Expanding Veterans’ Options for Long Term Care Act

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2287/H.R. 4425) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act (S. 4325/H.R. 6160 118th Congress) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act (S. 2016/H.R. 4189 118th Congress; S. 1261 119th Congress) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 1816/H.R. 3514) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) Linking Seniors to Needed Legal Services Act (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764 118th Congress) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765 118th Congress) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act (S. 2120) Alzheimers Screening and Prevention Act (H.R. 6130/S. 3267) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to nonprofit infrastructure and operations Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to brain health, risk reduction, and the U.S. POINTER study and results

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2287/H.R. 4425) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act (S. 4325/H.R. 6160 118th Congress) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act (S. 2016/H.R. 4189 118th Congress; S. 1261 119th Congress) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 1816/H.R. 3514) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) Linking Seniors to Needed Legal Services Act (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764 118th Congress) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765 118th Congress) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act (S. 2120) Alzheimers Screening and Prevention Act (H.R. 6130/S. 3267) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to nonprofit infrastructure and operations Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to brain health, risk reduction, and the U.S. POINTER study and results

Client expense: $520,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

DOL-WHD (Reg.) Title: Updating the Davis-Bacon and Related Acts Regulations (RIN: 1235-AA40) DOL-OSHA (Reg.) Title: Worker Walkaround Designation Process (RIN: 1218-AD45) Government-mandated project labor agreements (PLAs) on federal and federally assisted construction projects. Executive Order 14063: Use of Project Labor Agreements for Federal Construction Projects. FAR Council (Reg.) Title: Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (RIN: 9000-AO40). Treasury (Reg.) Title: Beneficial Ownership Information Reporting Requirements (RIN: 1506-AB49). Regulatory Flexibility Act, generally. Small business contracting, generally. Delay of the Corporate Transparency Act's beneficial ownership information reporting requirements, generally. H.R. 1163/S. 495: Prove It Act of 2025. H.R. 425/S. 100: Repealing Big Brother Overreach Act. H.R. 1642: Connecting Small Businesses with Career and Technical Education Graduates Act of 2025. H.R. 787: Plain Language in Contracting Act. H.R. 1: One, Big, Beautiful Bill Act. U.S. Department of Justice Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001). Executive Order 14219, Ensuring Lawful Governance and Implementing the Presidents Department of Government Efficiency Deregulatory Initiative. OMBs Request for Information: Deregulation (90 Federal Register 15481). Executive Order 14278, Preparing Americans for High-Paying Skilled Trade Jobs of the Future. H.R. 4305: Destroying Unnecessary, Misaligned, and Prohibitive (DUMP) Red Tape Act. 118th Congress: H.R. 4721, the Main Street Tax Certainty Act. H.R. 5119/S. 3625: Protect Small Business and Prevent Illicit Financial Activity Act. H.R. 8147/S. 4297: Repealing Big Brother Overreach Act. H.R.9278: To amend section 5336 of title 31, United States Code, to provide existing small businesses with an additional year to file beneficial ownership information, and for other purposes. H.R. 7198: the Prove It Act of 2024.

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), Treasury, Dept of

DOL-WHD (Reg.) Title: Updating the Davis-Bacon and Related Acts Regulations (RIN: 1235-AA40) DOL-OSHA (Reg.) Title: Worker Walkaround Designation Process (RIN: 1218-AD45) DOL-OSHA (Reg.) Title: Improve Tracking of Workplace Injuries and Illnesses (RIN: 1218-AD40) DOL-OLMS (Reg.) Title: Revision of the Form LM-10 Employer Report Final Rule (RIN: 1245-AA13) FTC (Reg.) Title: Non-Compete Clause Rule (RIN: 3084-AB74) NLRB (Reg.) Title: Representation-Case Procedures: Election Bars; Proof of Majority Support in Construction Industry Collective-Bargaining Relationships Final Rule (RIN: 3142-AA22) NLRB (Reg.) Title: Representation-Case Procedures Final Rule (RIN: 3142-AA18) Government-mandated project labor agreements (PLAs) on federal and federally assisted construction projects. Executive Order 14063: Use of Project Labor Agreements for Federal Construction Projects. FAR Council (Reg.) Title: Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (RIN: 9000-AO40). Treasury (Reg.) Title: Beneficial Ownership Information Reporting Requirements (RIN: 1506-AB49). Regulatory Flexibility Act, generally. Small business contracting, generally. Delay of the Corporate Transparency Act's beneficial ownership information reporting requirements, generally. H.R. 1163/S. 495: Prove It Act of 2025. H.R. 425/S. 100: Repealing Big Brother Overreach Act. H.R. 1642: Connecting Small Businesses with Career and Technical Education Graduates Act of 2025. H.R. 787: Plain Language in Contracting Act. H.R. 1: One, Big, Beautiful Bill Act. U.S. Department of Justice Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001). Executive Order 14219, Ensuring Lawful Governance and Implementing the Presidents Department of Government Efficiency Deregulatory Initiative. OMBs Request for Information: Deregulation (90 Federal Register 15481). Executive Order 14278, Preparing Americans for High-Paying Skilled Trade Jobs of the Future. 118th Congress: H.R. 4721, the Main Street Tax Certainty Act. H.R. 5119/S. 3625: Protect Small Business and Prevent Illicit Financial Activity Act. H.R. 8147/S. 4297: Repealing Big Brother Overreach Act. H.R.9278: To amend section 5336 of title 31, United States Code, to provide existing small businesses with an additional year to file beneficial ownership information, and for other purposes. H.R. 7198: the Prove It Act of 2024.

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), Treasury, Dept of

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2243 118th Congress) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2025 (S. 2016/H.R. 4189 118th Congress; S. 1261) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702 118th Congress) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331, 118th Congress) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691, 118th Congress) Linking Seniors to Needed Legal Services Act (H.R. 8588, 118th Congress) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764, 118th Congress) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765, 118th Congress) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act of 2025 (S. 2120) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to brain health, risk reduction, and the U.S. POINTER study and results

Client expense: $1,090,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2243 118th Congress) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act (S. 4325/H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act (S. 2016/H.R. 4189 118th Congress; S. 1261 119th Congress) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702 118th Congress) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) Linking Seniors to Needed Legal Services Act (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act (S. 2120) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act

Client expense: $1,790,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

DOL-WHD (Reg.) Title: Updating the Davis-Bacon and Related Acts Regulations (RIN: 1235-AA40) DOL-OSHA (Reg.) Title: Worker Walkaround Designation Process (RIN: 1218-AD45) DOL-OSHA (Reg.) Title: Improve Tracking of Workplace Injuries and Illnesses (RIN: 1218-AD40) DOL-OLMS (Reg.) Title: Revision of the Form LM-10 Employer Report Final Rule (RIN: 1245-AA13) FTC (Reg.) Title: Non-Compete Clause Rule (RIN: 3084-AB74) NLRB (Reg.) Title: Representation-Case Procedures: Election Bars; Proof of Majority Support in Construction Industry Collective-Bargaining Relationships Final Rule (RIN: 3142-AA22) NLRB (Reg.) Title: Representation-Case Procedures Final Rule (RIN: 3142-AA18) Government-mandated project labor agreements (PLAs) on federal and federally assisted construction projects. Executive Order 14063: Use of Project Labor Agreements for Federal Construction Projects. FAR Council (Reg.) Title: Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (RIN: 9000-AO40). Treasury (Reg.) Title: Beneficial Ownership Information Reporting Requirements (RIN: 1506-AB49). Regulatory Flexibility Act, generally. Small business contracting, generally. Delay of the Corporate Transparency Act's beneficial ownership information reporting requirements, generally. H.R. 1163/S. 495: Prove It Act of 2025. H.R. 425/S. 100: Repealing Big Brother Overreach Act. H.R. 1642: Connecting Small Businesses with Career and Technical Education Graduates Act of 2025. H.R. 787: Plain Language in Contracting Act. H.R. 1: One, Big, Beautiful Bill Act. U.S. Department of Justice Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001). Executive Order 14219, Ensuring Lawful Governance and Implementing the Presidents Department of Government Efficiency Deregulatory Initiative. OMBs Request for Information: Deregulation (90 Federal Register 15481). Executive Order 14278, Preparing Americans for High-Paying Skilled Trade Jobs of the Future. 118th Congress: H.R. 4721, the Main Street Tax Certainty Act. H.R. 5119/S. 3625: Protect Small Business and Prevent Illicit Financial Activity Act. H.R. 8147/S. 4297: Repealing Big Brother Overreach Act. H.R.9278: To amend section 5336 of title 31, United States Code, to provide existing small businesses with an additional year to file beneficial ownership information, and for other purposes. H.R. 7198: the Prove It Act of 2024.

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), Treasury, Dept of

Government-mandated project labor agreements (PLAs) on federal and federally assisted construction projects. Executive Order 14063: Use of Project Labor Agreements for Federal Construction Projects. FAR Council (Reg.) Title: Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (RIN: 9000-AO40). Treasury (Reg.) Title: Beneficial Ownership Information Reporting Requirements (RIN: 1506-AB49). Regulatory Flexibility Act, generally. Small business contracting, generally. Delay of the Corporate Transparency Act's beneficial ownership information reporting requirements, generally. H.R. 1163/S. 495: Prove It Act of 2025. H.R. 425/S. 100: Repealing Big Brother Overreach Act. 118th Congress: H.R. 4721, the Main Street Tax Certainty Act. H.R. 5119/S. 3625: Protect Small Business and Prevent Illicit Financial Activity Act. H.R. 8147/S. 4297: Repealing Big Brother Overreach Act. H.R.9278: To amend section 5336 of title 31, United States Code, to provide existing small businesses with an additional year to file beneficial ownership information, and for other purposes. H.R. 7198: the Prove It Act of 2024.

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), Treasury, Dept of

NAPA Reauthorization Act (S. 133 / H.R. 619 - P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134 / H.R. 620 - P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 (S. 3775/ H.R. 7218 - P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Elizabeth Dole Home Care Act, of 2023 (S. 141 / H.R. 542) Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Access to Innovative Treatments Act of 2023 (H.R. 2408) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815) Palliative Care and Hospice Education and Training Act (S. 2243) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2023 (S. 2016/H.R. 4189) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Improving Seniors' Access to Timely Care Act of 2024 (S. 4532/H.R. 8702) Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act of 2024 (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT)(S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act of 2024 (H.R. 1691) Linking Seniors to Needed Legal Services Act of 2024 (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act of 2024 (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act of 2024 (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices Other matters related to rural health Other matters related to veterans' health Other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health

Client expense: $530,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

Linking Seniors to Needed Legal Services Act (H.R. 8588) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619/P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134/H.R. 620/P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L.118-142) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (csf)

Client expense: $480,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

S. 3702/H.R. 7165, the Credit for Caring Act. S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Ac.t S. 3766/H.R. 7274, the Connecting Caregivers to Medicare Act. S. 3254/H.R 7222, the Lowering Costs for Caregivers Act. No bill number. Discussed paid leave for family caregivers. S. 3680/ H.R. 8860, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act. No bill number. Discussed family caregiving. S. 4776, the Older Americans Act Reauthorization Act of 2024. No bill number. Discussed respite care. No bill number. Discussed care at home. No bill number. Discussed Medicare Caregiver Training Services and Medicare Physician Fee Schedule Final Rule. H.R. 8467, the Farm, Food, and National Security Act of 2024. S.5335, the Rural Prosperity and Food Security Act of 2024. No bill number. Discussed military and veteran caregivers. S. 141/H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed Nursing Home Staffing Standard.

Client expense: $5,580,000 · 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

S. 141/H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed military and veteran caregivers. H.R. 8108, the Care for Military Kids. S. 4556/H.R. 9179, the SAFE STEPS for Veterans Act.

Client expense: $5,580,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Expand LTC and PACE access. S. 141 Elizabeth Dole Home Care Act S. 495 Expanding Veterans' Options for Long-Term Care Act

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

Government targets: SENATE

S. 495/H.R. 1815 Expanding Veterans Options for Long Term Care Act - Seeking expanded flexibility and access to Assisted Living for Veterans; H.R. 6835 Caring Across Generations Act - Seeking additional support for funding of multigenerational programs in Long-Term care; S. 3410/H.R. 5796 Protecting Rural Seniors' Access to Care Act - establishing an advisory panel to support the nursing home workforce; H.R. 6025/S. 3211 Healthcare Workforce Resilience Act - Carrying forward unused visas from prior fiscal years for health care providers. S. 2853 Train More Nurses Act - Requiring the Secretary of HHS and Secretary of Labor to conduct a study and issue a report on grant programs to support the nursing workforce. H.R. 6586 Bipartisan Workforce Pell Act - Expanding Pell Grant coverage for healthcare workforce needs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

1. S. 495 / H.R. 1815 - Expanding Veterans Options for Long Term Care Act 2. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - Subtitle B, Section 127, Provisions of the Expanding Veterans Options for Long Term Care Act

Client expense: $75,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7480, the Disabled Veteran Housing Support Act H.R. 7653, the VERY Act H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8481, the Emergency Community Care Notification Time Adjustment Act of 2024 H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H.R. 9924, the What Works for Preventing Veteran Suicide Act H.R. 10,012 H.R. 10,137 H.R. 10,138 H.R. 10,267, the Complete the Mission Act of 2024 H.R. 10,381, the Supporting Medical Students and VA Workforce Act H.R. 10,536 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act House Draft, to direct the Secretary of Veterans Affairs to automatically pay dependency and indemnity compensation to a survivor of a veteran with a service-connected mental disorder who dies by suicide. House Draft, to repeal the requirement that veterans disability compensation be reduced by separation pay received by a veteran from the Armed Forces, and for other purposes. House Draft, the INNOVATE Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3598, the SCHEDULES Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3911, the Isakson-Roe Education Oversight Expansion Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5035 S. 5074 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. 5624, Improving Veteran Access to Care Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing Discussions: Wheelchair repair

Client expense: $87,752 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.8915, Education and Workforce Freedom Act, to extend eligibility for education savings accounts for career development; S.4804, Health Over Wealth Actto distinguish assisted living as separate from the definition of a health care entity subject to the requirements; H.R.9156, Health Over Wealth Act, to distinguish assisted living as separate from the definition of a health care entity subject to the requirements; S. 4503, Corporate Crimes Against Health Care Act, to distinguish assisted living from the oversight of health care settings subject to criminal, civil, and financial sanctions; H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

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

Linking Seniors to Needed Legal Services Act (H.R. 8588) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619/P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134/H.R. 620/P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (S. 3775/ H.R. 7218) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (csf)

Client expense: $540,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

1. S. 495 / H.R. 1815 - Expanding Veterans Options for Long Term Care Act 2. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - Subtitle B, Section 127, Provisions of the Expanding Veterans Options for Long Term Care Act

Client expense: $75,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141 Elizabeth Dole Home Care Act S. 495 Expanding Veterans' Options for Long-Term Care Act

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

Government targets: SENATE

S. 4556/H.R. 9179, the SAFE STEPS for Veterans Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. H.R. 2818, the Autonomy for Disabled Veterans Act. H.R. 3956, the Veterans Protection from Fraud Act. S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3702/H.R. 7165, the Credit for Caring Act. S. 3254/H.R. 7222, the Lowering Costs for Caregivers Act. S. 3766/H.R. 7274, the Connecting Caregivers to Medicare Act. No bill number. Discussed veterans and military veteran caregivers. H.R. 8108, the Care for Military Kids Act. No bill number. Discussed VA Caregiver Support Programs.

Client expense: $4,820,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.8915, Education and Workforce Freedom Act, to extend eligibility for education savings accounts for career development; S.4804, Health Over Wealth Actto distinguish assisted living as separate from the definition of a health care entity subject to the requirements; H.R.9156, Health Over Wealth Act, to distinguish assisted living as separate from the definition of a health care entity subject to the requirements; S. 4503, Corporate Crimes Against Health Care Act, to distinguish assisted living from the oversight of health care settings subject to criminal, civil, and financial sanctions.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, to establish an external provider scheduling program to assist the VA in scheduling appointments for care and services under the Veterans Community Care Program, and for other purposes Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $86,378 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

S. 495/H.R. 1815 Expanding Veterans Options for Long Term Care Act - Seeking expanded flexibility and access to Assisted Living for Veterans; H.R. 6835 Caring Across Generations Act - Seeking additional support for funding of multigenerational programs in Long-Term care; S. 3410/H.R. 5796 Protecting Rural Seniors' Access to Care Act - establishing an advisory panel to support the nursing home workforce; H.R. 6025/S. 3211 Healthcare Workforce Resilience Act - Carrying forward unused visas from prior fiscal years for health care providers. S. 2853 Train More Nurses Act - Requiring the Secretary of HHS and Secretary of Labor to conduct a study and issue a report on grant programs to support the nursing workforce. H.R. 6586 Bipartisan Workforce Pell Act - Expanding Pell Grant coverage for healthcare workforce needs.

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

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

Lobbying in support of improved health care and benefits service for post-9/11 wounded, ill, and injured veterans including: S. 4009 (the Veterans STAND Act) to increase mobility care for paralyzed veterans; S. 4437 (the Coordinating Care for Senior Veterans and Wounded Warriors Act) to improve care coordination for veterans using VA and Medicare health care; H.R. 8312 (the Combat Veterans Pre-Enrollment Act) to allow early VA healthcare enrollment for certain Service members; H.R. 7777 (the Veterans COLA Act) to make cost-of-living adjustments to veteran disability compensation; S. 3751, H.R. 7504 (the Rural Veterans Transportation Care Act) to increase grants for health care transportation services; H.R. 7342 (the Veterans Accessibility Advisory Committee Act) to establish an advisory committee on federal disability legal compliance at VA and provide related recommendations; H.R. 1282, S. 344 (the Major Richard Star Act) to provide concurrent receipt to military medical retirees with combat-related injuries; H.R. 8025, S.4109 (the Blast Overpressure Safety Act) to define roles and make other improvements to Department of Defense brain injury care and prevention; H.R. 8371 (the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act) to expand care and benefits for veterans, including changes to access standards for Residential Rehabilitation Treatment Programs; H.R. 8652 (the Veterans Border Patrol Training Act) to employ more veterans in border security positions; H.R. 1786 (the GROW Act) to employ more veterans in outdoor jobs on federal lands; H.R. 5785 (the Edith Nourse Rogers STEM Scholarship Improvement Act) to expand eligibility for VA STEM scholarship program; S. 2026 (the Maternal Health for Veterans Act) to increase maternal health support at VA; H.R. 7596 (the Servicewomen and Veterans Menopause Research Act) to expand support and research for aging women veterans and Service members; H.R. 5785 (the Servicemembers and Veterans Empowerment and Support (SAVES) Act) to improve military sexual trauma disability claim processing at VA; H.R. 542 (the Elizabeth Dole Home Care Act of 2023) to provide better coordination of and access to VA long term care programs for disabled veterans; H.R. 5530 (the VA Emergency Transportation Access Act) to ensure competitive contract rates for air ambulance transportation; and S.495 (the Expanding Veteran Options for Long Term Care Act) to allow VA to cover assisted living facility costs for veterans entitled to nursing home care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619) Alzheimers Accountability and Investment Act (S. 134/H.R. 620) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (S. 3775/ H.R. 7218) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare

Client expense: $2,033,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

S. 495/H.R. 1815 Expanding Veterans Options for Long Term Care Act - Seeking expanded flexibility and access to Assisted Living for Veterans; H.R. 6835 Caring Across Generations Act - Seeking additional support for funding of multigenerational programs in Long-Term care; S. 3410/H.R. 5796 Protecting Rural Seniors' Access to Care Act - establishing an advisory panel to support the nursing home workforce; H.R. 6025/S. 3211 Healthcare Workforce Resilience Act - Carrying forward unused visas from prior fiscal years for health care providers. S. 2853 Train More Nurses Act - Requiring the Secretary of HHS and Secretary of Labor to conduct a study and issue a report on grant programs to support the nursing workforce. H.R. 6586 Bipartisan Workforce Pell Act - Expanding Pell Grant coverage for healthcare workforce needs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141 Elizabeth Dole Home Care Act S. 495 Expanding Veterans' Options for Long-Term Care Act

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

Government targets: SENATE

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

Issues related to seniors housing, aging, and long-term healthcare. H.R.1815/S.495 - Expanding Veterans Options for Long Term Care Act.

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

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the Informing VETS Act of 2023 House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

Client expense: $75,053 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

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 6291, 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 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 7917, HR 7919, HR 7920, HR 8009, HR 8017, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 815, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8418, HR 8454, HR 8481, HR 8511, HR 854, HR 8560, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8879, HR 8880, HR 8881, HR 894, HR 903, HR 984, 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 3015, 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 3970, S 3958, S 3979, S 4009, S 4047, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4357, S 4396, S 4445, S 449, S 4556, S 495, S 498, S 528, S 531, S 547, 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: $193,048 · 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

No bill number. Discussed paid leave. No bill number. Discussed CMS Office of Caregiver Health. No bill number. Discussed Respect Parents' Childcare Choices Act. No bill number. Discussed National Plan on Aging. No bill number. Discussed Older Americans Act. No bill number. Discussed National Strategy to Support Family Caregivers. No bill number. Discussed family caregivers and Medicare and Medicaid policy. No bill number. Discussed Medicare FY25 Skilled Nursing Facility Payment Proposed Rule. No bill number. Discussed Medicare FY25 Hospital Inpatient Payment Proposed Rule. S. 4399, the Help Grandfamilies Prevent Child Abuse Act. No bill number. Discussed peer support programs for family caregivers. No bill number. Discussed family caregiving and retirement. No bill number. Discussed family caregiving and overtime. No bill number. Discussed Care Executive Order. No bill number. Discussed family caregivers, direct care workers, care at home, and in other settings. H.R. 8588, the Linking Seniors to Needed Legal Services Act. H.R. 6160, to amend the Public Health Service Act to reauthorize a lifespan respite care program. S. 4325, the Lifespan Respite Care Reauthorization Act of 2024. S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3766/H.R. 7274, the Connecting Caregivers to Medicare Act. S. 3254/H.R 7222, the Lowering Costs for Caregivers Act. S. 3702/H.R. 7165, the Credit for Caring Act. No bill number. Discussed Domestic Worker Bill of Rights. No bill number. Discussed family caregivers and Acute Hospital Care at Home waiver. H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed family caregiving and Older Americans Act reauthorization. No bill number. Discussed Farm Bill and nutrition programs, including SNAP. H.R. 8467, the Farm, Food, and National Security Act of 2024.

Client expense: $5,170,000 · Firm income: Not reported

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

H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed the Coordinating Care for Veterans and Wounded Warriors Act No bill number. Discussed the SAFE Steps for Veterans Act. No bill number. Discussed veterans and military veteran caregivers.

Client expense: $5,170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number. Discussed ACA subsidy expansion and older Americans. No bill number. Discussed vaccinations and fall respiratory virus season. No bill number. Discussed overdose prevention. No bill number. Discussed the establishment of an Office of Caregiver Health. No bill number. Discussed health care coverage expansion. No bill number. Discussed family caregivers, Acute Hospital Care at Home waiver. H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed SAFE Steps for Veterans Act. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. No bill number. Discussed Medicaid unwinding.

Client expense: $5,170,000 · Firm income: Not reported

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

1. S. 495 / H.R. 1815 - Expanding Veterans Options for Long Term Care Act 2. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - Subtitle B, Section 127, Provisions of the Expanding Veterans Options for Long Term Care Act

Client expense: $75,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes.

Client expense: $75,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Lobbying in support of improved health care and benefits service for post-9/11 wounded, ill, and injured veterans including: H.R. 1282, S. 344 (the Major Richard Star Act) to provide concurrent receipt to military medical retirees with combat-related injuries; H.R. 1786 (the GROW Act) to employ more veterans in outdoor jobs on federal lands; H.R. 5014 (the Employing Veterans to Feed America Act) to employ more veterans in Department of Agriculture roles; H.R. 542 (the Elizabeth Dole Home Care Act of 2023) to provide better coordination of and access to VA long term care programs for disabled veterans; H.R. 5530 (the VA Emergency Transportation Access Act) to ensure competitive contract rates for air ambulance transportation; H.R. 5785 (the Edith Nourse Rogers STEM Scholarship Improvement Act) to expand eligibility for VA STEM scholarship program; H.R. 6342 (the MVP Act) to provide for more accessible recreation trails; H.R. 6492 (the EXPLORE Act) to provide for more accessible recreation trails; S.495 (the Expanding Veteran Options for Long Term Care Act) to allow VA to cover assisted living facility costs for veterans entitled to nursing home care; S. 3290, H.R. 2818 (the Autonomy for Disabled Veterans Act) to increase grants for home improvements for disabled veterans; S. 774 (the Veterans Border Patrol Training Act) to employ more veterans in border security positions; S. 928 (the Not Just a Number Act) to require the Secretary of Veterans Affairs to prepare an annual report on suicide prevention; H.R. 4249 (the VET PFAS Act) to increase support for veterans exposed to toxins in military installations; S.3598 (the SCHEDULES Act) to reduce veteran health care appointment wait times; H.R. 4518 (the CARE Act) to support veterans and caregivers seeking to establish eligibility for VA caregiver programs; S. 3068 (the VA Home Loan Awareness Act) to improve notices regarding VA home loan eligibility; S.1939 (the FAA Reauthorization Act) to direct changes that support airline passengers with wheelchairs and challenges with airport security screening; S. 3958 (the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act) to direct additional toxic exposure for family members of toxic-exposed veterans; H.R. 7596 (the Servicewomen and Veterans Menopause Research Act) to expand support and research for aging women veterans and Service members; S.3393 (the SUPPORT for Patients and Communities Reauthorization Act) to improve mental health workforce training and treatment for opioid and substance use disorders; S.3885 (the Veteran Caregiver Reeducation, Reemployment, and Retirement Act) to improve support for caregivers through expected changes in life circumstances; H.R. 7208 (the TBI Program Reauthorization Act) to authorize extension and expansion of critical TBI treatment, education, training, research, and grant programs; and H.R. 5247 (the Expedited Hiring for VA Trained Psychiatrists Act) to promote more efficient mental health professional recruitment.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down syndromE (INCLUDE) Project Act of 2024 (H.R. 7406) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 7688) NAPA Reauthorization Act (S. 133/H.R. 619) Alzheimers Accountability and Investment Act (S. 134/H.R. 620) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act of 2023 (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices

Client expense: $710,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)