Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), 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

Opposing potential cuts to Medicaid Draft Care for All Agenda resolution Healthcare workforce issues H.R.9351, Save our Safety-Net Hospitals Act S.1113, Nurse Staffing Standards for Hospital Patent Safety and Quality Care Act Funding for SUNY Downstate hospital S.1409, Kids Online Safety Act (KOSA), Entirety S.2660, Get Toxic Substances Out of Schools Act, Entirety Monitor the following: S.4503, the Corporate Crimes Against Health Care H.R.5434/S.3138, Stabilize Medicaid and CHIP Coverage Act 12-month continuous eligibility for adults in Medicaid and CHIP HVAC and Schools (draft bill) Funding for Department of Justice Antitrust Division Fiscal Year 2025 Strengthening Pathways to Health Professions Act (Draft) S.4445, The right to IVF Act, Reproductive healthcare and technology H.R.8526, the Trauma-Informed Schools Act Cognitive behavioral therapy and schools (draft bill) Impact of private equity on healthcare H.R.9131, Indoor Air Quality and Healthy Schools Act of 2024 Indoor Air Quality and Outdoor pesticide school and environmental related issues Securing Continued Healthcare for Our Operations and Logistics Professionals Act S.4278, the Physician and Patient Safety Act H.R.8444, the Mental Health in Schools Act S.4286, the Comprehensive Addiction Resources Emergency Act H.R.8524, the Elementary and Secondary School Counseling Act H.R.7153/S.3679, the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R.468, the Building Americas Health Care Workforce Act H.R.3227, the Ensuring Seniors Access to Quality Care Act S.1999 the Right to Contraception Act H.R.7513/S.3410/H.J Res 139, legislation related to the administrations nursing home staffing regulation Health over Wealth Act IAQ and Healthy Schools Act (draft bill) Rural healthcare and hospital workforce challenges and related issues Mental Health Service Professional Demonstration Grant and the School-Based Mental Health Services Grant in FY2025 Supporting investments in school-based mental health professionals H.R.7546/S.3860, the Nurse Overtime and Patient Safety Act S.3770, the Future Advancement of Academic Nursing Act S.3701, the FACTS Act Healthcare high school apprenticeships Safe staffing levels Safe staffing levels at nursing homes Artificial Intelligence, Healthcare related issues Public Law 118-31, National Defense Authorization Act for Fiscal Year 2024, Teacher healthcare coverage H.R.485, the Protecting Health Care for All Patients Act Proposed regulation: File Code 1210-AC11, Requirements Related to the Mental Health Parity and Addiction Equity Act H.R.4771, the Childrens Health Insurance Program Permanency Act S.2530, the Mental Health of Educators and Staff Act Primary Care and Health Workforce Expansion Act (draft bill) Medicare drug negotiation program PMB reform H.R.5378, the Lower Costs, More Transparency Act Reauthorization of healthcare workforce programs S.2333, Pandemic and All-Hazards Preparedness and Response Act S.1113, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Appropriations regarding but not limited to community violence intervention, School-Based Mental Health Services Professional Demonstration Grants/ School-Based Mental Health Services Grant Program, gun violence prevent and removing abortion prohibition language from future appropriations bills. H.R.3727 Teacher Health and Wellness Act S.1446, Nurse Corps Tax Parity Act H.R.3761/S.1774, Advancing Student Services in Schools Today Act H.R.3726, Student Mental Health Rights Act H.R.3682, Cady Housh and Gemesha Thomas Student Suicide Prevention Act of 2023, Entirety Public Law 117-169, Inflation Reduction Act, Prescription drug reform Public Law 117-159, Bipartisan Safer Communities Act Medicaid DSH Payments, Hospital funding formula Abortion Access related issues Supporting Trauma Informed Education Practices Act Restoring Hope for Mental Health and Well‐Being Act Health Force and Resilience Force Act Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues The National Nurse Act, Entirety Telehealth issues Mental health supports for educators Closing Health Coverage Gaps for Public Servants Act Workplace Violence Prevention for Health Care and Social Service Worker Act Visas for international healthcare professionals Workplace violence related issues Green New Deal for Health, Entirety H.R.1485/S.727, Insulin for All Act H.R.1692, Health Care Affordability Act S.1139, A bill to apply prescription drug inflation rebates to drugs furnished in the commercial market Minimum staffing levels in skilled nursing facilities related issues Health Worker Shortage/Staffing Crisis ACCESS in Mental Health Act (draft bill) Mental Health CARE Act (draft bill) Supporting All Students Act (draft bill) Epi-pen Price Cap legislation, (draft bill) Funding for Medicare low-income outreach and enrollment efforts H.R.4771, the Childrens Health Insurance Program Permanency Act S.3090/H.R.6004, the Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services Act Prevention and Public Health Fund related issues H.R.6204, the See the Board Act Requirements Related to the Mental Health Parity and Addiction Equity Act, File Code 1210-AC11 The Employee Retirement Income Security Act and related issues Rights and access to reproductive healthcare Healthcare cybersecurity related issues

Client expense: $400,000 · Firm income: Not reported

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

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) Public Health Emergency designation SAVE Act (H.R. 2584) Fairness for Rural Teaching Hospitals Act (H.R.2433) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Behavioral health PATIENT Act of 2023 (H.R.3561) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Youth behavioral health Electronic health records Pandemic and All-Hazards Preparedness Reauthorization Act Nursing and allied health education (NAHE) program Bipartisan Primary Care and Health Workforce Act (S.2840) Transparent PRICE Act (H.R.3281) Save Americas Rural Hospitals Act (H.R.833) Supporting Safety Net Hospitals Act (H.R.2665) Patient Access to Higher Quality Care Act (H.R.977/S.470) FEMA Covid-19 reimbursement Health Care Price Transparency Act (H.R.4822) Providers and Payers Compete Act (H.R.3284) Lower Costs, More Transparency Act (H.R.5378) Health Care Prices Revealed and Information to Consumers Explained Transparency Act (S.3548) Medical and Nurse Licensure Compact Health care consolidation, mergers and acquisitions Accelerating Kids Access to Care Act (H.R. 4758, S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025 Issues surrounding surgical smoke

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied for the introduction and in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act including the re-instatement of GS-14 career ladder position and the career path to a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046/H.R. 9855, the "VA Employee Fairness Act. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. HR modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. VA Quality: Lobbied to amend H.R. 6330, the Veterans Sentinel Act to include data collection and analysis for suicides that happen when veterans are served at non-VA facilities. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied against an amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would codify Trump-Era access standards responsible for rapid privatization of the VA, prohibit VA from modifying access standards to allow telehealth to satisfy these access standards and require VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against a proposal to create a pilot program under which the Secretary would contract out to fill vacancies at a medical facility with non-department health care providers. Lobbied against a provision in H.R. 9438, the No Wrong Door for Veterans Act, reduces the wait time for VA mental health care from the current 20 day to just 3 days. Lobbied in opposition to H.R. 9146, Ensuring Continuity in Veterans Health Act, which would require the Secretary to include continuity of care as one of the criteria used to determine when private care would be in the best medical interest (BMI) of a veteran undermining VAs ability to decide when returning a veteran to the VA is the in the best interest of the veteran. Lobbied against the Veterans Mental Health Access Act, which would create a parallel private mental health program that supplants VAs direct care system rather than supplement it when veterans cannot reasonably access VA care. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions in H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Statements and Correspondence: Testified before the House Veterans Affairs Subcommittee on Health on December 17, 2024 legislative hearing. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046/H.R. 9855, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S. 2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Act, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied in opposition to H.R. 3176, Veterans Health Care Freedom Act, which creates a three-year pilot program allowing veterans to obtain hospital care, medical services, psychological services, and extended care bypassing VA authorization and the need to meet access standards. Lobbied in opposition to H.R.5287, the Veterans Access to Direct Primary Care Act, would establish Health Savings Accounts (HSAs) funded by the VA that veterans could use for private healthcare. Veterans electing these HSAs would be completely barred from accessing VA healthcare services. Lobbied in opposition to the Complete the Mission Act (No bill number). This proposal codifies the Community Care access standards, modifies 38 USC 1703(d)(2) to make veteran preference to go to a private provider a criterion for what constitutes best medical interest and creates a pilot three-year pilot program in at least five locations where veterans could access outpatient mental health and substance use services. AFGE opposes this provision as it would circumvent VAs ability to coordinate care and is unsustainable for the VA in the long term. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024 Lobbied in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act Lobbied in support of H.R. 2971, the Veterans Claims Education Act of 2023 Lobbied for changes to H.R. 8874, the Modernizing All Veterans and Survivors Claims Processing Act Lobbied in support of and for changes to H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act Lobbied for changes to H.R. 8881, the Rural Veterans Improved Access to Benefits Act of 2024. Lobbied for passage of H.R. 9747, the Continuing Appropriations and Extensions Act, 2025 to continue to fund the federal government through December 20, 2024. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Lobbied against expanding use of Schedule F for VA employees.

Client expense: $570,000 · Firm income: Not reported

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

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement Issues surrounding surgical smoke (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 10000, HR 1001, HR 10012, HR 1003, HR 10038, HR 10106, HR 10142, HR 10148, HR 10153, HR 10369, HR 10381, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9052, HR 9057, HR 9094, HR 9107, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9511, HR 9525, HR 9575, HR 9583, HR 9643, HR 9773, HR 9788, HR 9806, HR 9819, HR 9854, HR 984, HR 9924, HR 9930, HR 9934, HR 9948, HR 9996, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4750, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5138, S 5141, S 5210, S 528, S 5301, S 531, S 5325, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Client expense: $141,405 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill 12. Private equity ownership and management of hospitals

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

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

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill 12. Private equity ownership and management of hospitals

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

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

H.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

Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) Public Health Emergency designation SAVE Act (H.R. 2584) Fairness for Rural Teaching Hospitals Act (H.R.2433) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Behavioral health PATIENT Act of 2023 (H.R.3561) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Youth behavioral health Electronic health records Pandemic and All-Hazards Preparedness Reauthorization Act Nursing and allied health education (NAHE) program Bipartisan Primary Care and Health Workforce Act (S.2840) Transparent PRICE Act (H.R.3281) Save Americas Rural Hospitals Act (H.R.833) Supporting Safety Net Hospitals Act (H.R.2665) Patient Access to Higher Quality Care Act (H.R.977/S.470) FEMA Covid-19 reimbursement Health Care Price Transparency Act (H.R.4822) Providers and Payers Compete Act (H.R.3284) Lower Costs, More Transparency Act (H.R.5378) Health Care Prices Revealed and Information to Consumers Explained Transparency Act (S.3548) Medical and Nurse Licensure Compact Health care consolidation, mergers and acquisitions Accelerating Kids Access to Care Act (H.R. 4758, S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied for the introduction and in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act including the re-instatement of GS-14 career ladder position and the career path to a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046/H.R. 9855, the "VA Employee Fairness Act. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. HR modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. VA Quality: Lobbied to amend H.R. 6330, the Veterans Sentinel Act to include data collection and analysis for suicides that happen when veterans are served at non-VA facilities. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied against an amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would codify Trump-Era access standards responsible for rapid privatization of the VA, prohibit VA from modifying access standards to allow telehealth to satisfy these access standards and require VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against a proposal to create a pilot program under which the Secretary would contract out to fill vacancies at a medical facility with non-department health care providers. Lobbied against a provision in H.R. 9438, the No Wrong Door for Veterans Act, reduces the wait time for VA mental health care from the current 20 day to just 3 days. Lobbied in opposition to H.R. 9146, Ensuring Continuity in Veterans Health Act, which would require the Secretary to include continuity of care as one of the criteria used to determine when private care would be in the best medical interest (BMI) of a veteran undermining VAs ability to decide when returning a veteran to the VA is the in the best interest of the veteran. Lobbied against the Veterans Mental Health Access Act, which would create a parallel private mental health program that supplants VAs direct care system rather than supplement it when veterans cannot reasonably access VA care. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions in H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Statements and Correspondence: Submitted a statement for the record for a September 11, 2024 House Veterans Affairs Committee, Health Subcommittee legislative hearing. Submitted a statement for the record for a September 18, 2024 House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs hearing titled Examining VAs Challenges with Ensuring Quality Contracted Disability Compensation Examinations. Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a July 23, 2024 hearing on Is the Veterans Benefits Administration Properly Processing and Deciding Veterans Claims? Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a July 10, 2024, hearing on Pending Legislation. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046/H.R. 9855, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S. 2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Act, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024 Lobbied in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act Lobbied in support of H.R. 2971, the Veterans Claims Education Act of 2023 Lobbied for changes to H.R. 8874, the Modernizing All Veterans and Survivors Claims Processing Act Lobbied in support of and for changes to H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act Lobbied for changes to H.R. 8881, the Rural Veterans Improved Access to Benefits Act of 2024. Lobbied for passage of H.R. 9747, the Continuing Appropriations and Extensions Act, 2025 to continue to fund the federal government through December 20, 2024.

Client expense: $590,000 · Firm income: Not reported

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

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9057, HR 9094, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9525, HR 9575, HR 9819, HR 984, HR 9924, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5141, S 5210, S 528, S 531, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Client expense: $141,405 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

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

Support Workplace Violence Prevention for Health Care & Social Workers Act H.R. 2663/ S. 1176 Support Long-term Care Workforce Support Act H.R. 7994/ S. 4120 Support Nursing Standards for Hospital Patient Safety and Quality Care Act H.R. 2530/ S. 1113 Support Protecting America's Seniors' Access to Care Act H.R. 7986 CRA of Minimum Staffing Standards for Long-Term Care Facilities S.J. Res 91/ H.J. Res 139

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill

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

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

Extension of COVID-19 public health emergency waiversNurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) Public Health Emergency designation SAVE Act (H.R. 2584) Fairness for Rural Teaching Hospitals Act (H.R.2433) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Behavioral health PATIENT Act of 2023 (H.R.3561) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Youth mental health Electronic health records Pandemic and All-Hazards Preparedness Reauthorization Act Nursing and allied health education (NAHE) program Bipartisan Primary Care and Health Workforce Act (S.2840) Transparent PRICE Act (H.R.3281) Save Americas Rural Hospitals Act (H.R.833) Supporting Safety Net Hospitals Act (H.R.2665) Patient Access to Higher Quality Care Act (H.R.977/S.470) FEMA Covid-19 reimbursement Health Care Price Transparency Act (H.R.4822) Providers and Payers Compete Act (H.R.3284) Lower Costs, More Transparency Act (H.R.5378) Health Care Prices Revealed and Information to Consumers Explained Transparency Act (S.3548) Medical and Nurse Licensure Compact Health care consolidation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

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

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.3744 Support for The Health ACCESS Act S.3860 Support for Nurse Overtime and Patient Safety Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.3421 Support The Medicare for All Act H.R.4328 Support National Nursing Shortage Task Force Act H.R.9200 Support for The Stop Nurse Shortages Act Support for Medicare for All Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group Oppose CDC planning to shorten isolation timeframes for Covid-19 to less than five days Discuss issues related to AI and the Nursing Workforce Discuss concerns related to VA Privatization and hiring freeze Urge the Department of Labor (DOL) to expeditiously advance the development of an enforceable, permanent infectious diseases standard by the Occupational Safety and Health Administration (OSHA) Urge CDC and HICPAC to protect health care workers and patients from infectious diseases. Support the Biden administration's march-in rights framework to lower prescription drug prices and call for it to be strengthened.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4445 Support for the Right to IVF Act, to protect the right to and expand access to fertility treatments for patients S. 4381 Support for the Right to Contraception Act, to protect the right to and expand access to contraception for patients. H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 8371 Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Support for Medicare for All Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Express concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Express support for and encouraging improvements to the Biden administrations rule to establish staffing standards for nursing homes. Oppose HICPAC/CDC infection control draft guidelines and calling for inclusion of labor in working group

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for reforms to the VBA National Work Queue. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re- instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046 of "VA Employee Fairness Act, and for its reintroduction in the House of Representatives. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions In H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Statements and Correspondence: Sente a letter to the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs for an April 16, 2024 subcommittee markup. Sent a letter to the House Veterans Affairs Committee for a May 1, 2024 full committee markup. Testified before the House Veterans Affairs Subcommittee on Oversight and Investigations on May 16 at a hearing titled Ensuring VA's Security: How Can Congress Best Support VA's Law Enforcement? Testified before the House Veterans Affairs Committee on June 13, 2024 at hearing titled A Call to Action: Meeting the Needs of the Spinal Cord Injury and Disorders (SCI/D) Veteran Community. Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a hearing titled Examining Shortcomings with VAs National Work Queue Veterans Benefits Claims Management System. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024

Client expense: $540,000 · Firm income: Not reported

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