SUPPORT for Patients and Communities Reauthorization Act of 2023

SUPPORT for Patients and Communities Reauthorization Act (HR 4531 / S 2433, S 3106, S 3393); HEAL Act (HR 4007 / S 2809); PAHPA Act (HR 4421 / S 2333); Reentry Act (HR 2400 / S 1165); Due Process Continuity of Care Act (HR 3074 / S 971); FY25 appropriations for Labor-HHS-Education, Military Construction & Veterans Affairs, and Commerce-Justice-Science; DEA rulemaking on telemedicine prescribing of controlled substances (RIN #1117-AB40); CMS Physician Fee Schedule CY25 Proposed Rule (RIN #0938-AV33)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

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. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 3073 / S. 1452 - Community Mental Wellness and Resilience Act H.R. 3432 / S. 3651 - Telemental Health Care Access Act of 2023 H.R. 3946/S. 1800 - FASD Respect Act H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4892 / S. 3921 - Medicaid Bump Act H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5819 / S. 1378 - COMPLETE Care Act H.R. 6683 - Preserving Seniors Access to Physicians Act of 2023 H.R. 7153 / S. 3679 - Dr. Lorna Breen Health Care Provider Protections Reauthorization Act H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3226 / S. 1573 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3838 / S. 2415 - Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 7024 - Tax Relief for American Families and Workers Act of 2024 H.R. 8458 / S. 669- Increasing Mental Health Options Act of 2024 H.R. 8543 / S. 2993 - To amend the Social Security Act and the Public Health Service Act to permanently authorize certified community behavioral health clinics, and for other purposes 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 H.R. 8702/ S .4532 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans H.R.8767 - To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases S. 1339 - Pharmacy Benefit Reform Manager Act H.R. 7891 / S. 1409 - Kids Online Safety Act H.R. 7890 / S. 1418 - Children and Teens Online Privacy Protection Act (COPPA 2.0) H.R. 4531 / S. 3106 - SUPPORT for Patients and Communities Reauthorization Act H.R. 6663 / S. 3364 - Kid PROOF Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Health Extenders Act S. 3157 - More Behavioral Health Providers Act of 2023 H.R. 7619 / S. 3158 - Expand the Behavioral Health Workforce Now Act H.R.6928 - CONNECT Act of 2024 H.R.6961 / S. 3010 - Nutrition CARE Act of 2024 H.R. 6982 / S. 3579 - Gambling Addiction, Recovery, Investment, and Treatment Act H.R. 7050 - Substance Use Disorder Workforce Act of 2024 H.Res. 1089 / S.Res.567 - Health Workforce Well-being Day of Awareness Resolution S. 2556 - Improving Coordination and Access to Resources Equitably (CARE) for Youth Act H.R. 5408 / S. 2767 - SSI Savings Penalty Elimination Act H.R.7301 - Certified Community Behavioral Health Clinic Expansion Act of 2024 H.R. 7808 - EARLY Minds Act H.R. 7265 / S. 3779 - Child Suicide Prevention and Lethal Means Act S. 3638 - Dependent Controlled Substance Transparency Act H.R. 7265 / S. 3379 Child Suicide Prevention & Lethal Means Safety Act H.R.7708 - To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes H.R.8575 - Michelle Alyssa Go Act H.R. 7258 / S. 3968 - A bill to amend the Public Health Service Act to provide community-based training opportunities for medical students in rural areas and medically under-served communities, and for other purposes S.4023 - Behavioral Health Network and Directory Improvement Act S.4358 - Preventing and Treating Substance Use Disorders Among Older Adults Act APA engaged with SAMHSA on Harm Reduction strategies and agency framework Sent letter to the FDA on the planning of the Clozapine REMS re-evaluation meeting FDA engagement through APAs involvement with the FDA Total Product Life Cycle Advisory Program Meeting with SAMHSA and FDA on continued Stimulant Shortage APA met with DOL, HHS, and Treasury to Discuss Parity APA meeting with ONC on priorities impacting Mental Health Integration and AI APA meeting with CDC on workplace mental health and wellness Signed onto AMA letter on Medicare physician payment reform S.4935- Physician Fee Stabilization Act H.R. 6371 - the Provider Reimbursement Stability Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5013 / S. 3503 - Value in Health Care (VALUE) Act H.R. 1770 / S. 2477 - Equitable Community Access to Pharmacist Services Act. Signed AMA letter in opposition H.R.6664 / S. 4905- Innovation in Pediatric Drugs Act of 2023 H.R.9133 / S. 4835- The Primary and Behavioral Health Care Access Act H.R. 2630 / S. 652 - the Safe Step Act H.R. 9581 - STAR Plus Scholarship Act H.R. 8715 - NEST Act H.R. 9577- Stabilization to Prevent (STOP) Suicide Act H.R. 9656 - Career and Technical Education (CTE) Student Mental Health and Wellness Act S. 5146- Medical Graduate Investment Act of 2024 H.R. 9688 - Keep Kids Covered Act

No bill number - Support funding for the Allied Health Workforce Diversity program. H.R. 744 - Supporting the Mental Health of Educators and Staff Act of 2023: Support passage H.R. 1310 - States Handling Access to Reciprocity for Employment Act or the SHARE Act: Support passage. S. 462/HR 4933 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023: Advocate for adding occupational therapy back into S. 462, similar to provisions in the draft "Primary Care and Health Workforce Expansion Act;" and advocate for passage of HR 4933. S. 1592 - OT Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2433/S. 3106/H.R. 4079 - Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage. Medicare Bump Act - Support passage No Bill Number - Funding for Mental Health Service Professionals Demonstration Grant Program: Advocate for funding No Bill Number - Funding for School-Based Mental Health Grant Program: Advocate for funding Support or reauthorization of Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7153/S. 3679

Client expense: $189,000 · Firm income: Not reported

HR 4315/S3977 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act: Advocate for passage of bill that would extend waivers allowing OTs to provide services via telehealth in Medicare. H.R.8151 - Telehealth Therapy Act: Advocate for passage of bill that would allow OTs to provide services via telehealth in Medicare on a permanent basis. H.R.7148 - Medicare Home Health Accessibility Act: Advocate for passage of legislation that would establish occupational therapy as a qualifying Medicare home health service and for introduction of similar bill in the Senate. S. 1592/H.R.8220 - Occupational Therapy in Mental Health Parity Act: Support passage. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage. S. 5023 support Stand Strong Falls Prevention Act Support Congressional efforts to stop cuts to the Medicare Physician Fee Schedule Support inclusion of a repeal of the Multiple Procedure payment reduction in Medicare Fee Schedule Reform

SUPPORT for Patients and Communities Reauthorization Act (HR 4531 / S 2433, S 3106, S 3393); HEAL Act (HR 4007 / S 2809); PAHPA Act (HR 4421 / S 2333); Reentry Act (HR 2400 / S 1165); Due Process Continuity of Care Act (HR 3074 / S 971); FY24 Further Consolidated Appropriations Act (HR 2882), FY25 appropriations for Labor-HHS-Education, Military Construction & Veterans Affairs, and Commerce-Justice-Science; DEA rulemaking on telemedicine prescribing of controlled substances (RIN #1117-AB40)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

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. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 3073 / S. 1452 - Community Mental Wellness and Resilience Act H.R. 3432 / S. 3651 - Telemental Health Care Access Act of 2023 H.R. 3946/S. 1800 FASD Respect Act H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4892 / S. 3921 - Medicaid Bump Act H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5819 / S. 1378 - COMPLETE Care Act H.R. 6683 - Preserving Seniors Access to Physicians Act of 2023 H.R. 7153 / S. 3679 - Dr. Lorna Breen Health Care Provider Protections Reauthorization Act H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3226 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3838 - Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 7024 - Tax Relief for American Families and Workers Act of 2024 H.R.8458 - to amend title XVIII of the Social Security Act to expand access to psychological and behavioral service H.R.8543 - To amend the Social Security Act and the Public Health Service Act to permanently authorize certified community behavioral health clinics, and for other purposes H.R.8575 - Michelle Go Act 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 H.R.8702/S.4532 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans H.R.8767 - To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases S. 1339 - Pharmacy Benefit Reform Manager Act S. 1409 - Kids Online Safety Act S. 1418 - Children and Teens Online Privacy Protection Act (COPPA 2.0) S. 3106 - SUPPORT for Patients and Communities Reauthorization Act H.R. 6663 / S. 3364 - Kid PROOF Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Health Extenders Act S. 3157 - More Behavioral Health Providers Act of 2023 S. 3158 - Expand the Behavioral Health Workforce Now Act H.R.6928 - CONNECT Act of 2024 H.R.6961 / S. 3010 - Nutrition CARE Act of 2024 H.R. 6982 / S. 3579 - Gambling Addiction, Recovery, Investment, and Treatment Act H.R. 7050 - Substance Use Disorder Workforce Act of 2024 H.Res. 1089 / S.Res.567 - Health Workforce Well-being Day of Awareness Resolution H.R. 7996 / S. 2556 - Improving Coordination and Access to Resources Equitably (CARE) for Youth Act H.R. 5408 / S. 2767 - SSI Savings Penalty Elimination Act H.R.7301 - Certified Community Behavioral Health Clinic Expansion Act of 2024 H.R. 7808 - EARLY Minds Act H.R. 7265 / S. 3779 - Child Suicide Prevention and Lethal Means Act S. 3638 - Dependent Controlled Substance Transparency Act H.R. 7265 / S. 3379 Child Suicide Prevention & Lethal Means Safety Act H.R.7708 - To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes S. 3968 - A bill to amend the Public Health Service Act to provide community-based training opportunities for medical students in rural areas and medically under-served communities, and for other purposes S.4023 - A bill to further protect patients and improve the accuracy of provider directory information by eliminating ghost networks S. 669, the Increasing Mental Health Options Act of 2023 APA met with DOL, HHS, and Treasury to Discuss Parity Opposition to approval of MDMA by the FDA Advisory Committee Support of review and amendment to FDA policy on Clozapine FEMS

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315/S3977 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act: Advocate for passage of bill that would extend waivers allowing OTs to provide services via telehealth in Medicare. H.R.8151 - Telehealth Therapy Act: Advocate for passage of bill that would allow OTs to provide services via telehealth in Medicare on a permanent basis. H.R.7148 - Medicare Home Health Accessibility Act: Advocate for passage of legislation that would establish occupational therapy as a qualifying Medicare home health service and for introduction of similar bill in the Senate. S. 1592/H.R.8220 - Occupational Therapy in Mental Health Parity Act: Support passage. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage.

No bill number - Support funding for the Allied Health Workforce Diversity program. H.R. 744 - Supporting the Mental Health of Educators and Staff Act of 2023: Support passage H.R. 1310 - States Handling Access to Reciprocity for Employment Act or the SHARE Act: Support passage. S. 462/HR 4933 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023: Advocate for adding occupational therapy back into S. 462, similar to provisions in the draft "Primary Care and Health Workforce Expansion Act;" and advocate for passage of HR 4933. S. 1592 - OT Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2433/S. 3106/H.R. 4079 - Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage. Medicare Bump Act - Support passage No Bill Number - Funding for Mental Health Service Professionals Demonstration Grant Program: Advocate for funding No Bill Number - Funding for School-Based Mental Health Grant Program: Advocate for funding Support or reauthorization of Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7153/S. 3679

Client expense: $189,000 · Firm income: Not reported

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. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 3073 / S. 1452 - Community Mental Wellness and Resilience Act H.R. 3432 / S. 3651 - Telemental Health Care Access Act of 2023 H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4892 / S. 3921 - Medicaid Bump Act H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5819 / S. 1378 - COMPLETE Care Act H.R. 6683 - Preserving Seniors Access to Physicians Act of 2023 H.R. 7153 / S. 3679 - Dr. Lorna Breen Health Care Provider Protections Reauthorization Act H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3226 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3838 - Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 7024 - Tax Relief for American Families and Workers Act of 2024 S. 1409 - Kids Online Safety Act S. 1418 - Children and Teens Online Privacy Protection Act (COPPA 2.0) S. 3106 - SUPPORT for Patients and Communities Reauthorization Act H.R. 6663 / S. 3364 - Kid PROOF Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Health Extenders Act S. 3157 - More Behavioral Health Providers Act of 2023 S. 3158 - Expand the Behavioral Health Workforce Now Act H.R.6928 - CONNECT Act of 2024 H.R.6961 / S. 3010 - Nutrition CARE Act of 2024 H.R. 6982 / S. 3579 - Gambling Addiction, Recovery, Investment, and Treatment Act H.R. 7050 - Substance Use Disorder Workforce Act of 2024 H.Res. 1089 / S.Res.567 - Health Workforce Well-being Day of Awareness Resolution H.R. 7996 / S. 2556 - Improving Coordination and Access to Resources Equitably (CARE) for Youth Act H.R. 5408 / S. 2767 - SSI Savings Penalty Elimination Act H.R.7301 - Certified Community Behavioral Health Clinic Expansion Act of 2024 H.R. 7808 - EARLY Minds Act H.R. 7265 / S. 3779 - Child Suicide Prevention and Lethal Means Act S. 3638 - Dependent Controlled Substance Transparency Act H.R. 7265 / S. 3379 Child Suicide Prevention & Lethal Means Safety Act H.R.7708 - To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes S. 3968 - A bill to amend the Public Health Service Act to provide community-based training opportunities for medical students in rural areas and medically under-served communities, and for other purposes S.4023 - Tina Smith - A bill to further protect patients and improve the accuracy of provider directory information by eliminating ghost networks APA engaged with SAMHSA on Outpatient Treatment Programs APA responded to with SAMHSA RFI on Maternal Mental Health APA engaged with White House on Conversion Therapy APA responded to HHS on 42 CFR Part 2 APA met with DOL, HHS, and Treasury to Discuss Parity

FY24 Labor-HHS-Education (HR 5894 / S 2624), Military Construction & Veterans Affairs (HR 4366 / S 2127) and Commerce-Justice-Science (HR 5893 / S 2321) Appropriations; SUPPORT for Patients and Communities Reauthorization Act (HR 4531 / S 2433, S 3106, S 3393); HEAL Act (HR 4007 / S 2809); PAHPA Act (HR 4421 / S 2333); Reentry Act (HR 2400 / S 1165); Due Process Continuity of Care Act (HR 3074 / S 971); FY24 Further Consolidated Appropriations Act (HR 2882), FY25 appropriations for Labor-HHS-Education, Military Construction & Veterans Affairs, and Commerce-Justice-Science

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Issues related to behavioral health services and prescription drug monitoring programs; SUPPORT Act reauthorization proposals, including S. 3393/S. 3106/S. 2433/H.R. 4531 - the SUPPORT for Patients and Communities Reauthorization Act; H.R. 4099 - the RECONNECTS Act of 2023; FY 2024 and FY 2025 CJS and Labor-HHS appropriations bills.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for introduction and passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R.7148 - Medicare Home Health Accessibility Act: Advocated for introduction and passage of legislation that would establish occupational therapy as a qualifying Medicare home health service. S. 1592 - Occupational Therapy in Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage.

No bill number - Support funding for the Allied Health Workforce Diversity program. H.R. 744 - Supporting the Mental Health of Educators and Staff Act of 2023: Support passage H.R. 1310 - States Handling Access to Reciprocity for Employment Act or the SHARE Act: Support passage. S. 462/HR 4933 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023: Advocate for adding occupational therapy back into S. 462, similar to provisions in the draft "Primary Care and Health Workforce Expansion Act;" and advocate for passage of HR 4933. S. 1592 - OT Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2433/S. 3106/H.R. 4079 - Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage. Medicare Bump Act - Support passage Healthy MINDS Act - Support passage No Bill Number - Funding for Mental Health Service Professionals Demonstration Grant Program: Advocate for funding No Bill Number - Funding for School-Based Mental Health Grant Program: Advocate for funding

Client expense: $189,000 · Firm income: Not reported

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. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4892 - Medicaid Bump Act H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5819 - COMPLETE Care Act H.R. 6683 - Preserving Seniors Access to Physicians Act of 2023 H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3226 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3838 - Preventing Maternal Deaths Reauthorization Act of 2023 S. 1409 - Kids Online Safety Act S. 1418 - Children and Teens Online Privacy Protection Act S. 3106 - SUPPORT for Patients and Communities Reauthorization Act H.R. 6663 / S. 3364 - Kid PROOF Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Health Extenders Act S. 3157 - More Behavioral Health Providers Act of 2023 S. 3158 - Expand the Behavioral Health Workforce Now Act H.R. 773 / S. 3165 - Homelessness and Behavioral Health Care Coordination Act of 2023 H.R. 2577 / S. 1137 - DHS Suicide Prevention and Resiliency for Law Enforcement Act H.R. 4331 - Strengthening Medicaid for Serious Mental Illness Act H.R. 4830 / S. 2444 - ATTAIN Mental Health Act H.R. 4974 / S. 3444 - Local 9-8-8 Response Act of 2023 HR 5510 - HOPE and Mental Wellbeing Act of 2023 H.R. 5975 - Keeping Drugs Out of Schools Act of 2023 H.R. 6033 - Supporting Patient Education And Knowledge (SPEAK) Act of 2023 H.R. 6149 / S. 1291 - Protecting Kids on Social Media Act H.R. 6364 - Medicare Telehealth Privacy Act of 2023 H.R. 6407 - Medical Nutrition Therapy Act of 2023 H.R. 6545 - Physician Fee Schedule Update and Improvements Act S. 644 - Modernizing Opioid Treatment Access Act S. 1840 - SCREENS for Cancer Act of 2023 S. 3392 - Advancing Research in Education Act S. 2511 - ADAPT Act S. 2966 - Targeting Emotional and Mentally Stability (TEAMS) Act of 2023 S. 3070 - Youth Prevention and Recovery Reauthorization Act of 2023

FY24 Labor-HHS-Education (HR 5894 / S 2624), Military Construction & Veterans Affairs (HR 4366 / S 2127) and Commerce-Justice-Science (HR 5893 / S 2321) Appropriations; SUPPORT for Patients and Communities Reauthorization Act (HR 4531 / S 2433, S 3106, S 3393); HEAL Act (HR 4007 / S 2809); PAHPA Act (HR 4421 / S 2333); Reentry Act (HR 2400 / S 1165); Due Process Continuity of Care Act (HR 3074 / S 971)

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

No bill number - Support funding for the Allied Health Workforce Diversity program. H.R. 744 - Supporting the Mental Health of Educators and Staff Act of 2023: Support passage H.R. 1310 - States Handling Access to Reciprocity for Employment Act or the SHARE Act: Support passage. S. 462/HR 4933 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023: Advocate for adding occupational therapy back into S. 462, similar to provisions in the draft "Primary Care and Health Workforce Expansion Act;" and advocate for passage of HR 4933. S. 1592 - OT Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2433/S. 3106/H.R. 4079 - Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage. HR 7116 - 9-8-8 Implementation Act - Support Passage H.R. 6928 - 9-8-8 CONNECT Act - Support Passage

Client expense: $189,000 · Firm income: Not reported

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. No bill number - Telehealth Modernization Act: Advocate for reintroduction and inclusion of provision to establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. No bill number - Medicare Home Health Accessibility Act: Advocate for introduction of legislation that would establish occupational therapy as a qualifying Medicare home health service. S. 1592 - Occupational Therapy in Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. No bill number - support introduction of legislation to streamline the certification of the plan of care under Medicare No bill number - support introduction of legislation in the House that would add falls prevention to the services included in the Medicare annual wellness visit and add occupational therapist to the list of eligible providers S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage

GHAI Overdose Initiative (under healthcare issue code): Legislation: H.R. 453/S.3106 - SUPPORT for Patients and Communities Reauthorization Act H.R. 3074/S. 971 - Due Process Continuity of Care Act S. 1165/H.R.2400 - Reentry Act H.R. 1359/S.644 Modernizing Opioid Treatment Access Act Issues: Reforming Medicare Definition of incarcerated individuals Medicare coverage for seniors with substance use disorder Medicaid reform in jails/prisons Methadone access Agencies Visited: US Senate Centers for Disease Control and Prevention US House of Representatives ONDCP SAMHSA DEA CDC

Client expense: $430,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Issues related to behavioral health services and prescription drug monitoring programs; SUPPORT Act reauthorization proposals, including S. 3393/S. 3106/S. 2433/H.R. 4531 - the SUPPORT for Patients and Communities Reauthorization Act; H.R. 4099 - the RECONNECTS Act of 2023; FY 2024 CJS and Labor-HHS appropriations bills.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE