IVF Protection Act

Met with Representatives, Senators, and legislative staff to discuss issues in the implementation of and to encourage full funding for the CHIPS & Science Act (PL 117-167). Issues include authorizations for the NSF, DoE Office of Science, NIST, STEM education, graduate education and young investigator support, open access to research, technology transfer enhancement, provisions on research security, and disclosure of foreign gifts and contracts. Met with legislative staff to discuss and encourage support of Administration actions to implement National Security Presidential Memorandum-33 to improve and better coordinate research security; discouraged enactment of additional legislative mandates for research security in the annual defense authorization bill (HR 8070, S 4368). Met with legislative staff to express support for continuation of the fundamental research exclusion from legislative proposals to address export controls and research security. Met with legislative staff to discuss issues involved in reauthorization of NASA (HR 8958). Met with legislative staff to discuss facilities & administrative cost recovery process, and to discourage efforts to cap F&A reimbursement. Met with legislative staff to request support for projects funded by the National Science Foundation.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

Met with legislative staff to discuss continued support for the DoD-sponsored research at the Cornell High Energy Synchrotron Source (CHEX-S) and within the FY25 National Defense Authorization Act and Defense Appropriations legislation. (HR 8070, S 4368, HR8774, PL 118-159) Met with legislative staff to express support for the Defense Medical Research Program (HR 8774) Met with legislative staff to discuss funding for a semiconductor industry cybersecurity research program. (HR 8774) Met with legislative staff to discourage enactment of additional legislative mandates for research security in the annual defense authorization bill. (HR 8070, S 4368 PL 118-159)

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

General provisions related to science and engineering research at NSF, DOE, DOD, NASA, NIH, and IES in FY 2025 H.R. 9026 /S. 4795, the FY 2025 Commerce-Justice-Science Appropriations bill - provisions related to funding for NSF and NASA (including Science, Space Technology, STEM Education, and lunar gravitational waves) H.R. 8774 /S. 4921, the FY 2025 Defense Appropriations bill - provisions related to funding for basic and applied research (6.1-6.3) including Defense-Wide basic research initiatives and funding at DARPA; provisions related to research programs within Army Futures Command; provisions related to dependable AI for national security H.R. 8997 /S. 4927, the FY 2025 Energy-Water Appropriations bill - provisions related to funding for the Dept. of Energys Office of Science, ARPA-E, and language related to independent review and applied research for cleanup decision-making H.R. 9029/S. 4942, the FY 2025 Labor-HHS-Education Appropriations Act - provisions related to funding for the National Institutes of Health, and the Institute of Education Sciences (and National Center for Special Education Research) H.R. 8070/S. 4368, the FY 2025 National Defense Authorization Act - provisions related to defense S&T basic and applied research (6.1-6.3); research security; research programs within Army Futures Command; dependable AI for national security S. 4667, the Risky Research Review Act - provisions related to creation of a Life Sciences Research Security Board to oversee certain high-risk research H.R. 8958, the NASA Reauthorization Act - provisions related to Science, Space Technology, Aeronautics, and STEM Education S. 2714, the CREATE AI Act - provisions related to NSF's AI programs including NAIRR S. 4664/H.R. 9671, the DOE AI Act - provisions related to DOE-wide support for AI programs S. 2220, the PREVAIL Act - provisions related to reforms to the PTAB framework S. 2140, the Patent Eligibility Restoration Act - provisions related to patent protections General issues related to the importance of robust funding for NSF, DOD, NASA, and DOE Office of Science General issues related to research partnerships with the Army Futures Command and the Pathfinder program General issues related to the outlook for NASA reauthorization and budget, including provisions related to Science, Space Technology, and STEM Education General issues related to research security and NSPM-33 General issues related to AI legislation related to science and innovation; and proposals impacting NSF and DOE General issues related to technology transfer

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8774 /S. 4921, the FY 2025 Defense Appropriations bill - provisions related to funding for basic and applied research (6.1-6.3) including Defense-Wide basic research initiatives and funding at DARPA; provisions related to research programs within Army Futures Command; provisions related to dependable AI for national security H.R. 8070/S. 4368, the FY 2025 National Defense Authorization Act - provisions related to defense S&T basic and applied research (6.1-6.3); research security; research programs within Army Futures Command; dependable AI for national security General issues related to funding for DOD basic 6.1, 6.2 and 6.3 research and DARPA in FY 2024 and FY 2025 General issues related to research security at DOD General issues related to research partnerships with the Army Futures Command and the Pathfinder program General issues related to national security and a cybersecurity workforce

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fertility. Maternal Health. Issues related to sperm donation. S.3612/H.R.7056 - Access to Family Building Act. S.4445 - Right to IVF Act. S.4368 - IVF Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative and regulatory issues pertaining to credit reporting and scoring; including H.R. 1165, H.R. 1521, H.R. 8070, H.R. 3418, H.R. 4198, H.R. 5009, H.R. 6003, H.R. 7297, H.R. 9991, S. 1316, S. 1654, S. 4368, S. 3103, and S. 3502.

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

Government targets: Consumer Financial Protection Bureau (CFPB), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, White House Office

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act H.R.10073, Medicare Patient Access and Practice Stabilization Act of 2024 H.R. 8816, the American Medical Innovation and Investment Act of 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R.4189, the CONNECT for Health Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024 H.R.1843, the Telehealth Expansion Act of 2023 Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to Medicare Advantage Star Rating Health Equity Index calculation HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident

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

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

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act H.R.10073, Medicare Patient Access and Practice Stabilization Act of 2024 H.R. 8816, the American Medical Innovation and Investment Act of 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Publications Open access to information based on publicly funded research - no specific bill Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R.4189, the CONNECT for Health Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024 H.R.1843, the Telehealth Expansion Act of 2023 Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to Medicare Advantage Star Rating Health Equity Index calculation HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident

Client expense: $30,000 · 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), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

General issues related to Department of Defense (DoD) procurement and competition policy for HVAC equipment in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), H.R. 5009, the the Servicemember Quality of Life Improvement and NDAA for FY25, and S. 4368, the NDAA for FY25

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to developing stronger bilateral security ties between the U.S. and Armenia and U.S. security assistance for Armenia, including in S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25)

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

General issues related to access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), H.R. 5009, the Servicemember Quality of Life Improvement and NDAA for FY25, and S. 4368, the NDAA for FY25

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, S. 3612/ H.R. 7056, the Access to Family Building Act, S. 2801/H.R. 5492, the Veteran Families Health Services Act, H.R. 544, the Veterans Infertility Treatment Act, S. 2386/H.R. 4731, the Access to Infertility Treatment and Care Act, S. 1262/H.R. 2828, the Family Building FEHB Fairness Act, H.R. 8821, the HOPE with Fertility Services Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), H.R. 5009, the Servicemember Quality of Life Improvement and NDAA for FY25, and S. 4368, the NDAA for FY25

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE

General issues related to defense spending, including for the F-35 program, in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), S. 4368, the NDAA for FY25, H.R. 5009, the Servicemember Quality of Life Improvement and NDAA for FY25, and H.R. 8774/S. 4921, the Department of Defense Appropriations Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to defense spending, including for the F-35 program, in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), S. 4368, the NDAA for FY25, H.R. 5009, the Servicemember Quality of Life Improvement and NDAA for FY25, and H.R. 8774/S. 4921, the Department of Defense Appropriations Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to Department of Defense (DoD) global technology collaboration, export controls, and the semiconductor supply chain, including in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025, and H.R. 5009, the Servicemember Quality of Life Improvement and NDAA for FY25

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

Monitor health care coverage legislation concerning infertility issues. This includes S. 4368, the IVF Protection Act; as well as S. 4445, the Right to IVF Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative and regulatory issues pertaining to credit reporting and scoring; including H.R. 1521, H.R. 8070, H.R. 4198, H.R. 6003, H.R. 7297, S. 1316, S. 4368, S. 3103, and S. 3502.

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

Government targets: Consumer Financial Protection Bureau (CFPB), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, White House Office

A resolution expressing the sense of the Senate that every person has the basic right to emergency health care, including abortion care. (S.Res. 828) Expressing the sense of the House of Representatives that every person has the basic right to emergency health care, including abortion care. (H.Res. 1448) Right to Contraception Act (H.R. 4121/S. 1999) Right to IVF Act (S. 4445/H.R. 9643) IVF Protection Act (S. 4368) Reproductive Freedom for Women Act (S. 4554) Reproductive Health Care Training Act of 2023 (S. 2024) Let Doctors Provide Reproductive Health Care Act (S. 1297) Freedom to Travel for Health Care Act of 2023 (S. 2053) Reproductive Health Travel Fund Act of 2023 (S. 2152)

Client expense: $16,669 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Strengthening Access to Contraceptive Care Act (H.R. 9807) EACH Act of 2023 (H.R. 561/S. 1031) Womens Health Protection Act (S. 701/H.R. 12) A resolution expressing the sense of the Senate that every person has the basic right to emergency health care, including abortion care. (S.Res. 828) Expressing the sense of the House of Representatives that every person has the basic right to emergency health care, including abortion care. (H.Res. 1448) Right to Contraception Act (H.R. 4121/S. 1999) Right to IVF Act (S. 4445/H.R. 9643) IVF Protection Act (S. 4368) Reproductive Freedom for Women Act (S. 4554) Reproductive Health Care Training Act of 2023 (S. 2024) Let Doctors Provide Reproductive Health Care Act (S. 1297) Freedom to Travel for Health Care Act of 2023 (S. 2053) Reproductive Health Travel Fund Act of 2023 (S. 2152) Born-Alive Abortion Survivors Protection Act (S. 123) OTC Act of 2023 (H.R. 4626) Pregnancy Empowerment Act (H.R. 9196) Paid leave bill (not yet introduced)

Client expense: $112,543 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Strengthening Access to Contraceptive Care Act (H.R. 9807) EACH Act of 2023 (H.R. 561/S. 1031) Womens Health Protection Act (S. 701/H.R. 12) A resolution expressing the sense of the Senate that every person has the basic right to emergency health care, including abortion care. (S.Res. 828) Expressing the sense of the House of Representatives that every person has the basic right to emergency health care, including abortion care. (H.Res. 1448) Right to Contraception Act (H.R. 4121/S. 1999) Right to IVF Act (S. 4445/H.R. 9643) IVF Protection Act (S. 4368) Reproductive Freedom for Women Act (S. 4554) Reproductive Health Care Training Act of 2023 (S. 2024) Let Doctors Provide Reproductive Health Care Act (S. 1297) Freedom to Travel for Health Care Act of 2023 (S. 2053) Reproductive Health Travel Fund Act of 2023 (S. 2152) Born-Alive Abortion Survivors Protection Act (S. 123) OTC Act of 2023 (H.R. 4626) Pregnancy Empowerment Act (H.R. 9196) Paid leave bill (not yet introduced)

Client expense: $112,543 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8774 /S. 4921, the FY 2025 Defense Appropriations bill - provisions related to funding for basic and applied research (6.1-6.3) including Defense-Wide basic research initiatives and funding at DARPA; provisions related to research programs within Army Futures Command; provisions related to dependable AI for national security H.R. 8070/S. 4368, the FY 2025 National Defense Authorization Act - provisions related to defense S&T basic and applied research (6.1-6.3); research security; research programs within Army Futures Command; dependable AI for national security; potential amendments related to Sec. 117 foreign gift reporting for universities and Workforce Pell Act S. 2076, the SERVE Act - provisions related to academic status for Guard/Reserve members activated for more than 30 days General issues related to funding for DOD basic 6.1, 6.2 and 6.3 research and DARPA in FY 2024 and FY 2025 General issues related to research security at DOD General issues related to research partnerships with the Army Futures Command and the Pathfinder program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General provisions related to science and engineering research at NSF, DOE, DOD, NASA, NIH, and IES in FY 2025 H.R. 9026 /S. 4795, the FY 2025 Commerce-Justice-Science Appropriations bill - provisions related to funding for NSF and NASA (including Science, Space Technology, STEM Education, and lunar gravitational waves) H.R. 8774 /S. 4921, the FY 2025 Defense Appropriations bill - provisions related to funding for basic and applied research (6.1-6.3) including Defense-Wide basic research initiatives and funding at DARPA; provisions related to research programs within Army Futures Command; provisions related to dependable AI for national security H.R. 8997 /S. 4927, the FY 2025 Energy-Water Appropriations bill - provisions related to funding for the Dept. of Energys Office of Science, ARPA-E, and language related to independent review and applied research for cleanup decision-making H.R. 9029/S. 4942, the FY 2025 Labor-HHS-Education Appropriations Act - provisions related to funding for the National Institutes of Health, and the Institute of Education Sciences (and National Center for Special Education Research); provisions related to F&A cost reimbursements H.R. 8070/S. 4368, the FY 2025 National Defense Authorization Act - provisions related to defense S&T basic and applied research (6.1-6.3); research security; research programs within Army Futures Command; dependable AI for national security; potential amendments related to Sec. 117 foreign gift reporting for universities and Workforce Pell Act S. 4667, the Risky Research Review Act - provisions related to creation of a Life Sciences Research Security Board to oversee certain high risk research S. 2220, the PREVAIL Act - provisions related to reforms to the PTAB H.R. 8958, the NASA Reauthorization Act - provisions related to Science, Space Technology, Aeronautics, and STEM Education H.R. xxxx/S. xxxx, the American Privacy Rights Act - provisions related to inclusion of universities as covered entities; impact on education research H.R. 1157, the Countering the PRC Malign Influence Fund Authorization Act of 2023 - provisions that authorize funding for a Countering the PRC Malign Influence Fund H.R. 7686 - provisions that would amend the Research and Development, Competition, and Innovation Act to clarify the definition of foreign country for purposes of malign foreign talent recruitment restriction H.R. 1398, the Protect Americas Innovation and Economic Security from CCP Act - provisions related to restoring DOJ's "China Initiative" H.R. 1516, the DHS Restrictions on Confucius Institutes and Chinese Entities of Concern Act - provisions related to the definition of "Chinese entities of concern" and DHS funding S. 2714, the CREATE AI Act - provisions related to NSF's AI programs including NAIRR S. 1956, the Invent Here, Make Here Act - provisions related to manufacturing and commercialization of federally funded research; tech transfer S. 2220, the PREVAIL Act - provisions related to reforms to the PTAB framework H.R. 8333, the BIOSECURE Act - provisions related to prohibitions on certain biotech suppliers S. 4394, the NSF AI Education Act - provisions related to scholarship and fellowship programs in AI at NSF H.R. 6213, the National Quantum Initiative Reauthorization Act - provisions relate to quantum science programs at NSF, DOE, and NASA General issues related to the importance of robust funding for NSF, DOD, NASA, and DOE Office of Science General issues related to research partnerships with the Army Futures Command and the Pathfinder program General issues related to the outlook for NASA reauthorization and budget, including provisions related to Science, Space Technology, and STEM Education General issues related to research security and NSPM-33 General issues related to F&A cost reimbursements General issues related to AI legislation related to science and innovation; and proposals impacting NSF and DOE

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Met with Representatives, Senators, and legislative staff to discuss issues in the implementation of and to encourage full funding for the CHIPS & Science Act (PL 117-167). Issues include authorizations for the NSF, DoE Office of Science, NIST, STEM education, graduate education and young investigator support, open access to research, technology transfer enhancement, provisions on research security, and disclosure of foreign gifts and contracts. Met with legislative staff to discuss and encourage support of Administration actions to implement National Security Presidential Memorandum-33 to improve and better coordinate research security; discouraged enactment of additional legislative mandates for research security in the annual defense authorization bill (HR 8070, S 4368). Met with legislative staff to express support for continuation of the fundamental research exclusion from legislative proposals to address export controls and research security. Met with legislative staff to discuss issues involved in reauthorization of NASA (HR 8958). Met with legislative staff to discuss facilities & administrative cost recovery process, and to discourage efforts to cap F&A reimbursement. Met with legislative staff to request support for projects funded by the National Science Foundation.

Client expense: $150,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

Met with legislative staff to discuss continued support for the DoD-sponsored research at the Cornell High Energy Synchrotron Source (CHEX-S) and within the FY25 National Defense Authorization Act and Defense Appropriations legislation. (HR 8070, S 4368, HR8774) Met with legislative staff to express support for the Defense Medical Research Program (HR 8774) Met with legislative staff to discuss funding for a semiconductor industry cybersecurity research program. (HR 8774) Met with legislative staff to discourage enactment of additional legislative mandates for research security in the annual defense authorization bill. (HR 8070, S 4368)

Client expense: $150,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R. 4189/S.2016 the CONNECT for Health Act and H.R.7623/S.3967 the Telehealth Modernization Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident File Code CMS-1807-P. Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

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

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

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Publications Open access to information based on publicly funded research - no specific bill Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R. 4189/S.2016 the CONNECT for Health Act and H.R.7623/S.3967 the Telehealth Modernization Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident File Code CMS-1807-P. Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

Client expense: $40,000 · 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), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

Monitor health care coverage legislation concerning infertility issues. This includes S. 4368, the IVF Protection Act; as well as S. 4445, the Right to IVF Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fertility. Maternal Health. Issues related to sperm donation. S.3612/H.R.7056 - Access to Family Building Act. S.4445 - Right to IVF Act. S.4368 - IVF Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to Department of Defense (DoD) procurement and competition policy for HVAC equipment in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to developing stronger bilateral security ties between the U.S. and Armenia and U.S. security assistance for Armenia, including in the H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Natl Security Council (NSC), SENATE, State, Dept of (DOS)

General issues related to access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, S. 3612/ H.R. 7056, the Access to Family Building Act, S. 2801/H.R. 5492, the Veteran Families Health Services Act, S. 2386/H.R. 4731, the Access to Infertility Treatment and Care Act, S. 1262/H.R. 2828, the Family Building FEHB Fairness Act, H.R. 8821, the HOPE with Fertility Services Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, Office of the Vice President of the United States, SENATE

General issues related to access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to defense spending, including for the F-35 program, in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), S. 4368, the NDAA for FY25, and H.R. 8774/S. 4921, the Department of Defense Appropriations Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to defense spending, including for the F-35 program, in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 (FY25), S. 4368, the NDAA for FY25, and H.R. 8774/S. 4921, the Department of Defense Appropriations Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to Department of Defense (DoD) global technology collaboration, export controls, and the semiconductor supply chain, including in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act (NDAA) for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Met with legislative staff to discuss continued support for the DoD-sponsored research at the Cornell High Energy Synchrotron Source (CHEX-S) and within the FY25 National Defense Authorization Act and Defense Appropriations legislation. (HR 8070, S 4368, HR8774) Met with legislative staff to express support for the Defense Medical Research Program (HR 8774) Met with legislative staff to discuss funding for a semiconductor industry cybersecurity research program. (HR 8774) Met with legislative staff to discourage enactment of additional legislative mandates for research security in the annual defense authorization bill. (HR 8070, S 4368)

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Met with Representatives, Senators, and legislative staff to discuss issues in the implementation of and to encourage full funding for the CHIPS & Science Act (PL 117-167). Issues include authorizations for the NSF, DoE Office of Science, NIST, STEM education, graduate education and young investigator support, open access to research, technology transfer enhancement, provisions on research security, and disclosure of foreign gifts and contracts. Met with legislative staff to discuss and encourage support of Administration actions to implement National Security Presidential Memorandum-33 to improve and better coordinate research security; discouraged enactment of additional legislative mandates for research security in the annual defense authorization bill (HR 8070, S 4368). Met with legislative staff to express support for continuation of the fundamental research exclusion from legislative proposals to address export controls and research security. Met with legislative staff to discuss issues involved in reauthorization of NASA (HR 8958).

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.4381, Right to Contraception Act, to protect an individuals ability to access contraceptives and to engage in contraception and to protect a health care providers ability to provide contraceptives, contraception, and information related to contraception, all provisions. S.4368, IVF Protection Act, to amend title XIX of the Social Security Act to require, as a condition of receiving Federal Medicaid funding, that States do not prohibit in vitro fertilization (IVF) services, and for other purposes, all provisions. S.4524, A bill to amend the Public Health Service Act to prohibit discrimination against health care entities that do not participate in abortion, and to strengthen implementation and enforcement of Federal conscience laws, all provisions. H.J.Res.160/S.J.Res.90, providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Health and Human Services relating to "Nondiscrimination in Health Programs and Activities," all provisions. Issues relating to religious exemptions and in vitro fertilization.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fertility. Maternal Health. Issues related to sperm donation. S.3612/H.R.7056 - Access to Family Building Act. S.4445 - Right to IVF Act. S.4368 - IVF Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Publications Open access to information based on publicly funded research - no specific bill Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident

Client expense: $30,000 · 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), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment

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

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

General issues related to developing stronger bilateral security ties between the U.S. and Armenia and U.S. security assistance for Armenia, including in the H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

General issues related to access to fertility treatment and care, including in S. 4445, the Right to IVF Act, S. 3612/ H.R. 7056, the Access to Family Building Act, S. 2801/H.R. 5492, the Veteran Families Health Services Act, S. 2386/H.R. 4731, the Access to Infertility Treatment and Care Act, S. 1262/H.R. 2828, the Family Building FEHB Fairness Act, H.R. 8821, the HOPE with Fertility Services Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues related to access to fertility treatment and care, including in S. 4445, the Right to IVF Act, and TRICARE coverage in H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 and S. 4368, the National Defense Authorization Act (NDAA) for Fiscal Year 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE