Bipartisan Solution to Cyclical Violence Act of 2023

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1105, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722/S.3554, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3005/S.3356, the Postal Police Reform Act," which would reverse a 2020 directive from the United States Postal Service (USPS) that bans postal police from performing their patrol duties outside of real estate owned or leased by the postal service. Prior to this directive, the postal police additionally had jurisdiction over all postal service property and were authorized to protect mail carriers, collection boxes, and vehicles; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3269/S. 4255, the Law Enforcement Innovate to De-Escalate Act, which would create a new definition for a less-than-lethal projectile device in Federal firearms law; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.R. 5029, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 5182, the Child Online Safety Modernization Act, which would strengthen the National Center for Missing and Exploited Children CyberTipline by modernizing and improving the reporting process, extending the required preservation period for individual reports to one year, and replacing the term, child pornography, with child sexual abuse materials throughout all Federal statutes; H.R. 5266, the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would empower the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; H.R. 5538, the Border Patrol Pay Fix Act, which would allow the majority of Border Patrol agents to receive a special overtime pay rate; H.R. 5798, the Protecting Our Nations Capital Emergency Act, which would undue certain provisions of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) passed by the Washington D.C. City Council; H.R. 6246, the Eliminate Network Distribution (END) of Child Exploitation Act, which would improve the effectiveness of the CyberTipline, the nations centralized reporting system for the online exploitation of children; H.R. 6688, the Cold Case Modernization Act, which will extend DOJ grant funding for forensic genetic genealogy (FGG) testing to cover the identification process of all unidentified human remains, without regard to the manner of their death; H.R. 7185, the HIDTA Reauthorization Act., which would reauthorize the High Intensity Drug Trafficking Areas Program; H.R. 7456, the "First Responders Emergency Assistance Act.", which would establish additional grants through the Department of Homeland Security to law enforcement agencies within 100 miles of the U.S.-Mexico Border; H.R. 7487, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act., which would allocate $400 million to the High Intensity Drug Trafficking Areas (HIDTA) program under the Office of National Drug Control Policy. H.R. 7720(Kean, R-NJ), which would allow grant funds from the Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) to be used for the purchase of fentanyl testing kits and opioid reversal agents; H.R. 7730 (Spanberger, D-VA), directing the GAO to investigate the methods used to enable such online sales and assess the procedures and efforts of Federal law enforcement and online providers in combatting online sales of fentanyl; H.R. 7456 (Duarte, R-CA) the First Responders Emergency Assistance Act., which would establish additional grants through the Department of Homeland Security to law enforcement agencies within 100 miles of the U.S.-Mexico Border; H.R. 8989 (Salazar, R-FL) the TAKE IT DOWN Act, which would clarify and expand agency authority to combat the distribution of exploitative deepfake technology; H.R. 9390 (Johnson, R-SD) the Supporting Opportunities to Build Everyday Responsibility (SOBER) Act, which would expand a grant program for 24/7 sobriety programs; H.R. 9641/S. 5060 (Schultz, D-FL) the Providing Resources, Officers, and Technology to Eradicate Cyber Threats (PROTECT) Our Children Act, which would reauthorize the Internet Crimes Against Children (ICAC) Task Force program for three years; H.R. 9576 (Phillips, D-MN), the Pathways to Policing Act, which would provide $50 million a year to the U.S. Department of Justice (DOJ) to operate a nationwide marketing and recruitment campaign; H.R. 9660 (Neguse, D-CO) the Samaritan Efforts to Ensure Key Health Emergency and Life-saving Protection Act (SEEK HELP) Act, which would close gaps in Good Samaritan laws by ensuring that people cannot be prosecuted for drug possession when they seek medical assistance after witnessing or experiencing an overdose; H.R. 9871 (Larsen, D-WA) the End Fentanyl Trafficking with Local Task Forces Act, which would invest and expand in multiple anti-drug task forces in the U.S. Department of Justice to improve cooperation and collaboration between departments to combat the fentanyl epidemic; H.R. 9910 (Spanberger, D-VA) the Supporting Federal Employees in the National Guard & Reserves Act, which would increase the paid leave available for Federal law enforcement and correctional officers in the National Guard from 15 to 36 days per fiscal year; H.R. 9928 (Malliotakis, R-NY) the U.S. Park Police Modernization Act, which would restructure the service timeline for Park Police officers by reducing the number and time between pay grade steps; H.R. 9929 (Miller-Meeks, R-IA) the Corrections Officer Blake Schwarz Suicide Prevention Act, which would establish a grant program that would provide funding to the Federal Bureau of Prisons, States, and localities to carry out mental health screenings and provide referrals, where applicable, to mental healthcare providers for those corrections officers who are struggling with their mental health; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972/H.R. 8420, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 8918/S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2567, the Stop Computer Crimes Proliferation Act, which would reauthorize the programs in the Computer Crime Enforcement Act; S. 2569, the "Fentanyl Safe Testing and Overdose Prevention Act". which would amend the Controlled Substances Act to clarify that the possession, sale, purchase, importation, exportation, or transportation of drug testing equipment that tests for the presence of fentanyl or xylazine is not unlawful; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2637/H.R. 8871, the Law Enforcement Scenario-Based Training for Safety and De-Escalation Act, which would direct the Office of Community Oriented Policing Services (COPS) to authorize grants to State, and local law enforcement agencies to provide law enforcement personnel access to an immersive, real-life, scenario-based training curriculum which will improve community-police relations, as well as officer safety and resilience; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; S.3522, the Improving Law Enforcement Officer Safety and Wellness Through Data Act, which would require the Attorney General to develop reports relating to violent attacks against law enforcement officers, and for other purposes; S. 3643, the Combating Money Laundering, Terrorist Financing, and Counterfeiting Act, which would update current law concerning hawala and other informal value transfer systems like those used by international terrorists and trafficking organizations, additionally, purposes to double the penalties for those who violate bulk-cash smuggling laws; S. 3763, the Violent Incident Clearance and Technological Investigative Methods (VICTIM) Act, which would establish a grant program administered by the U.S. Department of Justice (DOJ) to help State, Tribal, and local law enforcement agencies improve their clearance rates for homicides and firearm-related violent crimes; S. 4450 (Kelly D-AZ), the Educational and Career Opportunities for Public Safety Act, which would offer officers financial assistance for higher education for those who have served for a period of eight years with the same agency and who are willing to commit to serving at least an additional four. S. 4569 (Cantwel,l D-WA), the TAKE IT DOWN Act, which would clarify and expand agency authority to combat the distribution of exploitative deepfake technology; S. 4970 (Ossoff, D-GA), the Female Officers Ballistic Protection Act, which would ensure that women in law enforcement have improved ballistic body armor; S. 5056 (Grassley, R-IA), the Stop the Importation and Manufacturing of Synthetic Analogues (SIMSA) Act, which will add a Schedule A to the existing five schedules of the Controlled Substances Act, allowing synthetic analogues to be prohibited; S. 5062 (Blackburn, R-TN), the Prison Staff Safety Enhancement Act, which would require the OIG to conduct reviews and analysis into cases of sexual harassment and assault, report those findings to Congress, and subsequently have corrective rules promulgated by the U.S. Attorney General; S. 5128 (Casey, D-PA), the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would authorize the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; S. 5270 (Kelly-AZ), the HIDTA Enhancement Act, which would increase the HIDTA programs budget by over $28 million to provide for the creation of new grant programs that would enhance fentanyl seizure operations and improve coordination between law enforcement agencies;

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R.2412-Helping Kids Cope Act, to provide grants to improve mental health access for children and reduce pediatric emergency department boarding H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development H.R.4941-Providing Access to Treatment and Housing Act H.R 5414-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs H.R.5804-Mental Health Infrastructure Improvement Act of 2023, to provide loans and grants to improve mental health treatment and substance use disorder treatment facilities H.R.6960-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program H.R. 6992-Mapping Americas Pharmaceutical Supply Act, to map the U.S. pharmaceutical supply chain to identify vulnerabilities and other security threats H.R. 7153-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S. 1346-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs S. 2586-Drug Shortages Prevention and Quality Improvement Act S. 2364-Mapping Americas Pharmaceutical Supply Act, to map the U.S. pharmaceutical supply chain to identify vulnerabilities and other security threats S.3679-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S.3765-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R.2412-Helping Kids Cope Act, to provide grants to improve mental health access for children and reduce pediatric emergency department boarding H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development H.R.4941-Providing Access to Treatment and Housing Act H.R 5414-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs H.R.5804-Mental Health Infrastructure Improvement Act of 2023, to provide loans and grants to improve mental health treatment and substance use disorder treatment facilities H.R.6960-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program H.R. 6992-Mapping Americas Pharmaceutical Supply Act, to map the U.S. pharmaceutical supply chain to identify vulnerabilities and other security threats H.R. 7153-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S. 1346-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs S. 2586-Drug Shortages Prevention and Quality Improvement Act S. 2364-Mapping Americas Pharmaceutical Supply Act, to map the U.S. pharmaceutical supply chain to identify vulnerabilities and other security threats S.3679-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S.3765-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1105, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722/S.3554, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3005/S.3356, the Postal Police Reform Act," which would reverse a 2020 directive from the United States Postal Service (USPS) that bans postal police from performing their patrol duties outside of real estate owned or leased by the postal service. Prior to this directive, the postal police additionally had jurisdiction over all postal service property and were authorized to protect mail carriers, collection boxes, and vehicles; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3269/S. 4255, the Law Enforcement Innovate to De-Escalate Act, which would create a new definition for a less-than-lethal projectile device in Federal firearms law; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.R. 5029, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 5182, the Child Online Safety Modernization Act, which would strengthen the National Center for Missing and Exploited Children CyberTipline by modernizing and improving the reporting process, extending the required preservation period for individual reports to one year, and replacing the term, child pornography, with child sexual abuse materials throughout all Federal statutes; H.R. 5266, the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would empower the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; H.R. 5538, the Border Patrol Pay Fix Act, which would allow the majority of Border Patrol agents to receive a special overtime pay rate; H.R. 5798, the Protecting Our Nations Capital Emergency Act, which would undue certain provisions of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) passed by the Washington D.C. City Council; H.R. 6246, the Eliminate Network Distribution (END) of Child Exploitation Act, which would improve the effectiveness of the CyberTipline, the nations centralized reporting system for the online exploitation of children; H.R. 6688, the Cold Case Modernization Act, which will extend DOJ grant funding for forensic genetic genealogy (FGG) testing to cover the identification process of all unidentified human remains, without regard to the manner of their death; H.R. 7185, the HIDTA Reauthorization Act., which would reauthorize the High Intensity Drug Trafficking Areas Program; H.R. 7456, the "First Responders Emergency Assistance Act.", which would establish additional grants through the Department of Homeland Security to law enforcement agencies within 100 miles of the U.S.-Mexico Border; H.R. 7487, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act., which would allocate $400 million to the High Intensity Drug Trafficking Areas (HIDTA) program under the Office of National Drug Control Policy. H.R. 7720(Kean, R-NJ), which would allow grant funds from the Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) to be used for the purchase of fentanyl testing kits and opioid reversal agents; H.R. 7730 (Spanberger, D-VA), directing the GAO to investigate the methods used to enable such online sales and assess the procedures and efforts of Federal law enforcement and online providers in combatting online sales of fentanyl; H.R. 7456 (Duarte, R-CA) the First Responders Emergency Assistance Act., which would establish additional grants through the Department of Homeland Security to law enforcement agencies within 100 miles of the U.S.-Mexico Border; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972/H.R. 8420, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 8918/S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2567, the Stop Computer Crimes Proliferation Act, which would reauthorize the programs in the Computer Crime Enforcement Act; S. 2569, the "Fentanyl Safe Testing and Overdose Prevention Act". which would amend the Controlled Substances Act to clarify that the possession, sale, purchase, importation, exportation, or transportation of drug testing equipment that tests for the presence of fentanyl or xylazine is not unlawful; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2637/H.R. 8871, the Law Enforcement Scenario-Based Training for Safety and De-Escalation Act, which would direct the Office of Community Oriented Policing Services (COPS) to authorize grants to State, and local law enforcement agencies to provide law enforcement personnel access to an immersive, real-life, scenario-based training curriculum which will improve community-police relations, as well as officer safety and resilience; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; S.3522, the Improving Law Enforcement Officer Safety and Wellness Through Data Act, which would require the Attorney General to develop reports relating to violent attacks against law enforcement officers, and for other purposes; S. 3643, the Combating Money Laundering, Terrorist Financing, and Counterfeiting Act, which would update current law concerning hawala and other informal value transfer systems like those used by international terrorists and trafficking organizations, additionally, purposes to double the penalties for those who violate bulk-cash smuggling laws; S. 3763, the Violent Incident Clearance and Technological Investigative Methods (VICTIM) Act, which would establish a grant program administered by the U.S. Department of Justice (DOJ) to help State, Tribal, and local law enforcement agencies improve their clearance rates for homicides and firearm-related violent crimes; S. 4450 (Kelly D-AZ), the Educational and Career Opportunities for Public Safety Act, which would offer officers financial assistance for higher education for those who have served for a period of eight years with the same agency and who are willing to commit to serving at least an additional four.

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R.2412-Helping Kids Cope Act, to provide grants to improve mental health access for children and reduce pediatric emergency department boarding H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development H.R.4941-Providing Access to Treatment and Housing Act H.R 5414-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs H.R.5804-Mental Health Infrastructure Improvement Act of 2023, to provide loans and grants to improve mental health treatment and substance use disorder treatment facilities H.R.6960-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program H.R. 7153-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S. 1346-Improving Mental Health Access from the Emergency Department Act, to establish grants for emergency departments and hospitals to help improve care and care coordination for patients with acute psychiatric care needs S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs S. 2586-Drug Shortages Prevention and Quality Improvement Act S.3679-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S.3765-Emergency Medical Services for Children Reauthorization Act of 2024, to reauthorize the EMSC program

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1105, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722/S.3554, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3005/S.3356, the Postal Police Reform Act," which would reverse a 2020 directive from the United States Postal Service (USPS) that bans postal police from performing their patrol duties outside of real estate owned or leased by the postal service. Prior to this directive, the postal police additionally had jurisdiction over all postal service property and were authorized to protect mail carriers, collection boxes, and vehicles; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3269, the Law Enforcement Innovate to De-Escalate Act, which would create a new definition for a less-than-lethal projectile device in Federal firearms law; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.R. 5029, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 5182, the Child Online Safety Modernization Act, which would strengthen the National Center for Missing and Exploited Children CyberTipline by modernizing and improving the reporting process, extending the required preservation period for individual reports to one year, and replacing the term, child pornography, with child sexual abuse materials throughout all Federal statutes; H.R. 5266, the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would empower the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; H.R. 5538, the Border Patrol Pay Fix Act, which would allow the majority of Border Patrol agents to receive a special overtime pay rate; H.R. 5798, the Protecting Our Nations Capital Emergency Act, which would undue certain provisions of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) passed by the Washington D.C. City Council; H.R. 6246, the Eliminate Network Distribution (END) of Child Exploitation Act, which would improve the effectiveness of the CyberTipline, the nations centralized reporting system for the online exploitation of children; H.R. 6688, the Cold Case Modernization Act, which will extend DOJ grant funding for forensic genetic genealogy (FGG) testing to cover the identification process of all unidentified human remains, without regard to the manner of their death; H.R. 7185, the HIDTA Reauthorization Act., which would reauthorize the High Intensity Drug Trafficking Areas Program; H.R. 7456, the "First Responders Emergency Assistance Act.", which would establish additional grants through the Department of Homeland Security to law enforcement agencies within 100 miles of the U.S.-Mexico Border; H.R. 7487, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act., which would allocate $400 million to the High Intensity Drug Trafficking Areas (HIDTA) program under the Office of National Drug Control Policy. H.R. 7720(Kean, R-NJ), which would allow grant funds from the Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) to be used for the purchase of fentanyl testing kits and opioid reversal agents; H.R. 7730 (Spanberger, D-VA), directing the GAO to investigate the methods used to enable such online sales and assess the procedures and efforts of Federal law enforcement and online providers in combatting online sales of fentanyl; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2567, the Stop Computer Crimes Proliferation Act, which would reauthorize the programs in the Computer Crime Enforcement Act; S. 2569, the "Fentanyl Safe Testing and Overdose Prevention Act". which would amend the Controlled Substances Act to clarify that the possession, sale, purchase, importation, exportation, or transportation of drug testing equipment that tests for the presence of fentanyl or xylazine is not unlawful; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2637, the Law Enforcement Scenario-Based Training for Safety and De-Escalation Act, which would direct the Office of Community Oriented Policing Services (COPS) to authorize grants to State, and local law enforcement agencies to provide law enforcement personnel access to an immersive, real-life, scenario-based training curriculum which will improve community-police relations, as well as officer safety and resilience; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; S.3522, the Improving Law Enforcement Officer Safety and Wellness Through Data Act, which would require the Attorney General to develop reports relating to violent attacks against law enforcement officers, and for other purposes; S. 3643, the Combating Money Laundering, Terrorist Financing, and Counterfeiting Act, which would update current law concerning hawala and other informal value transfer systems like those used by international terrorists and trafficking organizations, additionally, purposes to double the penalties for those who violate bulk-cash smuggling laws; S. 3763, the Violent Incident Clearance and Technological Investigative Methods (VICTIM) Act, which would establish a grant program administered by the U.S. Department of Justice (DOJ) to help State, Tribal, and local law enforcement agencies improve their clearance rates for homicides and firearm-related violent crimes.

Discussion with OMB/OIRA regarding OSHA Occupational Exposure to COVID-19 in Healthcare Settings Final Rule; Discussion with FDA Drug Shortage expert regarding Inflation Reduction Act Provisions that could impact duration of shortages; Discussion with ASPR Hospital Preparedness Program Staff about speaking at a meeting regarding HPP issues; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Inpatient Prospective Payment System/Long Term Care Hospital Proposed Rule; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Medicare Advantage Final Rule; Hill outreach about reducing hospital workplace violence; Hill outreach about the benefits of hospital mergers and acquisitions; Statement to the U.S. Senate Committee on Health, Education, Labor, and Pensions, Examining Health Care Workforce Shortages: Where Do We Go from Here?; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an RFI on the drivers of health care workforce shortages; Support S.1110, Rural Hospitals Support Act, a bill to amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; Support H.R. 1110, Telehealth Option Act, a bill to direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Childrens Health Insurance programs during the COVID-19 emergency; Feedback on the Connect for Health Act; AHA provided feedback on the creating opportunities new for necessary and effective care technologies (CONNECT) Act; False Claims Act Case AHA Provides Statement for House Hearing on Price Transparency, Competition; Oppose H.R.977/S.470 Patient Access Higher Quality Health Care Act, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support S.940, The Rural America Health Corps Act A bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Support the Conrad State 30 and Physician Access Reauthorization Act that would allow international doctors trained in the United States to remain in the country if they practice in areas experiencing medical shortages; Letter to CMS regarding intent to issue staffing mandates for nursing homes and urged CMS and policy makers to focus on efforts that will bolster our workforce; Support HR 2389/ S 1302, Resident Physician Shortage Reduction Act of 2023, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Support HR 2411/ S 1150, National Nursing Workforce Center Act of 2023, a bill to amend the Public Health Service Act to support and stabilize the existing nursing workforce, establish programs to increase the number of nurses; Support HR 2534, Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023 or the PROTECT 340B Act of 2023, a bill to amend title XXVII of the Public Health Service Act to ensure the equitable treatment of covered entities and pharmacies participating in the 340B drug discount program; Support HR 2559, Strengthening Community Care Act of 2023, a bill to extend funding for community health centers and the National Health Service Corp; Statement to the House Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions hearing titled, Competition and Transparency: The Pathway Forward for a Stronger Health Care Market highlighting that mergers and acquisitions can be a helpful tool for many hospitals and pushing back against site-neutral payment policies; Letter urging Congress to continue to protect this critical program and oppose efforts to cut its benefits, which would result in reduced access to quality care for the patients and communities served by 340B hospitals; Statement to Subcommittee on Health of the Committee on Energy and Commerce on its hearing Examining Existing Federal Programs to Build a Stronger Health Workforce and Improve Primary Care; Support S 1447, Bipartisan Solution to Cyclical Violence Act of 2023, a bill to amend the Public Health Service Act to establish a grant program supporting trauma center violence intervention and violence prevention programs, and for other purposes; Support HR 3046/ S 1403, Medical Student Education Authorization Act of 2023, a bill to amend the Public Health Service Act to establish a grant program to award grants to accredited public institutions of higher education, and for other purposes; Concerns with HR 2691, Transparent Prices Required to Inform Consumer and Employers Act or the Transparent PRICE Act, a bill to promote hospital and insurer price transparency; Letter strongly opposing the draft bills, which would create additional site-neutral payment cuts and threaten access to care, especially in rural and other vulnerable communities; Comment letter to the Office of Civil Rights on its HIPAA Privacy Rule to Support Reproductive Health Care Privacy and concerns the guidance is too broad and will result in significant adverse consequences for hospitals, patients and the public at large; Statement to SFC for the hearing on Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs; Comment letters to CMS on their Inpatient and Long-term Care Facility Prospective Payment System FY 2024 proposed rule; Letter to reauthorize key programs within the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, supporting policies that will reduce barriers to receiving and administering behavioral health care by improving payment policies, reducing unnecessary regulatory and administrative burden, and strengthening the behavioral health workforce; Comment letter on the Environmental Protection Agencys (EPA) proposed standards for the use of ethylene oxide (EtO) to sterilize medical devices urge caution and thoughtfulness in EPAs approach to avoid disrupting health care delivery through the unintentional fracturing of the already fragile medical device supply chain; Comment on Energy and Commerce Committee Chair Rodgers drug shortages discussion draft; Support S. 2364 Mapping Americas Pharmaceutical Supply Act A bill to map the United States pharmaceutical supply chain and use data analytics to identify supply chain vulnerabilities and other national security threats; Support S. 2510 RAPID Reserve Act A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies; Support S. 1961, Pharmaceutical Supply Chain Risk Assessment Act of 2023, A bill to require an interagency risk assessment of the pharmaceutical supply chain to identify and mitigate health and national security risks, and for other purposes; support the Drug Shortage Prevention Act that will help pave the way for additional improvements to the U.S. drug supply chain, which will, in turn, improve patient access and care; Support S.1636/H.R. 3440 Protecting Rural Telehealth Access Act A bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program. Drug Shortages RFI Letter to the U.S. Senate Committee on Finance in response to a Request For Information on drug shortages; Support H.R. 4713 Rural Hospital Technical Assistance Program Act A letter to support HR 4713, the Rural Hospital Technical Assistant Program Act. A bill to make permanent a program that provides technical assistance for rural hospitals to help prevent closures; Verbal Support Train More Nurse Act, It instructs HHS and DOL to conduct a joint review of all grant programs supporting the nursing workforce and coming up with recommendations to Congress within a year on how to change the programs to increase nurse faculty, provide pathways for those who want to become nurse faculty, and increase the nursing pipeline for both RNs and LPNs; Support H.R.2412 Helping Kids Cope Act To amend the Public Health Service Act to authorize grants to increase national capacity to provide pediatric behavioral health services at childrens hospitals and through community-based providers to improve childrens access to care; and to authorize grants to begin to address large numbers of children boarding in emergency departments, to support the pediatric behavioral health workforce, and for other purposes; Meeting with OMB to discuss Proposed Minimum Staffing Requirements for Long-term Care Facilities; Meeting with OMB to discuss FY 2024 IPPS and LTCH Final Rule; Meeting with Senate Finance Committee regarding the FY 2024 LTCH Final Rule; A letter to comment on ways to improve access to care in rural and underserved areas ensuring that Americans in these rural and underserved areas have high-quality, affordable health care; Support S. 2016/ H.R. 4189, CONNECT for Health Act of 2023, a bill to support to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes; A letter to the Department of Veterans Affairs (VA) expressing significant concerns about Cotivitis audit and appeals process, including its inadequate appeals procedures, the scope of audits being performed and the untenable timelines that are being executed; Support S. 3211/ H.R. 6205, Healthcare Workforce Resilience Act, a bill to support Healthcare Workforce Resilience Act to enhance our Nations nurse and physician workforce by recapturing unused immigrant visas; Support for Reauthorization of PAPHA, The Pandemic and All-Hazards Preparedness Act (PAHPA), To amend the Public Health Service Act to reauthorize certain programs with respect to public health security and all-hazards preparedness and response related to the Administration for Strategic Preparedness and Response and certain programs with respect to public health security and all-hazards preparedness and response related to the Centers for Disease Control and Prevention, and for other purposes; Support H.R. 6430, Rural Community Hospitals (ARCH) Act, a bill to support the Assistance for Rural Community Hospitals (ARCH) Act; To support small rural hospitals for which Medicare patients make up a significant percentage of inpatient days or discharges, Congress established the Medicare- dependent Hospital (MDH) program in 1987, allowing eligible hospitals to receive the sum of their prospective payment system (PPS) payment rate, plus three- quarters of the amount by which their cost per discharge exceeds the PPS rate; Support H.R. 4531/ S.3393, Patients and Communities Reauthorization Act, a bill to reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; A letter to the FDA on its laboratory developed tests (LDTs) proposed rule urging the agency to not apply its device regulations to hospital and health system LDTs because they are not devices; rather, they are diagnostic tools developed and used in the context of patient care. Instead, we urged the FDA to continue to apply its enforcement discretion to hospital and health system LDTs; Submit Statement to the Committee on Energy and Commerce Subcommittee on Health hearing, Supporting Access to Long-Term Services and Supports: An Examination of the Impacts of Proposed Regulations on Workforce and Access to Care to share the hospital fields comments on proposed regulations for minimum staffing standards for LTC facilities and their potential impact on access to care; Concern H.R. 5378 Lower Costs, More Transparency Act, A bill to promotes price transparency in the health care sector, and for other purposes; Hill Briefing on SAVE Act, Support S. 2768 / H.R. 2584, The Safety from Violence for Healthcare Employees (SAVE) Act, A bill to protect hospital personnel from violence, and for other purposes; Health Care Spending in the United States: Unsustainable for Patients, Employers, and Taxpayers; Statement to the House Committee on Energy and Commerce Subcommittee on Health regarding the topic of national health expenditures, The Independent Dispute Resolution Process (IDR), To comment on the proposed rule related to the operations of the Independent Dispute Resolution Process (IDR) established by the No Surprises Act (NSA); Examining Chronic Drug Shortages in the United States, Statement to the House Committee on Ways and Means regarding the important topic of drug shortages in the United States; Support H.R. 6205 / S. 3211, Healthcare Workforce Resilience Act, A bill to reauthorize title II of the Higher Education Act of 1965, and for other purposes; H.R. 7513; Protecting Americas Seniors Access to Care, Statement to the House Committee on Ways and Means regarding Protecting Americas Seniors Access to Care to prohibit the Secretary of Health and Human Services from finalizing a proposed rule regarding minimum staffing for nursing facilities, and to establish an advisory panel on the skilled nursing facility workforce; Enhancing Access to Care at Home in Rural and Underserved Communities, Statement to the House Committee on Ways and Means on how telehealth flexibilities, the hospital-at-home (H@H) program and home health agencies have expanded access to care for patients in their homes and the need for these programs to continue; The recent cyberattack on Change Healthcare, Letter to House and Senate leadership requesting assistance for hospitals impacted by the cyberattack; The recent cyberattack on Change Healthcare, Letter to Senate Finance Committee leadership to share concerns regarding the Administrations proposal to penalize hospitals that do not meet certain cybersecurity requirements; Support S. 3779 / H.R. 7265, Child Suicide Prevention and Lethal Means Safety Act, A bill authorizing the Secretary of Health and Human Services to award grants to establish or expand programs to implement evidence-aligned practices in health care settings for the purpose of reducing the suicide rates of covered individuals, and for other purposes; Evaluating Approaches to Diagnostic Test Regulation and the Impact of FDAs Proposed Rule.", Statement to the House Committee on Energy and Commerce Subcommittee on Health on the impact of the Food and Drug Administrations (FDA) proposed regulation of diagnostic tests; Senate RFI on the SUSTAIN 340B Act Draft, A letter to provide feedback on the Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of (SUSTAIN) 340B Act bipartisan discussion draft and accompanying request for information on the 340B Drug Pricing Program; Access to Health Care in America: Ensuring Resilient Emergency Medical Care, Statement to the House Committee on Ways and Means on access to emergency medical services in rural areas; Support H.R. 7623, Telehealth Modernization Act, A bill to amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program; House RFI on strengthening ERISA, A letter to provide feedback on an RFI from the House Education and Workforce Committee on ways to strengthen and improve ERISA, Addressing drug shortagesAHAs statement for record to Ways and Means committee hearing on Examining Chronic Drug Shortages in the United States, Statement commenting on the impact of the FDAs proposed regulation of laboratory developed tests (LDTs), AHAs statement for the record to Energy and Commerce Subcommittee on Health on "Evaluating Approaches to Diagnostic Test Regulation and the Impact of FDAs Proposed Rule.", Response to RFI on oversight and regulation of LDTs, Response to Sen. Cassidy, Ranking Member of HELP Committee on his RFI seeking feedback on the FDAs proposed regulation of hospital LDTs, OMB meeting, including FDA officials, on the FDAs rulemaking on the regulation of hospital LDTs as medical devicesOMB/FDA; Support S 3679 / H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, A bill to reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes, Support S. 1110, the Rural Hospital Support Act, A bill to amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; Support HR 1565, Critical Access Hospital Relief Act of 2023, A bill to amend title XVIII of the Social Security Act to remove the 96-hour physician certification requirement for inpatient critical access hospital services.

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness H.R. 4366 - Consolidated Appropriations Act, 2024 MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Pharmacy benefit management reform Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R.2412-Helping Kids Cope Act, to provide grants to improve mental health access for children and reduce pediatric emergency department boarding H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development H.R.4941-Providing Access to Treatment and Housing Act H.R 5414-Improving Mental Health Access from the Emergency Department Act H.R.5804-Mental Health Infrastructure Improvement Act of 2023, to provide loans and grants to improve mental health treatment and substance use disorder treatment facilities S. 1346-Improving Mental Health Access from the Emergency Department Act S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs S. 2586-Drug Shortages Prevention and Quality Improvement Act

Client expense: $499,399 · Firm income: Not reported

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R.2412-Helping Kids Cope Act, to provide grants to improve mental health access for children and reduce pediatric emergency department boarding H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development H.R.4941-Providing Access to Treatment and Housing Act H.R 5414-Improving Mental Health Access from the Emergency Department Act S. 1346-Improving Mental Health Access from the Emergency Department Act S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs S. 2586-Drug Shortages Prevention and Quality Improvement Act

Client expense: $352,268 · Firm income: Not reported

Discussion with OMB/OIRA regarding OSHA Occupational Exposure to COVID-19 in Healthcare Settings Final Rule; Discussion with FDA Drug Shortage expert regarding Inflation Reduction Act Provisions that could impact duration of shortages; Discussion with ASPR Hospital Preparedness Program Staff about speaking at a meeting regarding HPP issues; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Inpatient Prospective Payment System/Long Term Care Hospital Proposed Rule; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Medicare Advantage Final Rule; Hill outreach about reducing hospital workplace violence; Hill outreach about the benefits of hospital mergers and acquisitions; Hill outreach about the anticompetitive behaviors of travel nurse staffing agencies; Statement to the U.S. Senate Committee on Health, Education, Labor, and Pensions, Examining Health Care Workforce Shortages: Where Do We Go from Here?; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an Request For Information on the reauthorization of the Pandemic and All-Hazards Preparedness Act; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an RFI on the drivers of health care workforce shortages; Support S.1110, Rural Hospitals Support Act, a bill to amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; Support H.R. 1110Telehealth Option Act, a bill to direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Childrens Health Insurance programs during the COVID-19 emergency; Feedback on the Connect for Health Act; AHA provided feedback on the creating opportunities new for necessary and effective care technologies (CONNECT) Act; False Claims Act Case AHA Provides Statement for House Hearing on Price Transparency, Competition; Oppose H.R.977/S.470 Patient Access Higher Quality Health Care Act, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support S.940, The Rural America Health Corps Act A bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Support the Conrad State 30 and Physician Access Reauthorization Act that would allow international doctors trained in the United States to remain in the country if they practice in areas experiencing medical shortages; Letter to CMS regarding intent to issue staffing mandates for nursing homes and urged CMS and policy makers to focus on efforts that will bolster our workforce; Support HR 2389/ S 1302, Resident Physician Shortage Reduction Act of 2023, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Support HR 2411/ S 1150, National Nursing Workforce Center Act of 2023, a bill to amend the Public Health Service Act to support and stabilize the existing nursing workforce, establish programs to increase the number of nurses; Support HR 2534, Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023 or the PROTECT 340B Act of 2023, a bill to amend title XXVII of the Public Health Service Act to ensure the equitable treatment of covered entities and pharmacies participating in the 340B drug discount program; Support HR 2559, Strengthening Community Care Act of 2023, a bill to extend funding for community health centers and the National Health Service Corp; Support HR 2584/S.2768, Safety From Violence for Healthcare Employees Act or the SAVE Act, a bill to protect hospital personnel from violence, and for other purpose; Statement to the House Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions hearing titled, Competition and Transparency: The Pathway Forward for a Stronger Health Care Market highlighting that mergers and acquisitions can be a helpful tool for many hospitals and pushing back against site-neutral payment policies; Letter urging Congress to continue to protect this critical program and oppose efforts to cut its benefits, which would result in reduced access to quality care for the patients and communities served by 340B hospitals; Statement to Subcommittee on Health of the Committee on Energy and Commerce on its hearing Examining Existing Federal Programs to Build a Stronger Health Workforce and Improve Primary Care; Support S 1447, Bipartisan Solution to Cyclical Violence Act of 2023, a bill to amend the Public Health Service Act to establish a grant program supporting trauma center violence intervention and violence prevention programs, and for other purposes; Support HR 3046/ S 1403, Medical Student Education Authorization Act of 2023, a bill to amend the Public Health Service Act to establish a grant program to award grants to accredited public institutions of higher education, and for other purposes; Concerns with HR 2691, Transparent Prices Required to Inform Consumer and Employers Act or the Transparent PRICE Act, a bill to promote hospital and insurer price transparency; Letter strongly opposing the draft bills, which would create additional site-neutral payment cuts and threaten access to care, especially in rural and other vulnerable communities; Comment letter to the Office of Civil Rights on its HIPAA Privacy Rule to Support Reproductive Health Care Privacy and concerns the guidance is too broad and will result in significant adverse consequences for hospitals, patients and the public at large; Statement to SFC for the hearing on Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs; Comment letters to CMS on their Inpatient and Long-term Care Facility Prospective Payment System FY 2024 proposed rule; Letter to reauthorize key programs within the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, we encourage you to consider policies that will reduce barriers to receiving and administering behavioral health care by improving payment policies, reducing unnecessary regulatory and administrative burden, and strengthening the behavioral health workforce; Comment letter on the Environmental Protection Agencys (EPA) proposed standards for the use of ethylene oxide (EtO) to sterilize medical devices urge caution and thoughtfulness in EPAs approach to avoid disrupting health care delivery through the unintentional fracturing of the already fragile medical device supply chain; Hill briefing, Site-neutral Payment Proposals Would Jeopardize Access to Care for Patients and Communities; Comment on Energy and Commerce Committee Chair Rodgers drug shortages discussion draft; Support S. 2364 Mapping Americas Pharmaceutical Supply Act A bill to map the United States pharmaceutical supply chain and use data analytics to identify supply chain vulnerabilities and other national security threats; Support S. 2510 RAPID Reserve Act A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies; Support S. 1961Pharmaceutical Supply Chain Risk Assessment Act of 2023A bill to require an interagency risk assessment of the pharmaceutical supply chain to identify and mitigate health and national security risks, and for other purposes; Drug Shortage Prevention Act Letter to express support for the Drug Shortage Prevention Act that will help pave the way for additional improvements to the U.S. drug supply chain, which will, in turn, improve patient access and care; Bipartisan request for information on the critically important 340B Drug Pricing Program Letter on the savings 340B hospitals achieve through purchasing certain outpatient drugs at a discount allow them to provide a range of programs and services that directly benefit their patients; Support S.1636/H.R. 3440 Protecting Rural Telehealth Access Act A bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program. Drug Shortages RFI Letter to the U.S. Senate Committee on Energy and Commerce and Finance in response to a Request For Information on drug shortages; Support H.R. 4713 Rural Hospital Technical Assistance Program Act A letter to support HR 4713, the Rural Hospital Technical Assistant Program Act. A bill to make permanent a program that provides technical assistance for rural hospitals to help prevent closures; Verbal Support Train More Nurse Act It instructs HHS and DOL to conduct a joint review of all grant programs supporting the nursing workforce and coming up with recommendations to Congress within a year on how to change the programs to increase nurse faculty, provide pathways for those who want to become nurse faculty, and increase the nursing pipeline for both RNs and LPNs; Support H.R.2412 Helping Kids Cope Act To amend the Public Health Service Act to authorize grants to increase national capacity to provide pediatric behavioral health services at childrens hospitals and through community-based providers to improve childrens access to care; and to authorize grants to begin to address large numbers of children boarding in emergency departments, to support the pediatric behavioral health workforce, and for other purposes; Meeting with OMB to discuss Proposed Minimum Staffing Requirements for Long-term Care Facilities; Meeting with OMB to discuss FY 2024 IPPS and LTCH Final Rule; Meeting with Senate Finance Committee regarding the FY 2024 LTCH Final Rule; A letter to comment on ways to improve access to care in rural and underserved areas ensuring that Americans in these rural and underserved areas have high-quality, affordable health care; Support S. 2016/ H.R. 4189, CONNECT for Health Act of 2023, a bill to support to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes; A letter to the Department of Veterans Affairs (VA) expressing significant concerns about Cotivitis audit and appeals process, including its inadequate appeals procedures, the scope of audits being performed and the untenable timelines that are being executed; Support S. 3211/ H.R. 6205, Healthcare Workforce Resilience Act, a bill to support Healthcare Workforce Resilience Act to enhance our Nations nurse and physician workforce by recapturing unused immigrant visas; Support for Reauthorization of PAPHA, The Pandemic and All-Hazards Preparedness Act (PAHPA), To amend the Public Health Service Act to reauthorize certain programs with respect to public health security and all-hazards preparedness and response related to the Administration for Strategic Preparedness and Response and certain programs with respect to public health security and all-hazards preparedness and response related to the Centers for Disease Control and Prevention, and for other purposes; Support H.R. 6430, Rural Community Hospitals (ARCH) Act, a bill to support the Assistance for Rural Community Hospitals (ARCH) Act; To support small rural hospitals for which Medicare patients make up a significant percentage of inpatient days or discharges, Congress established the Medicare- dependent Hospital (MDH) program in 1987, allowing eligible hospitals to receive the sum of their prospective payment system (PPS) payment rate, plus three- quarters of the amount by which their cost per discharge exceeds the PPS rate; Support H.R. 4531/ S.3393, Patients and Communities Reauthorization Act, a bill to reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; A letter to the FDA on its laboratory developed tests (LDTs) proposed rule urging the agency to not apply its device regulations to hospital and health system LDTs because they are not devices; rather, they are diagnostic tools developed and used in the context of patient care. Instead, we urged the FDA to continue to apply its enforcement discretion to hospital and health system LDTs; Submit Statement to the Committee on Energy and Commerce Subcommittee on Health hearing, Supporting Access to Long-Term Services and Supports: An Examination of the Impacts of Proposed Regulations on Workforce and Access to Care to share the hospital fields comments on proposed regulations for minimum staffing standards for LTC facilities and their potential impact on access to care.

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1105, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.R. 5029, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 5182, the Child Online Safety Modernization Act, which would strengthen the National Center for Missing and Exploited Children CyberTipline by modernizing and improving the reporting process, extending the required preservation period for individual reports to one year, and replacing the term, child pornography, with child sexual abuse materials throughout all Federal statutes; H.R. 5266 (Bacon, R-NE), the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would empower the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; H.R. 5538, the Border Patrol Pay Fix Act, which would allow the majority of Border Patrol agents to receive a special overtime pay rate; H.R. 5798, the Protecting Our Nations Capital Emergency Act, which would undue certain provisions of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) passed by the Washington D.C. City Council; H.R. 6246, the Eliminate Network Distribution (END) of Child Exploitation Act, which would improve the effectiveness of the CyberTipline, the nations centralized reporting system for the online exploitation of children; H.R. 6688, the Cold Case Modernization Act, which will extend DOJ grant funding for forensic genetic genealogy (FGG) testing to cover the identification process of all unidentified human remains, without regard to the manner of their death; H.J. Res. 26/S.J. Res. 12/PL 118-1, a resolution disapproving the adoption of the Revised Criminal Code Act (RCCA) of 2022 by the Washington, D.C. City Council; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2567, the Stop Computer Crimes Proliferation Act, which would reauthorize the programs in the Computer Crime Enforcement Act; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2637, the Law Enforcement Scenario-Based Training for Safety and De-Escalation Act, which would direct the Office of Community Oriented Policing Services (COPS) to authorize grants to State, and local law enforcement agencies to provide law enforcement personnel access to an immersive, real-life, scenario-based training curriculum which will improve community-police relations, as well as officer safety and resilience; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits;

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487 - No Fees for EFTS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487 - No Fees for EFTS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487 - No Fees for EFTS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487 - No Fees for EFTS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1105, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.R. 5029, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; H.R. 5266 (Bacon, R-NE), the Interdiction of Fentanyl in Postal Mail at Federal Prisons Act, which would empower the Director of the Bureau of Prisons (BOP) to evaluate correctional facilities capabilities to protect staff and detainees from exposure to synthetic drugs and opioids and implement appropriate protective measures as a result of the findings; H.J. Res. 26/S.J. Res. 12/PL 118-1, a resolution disapproving the adoption of the Revised Criminal Code Act (RCCA) of 2022 by the Washington, D.C. City Council; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits;

Discussion with OMB/OIRA regarding OSHA Occupational Exposure to COVID-19 in Healthcare Settings Final Rule; Discussion with FDA Drug Shortage expert regarding Inflation Reduction Act Provisions that could impact duration of shortages; Discussion with ASPR Hospital Preparedness Program Staff about speaking at a meeting regarding HPP issues; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Inpatient Prospective Payment System/Long Term Care Hospital Proposed Rule; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Medicare Advantage Final Rule; Hill outreach about reducing hospital workplace violence; Hill outreach about the benefits of hospital mergers and acquisitions; Hill outreach about the anticompetitive behaviors of travel nurse staffing agencies; Statement to the U.S. Senate Committee on Health, Education, Labor, and Pensions, Examining Health Care Workforce Shortages: Where Do We Go from Here?; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an Request For Information on the reauthorization of the Pandemic and All-Hazards Preparedness Act; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an RFI on the drivers of health care workforce shortages; Support S.1110, Rural Hospitals Support Act, a bill to amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; Support H.R. 1110Telehealth Option Act, a bill to direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Childrens Health Insurance programs during the COVID-19 emergency; Feedback on the Connect for Health Act; AHA provided feedback on the creating opportunities new for necessary and effective care technologies (CONNECT) Act; False Claims Act Case AHA Provides Statement for House Hearing on Price Transparency, Competition; Oppose H.R.977/S.470 Patient Access Higher Quality Health Care Act, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support S.940, The Rural America Health Corps Act A bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Support the Conrad State 30 and Physician Access Reauthorization Act that would allow international doctors trained in the United States to remain in the country if they practice in areas experiencing medical shortages; Letter to CMS regarding intent to issue staffing mandates for nursing homes and urged CMS and policy makers to focus on efforts that will bolster our workforce; Support HR 2389/ S 1302, Resident Physician Shortage Reduction Act of 2023, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Support HR 2411/ S 1150, National Nursing Workforce Center Act of 2023, a bill to amend the Public Health Service Act to support and stabilize the existing nursing workforce, establish programs to increase the number of nurses; Support HR 2534, Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023 or the PROTECT 340B Act of 2023, a bill to amend title XXVII of the Public Health Service Act to ensure the equitable treatment of covered entities and pharmacies participating in the 340B drug discount program; Support HR 2559, Strengthening Community Care Act of 2023, a bill to extend funding for community health centers and the National Health Service Corp; Support HR 2584/S.2768, Safety From Violence for Healthcare Employees Act or the SAVE Act, a bill to protect hospital personnel from violence, and for other purpose; Statement to the House Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions hearing titled, Competition and Transparency: The Pathway Forward for a Stronger Health Care Market highlighting that mergers and acquisitions can be a helpful tool for many hospitals and pushing back against site-neutral payment policies; Letter urging Congress to continue to protect this critical program and oppose efforts to cut its benefits, which would result in reduced access to quality care for the patients and communities served by 340B hospitals; Statement to Subcommittee on Health of the Committee on Energy and Commerce on its hearing Examining Existing Federal Programs to Build a Stronger Health Workforce and Improve Primary Care; Support S 1447, Bipartisan Solution to Cyclical Violence Act of 2023, a bill to amend the Public Health Service Act to establish a grant program supporting trauma center violence intervention and violence prevention programs, and for other purposes; Support HR 3046/ S 1403, Medical Student Education Authorization Act of 2023, a bill to amend the Public Health Service Act to establish a grant program to award grants to accredited public institutions of higher education, and for other purposes; Concerns with HR 2691, Transparent Prices Required to Inform Consumer and Employers Act or the Transparent PRICE Act, a bill to promote hospital and insurer price transparency; Letter strongly opposing the draft bills, which would create additional site-neutral payment cuts and threaten access to care, especially in rural and other vulnerable communities; Comment letter to the Office of Civil Rights on its HIPAA Privacy Rule to Support Reproductive Health Care Privacy and concerns the guidance is too broad and will result in significant adverse consequences for hospitals, patients and the public at large; Statement to SFC for the hearing on Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs; Comment letters to CMS on their Inpatient and Long-term Care Facility Prospective Payment System FY 2024 proposed rule; Letter to reauthorize key programs within the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, we encourage you to consider policies that will reduce barriers to receiving and administering behavioral health care by improving payment policies, reducing unnecessary regulatory and administrative burden, and strengthening the behavioral health workforce; Comment letter on the Environmental Protection Agencys (EPA) proposed standards for the use of ethylene oxide (EtO) to sterilize medical devices urge caution and thoughtfulness in EPAs approach to avoid disrupting health care delivery through the unintentional fracturing of the already fragile medical device supply chain; Hill briefing, Site-neutral Payment Proposals Would Jeopardize Access to Care for Patients and Communities; Comment on Energy and Commerce Committee Chair Rodgers drug shortages discussion draft; Support S. 2364 Mapping Americas Pharmaceutical Supply Act A bill to map the United States pharmaceutical supply chain and use data analytics to identify supply chain vulnerabilities and other national security threats; Support S. 2510 RAPID Reserve Act A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies; Support S. 1961Pharmaceutical Supply Chain Risk Assessment Act of 2023A bill to require an interagency risk assessment of the pharmaceutical supply chain to identify and mitigate health and national security risks, and for other purposes; Drug Shortage Prevention Act Letter to express support for the Drug Shortage Prevention Act that will help pave the way for additional improvements to the U.S. drug supply chain, which will, in turn, improve patient access and care; Bipartisan request for information on the critically important 340B Drug Pricing Program Letter on the savings 340B hospitals achieve through purchasing certain outpatient drugs at a discount allow them to provide a range of programs and services that directly benefit their patients; Support S.1636/H.R. 3440 Protecting Rural Telehealth Access Act A bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program. Drug Shortages RFI Letter to the U.S. Senate Committee on Energy and Commerce and Finance in response to a Request For Information on drug shortages; Support H.R. 4713 Rural Hospital Technical Assistance Program Act A letter to support HR 4713, the Rural Hospital Technical Assistant Program Act. A bill to make permanent a program that provides technical assistance for rural hospitals to help prevent closures; Verbal Support Train More Nurse Act It instructs HHS and DOL to conduct a joint review of all grant programs supporting the nursing workforce and coming up with recommendations to Congress within a year on how to change the programs to increase nurse faculty, provide pathways for those who want to become nurse faculty, and increase the nursing pipeline for both RNs and LPNs; Support H.R.2412 Helping Kids Cope Act To amend the Public Health Service Act to authorize grants to increase national capacity to provide pediatric behavioral health services at childrens hospitals and through community-based providers to improve childrens access to care; and to authorize grants to begin to address large numbers of children boarding in emergency departments, to support the pediatric behavioral health workforce, and for other purposes; Meeting with OMB to discuss Proposed Minimum Staffing Requirements for Long-term Care Facilities; Meeting with OMB to discuss FY 2024 IPPS and LTCH Final Rule; Meeting with Senate Finance Committee regarding the FY 2024 LTCH Final Rule.

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Amputation Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) Facility-based scoring Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1005, the EAGLES Act, which would reauthorize and expand the National Threat Assessment Center (NTAC) within the U.S. Department of Homeland Security; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2601, the National Human Trafficking Hotline Enhancement Act, which would require the full cooperation of any grant recipient that contracts with the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services to operate the National Human Trafficking Hotline, sharing information and assisting efforts by State and local law enforcement to combat human trafficking; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act," which would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits; H.R. 2722, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3150, the Overcoming Prevalent Inadequacies in Overdose Information Data Sets (OPIOIDS) Act., which would empower the Attorney General to award grants to local law enforcement departments and forensic laboratories in communities with high rates of drug overdoses; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.R. 3333/S.1271, the Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act, which would direct the resources of the U.S. government to target the fentanyl supply chain; H.R. 3449, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; H.R. 4384, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; H.R. 4639, the Fourth Amendment Is Not For Sale Act, which would impose a probable cause standard for certain types of information; H.J. Res. 26/S.J. Res. 12/PL 118-1, a resolution disapproving the adoption of the Revised Criminal Code Act (RCCA) of 2022 by the Washington, D.C. City Council; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts; S. 1569, the Back the Blue Act. which improves protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, judges, and other public safety officers; S. 1857, the Assisting Narcotics and Trafficking Officers in Interdicting (ANTI) Drugs Act, which would reauthorize, and increase funding for, Operation Stonegarden; S. 2313, the Driving for Opportunity Act, which would create a grant program for States to reinstate drivers licenses that were suspended for unpaid fines and fees; S. 2596, the Kenneth P. Thompson Begin Again Act, would amend current law (18 U.SC. 3607) expunging an individuals minor possession offense if the individual meets the laws stringent requirements. This legislation amends this rule, eliminating the age requirement; S. 2644, the American Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act, would expand the existing Edward Byrne Memorial Justice Assistance Grant (Byrne-JAG) program to allow for the purchase of trauma kits;

Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R.1694-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers. H.R. 2416-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2940-PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1346-Improving Mental Health Access from the Emergency Department Act S. 1355- PASTEUR Act of 2023, to incentivize new antimicrobial development S. 1447-Bipartisan Solution to Cyclical Violence Act of 2023, to establish a grant program to support trauma center violence intervention and violence prevention programs

Client expense: $627,773 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussion with OMB/OIRA regarding OSHA Occupational Exposure to COVID-19 in Healthcare Settings Final Rule; Discussion with FDA Drug Shortage expert regarding Inflation Reduction Act Provisions that could impact duration of shortages; Discussion with ASPR Hospital Preparedness Program Staff about speaking at a meeting regarding HPP issues; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Inpatient Prospective Payment System/Long Term Care Hospital Proposed Rule; Discussion with White House Office of Management & Budget, Centers for Medicare & Medicaid Services (CMS) - HHS FY 2024 Medicare Advantage Final Rule; Hill outreach about reducing hospital workplace violence; Hill outreach about the benefits of hospital mergers and acquisitions; Hill outreach about the anticompetitive behaviors of travel nurse staffing agencies; Statement to the U.S. Senate Committee on Health, Education, Labor, and Pensions, Examining Health Care Workforce Shortages: Where Do We Go from Here?; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an Request For Information on the reauthorization of the Pandemic and All-Hazards Preparedness Act; Letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions in response to an RFI on the drivers of health care workforce shortages; Support S.1110, Rural Hospitals Support Act, a bill to amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; Support H.R. 1110Telehealth Option Act, a bill to direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Childrens Health Insurance programs during the COVID-19 emergency; Feedback on the Connect for Health Act; AHA provided feedback on the creating opportunities new for necessary and effective care technologies (CONNECT) Act; False Claims Act Case AHA Provides Statement for House Hearing on Price Transparency, Competition; Oppose H.R.977/S.470 Patient Access Higher Quality Health Care Act, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support S.940, The Rural America Health Corps Act A bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Support the Conrad State 30 and Physician Access Reauthorization Act that would allow international doctors trained in the United States to remain in the country if they practice in areas experiencing medical shortages; Letter to CMS regarding intent to issue staffing mandates for nursing homes and urged CMS and policy makers to focus on efforts that will bolster our workforce; Support HR 2389/ S 1302, Resident Physician Shortage Reduction Act of 2023, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Support HR 2411/ S 1150, National Nursing Workforce Center Act of 2023, a bill to amend the Public Health Service Act to support and stabilize the existing nursing workforce, establish programs to increase the number of nurses; Support HR 2534, Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023 or the PROTECT 340B Act of 2023, a bill to amend title XXVII of the Public Health Service Act to ensure the equitable treatment of covered entities and pharmacies participating in the 340B drug discount program; Support HR 2559, Strengthening Community Care Act of 2023, a bill to extend funding for community health centers and the National Health Service Corp; Support HR 2584, Safety From Violence for Healthcare Employees Act or the SAVE Act, a bill to protect hospital personnel from violence, and for other purpose; Statement to the House Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions hearing titled, Competition and Transparency: The Pathway Forward for a Stronger Health Care Market highlighting that mergers and acquisitions can be a helpful tool for many hospitals and pushing back against site-neutral payment policies; Letter urging Congress to continue to protect this critical program and oppose efforts to cut its benefits, which would result in reduced access to quality care for the patients and communities served by 340B hospitals; Statement to Subcommittee on Health of the Committee on Energy and Commerce on its hearing Examining Existing Federal Programs to Build a Stronger Health Workforce and Improve Primary Care; Support S 1447, Bipartisan Solution to Cyclical Violence Act of 2023, a bill to amend the Public Health Service Act to establish a grant program supporting trauma center violence intervention and violence prevention programs, and for other purposes; Support HR 3046/ S 1403, Medical Student Education Authorization Act of 2023, a bill to amend the Public Health Service Act to establish a grant program to award grants to accredited public institutions of higher education, and for other purposes; Concerns with HR 2691, Transparent Prices Required to Inform Consumer and Employers Act or the Transparent PRICE Act, a bill to promote hospital and insurer price transparency; Letter strongly opposing the draft bills, which would create additional site-neutral payment cuts and threaten access to care, especially in rural and other vulnerable communities; Comment letter to the Office of Civil Rights on its HIPAA Privacy Rule to Support Reproductive Health Care Privacy and concerns the guidance is too broad and will result in significant adverse consequences for hospitals, patients and the public at large; Statement to SFC for the hearing on Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs; Comment letters to CMS on their Inpatient and Long-term Care Facility Prospective Payment System FY 2024 proposed rule; Letter to reauthorize key programs within the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, we encourage you to consider policies that will reduce barriers to receiving and administering behavioral health care by improving payment policies, reducing unnecessary regulatory and administrative burden, and strengthening the behavioral health workforce; Comment letter on the Environmental Protection Agencys (EPA) proposed standards for the use of ethylene oxide (EtO) to sterilize medical devices urge caution and thoughtfulness in EPAs approach to avoid disrupting health care delivery through the unintentional fracturing of the already fragile medical device supply chain; Hill briefing, Site-neutral Payment Proposals Would Jeopardize Access to Care for Patients and Communities.

Pandemic All-Hazards Preparedness Act (PAHPA) Reauthorization H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Global Surgery/Rare Surgery National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

Pandemic All-Hazards Preparedness Act (PAHPA) Reauthorization H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Global Surgery/Rare Surgery National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

Pandemic All-Hazards Preparedness Act (PAHPA) Reauthorization H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Global Surgery/Rare Surgery National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $230,000 · Firm income: Not reported

Pandemic All-Hazards Preparedness Act (PAHPA) Reauthorization H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act Dobbs Fetal Therapy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange Medicare Price Transparency S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act Labor HHS Appropriations Medicare Physician Payment Cuts Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Global Surgery/Rare Surgery National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $230,000 · Firm income: Not reported

H.R. 130/S. 459, the Thin Blue Line Act, which would expand the list of statutory aggravating factors in death penalty determinations to also include killing or targeting a law enforcement officer, firefighter, or other first responders; H.R. 233, which would codify the existing qualified immunity doctrine as established and upheld by the U.S. Supreme Court; H.R. 304, the Stop Enabling Repeat Violence and Endangering (SERVE) Our Communities Act, which would establish an annual grant program for State and local governments to fund programs like transitional services, mentoring, and job training for young offenders; H.R. 355, the Back the Blue Act, which would improve protections for law enforcement officers by increasing the penalties for those who kill or assault law enforcement officers, impose time and other limits on Federal courts review of habeas corpus, amend the Law Enforcement Officers Safety Act (LEOSA), and provide new grants; H.R. 472/S. 645, the Fighting Post-Traumatic Stress Disorder Act, which directs the U.S. Department of Justice to develop a state-of-the-art treatment program for public safety officers experiencing acute stress disorder, post-traumatic stress disorder (PTSD), or similar conditions; H.R. 743, the Protect and Serve Act, which would make it a Federal crime to target a law enforcement officer with an assault that results in serious bodily harm or death; H.R. 795/S. 261, the Protecting First Responders from Secondary Exposure Act, would allow State and local governments to purchase containment devices through the existing Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP); H.R. 898/S. 546, the Recruit and Retain Act, which would authorize COPS grantees to use grant funds for the recruitment and retention of law enforcement officers; H.R. 1649, the Establishing Accreditation Grants for Law Enforcement (EAGLE) Act, which would establish a grant program that would pay the certification or re-certification fees for small to mid-size agencies that have fewer than 350 employees; H.R. 1719, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; H.R. 1839/S. 993, the Combating Illicit Xylazine Act, which would add xylazine to the Controlled Substances Act, listing it as a Schedule III drug for illicit use; H.R. 2548, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would direct the CDC to expand their data collection efforts, publicly release their findings, and suggest protocols to prevent instances of Traumatic Brain Injuries for Law Enforcement; H.R. 2722, the Providing Child Care to Police Officers Act, which would establish a grant pilot program to provide child care services for the minor children of law enforcement officers to accommodate the shift work and abnormal work hours of such officers, and to enhance recruitment and retention of such officers; H.R. 2949, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; H.R. 3170/S. 1514, the Homes for Every Local Protector, Educator, and Responder (HELPER) Act, which creates a home loan benefits program for first responders and educators based on the successful U.S. Department of Veterans Affairs home loan program available to our nations veterans; H.J. Res. 26/S.J. Res. 12/PL 118-1, a resolution disapproving the adoption of the Revised Criminal Code Act (RCCA) of 2022 by the Washington, D.C. City Council; H.J. Res. 42/S.J. Res. 26, a resolution disapproving the adoption of the Comprehensive Policing and Justice Reform Amendment Act (CPJRAA) by the Washington, D.C. City Council; H. Res. 285, a resolution calling on Congress to respect the rights of law enforcement officers and establish a Bill of Rights for them; S. 474, the Revising Existing Procedures on Reporting via Technology (REPORT) Act, which would provide the CyberTipline, a critical tool for law enforcement run by the National Center for Missing and Exploited Children, the necessary resources and infrastructure needed to protect children from digital exploitation; S. 499, the Debbie Smith Reauthorization Act, which would reauthorize the Debbie Smith Act for five years and allocate $151 million in funding; S. 529, Erics Law, which would allow Federal prosecutors to impanel a second jury for the sentencing phase of a Federal capital case if the first jury does not reach a unanimous decision on the sentence; S.894, the Public Safety Concussions and Traumatic Brain Injury Health Act, which would help law enforcement agencies establish concussion and traumatic brain injury (TBI) protocols; S. 930, the Honoring Our Fallen Heroes Act, which would categorize duty-related cancer fatalities as a line of duty death under Public Safety Officers Benefits program; S. 972, the Filling Public Safety Vacancies Act, which provides a one-time boost of $162 million for the hiring program administered by the Office of Community Oriented Policing Services (COPS); S. 994, the Strong Communities Act, which would help build on the community-policing model by establishing a grant program for local law enforcement agencies to assist in recruiting officers from their own community; S. 1080, the Cooper Davis Act, which would require social media providers to report all suspected illicit drug activity occurring on their platforms to the Drug Enforcement Agency (DEA); S. 1170, Project Safe Childhood, which updates and expands provisions included in the original Project Safe Childhood initiative launched by the U.S. Department of Justice (DOJ); S. 1199, Strengthening Transparency and Obligation to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM) Act, which provides special privacy protections to certain child victims and witnesses in criminal prosecutions; S. 1207, the Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act, which would establish a National Commission on Online Child Sexual Exploitation Prevention in an effort to combat the sexual exploitation of children on the Internet; S. 1306, the COPS Reauthorization Act, which will reauthorize the Office of Community Oriented Policing Services (COPS) and all the programs it administers through 2029; S. 1331, the Public Service Loan Forgiveness (PSLF) Payment Completion Fairness Act, which would aid our nations public servants, including law enforcement officers, firefighters, and first responders, by forgiving the remaining balance of their Federal direct student loans after ten years of qualifying public service and payments; S. 1387, the Project Safe Neighborhoods Grant Program Authorization Act, which would reauthorize critical funding and support for local law enforcement agencies and community organizations that help reduce violent crime and enhance public safety; S. 1447, the Bipartisan Solution to Cyclical Violence Act, which would authorize the U.S. Secretary of Health and Human Services (HHS) to select existing violence prevention or intervention programs, administered by State and local trauma centers, to receive Federal grants to expand existing programs, study the effectiveness of those programs, and examine their impacts on reincarceration and re-admittance rates; S. 1507, the Providing Officers with Electronic Resources (POWER) Act, which establishes a grant program within the Office of Community Oriented Policing Services (COPS) to aid State and local law enforcement in obtaining portable chemical screening devices to identify the substances they encounter daily; S. 1530, the COPS on the Beat Grant Program Parity Act, which allows underserved and rural communities greater flexibility to use COPS grants to raise law enforcement salaries to help retain good officers and improve recruitment efforts;