A bill to amend the Fair Labor Standards Act of 1938 and the National Labor Relations Act to clarify the standard for determining whether an individual is an employee, and for other purposes.

Legislation and regulation related to the Medicare Advantage program and Medicare/Medicaid coverage, care delivery and financing. HR 8260 Hospital Inpatient Services Modernization Act H.R. 8235 the Rural Physician Workforce Preservation Act H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act HR 3171/S. 3018 The Improving Seniors Timely Access to Care Act H.R. 1110, KEEP Telehealth Options Act of 2023 H.R. 3875, Expanded Telehealth Access Act H.R. 5541, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 5611, Helping Ensure Access to Local TeleHealth (HEALTH) Act of 2023 H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2023 H.R. 7149, Equal Access to Specialty Care Everywhere (EASE) Act of 2024 H.R. 7623, The Telehealth Modernization Act of 2024 H.R. 7711, To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program H.R. 7858, Telehealth Enhancement for Mental Health Act of 2024 H.R. 7863, To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program H.R. 5386, Cutting Copays Act H.R. 5380, To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage H.R. 5372, Expanding Seniors Access to Lower Cost Medicines Act of 2023 S. 3059 the REAL Health Provider Act (Bennet, Tillis) S. 2973 Modernizing and Ensuring PBM Accountability Act H.R. 2880, the Protecting Patients Against PBM Abuses Act S.1002 - No UPCODE Act H.R. 3282, the Promoting Transparency and Healthy Competition in Medicare Act H.R. 3284, the Providers and Payers COMPETE Act H.R. 3237, To amend title XVIII of the Social Security Act to require each outpatient department of a provider to include a unique identification number on claims for services, and to require hospitals with an outpatient department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each outpatient department

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

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

HR 8260 Hospital Inpatient Services Modernization Act H.R. 8235 the Rural Physician Workforce Preservation Act H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act HR 3171/S. 3018 The Improving Seniors Timely Access to Care Act H.R. 1110, KEEP Telehealth Options Act of 2023 H.R. 3875, Expanded Telehealth Access Act H.R. 5541, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 5611, Helping Ensure Access to Local TeleHealth (HEALTH) Act of 2023 H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2023 H.R. 7149, Equal Access to Specialty Care Everywhere (EASE) Act of 2024 H.R. 7623, The Telehealth Modernization Act of 2024 H.R. 7711, To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program H.R. 7858, Telehealth Enhancement for Mental Health Act of 2024 H.R. 7863, To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program H.R. 5386, Cutting Copays Act H.R. 5380, To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage H.R. 5372, Expanding Seniors Access to Lower Cost Medicines Act of 2023 S. 3059 the REAL Health Provider Act (Bennet, Tillis) S. 2973 Modernizing and Ensuring PBM Accountability Act H.R. 2880, the Protecting Patients Against PBM Abuses Act S.1002 - No UPCODE Act H.R. 3282, the Promoting Transparency and Healthy Competition in Medicare Act H.R. 3284, the Providers and Payers COMPETE Act H.R. 3237, To amend title XVIII of the Social Security Act to require each outpatient department of a provider to include a unique identification number on claims for services, and to require hospitals with an outpatient department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each outpatient department Legislation and regulation related to the Medicare Advantage program and Medicare/Medicaid coverage, care delivery and financing.

H.R.267- The CAB Trucking Restrictions Act; H.R. 3013 / S. 1649 - The LICENSE Act; H.R.3408 - The DRIVE Safe Integrity Act; H.R.6655 - The Stronger Workforce for America Act; H.R. 6585 - Bipartisan Workforce Pell Act; S.4074 - The Veterans Transition to Trucking Act; H.R.5914 Veterans Education Transparency and Training Act; Public Law No: 118-95 - S. 656 / H.R. 2830 - Veteran Improvement Commercial Driver License Act of 2023; H.R. 1200/S.532 -The National Right-to-Work Act; H.R. 2700 / S. 1201 - Employee Rights Act; H.R.4957 - The Department of Labor Succession Act; H.R.5513/S.3018 - The Modern Worker Empowerment Act; H.R. 7367 - the Overtime Pay Flexibility Act; S.2727 - The Advice and Consent Act; H.R. 837 - the Senator Elizbeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act; H.R. 20 / S. 567 - Protecting the Right to Organize Act; H.R. 8639 / S. 4260 - Warehouse Worker Protection Act; and S. 5208 - a bill to establish protections for warehouse workers. S.Res 827 - A resolution designating the week of September 15 through September 21, 2024, as "National Truck Driver Appreciation Week". Other workforce and labor issues included Hours of Service reform, Independent Contractors, Truck Driver Shortages, Veteran Employment Training Act, the NLRB, and the Fair Labor Standards Act

Client expense: $700,000 · Firm income: Not reported

Independent Contractor Status Under the Fair Labor Standards Act (WHD-2020-0007) Deceptive or Unfair Earnings Claims (FTC-2022-0020) H.R.5513/S.3018 - Modern Worker Empowerment Act; All provisions S.J.Res.63 / H.J.Res.116 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act"

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT)

S. 2016 HR. 4189: Connect for Health Act: expand the use of telehealth and remote patient monitoring services in Medicare, toward the goal of cost savings and quality care improvement. HR 4056 Ensuring Medicaid Continuity of Children in Foster Care Act: Ensuring that Medicaid is available for foster children who are placed in qualified residential treatment programs maintaining beneficiary access to the full range of available medications under Medicare Part D by protecting consumer access to Medicare Part D's Six Protected Classes Supporting new quality measures in Medicare's FY 2024 Inpatient psychiatric facility prospective payment system Objecting to new potential work requirements for Medicare and other public assistance programs H.R. 5510: Helping our patients for emotional and mental well-being Act. Requires coverage of 3 primary care visits without cost-sharing each year under the Medicare S. 2129: Ensuring Access to Lower-Cost Medicines for Seniors Act: To amend the Social Security Act to require PDP sponsors of a prescription drug plan and Medicare Advantage organizations offering an MA-PD plan under part D of the Medicare program that use a formulary to include certain generic drugs and biosimilar biological products on such formulary H.R. 4771 The CHIPP Act: permanently extend the Childrens Health Insurance Program S.838/H.R.1638: Improving Access to Mental Health Act: Increases the Medicare reimbursement rate for clinical social worker services. H.R. 4892 & S. 3921: Medicaid Bump Act: Increase Medicaid payments to certain providers H.R. 6748 & S. 3498: Peers IN Medicaid Act: requiring Medicare to cover peer support services at certain facilities S. 3892: Community Health Workers Access Act: Increase access to community health workers under the Medicare and Medicaid H.R. 8575 Michelle Go Act: Increase the number of inpatient beds that can be reimbursed under the IMD provision. H.R. 8487/S.3018 Improving Seniors Timely Access to Care Act: Reform prior authorization process in Medicare advantage plans H.R. 6748/S.3498 Peers In Medicare Act: Allows for Medicare reimbursement for peer supourt specialist

Independent Contractor Status Under the Fair Labor Standards Act (WHD-2020-0007) Deceptive or Unfair Earnings Claims (FTC-2022-0020) H.R.5513/S.3018 - Modern Worker Empowerment Act; All provisions S.J.Res.63 / H.J.Res.116 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act"

Client expense: $470,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT)

H.R. 8235 the Rural Physician Workforce Preservation Act H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act HR 3171/S. 3018 The Improving Seniors Timely Access to Care Act H.R. 1110, KEEP Telehealth Options Act of 2023 H.R. 3875, Expanded Telehealth Access Act H.R. 5541, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 5611, Helping Ensure Access to Local TeleHealth (HEALTH) Act of 2023 H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2023 H.R. 7149, Equal Access to Specialty Care Everywhere (EASE) Act of 2024 H.R. 7623, The Telehealth Modernization Act of 2024 H.R. 7711, To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program H.R. 7858, Telehealth Enhancement for Mental Health Act of 2024 H.R. 7863, To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program H.R. 5386, Cutting Copays Act H.R. 5380, To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage H.R. 5372, Expanding Seniors Access to Lower Cost Medicines Act of 2023 S. 3059 the REAL Health Provider Act (Bennet, Tillis) S. 2973 Modernizing and Ensuring PBM Accountability Act H.R. 2880, the Protecting Patients Against PBM Abuses Act S.1002 - No UPCODE Act H.R. 3282, the Promoting Transparency and Healthy Competition in Medicare Act H.R. 3284, the Providers and Payers COMPETE Act H.R. 3237, To amend title XVIII of the Social Security Act to require each outpatient department of a provider to include a unique identification number on claims for services, and to require hospitals with an outpatient department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each outpatient department Legislation and regulation related to the Medicare Advantage program and Medicare/Medicaid coverage, care delivery and financing.

H.R.267- The CAB Trucking Restrictions Act; S. 656 / H.R. 2830 - Veteran Improvement Commercial Driver License Act of 2023; H.R. 3013 / S. 1649 - The LICENSE Act; H.R.3408 - The DRIVE Safe Integrity Act; H.R.6655 - The Stronger Workforce for America Act; H.R. 6585 - Bipartisan Workforce Pell Act; S.4074 - The Veterans Transition to Trucking Act; H.R. 1200/S.532 -The National Right-to-Work Act; H.R.4957 - The Department of Labor Succession Act; H.R.5513/S.3018 - The Modern Worker Empowerment Act; H.R. 7367 - the Overtime Pay Flexibility Act; S.2727 - The Advice and Consent Act; H.R. 837 - the Senator Elizbeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act; H.R. 8638 / S.4260 - Warehouse Worker Protection Act; and H.R.5914 Veterans Education Transparency and Training Act. H.J. Res. 98 - H.J.Res.98 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". Other workforce and labor issues included Hours of Service reform, Independent Contractors, Truck Driver Shortages, Veteran Employment Training Act, the NLRB, and the Fair Labor Standards Act

Client expense: $820,000 · Firm income: Not reported

S. 2016 HR. 4189: Connect for Health Act: expand the use of telehealth and remote patient monitoring services in Medicare, toward the goal of cost savings and quality care improvement. HR 4056 Ensuring Medicaid Continuity of Children in Foster Care Act: Ensuring that Medicaid is available for foster children who are placed in qualified residential treatment programs maintaining beneficiary access to the full range of available medications under Medicare Part D by protecting consumer access to Medicare Part D's Six Protected Classes Supporting new quality measures in Medicare's FY 2024 Inpatient psychiatric facility prospective payment system Objecting to new potential work requirements for Medicare and other public assistance programs H.R. 5510: Helping our patients for emotional and mental well-being Act. Requires coverage of 3 primary care visits without cost-sharing each year under the Medicare S. 2129: Ensuring Access to Lower-Cost Medicines for Seniors Act: To amend the Social Security Act to require PDP sponsors of a prescription drug plan and Medicare Advantage organizations offering an MA-PD plan under part D of the Medicare program that use a formulary to include certain generic drugs and biosimilar biological products on such formulary H.R. 4771 The CHIPP Act: permanently extend the Childrens Health Insurance Program S.838/H.R.1638: Improving Access to Mental Health Act: Increases the Medicare reimbursement rate for clinical social worker services. H.R. 4892 & S. 3921: Medicaid Bump Act: Increase Medicaid payments to certain providers H.R. 6748 & S. 3498: Peers IN Medicaid Act: requiring Medicare to cover peer support services at certain facilities S. 3892: Community Health Workers Access Act: Increase access to community health workers under the Medicare and Medicaid H.R. 8575 Michelle Go Act: Increase the number of inpatient beds that can be reimbursed under the IMD provision. H.R. 8487/S.3018 Improving Seniors Timely Access to Care Act: Reform prior authorization process in Medicare advantage plans H.R. 6748/S.3498 Peers In Medicare Act: Allows for Medicare reimbursement for peer supourt specialist

1. H.R. 2389/S. 1302 Resident Physician Shortage Reduction Act of 2023 2. H.R. 3173/S. 3018 Improving Seniors' Timely Access to Care Act 3. S. 2243 Palliative Care and Hospice Education and Training Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3408 - The DRIVE Safe Integrity Act; H.R.6655 - The Stronger Workforce for America Act; S.4074 - The Veterans Transition to Trucking Act; H.R.5513/S.3018 - The Modern Worker Empowerment Act; H.R.4957 - The Department of Labor Succession Act; S.2727 - The Advice and Consent Act; H.R.1200/S.532 -The National Right-to-Work Act; H.R.20/S.567- The PRO Act; H.R.267- The CAB Trucking Restrictions Act; H.R.2872 - Further Additional Continuing Appropriations and Other Extensions Act, 2024, provisions related to FMCSA younger drivers apprenticeship pilot program; S. 656 / H.R. 2830 - Veteran Improvement Commercial Driver License Act of 2023; H.R. 7367 - the Overtime Pay Flexibility Act; S. 4823 / 6359 - Guaranteeing Overtime for Truckers Act; H.R. 6585 - Bipartisan Workforce Pell Act; H.J. Res 116 / S. Res 63 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act"; and H.J. Res. 98 - H.J.Res.98 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". Federal Motor Carrier Safety Administration NPRM - Amendments to the Commercial Drivers License Requirements; Increased Flexibility for Testing and for Drivers After Passing the Skills Test Department of Labor Final Rule - Employee or Independent Contractor Classification Under the Fair Labor Standards Act. Issues related to Nomination of Julie Su, U.S. Department of Labor Secretary. Other workforce and labor issues included Hours of Service reform, Independent Contractors, Truck Driver Shortages, Veteran Employment Training Act, the NLRB, and the Fair Labor Standards Act

Independent Contractor Status Under the Fair Labor Standards Act (WHD-2020-0007) Deceptive or Unfair Earnings Claims (FTC-2022-0020) H.R.5513/S.3018 - Modern Worker Empowerment Act; All provisions Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence (E.O. 14110 of Oct 30, 2023) S.J.Res.63 / H.J.Res.116 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act"

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT)

1. H.R. 2389/S. 1302 Resident Physician Shortage Reduction Act of 2023 2. H.R. 3173/S. 3018 Improving Seniors' Timely Access to Care Act 3. S. 2243 Palliative Care and Hospice Education and Training Act

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2700/S.1201 - Employee Rights Act; Provisions related to labor, tax and benefits Independent Contractor Status Under the Fair Labor Standards Act (WHD-2020-0007) Deceptive or Unfair Earnings Claims (FTC-2022-0020) FTC Policy Statement on Enforcement Related to Gig Work (Matter No. P227600) H.R.5513/S.3018 - Modern Worker Empowerment Act; All provisions Matters related to Department of Labor nominations Request for Information: Automated Worker Surveillance and Management (OSTP-TECH-2023-0004-0002) Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence (E.O. 14110 of Oct 30, 2023)

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT)

1. H.R. 2389/S. 1302 Resident Physician Shortage Reduction Act of 2023 2. H.R. 3173/S. 3018 Improving Seniors' Timely Access to Care Act 3. S. 2243 Palliative Care and Hospice Education and Training Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2700/S.1201 - Employee Rights Act; Provisions related to labor, tax and benefits Independent Contractor Status Under the Fair Labor Standards Act (WHD-2020-0007) Deceptive or Unfair Earnings Claims (FTC-2022-0020) FTC Policy Statement on Enforcement Related to Gig Work (Matter No. P227600) H.R.5513/S.3018 - Modern Worker Empowerment Act; All provisions Matters related to Department of Labor nominations Request for Information: Automated Worker Surveillance and Management (OSTP-TECH-2023-0004-0002)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE

1. H.R. 2389/S. 1302 Resident Physician Shortage Reduction Act of 2023 2. H.R. 3173/S. 3018 Improving Seniors' Timely Access to Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 2389/S. 1302 Resident Physician Shortage Reduction Act of 2023 2. H.R. 3173/S. 3018 Improving Seniors' Timely Access to Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions - with the expectation this this legislation will be reintroduced in the 118th Congress. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions - with the expectation that this legislation will be reintroduced in the 118th Congress. Extending flexibilities to hospitals made possible by the public health emergency, including the critical access hospital 96-hour average length of stay condition of participation and 96-hour condition of payment rule, the skilled nursing facility 3-day rule. Protecting the 340B prescription drug discount program - section 340B of the Public Health Service Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions - with the expectation this this legislation will be reintroduced in the 118th Congress. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions - with the expectation that this legislation will be reintroduced in the 118th Congress. Extending flexibilities to hospitals made possible by the public health emergency, including the critical access hospital 96-hour average length of stay condition of participation and 96-hour condition of payment rule, the skilled nursing facility 3-day rule. Protecting the 340B prescription drug discount program - section 340B of the Public Health Service Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE