FAAN Act

FAAN Act (H.R. 7266/S. 3770) - Issues pertaining to investments in nursing workforce Nurse Faculty Shortage Reduction Act (H.R. 7002/S. 2815)- Issues pertaining to grant funding Anesthesia for All Act (H.R. 10331) - Issues pertaining to prohibiting insurers from imposing arbitrary time caps on reimbursement for anesthesia services Provider Nondiscrimination Requirements for Group Health Plans and Health Insurance Issuers in the Group and Individual Markets (RIN 1210-AC06) - Issues pertaining to enforcing provider nondiscrimination CRNA Reimbursement & Practice Rural Healthcare Nursing Workforce Provider nondiscrimination

Client expense: $200,000 · 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

Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.8330) Stop Nurse Shortages Act Issues surrounding HRSA advisory councils (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

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

- The Future Advancement of Academic Nursing (FAAN) Act (H.R.7266/S.3770) - The Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) - The John Lewis Equality in Medicare and Medicaid Treatment Act (H.R. 3069/S. 1296) - The Nurse Faculty Shortage Reduction Act (H.R.7002/S.2815)

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

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 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

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Provider non-discrimination Rural access to care (H.R.2713/S.2418) I CAN Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 833) Save Americas Rural Hospitals Act Extension of COVID-19 Flexibilities (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023

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

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

Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.8330) Stop Nurse Shortages Act Issues surrounding HRSA advisory councils Issues surrounding surgical smoke (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

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

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

Support for clinical education Issues surrounding nurse shortages (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R.3263) Support Faculty and Expand Access to Nursing School Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 Addressing health care workforce shortage and supporting nursing education pathways, clinical education, and academic progression Nursing Education, Workforce, Research, and Public Health Infrastructure Needs in all communities include rural, urban, and underserved areas Title VIII Nursing Workforce Development Programs reauthorization (H.R.8330) Stop Nurse Shortages Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7266/S.3770 - Future Advancement of Academic Nursing (FAAN) Act H.R.7002/S.2815 - Nurse Faculty Shortage Reduction Act H.R.3768/S.1851 - Midwives for Maximizing Optimal Maternity Service (MOMS) Act of 2023 H.R.3305/S.1606 - Black Maternal Health Momnibus Act H.R.2713/S.2418 - Improving Care and Access to Nurses (I CAN) Act H.R.7153/S.3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R.3263 - Support Faculty and Expand Access to Nursing School Act of 2023 H.R.9133/S.4835 - Primary and Behavioral Health Care Access Act of 2024 H.R.618/S.131 - Improving Access to Workers Compensation for Injured Federal Workers Act H.R.2411/S.1150 - National Nursing Workforce Center Act of 2023 H.R.8330 - Stop Nurse Shortages Act H.R.10280 - Strengthening Pathways to Health Professions Act S.2840 - Bipartisan Primary Care and Health Workforce Act Support for clinical education Ensuring a Sustainable Public Health Workforce and Strengthen Public Health System Title VIII Nursing Workforce Development Programs and Title VIII Reauthorization Nursing Education, Workforce, Research, and Public Health needs in all communities include rural, urban, and underserved areas 21st Century Cures Initiative Support for the National Institutes of Health, the National Institute of Nursing Research, nurse scientists and researchers, and national biomedical research Nomination of nurses on Scientific Management Review Board Addressing health care nursing workforce shortage and supporting nursing education pathways, clinical education, and academic progression Support Mental Health Programs for Nursing Students and the Workforce Safety and health of nurse educators and nursing students Mitigating Nursing Workforce Challenges by Optimizing Learning Environments Ensure nursing students, educators, nurses, and nursing schools are included in future public health and disaster preparedness efforts Maternal and perinatal health Long-term care initiatives Telehealth

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

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

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

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

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 766/S 114, Dr. Michael C. Burgess Preventive Health Savings Act H.R. 1147/S. 1957, Whole Milk for Healthy Kids Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 2901, Food Labeling Modernization Act of 2023 H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R.3433, Give Kids a Chance Act H.R. 3633, Promoting Resources to Expand Vaccination, Education, and New Treatments for HPV Cancers (PREVENT HPV Cancers) Act of 2023 H.R. 4310/S. 2233, Youth Poisoning Protection Act H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 4758/S. 2372, Accelerating Kids Access to Care Act H.R. 4775, Helping Tobacco Users Quit Act H.R. 4892/S. 3921, Medicaid Bump Act H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 5541, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 6149/S. 1291, Protecting Kids on Social Media Act H.R. 6766/S. 3512, Transparency, Readability, Understandability, Truth, and Helpfulness (TRUTH) in Labeling Act H.R. 6960/S. 3765, Emergency Medical Services for Children Reauthorization Act of 2024 H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7224, To reauthorize the Stop, Observe, Ask, and Respond to Health and Wellness Training Program. H.R. 7808, Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 8467, Farm, Food, and National Security Act of 2024 H.R. 8818, American Privacy Rights Act H.R. 9076, Protecting Americas Children by Strengthening Families Act H.R. 9425, Tobacco User Fee Modernization Act of 2024 H.R. 9774/S. 5194, Health Care Affordability Act of 2024 S. 397, Promoting Physical Activity for Americans Act S.644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409/H.R. 7891, Kids Online Safety Act S. 1418/H.R. 7890, Children and Teens Online Privacy Protection Act S. 1840/H.R. 3916, Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act of 2023 S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2073, Kids Online Safety and Privacy Act S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3085, Preventing Adverse Childhood Experiences (PACE) Act S. 3193/H.R. 5163, Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act S. 4041, Creating Access and Resources in Education (CARE) for Student Mental Health Act S. 4532/H.R. 8702, Improving Seniors Timely Access to Care Act S. 4745, Federal Food Administration Act

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

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

Support for clinical education Issues surrounding nurse shortages (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R.3263) Support Faculty and Expand Access to Nursing School Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 Addressing health care workforce shortage and supporting nursing education pathways, clinical education, and academic progression Nursing Education, Workforce, Research, and Public Health Infrastructure Needs in all communities include rural, urban, and underserved areas Title VIII Nursing Workforce Development Programs reauthorization (H.R.8330) Stop Nurse Shortages Act AGENCIES Lobbied: House, Senate

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Hospital issues, including Medicare and Medicaid-related hospital issues. - H.R. 8702/S. 4518, Improving Seniors Timely Access to Care Act. - Legislation related to Support for Rural Hospitals (i.e. H.R. 1565, Critical Access Hospital Relief Act, S. 1571, Rural Hospital Closure Relief Act) - Support for extension of COVID-19 era telehealth flexibilities - Oppose Site Neutral Payment Policy Cuts - Cybersecurity - Appropriations request to support rural labor and delivery services - Workforce Issues (i.e. H.R. 2389 / S. 1302, Resident Physician Shortage Reduction Act, H.R. 6205 / S. 3211, Healthcare Workforce Resilience Act, H.R. 4942 / S. 665, Conrad State 30 and Physician Access Reauthorization Act, H.R. 7266 / S. 3770, Future Advancement of Academic Nursing Act)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft Bill , 340B SUSTAIN Act, Issues pertaining to 340B Program access; H.R.9412 , Healthcare Cybersecurity Act of 2024, Issues pertaining to cyber security for health care field; Draft Bill , Strengthening Pathways to Healthcare Professions Act of 2024, Strengthening HRSA health workforce programs; H.R.8574, the 340B Affording Care for Communities and Ensuring a Strong Safety-net (340B ACCESS) Act, Issues pertaining to 340B Program access; H.R. 2584/ S. 2768, the Safety from Violence for Healthcare Employees (SAVE) Act, all provisions; S. 3211/ H.R. 6205, Healthcare Workforce Resilience Act, all provisions; S.665 / H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S 3679 / H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; H.R. 7635, The 340B PATIENTS Act, all provisions; S. 4289, Medical Debt Cancellation Act , all provisions; H.R. 3120, Healthy Competition for Better Care Act, all provisions; H.R. 9457, Transparent Telehealth Bills Act of 2024, all provisions; S. 3770/ H.R. 7266, The Future Advancement of Academic Nursing (FAAN Act), all provisions; S. 1176 / H.R. 2663 , Workplace Violence Prevention for Health Care and Social Service Workers Act, all provisions; S. 5025 , the SEPSIS Act , all provisions; Draft Bill , Rural 340B Access Act, Issues pertaining 340B Program access; Draft Bill , Draft Bill , Freestanding Emergency Departments; Cybersecurity and Infrastructure Security Agency (CISA) - Dept. Homeland Sec., Cyber Incident Reporting for Critical Infrastructure Act (CIRCIA) Reporting Requirements, Feedback on reporting requirements for cybersecurity incidents under CIRCIA; Occupational Safety and Health Administration (OSHA)Occupational Safety and Health Administrations (OSHA) proposed emergency response standard, Feedback to strengthen OSHA's emergency response standard for hospitals and health systems and their workforce; Health Resources Services Administration (HRSA), J&J Rebate Model for 340B Program, Feedback on Johnson & Johnson rebate model for 340B Program; Medical Debt, Issues specific to medical debt incurred by patients and hospital billing and collection practices; Price Transparency, STMT to Committee on Aging, Issues related to hospital price transparency; Cyber Security, Issues pertaining to ongoing cyber risks to the health care field. Change Health Care cyber-attack, breach notifications CrowdStrike, OneBlood, health records; Rural Health Care Access, Issues to protect access to rural health care; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status; Maternal Health and Child Health, Access to maternal and child health care and addressing related workforce shortages, conditions of participation (COP) and impact of recent payment rules; Behavioral Health, Issues related to expanding access to care and reducing regulatory barriers; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay; Drug Prices, Included in Cost of Healthcare Hearing , Issues related to prescription drug prices; Physician Owned Hospitals, Hill meetings, Physician-owned hospitals; 340B Program, Hill Letter, Johnson and Johnson 340B Proposal; DEA Telehealth Waivers, Telemedicine prescribing of controlled substances; Workforce, nurse staffing mandate, workforce development programs; Health Professions Diversity, National health service corps; centers of excellence; health careers opportunity programs; Hospital mergers and acquisitions, Issues pertaining to hospital consolidation, mergers an acquisitions, physician practice acquisition; Supply Chain Issues, HHS Calls, Issues pertaining to supply chain issues for medical devices and blood shortages; Rural 340B Access Act , Hill visit, Hill discussion about the Rural 340B Access Act (House and Senate); Outstanding COVID reimbursement for hospitals, Check in with FEMA, FEMA outreach about outstanding COVID reimbursement for hospitals.

Client expense: $5,450,000 · Firm income: Not reported

Government targets: Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, White House Office

Health Issues Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.8330) Stop Nurse Shortages Act Issues surrounding HRSA advisory councils

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

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

- The Future Advancement of Academic Nursing (FAAN) Act (H.R.7266/S.3770) - The Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) - The John Lewis Equality in Medicare and Medicaid Treatment Act (H.R. 3069/S. 1296) - The Nurse Faculty Shortage Reduction Act (H.R.7002/S.2815)

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

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 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

Client expense: $360,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Provider non-discrimination Rural access to care (H.R.2713/S.2418) I CAN Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 833) Save Americas Rural Hospitals Act Extension of COVID-19 Flexibilities (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023

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

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

Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.8330) Stop Nurse Shortages Act Issues surrounding HRSA advisory councils

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

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

H.R.7266/S.3770 - Future Advancement of Academic Nursing (FAAN) Act H.R.3768/S.1851 - Midwives for Maximizing Optimal Maternity Service (MOMS) Act of 2023 H.R.3305/S.1606 - Black Maternal Health Momnibus Act H.R.2713/S.2418 - Improving Care and Access to Nurses (I CAN) Act H.R.7002/S.2815 - Nurse Faculty Shortage Reduction Act H.R.7153/S.3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R.3263 - Support Faculty and Expand Access to Nursing School Act of 2023 H.R.8330 - Stop Nurse Shortages Act S.4835/H.R.9133 - Primary and Behavioral Health Care Access Act of 2024 H.R.618/S.131 - Improving Access to Workers Compensation for Injured Federal Workers Act S.2840 - Bipartisan Primary Care and Health Workforce Act Support for clinical education Ensuring a Sustainable Public Health Workforce and Strengthen Public Health System Strengthening Pathways to Health Professions Title VIII Nursing Workforce Development Programs and Title VIII Reauthorization Nursing Education, Workforce, Research, and Public Health needs in all communities include rural, urban, and underserved areas Recommendations on the 21st Century Cures Initiative Support for the National Institute of Health and National Institute of Nursing Research Issues surrounding nursing shortages Nominations for FDA advisory committees Addressing health care workforce shortage and supporting nursing education pathways, clinical education, and academic progression Support Mental Health Programs for Nursing Students and the Workforce Safety and health of nurse educators and nursing students Mitigating Nursing Workforce Challenges by Optimizing Learning Environments Ensure nursing students, educators, nurses, and nursing schools are included in future public health and disaster preparedness efforts Maternal and perinatal health Long-term care initiatives Community Health Center Fund Telehealth

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

The Nurse Faculty Shortage Reduction Act (H.R. 7002/S. 2815) - Issues pertaining to grand funding to close the pay gap between faculty and clinical nurses Future Advancement of Academic Nursing (FAAN) Act (H.R. 7266/S. 3770) - Issues pertaining to funding for schools of nursing Improving Access to Workers Compensation for Injured Federal Workers Act (H.R. 618) - Issues pertaining to barriers in the Federal Employees Compensation Act (FECA) Department of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act of 2024 (H.R. 5894/S. 2624) - Issues pertaining to efforts to reorganize the National Institutes of Health Provider Nondiscrimination Requirements or Group Health Plans and Health Insurance Issuers in the Group and Individual Markets (RIN 1210-AC06) - Issues pertaining to provider nondiscrimination Provider Nondiscrimination Requirements for Group Health Plans and Health Insurance Issuers in the Group and Individual Markets (RIN 0938-AU64) - Issues pertaining to provider nondiscrimination Optimizing the Food and Drug Administrations Use of and Processes for Advisory Committees, Request for Comments (Docket No. FDA-2024-N-1809) - Issues pertaining to nursing representation CRNA Scope of Practice  CRNA Reimbursement  Rural Healthcare  Nursing Workforce   Provider Nondiscrimination   Nurse Education

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

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

Treat and Reduce Obesity Act (H.R. 4818 / S. 4207) Home dialysis/home therapies issues Improving Access to Dialysis Act (H.R. 8075) Living Donor Protection Act (H.R. 2923/S. 1384) FY 2025 appropriations funding for nursing workforce development programs and National Institute of Nursing Research FY 2025 funding kidney disease research at NIDDK at NIH Funding for Kidney X program at HHS Funding for AHRQ at HHS in FY 2025 Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544/S. 1668) National Nursing Workforce Center Act (H.R. 2411/S. 1150) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) Living Donor Protection Act (H.R. 2923/S. 1384) Chronic Kidney Disease Improvement in Research and Treatment Act (H.R. 5027) Kidney Patient Access to Technology Innovative and Essential Nephrology Treatments (Kidney Patient) Act (H.R. 5074) Restore Protections for Dialysis Patients Act (H.R. 6860) Living Organ Donor Tax Credit Act (H.R. 6171) Honor Our Living Donors Act (H.R. 6020) Healthcare Workforce Resilience Act (H.R. 6205 / S. 3211) Restore Protections for Dialysis Patients Act (H.R. 6860) Future Advancement of Academic Nursing Act (H.R. 7266 / S. 3770) Organ Donation Referral Improvement Act (H.R. 9939)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for the Improving Mental Health Access from the Emergency Department Act (S. 1346/ H.R. 5414) - would create a grant program to better connect patients in mental health crisis with resources. Support for the Prevent BLEED Act (S. 1653)- would create grant program to place stop the bleed kits in public locations. Push for reintroduction in House. Reintroduction of the Future Advancement of Academic Nursing Act (H.R. 7266/ S. 3770)- to create more nursing school and faculty slots Support for the MISSION Zero program reauthorization (H.R. 2416) - to support programs to embed military trauma teams in civilian trauma facilities Support for the Improving Care and Access to Nurses Act (HR 2713/ S. 2418) - to remove barriers for APRNS in Medicare and Medicaid Support for Reauthorization of the Pandemic and All-Hazards Preparedness Act programs Support for Reauthorization of SUPPORT Act (S. 3393) programs related to opioid overdose reduction and how they are utilized or addiction is treated in the ED. Emergency Medical for Services for Children Reauthorization Act (H.R. 6960/ S. 3765) Support for the Dr. Lorna Breen Health Care Provider Protection Reauthorization (H.R. 7153/ S. 3679) Seeks to combat health care provider mental fatigue and suicide Support for Tyler's Law (H.R. 6600/ S. 3519) - to provide guidance on fentanyl testing in EDs Support for the Nurse Faculty Shortage Reduction Act (H.R. 7002/ S. 2815) - provides grant funding to augment nursing faculty salaries help recruit and retain nursing school faculty Responding to NIH Framework Proposal to Energy & Commerce Committee

Client expense: $15,800 · Firm income: Not reported

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

Support for the Improving Mental Health Access from the Emergency Department Act (S. 1346/ H.R. 5414) - would create a grant program to better connect patients in mental health crisis with resources. Support for the Prevent BLEED Act (S. 1653)- would create grant program to place stop the bleed kits in public locations. Push for reintroduction in House. Reintroduction of the Future Advancement of Academic Nursing Act (H.R. 7266/ S. 3770)- to create more nursing school and faculty slots Support for the MISSION Zero program reauthorization (H.R. 2416) - to support programs to embed military trauma teams in civilian trauma facilities Support for the Improving Care and Access to Nurses Act (HR 2713/ S. 2418) - to remove barriers for APRNS in Medicare and Medicaid Support for Reauthorization of the Pandemic and All-Hazards Preparedness Act programs Support for Reauthorization of SUPPORT Act (S. 3393) programs related to opioid overdose reduction and how they are utilized or addiction is treated in the ED. Emergency Medical for Services for Children Reauthorization Act (H.R. 6960/ S. 3765) Support for the Dr. Lorna Breen Health Care Provider Protection Reauthorization (H.R. 7153/ S. 3679)

Client expense: $45,300 · Firm income: Not reported

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 1692, Health Care Affordability Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act

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

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 766/S 114, Dr. Michael C. Burgess Preventive Health Savings Act H.R. 1147/S. 1957, Whole Milk for Healthy Kids Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 1692, Health Care Affordability Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 3633, Promoting Resources to Expand Vaccination, Education, and New Treatments for HPV Cancers (PREVENT HPV Cancers) Act of 2023 H.R. 4310/S. 2233, Youth Poisoning Protection Act H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 4758/S. 2372, Accelerating Kids Access to Care Act H.R. 4775, Helping Tobacco Users Quit Act H.R. 4892/S. 3921, Medicaid Bump Act H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 6149/S. 1291, Protecting Kids on Social Media Act H.R. 6766/S. 3512, Transparency, Readability, Understandability, Truth, and Helpfulness (TRUTH) in Labeling Act H.R. 6960/S. 3765, Emergency Medical Services for Children Reauthorization Act of 2024 H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7224, To reauthorize the Stop, Observe, Ask, and Respond to Health and Wellness Training Program. H.R. 7808, Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 8467, Farm, Food, and National Security Act of 2024 H.R. 8818, American Privacy Rights Act S. 8, Improving Health Insurance Affordability Act of 2023 S. 397, Promoting Physical Activity for Americans Act S.644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409/H.R. 7891, Kids Online Safety Act S. 1418/H.R. 7890, Children and Teens Online Privacy Protection Act S. 1840/H.R. 3916, Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act of 2023 S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3085, Preventing Adverse Childhood Experiences (PACE) Act S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act S. 4041, Creating Access and Resources in Education (CARE) for Student Mental Health Act S. 4532/H.R. 8702, Improving Seniors Timely Access to Care Act

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

S. 3565, Affordable Connectivity Program Extension Act of 2024, all provisions; Draft Bill, Sustain 340B Program Discussion Draft, Issues pertaining to 340B Program access; S. 1302/H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions; S. 3679/H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; S.2415, Preventing Maternal Deaths Reauthorization Act, all provisions; H.R. 7931, Preserving Emergency Access in Key Sites Act (PEAKS) , all provisions; H.R. 8245, Rural Hospital Stabilization Act , all provisions; H.R. 8246, Second Chances for Rural Hospitals Act, all provisions; S.940/ H.R. 1711, Rural America Health Corps Act, all provisions; S.665 / H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S. 3211/ H.R. 6205, Healthcare Workforce Resilience Act, all provisions; S. 3765 / H.R. 6960, Emergency Medical Services for Children Reauthorization Act of 2024, all provisions; H.R. 7635, The 340B PATIENTS Act, all provisions; H.R.8574, the 340B Affording Care for Communities and Ensuring a Strong Safety-net (340B ACCESS) Act, Issues pertaining to 340B Program access; S. 2364, Mapping Americas Pharmaceutical Supply Act, all provisions; S. 1961, Pharmaceutical Supply Chain Risk Assessment Act of 2023, all provisions; S. 2510, RAPID Reserve Act, all provisions; S. 2362, Drug Shortage Prevention Act, all provisions; Draft Bill, the Drug Shortage Prevention and Mitigation Act, Issues pertaining to proposed solutions to address generic drug shortages; S. 862, Restoring America's Health Care Workforce and Readiness Act, all provisions; HR 2584/ S.2768, Safety From Violence for Healthcare Employees (SAVE) Act, all provisions; S.4079/H.R. 8383, Rural Obstetrics Readiness Act , all provisions; H.R. 8186, Healthy Affordable Housing Act, all provisions; S. 4289, Medical Debt Cancellation Act, all provisions; S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions; S. 3770/ H.R. 7266, "The Future Advancement of Academic Nursing (FAAN Act)", all provisions; S. 1176 / H.R. 2663, Workplace Violence Prevention for Health Care and Social Service Workers Act, all provisions; H.R. 977/S. 470, Patient Access to Higher Quality Care Act, all provisions; Draft Bill, Family Health Affordability Act, all provisions; Draft Bill, HEALTH for MOM Act, all provisions; U.S. Department of Labor, Health Plan Accountability, health plan accountability; Office of the U.S. Trade Representative, Section 301 Tariffs, Issues related to tariffs on health care products manufactured in China; Federal Emergency Management Agency (FEMA), Public Assistance for COVID expenses, Issues related to distribution of public assistance funds to hospitals; Administration for Strategic Preparation & Response (ASPR / HHS), Pediatric Emergencies, Issues related to Pediatric Disaster Care Centers of Excellence; U.S. Department of State Immigration, Issues related to visas for foreign-trained health care workers; Immediate Office of the Secretary (IOS - HHS), Medical Debt, Issues related to how hospitals address medical debt; Cyber Security, Issues pertaining to Change Health Care cyber attack, breach notifications and ongoing cyber risks to the health care field; Lab Developed Tests (LDTs), Issues related to proposed regulatory oversight of Lab Developed Tests (LDTs); Employment Retirement Income Security Act (ERISA), ERISA improvements; Artificial Intelligence (AI), AI use in health care; Rural Health Care Access, Issues to protect access to rural health care; Prescription drug shortages, Issues pertaining to Drug shortages, supply chains; Hospital mergers and acquisitions, Issues pertaining to hospital consolidation, mergers an acquisition, community benefit, physician practice acquisition; Workforce nurse staffing mandate, workforce development programs; Maternal Health and Child Health, Access to maternal and child health care and addressing related workforce shortages; Behavioral Health, Related to expanding access to care and reducing regulatory barriers; Price Transparency, Issues related to hospital price transparency; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage; Medical Debt, Issues specific to medical debt incurred by patients and hospital billing and collection practices; Physician Owned Hospitals, Physician-owned hospitals; Tax-exempt status, not-for-profit hospitals' tax exempt status; Health Professions Diversity, Increasing health professionals of color, National health service corps; centers of excellence; health careers opportunity programs.

Client expense: $6,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

Treat and Reduce Obesity Act (H.R. 4818 / S. 4207) Home dialysis/home therapies issues Improving Access to Dialysis Act (H.R. 8075) Living Donor Protection Act (H.R. 2923/S. 1384) FY 2025 appropriations funding for nursing workforce development programs and National Institute of Nursing Research FY 2025 funding kidney disease research at NIDDK at NIH Funding for Kidney X program at HHS Funding for AHRQ at HHS in FY 2025 Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544/S. 1668) National Nursing Workforce Center Act (H.R. 2411/S. 1150) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) Living Donor Protection Act (H.R. 2923/S. 1384) Chronic Kidney Disease Improvement in Research and Treatment Act (H.R. 5027) Kidney Patient Access to Technology Innovative and Essential Nephrology Treatments (Kidney Patient) Act (H.R. 5074) Restore Protections for Dialysis Patients Act (H.R. 6860) Living Organ Donor Tax Credit Act (H.R. 6171) Honor Our Living Donors Act (H.R. 6020) Healthcare Workforce Resilience Act (H.R. 6205 / S. 3211) Restore Protections for Dialysis Patients Act (H.R. 6860) Future Advancement of Academic Nursing Act (H.R. 7266 / S. 3770)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. xxxx /S. xxxx, the FY 2025 Labor-HHS-Education Appropriations Act - provisions around funding for Title VIII nursing workforce development programs and support for academic nursing H.R. 7266/S. 3770, the FAAN Act - provisions related to supporting the nursing workforce H.R. 7153/S. 3679, the Lorna Breen Health Care Provider Protection Reauthorization Act - provisions related to reauthorization General issues related to advanced practice nursing education and faculty shortages and impact on healthcare workforce; proposals related to building a more robust pipeline of nursing faculty, including through HRSA Title VIII traineeships or fellowships for future nursing faculty; issues related to shortage of clinical placements and preceptors for nursing students General issues related to the healthcare workforce, including need for additional nursing faculty and clinical placements for nursing students

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. xxxx /S. xxxx, the FY 2025 Labor-HHS-Education Appropriations Act - provisions related to funding for federal student aid programs (including Pell Grants, work-study and SEOG), Title VI international education programs, the Institute of Education Sciences (and National Center for Special Education Research), and Title VIII nursing workforce programs and support for academic nursing H.R. 8998/S. xxxx, the FY 2025 Interior Appropriations Act - provisions related to funding for the National Endowment for the Humanities H.R. 6090, the Antisemitism Awareness Act - provisions related to the use of the IHRA definition and contemporary examples H.R. 7683, Respecting the First Amendment on Campus Act - provisions related to free speech on campuses H.R. 5933/S. 3362, the DETERRENT Act - provisions related to lowering the threshold for reporting, waivers from ED for gifts or contracts from foreign countries of concern, individual reporting of foreign gifts and contracts, and disclosures related to endowment investments H.R. 6585, the Bipartisan Workforce Pell Act - provisions related to the offset that would require institutions subject to the endowment tax to reimburse ED for the unpaid balances of federal student loans H.R. 6951, the College Cost Reduction Act - provisions related to institutional risk sharing payments; provisions related to Title IV and student loans including eliminating PLUS loans, caps on borrowing, and elimination of origination fees; and other provisions of the bill H.R. 3724, Accreditation for College Excellence Act of 2023 - issues related to accreditation and DEI H.R. 8534, the Protecting Student Athlete's Economic Freedom Act - provisions related to the employment status of student-athletes H.R. 8304, the Protect the Benefits for Athletes and Limit Liability Act - provisions related to limitations on liability for certain institutions regarding limitations on compensation to student athletes H.R. 7266/S. 3770, the FAAN Act - provisions related to supporting the nursing workforce H.R. xxxx/S. xxxx, the American Privacy Rights Act - provisions related to inclusion of universities as covered entities; impact on education research S. 3392, the Advancing Research in Education Act - provisions related to reauthorization of IES General issues related to the value of higher education General issues related to university endowments General issues related to campus free speech and free expression on campus; general issues related to antisemitism and anti-Muslim harassment General issues related to Sec. 117 foreign gift and contract reporting General issues related to funding mechanisms for the Pell Grant General issues related to advanced practice nursing education and faculty shortages and impact on healthcare workforce; proposals related to building a more robust pipeline of nursing faculty, including through HRSA Title VIII traineeships or fellowships for future nursing faculty; issues related to shortage of clinical placements and preceptors for nursing students General issues related to the healthcare workforce, including need for additional nursing faculty and clinical placements for nursing students General issues around college athletics, including potential federal legislation related to name/image/likeness for student-athletes, employment status of student-athletes, and the future of college athletics General issues related to EDs regulatory action related to accreditation, state authorization, cash management General issues related to implementation of EDs gainful employment and financial value reporting regulations General issues related to EDs regulatory action around Title IX General issues related to the FAFSA launch General issues related to affordability and debt forgiveness General issues related to impact of DOL NPRM on higher education General issues related to proposed changes to IPEDS reporting General issues related to CISA/CIRCIA cyber incident reporting for universities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3565, Affordable Connectivity Program Extension Act of 2024, all provisions; Draft Bill, Sustain 340B Program Discussion Draft, Issues pertaining to 340B Program access; S. 1302/H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions; S. 3679/H.R. 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; S.2415, Preventing Maternal Deaths Reauthorization Act, all provisions; H.R. 7931, Preserving Emergency Access in Key Sites Act (PEAKS) , all provisions; H.R. 8245, Rural Hospital Stabilization Act , all provisions; H.R. 8246, Second Chances for Rural Hospitals Act, all provisions; S.940/ H.R. 1711, Rural America Health Corps Act, all provisions; S.665 / H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S. 3211/ H.R. 6205, Healthcare Workforce Resilience Act, all provisions; S. 3765 / H.R. 6960, Emergency Medical Services for Children Reauthorization Act of 2024, all provisions; H.R. 7635, The 340B PATIENTS Act, all provisions; H.R.8574, the 340B Affording Care for Communities and Ensuring a Strong Safety-net (340B ACCESS) Act, Issues pertaining to 340B Program access; S. 2364, Mapping Americas Pharmaceutical Supply Act, all provisions; S. 1961, Pharmaceutical Supply Chain Risk Assessment Act of 2023, all provisions; S. 2510, RAPID Reserve Act, all provisions; S. 2362, Drug Shortage Prevention Act, all provisions; Draft Bill, the Drug Shortage Prevention and Mitigation Act, Issues pertaining to proposed solutions to address generic drug shortages; S. 862, Restoring America's Health Care Workforce and Readiness Act, all provisions; HR 2584/ S.2768, Safety From Violence for Healthcare Employees (SAVE) Act, all provisions; S.4079/H.R. 8383, Rural Obstetrics Readiness Act , all provisions; H.R. 8186, Healthy Affordable Housing Act, all provisions; S. 4289, Medical Debt Cancellation Act, all provisions; S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions; S. 3770/ H.R. 7266, "The Future Advancement of Academic Nursing (FAAN Act)", all provisions; S. 1176 / H.R. 2663, Workplace Violence Prevention for Health Care and Social Service Workers Act, all provisions; H.R. 977/S. 470, Patient Access to Higher Quality Care Act, all provisions; Draft Bill, Family Health Affordability Act, all provisions; Draft Bill, HEALTH for MOM Act, all provisions; U.S. Department of Labor, Health Plan Accountability, health plan accountability; Office of the U.S. Trade Representative, Section 301 Tariffs, Issues related to tariffs on health care products manufactured in China; Federal Emergency Management Agency (FEMA), Public Assistance for COVID expenses, Issues related to distribution of public assistance funds to hospitals; Administration for Strategic Preparation & Response (ASPR / HHS), Pediatric Emergencies, Issues related to Pediatric Disaster Care Centers of Excellence; U.S. Department of State Immigration, Issues related to visas for foreign-trained health care workers; Immediate Office of the Secretary (IOS - HHS), Medical Debt, Issues related to how hospitals address medical debt; Cyber Security, Issues pertaining to Change Health Care cyber attack, breach notifications and ongoing cyber risks to the health care field; Lab Developed Tests (LDTs), Issues related to proposed regulatory oversight of Lab Developed Tests (LDTs); Employment Retirement Income Security Act (ERISA), ERISA improvements; Artificial Intelligence (AI), AI use in health care; Rural Health Care Access, Issues to protect access to rural health care; Prescription drug shortages, Issues pertaining to Drug shortages, supply chains; Hospital mergers and acquisitions, Issues pertaining to hospital consolidation, mergers an acquisition, community benefit, physician practice acquisition; Workforce nurse staffing mandate, workforce development programs; Maternal Health and Child Health, Access to maternal and child health care and addressing related workforce shortages; Behavioral Health, Related to expanding access to care and reducing regulatory barriers; Price Transparency, Issues related to hospital price transparency; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage; Medical Debt, Issues specific to medical debt incurred by patients and hospital billing and collection practices; Physician Owned Hospitals, Physician-owned hospitals; Tax-exempt status, not-for-profit hospitals' tax exempt status; Health Professions Diversity, Increasing health professionals of color, National health service corps; centers of excellence; health careers opportunity programs.

Client expense: $9,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

S.4503, the Corporate Crimes Against Health Care Securing Continued Healthcare for Our Operations and Logistics Professionals Act S.4278, the Physician and Patient Safety Act H.R.8444 , the Mental Health in Schools Act S.4286, the Comprehensive Addiction Resources Emergency Act H.R.8524, the Elementary and Secondary School Counseling Act H.R. 7153/ S. 3679, the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 468, the Building Americas Health Care Workforce Act H.R. 3227, the Ensuring Seniors Access to Quality Care Act H.R.8526, the Trauma-Informed Schools Act S.1999 the Right to Contraception Act H.RES.1180, a resolution recognizing the importance of diversity, equity, and inclusion efforts in medical education H.R.7513/S.3410/H.J Res 139, legislation related to the administrations nursing home staffing regulation Health over Wealth Act IAQ and Healthy Schools Act (draft bill) Cognitive behavioral therapy and schools (draft bill) Abortion bans Long COVID Rural healthcare and hospital workforce challenges and related issues Shortage of minority healthcare professionals Impact of private equity on healthcare S.4381, Right to Contraception Act, Entirety Monitor the following: Mental Health Service Professional Demonstration Grant and the School-Based Mental Health Services Grant in FY2025 Supporting investments in school-based mental health professionals S.3612, the Access to Family Building Act H.R.7546/S.3860, the Nurse Overtime and Patient Safety Act S.3770, the Future Advancement of Academic Nursing Act S.3779 Child Suicide Prevention and Lethal Means Safety Act S.3701, the FACTS Act H.R.6914, the Pregnant Students Rights Act Private Equity and Healthcare Healthcare high school apprenticeships Safe staffing levels Indoor Air Quality and Outdoor pesticide school and environmental related issues Artificial Intelligence, Healthcare related issues S.1409, Kids Online Safety Act (KOSA), Entirety S.2660, Get Toxic Substances Out of Schools Act, Entirety Public Law 118-31, National Defense Authorization Act for Fiscal Year 2024, Teacher healthcare coverage H.R.485, the Protecting Health Care for All Patients Act Proposed regulation: File Code 1210-AC11, Requirements Related to the Mental Health Parity and Addiction Equity Act Safe staffing levels at nursing homes H.R.4771, the Childrens Health Insurance Program Permanency Act Affordable Drug Manufacturing Act, not introduced S.2530, the Mental Health of Educators and Staff Act Primary Care and Health Workforce Expansion Act (draft bill) Medicare drug negotiation program PMB reform H.R.5378, the Lower Costs, More Transparency Act Reauthorization of healthcare workforce programs S.2333, Pandemic and All-Hazards Preparedness and Response Act S.1113, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Appropriations regarding but not limited to community violence intervention, School-Based Mental Health Services Professional Demonstration Grants/ School-Based Mental Health Services Grant Program, gun violence prevent and removing abortion prohibition language from future appropriations bills. H.R.3727 Teacher Health and Wellness Act S.1446, Nurse Corps Tax Parity Act H.R.3761/S.1774, Advancing Student Services in Schools Today Act H.R.3726, Student Mental Health Rights Act H.R.3305, Black Maternal Health Momnibus Act Funding for CDCs Social Determinants of Health program H.R.3682, Cady Housh and Gemesha Thomas Student Suicide Prevention Act of 2023, Entirety Public Law 117-169, Inflation Reduction Act, Prescription drug reform Public Law 117-159, Bipartisan Safer Communities Act Medicaid DSH Payments, Hospital funding formula Abortion Access related issues Supporting Trauma Informed Education Practices Act Restoring Hope for Mental Health and Well‐Being Act Health Force and Resilience Force Act Black Maternal Health Momnibus Act Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues The National Nurse Act, Entirety Telehealth issues H.R.12/S.701, the Women's Health Protection Act, Entirety Mental health supports for educators Closing Health Coverage Gaps for Public Servants Act Workplace Violence Prevention for Health Care and Social Service Worker Act Visas for international healthcare professionals Dobbs vs Jackson, United States Supreme Court decision Workplace violence related issues Green New Deal for Health, Entirety H.R.1485/S.727, Insulin for All Act H.R.1692, Health Care Affordability Act S.1139 A bill to apply prescription drug inflation rebates to drugs furnished in the commercial market Minimum staffing levels in skilled nursing facilities related issues Health Worker Shortage/Staffing Crisis ACCESS in Mental Health Act (draft bill) Mental Health CARE Act (draft bill) Supporting All Students Act (draft bill) Epi-pen Price Cap legislation, (draft bill) Funding for Medicare low-income outreach and enrollment efforts Public Law 118-47, Further Consolidated Appropriations Act, 2024, Division D - Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes, FY2024, Opposing restrictions on reproductive rights Public Law 118-42, Consolidated Appropriations Act, 2024, Division B - Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, FY2024, Protect access to Mifepristone H.R. 4771, the Childrens Health Insurance Program Permanency Act S.3090/H.R.6004, the Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services Act Prevention and Public Health Fund related issues H.R.6204, the See the Board Act Requirements Related to the Mental Health Parity and Addiction Equity Act, File Code 1210-AC11 Ensuring Safe Drinking Water at Schools, Lead & Copper Rule Improvements The Employee Retirement Income Security Act and related issues S.4445, The right to IVF Act, Reproductive healthcare and technology Rights and access to reproductive healthcare Department of Health and Human Services, Voter registration related issues on Federal Marketplace application Data Collection related issues Healthcare cybersecurity related issues

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.) 8330 Stop Nurse Shortage Act

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

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 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

Client expense: $360,000 · Firm income: Not reported

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

- The Future Advancement of Academic Nursing (FAAN) Act (H.R.7266/S.3770) - The Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) - The John Lewis Equality in Medicare and Medicaid Treatment Act (H.R. 3069/S. 1296) - The Nurse Faculty Shortage Reduction Act (H.R.7002/S.2815)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7266/S.3770 - Future Advancement of Academic Nursing (FAAN) Act H.R.3768/S.1851 - Midwives for Maximizing Optimal Maternity Service (MOMS) Act of 2023 H.R.3305/S.1606 - Black Maternal Health Momnibus Act H.R.2713/S.2418 - Improving Care and Access to Nurses (I CAN) Act H.R.7002/S.2815 - Nurse Faculty Shortage Reduction Act H.R.618/S.131 - Improving Access to Workers Compensation for Injured Federal Workers Act H.R.7153/S.3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R.3263 - Support Faculty and Expand Access to Nursing School Act of 2023 H.R.8330- Stop Nurse Shortages Act S.4169 - Primary Care Team Education Centers (PCTEC) Act 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.1995- Public Health Infrastructure Saves Lives Act Primary Care and Health Workforce Expansion Act S.2840- Bipartisan Primary Care and Health Workforce Act Support for clinical education Ensuring a Sustainable Public Health Workforce and Strengthen Public Health System Title VIII Nursing Workforce Development Programs and Title VIII Reauthorization Nursing Education, Workforce, Research, and Public Health needs in all communities include rural, urban, and underserved areas Issues surrounding nursing shortages Addressing health care workforce shortage and supporting nursing education pathways, clinical education, and academic progression Support Mental Health Programs for Nursing Students and the Workforce Safety and health of nurse educators and nursing students Mitigating Nursing Workforce Challenges by Optimizing Learning Environments Ensure nursing students, educators, nurses, and nursing schools are included in future public health and disaster preparedness efforts Maternal and perinatal health Long-term care initiatives

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Provider non-discrimination Rural access to care (H.R.2713/S.2418) I CAN Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 833) Save Americas Rural Hospitals Act Extension of COVID-19 Flexibilities (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023

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

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

Nurse staffing shortages Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Extension of COVID-19 public health emergency waivers Nurse overtime and patient safety (H.R.2713/S.2418) I CAN Act (S. 1150/H.R. 2411) National Nursing Workforce Center Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 (H.R. 3305/S. 1606) Black Maternal Health Momnibus Act (H.R. 7153 / S. 3679) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Rural access to care, including issues surrounding home visiting programs, nurse residency programs, and prior authorization (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024. (H.R.8330) Stop Nurse Shortages Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for clinical education Issues surrounding nurse shortages (S.3770/H.R.7266) Future Advancement of Academic Nursing Act (H.R.3263) Support Faculty and Expand Access to Nursing School Act Primary Care and Health Workforce Expansion Act (S.2840) Bipartisan Primary Care and Health Workforce Act (S.2815/H.R.7002) Nurse Faculty Shortage Reduction Act of 2023 Addressing health care workforce shortage and supporting nursing education pathways, clinical education, and academic progression Nursing Education, Workforce, Research, and Public Health Infrastructure Needs in all communities include rural, urban, and underserved areas Nominations for HHS advisory committees and national commissions Title VIII Nursing Workforce Program reauthorization (H.R.8330) Stop Nurse Shortages Act (H.Res.1208/S.Res.676) Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2024.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Nurse Faculty Shortage Reduction Act (H.R. 7002/S. 2815) Future Advancement of Academic Nursing (FAAN) Act (HR 7266/S. 3770) Black Maternal Health Momnibus Act (H.R. 3305/S. 1606) Solicitation for Public Comment to Understand Lack of Competition and Contracting Practices that May be Contributing to Drug Shortages (FTC-2024-0018) Request for Information on Consolidation in Health Care Markets (FTC-2024-0022-0001) CRNA Scope of Practice  CRNA Reimbursement  Rural Healthcare  Nursing Workforce   Provider Nondiscrimination   Nurse Education Funding Drug Shortages Extending/making permanent certain temporary waivers put in place during the Public Health Emergency

Client expense: $275,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), SENATE, Veterans Affairs, Dept of (VA), White House Office

Support for the Improving Mental Health Access from the Emergency Department Act (S. 1346/ H.R. 5414) - would create a grant program to better connect patients in mental health crisis with resources. Support for the Prevent BLEED Act (S. 1653)- would create grant program to place stop the bleed kits in public locations. Push for reintroduction in House. Reintroduction of the Future Advancement of Academic Nursing Act (H.R. 7266/ S. 3770)- to create more nursing school and faculty slots Support for the MISSION Zero program reauthorization (H.R. 2416) - to support programs to embed military trauma teams in civilian trauma facilities Support for the Improving Care and Access to Nurses Act (HR 2713/ S. 2418) - to remove barriers for APRNS in Medicare and Medicaid Support for Reauthorization of the Pandemic and All-Hazards Preparedness Act programs Support for Reauthorization of SUPPORT Act (S. 3393) programs related to opioid overdose reduction and how they are utilized or addiction is treated in the ED. Emergency Medical for Services for Children Reauthorization Act (H.R. 6960/ S. 3765) Support for the Dr. Lorna Breen Health Care Provider Protection Reauthorization (H.R. 7153/ S. 3679)

Client expense: $15,300 · Firm income: Not reported

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

- The Future Advancement of Academic Nursing (FAAN) Act (H.R.7266/S.3770) - The Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) - The John Lewis Equality in Medicare and Medicaid Treatment Act (H.R. 3069/S. 1296)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 766/S 114, Dr. Michael C. Burgess Preventive Health Savings Act H.R. 1147/S. 1957, Whole Milk for Healthy Kids Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 3633, Promoting Resources to Expand Vaccination, Education, and New Treatments for HPV Cancers (PREVENT HPV Cancers) Act of 2023 H.R. 4892/S. 3921, Medicaid Bump Act H.R. 4531/S. 3393, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act of 2023 H.R. 4758/S. 2372, Accelerating Kids Access to Care Act H.R. 4775, Helping Tobacco Users Quit Act H.R. 5012/S. 2647, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023 H.R. 5378, Lower Costs, More Transparency Act H.R. 6122/S. 2853, Train More Nurses Act H.R. 6766/S. 3512, Transparency, Readability, Understandability, Truth, and Helpfulness (TRUTH) in Labeling Act H.R. 6960/S. 3765, Emergency Medical Services for Children Reauthorization Act of 2024 H.R. 7002/S. 2815, Nurse Faculty Shortage Reduction Act of 2024 H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 7224, To reauthorize the Stop, Observe, Ask, and Respond to Health and Wellness Training Program. S.644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409, Kids Online Safety Act S. 1418, Children and Teens Online Privacy Protection Act S. 1840/H.R. 3916, Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act of 2023 S. 1884/H.R. 3713, Mental Health Services for Students Act of 2023 S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3085, Preventing Adverse Childhood Experiences (PACE) Act S. 3393/H.R. 4531, SUPPORT for Patients and Communities Reauthorization Act S. 3770/H.R. 7266, Future Advancement of Academic Nursing (FAAN) Act

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

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

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

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

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

Home dialysis/home therapies issues Improving Access to Dialysis Act Living Donor Protection Act (H.R. 2923/S. 1384) FY 2024 appropriations funding for nursing workforce development programs and National Institute of Nursing Research FY 2024 funding kidney disease research at NIDDK at NIH Funding for Kidney X program at HHS Funding for AHRQ at HHS Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544/S. 1668) National Nursing Workforce Center Act (H.R. 2411/S. 1150) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2663/S. 1176) Living Donor Protection Act (H.R. 2923/S. 1384) Chronic Kidney Disease Improvement in Research and Treatment Act (H.R. 5027) Kidney Patient Access to Technology Innovative and Essential Nephrology Treatments (Kidney Patient) Act (H.R. 5074) Restore Protections for Dialysis Patients Act (H.R. 6860) Living Organ Donor Tax Credit Act (H.R. 6171) Honor Our Living Donors Act (H.R. 6020) Healthcare Workforce Resilience Act (H.R. 6205 / S. 3211) Restore Protections for Dialysis Patients Act (H.R. 6860) Future Advancement of Academic Nursing Act (H.R. 7266 / S. 3770)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE