Bipartisan Primary Care and Health Workforce Act

Issues pertaining to biomedical research and health professions education. Issues pertaining to the Minority Fellowship Program. Issues pertaining to mental and behavioral health and the role of social work. Reauthorization of the Health Equity and Accountability Act, Issues pertaining to social work, health disparities, and the mental and behavioral health workforce. S. 2840, Bipartisan Primary Care and Health Workforce Act, Issues pertaining to the National Health Service Corps and HRSA social work education and training programs. Issues pertaining to NIH reform, ARPA-H, and biomedical research. Issues pertaining to mental health and the mental health workforce. H.R. 7994, S. 4120, Long-Term Care Workforce Support Act, Issues pertaining to education and training of workforce. S.B. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, All provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Discussions involving H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. Monitored Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 Monitored HR 4822 Health Care Price Transparency Act of 2023 Monitored S 2840 Bipartisan Primary Care and Health Workforce Act

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

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Access to preventative health; HR 5378 The Lower Costs, More Transparency Act to extend funding for Community Health Centers, Teaching Health Centers GME and the National Health Service Corps; Bipartisan Primary Care and Health Workforce Act; S 2840 the Primary Care and Health Workforce Act; and other workforce improvements; HR 7623 the Telehealth Modernization Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, the Seniors Timely Access to Care Act H.R. 2584/S. 2768, the Safety From Violence for Healthcare Employees (SAVE) Act; Expanding Care in the Home Act; H.R. 1770, Equitable Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); H.R. 1770, Equitable Access to Pharmacy Services Act; H.R. 3008, the Drug Shortage Prevention Act; H.R. 3810, the Drug Origin Transparency Act; H.R. 3793, the Ensuring Access to Lifesaving Drugs Act; issues related to preventing and mitigating drug shortages; H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act; H.R. 3263, the Support Faculty and Expand Access to Nursing Act; issues related to prior authorization, unwarranted claim denials, and payment delays; S. 2840, the Bipartisan Primary Care and Health Workforce Expansion Act; H.R. 3561, the PATIENT Act; H.R. 6363, Further Continuing Appropriations and Other Extension Act; H.R. 5378, the Lower Costs, More Transparency Act; Issues related to mental and behavioral health; the limit on Medicare payment days for inpatient psychiatric care; the Institutions for Mental Disease exclusion; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits

Client expense: $750,000 · Firm income: Not reported

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

Implementation of the Teaching Health Center Graduate Medical Education (THCGME) program generally Reauthorization of the Teaching Health Center Graduate Medical Education (THCGME) program H.R. 5378 (Lower Costs, More Transparency Act), Section 301, regarding reauthorization of THCGME program S. 2840 (Bipartisan Primary Care and Health Workforce Act), Section 101, regarding reauthorization of THCGME program H.R. 10545 (American Relief Act, 2025), Division C, Title II, Sec. 3201, regarding funding for THCGME program Note: Elizabeth Horner, a lobbyist for the listed client, did not lobby, and did not make any communication to, appearance before, or lobbying contact with, the Senate, any Senator or any officer or employee of the Senate, on behalf of the listed client.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 3305 - Black Maternal Health Momnibus Act H.R. 4420, the Preparedness and Response Reauthorization Act H.R. 4531, the Support for Patients and Communities Reauthorization Act H.R. 2534, PROTECT 340B Act of 2023 H.R. 5013, the Value in Health Care Act of 2023 H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. H.R. 7050 - Substance Use Disorder Workforce Act S.4101/ H.R.7931 - the Preserving Emergency Access in Key Sites Act Keeping Obstetrics Local Act S.4088, Welcome Back to the Health Care Workforce Act Issues related to essential hospital designation Issues related to health equity Issues related to the 340B Drug Pricing program Issues related to contact pharmacies Issues related to the health care workforce Issues related to Community Paramedicine Issues related to Artificial Intelligence and Health Care Issues related to hospital digital infrastructure Issues related to cybersecurity H.R. 9351 Save our Safety-Net Hospitals Act of 2024 Issues related to Opioid overdose reduction

Client expense: $630,000 · Firm income: Not reported

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

H.R. 618, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions S. 131, Improving Access to Workers Compensation for Injured Federal Workers Act of 2023, all provisions H.R. 2923, Living Donor Protection Act of 2023, all provisions S. 1384, Living Donor Protection Act of 2023, all provisions H.R. 1359, Modernizing Opioid Treatment Access Act, all provisions S. 644, Modernizing Opioid Treatment Access Act, all provisions H.R. 766, Dr. Michael C. Burgess Preventive Health Savings Act, all provisions S. 114, Dr. Michael C. Burgess Preventive Health Savings Act, all provisions H.R. 2630, Safe Step Act, all provisions S. 652, Safe Step Act, all provisions S. 113, Prescription Pricing for the People Act of 2023, all provisions H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 2840, Bipartisan Primary Care and Health Workforce Act, all provisions S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions H.R. 8325, Physician and Patient Safety Act, all provisions S. 4278, Physician and Patient Safety Act, all provisions H.R. 3417, Facilitating Accountability In Reimbursements (FAIR) Act, provisions relating to site neutral payments H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2024, all provisions H.R. 2411, National Nursing Workforce Center Act of 2023, all provisions H.R. 6230, Doctor Knows Best Act of 2023, all provisions S. 4349, A bill to require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs, all provisions H.R. 6881, AI Foundation Model Transparency Act of 2023, all provisions S. 5271, A bill to require the Administrator of the Drug Enforcement Administration to temporarily exempt buprenorphine from the Suspicious Orders Report System for the remainder of the opioid public health emergency, all provisions H.R. 206, Healthy Technology Act of 2023, all provisions Supporting Healthy Moms and Babies Act/draft Dr. Paul Farmer Global Health Training Act/draft Telehealth/Licensure portability Telehealth/Reserve Health Readiness Program South Asians in United States/Cardiovascular disease/high mortality rates OBGYN data/Georgia Health information technology/interoperability (HTI-2) Laboratory developed tests Telehealth/data needs Data Privacy and Cybersecurity Health Insurance Portability and Accountability Act (HIPAA)/electronic records Mental health parity/addiction equity CHANGE Healthcare cyberattack Cybersecurity incident reporting Nutrition/sodium reduction Maternal mortality Reproductive health Health equity Digital Health/AI Misinformation regulation Medical debt

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

Government targets: Consumer Financial Protection Bureau (CFPB), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of

H.R. 10545 American Relief Act, 2025 S.2840, Bipartisan Primary Care and Health Workforce Act H.R.7635, The 340B PATIENTS Act of 2024 H.R.5829, Health Care Practitioner Disaster Protection Act H.R.5378, Lower Costs, More Transparency Act H.R.1072, Health Center Community Transformation Hub Act H.R.9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.7623, Telehealth Modernization Act of 2024, including a joint letter with the National Association of Rural Health Clinics H.R.8574, 340B ACCESS Act Keeping Obstetrics Local Act SUSTAIN Act Issues related to Community health center funding and potential lame duck legislative packages prior to the final passage of HR 10545 Issues related to incoming Trump Administrations stance on community health center and primary care workforce funding as outlined in the Paragon Health Institutes policy brief Issues related to disaster relief funding package and carving out specific funds to HRSA for FQHC-related payments Issues related to health center electronic health records privacy and other health-related cyber security issues Issues related to the 340B program (including 340C) Issues related to the Developing the Community Health Workforce Act Issues related to the Emergency Preparedness for Underserved Populations Act Issues related to Food as medicine policy proposals Issues related to value-based care options for federally qualified health centers and safety net settings including the AHEAD model at CMMI and Making Care Primary model at CMS Issues related to the Transforming Maternal Health model at CMMI Issues related to community health center workforce data with the Health Resources and Services Administration Issues related to maternal health in community health centers Issues related to 340B provisions in the Inflation Reduction Act Issues related to the 340B rebate model

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 1843/S. 1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 9774/S. 5194, Health Care Affordability Act of 2024 S. 644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409/H.R. 7891, Kids Online Safety Act S. 1418/H.R. 7890, Children and Teens Online Privacy Protection Act S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3364/H.R. 6663, Kid Providing Resources for Optimal Outcomes against Fatalities (Kid PROOF) Act of 2023 S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act

Client expense: Not reported · Firm income: $27,400

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 766/S 114, Dr. Michael C. Burgess Preventive Health Savings Act H.R. 1147/S. 1957, Whole Milk for Healthy Kids Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 2901, Food Labeling Modernization Act of 2023 H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 3433, Give Kids a Chance Act H.R. 3633, Promoting Resources to Expand Vaccination, Education, and New Treatments for HPV Cancers (PREVENT HPV Cancers) Act of 2023 H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 4758/S. 2372, Accelerating Kids Access to Care Act H.R. 4775, Helping Tobacco Users Quit Act H.R. 4892/S. 3921, Medicaid Bump Act H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 5541, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 6149/S. 1291, Protecting Kids on Social Media Act H.R. 6766/S. 3512, Transparency, Readability, Understandability, Truth, and Helpfulness (TRUTH) in Labeling Act H.R. 6960/S. 3765, Emergency Medical Services for Children Reauthorization Act of 2024 H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7224, To reauthorize the Stop, Observe, Ask, and Respond to Health and Wellness Training Program. H.R. 7808, Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 8467, Farm, Food, and National Security Act of 2024 H.R. 8818, American Privacy Rights Act H.R. 9076, Protecting Americas Children by Strengthening Families Act H.R. 9425, Tobacco User Fee Modernization Act of 2024 H.R. 9774/S. 5194, Health Care Affordability Act of 2024 H.R. 9828, End the Vaccine Carveout Act H.R. 9886, BUPE for Recovery Act S. 397, Promoting Physical Activity for Americans Act S. 644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409/H.R. 7891, Kids Online Safety Act S. 1418/H.R. 7890, Children and Teens Online Privacy Protection Act S. 1840/H.R. 3916, Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act of 2023 S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2073, Kids Online Safety and Privacy Act S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3085, Preventing Adverse Childhood Experiences (PACE) Act S. 3193/H.R. 5163, Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 3364/H.R. 6663, Kid Providing Resources for Optimal Outcomes against Fatalities (Kid PROOF) Act of 2023 S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3453/H.R. 9684, Peer-to-Peer Mental Health Support Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act S. 4041, Creating Access and Resources in Education (CARE) for Student Mental Health Act S. 4532/H.R. 8702, Improving Seniors Timely Access to Care Act S. 4745, Federal Food Administration Act

Client expense: Not reported · Firm income: $24,000

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

Advocated against healthcare price transparency provisions within HR 5378 and S 2840 that would provide additionally burdensome reporting to further care sites that will hamper hospital negotiations with payors and require FTEs and excessive hours to satisfy, advocated against SITE neutrality provisions that would limit payment based on originating location of services. Advocated against 340B oversight and transparency provisions that would result in cuts to the program and block savings from benefiting patients in need. Advocated against potential CRAs for the Mental Health Parity and Equity Rule. Advocated for greater scrutiny around parity and prior authorization issues in mental health care. Advocated for 340B DSH language % to include uncompensated care pool days (low income pool days in Florida), or 340B eligibility waiver to not consider DSH langauge % for two years to be included in a healthcare package. Advocated for the inclusion of the SUPPORT Act, Preventing Maternal Deaths Act, PREEMIE Act, and extension of telehealth flexibilities in year end healthcare package.

Client expense: $211,558 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored S. 2333, Pandemic and All-Hazards Preparedness and Response Act regarding PAHPA reauthorization. Monitored H.R. 4421, the Preparing for All-Hazards and Pathogen Reauthorization Act. H.R. 10445, Furthering Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025. S. 2840, Bipartisan Primary Care and Health Workforce Act, as it relates to hospitals and the healthcare workforce. Monitored issues related to the World Trade Center Health Program. Monitored issues regarding ARPA-H. Issues involving drug shortages. Issues regarding NIH reform. Issues related to hurricane response.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Access to preventative health; HR 5378 The Lower Costs, More Transparency Act to extend funding for Community Health Centers, Teaching Health Centers GME and the National Health Service Corps; Bipartisan Primary Care and Health Workforce Act; S 2840 the Primary Care and Health Workforce Act; and other workforce improvements; HR 7623 the Telehealth Modernization Act; HR 10545 American Relief Act of 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities Rural Communities Opioid Response Program Rural Centers of Excellence Veterans Affairs Community Care COVID-19 and Pandemic Response Centers of Excellence Act H.R. 5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act H.R. 7153 - Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 3380 - HEADS UP Act H.R. 6407, S. 3297 - Medical Nutrition Therapy Act FDA LDT Proposed Rule

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2840 Bipartisan Primary Care and Health Workforce Act (all sections of full text) S 468 Hospital Transparency Compliance Enforcement Act (all sections of full text) HR 8113 Transparency into State Directed Payments Act of 2024 HR 4822 Health Care Price Transparency Act of 2023 (all sections of full text) Discussions involving CMS price transparency rule for hospitals Discussions involving enhanced premium tax credit Discussions involving 340B Drug Pricing Program Discussions pertinent to health care group purchasing organizations (GPOs) Monitored Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 Monitored S 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 Monitored S 1636 Protecting Rural Telehealth Access Act Monitored HR 3440 Protecting Rural Telehealth Access Act Monitored S 2016 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 Monitored HR 4189 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 Monitored discussions related to cyber-security threats on healthcare industry providers Monitored discussions pertaining to CMS rulemaking on surprise billing ban Monitored nominations to executive branch agencies and federally authorized commissions

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

340B Drug Pricing Program - Continued to urge action to ensure covered entities have access to 340B discounted prices through contract pharmacies. Highlighted critical importance of the 340B program for hospitals. Children's Hospital Graduate Medical Education (CHGME) - Continued to urge Congress to reauthorize CHGME program Drug shortages - Supported elements to increase transparency in prescription drug supply chain and increase reimbursement for generic prescription drugs; issues related to compounding; issues related to buffer inventory. Continued supporting passage of The Drug Shortage Prevention Act (H.R. 3008) and The Drug Origin Transparency Act (H.R. 3810) Hospital Group Purchasing - Advocated to highlight the value that hospital group purchasing organizations provide to hospitals and suppliers. Provided education on how GPOs work in the healthcare supply chain and the role they play in delivering value to healthcare providers, as well as key differences between traditional GPOs and PBMs. Monitored development of the Lower Costs, More Transparency Act (H.R. 5378) Medical Device Sterilization - Conducted education and outreach on the potential negative impact on the healthcare supply chain of pending regulations limiting the use of Ethylene Oxide as a medical device sterilant. Mental and Behavioral Health - Highlighted the need for legislation to address significant challenges to mental and behavioral health treatment, including increased demand for services, limited access to treatment, and clinician shortages. Pandemic and All Hazards Preparedness Act (PAHPA) - Encouraged the reauthorization of PAHPA Payer-mandated White Bagging - Urged support for policy updates related to payer-mandated white bagging for medications. Rural healthcare - Encouraged passage of the Save Rural Hospitals Act (S. 803) ; the Rural Hospital Closure Relief Act (S. 1571) and the Assistance for Rural Community Hospitals Act (H.R. 6430) Social Determinants of Health - Encouraged Congress and agencies to ensure tools like the Vizient Vulnerability Index are being utilized to understand and identify social drivers of health at the neighborhood level. Specifications, Standards and Ecolabels for Federal Purchasing - Responded to the Environmental Protection Agency (EPA) on EPAs Recommendations of Specifications, Standards and Ecolabels for Federal Purchasing. Encouraged EPA to use a standard, ecolabel or certification that is recognized by the Environmental Sustainability Program. Telehealth - Continued supporting passage of the CONNECT for Health Act (S. 2016/H.R. 4189). Continued to advocate for the adoption of permanent telehealth policies to extend flexibilities beyond the current 2024 expiration date. Telemedicine prescribing - Encouraged Congress to pass a two-year extension of Drug Enforcement Administration (DEA) prescribing flexibilities without requiring an in-person medical evaluation Workforce - Monitored development of the Bipartisan Primary Care and Health Workforce Act (S.2840) ; Encouraged passage of the Safety from Violence for Healthcare Employees (SAVE) Act (S. 2768/H.R. 2584) ; the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S. 3679/H.R. 7153) ; the Healthcare Workforce Resilience Act (S.3211/H.R.6205) ; the Resident Physician Workforce Shortage Reduction Act of 2023 (S. 1302/H.R. 2389) ; and the Substance Use Disorder Workforce Act (H.R.7050)

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues relating to Senate Congressionally designated spending S.2840 - Bipartisan Primary Care and Health Workforce Act, all provisions. H.R.2413 - Dental Care for Veterans Act, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Competitive Health Insurance Reform Act Dental Team Workforce Shortages Maldistribution of dentists H.R. 1310, SHARE Act S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 5378, Lower Costs, More Transparency Act S. 2878, Flexibility for Workers Education Act

Client expense: $390,000 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE

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 (S.5474) 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 (S.2433/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/ H.R. 5819) 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).

Client expense: $39,452 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 3305 - Black Maternal Health Momnibus Act H.R. 4420, the Preparedness and Response Reauthorization Act H.R. 4531, the Support for Patients and Communities Reauthorization Act H.R. 2534, PROTECT 340B Act of 2023 H.R. 5013, the Value in Health Care Act of 2023 H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. H.R. 7050 - Substance Use Disorder Workforce Act S.4101/ H.R.7931 - the Preserving Emergency Access in Key Sites Act Keeping Obstetrics Local Act S.4088, Welcome Back to the Health Care Workforce Act Issues related to essential hospital designation Issues related to health equity Issues related to the 340B Drug Pricing program Issues related to contact pharmacies Issues related to the health care workforce Issues related to Community Paramedicine Issues related to Artificial Intelligence and Health Care Issues related to hospital digital infrastructure Issues related to cybersecurity H.R. 9351 Save our Safety-Net Hospitals Act of 2024 Issues related to Opioid overdose reduction

Client expense: $870,000 · Firm income: Not reported

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

S 4357 Comprehensive Dental Reform Act of 2024 (all sections of full text) HR 3843 Action for Dental Health Act of 2023 (all sections of full text) (support) HR 1385 DOC Access Act of 2023 (all sections of full text) (support) S 1424 DOC Access Act of 2023 (all sections of full text)(support) S 862 Restoring America's Health Care Workforce and Readiness Act (all sections of full text) HR 1342 Medicaid Dental Benefit Act of 2023 (all sections of full text) S 570 Medicaid Dental Benefit Act of 2023 (all sections of full text) HR 1422 SMILED Act (all sections of full text) Monitored Further Continuing Approprations and Disaster Relief Supplemental Appropriations Act, 2025 Monitored S 2840 Bipartisan Primary Care and Health Workforce Act Monitored S 4518 Improving Seniors Timely Access to Care Act of 2024 Monitored HR 8702 Improving Seniors' Timely Access to Care Act of 2024 Monitored executive branch nominations to federal agencies and commissions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, the Seniors Timely Access to Care Act H.R. 2584/S. 2768, the Safety From Violence for Healthcare Employees (SAVE) Act; Expanding Care in the Home Act; H.R. 1770, Equitable Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); H.R. 1770, Equitable Access to Pharmacy Services Act; H.R. 3008, the Drug Shortage Prevention Act; H.R. 3810, the Drug Origin Transparency Act; H.R. 3793, the Ensuring Access to Lifesaving Drugs Act; issues related to preventing and mitigating drug shortages; H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act; H.R. 3263, the Support Faculty and Expand Access to Nursing Act; issues related to prior authorization, unwarranted claim denials, and payment delays; S. 2840, the Bipartisan Primary Care and Health Workforce Expansion Act; H.R. 3561, the PATIENT Act; H.R. 6363, Further Continuing Appropriations and Other Extension Act; H.R. 5378, the Lower Costs, More Transparency Act; Issues related to mental and behavioral health; the limit on Medicare payment days for inpatient psychiatric care; the Institutions for Mental Disease exclusion; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits

Client expense: $750,000 · Firm income: Not reported

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

Issues regarding healthcare workforce shortages. S. 2840, Bipartisan Primary Care and Health Workforce Act. S. 2243, The Palliative Care and Hospice Education and Training Act (PCHETA). Issues related to community based palliative care. Issues regarding bereavement care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Teaching Health Center Graduate Medical Education (THCGME) program generally Reauthorization of the Teaching Health Center Graduate Medical Education (THCGME) program H.R. 5378 (Lower Costs, More Transparency Act), Section 301, regarding reauthorization of THCGME program S. 2840 (Bipartisan Primary Care and Health Workforce Act), Section 101, regarding reauthorization of THCGME program H.R. 10545 (American Relief Act, 2025), Division C, Title II, Sec. 3201, regarding funding for THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal Affairs lobbies for Appropriations for health centers and related primary care workforce programs. This includes the House Appropriations Committee's Fiscal Year 2025 Department of Labor, Health and Human Services, and Education, and related agencies appropriations bills (H.R. 9029), the Senate Appropriations Committee's Fiscal Year 2025 Department of Labor, Health and Human Services, and Education, and related agencies appropriations bill (S. 4242); the Lower Costs More Transparency Act (H.R. 5378); the Bipartisan Primary Care and Health Workforce Act (S.2840); the Health Care Workforce Innovation Act (H.R. 7307); the Health Workforce Innovation Act (S. 4957); and the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025; the American Relief Act, 2025.

Client expense: $152,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

S. 2840, Bipartisan Primary Care and Health Workforce Act, as it relates to hospitals and the health care workforce. Issues related to behavioral health. Issues related to hospital reimbursement. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Monitored S. 2333, Pandemic and All-Hazards Preparedness and Response Act. Monitored H.R. 4421, the Preparing for All-Hazards and Pathogen Reauthorization Act. Monitored SUPPORT Act reauthorization. Issues related to hurricane response. H.R. 10545, American Relief Act of 2025 and issues related to hospitals. H.R. 10445, Furthering Continuing Appropriations and Disaster Relief Supplemental Appropriations Act of 2025 and issues related to hospitals.

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

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

H.R. 618, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions S. 131, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions H.R. 2923, Living Donor Protection Act, all provisions of 2023, all provisions S. 1384, Living Donor Protection Act, all provisions of 2023, all provisions H.R. 1359, Modernizing Opioid Treatment Access Act, all provisions S. 644, Modernizing Opioid Treatment Access Act, all provisions H.R. 2630, Safe Step Act, all provisions S. 652, Safe Step Act, all provisions H.R. 2761, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions S. 705, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions S. 2840, Bipartisan Primary Care and Health Workforce Act, all provisions S. 113, Prescription Pricing for the People Act of 2023, all provisions H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, all provisions S. 1375, Help Ensure Lower Patient (HELP) Copays Act, all provisions S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions H.R. 8325, Physician and Patient Safety Act, all provisions S. 4278, Physician and Patient Safety Act, all provisions H.R. 8383, Rural Obstetrics Readiness Act, all provisions S. 4079, Rural Obstetrics Readiness Act, all provisions S. 3447, Pregnant and Postpartum Women Treatment Reauthorization Act, all provisions H.R. 5012, SHINE for Autumn Act of 2023, all provisions S. 2647, SHINE for Autumn Act of 2023, all provisions S. 3370, Promoting Maternal and Child Health Through Substance Use Prevention Act, all provisions H.R. 1117, Advancing Safe Medications for Moms and Babies Act of 2023, all provisions H.R. 3417, Facilitating Accountability In Reimbursements (FAIR) Act, provisions relating to site neutral payments H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2024, provisions relating to telehealth/equity H.R. 2411, National Nursing Workforce Center Act of 2023, all provisions H.R. 6230, Doctor Knows Best Act of 2023, all provisions H.R. 9572, Enhanced Enforcement of Health Coverage Act, all provisions H.R. 6881, AI Foundation Model Transparency Act of 2023, all provisions H.R. 10282, Expanding Support for Living Donors Act of 2024, all provisions CURES 2.0/draft Dr. Paul Farmer Global Health Training Act/draft Artificial Intelligence for Care Utilization Research and Efficacy Act of 2024/draft Temporary Responders for Immediate Aid in Grave Emergencies (TRIAGE) Act/draft 21st Century Cures Act/implementation improvement No Surprises Act implementation Maternal Health Prior Authorization Public health/Infectious diseases/Chronic diseases Substance use disorder Cybersecurity Health IT and HIPAA/health data access privacy Augmented Intelligence Health Equity Reproductive health Health Information Technology/interoperability (HTI-2) Trusted Exchange Framework and Common Agreement (TEFCA) Health IT Certification Electronic Health Record (EHR) certification Physician burden reduction/Health IT Interoperability/data sharing/information blocking/provider disincentives Data segmentation Insights condition/maintenance of certification reporting CHANGE Healthcare Cyberattack Overdose epidemic Substance use disorder/barriers to care Rural and small hospitals/obstetrical services/conditions of participation Gender affirming care Nuclear power plants/decommissioning/health risks Nations drug supply/severe weather events

Client expense: $6,590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Nuclear Regulatory Commission (NRC), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE

Monitored Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 Monitored HR 4822 Health Care Price Transparency Act of 2023 Monitored S 2840 Bipartisan Primary Care and Health Workforce Act

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

Issues related to rural health, including Low-Volume Hospital and Medicare Dependent Hospital programs, hospital reimbursement, including sequestration, prescription drug pricing, surprise billing, telehealth, 1115 Medicaid Waiver, health care workforce, maternal health, and freestanding ERs; H.R.1694 - Emergency Care Improvement Act; Implementation of the Consolidated Appropriations Act, 2023 (P.L. 117-328); Disproportionate Share Hospital (DSH) payments; H.R.2665 - Supporting Safety Net Hospitals Act; Site-neutral payment policies; H.R.3561 - PATIENT Act of 2023; H.R.5378 - Lower Costs, More Transparency Act; S.2840 - Bipartisan Primary Care and Health Workforce Act; S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to rural health, including Low-Volume Hospital and Medicare Dependent Hospital programs, hospital reimbursement, including sequestration, prescription drug pricing, surprise billing, telehealth, 1115 Medicaid Waiver, health care workforce, maternal health, and freestanding ERs; H.R.1694 - Emergency Care Improvement Act; Implementation of the Consolidated Appropriations Act, 2023 (P.L. 117-328); Disproportionate Share Hospital (DSH) payments; H.R.2665 - Supporting Safety Net Hospitals Act; Site-neutral payment policies; H.R.3561 - PATIENT Act of 2023; H.R.5378 - Lower Costs, More Transparency Act; S.2840 - Bipartisan Primary Care and Health Workforce Act; S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-HR 830 / S 1357, HELP Copays Act -HR 2630 / S 652, Safe Step Act -S 1339, Pharmacy Benefit Manager Reform Act -H.R. 1770, the Equitable Community Access to Pharmacist Services Act -HR 824, the Telehealth Benefit Expansion for Workers Act -Accelerating Kids Access to Care Act - S. 127 Pharmacy Benefit Manager Transparency Act of 2023 - S. 1339 Pharmacy Benefit Manager Reform Act - H.R. 4507 Transparency in Coverage Act of 2023 - H.R. 4822 Health Care Price Transparency Act of 2023 - H.R. 3561 PATIENT Act of 2023 -H.R. 5378 - The Lower Costs, More Transparency Act - H.R. 2761 SPARC Act, Specialty Physicians Advancing Rural Care (SPARC) Act - S.1701/H.R.3503 NIH Clinical Trial Diversity Act of 2023 - H.R. 1114 Long COVID RECOVERY NOW Act - S.2840 the Bipartisan Primary Care and Health Workforce Act - Reducing Drug Prices for Seniors Act - Improving Seniors Timely Access to Care Act - Health Care Affordability Act

Client expense: $75,000 · Firm income: Not reported

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

Health issues impacting health systems and academic medical systems. H.R. 5378 -The Lower Costs, More Transparency Act. S. 2840 - Bipartisan Primary Care and Health Workforce Expansion Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to healthcare price transparency, including H.R. 3561, Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023, S. 2840, Bipartisan Primary Care and Health Workforce Act, and S. 3548, Health Care Prices Revealed and Information to Consumers Explained Transparency Act.

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

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

Issues related to CMS proposed rules on improving organ transplant access; issues related to proposals affecting site of service payment differentials; H.R. 5378, Lower Costs, More Transparency Act; S. 2840, Bipartisan Primary Care and Workforce Act; issues related to mandatory program extender policies including delaying Medicaid Disproportionate Share Hospitals (DSH) reductions; issues related to Health Resources and Services Administration (HRSA) 340B program, government funding and continuing resolutions.

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

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

Issues related to CMS proposed rules on improving organ transplant access; issues related to proposals affecting site of service payment differentials; H.R. 5378, Lower Costs, More Transparency Act; S. 2840, Bipartisan Primary Care and Workforce Act; issues related to mandatory program extender policies including delaying Medicaid Disproportionate Share Hospitals (DSH) reductions; issues related to Health Resources and Services Administration (HRSA) 340B program, government funding and continuing resolutions.

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

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

S. 1302 - Resident Physician Shortage Reduction Act of 2023: Provisions related to Graduate Medical Education. H.R. 7635 - The 340B PATIENTS Act of 2024, H.R. 8574 - 340B Access Act: Provisions related to Section 340B drug pricing. H.R. 5378 - Lower Costs, More Transparency Act: Provisions related to Section 340B drug pricing, site-neutral cuts, National Provider Identifier (NPI) cuts, and Disproportionate Share Hospitals. S. 2840 - Bipartisan Primary Care and Health Workforce Act: Provisions related to facility fees. Issues related to extensions of telehealth flexibilities in Sec. 319 of the Public Health Service Act. H.R. 2584, S. 2768 - Safety from Violence for Healthcare Employees (SAVE) Act: Provisions related to the healthcare workforce. Issues related to healthcare workforce, mental and behavioral health, artificial intelligence, cybersecurity, telehealth, community engagement, insurance, Laboratory Developed Tests, health equity, and National Provider Identifier (NPI) registry.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE