUILD GREEN Infrastructure and Jobs Act S. 4334: Rights for the TSA Workforce Act of 2024 S. 4363: Public Service Freedom to Negotiate Act of 2024 S. 4709: Protecting American Jobs Act S. 4868: No Union Time on the Taxpayer's Dime Act S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known as the Office of Congressional Workplace Rights, on August 19, 1996, and for other purposes.

Client expense: $169,473 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

H.R. 544: Veterans Infertility Treatment Act of 2023; all provisions of the bill H.R. 547: Better Care Better Jobs Act; all provisions of the bill H.R. 830: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill H.R. 2534: Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023(PROTECT 340B Act); all provisions of the bill H.R. 2880: Protecting Patients Against PBM Abuses Act; all provisions of the bill H.R. 5378: Lower Costs, More Transparency Act; all provisions of the bill H.R. 6283: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 100: Better Care Better Jobs Act; all provisions of the bill S. 1339: Pharmacy Benefit Manager Reform Act; all provisions of the bill S. 1375: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill S. 1542: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 1967: Patients Before Middlemen (PBM) Act; all provisions of the bill S. 2973: Modernizing and Ensuring PBM Accountability Act; all provisions of the bill S. 3430: Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023; provisions related to drug costs P.L. 117-169: Inflation Reduction Act of 2022; implementation of Drug pricing provisions General discussions related to 340B Drug Pricing Program policy issues General discussions related to Pharmacy Benefit Manager policy issues General discussions related to Healthcare supply chain policy issues General discussions related to Drug cost and pricing policy issues General discussions related to caregiving support and awareness policy issues General discussions related to the Cancer Moonshot Initiative and the Advanced Research Projects Agency for Health (ARPA-H)

Client expense: $750,000 · Firm income: Not reported

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; S. 1315, HEALTH Act of 2023; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation (HRSA); Adolescent Health Issues (Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition) (FDA); Innovation in Pediatric Drugs Act (H.R. 6664) Child passenger safety; Appropriations for the Indian Health Service (IHS); Appropriations for Environmental Programs (including EPA); Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation (HRSA, CMS, HHS, ACF); Infant sleep product safety (CPSC); Lead exposure prevention (EPA, CDC, HUD); Food safety (FDA, EPA, CDC); Paid family and medical leave; Regulation of high-powered magnet sets (CPSC); Climate change, Inflation Reduction Act Implementation (CPSC); Vehicle emissions standards (EPA, NHTSA); Button battery ingestions (CPSC); Early childhood education (HHS); Child protection safety and injury prevention (CPSC); Furniture tip-overs (CPSC); Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants (ACF, HHS ASPE); Family First Prevention Services Act implementation (ACF); CAPTA Fatalities Prevention and Response (HHS); Title IV-B Reauthorization (including H.R. 9076: Protecting Americas Children by Strengthening Families Act) (ACF); Congregate care reform (HHS, ACF); Mental health supports for foster youth/former foster youth (HHS); Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation (EPA); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023) (ACF); Firearm Violence Prevention (Including Research Funding; Background Checks) (WH Domestic Policy Council; WH Office of Gun Violence Prevention; CDC; NIH; DOJ); Pregnant Workers Fairness Act Implementation (EEOC); Childcare Funding & Resources (HHS); Native American Child Health (DOI, EPA, HHS); Water Beads (including H.R. 4648: Ban Water Beads Act; S. 4298: Esthers Law (CPSC) Continuous Eligibility for Children in Medicaid and CHIP (including H.R. 9688 - Keep Kids Covered Act) (HHS/CMS); Medicaid Payment Parity (including H.R. 952 - Kids Access to Primary Care Act) (HHS/CMS); Access to Care in Medicaid/CHIP (HHS/CMS); Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP renewal policies (HHS/CMS); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Medicaid Early and Periodic Screening, Diagnostic, and Treatment requirement (HHS/CMS); Vaccines for Children program improvements (HHS/CMS, CDC); Medicaid prior authorization and medical necessity determinations Standards in ORR Custody (ORR, HHAS); Licensure of ORR Shelters (ORR, HHS); Public Charge; Child Nutrition Reauthorization/WIC (USDA); SNAP/Farm Bill (USDA); Mental Health for Children (HRSA); H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424) FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act (Department of Defense / Defense Health Agency); Defense Health Agency - Autism Care Demonstration (Department of Defense / Defense Health Agency); Defense Health Agency - Fluoride varnish (Department of Defense / Defense Health Agency); Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices (FDA); SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Act of 2024 (H.R. 7213/S.4762); Supplemental Security Income/Social Security (Social Security Administration); School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757/H.R.7189); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab and COVID-19 immunizations (CDC, HHS); WEAR IT Act (H.R. 6279); Probiotic use in the NICU (FDA, CDC, NIH) Strengthening Efforts to End Violence Against Children Act (H.R. 4798); MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act (USAID); FY26 Appropriations - global child health accounts impacting children and youth at USAID (Vulnerable Children, International Basic Education, Maternal and Child Health, Nutrition), Combating Child, Early and Forced Marriage, McGovern-Dole International Food for Education and Child Nutrition Program, Department of State Child Protection Compact (CPC) Partnership, Violence Against Children and Youth Surveys, CEIU, ILAB, UNICEF, IDA, MRA, PEPFAR (OMB); Violence Against Children Ministerial Meeting (HHS, NSC, USAID); U.S. Government pledge at the 2025 Nutrition for Growth Summit (USAID)

Client expense: $170,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

Meeting with House and Senate Offices in support of the Better Care, Better Jobs Act (S 100/HR 547), HCBS Access Act (S 762/H.R.1493), and HCBS Relief Act (S. 3118/H.R. 6296). Nursing Home Minimum Staffing Regulation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act.

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

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

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, and legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $86,378 · Firm income: Not reported

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

Opposing Better Care Better Jobs Act, S. 100, H.R. 547; opposing HCBS Access Act, S. 762, H.R. 1493.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Standards in ORR Custody ORR, HHS; Licensure of ORR Shelters ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC USDA; SNAP/Farm Bill USDA; Mental Health for Children HRSA; H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424) Child passenger safety; Appropriations for the Indian Health Service HIS; Appropriations for Environmental Programs (including EPA) EPA; Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation HRSA, CMS, HHS, ACF; Infant sleep product safety CPSC; Lead exposure prevention EPA, CDC; Food safety FDA; Paid family and medical leave; Regulation of high-powered magnet sets CPSC; Climate change, Inflation Reduction Act Implementation EPA; Vehicle emissions standards EPA, NHTSA ; Button battery ingestions CPSC; Early childhood education HHS; Child product safety and injury prevention CPSC; Furniture tip-overs CPSC; Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants ACF, HHS ASPE; Family First Prevention Services Act implementation ACF; CAPTA Fatalities Prevention and Response HHS; Title IV-B Reauthorization ACF; Congregate care reform HHS, ACF; Mental health supports for foster youth/former foster youth HHS; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation EPA; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023) ACF; Firearm Violence Prevention (Including Research Funding; Background Checks); WH Domestic Policy Council; CDC; NIH; DOJ; Pregnant Workers Fairness Act Implementation EEOC; Childcare Funding & Resources HHS; Native American Child Health DOI; EPA Strengthening Efforts to End Violence Against Children Act (H.R. 4798); PEPFAR Reauthorization; MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act; FY24 Appropriations - SFOPS bill focused on specifically on global child health subaccounts at USAID (Vulnerable Children, Nutrition, Maternal and Child Health, and PEPFAR); FY25 Appropriations - SFOPS bill focused specifically on global child health subaccounts at USAID (Vulnerable Children, Nutrition, HIV/AIDS, Maternal and Child Health (including Gavi), WASH, PEPFAR), Department of State Child Protection Compacts, Efforts to end Child Marriage, IDA, MRA; FY24 Appropriations - LHHS bill focused specifically on CDCs global health account (Global Immunization Division), Violence Against Children Surveys, Bureau of International Labor Affairs; FY25 Appropriations - LHHS bill focused on CDCs global health account, Violence Against Children Surveys, Bureau of International Labor Affairs; USAID Advancing Protection and Care for Children in Adversity Strategy 2024-2028 Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation Health Resources and Services Administration; Adolescent Health Issues Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition); Food and Drug Administration; Innovation in Pediatric Drugs Act (H.R. 6664) Continuous Eligibility for Children in Medicaid and CHIP HHS/CMS; Medicaid Payment Parity HHS/CMS; The Kids Access to Primary Care Act (HR 952); Access to Care in Medicaid/CHIP HHS/CMS; Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP Eligibility Redeterminations HHS/CMS; Ex Parte Medicaid Unwinding Issues HHS/CMS; Medicaid for Every Child Act (S. 2816); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Childrens oral health; Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit HHS/CMS; Medicaid payment for family caregivers HHS/CMS; Vaccines for Children program improvements HHS/CMS, CDC FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act; Department of Defense / Defense Health Agency; Defense Health Agency - Autism Care Demonstration; Department of Defense / Defense Health Agency; Defense Health Agency - Fluoride varnish; Department of Defense/Defense Health Agency; Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices FDA; SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); COVID-19 Commercialization CDC, HHS; Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Reauthorization Act; Supplemental Security Income/Social Security; Social Security Administration; School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); Youth Sports Facilities Act; SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab CDC, HHS

Client expense: $204,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act H.R.7513 s 3307: encounter data enhancement act Hospice Program Integrity and Reform (Hospice CARE Act discussion) Home Health Payment Adult Day Reimbursement Congressional Review Act -- Nursing home staffing mandate

Client expense: $11,563 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 11: Freedom to Vote Act, all provisions. H.R. 174: No Federal Funding for Teachers Unions Act, all provisions. H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023, all provisions. H.R. 547: Better Care Better Jobs Act, all provisions. H.R. 720: Davis-Bacon Repeal Act, all provisions. H.R. 721: Union Integrity Act, all provisions. H.R. 762: Building Resilient Supply Chains Act, all provisions. H.R. 798: Protecting Americas Meatpacking Workers Act of 2023, all provisions. H.R. 805: Industrial Agriculture Accountability Act of 2023, all provisions. H.R. 953: Child Care for Every Community Act, all provisions. H.R. 1118: DISCLOSE Act of 2023, all provisions. H.R. 1200: National Right-to-Work Act, all provisions. H.R. 1209: FOCA Act, all provisions. H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, all provisions. H.R. 2700: Employee Rights Act, all provisions. H.R. 2851: National Apprenticeship Act of 2023, all provisions. H.R. 3400: Small Businesses before Bureaucrats Act, all provisions. H.R. 3539: Public Safety Employer-Employee Cooperation Act, all provisions. H.R. 3854: Manufacturing Partnership Improvement Act, all provisions. H.R. 4319: Farm Workforce Modernization Act of 2023, all provisions. H.R. 4320: Truth in Employment Act of 2023, all provisions. H.R. 4559: Food Worker Pay Standards Act, all provisions. H.R. 4595: National Education Association Charter Repeal Act, all provisions. H.R. 4689: FASTER Act of 2023, all provisions. H.R. 4948: College Athlete Economic Freedom Act, all provisions. H.R. 4963: Tax Fairness for Workers Act, all provisions. H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes., all provisions. H.R. 4971: Paycheck Protection Act, all provisions. H.R. 4978: Agricultural Worker Justice Act, all provisions. H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023, all provisions. H.R. 5314: Freedom From Union Violence Act of 2023, all provisions. H.R. 5351: Nationwide Right to Unionize Act, all provisions. H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. H.R. 5502: FABRIC Act, all provisions. H.R. 5563: Schedules That Work Act, all provisions. H.R. 5572: Civilian Climate Corps for Jobs and Justice Act, all provisions. H.R. 5735: Union Auto Workers Job Protection Act, all provisions. H.R. 5760: Climate Resilience Workforce Act, all provisions. H.R. 5784: Green New Deal for Public Schools Act of 2023, all provisions. H.R. 6270: State-Based Universal Health Care Act of 2023, all provisions. H.R. 6569: EFFECTIVE Food Procurement Act, all provisions. H.R. 6616: College Athlete Right to Organize Act, all provisions. H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023, all provisions. H.R. 7135: GHOST Act, all provisions. H.R. 7692: Taxpayer-Funded Union Time Transparency Act, all provisions. H.R. 7784: Start Applying Labor Transparency Act, all provisions. H.R. 8426: Public Service Freedom to Negotiate Act of 2024, all provisions. H.R. 8518: Responsibility in Federal Contracting Act, all provisions. H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". S. 1: Freedom to Vote Act, all provisions. S. 100: Better Care Better Jobs Act, all provisions. S. 270: Protecting Americas Meatpacking Workers Act of 2023, all provisions. S. 272: Industrial Agriculture Accountability Act of 2023, all provisions. S. 388: Child Care for Every Community Act, all provisions. S. 512: DISCLOSE Act of 2023, all provisions. S. 532: National Right-to-Work Act, all provisions. S. 537: FOCA Act, all provisions. S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023, all provisions. S. 737: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. S. 738: Tax Fairness for Workers Act, all provisions. S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, all provisions. S. 1201: Employee Rights Act, all provisions. S. 1643: Reclaiming the Solar Supply Chain Act of 2023, all provisions. S. 1804: FASTER Act of 2023, all provisions. S. 2122: National Apprenticeship Act of 2023, all provisions. S. 2148: LIFT Act, all provisions. S. 2344: Freedom to Vote Act, all provisions. S. 2554: College Athlete Economic Freedom Act, all provisions. S. 2601: Agricultural Worker Justice Act, all provisions. S. 2724: Nationwide Right To Unionize Act, all provisions. S. 2817: FABRIC Act, all provisions. S. 2838: Civilian Climate Corps for Jobs and Justice Act, all provisions. S. 2851: Schedules That Work Act, all provisions. S. 2988: Green New Deal for Public Schools Act of 2023, all provisions. S. 3226: Offshore Wind Jobs and Opportunity Act, all provisions. S. 3390: EFFECTIVE Food Procurement Act, all provisions. S. 3415: College Athlete Right to Organize Act, all provisions. S. 3682: GHOST Act, all provisions. S. 3955: Taxpayer-Funded Union Time Transparency Act, all provisions. S. 4363: Public Service Freedom to Negotiate Act of 2024, all provisions. S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known. Nomination of Lauren McFerran to the National Labor Relations Board

Client expense: $447,425 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation-Health Resources and Services Administration; Adolescent Health Issues-Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition)-Food and Drug Administration; Innovation in Pediatric Drugs Act (H.R. 6664). Continuous Eligibility for Children in Medicaid and CHIP-HHS/CMS; Medicaid Payment Parity-HHS/CMS; The Kids Access to Primary Care Act (HR 952); Access to Care in Medicaid/CHIP-HHS/CMS; Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP Eligibility Redeterminations-HHS/CMS; Ex Parte Medicaid Unwinding Issues-HHS/CMS; Medicaid for Every Child Act (S. 2816); QRTP/IMDs (including H.R. 4056-Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196-Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit-HHS/CMS; Medicaid payment for family caregivers-HHS/CMS; Vaccines for Children program improvements-HHS/CMS, CDC. Standards in ORR Custody-ORR, HHS; Licensure of ORR Shelters-ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC-USDA; SNAP/Farm Bill-USDA; Mental Health for Children-HRSA; H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424); Breastfeeding Peer Counseling Program-USDA; Public Health Preparedness and Response-ASPR; National Advisory Committee on Children and Disasters; Research for Pregnant and Lactating Women-FDA, HHS, NIH; Advancing Safe Medications for Moms and Babies Act; Funding for Pediatric Device Consortia; Funding for Emergency Medical Services for Children Program; Funding for HRSA Pediatric Mental Health Care Access Program; Funding for WIC-OMB, USDA; Donor Milk (S. 2819/H.R. 5486); Dietary Guidelines-USDA, HHS; Child Poverty; Child Poverty Reduction Act (H.R. 5629/S. 2906); Suicide Prevention-SAMHSA; School Meal Standards-USDA; WIC Food Packages-USDA; Universal School Meals (H.R. 3204/S. 1568)-USDA, White House; Early Childhood Nutrition Improvement Act (H.R. 6067); Unaccompanied Children (Fair Day in Court for Kids Act of 2023 - S. 3065); Equality Act; Mental Health Services for Students Act (H.R. 3713); Youth Mental Health and Suicide Prevention Act; Child Tax Credit (H.R. 7024); Supporting Children's Mental Health Care Access Act; Gender Affirming Care-HHS; Safety of Pediatricians and Children's Hospitals-DOJ, HHS; Same Day Billing Restrictions in Mental Health (S. 2556/H.R. 7996); Emergency Vacating of Aircraft Cabin (EVAC) Act; FAA Reauthorization/ Emergency Medical Kits; Drug Shortage Prevention Act; Prevention and Early Intervention Set-Aside in Mental Health Block Grant (H.R. 7808); Child Poverty Reduction Act (S. 2906/H.R. 5629); Compact Impact Fairness Act (S. 792/H.R. 1571); Improving Mental Health and Wellness in Schools Act (H.R. 3331/S. 754); Pride in Mental Health Act (H.R. 7644); Therapeutic Fraud Prevention Act (S. 2176/H.R. 4340); Cady Housh and Gemesha Thomas Student Suicide Prevention Act (H.R. 3778); School Meals Expansion Act (H.R. 2567); Pursuing Equity in Mental Health Act (H.R. 3713); EMSC Reauthorization Act of 2024 (H.R. 6960, S. 3765); CARE for Kids Act; School Hunger Elimination Act; Nutrition Red Tape Reduction Act; No Hungry Kids in Schools Act; Expanding Access to School Meals Act; Innovation in Pediatric Drugs Act; US Senate Commission on Mental Health Act of 2024. FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act-Department of Defense/Defense Health Agency; Defense Health Agency-Autism Care Demonstration-Department of Defense/Defense Health Agency; Defense Health Agency-Fluoride varnish-Department of Defense/Defense Health Agency; Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices-FDA; SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Act of 2024 (H.R. 7213); Supplemental Security Income/Social Security Social Security Administration School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); Youth Sports Facilities Act; SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab and COVID-19 immunizations-CDC, HHS; WEAR IT Act (H.R. 6279). Child passenger safety; Appropriations for the Indian Health Service-IHS; Appropriations for Environmental Programs (including EPA)-EPA; Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation-HRSA, CMS, HHS, ACF; Infant sleep product safety-CPSC; Lead exposure prevention-EPA, CDC; Food safety-FDA; Paid family and medical leave; Regulation of high-powered magnet sets-CPSC; Climate change, Inflation Reduction Act Implementation-EPA; Vehicle emissions standards-EPA, NHTSA; Button battery ingestions-CPSC; Early childhood education-HHS; Child product safety and injury prevention-CPSC; Furniture tip-overs-CPSC; Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants-ACF, HHS ASPE; Family First Prevention Services Act implementation-ACF; CAPTA Fatalities Prevention and Response-HHS; Title IV-B Reauthorization-ACF; Congregate care reform-HHS, ACF; Mental health supports for foster youth/former foster youth-HHS; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation-EPA; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023)-ACF; Firearm Violence Prevention (Including Research Funding; Background Checks)-WH Domestic Policy Council, WH Office of Gun Violence Prevention, CDC, NIH, DOJ; Pregnant Workers Fairness Act Implementation-EEOC; Childcare Funding & Resources-HHS; Native American Child Health-DOI, EPA; Water Beads (including Ban Water Beads Act)-CPSC. Strengthening Efforts to End Violence Against Children Act (H.R. 4798); MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act-USAID; FY25 Appropriations - SFOPS bill (overall foreign assistance funding: Vulnerable Children, Nutrition, Maternal and Child Health (including Gavi), WASH, Department of State Child Protection Compacts, Efforts to end Child Marriage, IDA, MRA); FY25 Appropriations - LHHS bill focused on CDCs global immunization account, Violence Against Children Surveys, Bureau of International Labor Affairs; FY26 Appropriations - global child health accounts impacting children and youth at USAID (Vulnerable Children, International Basic Education, Maternal and Child Health, Nutrition), Combating Child, Early and Forced Marriage, McGovern-Dole International Food for Education and Child Nutrition Program, Department of State Child Protection Compact (CPC) Partnership, ILAB, UNICEF, IDA, MRA, PEPFAR-OMB; Violence Against Children Ministerial Meeting-HHS, NSC, USAID; Supporting U.S. Program to Protect Vaccines and Immunizations in Low-Income Countries through Gavi, the Vaccine Alliance (H. Res. 1286 / S. Res. 684); Advocacy on the unique humanitarian needs of children in Gaza-USAID.

Client expense: $323,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

H.R. 544: Veterans Infertility Treatment Act of 2023; all provisions of the bill H.R. 547: Better Care Better Jobs Act; all provisions of the bill H.R. 830: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill H.R. 2534: Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023(PROTECT 340B Act); all provisions of the bill H.R. 2880: Protecting Patients Against PBM Abuses Act; all provisions of the bill H.R. 5378: Lower Costs, More Transparency Act; all provisions of the bill H.R. 6283: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 100: Better Care Better Jobs Act; all provisions of the bill S. 1339: Pharmacy Benefit Manager Reform Act; all provisions of the bill S. 1375: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill S. 1542: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 1967: Patients Before Middlemen (PBM) Act; all provisions of the bill S. 2973: Modernizing and Ensuring PBM Accountability Act; all provisions of the bill S. 3430: Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023; provisions related to drug costs P.L. 117-169: Inflation Reduction Act of 2022; implementation of Drug pricing provisions General discussions related to 340B Drug Pricing Program policy issues General discussions related to Pharmacy Benefit Manager policy issues General discussions related to Healthcare supply chain policy issues General discussions related to Drug cost and pricing policy issues General discussions related to caregiving support and awareness policy issues General discussions related to the Cancer Moonshot Initiative and the Advanced Research Projects Agency for Health (ARPA-H)

Client expense: $620,000 · Firm income: Not reported

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

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. CMMI VBID Medicare Advantage Carve-in proposal. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. H.R. 547/S. 100, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit.

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; S. 1315, HEALTH Act of 2023; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $75,053 · Firm income: Not reported

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

United Spinal Association supports: Better Care Better Jobs Act (H.R. 547/S. 100), the HCBS Access Act (H.R. 1493/S. 762), the HCBS Relief Act (H.R. 6296/S. 3118). United Spinal raised the need to introduce federal legislation to address wheelchair repair reform, and legislation or report language to improve spinal cord injury rehabilitation outcomes. Follow up contacts with members of Congress on United Spinals Virtual Advocacy Day included recommendations for our members to advocate for the following policy issues with their members of Congress: Increase funding for SCI Model Systems. United Spinal policy staff advocated for Senators and Representatives to sign onto respective Dear Colleague letters for funding supporting increased funding for the Model Systems program and the Model Systems Knowledge Translational Center (MSKTC), funded by the National Institute on Disability, Independent Living, Rehabilitation Research (NIDILRR) at the U.S. Department of Health and Human Services and housed under the Administration for Community Living (ACL) in the FY 2025 Labor, Health and Human Services, Education Appropriations. The letter was addressed to the bipartisan leadership of the Senate Labor HHS Education Subcommittee on Appropriations. The letter read in part: The Model Systems program provides the entirety of the rehabilitation process from emergency services at the time of an injury through a persons return to full participation in the community for people with spinal cord injury (SCI), traumatic brain injury (TBI), and burn injury. The Model Systems program has not seen an increase in funding since 2006. Advocate for support of a House Dear Colleague letter as well for increaed funding for Spinal Cord Injury Model Systems. Continued raising support for FY2025 report language to direct the Centers for Medicare and Medicaid Services (CMS) to add and/or in the community to CMS policy for mobility assistive equipment and add and/or in the community to Social Security Act 1861 (n) which states that durable medical equipment including wheelchairs be used in the patients home only and support Medicare coverage for standing systems in power wheelchairs to facilitate increased options for independent and community living for all wheelchair users. As a member of the Disability and Rehabilitation Research Coalition, United Spinal, along with numerous other disability organizations, signed on to a letter of thanks to Anjali Forber-Pratt, Ph.D. director, National Institute on Disability, Independent Living, and Rehabilitation Research for the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) 2024-2028 Long Range Plan. United Spinal helped draft a United Spinal letter of interest for an Administration for Community Living grant: Disability and Rehabilitation Research Projects (DRRP) Program: Enhancing the Accessibility of Air Travel. As a member of the Disability & Rehabilitation on Research Coalition (DRRC), United Spinal, along with numerous other disability organizations, signed on to a letter to Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services to provide comments in response to the request for information on Research Data Request and Access Policy Changes. As a member of the Consortium for Constituents with Disabilities Technology and Telecommunications Task Force, United Spinal, along with numerous other disability organizations sent a letter to the bipartisan leadership of the Senate and House Labor, Health and Human Services and Education Appropriations Committees in support for the inclusion of $42 million in the Fiscal Year (FY) 2025 Senate Labor, Health and Human Services and Education Appropriations (LHHS) bill for the Assistive Technology (AT) Act Programs. United Spinal supports H.R 1691 - Ensuring Patient Access to Critical Breakthrough Products Act. Wrote letters with CMS and met with CMS to talk about the need for Medicare coverage of transanal irrigation. Wrote letter to CMS DME MACS regarding needed reform in ostomy supplies coverage under Medicare. Health equity issues - Met with CMS, NIH, ACL and the White House at the Danish Embassy discussing the challenges of health equity concerns in the medical supplies sector. As part of the Coalition to Preserve Rehabilitation, United Spinal signed onto the FY2025 in-patient rehab proposed rule and the RFI on Medicare Advantage data. As part of the ITEM Coalition, United Spinal also submitted a letter to CMS in support of standing systems (power wheelchairs) and another letter in support of coding reform for catheters. United Spinal also signed on to a letter to President Biden, with multiple care support groups, in support of the creation of an Office for Caregiver Health.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Council on Disability, Natl Institutes of Health (NIH), SENATE, White House Office

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, legislative and regulatory proposals affecting home care and hospice; S. 100/ H.R. 547 - Better Care Better Jobs Act; S. 2137/H.R. 5159 - Preserving Access to Home Health Act of 2023; H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce; Legislative and regulatory proposals affecting home care and hospice; S. 100/H.R. 547 - Better Care Better Jobs Act; S. 2137/H.R. 5159 - Preserving Access to Home Health Act of 2023; S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act.

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

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

H.R. 547/S. 100, Better Care Better Jobs Act H.R. 1770/S. 2477, Equitable Community Access to Pharmacist Services Act H.R. 5013/S. 3503, Value in Health Care Act H.R. 7050, Substance Use Disorder Workforce Act H.R. 7312/S. 2666, Electronic Prescribing for Controlled Substances 2.0 Act H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7856/S. 4094, PREVENT DIABETES Act H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act CMS-2434-F: Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Opposing Better Care Better Jobs Act, S. 100, H.R. 547; opposing HCBS Access Act, S. 762, H.R. 1493.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547: Better Care Better Jobs Act; all provisions of the bill H.R. 830: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill H.R. 2534: Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023(PROTECT 340B Act); all provisions of the bill H.R. 2880: Protecting Patients Against PBM Abuses Act; all provisions of the bill H.R. 5378: Lower Costs, More Transparency Act; all provisions of the bill H.R. 7635: The 340B PATIENTS Act of 2024; all provisions of the bill S. 100: Better Care Better Jobs Act; all provisions of the bill S. 1339: Pharmacy Benefit Manager Reform Act; all provisions of the bill S. 1375: Help Ensure Lower Patient (HELP) Copays Act; all provisions of the bill S. 1542: Delinking Revenue from Unfair Gouging (DRUG) Act; all provisions of the bill S. 1967: Patients Before Middlemen (PBM) Act; all provisions of the bill P.L. 117-169: Inflation Reduction Act of 2022; implementation of Drug pricing provisions General discussions related to 340B Drug Pricing Program policy issues General discussions related to Pharmacy Benefit Manager policy issues General discussions related to Healthcare supply chain policy issues General discussions related to Drug cost and pricing policy issues General discussions related to caregiving support and awareness policy issues General discussions related to the Cancer Moonshot Initiative and the Advanced Research Projects Agency for Health (ARPA-H)

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

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

Standards in ORR Custody ORR, HHS; Licensure of ORR Shelters ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC USDA; SNAP/Farm Bill USDA; Mental Health for Children HRSA; H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424) Child passenger safety; Appropriations for the Indian Health Service HIS; Appropriations for Environmental Programs (including EPA) EPA; Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation HRSA, CMS, HHS, ACF; Infant sleep product safety CPSC; Lead exposure prevention EPA, CDC; Food safety FDA; Paid family and medical leave; Regulation of high-powered magnet sets CPSC; Climate change, Inflation Reduction Act Implementation EPA; Vehicle emissions standards EPA, NHTSA ; Button battery ingestions CPSC; Early childhood education HHS; Child product safety and injury prevention CPSC; Furniture tip-overs CPSC; Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants ACF, HHS ASPE; Family First Prevention Services Act implementation ACF; CAPTA Fatalities Prevention and Response HHS; Title IV-B Reauthorization ACF; Congregate care reform HHS, ACF; Mental health supports for foster youth/former foster youth HHS; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation EPA; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023) ACF; Firearm Violence Prevention (Including Research Funding; Background Checks); WH Domestic Policy Council; CDC; NIH; DOJ; Pregnant Workers Fairness Act Implementation EEOC; Childcare Funding & Resources HHS; Native American Child Health DOI; EPA Strengthening Efforts to End Violence Against Children Act (H.R. 4798); PEPFAR Reauthorization; MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act; FY24 Appropriations - SFOPS bill focused on specifically on global child health subaccounts at USAID (Vulnerable Children, Nutrition, Maternal and Child Health, and PEPFAR); FY25 Appropriations - SFOPS bill focused specifically on global child health subaccounts at USAID (Vulnerable Children, Nutrition, HIV/AIDS, Maternal and Child Health (including Gavi), WASH, PEPFAR), Department of State Child Protection Compacts, Efforts to end Child Marriage, IDA, MRA; FY24 Appropriations - LHHS bill focused specifically on CDCs global health account (Global Immunization Division), Violence Against Children Surveys, Bureau of International Labor Affairs; FY25 Appropriations - LHHS bill focused on CDCs global health account, Violence Against Children Surveys, Bureau of International Labor Affairs; USAID Advancing Protection and Care for Children in Adversity Strategy 2024-2028 Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation Health Resources and Services Administration; Adolescent Health Issues Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition); Food and Drug Administration; Innovation in Pediatric Drugs Act (H.R. 6664) Continuous Eligibility for Children in Medicaid and CHIP HHS/CMS; Medicaid Payment Parity HHS/CMS; The Kids Access to Primary Care Act (HR 952); Access to Care in Medicaid/CHIP HHS/CMS; Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP Eligibility Redeterminations HHS/CMS; Ex Parte Medicaid Unwinding Issues HHS/CMS; Medicaid for Every Child Act (S. 2816); QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Childrens oral health; Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit HHS/CMS; Medicaid payment for family caregivers HHS/CMS; Vaccines for Children program improvements HHS/CMS, CDC FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act; Department of Defense / Defense Health Agency; Defense Health Agency - Autism Care Demonstration; Department of Defense / Defense Health Agency; Defense Health Agency - Fluoride varnish; Department of Defense/Defense Health Agency; Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices FDA; SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); COVID-19 Commercialization CDC, HHS; Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Reauthorization Act; Supplemental Security Income/Social Security; Social Security Administration; School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); Youth Sports Facilities Act; SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab CDC, HHS

Client expense: $204,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office