PEER Support Act

Womens Health Protection Act Mental Health Workforce Shortages Meeting with various administrative agencies on expanding access to mental health care in rural areas Forthcoming House bill on capital investments in rural mental health Federal policies affecting access to contingency management services for substance use disorders H. R. 498 / S.1493, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 501 Block, Report, And Suspend Suspicious Shipments Act H.R. 773/S. 3165, Homelessness and Behavioral Health Care Coordination Act of 2023 H.R. 1359/S. 644 Modernizing Opioid Treatment Access Act H.R. 1423 911 Community Crisis Responders Act of 2023 H.R. 1502 Comprehensive Opioid Recovery Centers Reauthorization Act of 2023 H.R. 2474 - The Strengthening Medicare for Patients and Providers Act H.R.2577/S.1137,DHS Suicide Prevention and Resiliency for Law Enforcement Act H.R. 3074/S. 971 The Due Process Continuity of Care Act HR 3305 Black Maternal Health Momnibus Act H.R. 3375 STOP Fentanyl Overdoses Act H.R. 3752 Parity Enforcement Act of 2023 H.R.4310/S.2233, Youth Poisoning Protection Act H.R. 4531 / S. 2433, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4851, 9-8-8 Implementation Act of 2023 H.R. 4884 /S. 2476 Mental Health for Latinos Act of 2023 H.R.4974, Local 988 Response Act H.R. 5866, Substance Use Disorder and Family Engagement (SAFE) in Recovery Act H.R. 6284/S. 3260 Improving Measurements for Loneliness and Isolation Act of 2023 H.R. 6475 Health Disparity Zones Act of 2023 H.R.6928 CONNECT Act of 2024 H.R. 7301 Certified Community Behavioral Health Clinic Expansion Act of 2024 H.R. 8390 Mental Health and MAMA Act of 2024 H.R. 8503 Integrated Care for Dual Eligibles H.R. 9577 STOP Suicide Act S.669/H.R. 8458 Increasing Mental Health Options Act of 2023 S. 923 Better Mental Health Care for Americans Act S. 1378/ H.R 5819 COMPLETE Care Act S.2350, National Strategy for Social Connection Act Reintroduction of The Behavioral Health Coverage Transparency Act Reintroduction of The Parity Enforcement Act of 2023 H.R. 5804, The Mental Health Infrastructure Improvement Act Reintroduction of The Comprehensive Addiction Resources Emergency Act Reintroduction of The Stop Online Suicide Assistance Forums Act S.2511, the ADAPT Act S. 2688 / H.R. 5116, the Behavioral Health IT Coordination Act S. 2733, PEER Support Act H.R. 7808, EARLY Minds Act H.R. 6407 / S. 3297, Medical Nutrition Therapy Act S.3364, Kids Providing Resources for Optimal Outcomes Against Fatalities Act of 2024 (KID Proof Act) S.3085, Preventing Adverse Childhood Experiences Act (PACE Act) S. 3393 SUPPORT for Patients and Communities Reauthorization Act S.3498 Promoting Effective and Empowering Recovery Services in Medicare Act of 2023S. 3557 Public Health Impact of Opioid Drugs S. 3769, Alternative Pathways to Child Abuse Prevention Act S. 4312 United States Senate Commission on Mental Health Act of 2024 S. 4338 Pay PCPs Act of 2024 Dear Colleague letter to CMS re: coverage of digital therapeutics Reauthorization of the Older Americans Act Caregiving for older adults Title IV-B of the Social Security Act H.R. 3432/S. 3651, Telemental Health Care Access Act Mental Health Parity Final Rule Meeting with the Tri-Departments (DOL, HHS and Treasury) H.R 3312, S. 1602, Moms Matter Act S.4811, Prevention Services for Youth Act S.4812, Strengthening Supports for Youth Act H.R.9875, Child Safety and Well-Being Act Response to RFI re: 21st Century Cures 2.0 Response to RFI regarding regulation of cannabis and hemp products Research regarding the safety and efficacy of psychedelic-assisted therapy   Flexibility to prescribe certain controlled medications via telehealth for the treatment of mental health and substance use disorders Support of the proposed rule on georouting solutions for the 988 Suicide & Crisis Lifeline (988 Lifeline) Medicare coverage policies regarding mental health and substance use disorder services

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Substance Use Disorder Workforce, including scholarship opportunities Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization (H.R.3073/S.1452) Community Mental Wellness and Resilience Act (H.R.2412) Helping Kids Cope Act (H.R.3713) Mental Health Services for Students Act (H.R.4851) 9-8-8 Implementation Act of 2023 (H.R.4950) IMPROVE Addiction Care Act (H.R. 4531/ S.3393) Support for Patients and Communities Reauthorization Act (H.R. 773/S.3165) Homelessness and Behavioral Health Care Coordination Act of 2023 Issues surrounding 9-8-8 georouting (H.R.7536/S.3085) Preventing Adverse Childhood Experiences (PACE) Act (H.R.7212/S.2733) Providing Empathetic and Effective Recovery (PEER) Support Act Issues surrounding ACO flex model Issues surrounding Mental Health Parity and Addiction Equity Act rules (H.R. 8375) Strengthening Our Pediatric Mental Health Workforce Act (H.R. 8376) Latino Youth MH Empowerment Act (H.R. 8377) Youth Suicide Prevention Research Act (H.R. 8680) Community Mental Wellness Worker Training Act (H.R. 9581) STAR Plus Scholarship Act Issues surrounding health workforce education scholarship and loan programs S.Res.769 - A resolution recognizing the importance of mental health for youth in the United States, and expressing the pressing need for awareness and support for mental health care for children and adolescents

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

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 & H.R.2630 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 & S.3651 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 & H.R. 7212 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists H.R. 7069 Peer Support for Firefighters Act: To increase mental health resources to firefighters H.R. 7140 Mental Health Transparency Act: To require the disclose of percentage of in-network participation for certain provider types H.R. 7924 To amend the Higher Education Act of 1965 to support graduate programs in mental and behavioral health professions at minority-serving institutions and for other purposes: To help increase the diversity of the mental health workforce. H.R. 7153 & S.3679 Dr. Lorna Breen Health Care Act: To provide mental health resources for health care providers H.R. 6982 & S.3579: The Gambling Addiction, Recovery, Investment, and Treatment (GRIT) Act: Federal funds to research gambling addiction and treatment H.R. 4880 PACE Act: the ability to waive sovereign immunity in certain circumstances where jurisdictions prohibit monetary bail H.R. 6928 Connect Act: grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. H.R. 8377 Youth Suicide Prevention Research Act: Research to decrease youth suicide H.R. 8375 Strengthening our Pediatric Mental Health Workforce: Using Medicaid and CHIP to increase pediatric mental and behavioral health opportunities H.R. 8376 Latino Youth Mental Health Empowerment Act: Awareness campaign regarding Latino youth mental health H.Res 385/S.Res 205: Supporting the designation of May 10, 2023, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day: Raising MH awareness in AANHPI communities H.R. 7808 Early Minds Act: Supporting funding for early interventions and prevention mental health services. H.R. 8680 To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to train community mental wellness workers: To increase the mental health workforce S. 5112 Crisis Care Access Act: Payment for crisis stabilization services S. 4812 Strengthen Supourt for Youth Act: Funding for research on youth mental health S.4835/H.R.9133 The Primary and Behavioral Health Care Access Act: Access to mental health care without cost sharing. H.R.3432/S.3651 The Telemental Health Care Access Act: ensuring coverage of telemental health H.R.9422 The Recovery Act: Increase substance use disorder access to care in Medicaid H.R. 9581: STAR Plus Scholarship Act: Increasing the mental health workforce H.R. 9577 Stop Suicide Act: Increase mental health stabilization services H.R. 9796 CHIERS Act: Transportation services for those with SUD S.5182 UNDERSTAND Health Act: Data on social determents of health Support for the Centers for Medicare and Medicaid to strengthen maternal health care proposals in the CY 25 hospital outpatient prospective payment system proposed rule. Support for the Centers for Medicare and Medicaid to finalize CY 25 Medicare outpatient prospective payment system proposals rule to improve access to Medicare for people on parole, probation, and other status groups Support for CMS to cover digital Mental health treatment the CY 2025 Physician fee schedule proposed rule Support for the final rule to strengthen the mental health parity enforcement provisions of the federal Mental Health and Addiction Equity Act.

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; and substance misuse/behavioral health issues. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (S. 3085) 2.Mental Health Services for Students Act (S. 1884/H.R. 3713) 3.Helping Kids Cope Act (H.R. 2412) 4.Advancing Student Services in Schools Today Act (S. 1774/H.R. 3761) 5.Student Mental Health Rights Act (H.R. 3726) 6.Pursuing Equity in Mental Health Act (S. 1700/H.R. 3548) 7.RISE from Trauma Act (S. 1426) 8.Better Mental Health Care for Americans Act (S. 923) 9.Reentry Act (S. 1165/H.R. 2400) 10.FY 2024 Labor, HHS, Education and Related Agencies Appropriations 11.FY 2025 Labor, HHS, Education and Related Agencies Appropriations 12.Farm Bill 13.Improving Social Determinants of Health Act (H.R. 4781/S. 3847) 14.Health Equity and Accountability Act of 2024 (H.R. 9161/S.4773) 15.Social Determinants Accelerator Act (Not yet introduced) 16.The UNDERSTAND Act (S. 5182) 17.SNAP Nutrition Security Act of 2023 (S.2326/ H.R.4909) 18.SWEET Act (Not yet introduced) 19.OH SNAP, Close the Fruit and Vegetable Gap Act of 2023 (S. 2015/ H.R. 4149) 20.FY 2026 Labor, HHS, Education and Related Agencies Appropriations 21.The TRUTH in Labeling Act (H.R.6766/ S.3512) 22.Personal Health Investment Today (PHIT) Act (Not yet introduced) 23.Child Nutrition Reauthorization 24.Whole Milk for Healthy Kids Act of 2023 (H.R. 1147/ S. 1957) 25.Promoting Physical Activity for Americans Act (S.397) 26.CDC Oral Health Reauthorization Act (Not yet introduced) 27.GusNIP Expansion Act of 2023 (H.R. 4856) 28.Senior Hunger Prevention Act of 2023 (S. 1036/ H.R. 3474) 29.Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) 30.Older Americans Act (Not yet introduced) 31.Protecting the Health of Americas Older Adults Act (Not yet introduced) 32.REAADI Act (S. 1049) 33.Improving Data in Public Health Act (H.R. 3791) 34.Pandemic and All-Hazards Preparedness Act Reauthorization (H.R. 4420, H.R. 4421) 35.Public Health Infrastructure Saves Lives Act (S. 1995) 36.BIO Early Warning Act (Not yet introduced) 37.The Support for Patients and Communities Reauthorization Act (H.R. 4531) 38.The PEER Support Act (S. 2733/H.R. 7212) 39.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S. 1378) 40.The Barriers to Suicide Act (H.R. 3759) 41.The 9-8-8 Implementation Act (H.R. 4851) 42.Influenza Act (H.R. 5846) 43.Bipartisan Primary Care and Health Workforce Act (S. 2840) 44.National Defense Authorization Act (S. 2226) 45.A resolution declaring racism a public health crisis (S. Res 319) 46.Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415) 47.Continuity in Necessary Evaluative Crisis Treatment (CONNECT) Act (H.R. 6928) 48.Local 988 Response Act (S. 3444) 49.Better Mental Health Care, Lower Drug Cost, and Extenders Act (S. 3430) 50.Lead-Safe Housing for Kids Act (Not yet introduced) 51.The Medicaid Bump Act (S. 3921/H.R. 4892) 52.The Kid PROOF Act (S. 3364/H.R. 6663) 53.EARLY Minds Act (H.R. 7808) 54.Campus Prevention and Recovery Services for Students Act (H.R. 9214) 55.Stabilization to Prevent (STOP) Suicide Act (H.R. 9577) 56.FY 2025 Interior, Environment and Related Agencies Appropriations 57.American Family Act (H.R. 3899) 58.H.Res.1375 - Recognizing the threat of extreme weather to children's health and well-being, and expressing the sense of Congress that solutions must be rapidly and equitably developed and deployed to address the unique vulnerabilities and needs of children. House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, White House Domestic Policy Council, HHS, CDC, FDA, CMS, OMB, NIH, USDA, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; and substance misuse/behavioral health issues. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (S. 3085) 2.Mental Health Services for Students Act (S. 1884/H.R. 3713) 3.Helping Kids Cope Act (H.R. 2412) 4.Advancing Student Services in Schools Today Act (S. 1774/H.R. 3761) 5.Student Mental Health Rights Act (H.R. 3726) 6.Pursuing Equity in Mental Health Act (S. 1700/H.R. 3548) 7.RISE from Trauma Act (S. 1426) 8.Better Mental Health Care for Americans Act (S. 923) 9.Reentry Act (S. 1165/H.R. 2400) 10.FY 2024 Labor, HHS, Education and Related Agencies Appropriations 11.FY 2025 Labor, HHS, Education and Related Agencies Appropriations 12.Farm Bill 13.Improving Social Determinants of Health Act (H.R. 4781/S. 3847) 14.Social Determinants Accelerator Act (Not yet introduced) 15.SNAP Nutrition Security Act of 2023 (S.2326/ H.R.4909) 16.SWEET Act (Not yet introduced) 17.OH SNAP, Close the Fruit and Vegetable Gap Act of 2023 (S. 2015/ H.R. 4149) 18.Personal Health Investment Today (PHIT) Act (Not yet introduced) 19.Child Nutrition Reauthorization 20.Whole Milk for Healthy Kids Act of 2023 (H.R. 1147/ S. 1957) 21.Promoting Physical Activity for Americans Act (S.397) 22.CDC Oral Health Reauthorization Act (Not yet introduced) 23.GusNIP Expansion Act of 2023 (H.R. 4856) 24.Senior Hunger Prevention Act of 2023 (S. 1036/ H.R. 3474) 25.Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) 26.Older Americans Act (Not yet introduced) 27.Protecting the Health of Americas Older Adults Act (Not yet introduced) 28.REAADI Act (S. 1049) 29.Improving Data in Public Health Act (H.R. 3791) 30.Pandemic and All-Hazards Preparedness Act Reauthorization (H.R. 4420, H.R. 4421) 31.Public Health Infrastructure Saves Lives Act (S. 1995) 32.BIO Early Warning Act (Not yet introduced) 33.The Support for Patients and Communities Reauthorization Act (H.R. 4531) 34.The PEER Support Act (S. 2733/H.R. 7212) 35.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S. 1378) 36.The Barriers to Suicide Act (H.R. 3759) 37.The 9-8-8 Implementation Act (H.R. 4851) 38.Influenza Act (H.R. 5846) 39.Bipartisan Primary Care and Health Workforce Act (S. 2840) 40.National Defense Authorization Act (S. 2226) 41.A resolution declaring racism a public health crisis (S. Res 319) 42.Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415) 43.Continuity in Necessary Evaluative Crisis Treatment (CONNECT) Act (H.R. 6928) 44.Local 988 Response Act (S. 3444) 45.Better Mental Health Care, Lower Drug Cost, and Extenders Act (S. 3430) 46.Lead-Safe Housing for Kids Act (Not yet introduced) 47.The Medicaid Bump Act (S. 3921/H.R. 4892) 48.The Kid PROOF Act (S. 3364/H.R. 6663) 49.FY 2025 Interior, Environment and Related Agencies Appropriations 50.EARLY Minds Act (H.R. 7808) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, White House Domestic Policy Council, HHS, CDC, FDA, CMS, OMB, NIH, USDA, HRSA, SAMHSA, and Federal Communications Commission (FCC).

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 & H.R.2630 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 & S.3651 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 & H.R. 7212 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists H.R. 7069 Peer Support for Firefighters Act: To increase mental health resources to fire fighters H.R. 7140 Mental Health Transparency Act: To require the disclose of percentage of in-network participation for certain provider types H.R. 7924 To amend the Higher Education Act of 1965 to support graduate programs in mental and behavioral health professions at minority-serving institutions and for other purposes: To help increase the diversity of the mental health workforce. H.R. 7153 & S.3679 Dr. Lorna Breen Health Care Act: To provide mental health resources for health care providers H.R. 6982 & S.3579: The Gambling Addiction, Recovery, Investment, and Treatment (GRIT) Act: Federal funds to research gambling addiction and treatment H.R. 4880 PACE Act: the ability to waive sovereign immunity in certain circumstances where jurisdictions prohibit monetary bail H.R. 6928 Connect Act: grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. H.R. 8377 Youth Suicide Prevention Research Act: Research to decrease youth suicide H.R. 8375 Strengthening our Pediatric Mental Health Workforce: Using Medicaid and CHIP to increase pediatric mental and behavioral health opportunities H.R. 8376 Latino Youth Mental Health Empowerment Act: Awareness campaign regarding Latino youth mental health H.Res 385/S.Res 205: Supporting the designation of May 10, 2023, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day: Raising MH awareness in AANHPI communities H.R. 7808 Early Minds Act: Supporting funding for early interventions and prevention mental health services. H.R. 8680 To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to train community mental wellness workers: To increase the mental health workforce

Substance Use Disorder Workforce, including scholarship opportunities Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization (H.R.3073/S.1452) Community Mental Wellness and Resilience Act (H.R.2412) Helping Kids Cope Act (H.R.3713) Mental Health Services for Students Act (H.R.4851) 9-8-8 Implementation Act of 2023 (H.R.4950) IMPROVE Addiction Care Act (H.R. 4531/ S.3393) Support for Patients and Communities Reauthorization Act (H.R. 773/S.3165) Homelessness and Behavioral Health Care Coordination Act of 2023 Issues surrounding 9-8-8 georouting (H.R.7536/S.3085) Preventing Adverse Childhood Experiences (PACE) Act (H.R.7212/S.2733) Providing Empathetic and Effective Recovery (PEER) Support Act Issues surrounding ACO flex model Issues surrounding Mental Health Parity and Addiction Equity Act rules (H.R. 8375) Strengthening Our Pediatric Mental Health Workforce Act (H.R. 8376) Latino Youth MH Empowerment Act (H.R. 8377) Youth Suicide Prevention Research Act (H.R. 8680) Community Mental Wellness Worker Training Act

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

Womens Health Protection Act Mental Health Workforce Shortages Meeting with various administrative agencies on expanding access to mental health care in rural areas Forthcoming House bill on capital investments in rural mental health Federal policies affecting access to contingency management services for substance use disorders H. R. 498 / S.1493, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 501 Block, Report, And Suspend Suspicious Shipments Act H.R. 773/S. 3165, Homelessness and Behavioral Health Care Coordination Act of 2023 H.R. 1359/S. 644 Modernizing Opioid Treatment Access Act H.R. 1423 911 Community Crisis Responders Act of 2023 H.R. 1502 Comprehensive Opioid Recovery Centers Reauthorization Act of 2023 H.R. 2400 The Reentry Act H.R. 2474 - The Strengthening Medicare for Patients and Providers Act H.R.2577/S.1137,DHS Suicide Prevention and Resiliency for Law Enforcement Act H.R. 3074/S. 971 The Due Process Continuity of Care Act HR 3305 Black Maternal Health Momnibus Act H.R. 3375 STOP Fentanyl Overdoses Act H.R. 3548 Pursuing Equity in Mental Health Act H.R. 3752 Parity Enforcement Act of 2023 H.R. 3759 Barriers to Suicide Act of 2023 H.R. 3850/S.3949 Pride in Mental Health Act H.R.4310/S.2233, Youth Poisoning Protection Act H.R. 4531 / S. 2433, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4851, 9-8-8 Implementation Act of 2023 H.R. 4884 /S. 2476 Mental Health for Latinos Act of 2023 H.R.4974, Local 988 Response Act H.R. 5866, Substance Use Disorder and Family Engagement (SAFE) in Recovery Act H.R. 6284/S. 3260 Improving Measurements for Loneliness and Isolation Act of 2023 H.R. 6475 Health Disparity Zones Act of 2023 H.R.6928 CONNECT Act of 2024 H.R. 7301 Certified Community Behavioral Health Clinic Expansion Act of 2024 H.R. 8390 Mental Health and MAMA Act of 2024 H.R. 8503 Integrated Care for Dual Eligibles S.669/H.R. 8458 Increasing Mental Health Options Act of 2023 S. 923 Better Mental Health Care for Americans Act S. 1378/ H.R 5819 COMPLETE Care Act S. 1426/H.R. 4541 Rise from Trauma Act S.2350, National Strategy for Social Connection Act Reintroduction of The Behavioral Health Coverage Transparency Act Reintroduction of The Parity Enforcement Act of 2023 H.R. 5804, The Mental Health Infrastructure Improvement Act Reintroduction of The Comprehensive Addiction Resources Emergency Act Reintroduction of The Stop Online Suicide Assistance Forums Act S.2511, the ADAPT Act S. 2688 / H.R. 5116, the Behavioral Health IT Coordination Act S. 2733, PEER Support Act Response to Senator Bill Cassidy Request for Information re: patient data privacy Federal policies affecting the use of contingency management services for the treatment of stimulant use disorders H.R. 7808, EARLY Minds Act H.R. 6407 / S. 3297, Medical Nutrition Therapy Act S.3364, Kids Providing Resources for Optimal Outcomes Against Fatalities Act of 2024 (KID Proof Act) S.3085, Preventing Adverse Childhood Experiences Act (PACE Act) S. 3393 SUPPORT for Patients and Communities Reauthorization Act S.3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S.3498 Promoting Effective and Empowering Recovery Services in Medicare Act of 2023S. 3557 Public Health Impact of Opioid Drugs S. 3769, Alternative Pathways to Child Abuse Prevention Act S. 4312 United States Senate Commission on Mental Health Act of 2024 S. 4338 Pay PCPs Act of 2024 Dear Colleague letter to CMS re: coverage of digital therapeutics Reauthorization of the Older Americans Act Elder Justice Act Title IV-B of the Social Security Act H.R. 7432, Sickle Cell Comprehensive Care Act H.R. 3432/S. 3651, Telemental Health Care Access Act Congressional briefing on telehealth and H.R. 3432 Congressional briefing on caregiving and mental health Congressional Briefing on A Population Health Approach to Youth Substance Use Disorder Prevention Congressional Briefing on Caucus on the Commission on the Social Status of Black Men and Boys Mental Health Parity Final Rule Meeting with the Tri-Departments (DOL, HHS and Treasury) H.R. 2412, Helping Kids Cope Act H.R 3312, S. 1602, Moms Matter Act

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; and substance misuse/behavioral health issues. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (S. 3085) 2.Mental Health Services for Students Act (S. 1884/H.R. 3713) 3.Helping Kids Cope Act (H.R. 2412) 4.Advancing Student Services in Schools Today Act (S. 1774/H.R. 3761) 5.Student Mental Health Rights Act (H.R. 3726) 6.Pursuing Equity in Mental Health Act (S. 1700/H.R. 3548) 7.RISE from Trauma Act (S. 1426) 8.Better Mental Health Care for Americans Act (S. 923) 9.Reentry Act (S. 1165/H.R. 2400) 10.FY 2024 Labor, HHS, Education and Related Agencies Appropriations 11.FY 2025 Labor, HHS, Education and Related Agencies Appropriations 12.2023 Farm Bill 13.Improving Social Determinants of Health Act (H.R. 4781/S. 3847) 14.Social Determinants Accelerator Act (Not yet introduced) 15.SNAP Nutrition Security Act of 2023 (S.2326/ H.R.4909) 16.SWEET Act (Not yet introduced) 17.OH SNAP, Close the Fruit and Vegetable Gap Act of 2023 (S. 2015/ H.R. 4149) 18.Child Nutrition Reauthorization 19.While Milk for Healthy Kids Act of 2023 (H.R. 1147/ S. 1957) 20.Promoting Physical Activity for Americans Act (S.397) 21.Halt Obesity in America Act (Not yet introduced) 22.CDC Oral Health Reauthorization Act (Not yet introduced) 23.GusNIP Expansion Act of 2023 (H.R. 4856) 24.Senior Hunger Prevention Act of 2023 (S. 1036/ H.R. 3474) 25.Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) 26.Older Americans Act (Not yet introduced) 27.Protecting the Health of Americas Older Adults Act (Not yet introduced) 28.REAADI Act (S. 1049) 29.Improving Data in Public Health Act (H.R. 3791) 30.Pandemic and All-Hazards Preparedness Act Reauthorization (H.R. 4420, H.R. 4421) 31.Public Health Infrastructure Saves Lives Act (S. 1995) 32.BIO Early Warning Act (Not yet introduced) 33.The Support for Patients and Communities Reauthorization Act (H.R. 4531) 34.The PEER Support Act (S. 2733/H.R. 7212) 35.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S. 1378) 36.The Barriers to Suicide Act (H.R. 3759) 37.The 9-8-8 Implementation Act (H.R. 4851) 38.Influenza Act (H.R. 5846) 39.Bipartisan Primary Care and Health Workforce Act (S. 2840) 40.National Defense Authorization Act (S. 2226) 41.Tobacco Tax Equity Act of 2023 (S.2929/ H.R. 5715) 42.A resolution declaring racism a public health crisis (S. Res 319) 43.Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415) 44.Continuity in Necessary Evaluative Crisis Treatment (CONNECT) Act (H.R. 6928) 45.Local 988 Response Act (S. 3444) 46.Better Mental Health Care, Lower Drug Cost, and Extenders Act (S. 3430) 47.Lead-Safe Housing for Kids Act (Not yet introduced) 48.The Medicaid Bump Act (S. 3921) 49.The Kid PROOF Act (S. 3364/H.R. 6663) 50.FY 2025 Interior, Environment and Related Agencies Appropriations House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, White House Domestic Policy Council, HHS, CDC, FDA, CMS, OMB, NIH, USDA, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Substance Use Disorder Workforce Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization (H.R.3073/S.1452) Community Mental Wellness and Resilience Act (H.R.2412) Helping Kids Cope Act (H.R.3713) Mental Health Services for Students Act (H.R.4851) 9-8-8 Implementation Act of 2023 (H.R.4950) IMPROVE Addiction Care Act (H.R. 4531/ S.3393) Support for Patients and Communities Reauthorization Act (H.R. 773/S.3165) Homelessness and Behavioral Health Care Coordination Act of 2023 Issues surrounding 9-8-8 georouting (H.R.7536/S.3085) Preventing Adverse Childhood Experiences (PACE) Act (H.R.7212/S.2733) Providing Empathetic and Effective Recovery (PEER) Support Act

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

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

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 & H.R.2630 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 & S.3651 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 & H.R. 7212 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists H.R. 7069 Peer Support for Firefighters Act: To increase mental health resources to fire fighters H.R. 7140 Mental Health Transparency Act: To require the disclose of percentage of in-network participation for certain provider types H.R. 7924 To amend the Higher Education Act of 1965 to support graduate programs in mental and behavioral health professions at minority-serving institutions and for other purposes: To help increase the diversity of the mental health workforce. H.R. 7153 & S.3679 Dr. Lorna Breen Health Care Act: To provide mental health resources for health care providers H.R. 6982 & S.3579: The Gambling Addiction, Recovery, Investment, and Treatment (GRIT) Act: Federal funds to research gambling addiction and treatment H.R. 4880 PACE Act: the ability to waive sovereign immunity in certain circumstances where jurisdictions prohibit monetary bail H.R. 6928 Connect Act: grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services.

Womens Health Protection Act Mental Health Workforce Shortages Coding and reimbursement for digital therapeutics devices (DTx) and services furnished via DTx Meeting with various administrative agencies on expanding access to mental health care in rural areas Forthcoming House bill on capital investments in rural mental health Federal policies affecting access to contingency management services for substance use disorders H. R. 498 / S.1493, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 501 Block, Report, And Suspend Suspicious Shipments Act H.R. 773/S. 3165, Homelessness and Behavioral Health Care Coordination Act of 2023 H.R. 824, Telehealth Benefit Expansion for Workers Act H.R. 1359/S. 644 Modernizing Opioid Treatment Access Act H.R. 1423 911 Community Crisis Responders Act of 2023 H.R. 1502 Comprehensive Opioid Recovery Centers Reauthorization Act of 2023 H.R. 2400 The Reentry Act H.R. 2474 - The Strengthening Medicare for Patients and Providers Act H.R.2577/S.1137,DHS Suicide Prevention and Resiliency for Law Enforcement Act H.R. 3074/S. 971 The Due Process Continuity of Care Act HR 3305 Black Maternal Health Momnibus Act H.R. 3375 STOP Fentanyl Overdoses Act H.R. 3432/S. 3651 Telemental Health Care Access Act H.R. 3548 Pursuing Equity in Mental Health Act H.R. 3752 Parity Enforcement Act of 2023 H.R. 3759 Barriers to Suicide Act of 2023 H.R. 3850/S.3949 Pride in Mental Health Act H.R.4310/S.2233, Youth Poisoning Protection Act H.R. 4531 / S. 2433, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4851, 9-8-8 Implementation Act of 2023 H.R. 4892, Medicaid Bump Act H.R. 4884 /S. 2476 Mental Health for Latinos Act of 2023 H.R.4974, Local 988 Response Act H.R. 5866, Substance Use Disorder and Family Engagement (SAFE) in Recovery Act H.R. 6284/S. 3260 Improving Measurements for Loneliness and Isolation Act of 2023 H.R. 6475 Health Disparity Zones Act of 2023 H.R.6928 CONNECT Act of 2024 S.669 Increasing Mental Health Options Act of 2023 S. 923 Better Mental Health Care for Americans Act S. 1378/ H.R 5819 COMPLETE Care Act S. 1426/H.R. 4541 Rise from Trauma Act S. 1736, Farmers First Act S. 2016 / H.R. 4189, CONNECT for Health Act S.2350, National Strategy for Social Connection Act Reintroduction of The Behavioral Health Coverage Transparency Act Reintroduction of The Parity Enforcement Act of 2023 H.R. 5804, The Mental Health Infrastructure Improvement Act Reintroduction of The Comprehensive Addiction Resources Emergency Act Reintroduction of The Stop Online Suicide Assistance Forums Act S.2511, the ADAPT Act S. 2688 / H.R. 5116, the Behavioral Health IT Coordination Act S. 2733, PEER Support Act H.R. 4736, the Investing in Rural America Act Response to Senator Bill Cassidy Request for Information re: patient data privacy Federal policies affecting the use of contingency management services for the treatment of stimulant use disorders H.R. 7808, EARLY Minds Act H.R. 6524 / S. 1077, Home-Based Telemental Health Care Act H.R. 6407 / S. 3297, Medical Nutrition Therapy Act S.3364, Kids Providing Resources for Optimal Outcomes Against Fatalities Act of 2024 (KID Proof Act) S.3085, Preventing Adverse Childhood Experiences Act (PACE Act) S. 3393 SUPPORT for Patients and Communities Reauthorization Act S.3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S.3498 Promoting Effective and Empowering Recovery Services in Medicare Act of 2023S. 3557 Public Health Impact of Opioid Drugs S. 3769, Alternative Pathways to Child Abuse Prevention Act H.R. 6487, No Fees for EFTs Act H.R. 3730/S. 198, Rural Health Clinic Burden Reduction Act H.R. 6407/S. 3297, Medical Nutrition Therapy Act Coalition letter to CMS opposing inclusion of HR 824 in funding package Meeting with CMS CIIO Office re: future rulemaking under the No Surprises Act Meeting with CMS and House/Senate offices re: coverage of digital therapeutics Reauthorization of the Older Americans Act Elder Justice Act Title IV-B of the Social Security Act H.R. 2762, the Tribal Family Fairness Act H.R. 3461, the Strengthening Tribal Families Act H.R. 2412, Helping Kids Cope Act H.R 3312, S. 1602, Moms Matter Act

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; and substance misuse/behavioral health issues. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (S. 3085) 2.Mental Health Services for Students Act (S. 1884/H.R. 3713) 3.Helping Kids Cope Act (H.R. 2412) 4.Advancing Student Services in Schools Today Act (S. 1774/H.R. 3761) 5.Student Mental Health Rights Act (H.R. 3726) 6.Pursuing Equity in Mental Health Act (S. 1700/H.R. 3548) 7.RISE from Trauma Act (S. 1426) 8.Better Mental Health Care for Americans Act (S. 923) 9.Reentry Act (S. 1165/H.R. 2400) 10.FY 2023 Labor, HHS, Education and Related Agencies Appropriations 11.FY 2024 Labor, HHS, Education and Related Agencies Appropriations 12.Consolidated Appropriations Act, 2023 (H.R. 2617) 13.2023 Farm Bill 14.Improving Social Determinants of Health Act (Not yet introduced) 15.Social Determinants Accelerator Act (Not yet introduced) 16.SNAP Nutrition Security Act of 2023 (S.2326/ H.R.4909) 17.SWEET Act (Not yet introduced) 18.OH SNAP, Close the Fruit and Vegetable Gap Act of 2023 (S. 2015/ H.R. 4149) 19.Child Nutrition Reauthorization 20.While Milk for Healthy Kids Act of 2023 (H.R. 1147/ S. 1957) 21.Promoting Physical Activity for Americans Act (S.397) 22.Halt Obesity in America Act (Not yet introduced) 23.CDC Oral Health Reauthorization Act (Not yet introduced) 24.GusNIP Expansion Act of 2023 (H.R. 4856) 25.Senior Hunger Prevention Act of 2023 (S. 1036/ H.R. 3474) 26.Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) 27.Older Americans Act (Not yet introduced) 28.Protecting the Health of Americas Older Adults Act (Not yet introduced) 29.REAADI Act (S. 1049) 30.Improving Data in Public Health Act (H.R. 3791) 31.Pandemic and All-Hazards Preparedness Act Reauthorization (H.R. 4420, H.R. 4421) 32.Public Health Infrastructure Saves Lives Act (S. 1995) 33.BIO Early Warning Act (Not yet introduced) 34.The Support for Patients and Communities Reauthorization Act (H.R. 4531) 35.The Peer Support Act (S. 2733) 36.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S. 1378) 37.The Barriers to Suicide Act (H.R. 3759) 38.The 9-8-8 Implementation Act (H.R. 4851) 39.Influenza Act (H.R. 5846) 40.Bipartisan Primary Care and Health Workforce Act (S. 2840) 41.National Defense Authorization Act (S. 2226) 42.Tobacco Tax Equity Act of 2023 (S.2929/ H.R. 5715) 43.A resolution declaring racism a public health crisis (S. Res 319) 44.Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415) 45.Continuity in Necessary Evaluative Crisis Treatment (CONNECT) Act (introduced but bill number not available yet) 46.Local 988 Response Act (S. 3444) 47.Better Mental Health Care, Lower Drug Cost, and Extenders Act (S. 3430) 48.Lead-Safe Housing for Kids Act (Not yet introduced) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, White House Domestic Policy Council, HHS, CDC, FDA, CMS, OMB, NIH, USDA, HRSA, and SAMHSA.

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists

December 20, 2023 letter led by the AAO-HNS and signed by 111 physician organizations to the Senate Finance Committee expressing strong opposition to the Medicare Audiology Access Improvement Act (S. 2377). November 30, 2023 coalition letter to the Medicare Payment Advisory Commission (MedPAC) on assessing and updating Medicare payment for physicians in calendar year 2025. November 16, 2023 coalition letter to Congressional Leadership urging them to pass legislation to prevent the pending 3.37% cut to Medicare physician payment that will go into effect in January 2024. October 31, 2023 coalition letter to Representatives Brad Wenstrup, Greg Murphy, and Michael Burgess in support of their legislative proposal to reform the budget-neutrality proposals that have been eroding Medicare physician payment. October 30, 2023 coalition letter to the House Energy and Commerce Committee and the Senate HELP Committee expressing concern about the Department of Health and Human Services recent proposed rule on nondiscrimination in health programs and activities. October 19, 2023 coalition letter to the House Energy and Commerce Committee providing feedback on legislation considered for its hearing entitled Whats the Prognosis? Examining Medicare Proposals to Improve Patient Access to Care and Minimize Red Tape for Doctors. October 15, 2023 coalition letter to the House Budget Committee in response to their Request for Information (RFI) on ways to improve health outcomes while reducing federal health care spending. October 13, 2023 letter to the House Budget Committee in response to their Request for Information (RFI) on ways to improve health outcomes while reducing federal health care spending. Issues pertaining to scope of practice legislation, related to the Medicare Audiology Access Improvement Act of 2023 (S. 2733 / H.R. 6445), and in general Issues pertaining to prior authorization, in general Issues pertaining to the Early Hearing Detection and Intervention Program, in general Issues pertaining to Medicare physician reimbursement, related to the Strengthening Medicare for Patients and Providers Act (H.R. 2474) and the Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683), and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to Graduate Medical Education, in general. Issues pertaining to healthcare liability reform, in general

December 21, 2023 coalition letter to the Food and Drug Administration (FDA) on the issue of communications from firms to health care providers regarding scientific information on unapproved uses of approved/cleared medical products. December 20, 2023 letter led by the AAO-HNS and signed by 111 physician organizations to the Senate Finance Committee expressing strong opposition to the Medicare Audiology Access Improvement Act (S. 2377). November 30, 2023 coalition letter to the Medicare Payment Advisory Commission (MedPAC) on assessing and updating Medicare payment for physicians in calendar year 2025. November 16, 2023 coalition letter to Congressional Leadership urging them to pass legislation to prevent the pending 3.37% cut to Medicare physician payment that will go into effect in January 2024. October 31, 2023 coalition letter to Representatives Brad Wenstrup, Greg Murphy, and Michael Burgess in support of their legislative proposal to reform the budget-neutrality proposals that have been eroding Medicare physician payment. October 30, 2023 coalition letter to the House Energy and Commerce Committee and the Senate HELP Committee expressing concern about the Department of Health and Human Services recent proposed rule on nondiscrimination in health programs and activities. October 19, 2023 coalition letter to the House Energy and Commerce Committee providing feedback on legislation considered for its hearing entitled Whats the Prognosis? Examining Medicare Proposals to Improve Patient Access to Care and Minimize Red Tape for Doctors. October 15, 2023 coalition letter to the House Budget Committee in response to their Request for Information (RFI) on ways to improve health outcomes while reducing federal health care spending. October 13, 2023 letter to the House Budget Committee in response to their Request for Information (RFI) on ways to improve health outcomes while reducing federal health care spending. Issues pertaining to scope of practice legislation, related to the Medicare Audiology Access Improvement Act of 2023 (S. 2733 / H.R. 6445), and in general Issues pertaining to prior authorization, in general Issues pertaining to Medicare physician reimbursement, related to the Strengthening Medicare for Patients and Providers Act (H.R. 2474) and the Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683), and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to Language Equality and Acquisition for Deaf Kids (LEAD-K) and parent choice, in general. Issues pertaining to Graduate Medical Education, in general. Issues pertaining to healthcare liability reform, in general.

Womens Health Protection Act Mental Health Workforce Shortages Coding and reimbursement for digital therapeutics devices (DTx) and services furnished via DTx Meeting with various administrative agencies on expanding access to mental health care in rural areas Forthcoming House bill on capital investments in rural mental health Federal policies affecting access to contingency management services for substance use disorders H. R. 498 / S.1493, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 501 Block, Report, And Suspend Suspicious Shipments Act H.R. 773/S. 3165, Homelessness and Behavioral Health Care Coordination Act of 2023 H.R. 824, Telehealth Benefit Expansion for Workers Act H.R. 1359/S. 644 Modernizing Opioid Treatment Access Act H.R. 1423 911 Community Crisis Responders Act of 2023 H.R. 1502 Comprehensive Opioid Recovery Centers Reauthorization Act of 2023 H.R. 2400 The Reentry Act H.R. 2474 - The Strengthening Medicare for Patients and Providers Act H.R.2577/S.1137,DHS Suicide Prevention and Resiliency for Law Enforcement Act H.R. 3074/S. 971 The Due Process Continuity of Care Act HR 3305 Black Maternal Health Momnibus Act H.R. 3375 STOP Fentanyl Overdoses Act H.R. 3432 Telemental Health Care Access Act H.R. 3548 Pursuing Equity in Mental Health Act H.R. 3752 Parity Enforcement Act of 2023 H.R. 3759 Barriers to Suicide Act of 2023 H.R. 3850, Pride in Mental Health Act H.R.4310/S.2233, Youth Poisoning Protection Act H.R. 4531 / S. 2433, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4851, 9-8-8 Implementation Act of 2023 H.R. 4892, Medicaid Bump Act H.R. 4884 /S. 2476 Mental Health for Latinos Act of 2023 H.R.4974, Local 988 Response Act H.R. 5866, Substance Use Disorder and Family Engagement (SAFE) in Recovery Act S.669 Increasing Mental Health Options Act of 2023S. S. 923 Better Mental Health Care for Americans Act S. 1378/ H.R 5819 COMPLETE Care Act S. 1426/H.R. 4541 Rise from Trauma Act S. 1736, Farmers First Act S. 2016 / H.R. 4189, CONNECT for Health Act S.2350, National Strategy for Social Connection Act Reintroduction of The Behavioral Health Coverage Transparency Act Reintroduction of The Parity Enforcement Act of 2023 H.R. 5804, The Mental Health Infrastructure Improvement Act Reintroduction of The Comprehensive Addiction Resources Emergency Act Reintroduction of The Stop Online Suicide Assistance Forums Act S.2511, the ADAPT Act S. 2688 / H.R. 5116, the Behavioral Health IT Coordination Act S. 2733, PEER Support Act H.R. 4736, the Investing in Rural America Act Response to Cassidy Request for Information re: patient data privacy (9/28) Follow-up with various offices on APA Digital Therapeutics coding proposal Federal policies affecting the use of contingency management services for the treatment of stimulant use disorders Set aside of prevention and early intervention in the Community Mental Health Block Grant H.R. 6524 / S. 1077, Home-Based Telemental Health Care Act H.R. 6407 / S. 3297, Medical Nutrition Therapy Act S.3364, Kids Providing Resources for Optimal Outcomes Against Fatalities Act of 2024 (KID Proof Act) S.3085, Preventing Adverse Childhood Experiences Act( PACE Act)

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; and substance misuse/behavioral health issues. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (S. 1884/H.R. 3713) 3.Helping Kids Cope Act (H.R. 2412) 4.Advancing Student Services in Schools Today Act (S. 1774/H.R. 3761) 5.Student Mental Health Rights Act (H.R. 3726) 6.Pursuing Equity in Mental Health Act (S. 1700/H.R. 3548) 7.RISE from Trauma Act (S. 1426) 8.Better Mental Health Care for Americans Act (S. 923) 9.Reentry Act (S. 1165/H.R. 2400) 10.FY 2023 Labor, HHS, Education and Related Agencies Appropriations 11.FY 2024 Labor, HHS, Education and Related Agencies Appropriations 12.Consolidated Appropriations Act, 2023 (H.R. 2617) 13.2023 Farm Bill 14.Improving Social Determinants of Health Act (Not yet introduced) 15.Social Determinants Accelerator Act (Not yet introduced) 16.SNAP Nutrition Security Act of 2023 (Not yet introduced) 17.SWEET Act (Not yet introduced) 18.Promoting Physical Activity for Americans Act (S.397) 19.Halt Obesity in America Act (Not yet introduced) 20.Senior Hunger Prevention Act of 2023 (S. 1036/ H.R. 3474) 21.Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) 22.Older Americans Act (Not yet introduced) 23.Protecting the Health of Americas Older Adults Act (Not yet introduced) 24.REAADI Act (S. 1049) 25.Improving Data in Public Health Act (H.R. 3791) 26.Pandemic and All-Hazards Preparedness Act Reauthorization (H.R. 4420, H.R. 4421) 27.Public Health Infrastructure Saves Lives Act (S. 1995) 28.BIO Early Warning Act (Not yet introduced) 29.The Support for Patients and Communities Reauthorization Act (H.R. 4531) 30.The Peer Support Act (S. 2733) 31.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S. 1378) 32.The Barriers to Suicide Act (H.R. 3759) 33.The 9-8-8 Implementation Act (H.R. 4851) 34.Influenza Act (H.R. 5846) 35.Bipartisan Primary Care and Health Workforce Act (S. 2840) 36.National Defense Authorization Act (S. 2226) 37.Tobacco Tax Equity Act of 2023 (S.2929/ H.R. 5715) 38.A resolution declaring racism a public health crisis (S. Res 319) 39.Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, White House Domestic Policy Council, HHS, CDC, FDA, CMS, OMB, NIH, USDA, HRSA, and SAMHSA.

General American Indian/Alaska Native healthcare Womens Health Protection Act Mental Health Workforce Shortages Coding and reimbursement for digital therapeutics devices (DTx) and services furnished via DTx Meeting with various administrative agencies on expanding access to mental health care in rural areas Forthcoming House bill on capital investments in rural mental health Federal policies affecting access to contingency management services for substance use disorders H. R. 498 / S.1493, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 501 Block, Report, And Suspend Suspicious Shipments Act H.R. 824, Telehealth Benefit Expansion for Workers Act H.R. 1359/S. 644 Modernizing Opioid Treatment Access Act H.R. 1423 911 Community Crisis Responders Act of 2023 H.R. 1502 Comprehensive Opioid Recovery Centers Reauthorization Act of 2023 H.R. 2400 The Reentry Act H.R. 2474 - The Strengthening Medicare for Patients and Providers Act H.R. 3074/S. 971 The Due Process Continuity of Care Act HR 3305 Black Maternal Health Momnibus Act H.R. 3375 STOP Fentanyl Overdoses Act H.R. 3432 Telemental Health Care Access Act H.R. 3752 Parity Enforcement Act of 2023 H.R. 3759 Barriers to Suicide Act of 2023 H.R. 3850, Pride in Mental Health Act H.R. 4531 / S. 2433, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4851, 9-8-8 Implementation Act of 2023 H.R. 4892, Medicaid Bump Act H.R. 4884 /S. 2476 Mental Health for Latinos Act of 2023 S.669 Increasing Mental Health Options Act of 2023S. S. 923 Better Mental Health Care for Americans Act S. 1378/ H.R 5819COMPLETE Care Act S. 1426/H.R. 4541 Rise from Trauma Act S. 1736, Farmers First Act S. 2016 / H.R. 4189, CONNECT for Health Act S.2350, National Strategy for Social Connection Act Reintroduction of The Behavioral Health Coverage Transparency Act Reintroduction of The Parity Enforcement Act of 2023 H.R. 5804The Mental Health Infrastructure Improvement Act Reintroduction of The Comprehensive Addiction Resources Emergency Act Reintroduction of The Stop Online Suicide Assistance Forums Act S.2511, the ADAPT Act S. 2688 / H.R. 5116, the Behavioral Health IT Coordination Act S. 2733, PEER Support Act Sept. 19 USDA event on Farm Suicides H.R. 4736, the Investing in Rural America Act Response to Sen. Bill Cassidy (R-LA) Request for Information re: patient data privacy (9/28) Comment in response to Proposed Rules re: Short-Term Limited Duration Insurance (8/30) Follow-up with various offices on APA Digital Therapeutics coding proposal Federal policies affecting the use of contingency management services for the treatment of stimulant use disorders

H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 H.R. 1202 / S. 704 - Resident Education Deferred Interest (REDI) Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 2400 / S. 1165 - Reentry Act of 2023 H.R. 3226 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3331 / S. 754 - Improving Mental Health and Wellness in School Act H.R. 3391 / S. 1624 - Gabriella Miller Kids First Research Act 2.0 H.R. 3432 - Telemental Health Care Access Act of 2023 H.R. 3805 - KIDS Health Act of 2023 H.R. 3813 - CDC Leadership Accountability Act of 2023 H.R. 3821 - Firefighter Cancer Registry Reauthorization Act of 2023 H.R. 3836 - Medicaid Primary Care Improvement Act H.R. 3838 - Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs H.R. 3843 - Action for Dental Health Act of 2023 H.R. 3884 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2023 H.R. 3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4331 - Strengthening Medicaid for Serious Mental Illness Act H.R. 4381 - Public Health Emergency Congressional Review Act H.R. 4420 - Preparedness and Response Reauthorization Act H.R. 4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R. 4529 - Public Health Guidance Transparency and Accountability Act of 2023 H.R. 4531 / S. 2433 - SUPPORT for Patients and Communities Reauthorization Act H.R. 4830 / S. 2444 - ATTAIN Mental Health Act H.R. 4837 - Building a Health Care Workforce for the Future Act H.R. 4851 - 988 Implementation Assistance Act H.R. 4884 / S. 2476 - Mental Health for Latinos Act H.R. 4892 - Medicaid Bump Act H.R. 4911 - Supporting the Health and Safety of Law Enforcement Act H.R. 4918 - Solutions Not Stigmas Act of 2023 H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4941 - PATH Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 4950 / S. 2481 - IMPROVE Addictions Care Act H.R. 4968 - GOLD CARD Act of 2023 H.R. 5010 - Recognizing Gun Violence as a Public Health Emergency Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5128 / S. 2137 - Preserving Access to Home Health Act of 2023 H.R. 5163 - Telehealth Response for E-prescribing Addiction Therapy Services Act H.R. 5312 - Supporting Healthy Mothers and Infants Act of 2023 H.R. 5414 / S. 1346 - Improving Mental Health Access for the Emergency Department Act of 2023 H.R. 5568 - CARE for Moms Act H.R. 5804 - Mental Health Infrastructure Improvement Act of 2023 H.R. 5819 / S. 1378 - COMPLETE Care Act H.R. 5976 / S. 3060 - Youth Mental Health Research Act S. 1291 - Protecting Kids on Social Media Act S. 2308 - Community Health Care Reauthorization Act S. 2840 - Bipartisan Primary Care and Health Workforce Expansion Act S. 2556 - Improving CARE for Youth Act S. 2511 - ADAPT Act S. 2733 - PEER Support Act S. 2966 - TEAMS Act