Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023

Sustaining Outpatient Services Act (H.R. 955/S. 1849) Regulations from the Executive in Need of Scrutiny (REINS) Act of 2023 (HR 277/S 184) Increasing Access to Quality Cardiac Rehabilitative Care Act (HR 2583/S. 3481) Black Maternal Health Momnibus Act (S. 1606/HR 3305) Medicare Dental Benefit Act (HR 4146/S. 2012) Accelerating Kids Access to Care Act (H.R. 4758/S. 2372) Amputation Reduction and Compassion Act (H.R. 4261) CONNECT for Health Act (S. 2016, H.R. 4189) Kickstarting Innovative Demonstrations Supporting (KIDS) Health Act of 2023 (HR 3805/ S. 1769) Expanding Remote Monitoring Access Act (H.R.5394) Physical Activity Omnibus Legislation (No Bill Number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (S. 3021) Supporting Innovation for Seniors Act (H.R. 5388) Supporting Patient Education And Knowledge (SPEAK) Act of 2023 (H.R. 6033) Wearable Equipment Opposed Medicaid per capita caps, block grants, and work requirements Mobile stroke units Telehealth Modernization Act (H.R 7623/S.3967)

Client expense: $300,000 · Firm income: Not reported

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S. 260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act H.R. 10073, Medicare Patient Access and Practice Stabilization Act of 2024 S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 2474, Strengthening Medicare for Patients and Providers Act H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 3836, Medicaid Primary Care Improvement Act H.R. 5434/S. 3138, Stabilize Medicaid and CHIP Coverage Act H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act H.R. 10073, Medicare Patient Access and Practice Stabilization Act of 2024 S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

Medicare physician payment including H.R.10073, the Medicare Patient Access and Practice Stabilization Act of 2024 and H.R.10545, the American Relief Act; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389/S. 1302); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (HR 9001); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882); The Improving Seniors Timely Access to Care Act of 2024 (H.R. 8702/S. 4532); The Pay PCPs Act (S. 4338); the Electronic Prior Authorization for Prescription Drugs Act (S. 4349); FY 25 Labor-HHS Appropriations (H.R. 9029/S. 4942); The Physician Fee Stabilization Act (S. 4935); GOLD CARD Act (H.R. 4968); Access to Claims Data Act (H.R. 9805)

- Telehealth issues - Workforce development; veterans' health care; Medicare reimbursement including "incident to" billing; Medicare hospice restrictions; transparency; opioid addiction treatment; mental health; telehealth. - Promoting Access to Diabetic Shoes Act (S. 260, H.R. 704) - Improving Access to Workers' Compensation for Injured Federal Workers Act of 2023 (S. 131, H.R. 618) - Value-based care - ACO Assignment Improvement Act (S. 3939, H.R. 7665) - Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 2583, S. 3481) - Improving Care and Access to Nurses Act (H.R. 2713, S. 2414)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025 Issues surrounding surgical smoke

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

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 923 - Better Mental Health Care for Americans Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R. 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 4189/S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S.1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act Support implementation of Medicare code G2211 S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S. 4338 - Pay PCPs Act of 2024 H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act Issues related to Medicare Part B reform Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Extension of CMS waivers beyond the COVID-19 Public Health Emergency Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Documentation of medical records Use of clinician home address on Medicare claims when providing telehealth services

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7266/S. 3770 - Future Advancement of Academic Nursing (FAAN) Act H.R. 7153/S. 3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 7002/S. 2815 - Nurse Faculty Shortage Reduction Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 4534/S. 2245 - the Women and Lung Cancer Research and Preventive Services Act H.R. 5829 - Health Care Practitioner Disaster Protection Act S. 923 - Better Mental Health Care for Americans Act H.R. 3768/S. 1851 - Midwives for MOMs Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2411/S. 1150 - National Nursing Workforce Center Act of 2023 H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 3523/S. 1710 - Perinatal Workforce Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3355 - Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023 S. 1627 - Providing Real-World Education and Clinical Experience by Precepting Tomorrows Nurses Act (PRECEPT) Nurses Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 3730/S. 198 - Rural Health Clinic Burden Reduction Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S. 1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.Con.Res.42 - Honoring Mary Eliza Mahoney, America's first professionally trained Black nurse. S.Res.201/H.Res.375 - A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2023. H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 Support funding for the National Health Service Corps S. 862 - Restoring Americas Health Care Workforce and Readiness Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S.Res. 676/H.Res. 1208 - a resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024 S. 4338 - Pay PCPs Act of 2024 H.R. 9133/S. 4835 - Primary and Behavioral Health Care Access Act H.R. 6860/S. 5018 - the Restore Protections for Dialysis Patients Act H.R. 10280 - Strengthening Pathways to Health Professions Act Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Support for the creation of the Office of Caregiver Health Support a final rule prohibiting menthol cigarettes and cigars Support implementation of Medicare code G2211 Extending COVID-19 waivers related to nurse practitioners and critical access hospitals Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Public health and nursing workforce infrastructure Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Extension of CMS waivers beyond the COVID-19 Public Health Emergency Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Implementation of the Medication Access and Training Expansion (MATE) Act Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Primary care payment reform Documentation of medical records Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Framework reform of the National Institutes of Health and the National Institute of Nursing Research Optimizing the Food and Drug Administration's Use of and Processes for Advisory Committees

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement Issues surrounding surgical smoke (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025

Reducing regulatory and legislative barriers for Nurse Practitioners Issues surrounding COVID-19 public health emergency declaration waivers (H.R. 704/S. 260) The Promoting Access to Diabetic Shoes Act Issues surrounding nurse workforce shortages Rural health care access (H.R.2713/S.2418) ICAN Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 4822) Health Care Price Transparency Act of 2023 (H.R. 4104) Preserving Patient Access to Home Infusion Act (S.3939/H.R.7665) ACO Assignment Improvement Act Issues surrounding skilled nursing facilities Issues surrounding Medicare Part B reform Medicare provider reimbursement (H.R.8261) Preserving Telehealth, Hospital, and Ambulance Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, the Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), the Promoting Access to Diabetic Shoes Act (S 800, HR 4870), the Increasing Access to Quality Cardiac Rehabilitation Care Act (S. 3481, HR 2583), the ACO Assignment Improvement Act (S 3939, HR 7665), the Improving Care and Access to Nurses Act (S 2418, HR 2713), Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), Medical Nutrition Therapy Act (S 3297, HR 6407), Hospice CARE Act of 2024 (HR 9803), PA Educational and Workforce Training Programs, federal PA workforce issues at the Departments of Veterans Affairs and Indian Health Services, and other agencies, implementation of provider non-discrimination provision of the No Surprises Act.

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 2724, Strengthening Medicare for Patients and Providers Act H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 3836, Medicaid Primary Care Improvement Act H.R. 5434/S. 3138, Stabilize Medicaid and CHIP Coverage Act H.R. 6371, Provider Reimbursement Stability Act H.R. 6683, Preserving Seniors Access to Physicians Act of 2023 H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

Sustaining Outpatient Services Act (H.R. 955/S. 1849) Regulations from the Executive in Need of Scrutiny (REINS) Act of 2023 (HR 277/S 184) Increasing Access to Quality Cardiac Rehabilitative Care Act (HR 2583/S. 3481) Black Maternal Health Momnibus Act (S. 1606/HR 3305) Medicare Dental Benefit Act (HR 4146/S. 2012) Accelerating Kids Access to Care Act (H.R. 4758/S. 2372) Amputation Reduction and Compassion Act (H.R. 4261) CONNECT for Health Act (S. 2016, H.R. 4189) Kickstarting Innovative Demonstrations Supporting (KIDS) Health Act of 2023 (HR 3805/ S. 1769) Expanding Remote Monitoring Access Act (H.R.5394) Physical Activity Omnibus Legislation (No Bill Number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (S. 3021) Supporting Innovation for Seniors Act (H.R. 5388) Supporting Patient Education And Knowledge (SPEAK) Act of 2023 (H.R. 6033) Wearable Equipment

Client expense: $200,000 · Firm income: Not reported

Medicare physician payment; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389/S. 1302); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (HR 9001); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882); The Improving Seniors Timely Access to Care Act of 2024 (H.R. 8702/S. 4532); The Pay PCPs Act (S. 4338); the Electronic Prior Authorization for Prescription Drugs Act (S. 4349); FY 25 Labor-HHS Appropriations (H.R. 9029/S. 4942); The Physician Fee Stabilization Act (S. 4935); GOLD CARD Act (H.R. 4968); Access to Claims Data Act (H.R. 9805)

- Telehealth issues - Workforce development; veterans' health care; Medicare reimbursement including "incident to" billing; Medicare hospice restrictions; transparency; opioid addiction treatment; mental health; telehealth. - Promoting Access to Diabetic Shoes Act (S. 260, H.R. 704) - Improving Access to Workers' Compensation for Injured Federal Workers Act of 2023 (S. 131, H.R. 618) - Value-based care - ACO Assignment Improvement Act (S. 3939, H.R. 7665) - Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 2583, S. 3481) - Improving Care and Access to Nurses Act (H.R. 2713, S. 2414)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

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

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7266/S. 3770 - Future Advancement of Academic Nursing (FAAN) Act H.R. 7153/S. 3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 7002/S. 2815 - Nurse Faculty Shortage Reduction Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 4534/S. 2245 - the Women and Lung Cancer Research and Preventive Services Act H.R. 5829 - Health Care Practitioner Disaster Protection ActS. 923 - Better Mental Health Care for Americans Act H.R. 3768/S. 1851 - Midwives for MOMs Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2411/S. 1150 - National Nursing Workforce Center Act of 2023 H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 3523/S. 1710 - Perinatal Workforce Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3355 - Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023 S. 1627 - Providing Real-World Education and Clinical Experience by Precepting Tomorrows Nurses Act (PRECEPT) Nurses Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 3730/S. 198 - Rural Health Clinic Burden Reduction Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S. 1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.Con.Res.42 - Honoring Mary Eliza Mahoney, America's first professionally trained Black nurse. S.Res.201/H.Res.375 - A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2023. H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 Support funding for the National Health Service Corps S. 862 - Restoring Americas Health Care Workforce and Readiness Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S.Res. 676/H.Res. 1208 - a resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024 S. 4338 - Pay PCPs Act of 2024 H.R. 9133/S. 4835 - Primary and Behavioral Health Care Access Act H.R. 6860/S. 5018 - the Restore Protections for Dialysis Patients Act Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Support for the creation of the Office of Caregiver Health Support a final rule prohibiting menthol cigarettes and cigars Support implementation of Medicare code G2211 Extending COVID-19 waivers related to nurse practitioners and critical access hospitals Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Public health and nursing workforce infrastructure Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Extension of CMS waivers beyond the COVID-19 Public Health Emergency Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Implementation of the Medication Access and Training Expansion (MATE) Act Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Primary care payment reform Documentation of medical records Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Framework reform of the National Institutes of Health and the National Institute of Nursing Research Optimizing the Food and Drug Administration's Use of and Processes for Advisory Committees

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 923 - Better Mental Health Care for Americans Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 4189/S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S.1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act Support implementation of Medicare code G2211 S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S. 4338 - Pay PCPs Act of 2024 H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act Issues related to Medicare Part B reform Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Extension of CMS waivers beyond the COVID-19 Public Health Emergency Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Documentation of medical records Use of clinician home address on Medicare claims when providing telehealth services

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, the Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), the Promoting Access to Diabetic Shoes Act (S 800, HR 4870), the Increasing Access to Quality Cardiac Rehabilitation Care Act (S. 3481, HR 2583), the ACO Assignment Improvement Act (S 3939, HR 7665), the Improving Care and Access to Nurses Act (S 2418, HR 2713), Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), PA Educational and Workforce Training Programs, federal PA workforce issues at the Departments of Veterans Affairs and Indian Health Services, and other agencies, implementation of provider non-discrimination provision of the No Surprises Act.

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

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

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

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

Reducing regulatory and legislative barriers for Nurse Practitioners Issues surrounding COVID-19 public health emergency declaration waivers (H.R. 704/S. 260) The Promoting Access to Diabetic Shoes Act Issues surrounding nurse workforce shortages Rural health care access (H.R.2713/S.2418) ICAN Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 4822) Health Care Price Transparency Act of 2023 (H.R. 4104) Preserving Patient Access to Home Infusion Act (S.3939/H.R.7665) ACO Assignment Improvement Act Issues surrounding skilled nursing facilities Issues surrounding Medicare Part B reform Medicare provider reimbursement (H.R.8261) Preserving Telehealth, Hospital, and Ambulance Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 6748/S. 3498, Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act of 2023 H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3432/S. 3651, Telemental Health Care Access Act H.R. 3836, Medicaid Primary Care Improvement Act H.R. 5434/S. 3138, Stabilize Medicaid and CHIP Coverage Act H.R. 6683, Preserving Seniors Access to Physicians Act of 2023 H.R. 6748/S. 3498, Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act of 2023 H.R. 7623/S. 3967, Telehealth Modernization Act H.R. 7711, Advancing Access to Telehealth Act S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

Sustaining Outpatient Services Act (H.R. 955/S. 1849) Regulations from the Executive in Need of Scrutiny (REINS) Act of 2023 (HR 277/S 184) Increasing Access to Quality Cardiac Rehabilitative Care Act (HR 2583/S. 3481) Black Maternal Health Momnibus Act (S. 1606/HR 3305) Medicare Dental Benefit Act (HR 4146/S. 2012) Accelerating Kids Access to Care Act (H.R. 4758/S. 2372) Amputation Reduction and Compassion Act (H.R. 4261) CONNECT for Health Act (S. 2016, H.R. 4189) Kickstarting Innovative Demonstrations Supporting (KIDS) Health Act of 2023 (HR 3805/ S. 1769) Expanding Remote Monitoring Access Act (H.R.5394) Physical Activity Omnibus Legislation (No Bill Number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (S. 3021) Supporting Innovation for Seniors Act (H.R. 5388) Supporting Patient Education And Knowledge (SPEAK) Act of 2023 (H.R. 6033) Wearable Equipment Adoption and Reinforcement and Investment in Technology (WEAR IT) Act (H.R. 6279) Telehealth Modernization Act (H.R.7623/S.3967) Patient Matching in Certified Health IT (Match IT) Act (H.R.7379) To Prevent Diabetes Act (H.R.7856) Medically Tailored Home-Delivered Meals Demonstration Pilot (H.R. 7680/S.2133) 2025 Notice of Benefit and Payment Parameters HHS finalization of proposed rule on Streamlining the Medicaid, Childrens Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes; Proposed Rule (CMS-2421-P) HHS finalization of proposed rules Ensuring Access to Medicaid Services (CMS-2442-P) and Medicaid and Childrens Health Insurance Program Managed Care Access, Finance and Quality (CMS-2439-P) HHS finalization of proposed rule on Mental Health Parity; Requirements Related to the Mental Health Parity and Addiction Equity Act (MHPAEA) (CMS-9902-P) and Processes for Assessing Compliance with Mental Health Parity and Addiction Equity in Medicaid and CHIP HHS interim final rule on CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC) Medicare coverage of self-monitored blood pressure devices

Medicare/Medicaid: US Senate, US House, CMS, HHS, MedPAC, OMB Medicare physician payment; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy; COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882); The Improving Seniors Timely Access to Care Act of 2024 (H.R. 8702/S. 4532); The Pay PCPs Act (S. 4338); the Electronic Prior Authorization for Prescription Drugs Act (S. 4349); FY 25 Labor-HHS Appropriations (HR 9029)

- Telehealth issues - Workforce development; veterans' health care; Medicare reimbursement including "incident to" billing; Medicare hospice restrictions; transparency; opioid addiction treatment; mental health; telehealth. - Promoting Access to Diabetic Shoes Act (S. 260, H.R. 704) - Improving Access to Workers' Compensation for Injured Federal Workers Act of 2023 (S. 131, H.R. 618) - Value-based care - ACO Assignment Improvement Act (S. 3939, H.R. 7665) - Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 2583, S. 3481) - Improving Care and Access to Nurses Act (H.R. 2713, S. 2414)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension of COVID-19 public health emergency waiversNurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act

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

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, the Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), the Promoting Access to Diabetic Shoes Act (S 800, HR 4870), the Increasing Access to Quality Cardiac Rehabilitation Care Act (S. 3481, HR 2583), the ACO Assignment Improvement Act (S 3939, HR 7665), the Improving Care and Access to Nurses Act (S 2418, HR 2713), Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), PA Educational and Workforce Training Programs, federal PA workforce issues at the Departments of Veterans Affairs and Indian Health Services, and other agencies, implementation of provider non-discrimination provision of the No Surprises Act.

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

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

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7266/S. 3770 - Future Advancement of Academic Nursing (FAAN) Act H.R. 7153/S. 3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 7002/S. 2815 - Nurse Faculty Shortage Reduction Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 4534/S. 2245 - the Women and Lung Cancer Research and Preventive Services Act H.R. 5829 - Health Care Practitioner Disaster Protection ActS. 923 - Better Mental Health Care for Americans Act H.R. 3768/S. 1851 - Midwives for MOMs Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2411/S. 1150 - National Nursing Workforce Center Act of 2023 H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 3523/S. 1710 - Perinatal Workforce Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3355 - Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023 S. 1627 - Providing Real-World Education and Clinical Experience by Precepting Tomorrows Nurses Act (PRECEPT) Nurses Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 3730/S. 198 - Rural Health Clinic Burden Reduction Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S. 1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.Con.Res.42 - Honoring Mary Eliza Mahoney, America's first professionally trained Black nurse. S.Res.201/H.Res.375 - A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2023. H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 Support funding for the National Health Service Corps S. 862 - Restoring Americas Health Care Workforce and Readiness Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S.Res. 676/H.Res. 1208 - a resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024 S. 4338 - Pay PCPs Act of 2024 Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Support for the creation of the Office of Caregiver Health Support a final rule prohibiting menthol cigarettes and cigars Support implementation of Medicare code G2211 Extending COVID-19 waivers related to nurse practitioners and critical access hospitals Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Public health and nursing workforce infrastructure Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Extension of CMS waivers beyond the COVID-19 Public Health Emergency Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Implementation of the Medication Access and Training Expansion (MATE) Act Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Primary care payment reform Documentation of medical records Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 923 - Better Mental Health Care for Americans Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 4189/S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S.1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act Support implementation of Medicare code G2211 S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 S. 4338 - Pay PCPs Act of 2024 Issues related to Medicare Part B reform Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Extension of CMS waivers beyond the COVID-19 Public Health Emergency Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Documentation of medical records Use of clinician home address on Medicare claims when providing telehealth services

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act

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

Reducing regulatory and legislative barriers for Nurse Practitioners Issues surrounding COVID-19 public health emergency declaration waivers (H.R. 704/S. 260) The Promoting Access to Diabetic Shoes Act Issues surrounding nurse workforce shortages Rural health care access (H.R.2713/S.2418) ICAN Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 4822) Health Care Price Transparency Act of 2023 (H.R. 4104) Preserving Patient Access to Home Infusion Act (S.3939/H.R.7665) ACO Assignment Improvement Act Issues surrounding skilled nursing facilities Issues surrounding Medicare Part B reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3836, Medicaid Primary Care Improvement Act H.R. 5434/S. 3138, Stabilize Medicaid and CHIP Coverage Act H.R. 6683, Preserving Seniors Access to Physicians Act of 2023 S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Sustaining Outpatient Services Act (H.R. 955/S. 1849) Regulations from the Executive in Need of Scrutiny (REINS) Act of 2023 (HR 277/S 184) Increasing Access to Quality Cardiac Rehabilitative Care Act (HR 2583/S. 3481) Black Maternal Health Momnibus Act (S. 1606/HR 3305) Medicare Dental Benefit Act (HR 4146/S. 2012) Accelerating Kids Access to Care Act (H.R. 4758/S. 2372) Amputation Reduction and Compassion Act (H.R. 4261) CONNECT for Health Act (S. 2016, H.R. 4189) Kickstarting Innovative Demonstrations Supporting (KIDS) Health Act of 2023 (HR 3805/ S. 1769) Expanding Remote Monitoring Access Act (H.R.5394) Physical Activity Omnibus Legislation (No Bill Number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (S. 3021) Supporting Innovation for Seniors Act (H.R. 5388) Supporting Patient Education And Knowledge (SPEAK) Act of 2023 (H.R. 6033) Wearable Equipment Adoption and Reinforcement and Investment in Technology (WEAR IT) Act (H.R. 6279) Telehealth Modernization Act (H.R.7623/S.3967) Patient Matching in Certified Health IT (Match IT) Act (H.R.7379) To Prevent Diabetes Act (H.R.7856) 2025 Notice of Benefit and Payment Parameters HHS finalization of proposed rule on Streamlining the Medicaid, Childrens Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes; Proposed Rule (CMS-2421-P) HHS finalization of proposed rules Ensuring Access to Medicaid Services (CMS-2442-P) and Medicaid and Childrens Health Insurance Program Managed Care Access, Finance and Quality (CMS-2439-P) HHS finalization of proposed rule on Mental Health Parity; Requirements Related to the Mental Health Parity and Addiction Equity Act (MHPAEA) (CMS-9902-P) and Processes for Assessing Compliance with Mental Health Parity and Addiction Equity in Medicaid and CHIP HHS interim final rule on CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC)

Medicare/Medicaid: US Senate, US House, CMS, HHS, MedPAC, OMB Medicare physician payment; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy; COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882)

- Telehealth issues - Workforce development; veterans' health care; Medicare reimbursement including "incident to" billing; Medicare hospice restrictions; transparency; opioid addiction treatment; mental health; telehealth. - Promoting access to diabetic shoes (S. 260, H.R. 704) - Improving Access to Workers' Compensation for Injured Federal Workers Act of 2023 (S. 131, H.R. 618) - Value-based care - ACO Assignment Improvement Act (S. 3939, H.R. 7665) - Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 2583) - Improving Care and Access to Nurses Act (H.R. 2713) - Increasing Access to Quality Cardiac Rehabilitation Care Act (S. 3481)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7266/S. 3770 - Future Advancement of Academic Nursing (FAAN) Act H.R. 7153/S. 3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 7002/S. 2815 - Nurse Faculty Shortage Reduction Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 4534/S. 2245, the Women and Lung Cancer Research and Preventive Services Act H.R. 5829 - Health Care Practitioner Disaster Protection ActS. 923 - Better Mental Health Care for Americans Act H.R. 3768/S. 1851 - Midwives for MOMs Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2411/S. 1150 - National Nursing Workforce Center Act of 2023 H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 3523/S. 1710 - Perinatal Workforce Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3355 - Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023 S. 1627 - Providing Real-World Education and Clinical Experience by Precepting Tomorrows Nurses Act (PRECEPT) Nurses Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 3730/S. 198 - Rural Health Clinic Burden Reduction Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S. 1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.Con.Res.42 - Honoring Mary Eliza Mahoney, America's first professionally trained Black nurse. S.Res.201/H.Res.375 - A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2023. H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 Support funding for the National Health Service Corps S. 862 - Restoring Americas Health Care Workforce and Readiness Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 Support a final rule prohibiting menthol cigarettes and cigars Support implementation of Medicare code G2211 Extending COVID-19 waivers related to nurse practitioners and critical access hospitals Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Public health and nursing workforce infrastructure Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Extension of CMS waivers beyond the COVID-19 Public Health Emergency Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Implementation of the Medication Access and Training Expansion (MATE) Act Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Primary care payment reform Documentation of medical records

S. 260/H.R. 704 - Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 2713/S. 2418 - Improving Care and Access to Nurses (ICAN) Act S. 3939/H.R. 7665 - ACO Assignment Improvement Act of 2024 H.R. 7623/S. 3967 - Telehealth Modernization Act H.R. 5163/ S. 3193 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 923 - Better Mental Health Care for Americans Act H.R. 3305/S. 1606 - Black Maternal Health Momnibus Act H.R. 2663/S. 1176 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 2085 - A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests H.R 2407 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 4189/S. 2016 - CONNECT for Health Act S. 1869 - Site-based Invoicing and Transparency Enhancement Act (SITE) Act H.R. 3623/S. 1586 - Educating Future Nurses Act H.R. 2829 - Chronic Care Management Improvement Act of 2023 H.R. 2400/S. 1165 - Reentry Act of 2023 S.1378 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 4822 - Health Care Price Transparency Act of 2023 H.R. 4779 - Breast Cancer Patient Equity Act Primary Care and Health Workforce Expansion Act S. 2840 - Bipartisan Primary Care and Health Workforce Act S. 1976/H.R. 4104 - Preserving Patient Access to Home Infusion Act Support implementation of Medicare code G2211 S. 3297/H.R. 6407 - Medical Nutrition Therapy Act of 2023 S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 Skilled nursing facility admitting examination and assessment requirements Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Addressing health equity Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic COVID-19 Pandemic, including funding, personal protective equipment, testing and vaccines Extension of CMS waivers beyond the COVID-19 Public Health Emergency Telehealth, remote patient monitoring and other forms of health technology Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Documentation of medical records Use of clinician home address on Medicare claims when providing telehealth services

Reducing regulatory and legislative barriers for Nurse Practitioners Issues surrounding COVID-19 public health emergency declaration waivers (H.R. 704/S. 260) The Promoting Access to Diabetic Shoes Act Issues surrounding nurse workforce shortages Rural health care access (H.R.2713/S.2418) I CAN Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 4822) Health Care Price Transparency Act of 2023 (H.R. 4104) Preserving Patient Access to Home Infusion Act (S.3939/H.R.7665) ACO Assignment Improvement Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, the Improving Access to Workers Compensation for Injured Federal Workers Act (S 131, HR 618), the Promoting Access to Diabetic Shoes Act (S 800, HR 4870), the Increasing Access to Quality Cardiac Rehabilitation Care Act (S. 3481, HR 2583), the ACO Assignment Improvement Act (S 3939, HR 7665), the Improving Care and Access to Nurses Act (S 2418, HR 2713), PA Educational and Workforce Training Programs, federal workers compensation exams and covered treatment (HR 6087), federal PA workforce issues at the Departments of Veterans Affairs and Indian Health Services.

Client expense: $160,000 · Firm income: Not reported

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

Client expense: Not reported · Firm income: $26,600

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Extension of Medicare and Medicaid waivers beyond the COVID-19 public health emergency Medicare and Medicaid restrictions related to telehealth services Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures H.R. 704/S.260, Promoting Access to Diabetic Shoes Act H.R. 2583/S. 3481, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 H.R. 3836, Medicaid Primary Care Improvement Act H.R. 5434/S. 3138, Stabilize Medicaid and CHIP Coverage Act H.R. 6545, Physician Fee Schedule Update and Improvements Act S. 198, Rural Health Clinic Burden Reduction Act S. 2016/H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 S. 1586/H.R. 3623, Educating Future Nurses Act

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

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

Sustaining Outpatient Services Act (H.R. 955/S. 1849) Regulations from the Executive in Need of Scrutiny (REINS) Act of 2023 (HR 277/S 184) Increasing Access to Quality Cardiac Rehabilitative Care Act (HR 2583/S. 3481) Black Maternal Health Momnibus Act (S. 1606/HR 3305) Medicare Dental Benefit Act (HR 4146/S. 2012) Accelerating Kids Access to Care Act (H.R. 4758/S. 2372) Amputation Reduction and Compassion Act (H.R. 4261) CONNECT for Health Act (S. 2016, H.R. 4189) Kickstarting Innovative Demonstrations Supporting (KIDS) Health Act of 2023 (HR 3805/ S. 1769) Expanding Remote Monitoring Access Act (H.R.5394) Physical Activity Omnibus Legislation (No Bill Number) Preventing Maternal Deaths Reauthorization Act of 2023 (H.R. 3838/S. 2415) PREEMIE Reauthorization Act of 2023 (H.R. 3226/S. 1573) Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (S. 3021) Supporting Innovation for Seniors Act (H.R. 5388) Supporting Patient Education And Knowledge (SPEAK) Act of 2023 (H.R. 6033) Wearable Equipment Adoption and Reinforcement and Investment in Technology (WEAR IT) Act (H.R. 6279)

Client expense: $170,000 · Firm income: Not reported

Medicare physician payment; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy; COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371)

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