Community Health Worker Access Act

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R.3086/S.5141 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Preserving and expanding access to Medicaid Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892)

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

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

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

H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; bill allows for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act - a bill to establish an electronic prior authorization standard to streamline approvals, reduce the amount of time a health plan is allowed to consider a prior authorization request, require MA plans to report on their use of prior authorization and the rate of approvals and denials, and encourage MA plans to adopt policies that adhere to evidence-based guidelines. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. Women's Health and Cancer Rights Act (WHCRA) - a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy. Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policies related to the implementation of the Inflation Reduction Act Comments in response to Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities (CMS-1809-P, RIN 0938-AV35)

Medicare reimbursement Accountable, value-based care CMMI to discuss payment models. HR 2389 Resident Physician Shortage Reduction Act HR 468 Building America's Healthcare Workforce Act HR 2665 Supporting Safety Net Hospitals Act S. 1869 SITE Act S. 2016/HR 4189 Connect for Health Act S. 2187/HR 5128 Preserving Access to Home Health Act HR 3561 Patient Act S. 1845 Expanding Access to Palliative Care Act HR 5013 Value in Health Care Act HR 3459, S. 1703 PACE Part D Choice Act HR 2474 Strengthening Medicare for Patients and Providers Act Minimum staffing standards for LTC facilities HR 6545 Physician Fee Schedule Update and Improvements Act HR 6683 Preserving Seniors Access to Physicians Act HR 6590 PACE Expanded Act S. 3892 Community Health Worker Access Act HR 7513 Protecting America's Seniors' Access to Care Act S. 4330 Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 4532/HR 8702 Improving Seniors Timely Access to Care Act Medicare Advantage star ratings S. 3967/HR 7623Telehealth Modernization Act

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Congressional SDOH Caucus; UNDERSTAND Act; H.R. 5746, Addressing Whole Health in MA Act; H.R. 7647, Housing ACCESS Act; H.R. 7481, Improving SDOH Act; H.R. 8186, Healthy Affordable Housing Act; H. R. 3805 KIDS Health Act; Senate SDOH Workgroup; UNDERSTAND Act; S. 3827, Improving SDOH Act; S. 2932, Housing ACCESS Act; S. 3892, CHW Access Act; S.2133, Medically Tailored Home-Delivered Meals Demonstration Act; S. 1769 KIDS Health Act; Social Determinants of Health Playbook; 2023-28 HHS Data Strategy

Client expense: Not reported · Firm income: $55,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R.3086/S.5141 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Preserving and expanding access to Medicaid Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892) Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Comments in response to CY 2025 Medicare Physician Fee Schedule Comments in response to CY 2025 Medicare HOPPS proposed rule

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

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

H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; bill allows for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act - a bill to establish an electronic prior authorization standard to streamline approvals, reduce the amount of time a health plan is allowed to consider a prior authorization request, require MA plans to report on their use of prior authorization and the rate of approvals and denials, and encourage MA plans to adopt policies that adhere to evidence-based guidelines. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. Women's Health and Cancer Rights Act (WHCRA) - a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy. Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policies related to the implementation of the Inflation Reduction Act Comments in response to RFI: Medicare Program: Request for Information on Medicare Advantage Data (CMS-4207-NC)

S. 2932/H.R. 7647, Housing ACCESS Act; S. 3827/H.R. 7481, Improving SDOH Act; H.R. 8186, Healthy Affordable Housing Act; UNDERSTAND Act; S. 3892, CHW Access Act; S.2133, Medically Tailored Home-Delivered Meals Demonstration Act; Social Determinants of Health Playbook; 2023-28 HHS Data Strategy - Human Services Interoperability

Client expense: Not reported · Firm income: $55,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Reducing Hereditary Cancer Act (HR 1526/S. 765) CONNECT for Health Act (H.R. 4189/S. 2016) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R. 9505 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Implementation of Lymphedema Treatment Act Preserving and expanding access to Medicaid Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892) Equitable Community Access to Pharmacist Services Act (S. 2477/H.R. 1770) Access to Genetic Counselor Services Act (H.R.3876/S.2323) Comments Re: Medicaid; CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC) Comments RE: Notice of Benefit and Payment Parameters for 2025 Proposed Rule (CMS-9895-P). Comments RE: Request for Information on Medicare Advantage Data

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

Medicare reimbursement Accountable, value-based care CMMI to discuss payment models. HR 2389 Resident Physician Shortage Reduction Act HR 468 Building America's Healthcare Workforce Act HR 2665 Supporting Safety Net Hospitals Act S. 1869 SITE Act S. 2016 Connect for Health Act S. 2187/HR 5128 Preserving Access to Home Health Act HR 3561 Patient Act S. 1845 Expanding Access to Palliative Care Act HR 5013 Value in Health Care Act HR 3459, S. 1703 PACE Part D Choice Act HR 2474 Strengthening Medicare for Patients and Providers Act Minimum staffing standards for LTC facilities HR 6545 Physician Fee Schedule Update and Improvements Act HR 6683 Preserving Seniors Access to Physicians Act HR 6590 PACE Expanded Act S. 3892 Community Health Worker Access Act HR 7513 Protecting America's Seniors' Access to Care Act S. 4330 Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 4532/HR 8702 Improving Seniors Timely Access to Care Act

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

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

340B, Telehealth, Hospital at Home, Medicare Site Neutral, and Medicaid DSH S.3892 - Community Health Worker Access Act H.R.4189/S. 2016 - Connect Act H.R.8260 - Hospital Inpatient Services Modernization Act H.R 7635- Patients Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B, Telehealth, Hospital at Home, Medicare Site Neutral, and Medicaid DSH S.3892 - Community Health Worker Access Act H.R.4189/S. 2016 - Connect Act H.R.8260 - Hospital Inpatient Services Modernization Act H.R 7635- Patients Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 549/S. 663 -Metastatic Breast Cancer Access to Care Act; a bill to exempt individuals with metastatic breast cancer from certain waiting periods for disability insurance benefits under the Old-Age, Survivors, and Disability Insurance program and related Medicare coverage H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; bill allows for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. Comments Related to OIG Solicitation New and Modified Safe Harbors and Special Fraud Alerts OIG-1123-N, 88 Fed. Reg. 84116 requesting permission for sponsors of clinical trials targeting cancer or other life-threatening diseases or conditions to cover certain indirect costs incurred by clinical trial participants. Comments Related to CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC) Comments related to processes for assessing compliance with Mental Health Parity and Addition Equity in Medicaid and CHIP Comments related to Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies Comments RE: Medicare Prescription Payment Plan: Draft Part Two Guidance on Select Topics, Implementation of Section 1860D-2 of the Social Security Act for 2025 Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Policies related to the implementation of the Inflation Reduction Act Policies related to the implementation of the Lymphedema Treatment Act

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Reducing Hereditary Cancer Act (HR 1526/S. 765) CONNECT for Health Act (H.R. 4189/S. 2016) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R. 9505 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Implementation of Lymphedema Treatment Act Preserving and expanding access to Medicaid Comments on Processes for Assessing Compliance with Mental Health Parity and Addiction Equity in Medicaid and CHIP Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892) Equitable Community Access to Pharmacist Services Act (S. 2477/H.R. 1770) Access to Genetic Counselor Services Act (H.R.3876/S.2323) Comments Re: Medicaid; CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC) Comments RE: Notice of Benefit and Payment Parameters for 2025 Proposed Rule (CMS-9895-P). Comments RE OIG Solicitation New and Modified Safe Harbors and Special Fraud Alerts OIG-1123-N, 88 Fed. Reg. 84116 requesting permission for sponsors of clinical trials targeting cancer or other life-threatening diseases or conditions to cover certain indirect costs incurred by clinical trial participants. Comments RE: Medicare Prescription Payment Plan: Draft Part Two Guidance on Select Topics, Implementation of Section 1860D-2 of the Social Security Act for 2025

UNDERSTAND Act; SDOH Workgroup; Congressional Caucus; H.R. 7647, Housing ACCESS Act; H.R. 7481, Improving SDOH Act; UNDERSTAND Act; S. 3892, CHW Access Act

Client expense: Not reported · Firm income: $55,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement CMMI to discuss payment models. HR 2389 Resident Physician Shortage Reduction Act HR 468 Building America's Healthcare Workforce Act HR 2665 Supporting Safety Net Hospitals Act S. 1869 SITE Act S. 2016 Connect for Health Act S. 2187/HR 5128 Preserving Access to Home Health Act HR 3561 Patient Act S. 1845 Expanding Access to Palliative Care Act HR 5013 Value in Health Care Act HR 3459, S. 1703 PACE Part D Choice Act HR 2474 Strengthening Medicare for Patients and Providers Act Minimum staffing standards for LTC facilities HR 6545 Physician Fee Schedule Update and Improvements Act HR 6683 Preserving Seniors Access to Physicians Act HR 6590 PACE Expanded Act S. 3892 Community Health Worker Access Act HR 7513 Protecting America's Seniors' Access to Care Act

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), Medicare Payment Advisory Commission (MedPAC), SENATE

Administrative Relief Nonimmigrant visa access and related waivers Parole for spouses of US Citizens Create family reunification parole programs for additional countries Work permits for families in the provisional waiver backlog. Cancellation of removal as a legal relief outside of INA 240 removal proceedings Labor-Based Deferred Action Renewals of deferred action Supporting DOJ/EOIR NPRM on Administrative Closure Work permits for long-term immigrants, mixed status families, Dreamers without DACA and spouses of US Citizens DHS/TSA NPRM on mobile drivers licenses Asylum Funding to the Shelter and Services Program (SSP) Lankford/Sinema/Murphy proposal to make changes to asylum system for Ukraine, Israel, and Taiwan funding H.R. 7372, Defending Borders, Defending Democracies Act H.R. 6939, REMAIN in Mexico Act of 2024 Opposing numerical caps to asylum Opposing using 212(f) expulsion authority Reducing the asylum backlog by resourcing USCIS Supporting increased Congressional funding to hire asylum officers Opposing asylum changes in Fitzpatrick-Golden Bill discharge petition (Discharge Petition No. 10) Opposing asylum changes through the FY24 Appropriations Rescind Implementing Bilateral and Multilateral Asylum Cooperative Agreements Under the Immigration and Nationality Act, 84 Fed. Reg. 63,994 (Nov. 19, 2019) Rescind Procedures for Asylum and Bars to Asylum Eligibility, 85 Fed. Reg. 67,202 (Nov. 20, 2020) Rescind Procedures for Asylum and Withholding of Removal; Credible Fear and Reasonable Fear Review, 85 Fed. Reg. 80,274, (Dec. 11, 2020) Rescind Procedures for Asylum and Withholding of Removal, 85 Fed. Reg. 81,698 (Dec. 16, 2020) Rescind Asylum Eligibility and Procedural Modifications, 85 Fed. Reg. 82,260 (Dec. 17, 2020) Rescind Security Bars and Processing, 85 Fed. Reg. 84,160 (Dec. 23, 2020) Promulgate Clarifying Definitions and Analyses for Fair and Efficient Asylum and Other Protection Determinations, RIN 1615-AC65 (Fall 2023) Promulgate Procedures for Credible Fear Screening and Consideration of Asylum, Withholding of Removal, and CAT Protection Claims by Asylum Officers, 87 Fed. Reg. 18,078 (Mar. 29, 2022) Promulgate Circumvention of Lawful Pathways, 88 Fed. Reg. 31,314 (Dec. 28, 2022). Rescinding the rule, except those parts that rescind Aliens Subject to a Bar on Entry Under Certain Presidential Proclamations; Procedures for Protection Claims, 83 Fed. Reg. 55,934 (Nov. 9, 2018) and Asylum Eligibility and Procedural Modifications, 85 Fed. Reg. 82,260 (Dec. 17, 2020) Refiled I-589s Following EOIR Dismissal or Termination Establish a Humanitarian Visa for Pre-Screened Asylum Seekers Safe Mobility Offices Providing support and foreign assistance to enable regional partners to improve the screening and protection of migrants and to address the root causes of migration Creating a White House task force for coordinating reception and welcoming services among the federal government, state and local governments, and civil society Providing federal support for cities receiving mass numbers of asylum seekers Guaranteed access to counsel for asylum seekers in federal custody Border and Interior Enforcement H.R. 2, Secure the Border Act of 2023 Urging DOJ to investigate Operation Lone Star and to investigate extremist militias White Houses DHS supplemental funding request Opposing Republican anti-immigrant amendments in H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024 Senate Amendment 1371, National Security and Border Act, 2024 H.R. 815, RELIEVE Act H.R. 5672, Bipartisan Keep America Open Act H.R. 5283, Protecting Our Communities from Failure to Secure the Border Act of 2023 Opposing nationwide expedited removal Opposing restart of border wall construction OMB guidance on artificial intelligence Advocating for capacity expansion at ports of entry Opposing mass surveillance like GPS surveillance and ankle monitors Raising awareness of Border Vigilantism Urging DOJ to investigate extremists in Eagle Pass & demilitarize Opposing Executive Order that prioritizes new migrants for deportation Phase out/terminate 287(g) programs Opposing the expansion of Operation Lone Star via Customs and Border Protection Opposing increased funding for ICE detention in FY 2024 appropriation bill Opposing Facial Recognition Technology Deploying more resources for inspections and enforcement Investigating migrant deaths at the border Promoting Safe and Orderly Migration Pathways as Part of Fair, Humane, and Orderly Border Management Restoring and Strengthening the Asylum and Refugee Systems to Ensure Humane Treatment and Protection. Stop prosecuting migration-related offenses Information on Targeting of Migrants from Muslim-Majority Countries at Southern Border Opposing Increased Funding for ICE Detention Criminalize Fleeing from Immigration Enforcement Act DED for Colombia Redesignation of DED for Liberia H.R. 5585, Agent Raul Gonzalez Officer Safety Act H.R. 6678, Consequences for Social Security Fraud Act H.R. 6976, Protect Our Communities from DUIs Act Opposing ICE surveillance of cell phone location data and surveillance contracts H.R. 7343, Detain and Deport Illegal Aliens Who Assault Cops Act H.R. 7334, Detain and Deport Illegal Aliens Who Commit Robbery Act H.R. 7322, SUE for Immigration Enforcement Act S. 2367, CHECKPOINT Act Presidential Pardon to Halt Robert Pantons Deportation Opposing potential anti-immigrant amendments to the supplemental Senate budget Amendments to H.R.815, National Security Act, 2024 H.R. 7372, Defending Borders, Defending Democracies Act H.R. 7311, Combating International Drug Trafficking and Human Smuggling Partnership Act of 2024 H.R. 7402, Operation Lone Star Reimbursement Act H.R. 7404, Subterranean Border Defense Act S. 3796, Keeping International Land Ports of Entry Open Act H.R. 7182, Defend Our Borders From Armed Invaders Act H.R. 7330, State Border Security Act H.R. 7118, Halt the Invasion Act H.R. 7229, WALL Act of 2024 H.R. 7243, Border Security State Reimbursement Act H.R. 7259, SEND THEM BACK Act of 2024 S. 3668, State Border Security Act S. 3587, Mandatory Removal Proceedings Act S. 3591, Stop Fentanyl at the Border Act H.R. 6208, TRASHED Border Act H.R. 7058, Border Security Reserve Fund Act H.R. 7074, State of Texas Operational Protections Act S. 3576, CONTAINER Act H.R. 6940, Mass Immigration Reduction Act of 2024 H.R. 6941, Criminalize Fleeing from Immigration Enforcement Act of 2024 S. 3933, Laken Riley Act S. 3927, Justice for Victims of Sanctuary Cities Act of 2024 S. 3923, Immigration Detainer Enforcement Act of 2024 S. 3915, No Community Development Block Grants for Sanctuary Cities Act H.R. 7580, Immigration Detainer Enforcement Act of 2024 H.R. 7566, CARTEL Act of 2024 S. 3965, Deploy Fentanyl Scanners Act of 2024 H.R. 7649, Protecting our Communities from Sexual Predators Act Opposing Destruction of Medical Records by CBP H.R. 7369, CBP HiRe Act of 2024 H.R. 7366, To require timely publication of CBP border encounters, and for other purposes Opposing H. Res. 957, Denouncing the Biden administration's open-borders policies, condemning the national security and public safety crisis along the southwest border, and urging President Biden to end his administration's open-borders policies. Transparency on how ICE will stop purchasing commercial telemetry data (CTD) Opposing H. Res. 1065, Denouncing the Biden administrations immigration policies End the use of federal criminal prosecutions for migration-related offenses Children S. 3065, Fair Day in Court for Kids Act of 2023 Making FAFSA available to youth approved for SIJS H.R. 6145 / S. 3178, Immigration Court Efficiency and Childrens Court Act of 2023 Ensuring children have adequate post-release services Ensuring UACs asylum claims are heard quickly ORR proposed rule replacing Flores Settlement Supporting EOIR memo providing a specialized juvenile docket Opposing H.R. 7372, Defending Borders, Defending Democracies Act b/c of its lack of protections for unaccompanied children Ending the SIJS Backlog Healthcare for children in detention Opposing removal of those targeted by immigration raids S. 3881, CLEAR Act of 2024 Climate S. 3340, Climate Displaced Persons Act Deferred Action for Childhood Arrivals (DACA) 2022 DACA rule Finalizing the DACA ACA Rule Protecting DACA recipients and immigration youth from enforcement Supporting amicus brief for State of Texas et al. v. United States of America, et al. Streamlining the process by which DACA holders may obtain another status DACA advance parole DACA recipients eligibility for employment-based visa or green card sponsorship, with a focus on PERM and H-1Bs Higher education for Dreamers (with and without DACA/TPS) Detention Closing immigrant detention centers Family Expedited Removal Management program Closing open air detention sites Opposing mandatory detention Request for status update on immigration detention facilities recommended for closure in 2022 by ICE Opposing an increase in funding for increased detention beds Opposing mandatory detention of unaccompanied children H.R. 7511, Laken Riley Act H.R. 661, Sarah's Law H.R. 7415, DIRE Act DHS funding through White House FY 2025 Budget S. 4032, Improving Public Safety Through Immigration Warrant Issuance Act Ending the use of solitary confinement in ICE detention centers Seeking transparency on deaths under ICE custody Ending private detention Voiding New Farmville Detention Center Contracts Opposing the detention of Haitians in Guantanamo Bay Halt all deportation flights to Haiti and maritime interdiction removals of Haitians Accountability for detainee death at NWDC Employment Authorization Easing work authorization backlogs to asylum seekers Expanding work permit automatic extensions Expand work authorizations for asylum seekers H.R. 1325, Asylum Seeker Work Authorization Act of 2023 DOL H-2A regulations DHS H-1B NPRM Modernizing H-1B Requirements, Providing Flexibility in the F-1 Program, and Program Improvements Affecting Other Nonimmigrant Workers H.R. 4319, Farm Worker Modernization Act of 2023 Promulgate Temporary Increase of the Automatic Extension Period of Employment Authorization and Documentation for Certain Renewal Applicants, RIN 1615-AC78 (Spring 2022) Family Separation ICE Family FERM Policy (Family Expedited Removal Management) Policy H.R.2697 / S. 1187 Fairness to Freedom Act of 2023 Protecting spouses of US Citizens from deportation Reuniting families stuck in backlogs Access to legal representation for families separated under Zero Tolerance Expanding family reunification programs Foreign Relations & National Security Opposing the Return of the China Initiative through the Fiscal Year (FY) 2024 Appropriations bill, H.R.5893, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 H.R. 7571, Americas Act Opposing the reinstatement of DOJs China Initiative Humanitarian Protections for Palestinians H.R. 7335, Transparency in National Security Threats Act Promoting Regional Cooperation S. 3234, Government Surveillance Reform Act of 2023 Opposing the expansion of the Foreign Intelligence Surveillance Act (FISA) Immigration Courts Legal representation programs for adults Funding for the Immigration Court backlog Opposing budget cuts to EOIRs Legal Orientation Program Legalization H.R. 4627 / S. 2327, Afghan Adjustment Act H.R. 3599, DIGNIDAD (Dignity) Act of 2023 H.R. 16, Dream and Promise Act of 2023 H.R. 4722, Protect Patriot Spouses Act H.R. 4694: Protect Patriot Parents Act Parole Expansion of parole Opposing reduction of the Presidents parole authority Humanitarian Parole for Sudan Raising awareness of the human rights issues arising from CBP One CHNV Parole Program Humanitarian Parole for Afghans H.Res.1048, Expressing the sense of the House of Representatives that the plight of Cameroonian immigrants and the continued turmoil and instability in the nation of Cameroon merits a designation of humanitarian parole and calling on the Department of Homeland Security to create a humanitarian parole program for Cameroonians fleeing this violence. Refugees Ensuring refugee priorities are adequately funded Opposing migrant removals in Panama Secure federal funding for refugees and other newcomers in FY 2024 and FY 2025 Safe Mobility Initiative Temporary Protected Status (TPS) Supporting TPS extensions and redesignations Redesignation of TPS for El Salvador, Cameroon, Nicaragua, Honduras, Syria, Yemen, and Nepal Designation of TPS for Guatemala Initial designation of TPS for Mali Initial designation of TPS/SSR for Democratic Republic of Congo Initial designation of TPS/DED for Palestine H.R. 7371, Temporary Protected Status (TPS) for Ecuador Act of 2024 H.R. 7034 / S. 3618, TPS for Mauritania Act of 2024 Redesignation and extension of TPS for Haiti, Ethiopia, and Burma Visas & Benefits Access Visa recapture Transparency in Visa Waiver Program MOU With Israel H.R. 7232, No Visas for Anti-Semitic Students Act H.R. 6987, Student Visa Security Improvement Act H.R. 7590, To impose certain conditions on the issuance of diplomatic and student visas to nationals of certain covered nations. H.R. 7028, Keeping Our Promise Act H.R. 7220, EB-5 Regional Center Program Advisory Committee Authorization Act H.R. 7215, To express the sense of Congress that aliens who are present in the United States without lawful status under the immigration laws should not receive any benefit under the Medicare program or under the Medicaid program. S. 3892, Community Health Worker Access Act Supporting USCIS Funding in FY25 LGBTQI+ families navigating the family unification processes Special Student Relief (SSR) for Nigeria Equitable compensation and protection for agricultural and food system workers USCIS fee schedule Recognizing adoptees U.S. citizenship Clarifying the eligibility for citizenship of people granted inadmissibility waivers Streamlining and allowing greater flexibility related to the submission of disability naturalization exam exemptions Issues affecting LPRs whose status may expire while their naturalization applications are pending, by codifying the automatic status extension Naturalization test redesign Funding to the USCIS Citizenship and Integration Grant program in during the FY24 appropriations process Expanding TRIO to Undocumented Students Improvements to Form I-912, Request for Fee Waiver Opposing the exclusion of immigrant families from the Child Tax Credit Equitable access to Rural Housing Service programs Wellness in the immigrant community Free tax preparation services for immigrants Voting H.R. 7640, No Foreign Persons Administering Our Elections Act H.R. 6942, Count Only Citizens Act H.R. 7179, To amend the National Voter Registration Act of 1993 to treat United States Citizenship and Immigration Services field offices as voter registration agencies, and for other purposes. Other Opposing Mayorkas Impeachment (H. Res. 863, Impeaching Alejandro Nicholas Mayorkas, Secretary of Homeland Security, for high crimes and misdemeanors) Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration Opposing data broker contracts with LexisNexis and Thomson Reuters Deferred action for labor enforcement (DALE) workplace protections for all immigrants Rooting Out Discrimination and Anti-Blackness in the Immigration System Ending social media vetting and extraneous data collection Broadly interpreting prosecutorial discretion Advocating for the Department of Homeland Security (DHS) to systematically collect race and ethnicity data Supporting protections for federal contractor whistleblowers Advocating for FOIA Requests Opposing the monitoring of remittance money Right to access agricultural land Denouncing dehumanizing anti-immigrant rhetoric S. 3705, Human Rights Defenders Protection Act of 2024 H.R. 7185, HIDTA Reauthorization Act of 2024 H.R. 7246, American Land and Property Protection Act H.R. 7311, Combating International Drug Trafficking and Human Smuggling Partnership Act of 2024 S. 3659, Equal Representation Act H.R. 7263, VISITOR Act H.R. 7083, RAZOR Act H.R. 7173, GRACE Act H.R. 7262, Closing the Workforce Gap Act of 2024 H.R. 6980, DOCTORS Act H.R. 7048, No Funding for Sanctuary Cities Act H.R. 7057, Evaluating Financial Impacts of Illegal Immigration Act H.R. 6831, VERDAD Reauthorization Act H.R. 7582, Equal Protection for American Workers Act H.R. 7574, Closing the Workforce Gap Act of 2024

Federal Fiscal Year 2025 funding for CDC Section 317 Immunization Programs, pandemic and infectious diseases and public health funding at HHS. S. 3892, the Community Health Worker Access Act. Support for the continued coverage of ACIP recommended adult vaccines without cost sharing in Medicare Advantage and Part D. Support for the U.S. vaccine safety systems.

Client expense: $10,000 · Firm income: Not reported

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

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

Client expense: $10,000 · Firm income: Not reported