Improving Whole Health for Veterans with Chronic Conditions Act

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (H.R. 6829) Stroke Act (no bill number) Harold B. Kohl Physical Activity for Americans Act (no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) A resolution designating September 2024 as "National Cholesterol Education Month" and September 30, 2024, as "LDL-C Awareness Day"(S.Res.566) Living Donor Protection Act (H.R. 2923/S.1384) Health Care Affordability Act (H.R. 9774/S. 5194) Opposed H.J. Res. 181 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Definition of 'Employer'-Association Health Plans" Implementation of the No Surprises Act HHS finalization of proposed rule on Short-Term, Limited-Duration Insurance; Independent, Non- coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P)

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

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

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (H.R. 6829) Stroke Act (no bill number) Harold B. Kohl Physical Activity for Americans Act (no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) A resolution designating September 2024 as "National Cholesterol Education Month" and September 30, 2024, as "LDL-C Awareness Day"(S.Res.566) Living Donor Protection Act (H.R. 2923/S.1384) Health Care Affordability Act (H.R. 9774/S. 5194) Opposed H.J. Res. 181 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Definition of 'Employer'-Association Health Plans" Implementation of the No Surprises Act HHS finalization of proposed rule on Short-Term, Limited-Duration Insurance; Independent, Non- coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P)

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

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (H.R. 6829) Stroke Act (no bill number) Harold B. Kohl Physical Activity for Americans Act (no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) Living Donor Protection Act (H.R. 2923/S.1384) Health Care Affordability Act (H.R. 9774/S. 5194) Implementation of the No Surprises Act Credit for Caring Act (H.R. 7165/S. 3702) Legislation to allow Medicare to reimburse services provided by mobile stroke units (no bill number) HEARTS Act (H.R. 6829)

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

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;HR8545 - Veterans Benefit; HR8371 - Veterans Healthcare;

Client expense: $120,000 · Firm income: Not reported

General monitoring of legislative and administrative action related to health care policy; including the OTC Monograph Drug User Fee Program (OMUFA). General monitoring of legislative and administrative action related to womens health issues; General monitoring of legislative and administrative action related to over-the-counter consumer healthcare products; General monitoring of legislative and administrative action related to dietary supplements, multivitamin, and hunger issues; General monitoring of legislative and administrative action related to FDA monograph reform and user fees; General monitoring of legislative and administrative action related to the switch of prescription medications to over-the-counter medications; Review of coverage for medically necessary services in Medicare and Medicare Advantage General review and monitoring of processes impacting over-the-counter switches, including Nonprescription Drug Product with an Additional Condition for Nonprescription Use (ACNU) rulemaking process; Legislative and administrative action related to pseudoephedrine regulation; General monitoring of issues related to the reauthorization of "Pandemic and All-Hazards Preparedness Act" PAHPA; Review of legislation impacting the Dietary Supplement Health and Education Act of 1994, in particular, provisions related to Mandatory Product Listing (MPL); H.R. 831 Medicare Medically Necessary Dental Care Act of 2023; H.R. 994/S. 403 Oral Health Literacy Awareness Act; S.842 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R. 6284 Improving Measurements for Loneliness and Isolation Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4146 /S.2012 Medicare Dental Benefit Act of 2023 S.3393 SUPPORT for Patients and Communities Reauthorization Act, specifically provisions related to non-opioid alternatives to acute and chronic pain management; General review of legislation and amendments focusing on non-addictive, non-opioid pain management medications, with a focus on over-the-counter (OTC) options; and Monitoring of regulatory proposals impacting inclusion of routine non-pediatric dental services as Essential Health Benefits (EHBs)

H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7480, the Disabled Veteran Housing Support Act H.R. 7653, the VERY Act H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8481, the Emergency Community Care Notification Time Adjustment Act of 2024 H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H.R. 9924, the What Works for Preventing Veteran Suicide Act H.R. 10,012 H.R. 10,137 H.R. 10,138 H.R. 10,267, the Complete the Mission Act of 2024 H.R. 10,381, the Supporting Medical Students and VA Workforce Act H.R. 10,536 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act House Draft, to direct the Secretary of Veterans Affairs to automatically pay dependency and indemnity compensation to a survivor of a veteran with a service-connected mental disorder who dies by suicide. House Draft, to repeal the requirement that veterans disability compensation be reduced by separation pay received by a veteran from the Armed Forces, and for other purposes. House Draft, the INNOVATE Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3598, the SCHEDULES Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3911, the Isakson-Roe Education Oversight Expansion Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5035 S. 5074 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. 5624, Improving Veteran Access to Care Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing Discussions: Wheelchair repair

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

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

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;HR8545 - Veterans Benefit; HR8371 - Veterans Healthcare;

Client expense: $120,000 · Firm income: Not reported

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (H.R. 6829) Stroke Act (no bill number) Harold B. Kohl Physical Activity for Americans Act (no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) A resolution designating September 2024 as "National Cholesterol Education Month" and September 30, 2024, as "LDL-C Awareness Day"(S.Res.566) Living Donor Protection Act (H.R. 2923/S.1384) Health Care Affordability Act (H.R. 9774/S. 5194) Opposed H.J. Res. 181 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Definition of 'Employer'-Association Health Plans" Implementation of the No Surprises Act HHS finalization of proposed rule on Short-Term, Limited-Duration Insurance; Independent, Non- coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P)

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

General monitoring of legislative and administrative action related to health care policy; General monitoring of legislative and administrative action related to womens health issues; General monitoring of legislative and administrative action related to over-the-counter consumer healthcare products; General monitoring of legislative and administrative action related to dietary supplements, multivitamin, and hunger issues; General monitoring of legislative and administrative action related to FDA monograph reform and user fees; General monitoring of legislative and administrative action related to the switch of prescription medications to over-the-counter medications; Review of issues related to Prescription Drug User Fee Act Reauthorization (PDUFA); Review of coverage for medically necessary services in Medicare and Medicare Advantage, including dental coverage, to address underlying conditions in advance of major surgery; General review and monitoring of processes impacting over-the-counter switches, including Nonprescription Drug Product with an Additional Condition for Nonprescription Use (ACNU) rulemaking process Monitor and engage on legislative and administrative action related to phenylephrine and pseudoephedrine regulation. General monitoring of issues related to the reauthorization of "Pandemic and All-Hazards Preparedness Act" PAHPA Review of legislation impacting the Dietary Supplement Health and Education Act of 1994, in particular, provisions related to Mandatory Product Listing (MPL); and S. 923, Better Mental Health Care for Americans Act, specifically provisions related to substance use disorders. H.R. 831 Medicare Medically Necessary Dental Care Act of 2023 S.842 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R. 6284 Improving Measurements for Loneliness and Isolation Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4146 /S.2012 Medicare Dental Benefit Act of 2023 S.3393 SUPPORT for Patients and Communities Reauthorization Act, specifically provisions related to non-opioid alternatives to acute and chronic pain management; and General review of legislation and amendments focusing on non-addictive, non-opioid pain management medications, with a focus on over-the-counter (OTC) options. Monitoring of regulatory proposals impacting inclusion of routine non-pediatric dental services as Essential Health Benefits (EHBs)

H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, to establish an external provider scheduling program to assist the VA in scheduling appointments for care and services under the Veterans Community Care Program, and for other purposes Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

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

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (HR 6829) Alleviating Barriers to Caregiving (ABC) Act (S. 3109) Legislation to enhance research, data collection, and education about stroke (no bill number) Harold B. Kohl Physical Activity for Americans Act (no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) A resolution designating September 2023 as "National Cholesterol Education Month" and September 30, 2023, as LDL-C Awareness Day (S.Res.496) A resolution designating September 2024 as "National Cholesterol Education Month" and September 30, 2024, as "LDL-C Awareness Day" (S.Res.566) Expressing support for the goals and ideals of National Stroke Awareness Month (H. Res. 1216) A resolution designating May 2024 as American Stroke Month (S. Res. 711) Implementation of the No Surprises Act Department of Labor action to rescind Association Health Plan Final Rule (RIN 1210-AC16) HHS finalization of proposed rule on Section 1557; Nondiscrimination in Health Programs and Activities (RIN Number 0945AA17) HHS finalization of proposed rule on Clarifying Eligibility for a Qualified Health Plan (CMS-9894-P) HHS finalization of proposed rule on Short-Term, Limited-Duration Insurance; Independent, Non- coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P)

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;HR8545 - Veterans Benefit; HR8371 - Veterans Healthcare;

Client expense: $120,000 · Firm income: Not reported

General monitoring of legislative and administrative action related to health care policy; General monitoring of legislative and administrative action related to womens health issues; General monitoring of legislative and administrative action related to over-the-counter consumer healthcare products; General monitoring of legislative and administrative action related to dietary supplements, multivitamin, and hunger issues; General monitoring of legislative and administrative action related to servicing of medical device equipment; General monitoring of legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP); General monitoring of legislative and administrative action related to FDA monograph reform and user fees; General monitoring of legislative and administrative action related to the switch of prescription medications to over-the-counter medications; Review of issues related to Prescription Drug User Fee Act Reauthorization (PDUFA); Review of coverage for medically necessary services in Medicare and Medicare Advantage, including dental coverage, to address underlying conditions in advance of major surgery; General review and monitoring of processes impacting over-the-counter switches, including Nonprescription Drug Product with an Additional Condition for Nonprescription Use (ACNU) rulemaking process Monitor and engage on legislative and administrative action related to phenylephrine and pseudoephedrine regulation. General monitoring of issues related to the reauthorization of "Pandemic and All-Hazards Preparedness Act" PAHPA S. 818 Maximizing Opioid Recovery Emergency Savings Act, in particular, provisions related to drugs and biologicals; Review of legislation impacting the Dietary Supplement Health and Education Act of 1994, in particular, provisions related to Mandatory Product Listing (MPL); and S. 923, Better Mental Health Care for Americans Act, specifically provisions related to substance use disorders. H.R. 831 Medicare Medically Necessary Dental Care Act of 2023 S.842 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R. 6284 Improving Measurements for Loneliness and Isolation Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4146 /S.2012 Medicare Dental Benefit Act of 2023 S.3393 SUPPORT for Patients and Communities Reauthorization Act, specifically provisions related to non-opioid alternatives to acute and chronic pain management; and General review of legislation and amendments focusing on non-addictive, non-opioid pain management medications, with a focus on over-the-counter (OTC) options. Monitoring of regulatory proposals impacting inclusion of routine non-pediatric dental services as Essential Health Benefits (EHBs)

H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the Informing VETS Act of 2023 House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6291, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7917, HR 7919, HR 7920, HR 8009, HR 8017, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 815, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8418, HR 8454, HR 8481, HR 8511, HR 854, HR 8560, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8879, HR 8880, HR 8881, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 3015, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3970, S 3958, S 3979, S 4009, S 4047, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4357, S 4396, S 4445, S 449, S 4556, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;

Client expense: $120,000 · Firm income: Not reported

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (H.R. 2813) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/H.R. 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (HR 6829) Alleviating Barriers to Caregiving (ABC) Act (S. 3109) Legislation to enhance research, data collection, and education about stroke (no bill number) Harold B. Kohl Physical Activity for Americans Act (still no bill number) Congenital Heart Futures Reauthorization Act of 2024 (H.R.7189) A resolution designating September 2023 as "National Cholesterol Education Month" and September 30, 2023, as LDL-C Awareness Day (S.R.496) A resolution designating September 2024 as "National Cholesterol Education Month" and September 30, 2024, as "LDL-C Awareness Day" (S.R.566) Implementation of the No Surprises Act Department of Labor action to rescind Association Health Plan Final Rule (RIN 1210-AC16) HHS finalization of proposed rule on Section 1557; Nondiscrimination in Health Programs and Activities (RIN Number 0945AA17) HHS finalization of proposed rule on Clarifying Eligibility for a Qualified Health Plan (CMS-9894-P) HHS finalization of proposed rule on Short-Term, Limited-Duration Insurance; Independent, Non- coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P)

General monitoring of legislative and administrative action related to health care policy; General monitoring of legislative and administrative action related to womens health issues; General monitoring of legislative and administrative action related to over-the-counter consumer healthcare products; General monitoring of legislative and administrative action related to dietary supplements, multivitamin, and hunger issues; General monitoring of legislative and administrative action related to servicing of medical device equipment; General monitoring of legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP); General monitoring of legislative and administrative action related to FDA monograph reform and user fees; General monitoring of legislative and administrative action related to the switch of prescription medications to over-the-counter medications; Review of issues related to Prescription Drug User Fee Act Reauthorization (PDUFA); Review of coverage for medically necessary services in Medicare and Medicare Advantage, including dental coverage, to address underlying conditions in advance of major surgery; General review and monitoring of processes impacting over-the-counter switches, including Nonprescription Drug Product with an Additional Condition for Nonprescription Use (ACNU) rulemaking process Monitor and engage on legislative and administrative action related to phenylephrine and pseudoephedrine regulation. General monitoring of issues related to the reauthorization of "Pandemic and All-Hazards Preparedness Act" PAHPA S. 818 Maximizing Opioid Recovery Emergency Savings Act, in particular, provisions related to drugs and biologicals; Review of legislation impacting the Dietary Supplement Health and Education Act of 1994, in particular, provisions related to Mandatory Product Listing (MPL); and S. 923, Better Mental Health Care for Americans Act, specifically provisions related to substance use disorders. H.R. 831 Medicare Medically Necessary Dental Care Act of 2023 S.842 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R. 6284 Improving Measurements for Loneliness and Isolation Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4146 /S.2012 Medicare Dental Benefit Act of 2023 S.3393 SUPPORT for Patients and Communities Reauthorization Act, specifically provisions related to non-opioid alternatives to acute and chronic pain management; and General review of legislation and amendments focusing on non-addictive, non-opioid pain management medications, with a focus on over-the-counter (OTC) options. Monitoring of regulatory proposals impacting inclusion of routine non-pediatric dental services as Essential Health Benefits (EHBs)

H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3895, HR 2898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6197, HR 6225, HR 6291, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7136, HR 7150, HR 728, HR 733, HR 7347, HR 7401, HR 7434, HR 746, HR 7480, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7777, HR 7793, HR 7816, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 3452, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3958, S 3979, S 4009, S 4047, S 4074, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the Informing VETS Act of 2023 House Draft, the VR&E Terminology Update Act of 2024 S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3751, the Rural Veterans Transportation to Care Act S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 4009, the Veterans STAND Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, the Preventing Crimes Against Veterans Act Senate Draft, the Honoring Veterans Legacies and Burial Benefits Enhancements Act Senate Draft, the Coordinating Care for Senior Veterans Act Senate Draft, to require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

H.R. 105: TBI and PTSD Treatment Act; H.R. 542: Elizabeth Dole Home Care Act of 2023; H.R. 939: Retain Skilled Veterans Act; H.R. 1083: Caring for Survivors Act of 2023; H.R. 1139: GUARD VA Benefits Act; H.R. 1639: VA Zero Suicide Demonstration Project Act of 2023; H.R. 1815: Expanding Veterans Options for Long Term Care Act; H.R. 1822: PLUS for Veterans Act of 2023; H.R. 2414: CHAMPVA Childrens Care Protection Act of 2023; H.R. 2441: Servicemembers and Veterans Empowerment and Support Act of 2023; H.R. 2768: PFC Joseph P. Dwyer Peer Support Program Act; H.R. 4150: Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4518: CARE Act of 2023; H.R. 4886: ACES Act; H.R. 5956: Transparency for Student Veterans Act of 2023; H.R. 6492: EXPLORE Act; H.R. 6744: No VA Resources for Illegal Aliens Act; H.R. 7361: Flowers for Fallen Heroes Act of 2024; H.R. 7434: BEST for Vets Act of 2024; S. 10: VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023; S. 141: Elizabeth Dole Home Care Act; S. 414: Caring for Survivors Act of 2023; S. 495: Expanding Veterans Options for Long Term Care Act; S. 740: GUARD VA Benefits Act of 2023; S. 1028: Servicemembers and Veterans Empowerment and Support Act of 2023; S. 1119: CHAMPVA Children's Care Protection Act of 2023; S. 1309: Student Veterans Transparency and Protection Act of 2023; S. 1789: PLUS for Veterans Act of 2023; S. 1792: CARE Act of 2023; S. 1954: Improving Whole Health for Veterans with Chronic Conditions Act; S. 3490: No VA Resources for Illegal Aliens Act; S. 3636: Hire Veterans Act; S. 3746: Gold Star and Surviving Spouse Career Services Act; "Buy America, Build America" - VA Construction Projects; 90/10 Rule; GI Bill - VA Regulatory Change; Montgomery GI Bill - Select Reserve; PACT Act - Implementation and Oversight; Post 9/11 GI Bill; Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act; State Veterans Homes; Toxic Exposure Fund Improvement Act; USERRA; Veteran Caregiver Reeducation, Reemployment, and Retirement Act; Veteran's Prostrate Cancer - Department of Defense.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;

Client expense: $120,000 · Firm income: Not reported

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (S.2243) Self-Insurance Protection Act (HR 2813) Telehealth Benefit Expansion for Workers Act (HR 824) Association Health Plans Act (HR 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/HR 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (HR 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (HR 3226/S. 1573) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Physical Activity Omnibus Legislation (No Bill Number) Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (HR 6829) Alleviating Barriers to Caregiving (ABC) Act (S. 3109) Legislation to enhance research, data collection, and education about stroke (no bill number) Implementation of the No Surprises Act

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

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the introduction of H.R. 6538, the VA Correct Compensation Act of 2023. Lobbied for the introduction of "VA Employee Fairness Act" subsequent to the passage of the VA Correct Compensation Act of 2023. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act., which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Statements and Correspondence: Provided a Statement for the Record for a October 25, 2023 Senate Veterans Affairs Committee Hearing titled VA Accountability and Transparency: A Cornerstone of Quality Care and Benefits for Veterans. Testified at a November 29, 2023, House Veterans Affairs Committee on Disability Assistance and Memorial Affairs Subcommittee titled Examining the VA Appeals Process: Ensuring High-Quality Decision-Making for Veterans Claims on Appeal. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes.

H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General monitoring of legislative and administrative action related to health care policy; General monitoring of legislative and administrative action related to womens health issues; General monitoring of legislative and administrative action related to over-the-counter consumer healthcare products; General monitoring of legislative and administrative action related to dietary supplements, multivitamin, and hunger issues; General monitoring of legislative and administrative action related to servicing of medical device equipment; General monitoring of legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP); General monitoring of legislative and administrative action related to FDA monograph reform and user fees; General monitoring of legislative and administrative action related to the switch of prescription medications to over-the-counter medications; Review of issues related to Prescription Drug User Fee Act Reauthorization (PDUFA); Review of coverage for medically necessary services in Medicare and Medicare Advantage, including dental coverage, to address underlying conditions in advance of major surgery; General review and monitoring of processes impacting over-the-counter switches, including Nonprescription Drug Product with an Additional Condition for Nonprescription Use (ACNU) rulemaking process Monitor and engage on legislative and administrative action related to phenylephrine and pseudoephedrine regulation. General monitoring of issues related to the reauthorization of "Pandemic and All-Hazards Preparedness Act" PAHPA S. 818 Maximizing Opioid Recovery Emergency Savings Act, in particular, provisions related to drugs and biologicals; Review of legislation impacting the Dietary Supplement Health and Education Act of 1994, in particular, provisions related to Mandatory Product Listing (MPL); and S. 923, Better Mental Health Care for Americans Act, specifically provisions related to substance use disorders. H.R. 831 Medicare Medically Necessary Dental Care Act of 2023 S.842 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R. 6284 Improving Measurements for Loneliness and Isolation Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act; H.R. 4146 /S.2012 Medicare Dental Benefit Act of 2023 S.3393 SUPPORT for Patients and Communities Reauthorization Act, specifically provisions related to non-opioid alternatives to acute and chronic pain management; and General review of legislation and amendments focusing on non-addictive, non-opioid pain management medications, with a focus on over-the-counter (OTC) options.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the introduction of H.R. 6538, the VA Correct Compensation Act of 2023. Lobbied for the introduction of "VA Employee Fairness Act" subsequent to the passage of the VA Correct Compensation Act of 2023. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act., which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Statements and Correspondence: Provided a Statement for the Record for a October 25, 2023 Senate Veterans Affairs Committee Hearing titled VA Accountability and Transparency: A Cornerstone of Quality Care and Benefits for Veterans. Testified at a November 29, 2023, House Veterans Affairs Committee on Disability Assistance and Memorial Affairs Subcommittee titled Examining the VA Appeals Process: Ensuring High-Quality Decision-Making for Veterans Claims on Appeal. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes.

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6551, the HEAL Act H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the TEF Improvement Act House Draft, the Veterans Accessibility Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3848, HR 3870, HR 3895, HR 2898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6291, HR 6294, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6380, HR 645, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6874, HR 693, HR 728, HR 733, HR 746, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3256, S 326, S 3274, S 3282, S 3290, S 3295, S 3341, S 3352, S 3452, S 344, S 3466, S 350, S 3524, S 3526, S 3546, S 38, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure;

Client expense: $120,000 · Firm income: Not reported

H.R. 2447Panama Canal Zone Veterans Act H.R. 4249VET PFAS Act S. 42BUILD for Veterans Act of 2023 S. 2174Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 H.R. 196Expedited Temporary Ratings for Veterans Act H.R. 522 A bill to amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide or assist in providing a vehicle adapted for operation by disabled individuals to certain eligible persons, to pay expenses associated with the delivery of such vehicle, and for other purposes S.378 Protect Camp Lejeune VETS Act H.R. 234 Gerald's Law Act H.R. 1204 Protect Access to Justice for Veterans Act H.R. 1329 To amend title 38, United States Code, to provide for an increase in the maximum number of judges who may be appointed to the United States Court of Appeals for Veterans Claims. H.R. 1139 GUARD VA Benefits Act H.R. 1529 Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R 1378 Veterans' Appeals Backlog Improvement Act H.R 1530 Veterans Benefits Improvement Act H.R. 2971 Veterans Claims Education Act H.R. 1278 DRIVE Act H.R. 1815 Expanding Veterans' Options for Long Term Care Act H.R. 2818Autonomy for Disabled Veterans Act S. 2513 Veterans Benefits Improvement Act S.344 Major Richard Star Act H.R. 4461 Modernizing Department of Veterans Affairs Disability Benefit Questionnaires Act H.R. 854 the Gold Star Spouse Equity Act S. 1266the Love Lives On Act S. 414 the Caring for Survivors Act of 2023 S. 2026Maternal Health for Veterans Act H.R. 1753 Jax Act S. 2465DOULA for VA Act of 2023 H.R. 5492 Veteran Families Health Services Act of 2023 S. 2863CommissiononEquityandReconciliationintheUniformedServices S. 1315 Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act S. 1745The Protecting Veteran Community Care Act H.R. 3520 Veteran Care Improvement Act of 2023 S. 2649Making Community Care Work for Veterans Act of 2023 S. 1028 Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 984 Commitment to Veteran Support and Outreach Act H.R. 1639VA Zero Suicide Demonstration Act of 2023 H.R. 2768 PFC Joseph P. Dwyer Peer Support Program Act H.R. 3077Green Star Families Act H.R. 4157 Not Just a Number Act H.R. 105 TBI and PTSD Treatment Act S. 326 VA Medicinal Cannabis Research Act S. 2067SAVES Act H.R. 3649Veterans National Traumatic Brain Injury Treatment Act H.R. 1629Hemp and Hemp-Derived CBD Consumer Protection and Market Stabilization Act of 2023 H.R. 104TEAM Veteran Caregivers Act S. 141Elizabeth Dole Home Care Act S. 622Helping Our Heroes Act S. 216 RESPECT Act H.R. 542 Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 3581 COPE Act H.R. 592the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 1226 Wounded Warrior Access Act S. 1954 the Improving Whole Health for Veterans with Chronic Conditions Act H.R. 41 the VA Same-Day Scheduling Act of 2022 S.10 (CAREERS) Act H.R 693the Veterans Affairs Medical Center Absence and Notification Timeline Act H.R. 754the Modernizing Veterans Health Care Eligibility Act H.R. 808the Veterans Patient Advocacy Act H.R. 1089the VA Medical Center Transparency Act H.R. XXXthe Addressing Access to Care Timelines (ACT) for Veterans Act S.1913Care for COFA Veterans Act H.R. 1182Veterans Serving Veterans Act of 2023 H.R. 1774VA Emergency Transportation Act of 2023 H.R. 2733Department of Veterans Affairs Office of Inspector General Training Act of 2023 S. 2070Protect Lifesaving Anesthesia Care for Veterans Act of 2023 H.R. 3347Protect Lifesaving Anesthesia Care for Veterans Act of 2023 S. 2679Leadership, Engagement, Accountability, and Development Act of 2023 H.R. 3504VA Medical Center Security Report Act of 2023 H.R. XXXSend Them, Treat Them Act of 2023 H.R. 4278Restore VA Accountability Act H.R.4262CHAMPVA Online Act H.R. 5530VA Emergency Transportation Access Act of 2023 S. 2757the VA Emergency Transportation Access Act of 2023 S. 2795 A bill to amend title 38, United States Code, to extend and modify certain authorities and requirements relating to the Department of Veterans Affairs, and for other purposes. S.30Fiscal Year 2023 Major Medical Facility Authorization Act S. 2503Veterans Protection from Fraud Act H.R. XXXImproving SCRA Utilization Act H.R. 291Vaccine Discharge Parity Act H.R. 502A bill to amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs repays members of the Armed Forces for certain contributions made by such members towards Post-9/11 Educational Assistance, and for other purposes H.R. 746The Streamlining Aviation for Eligible Veterans Act H.R. 1078To reauthorize and improve a grant program to assist institutions of higher education in establishing, maintaining, improving, and operating Student Veteran Centers. H.R. 1078To reauthorize and improve a grant program to assist institutions of higher education in establishing, maintaining, improving, and operating Student Veteran Centers. H.R. 1635To amend title 38, United States Code, to increase the amount of survivors and dependents educational assistance provided to an eligible individual pursuing a program of education at an institution in the Republic of the Philippines. H.R. 1669VET-TEC Authorization Act of 2023 H.R.1767Student Veteran Benefit Restoration Act H.R. 3600VA Work Study Improvement Act of 2023 H.R. 2830Veteran Improvement Commercial Driver License Act S. 656Veteran Improvement Commercial Driver License Act S. 1090A bill to direct the Secretary of Veterans Affairs to update the payment system of the Department to allow for electronic fund transfer of educational assistance to a foreign institution of higher education H.R. 3898the Transcript Assurance for Heroes Act H.R. 3981 the Isakson-Roe Education Oversight Expansion Act H.R. 3874the Veteran Education Assistance Improvement Act S. 1877Continue VET TEC Authorization Act S. 1972Lowering Education Costs and Debt Act S. 1309Student Veterans Transparency and Protection Act H.R. XXXVeterans in STEM Expansion Act H.R. XXXVeterans Recruitment Act S. 774Veterans Border Patrol Training Act H.R 728To direct the Assistant Secretary of Labor for Veterans Employment and Training to carry out a pilot program on short-term fellowship programs for veterans. H.R. 1554INVEST Act H.R. 1169VA E-Notification Enhancement Act H.R. XXthe Get Rewarding Outdoor Work for our Veterans Act(GROW Act) S. 334Retain Skilled Veterans Act S. 2209Veteran Federal Procurement Entrepreneurship Training Program Act of 2023 H.R. XXXEmploying Veterans to Feed America Act S. 2268Ensuring Interagency Cooperation to Support Veterans Act of 2023 H.R. XXXTo amend title 38, United States Code, to collect data regarding unemployed veterans residing in the Territories of the United States. H.R. 491Return Home to Housing Act H.R. 645Healthy Foundations for Homeless Veterans Act S. 1436CHARGE Act H.R. 3848the Housing Our Military Veterans Effectively Act of 2023 S. 38Veteran Entrepreneurship Training Act of 2023 H.R. 903Veterans Entrepreneurship Act of 2023 S. 1469Stop Stolen Valor for Service-Disabled Veteran-Owned Small Business Contractors Act H.R. 3511Service-Disabled Veteran Opportunities in Small Business Act H.R. 4225VA Acquisition Review Board Act of 2023 H.R. 4480SERV Act S. 2146Investing in VETS Act H.R. 5147Investing in VETS Act S. 1755Sergeant First Class Michael Clark TRICARE Reserve Select Parity Act H.R. 2935Sergeant First Class Michael Clark TRICARE Reserve Select Parity Act S. 497the Military Family Nutrition Access Act H.R. 1763the Military Family Nutrition Access Act of 2023 H.R. 2537the Basic Allowance for Housing (BAH) Restoration Act H.R. 2693 the Pay Our Coast Guard Act of 2023 S. XXXthe TPharm5 Access Oversight H.R. 1764the Military Food Security Act of 2023 S. 1766Department of Defense Overdose Data Act of 2023 H.R. 705Veterans Second Amendment Protection Act H.R. 4569Veteran Service Recognition Act

S. 570 Medicaid Dental Benefit Act; appropriations report language for oral health, smoking cessation, public health funding and medically necessary dental care under Medicare; coverage for dietary supplements in flexible spending accounts; and over-the-counter medicine approval process; HR 831 Medicare Medically Necessary Dental Care Act; H.R. 4150/S.1954 Improving Whole Health for Veterans with Chronic Conditions Act.

Client expense: Not reported · Firm income: $130,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Access to AEDs Act (H.R. 2370/S. 1024) Cardiac Arrest Survival Act (H.R. 1012) Easy Enrollment in Healthcare Act (H.R. 1113/S. 423) Palliative Care and Hospice Education and Training Act (no bill number - not yet introduced) Self-Insurance Protection Act (HR 2813) Telehealth Benefit Expansion for Workers Act (HR 824) Association Health Plans Act (HR 2868) Improving Whole Health for Veterans with Chronic Conditions Act (S. 1954) FAMILY Act (S. 1714/HR 3481) Social Determinants of Health Act of 2023 (no bill number) Preventing Maternal Deaths Reauthorization Act of 2023 (HR 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (HR 3226/S. 1573) Supporting the designation of September 2023 as "National Cholesterol Education Month", and September 30, 2023, as LDL-C Awareness Day. (H.R. 709) Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Physical Activity Omnibus Legislation (No Bill Number) Supporting no-cost coverage of preventive care under the U.S. Preventive Services Task Force

Client expense: $130,000 · Firm income: Not reported