Right to IVF Act

HR 4121, S 1999, S 4381 - Right to Contraception Act All provisions This bill would safeguard Americans right to access all forms of birth control and protect against federal and state efforts to restrict it HR 4731, S 2386 - Access to Infertility Treatment and Care Act All provisions This bill will require health insurance coverage for the treatment of infertility. HR 880 - Heart Health Enhancement through Access to Research and Training Act All provisions This bill authorizes grants for continuing medical education programs for physicians on preventing, identifying, and treating cardiovascular disease in women. H.Res. 345 - A resolution recognizing that infertility is a widespread problem that affects populations of diverse ages, races, ethnicities, and genders. All provisions This resolution recognizes the need for education, research, and medical interventions to address infertility and disparities associated with that disease. HR 7056, S 3612 - Access to Family Building Act All provisions This bill provides a statutory right to access assisted reproductive technology (e.g., In vitro fertilization). HR 4363, S 2213 - Comprehensive Cancer Survivorship Act All provisions This bill addresses the health of cancer survivors and unmet needs that survivors face through the entire continuum of care from diagnosis through active treatment and posttreatment. S 4445 - Right to IVF Act All provisions This bill protects and expands nationwide access to fertility treatment, including in vitro fertilization. HR 8223, S 4246 - Advancing Menopause Care and Mid-Life Womens Health Act All provisions This bill aims to improve menopause care and mid-life women's health through expanded research, public health promotion, education, training, and the establishment of Centers of Excellence, with significant funding allocated for these initiatives from 2025 to 2029. HR 8796, S4619 Stop Comstock Act All provisions This bill would repeal language in the Comstock Laws that could be used to ban the mailing of mifepristone and other drugs used in medication abortions, instruments and equipment used in abortions, and educational material related to sexual health. HR 8821 - HOPE with Fertility Services Act All provisions This bill requires group health plans to cover infertility treatments, sets compliance and penalty guidelines, and mandates annual reporting for five years, effective from 2026. HR 9269 - IVF Access and Affordability Act All provisions This bill introduces a tax credit for fertility treatments, capping at $20,000 annually, with provisions for joint filers, income-based reductions, and a five-year carryforward for unused credits, effective for taxable years post-enactment. H.Res. 1448, 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. All provisions This resolution asserts that everyone has a basic right to emergency health care, including abortion, and highlights the negative impacts of restrictive state laws on marginalized communities and healthcare providers. HR 3086 - Find It Early Act All provisions This bill provides for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care FDA Ban on Blood Donation by MSM Employment Benefits Surgical Exclusion to Gender Affirming Care through the Department of Veterans Affairs Conversion Therapy H.R. 12; S. 701: Womens Health Protection Act of 2023 H.R. 1723; S. 929: Abortion is Health Care Everywhere Act of 2023 H.R. 1399; H.R. 5636; S. 2357: Protect Children's Innocence Act H.R. 1276; S. 635: Protect Minors from Medical Malpractice Act of 2023 S. 457: Protecting Our Kids from Child Abuse Act H.R. 3131: To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization. H.R. 3328; S. 1597: Protecting Children From Experimentation Act of 2023 H.R. 3850: Pride In Mental Health Act of 2023 H.R. 3887: Children's Hospital GME Support Reauthorization Act of 2023 H.R. 3583; S. 1697: Real Education and Access for Healthy Youth Act of 2023 H.R. 4340; S. 2176: Therapeutic Fraud Prevention Act of 2023 H.R. 3409; S. 1664: Healthy Families Act H.R. 4392; S. 2188: PrEP Access and Coverage Act of 2023 S. 2246: Gender-Affirming CARE Act S. 2797: Protecting Conscience in Our Health Care Act H.R. 5894; S. 2624: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R. 8423; S. 4613: Elder Pride Act of 2024 S. 4445: Right to IVF Act S. 4381: Right to Contraception Act H.J.Res. 160; S.J.Res. 90: A joint resolution 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. H.R. 9029; S. 4942: Departments of Labor, Health and Human Services, Education, and Related Agencies Act, 2025 H.J.Res. 182; S.J.Res. 101: Disapproving the rule submitted by the Department of Health and Human Services relating to "Designated Placement Requirements for LGBTQI plus Children". H.R. 9369: Elder Pride Protection Act of 2024 H.R. 9874: To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes. H.R. 9586: STOP WEIRD Act of 2024 H.R. 9344: Promotion of Youth Sports Act 2024 H.R. 9874: Childhood Genital Mutilation Prevention Act

Client expense: $181,310 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl AIDS Policy, SENATE, Veterans Affairs, Dept of (VA), White House Office

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

Issues related to IVF. S. 4445, the Right to IVF Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to IVF. S. 4445, the Right to IVF Act.

Client expense: Not reported · Firm income: Not reported

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, 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 access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, S. 2801/H.R. 5492, the Veteran Families Health Services Act, and H.R. 544, the Veterans Infertility Treatment Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 10000, HR 1001, HR 10012, HR 1003, HR 10038, HR 10106, HR 10142, HR 10148, HR 10153, HR 10369, HR 10381, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9052, HR 9057, HR 9094, HR 9107, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9511, HR 9525, HR 9575, HR 9583, HR 9643, HR 9773, HR 9788, HR 9806, HR 9819, HR 9854, HR 984, HR 9924, HR 9930, HR 9934, HR 9948, HR 9996, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4750, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5138, S 5141, S 5210, S 528, S 5301, S 531, S 5325, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Client expense: $141,405 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

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

Contacts regarding strengthening guidance to providers that it is discriminatory to fail to offer suicide prevention services in states where assisted suicide is legal. Contacts regarding strengthening guidance to providers against steering patients away from treatment. Contacts regarding prescription drug reform, so as not to prevent people from accessing current life-saving medication, and prevent new innovative medications from coming to market. Contacts in support of H.485 to ban the use of QALYs to deny life-saving medical treatment on the basis of disability. Contacts in support of Simon's Law requiring providers to inform at least one parent or legal guardian of a physicians intent to institute a DNR both orally and in writing and providing either parent with authority to refuse consent for a DNR. Contacts in regards to legislation and resolutions on IVF, to the extend they might impact abortion policy. No position taken. Contacts in opposition to the so-called Right to IVF Act (S.4445) due to a definition of assisted reproductive technology that is so expansive, it can be reasonably interpreted to impose a new right to human cloning, the genetic engineering of embryos including human-animal hybrids, or chimeras. Contacts in opposition to the so-called "Right to Contraception Act" (S. 4381) which goes far beyond contraception (NRLC takes no position on contraception), and includes provisions related to the funding of abortion providers and contains language that could expand the use of drugs to induce an abortion weeks or months into a pregnancy.

Client expense: $38,000 · Firm income: Not reported

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

H.R. 5577, S. 3017 FACE Act Repeal of 2023; H.R. 7669 Right to Try IVF Act of 2024; S. 3612, H.R. 7056 Access to Building Families Act; S. 2801, H.R. 5492 Veteran Families Health Services Act of 2023; H. Res. 1043; H. Res. 1060, S. Res. 574; H.R. 8070, S. 4638 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025; S. 204 Born-Alive Abortion Survivors Protection Act; Shield Laws; H.R. 9029, S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025; H.R. 12, S. 701 Womens Health Protection Act of 2023; S. 74, H.R. 4789 Providing for Life Act; H.R. 427, S. 95 Support and Value Expectant Moms and Babies Act; H.R. 7, S. 62 No Taxpayer Funding for Abortion Act and Abortion Insurance Full Disclosure Act of 2023; Emergency Medical Treatment and Active Labor Act; S. 1999, S. 4381 Right to Contraception; S. 4445 Right to IVF; S. 4533 ; S. 4447 Allowing Greater Access to Safe and Effective Contraception Act; H.R.4758 Accelerating Kids Access to Care Act; S.Res. 828, H.Res. 1448 ; H.R. 9866; S. 2053 Freedom to Travel for Health Care Act of 2023; S. 1297 Let Doctors Provide Reproductive Health Care Act; S. 631 UPHOLD Privacy Act of 2023; S. 2024 Reproductive Health Care Training Act of 2023; H.R. 632 Ensuring Accurate and Complete Abortion Data Reporting Act; H.R. 7044 Womans Right to Know Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5577, S. 3017 FACE Act Repeal of 2023; H.R. 431 Life at Conception Act; H.R. 7669 Right to Try IVF Act of 2024; S. 3612, H.R. 7056 Access to Building Families Act; S. 2801, H.R. 5492 Veteran Families Health Services Act of 2023; H. Res. 1043; H. Res. 1060, S. Res. 574; H.R. 8070, S. 4638 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025; S. 4128, H.R. 8029 VA Abortion Transparency Act of 2024; S. 204 Born-Alive Abortion Survivors Protection Act; Shield Laws; H.R. 1126 HOPE Act; H.R. 8362, S. 3622 Unborn Child Support; H.R. 4258, S. 2092 Unborn Child Tax Credit; S. 4296, H.R. 8801 More Opportunity for Moms to Succeed Act; H.R. 8774, S. 4921 Department of Defense Appropriations Act, 2025; H.R. 8771, S. 4797 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025; H.R. 8752 Department of Homeland Security Appropriations Act, 2025; H.R. 8580, S. 4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025; H.R. 9027, S. 4690 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies; H.R. 9026, S. 4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025; H.R. 8772, S. 4678 Legislative Branch Appropriations Act, 2025; H.R. 9029, S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies; Protecting Pain-Capable Unborn Child from Late-Term Abortions; H.R. 12, S. 701 Womens Health Protection Act of 2023; S. 74, H.R. 4789 Providing for Life Act; H.R. 175 Heartbeat Protection Act of 2023; H.R. 427, S. 95 Support and Value Expectant Moms and Babies Act; Chemical abortion drugs; Safe Haven; H.R. 7, S. 62 No Taxpayer Funding for Abortion Act and Abortion Insurance Full Disclosure Act of 2023; Emergency Medical Treatment and Active Labor Act; Partial-Birth Abortion Ban Act; S. 1999, S. 4381 Right to Contraception; S. 4445 Right to IVF; S. 4524; S. 4533; S. 4447 Allowing Greater Access to Safe and Effective Contraception Act; S. 4554 Reproductive Freedom for Women Act; H.R.4758 Accelerating Kids Access to Care Act; S.Res. 828, H.Res. 1448; S. 5256 A bill to amend the Internal Revenue Code of 1986 to enhance the child tax credit, and for other purposes; H.R. 9866; H.J.Res. 165; S. 2152 Reproductive Health Travel Fund Act; S. 2053 Freedom to Travel for Health Care Act of 2023; S. 1297 Let Doctors Provide Reproductive Health Care Act; S. 631 UPHOLD Privacy Act of 2023; S. 2024 Reproductive Health Care Training Act of 2023; H.R. 9747 Continuing Appropriations and Extensions Act, 2025; H.R. 5406 Life.Gov Act; H.R. 6914, S. 2974 Pregnant Students Rights Act; S. 76 Standing with Moms Act; H.R. 6918 Supporting Pregnant and Parenting Women and Families Act; H.R. 632 Ensuring Accurate and Complete Abortion Data Reporting Act; S. 3741 Supporting Pregnant and Parenting Women and Families Act; H.R. 7044 Womans Right to Know Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2801, H.R. 5492 Veteran Families Health Services Act of 2023; H.R. 7, S. 62 No Taxpayer Funding for Abortion Act and Abortion Insurance Full Disclosure Act of 2023; S. 1999, S. 4381 Right to Contraception; S. 4445 Right to IVF; H.R.4758 Accelerating Kids Access to Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7044 Womans Right to Know Act; S. 2024 Reproductive Health Care Training Act of 2023; S. 631 UPHOLD Privacy Act of 2023; S. 1297 Let Doctors Provide Reproductive Health Care Act; S. 2053 Freedom to Travel for Health Care Act of 2023; H.R. 9866; S. 4447 Allowing Greater Access to Safe and Effective Contraception Act; S. 4533; S. 4445 Right to IVF; Partial-Birth Abortion Ban Act; Emergency Medical Treatment and Active Labor Act; Safe Haven; H.R. 427, S. 95 Support and Value Expectant Moms and Babies Act; H.R. 8070, S. 4638 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025; H. Res. 1060, S. Res. 574; H. Res. 1043; S. 2801, H.R. 5492 Veteran Families Health Services Act of 2023; S. 3612, H.R. 7056 Access to Building Families Act; H.R. 7669 Right to Try IVF Act of 2024;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R. 4818 - Treat and Reduce Obesity Act - Rep. Wenstrup, Brad - weight loss coverage H.R. 6860 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 8084 - Leveraging Integrity and Verification of Eligibility for Beneficiaries Act - Rep. Bilirakis, Gus - eligibility criteria verification S. 655 - Chronic Disease Management Act of 2023 - Sen. Thune, John - increase the flexibility of HSA-HDHPs to cover chronic disease services on pre-deductible basis S. 1001 - Telehealth Expansion Act of 2023 - Sen. Daines, Steve - exemption of high deductible health plans from the requirement of a deductible for telehealth and other remote care services S. 2407 - Treat and Reduce Obesity Act - Sen. Carper, Tom - weight loss coverage S. 2771 - Increasing Access to Dental Insurance Act - Sen. Hassan, Maggie - permits individuals to enroll in a dental benefits plan on a health insurance exchange without also enrolling in a qualified health plan S. 4445 - Right to IVF Act- Sen. Duckworth, Tammy - protecting right to fertility treatment S. 4767 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - reduces fraudulent enrollments in qualified health plans S. 5218 - Health Infrastructure Security and Accountability Act of 2024 - Sen. Wyden, Ron - cyber security standards Issues related to implementation rule implementing the No Suprises Act prohibiting surprise medical bills; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); pending rulemaking related to insurance requirements under the Mental Health Parity and Addiction Equity Act; final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; and coverage of weight loss drugs.

Client expense: $2,560,000 · Firm income: Not reported

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

S.4503, the Corporate Crimes Against Health Care Senate Committee on Health, Education, Labor, and Pensions (HELP) on Steward Health Care H.R.5434/S.3138, Stabilize Medicaid and CHIP Coverage Act 12-month continuous eligibility for adults in Medicaid and CHIP HVAC and Schools (draft bill) Funding for Department of Justice Antitrust Division Fiscal Year 2025 Strengthening Pathways to Health Professions Act (Draft) Funding for SUNY Downstate hospital S.4445, The right to IVF Act, Reproductive healthcare and technology H.R.8526, the Trauma-Informed Schools Act Cognitive behavioral therapy and schools (draft bill) Impact of private equity on healthcare H.R.9131, Indoor Air Quality and Healthy Schools Act of 2024 Indoor Air Quality and Outdoor pesticide school and environmental related issues S.1409, Kids Online Safety Act (KOSA), Entirety S.2660, Get Toxic Substances Out of Schools Act, Entirety Monitor the following: Securing Continued Healthcare for Our Operations and Logistics Professionals Act S.4278, the Physician and Patient Safety Act H.R.8444, the Mental Health in Schools Act S.4286, the Comprehensive Addiction Resources Emergency Act H.R.8524, the Elementary and Secondary School Counseling Act H.R.7153/S.3679, the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R.468, the Building Americas Health Care Workforce Act H.R.3227, the Ensuring Seniors Access to Quality Care Act S.1999 the Right to Contraception Act H.RES.1180, a resolution recognizing the importance of diversity, equity, and inclusion efforts in medical education H.R.7513/S.3410/H.J Res 139, legislation related to the administrations nursing home staffing regulation Health over Wealth Act IAQ and Healthy Schools Act (draft bill) Abortion bans Long COVID Rural healthcare and hospital workforce challenges and related issues Shortage of minority healthcare professionals S.4381, Right to Contraception Act, Entirety Mental Health Service Professional Demonstration Grant and the School-Based Mental Health Services Grant in FY2025 Supporting investments in school-based mental health professionals S.3612, the Access to Family Building Act H.R.7546/S.3860, the Nurse Overtime and Patient Safety Act S.3770, the Future Advancement of Academic Nursing Act S.3779 Child Suicide Prevention and Lethal Means Safety Act S.3701, the FACTS Act H.R.6914, the Pregnant Students Rights Act Healthcare high school apprenticeships Safe staffing levels Safe staffing levels at nursing homes Artificial Intelligence, Healthcare related issues Public Law 118-31, National Defense Authorization Act for Fiscal Year 2024, Teacher healthcare coverage H.R.485, the Protecting Health Care for All Patients Act Proposed regulation: File Code 1210-AC11, Requirements Related to the Mental Health Parity and Addiction Equity Act H.R.4771, the Childrens Health Insurance Program Permanency Act Affordable Drug Manufacturing Act, not introduced S.2530, the Mental Health of Educators and Staff Act Primary Care and Health Workforce Expansion Act (draft bill) Medicare drug negotiation program PMB reform H.R.5378, the Lower Costs, More Transparency Act Reauthorization of healthcare workforce programs S.2333, Pandemic and All-Hazards Preparedness and Response Act S.1113, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Appropriations regarding but not limited to community violence intervention, School-Based Mental Health Services Professional Demonstration Grants/ School-Based Mental Health Services Grant Program, gun violence prevent and removing abortion prohibition language from future appropriations bills. H.R.3727 Teacher Health and Wellness Act S.1446, Nurse Corps Tax Parity Act H.R.3761/S.1774, Advancing Student Services in Schools Today Act H.R.3726, Student Mental Health Rights Act H.R.3305, Black Maternal Health Momnibus Act Funding for CDCs Social Determinants of Health program H.R.3682, Cady Housh and Gemesha Thomas Student Suicide Prevention Act of 2023, Entirety Public Law 117-169, Inflation Reduction Act, Prescription drug reform Public Law 117-159, Bipartisan Safer Communities Act Medicaid DSH Payments, Hospital funding formula Abortion Access related issues Supporting Trauma Informed Education Practices Act Restoring Hope for Mental Health and Well‐Being Act Health Force and Resilience Force Act Black Maternal Health Momnibus Act Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues The National Nurse Act, Entirety Telehealth issues H.R.12/S.701, the Women's Health Protection Act, Entirety Mental health supports for educators Closing Health Coverage Gaps for Public Servants Act Workplace Violence Prevention for Health Care and Social Service Worker Act Visas for international healthcare professionals Dobbs vs Jackson, United States Supreme Court decision Workplace violence related issues Green New Deal for Health, Entirety H.R.1485/S.727, Insulin for All Act H.R.1692, Health Care Affordability Act S.1139, A bill to apply prescription drug inflation rebates to drugs furnished in the commercial market Minimum staffing levels in skilled nursing facilities related issues Health Worker Shortage/Staffing Crisis ACCESS in Mental Health Act (draft bill) Mental Health CARE Act (draft bill) Supporting All Students Act (draft bill) Epi-pen Price Cap legislation, (draft bill) Funding for Medicare low-income outreach and enrollment efforts H.R.4771, the Childrens Health Insurance Program Permanency Act S.3090/H.R.6004, the Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services Act Prevention and Public Health Fund related issues H.R.6204, the See the Board Act Requirements Related to the Mental Health Parity and Addiction Equity Act, File Code 1210-AC11 Ensuring Safe Drinking Water at Schools, Lead & Copper Rule Improvements The Employee Retirement Income Security Act and related issues Rights and access to reproductive healthcare Healthcare cybersecurity related issues

Client expense: $270,000 · 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

Support for H.R. 9161 / S. 4773 - Health Equity and Accountability Act (HEAA) Support for H.R.9774 - Health Care Affordability Act of 2024 Support for HHS/CMS authority to address the Medicaid unwinding Support for S. 4381 - Right to Contraception Act Support for S. 4445 - Right to IVF Act Support for S. 4554 - Reproductive Freedom for Women Act

Client expense: $600,000 · Firm income: Not reported

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

Abortion access (general); Access to mifepristone (general); Contraception (general); IUD insertion (general); Maternal mortality and morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; Inclusion of pregnant and lactating individuals in research (general); Obstetric and gynecologic care in rural and underserved areas (general); impact of closures of ob-gyn units in rural hospitals on patient access to care and maternal morbidity and mortality; Impact of abortion restrictions on patient outcomes and the ob-gyn workforce (general); H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 3310/S. 2239, Kira Johnson Act; H.R. 3312/S. 1602, Moms Matter Act; H.R. 3320/S. 1599, Data to Save Moms Act; H.R. 3523/S. 1710, Perinatal Workforce Act;; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; Telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; implementation of P.L. 118-69, Maternal and Child Health Stillbirth Prevention Act; Stillbirth prevention (general); S.___, Supporting Healthy Moms and Babies Act; S. 712/H.R. 8532, Connected MOM Act; S. 4079/H.R. 8383, Rural Obstetrics Readiness Act; Diversity, Equity, and Inclusion in medicine (general); S. 5236, Keep Obstetrics Local Act; H.R. 7855, H.R.___, Diane Powis Ovarian Cancer Testing Access Act;; S. 4445, Right to IVF Act; Implementation of P.L. 117-328, Pregnant Workers Fairness Act; National Health Service Corps (general); ; H.R. 8796/S. 4619, Stop Comstock Act; H.R. 8037/S. 4147, NIH Improve Act; H.R. 9886, Broadening Utilization of Proven and Effective Treatment for Recovery Act or the BUPE for Recovery Act; S. 4522, Dads Matter Act; H.R. 6716/S. 3509, Healthy MOM Act; H.R. 8839, Maternal and Infant Syphilis Prevention Act; H.R. 8223/S. 4246 Advancing Menopause Care and Mid-Life Womens Health Act; H.R. 3851/S. 2464, Access to Breast Cancer Diagnosis Act of 2023; S. 964, Mothers and Newborns Success Act; H.R. 4572/S. 2303, Stephanie Tubbs Jones Uterine Fibroid Research and Education Act of 2023; H.R. 4534/S. 2245, Women and Lung Cancer Research and Preventive Services Act of 2023; S. 3447, Pregnant and Postpartum Women Treatment Reauthorization Act; S. 3370, Promoting Maternal and Child Health Through Substance Use Prevention Act; H.R. 3946/S. 1800, FASD Respect Act; H.R. __ /S.__ Strengthening Pathways to Health Professions Act; Health Insurance Portability and Accountability Act (general); Patient-physician relationship (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); Abortion training in obstetrics and gynecology residency programs (general); Obstetrician-gynecologist workforce (general); Reproductive health data privacy (general); Substance use disorder during pregnancy (general); Maternal mental health (general); Coverage for infertility (general); Protections for in vitro fertilization (general); HPV vaccination (general); RSV vaccination (general); Remote patient monitoring (general); Fertility preservation services for sickle cell patients treated with cell and gene therapies; Prenatal supplements (general); Care for pregnant and postpartum incarcerated individuals (general); Gun violence as a public health issue (general);; H.Res.1448, Expressing the sense of the House of Representatives that every person has the basic right to emergency health care, including abortion care; CURES 2.0 Act; NIH restructuring (general); family care plans (general); FDA Advisory Committees (general); FDA Diversity Action Plan (general); NICHD Strategic Plan (general); physician liability (general); pharmacist-prescribed contraceptives (general); Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC) recommendations (general); Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages (general); Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability rule (general).

Client expense: $155,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, White House Office

Reproductive healthcare in FY25 federal spending bills and FY26 Presidents Budget; A federal right to abortion; Assisted Reproductive Technology, including IVF; S.4445 and H.R.9643, the Right to IVF Act, which would protect and expand access to assisted reproductive technologies, including IVF; H.R.7056, the Access to Family Building Act; Federal issues related to state abortion bans and abortion access in the United States; Child tax credit and using the tax code to increase investments in women and families; Administrative actions to protect and expand abortion access; Access to reproductive health services, including contraception and abortion, for veterans and servicemembers and dependents; H.R.8070 and S.4638 National Defense Authorization Act, access to reproductive health services, including contraception and abortion, for servicemembers and dependents; H.R.561 and S.1031, the EACH Act of 2023, regarding access to affordable health insurance plans that cover abortion; Denials of and nondiscrimination in healthcare, including S.4223 the Access to Birth Control Act; Grants to enhance security and safety for health care providers; Grants to expand capacity for contraceptive care providers, including H.R.9807 the Strengthening Access to Contraceptive Care Act; Access to contraception and the right to contraception, including H.R.4121, S.1999, and S.4381 the Right to Contraception Act; Access to and affordability of contraceptives, including those available OTC; LGBTQI+ rights; Title IX, including H.Res.165; Discrimination against LGBTQI+ people; Bans and restrictions on gender affirming care; H.R.12 and S.701 the Women's Health Protection Act of 2023, regarding access to abortion care; Issues related to Idaho v. United States and emergency abortion care; Maternal and child health funding, including Title V and SPRANS; Issues related to discrimination and mistreatment of pregnant people; Paid Family and Medical Leave; Data and health records privacy as it relates to abortion care.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Issues related to IVF. S. 4445, the Right to IVF Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to IVF. S. 4445, the Right to IVF Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9027; Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025, Protecting taxpayers from being forced to fund programs that target the unborn, undermine families, and target people who believe in one-man, one-woman marriage H.R. 8998; Department of the Interior, Environment, and Related Agencies Appropriations Act, 2025, Protecting taxpayers from being forced to fund programs that undermine families and target people who believe in one-man, one-woman marriage H.R. 3329; End Taxpayer Funding of Gender Experimentation Act of 2023, Ensuring that taxpayers aren't paying for interventions that are harmful to children's health and safety H.R. 8997; Energy and Water Development and Related Agencies Appropriations Act, 2025, Protecting taxpayers from being forced to fund programs that undermine families and target people who believe in one-man, one-woman marriage H.R. 8773; Financial Services and General Government Appropriations Act, 2025, Protecting taxpayers from being forced to fund programs that target the unborn, undermine families, and target people who believe in one-man, one-woman marriage or the dignity of the unborn H.R. 9494; House CR plus SAVE Act, Protecting taxpayers from being forced to fund anti-life, anti-family priorities H.R. 9269; IVF Access and Affordability Act, Protecting the unborn H.R. 3328; Protecting Children From Experimentation Act of 2023, Ensuring children's health and safety S. 2152; Reproductive Health Travel Fund Act, Protecting taxpayers from being forced to pay for abortion travel S. 4445; Right to IVF Act, Protecting the unborn

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care FDA Ban on Blood Donation by MSM Employment Benefits Surgical Exclusion to Gender Affirming Care through the Department of Veterans Affairs Conversion Therapy H.R. 12; S. 701: Womens Health Protection Act of 2023 H.R. 1723; S. 929: Abortion is Health Care Everywhere Act of 2023 H.R. 1399; H.R. 5636; S. 2357: Protect Children's Innocence Act H.R. 1276; S. 635: Protect Minors from Medical Malpractice Act of 2023 S. 457: Protecting Our Kids from Child Abuse Act H.R. 3131: To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization. H.R. 3328; S. 1597: Protecting Children From Experimentation Act of 2023 H.R. 3850: Pride In Mental Health Act of 2023 H.R. 3887: Children's Hospital GME Support Reauthorization Act of 2023 H.R. 3583; S. 1697: Real Education and Access for Healthy Youth Act of 2023 H.R. 4340; S. 2176: Therapeutic Fraud Prevention Act of 2023 H.R. 3409; S. 1664: Healthy Families Act H.R. 4392; S. 2188: PrEP Access and Coverage Act of 2023 S. 2246: Gender-Affirming CARE Act S. 2797: Protecting Conscience in Our Health Care Act H.R. 5894; S. 2624: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R. 8423; S. 4613: Elder Pride Act of 2024 S. 4445: Right to IVF Act S. 4381: Right to Contraception Act H.J.Res. 160; S.J.Res. 90: A joint resolution 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. H.R. 9029; S. 4942: Departments of Labor, Health and Human Services, Education, and Related Agencies Act, 2025 H.J.Res. 182; S.J.Res. 101: Disapproving the rule submitted by the Department of Health and Human Services relating to "Designated Placement Requirements for LGBTQI plus Children". H.R. 9369: Elder Pride Protection Act of 2024 H.R. 9874: To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes. H.R. 9586: STOP WEIRD Act of 2024 H.R. 9344: Promotion of Youth Sports Act 2024

Client expense: $199,903 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl AIDS Policy, SENATE, Veterans Affairs, Dept of (VA), White House Office

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care FDA Ban on Blood Donation by MSM Employment Benefits Surgical Exclusion to Gender Affirming Care through the Department of Veterans Affairs Conversion Therapy H.R. 12; S. 701: Womens Health Protection Act of 2023 H.R. 1723; S. 929: Abortion is Health Care Everywhere Act of 2023 H.R. 1399; H.R. 5636; S. 2357: Protect Children's Innocence Act H.R. 1276; S. 635: Protect Minors from Medical Malpractice Act of 2023 S. 457: Protecting Our Kids from Child Abuse Act H.R. 3131: To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization. H.R. 3328; S. 1597: Protecting Children From Experimentation Act of 2023 H.R. 3850: Pride In Mental Health Act of 2023 H.R. 3887: Children's Hospital GME Support Reauthorization Act of 2023 H.R. 3583; S. 1697: Real Education and Access for Healthy Youth Act of 2023 H.R. 4340; S. 2176: Therapeutic Fraud Prevention Act of 2023 H.R. 3409; S. 1664: Healthy Families Act H.R. 4392; S. 2188: PrEP Access and Coverage Act of 2023 S. 2246: Gender-Affirming CARE Act S. 2797: Protecting Conscience in Our Health Care Act H.R. 5894; S. 2624: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R. 8423; S. 4613: Elder Pride Act of 2024 S. 4445: Right to IVF Act S. 4381: Right to Contraception Act H.J.Res. 160; S.J.Res. 90: A joint resolution 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. H.R. 9029; S. 4942: Departments of Labor, Health and Human Services, Education, and Related Agencies Act, 2025 H.J.Res. 182; S.J.Res. 101: Disapproving the rule submitted by the Department of Health and Human Services relating to "Designated Placement Requirements for LGBTQI plus Children". H.R. 9369: Elder Pride Protection Act of 2024 H.R. 9874: To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes. H.R. 9586: STOP WEIRD Act of 2024 H.R. 9344: Promotion of Youth Sports Act 2024

Client expense: $199,903 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl AIDS Policy, SENATE, Veterans Affairs, Dept of (VA), White House Office

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

HR 9218 "Defining Male and Female Act," all provisions. S 4445 "Right to IVF Act," all provisions. S 4554 "Reproductive Freedom for Women Act," all provisions. S Res 869 "National Pregnancy Center Week Resolution," all provisions.

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

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, 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 access to fertility treatment and care, including in S. 4445/H.R. 9643, the Right to IVF Act, and S. 2801/H.R. 5492, the Veteran Families Health Services Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9057, HR 9094, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9525, HR 9575, HR 9819, HR 984, HR 9924, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5141, S 5210, S 528, S 531, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Client expense: $141,405 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Contacts regarding strengthening guidance to providers that it is discriminatory to fail to offer suicide prevention services in states where assisted suicide is legal. Contacts regarding strengthening guidance to providers against steering patients away from treatment. Contacts regarding prescription drug reform, so as not to prevent people from accessing current life-saving medication, and prevent new innovative medications from coming to market. Contacts in support of H.485 to ban the use of QALYs to deny life-saving medical treatment on the basis of disability. Contacts in support of Simon's Law requiring providers to inform at least one parent or legal guardian of a physicians intent to institute a DNR both orally and in writing and providing either parent with authority to refuse consent for a DNR. Contacts in regards to legislation and resolutions on IVF, to the extend they might impact abortion policy. No position taken. Contacts in opposition to the so-called Right to IVF Act (S.4445) due to a definition of assisted reproductive technology that is so expansive, it can be reasonably interpreted to impose a new right to human cloning, the genetic engineering of embryos including human-animal hybrids, or chimeras. Contacts in opposition to the so-called "Right to Contraception Act" (S. 4381) which goes far beyond contraception (NRLC takes no position on contraception), and includes provisions related to the funding of abortion providers and contains language that could expand the use of drugs to induce an abortion weeks or months into a pregnancy.

Client expense: $38,000 · Firm income: Not reported

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

Contacts regarding strengthening guidance to providers that it is discriminatory to fail to offer suicide prevention services in states where assisted suicide is legal. Contacts regarding strengthening guidance to providers against steering patients away from treatment. Contacts regarding prescription drug reform, so as not to prevent people from accessing current life-saving medication, and prevent new innovative medications from coming to market. Contacts in support of H.485 to ban the use of QALYs to deny life-saving medical treatment on the basis of disability. Contacts in support of Simon's Law requiring providers to inform at least one parent or legal guardian of a physicians intent to institute a DNR both orally and in writing and providing either parent with authority to refuse consent for a DNR. Contacts in regards to legislation and resolutions on IVF, to the extend they might impact abortion policy. No position taken. Contacts in opposition to the so-called Right to IVF Act (S.4445) due to a definition of assisted reproductive technology that is so expansive, it can be reasonably interpreted to impose a new right to human cloning, the genetic engineering of embryos including human-animal hybrids, or chimeras. Contacts in opposition to the so-called "Right to Contraception Act" (S. 4381) which goes far beyond contraception (NRLC takes no position on contraception), and includes provisions related to the funding of abortion providers and contains language that could expand the use of drugs to induce an abortion weeks or months into a pregnancy.

Client expense: $38,000 · Firm income: Not reported

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

HR 4121, S 1999, S 4381 - Right to Contraception Act All provisions This bill would safeguard Americans right to access all forms of birth control and protect against federal and state efforts to restrict it HR 4731, S 2386 - Access to Infertility Treatment and Care Act All provisions This bill will require health insurance coverage for the treatment of infertility. HR 880 - Heart Health Enhancement through Access to Research and Training Act All provisions This bill authorizes grants for continuing medical education programs for physicians on preventing, identifying, and treating cardiovascular disease in women. H.Res. 345 - A resolution recognizing that infertility is a widespread problem that affects populations of diverse ages, races, ethnicities, and genders. All provisions This resolution recognizes the need for education, research, and medical interventions to address infertility and disparities associated with that disease. HR 7056, S 3612 - Access to Family Building Act All provisions This bill provides a statutory right to access assisted reproductive technology (e.g., In vitro fertilization). HR 4363, S 2213 - Comprehensive Cancer Survivorship Act All provisions This bill addresses the health of cancer survivors and unmet needs that survivors face through the entire continuum of care from diagnosis through active treatment and posttreatment. S 4445 - Right to IVF Act All provisions This bill protects and expands nationwide access to fertility treatment, including in vitro fertilization. HR 8223, S 4246 - Advancing Menopause Care and Mid-Life Womens Health Act All provisions This bill aims to improve menopause care and mid-life women's health through expanded research, public health promotion, education, training, and the establishment of Centers of Excellence, with significant funding allocated for these initiatives from 2025 to 2029. HR 8796, S4619 Stop Comstock Act All provisions This bill would repeal language in the Comstock Laws that could be used to ban the mailing of mifepristone and other drugs used in medication abortions, instruments and equipment used in abortions, and educational material related to sexual health. HR 8821 - HOPE with Fertility Services Act All provisions This bill requires group health plans to cover infertility treatments, sets compliance and penalty guidelines, and mandates annual reporting for five years, effective from 2026. HR 9269 - IVF Access and Affordability Act All provisions This bill introduces a tax credit for fertility treatments, capping at $20,000 annually, with provisions for joint filers, income-based reductions, and a five-year carryforward for unused credits, effective for taxable years post-enactment. H.Res. 1448, 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. All provisions This resolution asserts that everyone has a basic right to emergency health care, including abortion, and highlights the negative impacts of restrictive state laws on marginalized communities and healthcare providers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Stop Comstock Act (H.R. 8796/S. 4619) Resolution protecting personal, private medical decisions (not yet introduced) Womens Health Protection Act (S. 701) Freedom to Travel for Health Care Act (S. 2053) Ensuring Womens Right to Reproductive Freedom Act (H.R. 782) Right to Contraception Act (H.R. 4121/S. 1999) Emergency Care Legislation (not yet introduced) Life at Conception Act (H.R. 431) Access to Family Building Act (H.R. 7056/S. 3612) Right to IVF Act (S. 4445) Designating a day in May 2024, as "Disability Reproductive Equity Day". (S.Res.703/H.Res.1273) Access to Birth Control Act (S.4223) Right to Contraception Act (S.4381) Affordability is Access Act (H.R.3589/S.1698) Allowing Greater Access to Safe and Effective Contraception Act (S. 4447) The Equal Access to Abortion Coverage (EACH) Act (S.1031/H.R.561)

Client expense: $152,068 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Right to Contraception Act (H.R. 4121/S. 1999) Right to IVF Act (S. 4445) Designating a day in May 2024, as "Disability Reproductive Equity Day". (S.Res.703/H.Res.1273) Right to Contraception Act (S.4381)

Client expense: $15,987 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Contacts regarding strengthening guidance to providers that it is discriminatory to fail to offer suicide prevention services in states where assisted suicide is legal. Contacts regarding strengthening guidance to providers against steering patients away from treatment. Contacts regarding prescription drug reform, so as not to prevent people from accessing current life-saving medication, and prevent new innovative medications from coming to market. Contacts in support of H.485 to ban the use of QALYs to deny life-saving medical treatment on the basis of disability. Contacts in support of Simon's Law requiring providers to inform at least one parent or legal guardian of a physicians intent to institute a DNR both orally and in writing and providing either parent with authority to refuse consent for a DNR. Contacts in regards to legislation and resolutions on IVF, to the extend they might impact abortion policy. No position taken. Contacts in opposition to the so-called Right to IVF Act (S.4445) due to a definition of assisted reproductive technology that is so expansive, it can be reasonably interpreted to impose a new right to human cloning, the genetic engineering of embryos including human-animal hybrids, or chimeras. Contacts in opposition to the so-called "Right to Contraception Act" (S. 4381) which goes far beyond contraception (NRLC takes no position on contraception), and includes provisions related to the funding of abortion providers and contains language that could expand the use of drugs to induce an abortion weeks or months into a pregnancy.

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

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

Draft, Broker Accountability Act (no bill number) - ACA Agent/Broker accountability H.R. 4818 - Treat and Reduce Obesity Act - Rep. Wenstrup, Brad - weight loss coverage H.R. 6860 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 8084 - Leveraging Integrity and Verification of Eligibility for Beneficiaries Act - Rep. Bilirakis, Gus - eligibility criteria verification S. 655 - Chronic Disease Management Act of 2023 - Sen. Thune, John - increase the flexibility of HSA-HDHPs to cover chronic disease services on pre-deductible basis S. 1001 - Telehealth Expansion Act of 2023 - Sen. Daines, Steve - exemption of high deductible health plans from the requirement of a deductible for telehealth and other remote care services S. 2407 - Treat and Reduce Obesity Act - Sen. Carper, Tom - weight loss coverage S. 4445 - Right to IVF Act- Sen. Duckworth, Tammy - protecting right to fertility treatment Issues related to implementation rule implementing the No Suprises Act prohibiting surprise medical bills; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); pending rulemaking related to insurance requirements under the Mental Health Parity and Addiction Equity Act; final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; and coverage of weight loss drugs.

Client expense: $2,390,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE

Support for reproductive rights in the following legislation and government actions:  H.R.12/S.701, Womens Health Protection Act of 2023  H.R. 561/S. 1031, Equal Access to Abortion Coverage in Health Insurance Act of 2023 H.R. 4418, Military Access to Reproductive Care and Health (MARCH) for Military Servicemembers Act   H.R.3305/S.1606, Black Maternal Health Momnibus Act H.R.3583/S.1697, Real Education and Access for Health Youth Act (REAHYA) 2023   HR.7056/S.3612, Access to Family Building Act  HR.4303, Abortion Justice Act of 2023 H.R. 8317, Mamas First Act H.R. 3768, Midwives for MOMS Act of 2023 S. 4445, Right to IVF Act S.4223, Access to Birth Control Act S.4554, Reproductive Freedom for Women Act S.2053, Freedom to Travel for Health Care Act of 2023 Inclusion of the contraception without co-pay provision for servicemembers and their dependents in S. 1527, the Access to Contraception for Servicemembers and Dependents Act in the National Defense Authorization Act for Fiscal Year 2025. H.Res.1299 - Reaffirming the goals and ideals of the 1994 International Conference on Population and Development Programme of Action in Cairo, Egypt, including comprehensive sexual and reproductive health and rights. S.Res.734 A resolution recognizing 30 years since the International Conference on Population and Development in Cairo, Egypt, and reaffirming the goals and ideals of the International Conference on Population and Development Programme of Action, including comprehensive sexual and reproductive health and rights. H. Res. 1153/S. Res 647, A resolution recognizing the designation of the week of April 11 through April 17, 2024, as the seventh annual "Black Maternal Health Week" Supporting efforts to protect access to abortion through EMTALA in light of the Moyle v. United States case and Idaho v. United States. Supporting efforts to protect nationwide access to mifepristone in light of the Alliance for Hippocratic Medicine v. FDA case.  HR. 8796/S. 4619, Stop Comstock Act H.R.8818 American Privacy Rights Act of 2024 Supporting efforts to expand access to abortion in light of Zurawksi v. Texas

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reproductive healthcare in FY25 federal spending bills; A federal right to abortion; A national ban on abortion; Reproductive Rights and Roe v. Wade and Dobbs v. Jackson Womens Health Organization; Assisted Reproductive Technology, including IVF; S.4445 the Right to IVF Act, which would protect and expand access to assisted reproductive technologies, including IVF; H.R.7056 and S.3612, the Access to Family Building Act; H.Res.1043, purporting to support assisted reproductive technologies; Federal issues related to state abortion bans and abortion access in the United States; Child tax credit; Administrative actions to protect and expand abortion access; Access to reproductive health services, including contraception and abortion, for veterans and servicemembers and dependents; H.R.8070 and S.4638 National Defense Authorization Act, access to reproductive health services, including contraception and abortion, for servicemembers and dependents; Pub. L. 103-259, Freedom of Access to Clinic Entrances (FACE) Act, which prohibits threats of force, obstruction, and property damage intended to interfere with reproductive health care services; Denials of and nondiscrimination in healthcare, including S.4223 the Access to Birth Control Act; Restrictions on funding for entities that provide abortion care, including medical training and defunding abortion providers; Access to contraception and the right to contraception, including H.R.4121, S.1999, and S.4381 the Right to Contraception Act; Regulations related to the federal sterilization consent form and process; Access to and affordability of contraceptives, including those available OTC; LGBTQI+ rights; Title IX, including H.Res.165 and S.J.Res.96; Discrimination against LGBTQI+ people; Bans and restrictions on gender affirming care; H.R.12 and S.701 the Women's Health Protection Act of 2023, regarding access to abortion care; Access to evidence-based medication abortion care, including a resolution protecting personal, private medical decisions; Issues related to the Comstock Act, including S.4619 and H.R.8796 the Stop Comstock Act; Issues related Alliance for Hippocratic Medicine (AHM) v. FDA; Issues related to Idaho v. United States and emergency abortion care; Maternal and child health funding, including Title X and SET-NET; Issues related to discrimination and mistreatment of pregnant people; Paid Family and Medical Leave, including H.R.3481 and S.1714 the FAMILY Act; H.Res.1273 and S.Res.703, a resolution designating a day in May 2024, as "Disability Reproductive Equity Day;" Data and health records privacy as it relates to abortion care.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE, White House Office