DOCTORS Act

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 319, Legal Workforce Act H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1787, Carnivals are Real Entertainment Act H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 2915, Farm Workforce Support Act of 2023 H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, Afghan Allies Protection Act of 2023 H.R. 3911, Ukrainian Adjustment Act of 2023 H.R. 4048, Venezuelan Adjustment Act H.R. 4319, Farm Workforce Modernization Act of 2023 H.R. 4358, PHDs First Act H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327, Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665/S. 2438, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942/S. 665, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 H.R. 5990, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 H.R. 6205, Healthcare Workforce Resilience Act H.R. 6542, Immigration Visa Efficiency and Security Act of 2023 H.R. 7046/S. 3848, Supporting Farm Operations Act of 2024 H.R. 7574, Closing the Workforce Gap Act of 2024 H.R. 8392, To Add Ireland to the E-3 Nonimmigrant Visa Program H.R. 8752, Department of Homeland Security Appropriations Act, 2025 H.R. 8771/S. 4797, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 H.R. 9029/S. 4942, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R. 9747, Continuing Appropriations and Extensions Act, 2025 H.R. 10007 - To amend the Immigration and Nationality Act to authorize the admission of nonimmigrant emergency medical technicians and paramedics H.R. 10027 - To establish Joint Operations Centers along the southern border of the United States, and for other purposes H.R. 10375 - To amend the Immigration and Nationality Act and the Mutual Education and Cultural Exchange Act of 1961 to strengthen the critical minerals workforce in the United States S. 156, Accountability Through Electronic Verification Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 979, H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2606, Renewing Immigration Provisions of the Immigration Act of 1929 S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 S. 3013, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S. 3187, Southern Border Transparency Act of 2023 S. 3211, Healthcare Workforce Resilience Act S. 3255, Temporary Family Visitation Act S. 3291, EAGLE Act of 2023 S. 4069, Affordable and Secure Food Act of 2024 S. 4361, The Border Act of 2024 S. 4591, Save Our Seafood Act S. 4638, National Defense Authorization Act for Fiscal Year 2025 S. 4888, A bill to include Czechia in the list of foreign states whose nationals are eligible for admission into the United States as E-1 nonimmigrants if United States nationals are treated similarly by the Government of Czechia H.Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2B Visa Program and cap relief; H-2A Visa Program; H-4 rule; L-1 Visa Program; J-1 Programs; BridgeUSA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; expansion of the use of the E-Verify system; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, P.L. 117-103, Division BB; State Department policies extending consular interview waiver eligibility for various classifications of nonimmigrants; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for displaced Afghan nationals; expanding the eligibility for stateside renewal of work visas; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; reforms to the State Departments Visa Bulletin; implementation of the new optional I-9 document verification procedures; expanded mandatory detention of unauthorized aliens in the U.S.; expansion of expulsion/removal authorities; changes to the legal standard for credible fear interviews for asylum applicants; modifying asylum eligibility requirements; expanding availability of special immigrant visas for Afghan nationals; reforms to the adjudication process for inadmissibility waivers; regulatory proposals that change how the H-2A program will be administered; proposals that will adjust what types of foreign nationals are eligible for obtaining employment authorization and advance parole documents; expanding E visa eligibility; expanding and updating the J-1 Exchange Visitor Skill List

Client expense: $22,410,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), White House Office

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act (H.R. 6205/S.3211) Healthcare Workforce Resilience Act

Client expense: $1,072,997 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss opposition to Medicare site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Oppose changes to NPIs for hospital outpatient departments (H.R. 7623, H.R. 4509, H.R. 7623 as amended, H.R. 4822). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier (NPI) requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff and Congressional staff: support public health extenders and elimination of Medicaid DSH cut. Discuss support for the 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act (H.R. 7635), comment on SUSTAIN 340B Act discussion draft, support PATIENTS Act (H.R. 7635); oppose back-end rebate proposals. Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion and changes to GME program: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act (H.R. 7050); additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act (H.R. 7855); concerns on Rural Physician Workforce Preservation Act and opposition to modifications to ongoing slot distribution; Senate Finance Committee draft proposals to increase GME slots. Discuss with HHS staff and Congressional staff recommendations to address workforce shortages for nursing and ancillary health care workforce: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S.2768). Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Discuss expiring COVID-19 Public Health Emergency Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to extend PHE telehealth flexibilities and Acute Hospital Care at Home Waiver: H.R. 7623. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards (S.5218). Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Support Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702). Discuss legislative proposals on consumer medical debt with Congressional staff. Outreach to HHS Assistant Secretary for Preparedness and Response urging certain regulatory flexibilities to alleviate IV fluid shortages.

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to amending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.

Client expense: $632,324 · Firm income: Not reported

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 319, Legal Workforce Act H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1778, Better Agriculture Resources Now (BARN) Act H.R. 1787, To amend the Immigration and Nationality Act to provide nonimmigrant status to mobile entertainment workers, and for other purposes H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 2915, Farm Workforce Support Act of 2023 H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, Afghan Allies Protection Act of 2023 H.R. 3911, Ukrainian Adjustment Act of 2023 H.R. 4048, Venezuelan Adjustment Act H.R. 4319, Farm Workforce Modernization Act of 2023 H.R. 4358, PHDs First Act H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327, Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665/S. 2438, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942/S. 665, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 H.R. 5990, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 H.R. 6205, Healthcare Workforce Resilience Act H.R. 6542, Immigration Visa Efficiency and Security Act of 2023 H.R. 7046/S. 3848, Supporting Farm Operations Act of 2024 H.R. 7574, Closing the Workforce Gap Act of 2024 H.R. 8392, To Add Ireland to the E-3 Nonimmigrant Visa Program H.R. 8752, Department of Homeland Security Appropriations Act, 2025 H.R. 8771/S. 4797, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 H.R. 9029/S. 4942, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R. 9747, Continuing Appropriations and Extensions Act, 2025 S. 156, Accountability Through Electronic Verification Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 979,H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2606, Renewing Immigration Provisions of the Immigration Act of 1929 S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 S. 3013, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S. 3187, Southern Border Transparency Act of 2023 S. 3211, Healthcare Workforce Resilience Act S. 3255, Temporary Family Visitation Act S. 3291, EAGLE Act of 2023 S. 4069, Affordable and Secure Food Act of 2024 S. 4361, The Border Act of 2024 S. 4591, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S.4638, National Defense Authorization Act for Fiscal Year 2025 S. 4888, A bill to include Czechia in the list of foreign states whose nationals are eligible for admission into the United States as E-1 nonimmigrants if United States nationals are treated similarly by the Government of Czechia H.Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2B Visa Program and cap relief; H-2A Visa Program; H-4 rule; L-1 Visa Program; J-1 Programs; Bridge USA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; expansion of the use of the E-Verify system; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, P.L. 117-103, Division BB; State Department policies extending consular interview waiver eligibility for various classifications of nonimmigrants; USCIS Fee Schedule; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps; proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for Afghan nationals; expanding the eligibility for stateside renewal of work visas; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; reforms to the State Departments Visa Bulletin; implementation of the new optional I-9 document verification procedures; expanded mandatory detention of unauthorized aliens in the U.S.; expansion of expulsion/removal authorities; changes to the legal standard for credible fear interviews for asylum applicants; modifying asylum eligibility requirements; expanding availability of special immigrant visas for Afghan nationals; providing additional visas for foreign nationals to work in the U.S. on Defense Department Projects (FORTRESS Act Amendment); reforms to the adjudication process for inadmissibility waivers; regulatory proposals that change how the H-2A program will be administered; proposals that will adjust what types of foreign nationals are eligible for obtaining employment authorization and advance parole documents; expanding E visa eligibility; expanding and updating the J-1 Exchange Visitor Skill List

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $617,103 · Firm income: Not reported

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $617,103 · Firm income: Not reported

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions relating to dual intent residents H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions relating to Conrad 30 extension H.R. 9747, Continuing Appropriations and Extensions Act, 2025, provisions relating to continuing resolution through December 20

Client expense: $5,330,000 · Firm income: Not reported

H.R.2665, Supporting Safety Net Hospitals Act H.R.2389, the Resident Physician Shortage Reduction Act of 2023 H.R.3561 - PATIENT Act of 2023 H.R. 3887, the Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 3561, PATIENT Act of 2023 H.R. 5378, The Lower Costs, More Transparency Act S. 2719 Directing our Countrys Transfer of Residency Slots (DOCTORS) Act of 2023 S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act H.R. 2829 Chronic Care Management Improvement Act of 2023 H.R. 7397 -Reinforcing Essential Health Systems for Communities Act H.R. 6929 & S.3565, Affordable Connectivity Program Extension Act of 2024 Strengthening Pathways to Health Professions Act Fiscal Year 2025 Children's Hospitals Graduate Medical Education (CHGME) Appropriations Support Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare Site-neutral payment cuts Issues related to Medicaid DSH Cuts

Client expense: $460,000 · Firm income: Not reported

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss support for the 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act (H.R. 7635), comment on SUSTAIN 340B Act discussion draft, support PATIENTS Act (H.R. 7635). Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act (H.R. 7050); additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act (H.R. 7855). Oppose Rural Physician Workforce Preservation Act (H.R. 8235) and modifications to ongoing distribution of CAA, 2021 Section 126 GME slots. Discuss with HHS staff and Congressional staff recommendations to address workforce shortages for nursing and ancillary health care workforce with Congressional staff: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S.2768). Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Meet with Congressional staff to discuss technical amendment to CAA, 2021, Section 131. Respond to Senate Finance Committee request for information on Medicare GME and offer recommendations. Discuss opposition to site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier (NPI) requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Oppose Medicare site-neutral cuts, Medicare sequester cuts, and NPI proposals in H.R. 4822. Oppose changes to NPIs for hospital outpatient departments (H.R. 7623, H.R. 4509, H.R. 7623 as amended). Comment on legislative proposals in S.2840, the Primary Care and Health Workforce Expansion Act: oppose eliminating facility fees, oppose requiring a separate identification number for off-campus hospital outpatient departments. Discuss S.3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, with Congressional staff. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff. Discuss expiring COVID-19 Public Health Emergency Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to extend PHE telehealth flexibilities and Acute Hospital Care at Home Waiver: H.R. 7623. Support public health extenders and elimination of Medicaid DSH cut in CAA, 2024 (H.R. 4366). Meet with Congressional staff to discuss proposals for financial relief for hospitals affected by the Change Healthcare cyberattack. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards (S.5218). Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Support S.5026, SEPSIS Act. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Discuss FDA final rule to regulate laboratory developed tests (89 FR 37286) with Congressional staff. Support passage of Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702). Discuss legislative proposals on consumer medical debt with Congressional staff. Discuss life safety building code requirements with HHS.

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act (H.R. 6205/S.3211) Healthcare Workforce Resilience Act

Client expense: $928,743 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act (H.R. 6205/S.3211) Healthcare Workforce Resilience Act

Client expense: $1,045,426 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 29, Border Safety and Security Act of 2023 H.R. 163, Security First Act H.R. 319, Legal Workforce Act H.R. 489, Expedited Removal Codification Act of 2023 H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 672, Border Security Investment Act H.R. 815, National Security Act of 2024 H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1511, Renewing Immigration Provisions of the Immigration Act of 1929 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1778, Better Agriculture Resources Now (BARN) Act H.R. 1787, To amend the Immigration and Nationality Act to provide nonimmigrant status to mobile entertainment workers, and for other purposes H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 2882, Making Further Consolidated Appropriations for FY24 H.R. 2915, Farm Workforce Support Act of 2023 H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, Afghan Allies Protection Act of 2023 H.R. 3911, Ukrainian Adjustment Act of 2023 H.R. 4048, Venezuelan Adjustment Act H.R. 4319, Farm Workforce Modernization Act of 2023 H.R. 4358, PHDs First Act H.R. 4367/S. 2625, Department of Homeland Security Appropriations Act, 2024 H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327, Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665/S. 2438, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942/S. 665, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 H.R. 5894/S. 2624, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes. H.R. 5990, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 H.R. 6205, Healthcare Workforce Resilience Act H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024 H.R. 6542, Immigration Visa Efficiency and Security Act of 2023 H.R. 6904, Support Our Afghan Partners Act of 2023 H.R. 7046/S. 3848, Supporting Farm Operations Act of 2024 H.R. 7262, Closing the Workforce Gap Act of 2024 H.R. 7574, Closing the Workforce Gap Act of 2024 H.R. 8392, To Add Ireland to the E-3 Nonimmigrant Visa Program H.R. 8752, Department of Homeland Security Appropriations Act, 2025 H.R. 8771, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 S. 156, Accountability Through Electronic Verification Act S. 207, Temporary Protected Status Reform and Integrity Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 425, Secure and Protect Act of 2023 S. 505, Immigration Parole Reform Act of 2023 S. 979,H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1786, Afghan Allies Protection Act of 2023 S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2606, Renewing Immigration Provisions of the Immigration Act of 1929 S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 S. 3013, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S. 3187, Southern Border Transparency Act of 2023 S. 3211, Healthcare Workforce Resilience Act S. 3255, Temporary Family Visitation Act S. 3291, EAGLE Act of 2023 S. 4069, Affordable and Secure Food Act of 2024 S. 4361, The Border Act of 2024 S. 4591, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas H.J.Res 59/S.J.Res. 25, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Adverse Effect Wage Rate Methodology for the Temporary Employment of H-2A Nonimmigrants in Non-Range Occupations in the United States" H.Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Notice, U.S. Department of State; Pilot Program to Resume Renewal of H-1B Nonimmigrant Visas in the United States for Certain Qualified Noncitizens (88 Fed. Reg. 88,467-88,470, December 21, 2023) Request for Information, Employment Training Administration, Department of Labor; Labor Certification for Permanent Employment of Foreign Workers in the United States; Modernizing Schedule A To Include Consideration of Additional Occupations in Science, Technology, Engineering, and Mathematics (STEM) and Non-STEM Occupations (88 Fed. Reg. 88,290-88,295, December 21, 2023) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2B Visa Program and cap relief; H-2A Visa Program H-4 rule; L-1 Visa Program; J-1 Programs; Bridge USA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; expansion of the use of the E-Verify system; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, P.L. 117-103, Division BB; State Department policies extending consular interview waiver eligibility for various classifications of nonimmigrants; USCIS Fee Schedule; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for Afghan nationals; expanding the eligibility for stateside renewal of work visas; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; Visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; reforms to the State Departments Visa Bulletin; implementation of the new optional I-9 document verification procedures; expanded mandatory detention of unauthorized aliens in the U.S.; expansion of expulsion/removal authorities; changes to the legal standard for credible fear interviews for asylum applicants; modifying asylum eligibility requirements; expanding availability of special immigrant visas for Afghan nationals; providing additional visas for foreign nationals to work in the U.S. on Defense Department Projects (FORTRESS Act Amendment); reforms to the adjudication process for inadmissibility waivers; regulatory proposals that change how the H-2A program will be administered; proposals that will adjust what types of foreign nationals are eligible for obtaining employment authorization and advance parole documents; expanding E visa eligibility

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act, Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $742,323 · Firm income: Not reported

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions related to resident dual intent H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions related to Conrad 30 program

Client expense: $5,120,000 · Firm income: Not reported

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss support for the 340B Drug Pricing Program with Congressional staff and oppose certain changes. Respond to Senate request for information on 340B Drug Pricing Program - SUSTAIN 340B Act discussion draft. Oppose 340B ACCESS Act (H.R. 7635). Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act; additional GME slots in CAA, 2021 and CAA, 2023. Support the Rural Residency Planning and Development Act (H.R. 7855) to provide grant funding for rural hospitals seeking to develop GME programs. Oppose Rural Physician Workforce Preservation Act (H.R. 8235) and modifications to ongoing distribution of CAA, 2021 Section 126 GME slots. Discuss with Congressional staff legislative recommendations to address workforce shortages for nursing and ancillary health care workforce with Congressional staff: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act to create legal penalties for individuals who assault or intimidate hospital employees. Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Meet with Congressional staff to discuss technical amendment to CAA, 2021 Section 131. Respond to Senate Finance Committee request for information on Medicare GME and offer recommendations. Discuss federal support for nursing and allied health workforce with HHS staff. Discuss opposition to site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Oppose Medicare site-neutral cuts, sequester cuts, and national provider identifier proposals in H.R. 4822, the Health Care Price Transparency Act of 2023. Oppose H.R. 4509 to require a separate unique health identifier for hospital outpatient departments. Oppose changes to national provider identifier requirements in H.R. 7623. Comment on legislative proposals in S.2840, the Primary Care and Health Workforce Expansion Act: oppose eliminating facility fees, oppose requiring a separate identification number for off-campus hospital outpatient departments. Discuss S.3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, with Congressional staff. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff. Discuss telehealth issues with Congressional staff and support legislative proposals to extend PHE telehealth flexibilities. Support legislative proposals for additional extension of the Acute Hospital Care at Home waiver. Support public health extenders and elimination of Medicaid DSH cut in CAA, 2024 (H.R. 4366) and discuss with Congressional staff. Meet with Congressional staff to discuss proposals for financial relief for hospitals affected by the Change Healthcare cyberattack. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards. Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Discuss federal legislative proposals for sepsis reporting with Congressional staff. Discuss Earned Income Tax Credit and opposition to ERTC proposal in the Tax Relief for American Families and Workers Act of 2024 with Congressional staff. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Discuss FDA final rule to regulate laboratory developed tests (89 FR 37286) with Congressional staff. Support passage of Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702).

H.R.2665, Supporting Safety Net Hospitals Act H.R.2389, the Resident Physician Shortage Reduction Act of 2023 H.R.3561 - PATIENT Act of 2023 H.R. 3887, the Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 3561, PATIENT Act of 2023 H.R. 5378, The Lower Costs, More Transparency Act S. 2719 Directing our Countrys Transfer of Residency Slots (DOCTORS) Act of 2023 S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act H.R. 2829 Chronic Care Management Improvement Act of 2023 H.R. 7397 -Reinforcing Essential Health Systems for Communities Act H.R. 6929 & S.3565, Affordable Connectivity Program Extension Act of 2024 Strengthening Pathways to Health Professions Act Fiscal Year 2025 Children's Hospitals Graduate Medical Education (CHGME) Appropriations Support Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare Site-neutral payment cuts Issues related to Medicaid DSH Cuts

Client expense: $450,000 · Firm income: Not reported

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act (H.R. 6205/S.3211) Healthcare Workforce Resilience Act

Client expense: $1,045,426 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 29, Border Safety and Security Act of 2023 H.R. 163, Security First Act H.R. 319, Legal Workforce Act H.R. 489, Expedited Removal Codification Act of 2023 H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 672, Border Security Investment Act H.R. 815, Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1511, Renewing Immigration Provisions of the Immigration Act of 1929 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1778, Better Agriculture Resources Now (BARN) Act H.R. 1787, To amend the Immigration and Nationality Act to provide nonimmigrant status to mobile entertainment workers, and for other purposes H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 2882, Making Further Consolidated Appropriations for FY24 H.R. 2915, Farm Workforce Support Act of 2023 H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, Afghan Allies Protection Act of 2023 H.R. 3911, Ukrainian Adjustment Act of 2023 H.R. 4048, Venezuelan Adjustment Act H.R. 4319, Farm Workforce Modernization Act of 2023 H.R. 4358, PHDs First Act H.R. 4367/S. 2625, Department of Homeland Security Appropriations Act, 2024 H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327, Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665/S. 2438, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942 S. 665/, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 H.R. 5894/S. 2624, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes. H.R. 5990, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 H.R. 6205, Healthcare Workforce Resilience Act H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024 H.R. 6542, Immigration Visa Efficiency and Security Act of 2023 H.R. 6904, Support Our Afghan Partners Act of 2023 H.R. 7046/S. 3848, Supporting Farm Operations Act of 2024 H.R. 7262, Closing the Workforce Gap Act of 2024 H.R. 7574, Closing the Workforce Gap Act of 2024 S. 156, Accountability Through Electronic Verification Act S. 207, Temporary Protected Status Reform and Integrity Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 425, Secure and Protect Act of 2023 S. 505, Immigration Parole Reform Act of 2023 S. 979,H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1786, Afghan Allies Protection Act of 2023 S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2606, Renewing Immigration Provisions of the Immigration Act of 1929 S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 S. 3013, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S. 3187, Southern Border Transparency Act of 2023 S. 3211, Healthcare Workforce Resilience Act S. 3255, Temporary Family Visitation Act S. 3291, EAGLE Act of 2023 H.J. Res 59/S. J. Res. 25, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Adverse Effect Wage Rate Methodology for the Temporary Employment of H-2A Nonimmigrants in Non-Range Occupations in the United States" H. Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2A Visa Program; H-4 rule; L-1 Visa Program; J-1 Bridge USA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); FY24 funding for Customs and Border Protection staffing; Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; expansion of the use of the E-Verify system; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, (P.L. 117-103), Division BB; State Department policy extending consular interview waiver eligibility for various classifications of nonimmigrants; USCIS Fee Schedule; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps; proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for Afghan nationals; reinstitution of stateside visa revalidation services; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; Visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; instituting a second FY24 H-1B lottery to insure usage of all cap-subject H-1B visas; reforms to the State Departments Visa Bulletin; implementation of the new optional I-9 document verification procedures; expanded mandatory detention of unauthorized aliens in the U.S.; expansion of expulsion/removal authorities; changes to the legal standard for credible fear interviews for asylum applicants; modifying asylum eligibility requirements; expanding availability of special immigrant visas for Afghan nationals

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions relating to dual intent for residents H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions related to the Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions related to Conrad 30 Extension Immigrants/Barriers to Medicaid and CHIP

Client expense: $7,280,000 · Firm income: Not reported

H.R.2665, Supporting Safety Net Hospitals Act H.R.2389, the Resident Physician Shortage Reduction Act of 2023 H.R.3561 - PATIENT Act of 2023 H.R. 3887, the Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 3561, PATIENT Act of 2023 H.R. 5378, The Lower Costs, More Transparency Act S. 2719 Directing our Countrys Transfer of Residency Slots (DOCTORS) Act of 2023 S. 3196 - Ensuring Medicaid Continuity for Children in Foster Care Act H.R. 2829 Chronic Care Management Improvement Act of 2023 H.R. 7397 -Reinforcing Essential Health Systems for Communities Act Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare Site-neutral payment cuts Issues related to Medicaid DSH Cuts

Client expense: $420,000 · Firm income: Not reported

H.R. 4942/S. 665, Conrad State 30 and Physician Access Reauthorization; H.R. 3993/S. 2128, Stop Shackling and Detaining Pregnant Women Act; H.R. 6980/S. 2719, DOCTORS Act

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, SENATE

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act (H.R. 6205/S.3211) Healthcare Workforce Resilience Act

Client expense: $825,016 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 2719, DOCTORS Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, all provisions Dual intent resident visas

Client expense: $5,740,000 · Firm income: Not reported

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 29, Border Safety and Security Act of 2023 H.R. 163, Security First Act H.R. 319, Legal Workforce Act H.R. 489, Expedited Removal Codification Act of 2023 H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 672, Border Security Investment Act H.R. 815, Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1511, Renewing Immigration Provisions of the Immigration Act of 1929 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1778, Better Agriculture Resources Now (BARN) Act H.R. 1787, To amend the Immigration and Nationality Act to provide nonimmigrant status to mobile entertainment workers, and for other purposes H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3516, Farmworker Access and Waiver Act H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, To amend the Afghan Allies Protection Act of 2009 to authorize additional special immigrant visas, to require a strategy for efficient processing, and to establish designated senior special immigrant visa coordinating officials, and for other purposes H.R. 4048, Venezuelan Adjustment Act H.R. 4358, PHDs First Act H.R. 4367, Department of Homeland Security Appropriations Act, 2024 H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327, Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, including provisions related to amendment 133, to eliminate all funding for the Educational and Cultural Exchange programs account H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942 S. 665/, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 H.R. 5990, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 H.R. 6205, Healthcare Workforce Resilience Act H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024 H.R. 6542, Immigration Visa Efficiency and Security Act of 2023 S. 156, Accountability Through Electronic Verification Act S. 207, Temporary Protected Status Reform and Integrity Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 425, Secure and Protect Act of 2023 S. 505, Immigration Parole Reform Act of 2023 S. 979,H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1786, Afghan Allies Protection Act of 2023 S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 S. 3013, A bill to permanently authorize the exemption of aliens working as fish processors from the numerical limitation on H-2B nonimmigrant visas S. 3187, Southern Border Transparency Act of 2023 S. 3211, Healthcare Workforce Resilience Act S. 3255, Temporary Family Visitation Act S. 3291, EAGLE Act of 2023 H.J. Res 59/S. J. Res. 25, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Adverse Effect Wage Rate Methodology for the Temporary Employment of H-2A Nonimmigrants in Non-Range Occupations in the United States" H. Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Notice of Proposed Rulemaking, Employment and Training Administration and Wage and Hour Division, Department of Labor; Improving Protections for Workers in Temporary Agricultural Employment in the United States (88 Fed. Reg. 63,750-63,832, September 15, 2023) Notice of Proposed Rulemaking, U.S. Citizenship and Immigration Services, Department of Homeland Security; Modernizing H-2 Program Requirements, Oversight, and Worker Protections (88 Fed. Reg. 65,040-65,108, September 20, 2023) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2A Visa Program; H-4 rule; L-1 Visa Program; J-1 Bridge USA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); FY24 funding for Customs and Border Protection staffing; Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; expansion of the use of the E-Verify system; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, P.L. 117-103, Division BB; State Department policy extending consular interview waiver eligibility for various classifications of nonimmigrants; USCIS Fee Schedule; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps; proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for Afghan refugees; reinstitution of stateside visa revalidation services; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; Visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; instituting a second FY24 H-1B lottery to insure usage of all cap-subject H-1B visas; reforms to the State Departments Visa Bulletin; implementation of the new optional I-9 document verification procedures; expanded mandatory detention of unauthorized aliens in the U.S.; expansion of expulsion/removal authorities; changes to the legal standard for credible fear interviews for asylum applicants; modifying asylum eligibility requirements

H.R.2665, Supporting Safety Net Hospitals Act H.R.2389, the Resident Physician Shortage Reduction Act of 2023 H.R.3561 - PATIENT Act of 2023 H.R. 3887, the Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 3561, PATIENT Act of 2023 H.R. 5378, The Lower Costs, More Transparency Act S. 2719 Directing our Countrys Transfer of Residency Slots (DOCTORS) Act of 2023 Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare Site-neutral payment cuts

Client expense: $560,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots (H.R. 6298/S. 3247) Stop Shackling and Detaining Pregnant Women Act

Client expense: $816,759 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots

Client expense: $786,279 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2, Secure the Border Act of 2023 H.R. 16, American Dream and Promise Act of 2023 H.R. 29, Border Safety and Security Act of 2023 H.R. 163, Security First Act H.R. 319, Legal Workforce Act H.R. 489, Expedited Removal Codification Act of 2023 H.R. 575, Moving H-2A to United States Department of Agriculture Act of 2023 H.R. 614, Commercial Fishing and Seafood Business Act of 2023 H.R. 672, Border Security Investment Act H.R. 1325/S. 255, Asylum Seeker Work Authorization Act of 2023 H.R. 1511, Renewing Immigration Provisions of the Immigration Act of 1929 H.R. 1535, Eliminating Backlogs Act of 2023 H.R. 1760, To extend the admission to Guam or the Commonwealth of the Northern Mariana Islands for certain nonimmigrant H-2B workers H.R. 1778, Better Agriculture Resources Now (BARN) Act H.R. 1787, To amend the Immigration and Nationality Act to provide nonimmigrant status to mobile entertainment workers, and for other purposes H.R. 2393, Combating Cartels on Social Media Act of 2023 H.R. 2758, Returning Worker Accountability Act of 2023 H.R. 2827/S. 1301, Partner with Korea Act H.R. 3308/S. 874, Farm Operations Support Act H.R. 3442/S. 1667, Protecting Children of Long-Term Visa Holders Act of 2023 H.R. 3516, Farmworker Access and Waiver Act H.R. 3599, DIGNITY Act H.R. 3734, Essential Workers for Economic Advancement Act H.R. 3808, To amend the Afghan Allies Protection Act of 2009 to authorize additional special immigrant visas, to require a strategy for efficient processing, and to establish designated senior special immigrant visa coordinating officials, and for other purposes H.R. 4048, Venezuelan Adjustment Act H.R. 4358, PHDs First Act H.R. 4367, Department of Homeland Security Appropriations Act, 2024 H.R. 4448, Canadian Snowbird Visa Act H.R. 4627/S. 2327 Afghan Adjustment Act H.R. 4647, High-skilled Immigration Reform for Employment Act H.R. 4665, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024, including provisions related to amendment 133, to eliminate all funding for the Educational and Cultural Exchange programs account H.R. 4708, H-2 Improvements to Relieve Employers (HIRE) Act H.R. 4942 S. 665/, Conrad State 30 and Physician Access Reauthorization Act H.R. 5127, Visitor Visa Wait Time Reduction Act H.R. 5155, Temporary Family Visitation Act H.R. 5477/S. 2384, Keep STEM Talent Act of 2023 S. 156, Accountability Through Electronic Verification Act S. 207, Temporary Protected Status Reform and Integrity Act S. 243, A bill to require the Commissioner of U.S. Customs and Border Protection to establish procedures for conducting maintenance projects at ports of entry at which the Office of Field Operations conducts certain enforcement and facilitation activities S. 255, Asylum Seeker Work Authorization Act of 2023 S. 365, Dream Act of 2023 S. 387, Canadian Snowbirds Act of 2023 S. 425, Secure and Protect Act of 2023 S. 505, Immigration Parole Reform Act of 2023 S. 979,H-1B and L-1 Visa Reform Act of 2023 S. 1253, Securing America's Ports of Entry Act of 2023 S. 1727, Safe Environment from Countries Under Repression and Emergency (SECURE) Act S. 1786, Afghan Allies Protection Act of 2023 S. 1926, A bill to amend the Caribbean Basin Economic Recovery Act to make Uruguay eligible for designation as a beneficiary country under that Act, to include Uruguay in the list of foreign states whose nationals are eligible for admission into the United States as E1 and E2 nonimmigrants if nationals of the United States are treated similarly by the Government of Uruguay, and to require a report on the eligibility of Uruguay for the visa waiver program, and for other purposes S. 2278, Border Enforcement, Security, and Trade (BEST) Facilitation Act of 2023 S. 2324, Ensuring American Security and Protecting Afghan Allies Act S. 2632, Visa Processing Improvement Act S. 2705, State Executive Authority for Seasonal Occupations Needing Additional Labor (SEASONAL) Act S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act S. 2785, Higher Wages for American Workers Act of 2023 H.J. Res 59/S. J. Res. 25, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Adverse Effect Wage Rate Methodology for the Temporary Employment of H-2A Nonimmigrants in Non-Range Occupations in the United States" H. Res. 481, Expressing the sense of the House of Representatives that BridgeUSA exchange programs are vital to the economy and national interests of the United States, and that Congress should prioritize robust support to ensure equitable opportunities for Americans and people from other countries Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-1B reform; H-2 Visa Program and temporary rule; H-2A Visa Program; H-4 rule; L-1 Visa Program; J-1 Bridge USA program; EB-5 Visa Program; E-Verify program; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; delays in H-4 and L-2 Status Extensions and Employment Authorization Documents (EADs); FY24 funding for Customs and Border Protection staffing; Office of Foreign Labor Certifications Planned Implementation of Form ETA-9089, Application for Permanent Employment Certification, into DOLs Foreign Labor Application Gateway (FLAG) System; high-skilled immigration; lesser skilled immigration; temporary agricultural guest workers; temporary non-agricultural guest workers; optional practical training program; asylum and refugee programs; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; size and administration of employment-based nonimmigrant visa categories; I-9 employment verification; interior enforcement; increased vetting of visa applicants; unfair immigration related employment practices; international travel; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; EB-5 Regional Center Program and the Implementation of the EB-5 Reform and Integrity Act of 2022, P.L. 117-103, Division BB; temporary DHS guidance for the I-9 employment verification process in the wake of COVID-19; State Department policy extending consular interview waiver eligibility; State Department Consular Fee schedule; USCIS Fee Schedule; regulatory proposals that would restrict applicant eligibility for the H-1B program; regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment-based nonimmigrant and immigrant visas; proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future; regulatory proposals that would change how the period of admission for student visa holders and exchange visa holders is determined; regulatory proposals that will temporarily raise the annual quota for H-2B visas; regulatory proposals reopening and expanding consular operations; recapturing unused immigrant visas from prior years; creating exemptions to the current immigrant visa caps; proposals that would expand consular interview waivers for prospective immigrant and nonimmigrant visa applicants abroad; proposals that would provide relief for Afghan refugees; reinstitution of stateside visa revalidation services; implementation of electronic visa foils in passports; consular service delays; USCIS processing delays; DOL processing delays; Visa relief for long term foreign national workers laid off by their employers while waiting for their green cards in the immigrant visa backlogs; improving wait times for CBP Processing at Ports of Entry; expanding and implementing new CBP preclearance facilities abroad; reforms to the use of parole authority; extending the validity period for employment authorization documents; instituting a second FY24 H-1B lottery to insure usage of all cap-subject H-1B visas; reforms to the State Departments Visa Bulletin; Implementation of the new optional I-9 document verification procedures

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions Healthcare Workforce Resilience Act/reintroduction Conrad 30 waiver

Client expense: $3,420,000 · Firm income: Not reported

H.R.2665, Supporting Safety Net Hospitals Act H.R.2389, the Resident Physician Shortage Reduction Act of 2023 H.R.3561 - PATIENT Act of 2023 H.R. 3887, the Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 3561, PATIENT Act of 2023 H.R. 5378, The Lower Costs, More Transparency Act S. 2719 Directing our Countrys Transfer of Residency Slots (DOCTORS) Act of 2023 Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare Site-neutral payment cuts

Client expense: $440,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

(S. 665) Conrad 30 and Physician Access Act (S. 2719) Directing Our Country's Transfer of Residency Slots

Client expense: $786,279 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE