HCBS Relief Act of 2023

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Ensuring Access to Medicaid Buy-In Programs Act of 2024 (S. 5070 / H.R. 8107), removing certain age restrictions on Medicaid for working adults over the age of 65 with disabilities Think Differently Database Act (S. 4174/H.R. 670), requires the Department of Health and Human Services (HHS) to establish an online clearinghouse of resources and other information for individuals with an intellectual disability (and their caregivers and families) that is searchable by zip code Care for Military Kids Act/To amend title XIX of the Social Security Act to add a Medicaid State plan requirement with respect to the determination of residency of certain individuals serving in the Armed Forces. (S.5417/H.R. 8108) Requires States to continue to provide Medicaid coverage for (or retain waiting list placement for) active-duty military families who are receiving home and community-based services (or are on the waitlist to receive such services) in the event that the family moves out of state for military relocation. American Relief Act of 2025 (H.R. 10545), Advocated for inclusion of H.R. 8107 in H.R. 10545

Client expense: $60,000 · Firm income: Not reported

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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583) - FDA priority review voucher program, healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107/ S.5070); Defense Health Research Programs (Congressionally Directed Medical Research Programs)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107 / S. 5070)

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

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

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act H.R.7513 s 3307: encounter data enhancement act hr 9803 hospice care, accountability, reform, and enforcement act hr 8107 Ensuring Access to Medicaid Buy-in Programs Act of 2024 H.R. 8261, the Preserving Telehealth, Hospital, and Ambulance Access Act Home Health Payment Adult Day Reimbursement Congressional Review Act -- Nursing home staffing mandate

Client expense: $11,995 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583), healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174)

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

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

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states. Think Differently Database Act (S. 4174/H.R. 670), requires the Department of Health and Human Services (HHS) to establish an online clearinghouse of resources and other information for individuals with an intellectual disability (and their caregivers and families) that is searchable by zip code

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Meeting with House and Senate Offices in support of the Better Care, Better Jobs Act (S 100/HR 547), HCBS Access Act (S 762/H.R.1493), and HCBS Relief Act (S. 3118/H.R. 6296). Nursing Home Minimum Staffing Regulation.

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $86,378 · Firm income: Not reported

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, to establish an external provider scheduling program to assist the VA in scheduling appointments for care and services under the Veterans Community Care Program, and for other purposes Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $86,378 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act H.R.7513 s 3307: encounter data enhancement act Hospice Program Integrity and Reform (Hospice CARE Act discussion) Home Health Payment Adult Day Reimbursement Congressional Review Act -- Nursing home staffing mandate

Client expense: $11,563 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $75,053 · Firm income: Not reported

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the Informing VETS Act of 2023 House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $75,053 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

United Spinal Association supports: Better Care Better Jobs Act (H.R. 547/S. 100), the HCBS Access Act (H.R. 1493/S. 762), the HCBS Relief Act (H.R. 6296/S. 3118). United Spinal raised the need to introduce federal legislation to address wheelchair repair reform, and legislation or report language to improve spinal cord injury rehabilitation outcomes. Follow up contacts with members of Congress on United Spinals Virtual Advocacy Day included recommendations for our members to advocate for the following policy issues with their members of Congress: Increase funding for SCI Model Systems. United Spinal policy staff advocated for Senators and Representatives to sign onto respective Dear Colleague letters for funding supporting increased funding for the Model Systems program and the Model Systems Knowledge Translational Center (MSKTC), funded by the National Institute on Disability, Independent Living, Rehabilitation Research (NIDILRR) at the U.S. Department of Health and Human Services and housed under the Administration for Community Living (ACL) in the FY 2025 Labor, Health and Human Services, Education Appropriations. The letter was addressed to the bipartisan leadership of the Senate Labor HHS Education Subcommittee on Appropriations. The letter read in part: The Model Systems program provides the entirety of the rehabilitation process from emergency services at the time of an injury through a persons return to full participation in the community for people with spinal cord injury (SCI), traumatic brain injury (TBI), and burn injury. The Model Systems program has not seen an increase in funding since 2006. Advocate for support of a House Dear Colleague letter as well for increaed funding for Spinal Cord Injury Model Systems. Continued raising support for FY2025 report language to direct the Centers for Medicare and Medicaid Services (CMS) to add and/or in the community to CMS policy for mobility assistive equipment and add and/or in the community to Social Security Act 1861 (n) which states that durable medical equipment including wheelchairs be used in the patients home only and support Medicare coverage for standing systems in power wheelchairs to facilitate increased options for independent and community living for all wheelchair users. As a member of the Disability and Rehabilitation Research Coalition, United Spinal, along with numerous other disability organizations, signed on to a letter of thanks to Anjali Forber-Pratt, Ph.D. director, National Institute on Disability, Independent Living, and Rehabilitation Research for the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) 2024-2028 Long Range Plan. United Spinal helped draft a United Spinal letter of interest for an Administration for Community Living grant: Disability and Rehabilitation Research Projects (DRRP) Program: Enhancing the Accessibility of Air Travel. As a member of the Disability & Rehabilitation on Research Coalition (DRRC), United Spinal, along with numerous other disability organizations, signed on to a letter to Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services to provide comments in response to the request for information on Research Data Request and Access Policy Changes. As a member of the Consortium for Constituents with Disabilities Technology and Telecommunications Task Force, United Spinal, along with numerous other disability organizations sent a letter to the bipartisan leadership of the Senate and House Labor, Health and Human Services and Education Appropriations Committees in support for the inclusion of $42 million in the Fiscal Year (FY) 2025 Senate Labor, Health and Human Services and Education Appropriations (LHHS) bill for the Assistive Technology (AT) Act Programs. United Spinal supports H.R 1691 - Ensuring Patient Access to Critical Breakthrough Products Act. Wrote letters with CMS and met with CMS to talk about the need for Medicare coverage of transanal irrigation. Wrote letter to CMS DME MACS regarding needed reform in ostomy supplies coverage under Medicare. Health equity issues - Met with CMS, NIH, ACL and the White House at the Danish Embassy discussing the challenges of health equity concerns in the medical supplies sector. As part of the Coalition to Preserve Rehabilitation, United Spinal signed onto the FY2025 in-patient rehab proposed rule and the RFI on Medicare Advantage data. As part of the ITEM Coalition, United Spinal also submitted a letter to CMS in support of standing systems (power wheelchairs) and another letter in support of coding reform for catheters. United Spinal also signed on to a letter to President Biden, with multiple care support groups, in support of the creation of an Office for Caregiver Health.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Council on Disability, Natl Institutes of Health (NIH), SENATE, White House Office

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583)

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

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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments and care, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583), healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670), Accelerating Kids Access to Care Act ((H.R.4758/S.2372)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 6296/ S. 3118 - HCBS Relief Act. I requested all of New Jersey's Representatives and Senators support this piece of legislation. H.R. 1638/ S. 838 - Improving Mental Health Access Act. I requested all of New Jersey's Representatives and Senators support this piece of legislation. DOL Proposed Rulemaking on Overtime Exemptions (RIN: 1235-AA39). I requested all of New Jersey's Representatives and Senators provide extra funding to help with the added costs of providing higher wages. CMS Proposed Rulemaking on Ensuring Access to Medicaid Services (0938-AU68). I requested all of New Jersey's Representatives and Senators provide extra funding to help with the added costs of providing higher wages.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act Hospice Program Integrity Home Health Payment Adult Day Reimbursement

Client expense: $11,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HCBS Settings rule implementation Funding for the Direct Care Workforce and addressing worker shortages H.R. 547/S. 100 Better Care Better Jobs Act S. 762/H.R. 1493 the HCBS Access Act Expanding Medicare benefits S. 3118/HR 6296 The HCBS Relief Act

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

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

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule.

Client expense: Not reported · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act

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

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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments and care, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $74,465 · Firm income: Not reported

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the Informing VETS Act of 2023 House Draft, the VR&E Terminology Update Act of 2024 S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3751, the Rural Veterans Transportation to Care Act S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 4009, the Veterans STAND Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, the Preventing Crimes Against Veterans Act Senate Draft, the Honoring Veterans Legacies and Burial Benefits Enhancements Act Senate Draft, the Coordinating Care for Senior Veterans Act Senate Draft, to require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $74,465 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 5796/S 3410 Protecting Rural Seniors Access to Care Act S.1749/HR 3227 Ensuring Seniors' Access to Quality Care Act S100/HR4131 Better Care Better Jobs Act HR 2713/S2418 Improving Care and Access to Nurses Act S 2137/HR5159 Preserving Access to Home Health Care Act S 3118 HCBS Relief Act Hospice Program Integrity Home Health Payment Adult Day Reimbursement

Client expense: $18,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Home and Community-Based Services (HCBS) Relief Act of 2023, S. 3118. Wrote a comment letter to CMS requesting their continued work with the disability community on issues involving the role that home health aide services play in ensuring the health, well-being, and independence of beneficiaries across the nation and provided Request for Information comments and for the following: Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements. [CMS-1780-P] Wrote a comment letter to CMS in response to the proposed rulemaking: Ensuring Access to Medicaid Services NPRM (CMS 2442-P) especially as it relates to Home and Community Based Services (HCBS). United Spinal expressed their support of the proposed rulemaking and its impacts on our members. On November 2nd, United Spinal, along with numerous other organizations, as members of the Independence Through Enhancement of Medicare and Medicaid (ITEM) Coalition met with representatives of the Centers for Medicare and Medicaid Services (CMS) to discuss the status of a proposed issuance of a National Coverage Determination (NCD) for power wheelchair standing systems. Supported the Ensuring Patient Access to Critical Breakthrough Product Act of 2023 as a member of the ITEM Coalition Steering Committee. Enodrsed/drafted joint ITEM/CPR Coalition Letter on Section 504 Proposed Rule. Endorsed letter to CDC and GAO and U.S. Senate on access to catheters and catheter acquired urinary tract infections. United Spinal supports Telehealth Expansion Act - S. 1001/H.R. 1848

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.2630/S. 652 -Safe Step Act - Support H.R. 4822 - the Health Care Price Transparency Act of 2023 - Inclusion of the Improving Seniors Timely Access to Care Act and other patient-centric provisions. S.1375/H.R. 839 - HELP Copays Act - Called for passage S.3430 - the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 - Inclusion of provisions for basing copays on net price for pharmaceuticals H.R.5378 -Lower Costs, More Transparency Act - Call for systemwide health transparency H.R.5699 - Charles Rochester Blood Clot Prevention and Treatment Act - Technical assistance to staff on patient engagement. S.3118 - HCBS Relief Act of 2023 - Endorsed S, 3109 Alleviating Barriers for Caregivers Act - Endorsed H.R. 6302 - Health Share Transparency Act - Endorsed

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HCBS Settings rule implementation Funding for the Direct Care Workforce and addressing worker shortages H.R. 547/S. 100 Better Care Better Jobs Act S. 762/H.R. 1493 the HCBS Access Act Expanding Medicare benefits S. 3118/HR 6296 The HCBS Relief Act

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

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

S. 3118, HCBS Relief Act of 2023, All provisions. H.R. 5408, S. 2767, SSI Savings Penalty Elimination Act, All provisions. H.R. 2373, S. 3238, Transformation to Competitive Integrated Employment Act, All provisions. H.R. 6110, Access to Inpatient Rehabilitation Therapy Act, All provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6551, the HEAL Act H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the TEF Improvement Act House Draft, the Veterans Accessibility Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $76,505 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $76,505 · Firm income: Not reported

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

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 and H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for legislation to provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332)

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

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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, coverage of rare disease treatments and care, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE