Improving Mental Health and Wellness in Schools Act

H.R. 9027/S. 4690, "Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025," all provisions. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools H.R. 7924 Access in Mental Health Act: Resources for MH graduate programs at historical minority-serving institutions HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies Increased funding for Children's Hospital Graduate Medical Education Programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CONNECT for Health Act of 2023 (H.R. 4189 / S. 2106), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (H.R. 1359/S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R. 4851), all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (H.R. 6149/S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642 / S.3498), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531/S. 3393) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R. 4974 / S. 3444), all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. CONNECT Act (H.R. 6928), all provisions related to awarding grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923), all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Mental Health Student Loan Forgiveness Act (H.R. 4933/S. 462), all provisions relating to expanding the Substance Use Disorder Treatment and Recovery Loan Repayment Program and expanding eligibility to include individuals who agree to work in mental health professional shortage areas for a period of time. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities. Advancing Lifesaving Efforts with Rapid Test strips for Communities Act ALERT Communities Act (S.2919), all provisions related to expanding access to fentanyl and xylazine test strips. H.R. 7545, all provisions related to expansion grant funding for CCBHCs, childrens clinic grant funding, and CCBHC certification processes. STAR Plus Scholarship Act (H.R. 9851), all provisions related to creating a scholarship program for substance use treatment providers. Community Mental Wellness Worker Training Act (H.R. 8680), all provisions related to creating a grant program for behavioral health organizations to train mental wellness workers in communities. Elementary and Secondary School Counseling Act (H.R. 8524/S. 4407), all provisions related to establishing five-year renewable grant programs to help elementary and secondary schools to hire additional school-based mental health providers such as counselors, psychologists and social workers. Kid PROOF Act of 2023 (H.R. 6663/S. 3364), all provisions related to allowing health care providers to purchase and distribute lethal means safety supplies for children at risk of overdose or suicide. Telehealth Access for Tribal Communities Act of 2024 (H.R. 9271), all sections related to expanding telehealth access for tribal communities. Campus Prevention and Recovery Services for Students Act of 2024 (H.R. 9214), all provisions related to helping higher education institutions implement programs to prevent alcohol and substance misuse on campus and support those with substance use disorders. Recognizing the Role of Direct Support Professionals Act (H.R. 2941/S. 1332), all provisions related to requiring the Office of Management and Budget to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes. American Relief Act (H.R. 10545), all provisions relating to extension of Medicare telehealth flexibilities. SAMHSA Notice of CCBHC-E Data Collection, submitted comment to SAMHSA regarding the request for clearance for eleven data collection instruments and forms related to the implementation and impact studies to be conducted as part of an evaluation of the 2022 CCBHC-Expansion grant cohorts. SAMHSA Notice of Patient-Level Data Collection, submitted comment SAMHSA regarding the proposed SAMHSA Unified Client-level Performance Reporting Tool (SUPRT) to modify the existing Center for Substance Abuse Treatment (CSAT) and Center for Mental Health Services (CMHS) Client-Level Performance Instruments into a streamlined, multi-component SAMHSA Client-Level Performance Tool. CMS Draft FAQ on Provider Enrollment and TPL for Dual Eligibles, submitted comment on CMSs draft FAQ related to providing services for dual eligible individuals. SAMHSA Crisis definitions and guidelines draft documents, submitted comments on SAMHSAs drafted coordinated crisis care services definitions and guidelines. SAMHSA Satellite Definition, submitted comment on SAMHSAs proposed update to Satellite Facility for purposes of CCBHC payment exclusion.

Client expense: $112,806 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

CONNECT for Health Act of 2023 (H.R. 4189 / S. 2106), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (H.R. 1359/S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R. 4851), all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (H.R. 6149/S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642 / S.3498), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531/S. 3393) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R. 4974 / S. 3444), all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. CONNECT Act (H.R. 6928), all provisions related to awarding grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923), all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Mental Health Student Loan Forgiveness Act (H.R. 4933/S. 462), all provisions relating to expanding the Substance Use Disorder Treatment and Recovery Loan Repayment Program and expanding eligibility to include individuals who agree to work in mental health professional shortage areas for a period of time. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities. Advancing Lifesaving Efforts with Rapid Test strips for Communities Act ALERT Communities Act (S.2919), all provisions related to expanding access to fentanyl and xylazine test strips. H.R. 7545, all provisions related to expansion grant funding for CCBHCs, childrens clinic grant funding, and CCBHC certification processes. STAR Plus Scholarship Act (H.R. 9851), all provisions related to creating a scholarship program for substance use treatment providers. Community Mental Wellness Worker Training Act (H.R. 8680), all provisions related to creating a grant program for behavioral health organizations to train mental wellness workers in communities. Elementary and Secondary School Counseling Act (H.R. 8524/S. 4407), all provisions related to establishing five-year renewable grant programs to help elementary and secondary schools to hire additional school-based mental health providers such as counselors, psychologists and social workers. Kid PROOF Act of 2023 (H.R. 6663/S. 3364), all provisions related to allowing health care providers to purchase and distribute lethal means safety supplies for children at risk of overdose or suicide. Telehealth Access for Tribal Communities Act of 2024 (H.R. 9271), all sections related to expanding telehealth access for tribal communities. Campus Prevention and Recovery Services for Students Act of 2024 (H.R. 9214), all provisions related to helping higher education institutions implement programs to prevent alcohol and substance misuse on campus and support those with substance use disorders. Recognizing the Role of Direct Support Professionals Act (H.R. 2941/S. 1332), all provisions related to requiring the Office of Management and Budget to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes. 2025 Medicare Physician Fee Schedule Proposed Rule, submitted comments to the administration regarding proposed provisions related to mental health and substance use services under Medicare. 2025 Outpatient Prospective Payment System Proposed Rule, submitted comments to the administration regarding proposed provisions related to mental health and substance use services. Congressional RFI on Pay PCP Act, submitted comment in response to request for comment from Senators Cassidy and Whitehouse regarding Medicare primary care provider payment and the importance of integration with behavioral health care. Marijuana Rescheduling Proposed Rule, submitted comment to the DEA in response to the proposed rule recognizing the importance of research, substance use prevention, and access to care. Standard Occupational Classification (SOC) 2028 Update, signed on to an organization sign-on letter regarding peer support specialists under the OMB SOC manual update.

Client expense: $154,891 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act; Mental Health for Latinos Act (S.2476). Support for S. 1426 (RISE from Trauma Act) - Senator Padilla, Senator Butler. Support for S. 1810 (Supporting Families through Addiction Act) - Senator Padilla, Senator Butler. Support for H.R. 3879 (Supporting Families through Addiction Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4911 (Supporting the Health and Safety of Law Enforcement Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 3713 (Mental Health Services for Students Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 2642 (Peer Education and Emergency Response (PEER) Mental Health Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4603 (Rural Wellness Act) - Rep. Duarte, Rep. McClintock. Meetings to discuss behavioral health care and health care access with a focus on rural, Latinx, and Veteran communities.

Client expense: Not reported · Firm income: $15,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 9027/S. 4690, "Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025," all provisions. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 4357 Comprehensive Dental Reform Act of 2024 (all sections of full text) HR 7702 Ensuring Lasting Smiles Act (all sections of full text) S 754 Ensuring Lasting Smiles Act (all sections of full text) HR 3843 Action for Dental Health Act of 2023 (all sections of full text) (support) HR 1385 DOC Access Act of 2023 (all sections of full text) (support) S 1424 DOC Access Act of 2023 (all sections of full text)(support) S 862 Restoring America's Health Care Workforce and Readiness Act (all sections of full text) HR 1342 Medicaid Dental Benefit Act of 2023 (all sections of full text) S 570 Medicaid Dental Benefit Act of 2023 (all sections of full text) HR 1422 SMILED Act (all sections of full text) Discussions pertaining to the cost of dental care in America Discussions pertaining to proposals for expansion of Medicare benefits Monitored S 2840 Bipartisan Primary Care and Health Workforce Act Monitored discussions related to prior authorization Monitored surprise billing rulemaking process Monitored executive branch nominations to federal agencies and commissions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools H.R. 7924 Access in Mental Health Act: Resources for MH graduate programs at historical minority-serving institutions HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies Increased funding for Children's Hospital Graduate Medical Education Programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Kids Online Safety Act (S. 1409/H.R. 7891); Children and Teens Online Privacy Protection Act (S. 1418/H.R. 7890); Legislation to Protect Young People Online; Pediatric Subspecialty Loan Repayment Program Funding and Program Implementation-Health Resources and Services Administration; Adolescent Health Issues-Department of Health and Human Services Office of the Assistant Secretary for Health; Regulation of Tobacco Products (including Proposed Menthol Cigarette and Flavored Cigar Prohibition)-Food and Drug Administration; Innovation in Pediatric Drugs Act (H.R. 6664). Continuous Eligibility for Children in Medicaid and CHIP-HHS/CMS; Medicaid Payment Parity-HHS/CMS; The Kids Access to Primary Care Act (HR 952); Access to Care in Medicaid/CHIP-HHS/CMS; Postpartum Medicaid Extension and Maternal Health Improvements; Medicaid/CHIP Eligibility Redeterminations-HHS/CMS; Ex Parte Medicaid Unwinding Issues-HHS/CMS; Medicaid for Every Child Act (S. 2816); QRTP/IMDs (including H.R. 4056-Ensuring Medicaid Continuity for Children in Foster Care Act of 2023, and S. 3196-Ensuring Medicaid Continuity for Children in Foster Care Act of 2023); Accelerating Kids Access to Care Act (HR 4758, S 2372); Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit-HHS/CMS; Medicaid payment for family caregivers-HHS/CMS; Vaccines for Children program improvements-HHS/CMS, CDC. Standards in ORR Custody-ORR, HHS; Licensure of ORR Shelters-ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC-USDA; SNAP/Farm Bill-USDA; Mental Health for Children-HRSA; H.R. 6, DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act (H.R. 4170/S. 2038); PAHPA Reauthorization; CARE for Families Act HR 3107; WIC Act (S. 1604/H.R. 3364); MODERN WIC Act (S. 984/H.R. 2424); Breastfeeding Peer Counseling Program-USDA; Public Health Preparedness and Response-ASPR; National Advisory Committee on Children and Disasters; Research for Pregnant and Lactating Women-FDA, HHS, NIH; Advancing Safe Medications for Moms and Babies Act; Funding for Pediatric Device Consortia; Funding for Emergency Medical Services for Children Program; Funding for HRSA Pediatric Mental Health Care Access Program; Funding for WIC-OMB, USDA; Donor Milk (S. 2819/H.R. 5486); Dietary Guidelines-USDA, HHS; Child Poverty; Child Poverty Reduction Act (H.R. 5629/S. 2906); Suicide Prevention-SAMHSA; School Meal Standards-USDA; WIC Food Packages-USDA; Universal School Meals (H.R. 3204/S. 1568)-USDA, White House; Early Childhood Nutrition Improvement Act (H.R. 6067); Unaccompanied Children (Fair Day in Court for Kids Act of 2023 - S. 3065); Equality Act; Mental Health Services for Students Act (H.R. 3713); Youth Mental Health and Suicide Prevention Act; Child Tax Credit (H.R. 7024); Supporting Children's Mental Health Care Access Act; Gender Affirming Care-HHS; Safety of Pediatricians and Children's Hospitals-DOJ, HHS; Same Day Billing Restrictions in Mental Health (S. 2556/H.R. 7996); Emergency Vacating of Aircraft Cabin (EVAC) Act; FAA Reauthorization/ Emergency Medical Kits; Drug Shortage Prevention Act; Prevention and Early Intervention Set-Aside in Mental Health Block Grant (H.R. 7808); Child Poverty Reduction Act (S. 2906/H.R. 5629); Compact Impact Fairness Act (S. 792/H.R. 1571); Improving Mental Health and Wellness in Schools Act (H.R. 3331/S. 754); Pride in Mental Health Act (H.R. 7644); Therapeutic Fraud Prevention Act (S. 2176/H.R. 4340); Cady Housh and Gemesha Thomas Student Suicide Prevention Act (H.R. 3778); School Meals Expansion Act (H.R. 2567); Pursuing Equity in Mental Health Act (H.R. 3713); EMSC Reauthorization Act of 2024 (H.R. 6960, S. 3765); CARE for Kids Act; School Hunger Elimination Act; Nutrition Red Tape Reduction Act; No Hungry Kids in Schools Act; Expanding Access to School Meals Act; Innovation in Pediatric Drugs Act; US Senate Commission on Mental Health Act of 2024. FY25 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers, Healthy Start, Section 317 Immunization Grants; FY25 Agriculture, Rural Development, Food and Drug Administration Appropriations Bill: Pediatric Device Consortia; Newborn Screening Saves Lives Reauthorization Act; FY25 National Defense Authorization Act-Department of Defense/Defense Health Agency; Defense Health Agency-Autism Care Demonstration-Department of Defense/Defense Health Agency; Defense Health Agency-Fluoride varnish-Department of Defense/Defense Health Agency; Improving the Health of Children Act; Strengthening the Vaccines for Children Program Act; Banning Electronic Stimulation Devices-FDA; SSI Savings Penalty Elimination Act (S.2767/H.R.5408); HCBS Access Act (S.762/H.R. 1493); Better Care Better Jobs Act (S.100/H.R. 547); Autism Family Caregivers Act; PREVENT HPV Cancers Act (H.R. 3633); Supplemental Security Income Equality Act (H.R. 256); IDEA Full Funding Act (S.2217/H.R.4519); Promoting Physical Activity for Americans Act (S.397); Pandemic and All Hazards Preparedness Act (PAHPA); PREEMIE Reauthorization Act (H.R. 3226/S. 1573); Autism CARES Act of 2024 (H.R. 7213); Supplemental Security Income/Social Security Social Security Administration School Access to Naloxone Act (H.R. 3065); HEADs UP Act (H.R. 3380); Preventing Maternal Deaths Reauthorization Act of 2023 (S. 2415/H.R.3838); Youth Sports Facilities Act; SHINE for Autumn Act (H.R.5012/S.2647); Artificial Intelligence; Congenital Heart Futures Reauthorization Act (S.3757); HERO Act (H.R. 6251); SSI Restoration Act (H.R. 7138); NURSE Act (S. 3953/H.R. 3197); Vaccines for Children coverage of Nirsevimab and COVID-19 immunizations-CDC, HHS; WEAR IT Act (H.R. 6279). Child passenger safety; Appropriations for the Indian Health Service-IHS; Appropriations for Environmental Programs (including EPA)-EPA; Maternal, Infant, and Early Childhood Home Visiting Program Reauthorization & Implementation-HRSA, CMS, HHS, ACF; Infant sleep product safety-CPSC; Lead exposure prevention-EPA, CDC; Food safety-FDA; Paid family and medical leave; Regulation of high-powered magnet sets-CPSC; Climate change, Inflation Reduction Act Implementation-EPA; Vehicle emissions standards-EPA, NHTSA; Button battery ingestions-CPSC; Early childhood education-HHS; Child product safety and injury prevention-CPSC; Furniture tip-overs-CPSC; Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization; CAPTA Plans of safe care grants-ACF, HHS ASPE; Family First Prevention Services Act implementation-ACF; CAPTA Fatalities Prevention and Response-HHS; Title IV-B Reauthorization-ACF; Congregate care reform-HHS, ACF; Mental health supports for foster youth/former foster youth-HHS; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation-EPA; QRTP/IMDs (including H.R. 4056 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2023)-ACF; Firearm Violence Prevention (Including Research Funding; Background Checks)-WH Domestic Policy Council, WH Office of Gun Violence Prevention, CDC, NIH, DOJ; Pregnant Workers Fairness Act Implementation-EEOC; Childcare Funding & Resources-HHS; Native American Child Health-DOI, EPA; Water Beads (including Ban Water Beads Act)-CPSC. Strengthening Efforts to End Violence Against Children Act (H.R. 4798); MINDS Act (H.R. 1570/S. 767); Implementation of the Global Child Thrive Act-USAID; FY25 Appropriations - SFOPS bill (overall foreign assistance funding: Vulnerable Children, Nutrition, Maternal and Child Health (including Gavi), WASH, Department of State Child Protection Compacts, Efforts to end Child Marriage, IDA, MRA); FY25 Appropriations - LHHS bill focused on CDCs global immunization account, Violence Against Children Surveys, Bureau of International Labor Affairs; FY26 Appropriations - global child health accounts impacting children and youth at USAID (Vulnerable Children, International Basic Education, Maternal and Child Health, Nutrition), Combating Child, Early and Forced Marriage, McGovern-Dole International Food for Education and Child Nutrition Program, Department of State Child Protection Compact (CPC) Partnership, ILAB, UNICEF, IDA, MRA, PEPFAR-OMB; Violence Against Children Ministerial Meeting-HHS, NSC, USAID; Supporting U.S. Program to Protect Vaccines and Immunizations in Low-Income Countries through Gavi, the Vaccine Alliance (H. Res. 1286 / S. Res. 684); Advocacy on the unique humanitarian needs of children in Gaza-USAID.

Client expense: $323,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), White House Office

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

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

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

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

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

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

S 4357 Comprehensive Dental Reform Act of 2024 (all sections of full text) HR 7702 Ensuring Lasting Smiles Act (all sections of full text) S 754 Ensuring Lasting Smiles Act (all sections of full text) HR 3843 Action for Dental Health Act of 2023 (all sections of full text) (support) HR 1385 DOC Access Act of 2023 (all sections of full text) (support) S 1424 DOC Access Act of 2023 (all sections of full text)(support) S 862 Restoring America's Health Care Workforce and Readiness Act (all sections of full text) HR 1342 Medicaid Dental Benefit Act of 2023 (all sections of full text) S 570 Medicaid Dental Benefit Act of 2023 (all sections of full text) HR 1422 SMILED Act (all sections of full text) Discussions pertaining to the cost of dental care in America Discussions pertaining to proposals for expansion of Medicare benefits Monitored S 2840 Bipartisan Primary Care and Health Workforce Act Monitored discussions related to prior authorization Monitored surprise billing rulemaking process Monitored executive branch nominations to federal agencies and commissions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools H.R. 7924 Access in Mental Health Act: Resources for MH graduate programs at historical minority-serving institutions HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies Increased funding for Children's Hospital Graduate Medical Education Programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act; Mental Health for Latinos Act (S.2476). Support for S. 1426 (RISE from Trauma Act) - Senator Padilla, Senator Butler. Support for S. 1810 (Supporting Families through Addiction Act) - Senator Padilla, Senator Butler. Support for H.R. 3879 (Supporting Families through Addiction Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4911 (Supporting the Health and Safety of Law Enforcement Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 3713 (Mental Health Services for Students Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 2642 (Peer Education and Emergency Response (PEER) Mental Health Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4603 (Rural Wellness Act) - Rep. Duarte, Rep. McClintock.

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to the FY 2025 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CONNECT for Health Act of 2023 (H.R. 4189 / S. 2106), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (H.R. 1359/S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R. 4851), all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (H.R. 6149/S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642 / S.3498), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531/S. 3393) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R. 4974 / S. 3444), all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. CONNECT Act (H.R. 6928), all provisions related to awarding grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923), all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Mental Health Student Loan Forgiveness Act (H.R. 4933/S. 462), all provisions relating to expanding the Substance Use Disorder Treatment and Recovery Loan Repayment Program and expanding eligibility to include individuals who agree to work in mental health professional shortage areas for a period of time. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities. Advancing Lifesaving Efforts with Rapid Test strips for Communities Act ALERT Communities Act (S.2919), all provisions related to expanding access to fentanyl and xylazine test strips. H.R. 7545, all provisions related to expansion grant funding for CCBHCs, childrens clinic grant funding, and CCBHC certification processes.

Client expense: $149,440 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act; Mental Health for Latinos Act (S.2476). Support for S. 1426 (RISE from Trauma Act) - Senator Padilla, Senator Butler. Support for S. 1810 (Supporting Families through Addiction Act) - Senator Padilla, Senator Butler. Support for H.R. 3879 (Supporting Families through Addiction Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4911 (Supporting the Health and Safety of Law Enforcement Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 3713 (Mental Health Services for Students Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 2642 (Peer Education and Emergency Response (PEER) Mental Health Act) - Rep. Duarte, Rep. McClintock. Support for H.R. 4603 (Rural Wellness Act) - Rep. Duarte, Rep. McClintock.

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

HR 7702 Ensuring Lasting Smiles Act (all sections of full text) S 754 Ensuring Lasting Smiles Act (all sections of full text) HR 3843 Action for Dental Health Act of 2023 (all sections of full text) (support) HR 1385 DOC Access Act of 2023 (all sections of full text) (support) S 1424 DOC Access Act of 2023 (all sections of full text)(support) S 862 Restoring America's Health Care Workforce and Readiness Act (all sections of full text) HR 1342 Medicaid Dental Benefit Act of 2023 (all sections of full text) S 570 Medicaid Dental Benefit Act of 2023 (all sections of full text) HR 1422 SMILED Act (all sections of full text) Discussions pertaining to the cost of dental care in America Discussions pertaining to proposals for expansion of Medicare benefits Monitored S 2840 Bipartisan Primary Care and Health Workforce Act Monitored discussions related to prior authorization Monitored surprise billing rulemaking process Monitored executive branch nominations to federal agencies and commissions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4366, "Consolidated Appropriations Act, 2024," all provisions. P.L. 118-42, "Consolidated Appropriations Act, 2024," all provisions. H.R. 4368/S. 2131, "Agriculture, Rural Development, Food and Drug Administration Appropriations Act, 2024," all provisions. Issues pertaining to the FY 2025 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions. P.L. 111-296, "Healthy, Hunger-Free Kids Act of 2010," all provisions. Issues related to health and nutrition. Issues related to school wellness policies.

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CONNECT for Health Act of 2023 (H.R. 4189 / S. 2106), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (H.R. 1359/S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R. 4851), all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (H.R. 6149/S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642 / S.3498), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531/S. 3393) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R. 4974 / S. 3444), all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. CONNECT Act (H.R. 6928), all provisions related to awarding grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923), all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Mental Health Student Loan Forgiveness Act (H.R. 4933/S. 462), all provisions relating to expanding the Substance Use Disorder Treatment and Recovery Loan Repayment Program and expanding eligibility to include individuals who agree to work in mental health professional shortage areas for a period of time. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities. Advancing Lifesaving Efforts with Rapid Test strips for Communities Act ALERT Communities Act (S.2919), all provisions related to expanding access to fentanyl and xylazine test strips. H.R. 7545, all provisions related to expansion grant funding for CCBHCs, childrens clinic grant funding, and CCBHC certification processes.

Client expense: $140,770 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act; Mental Health for Latinos Act (S.2476).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: Not reported · Firm income: $26,600

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 1147/S. 1957, Whole Milk for Healthy Kids Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 4531/S. 3393, SUPPORT for Patients and Communities Reauthorization Act of 2023 H.R.4775 - Helping Tobacco Users Quit Act H.R. 5378, Lower Costs, More Transparency Act H.R. 6122/S. 2853, Train More Nurses Act S.644/H.R. 1359, Modernizing Opioid Treatment Access Act S. 1409, Kids Online Safety Act S. 1418, Children and Teens Online Privacy Protection Act S. 1840/H.R. 3916, Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act of 2023 S. 2840, Bipartisan Primary Care and Health Workforce Act S. 3085, Preventing Adverse Childhood Experiences (PACE) Act

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

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

Issues pertaining to the FY 2024 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. Issues pertaining to the FY 2025 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions. Issues related to health and nutrition.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CONNECT for Health Act of 2023 (H.R. 4189 / S. 2106), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (H.R. 1359/S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R. 4851), all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (H.R. 6149/S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642 / S.3498), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R. 4974 / S. 3444), all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923), all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities. Advancing Lifesaving Efforts with Rapid Test strips for Communities Act ALERT Communities Act (S.2919) all provisions related to expanding access to fentanyl and xylazine test strips Regulatory Comments Submitted: o Requirements Related to the Mental Health Parity and Addiction Equity Act (RIN 1210-AC11) o Technical Release 2023-01P - Request for Comment on Proposed Relevant Data Requirements for Nonquantitative Treatment Limitations (NQTLs) Related to Network Composition and Enforcement Safe Harbor for Group Health Plans and Health Insurance Issuers Subject to the Mental Health Parity and Addiction Equity Act o Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales, and Computer Employees (RIN 1235-AA39) o Discrimination on the Basis of Disability in Health and Human Service Programs or Activities (RIN 0945-AA15) o Guidance for Grants and Agreements (Docket OMB-2023-0017)

Client expense: $107,704 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act; Mental Health for Latinos Act (S.2476).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 4531/S. 2433, Support for Patients and Communities Reauthorization Act of 2023 H.R. 5378, Lower Costs, More Transparency Act S. 2840, Bipartisan Primary Care and Health Workforce Act

Client expense: Not reported · Firm income: $26,600

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

Legislation and policies relating to: Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention H.R. 824, Telehealth Benefit Expansion for Workers Act of 2023 H.R. 1843/S.1001, Telehealth Expansion Act of 2023 H.R. 2411/S. 1150, National Nursing Workforce Centers Act of 2023 H.R. 2663/S. 1176, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2713/S. 2418, Improving Care and Access to Nurses (I CAN) Act H.R. 3073/S. 1452, Community Mental Wellness and Resilience Act of 2023 H.R 3226/S. 1573, PREEMIE Reauthorization Act of 2023 H.R. 3305/S. 1606, Black Maternal Health Momnibus Act H.R. 3331/S. 754, Improving Mental Health and Wellness in Schools Act H.R. 4531/S. 2433, Support for Patients and Communities Reauthorization Act of 2023 H.R. 5378, Lower Costs, More Transparency Act S. 1409, Kids Online Safety Act S. 1418, Children and Teens Online Privacy Protection Act S. 2840, Bipartisan Primary Care and Health Workforce Act

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

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

S.754/H.R. 3331, Improving Mental Health and Wellness in Schools Act S. 1884/H.R. 3713, Mental Health Services for Students Act

Client expense: $2,090,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to the FY 2024 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act," all provisions. Issues related to health and nutrition.

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

CONNECT for Health Act of 2023, all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2023 (H.R. 3432), all provisions related to ensuring coverage of mental health services furnished through telehealth. Modernizing Opioid Treatment Access Act of 2023 (S. 644), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 988 Implementation Act (H.R.4851) , all provisions related to authorizing and growing funding and support for the 988 suicide and crisis lifeline Protecting Kids on Social Media Act (S.1291), all provisions related to authorizing certain safeguards to protect mental health for children when using social media platforms Ryan Haight Act, all provisions related to the extension of COVID-19 telemedicine flexibilities for prescription of controlled medication The PEER Mental Health Act of 2023 (H.R. 2642), all provisions related to award grants to build capacity for peer support programs for individuals experiencing mental health and substance use challenges Helping Kids Cope Act of 2023 (H.R. 2412), all provisions related to awarding grants to build the capacity of the pediatric behavioral health services Strengthening Community Care Act of 2023 (H.R. 2559) all provisions related to reauthorization of the Community Health Center Fund for three years, ending in 2026. Improving Access to Mental Health Act (H.R.1638 / S.838), all provisions related to the incentivizing of mental health professionals to practice in Mental Health Professional Shortage areas. SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531) all provisions relating to the continued bolstered funding for substance use disorder treatment and recovery. Local 9-8-8 Response Act (H.R.9741) , all provisions relating to the continued bolstering of 9-8-8 crisis services and requiring that 9-8-8 calls be routed to their nearest call center as opposed to the call center matching the area code of the phone originating the call. Ensuring Excellence in Mental Health Act (S.2993), all provisions related to the expansion of Certified Community Behavioral Health Clinics and allowing CCBHCs to be considered a provider type in Medicare. Improving Mental Health and Wellness in Schools Act (H.R.3331/ S.754), all provisions related to expanding mental health education and health promotion in existing school education programs Kickstarting Innovative Demonstrations Supporting Health Act (H.R.3805/ S.1769), all provisions relating to improving the health and wellbeing of children by addressing nonmedical factors that determine health outcomes. Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act (S.1378), all provisions related to incentivizing primary care to implement integrated care models to improve access to behavioral health care treatments. Better Mental Health Care for Americans Act (S.923) , all provisions relating to parity enforcement and improving access to mental health care for Medicare and Medicaid beneficiaries. Resident Physician Shortage Reduction Act (H.R.2389/ S.1302), all provisions relating to adding additional residency positions for improved access to behavioral health care in physician shortage areas as defined by SAMHSA Stop Overdose in Schools Act (H.R.5652), all provisions related to setting aside funds for opioid reversal agent administration training for schools and the expansion of opioid education programs in education. Mental Health Infrastructure Improvement Act of 2023 (H.R.5804), all provisions relating to authorizing the Secretary of Health and Human Services to make loans and loan guarantees for the betterment of pediatric and adult mental health and substance use treatment facilities.

Client expense: $178,699 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

HR 2642 The Peer Education and Emergency Response for Mental Health Act of 2023: Provisions that allow for the training of school personnel, parents and students about how to respond to those in a mental health crisis. H.R. 3228 S. 1574 Mental Health in Schools Excellence Program: To increase the numbers of mental health providers in Schools HR 3761 S.1774 The Assist Act: To increase the Medicaid federal match for certain school-based mental health services S. 2966 Targeting Emotional and Mental Stability (TEAMS) Act: Supporting the mental health of college athletes H.R. 3713/S. 1884 Mental Health Services for Students Act: Bringing Mental Health Services into our schools H.R. 3331/S.754 Improving Mental Health Wellness in Schools Act: Including mental health in school wellness policies

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 H.R. 1202 / S. 704 - Resident Education Deferred Interest (REDI) Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 2400 / S. 1165 - Reentry Act of 2023 H.R. 3226 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2023 H.R. 3305 / S. 1606 - Black Maternal Health Momnibus Act H.R. 3312 / S. 1602 - Moms Matter Act H.R. 3331 / S. 754 - Improving Mental Health and Wellness in School Act H.R. 3391 / S. 1624 - Gabriella Miller Kids First Research Act 2.0 H.R. 3432 - Telemental Health Care Access Act of 2023 H.R. 3805 - KIDS Health Act of 2023 H.R. 3813 - CDC Leadership Accountability Act of 2023 H.R. 3821 - Firefighter Cancer Registry Reauthorization Act of 2023 H.R. 3836 - Medicaid Primary Care Improvement Act H.R. 3838 - Preventing Maternal Deaths Reauthorization Act of 2023 H.R. 3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs H.R. 3843 - Action for Dental Health Act of 2023 H.R. 3884 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2023 H.R. 3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R. 4189 / S. 2016 - CONNECT for Health Act of 2023 H.R. 4331 - Strengthening Medicaid for Serious Mental Illness Act H.R. 4381 - Public Health Emergency Congressional Review Act H.R. 4420 - Preparedness and Response Reauthorization Act H.R. 4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R. 4529 - Public Health Guidance Transparency and Accountability Act of 2023 H.R. 4531 / S. 2433 - SUPPORT for Patients and Communities Reauthorization Act H.R. 4830 / S. 2444 - ATTAIN Mental Health Act H.R. 4837 - Building a Health Care Workforce for the Future Act H.R. 4851 - 988 Implementation Assistance Act H.R. 4884 / S. 2476 - Mental Health for Latinos Act H.R. 4892 - Medicaid Bump Act H.R. 4911 - Supporting the Health and Safety of Law Enforcement Act H.R. 4918 - Solutions Not Stigmas Act of 2023 H.R. 4933 / S. 462 - Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 4941 - PATH Act H.R. 4942 / S. 665 - Conrad State 30 and Physician Access Reauthorization Act H.R. 4950 / S. 2481 - IMPROVE Addictions Care Act H.R. 4968 - GOLD CARD Act of 2023 H.R. 5010 - Recognizing Gun Violence as a Public Health Emergency Act H.R. 5116 / S. 2688 - Behavioral Health Information Technology (BHIT) Coordination Act H.R. 5128 / S. 2137 - Preserving Access to Home Health Act of 2023 H.R. 5163 - Telehealth Response for E-prescribing Addiction Therapy Services Act H.R. 5312 - Supporting Healthy Mothers and Infants Act of 2023 H.R. 5414 / S. 1346 - Improving Mental Health Access for the Emergency Department Act of 2023 H.R. 5568 - CARE for Moms Act H.R. 5804 - Mental Health Infrastructure Improvement Act of 2023 H.R. 5819 / S. 1378 - COMPLETE Care Act H.R. 5976 / S. 3060 - Youth Mental Health Research Act S. 1291 - Protecting Kids on Social Media Act S. 2308 - Community Health Care Reauthorization Act S. 2840 - Bipartisan Primary Care and Health Workforce Expansion Act S. 2556 - Improving CARE for Youth Act S. 2511 - ADAPT Act S. 2733 - PEER Support Act S. 2966 - TEAMS Act

Client expense: $154,512 · Firm income: Not reported

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

H.R. 4714 & S. 2345, The Pediatricians Accelerate Childhood Therapies (PACT) Act Pediatric workforce recommendations to be developed. H.R. 3305 & S.1606, Black Maternal Health Momnibus Act H.R.3226 & S.1573 The PREEMIE Reauthorization Act of 2023 H.R. 3838 & S. 2415 Preventing Maternal Deaths Reauthorization Act of 2023 H.R.3841, To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs. Recommendations to Senate on 340B S.2840, Bipartisan Primary Care and Health Workforce Act - Oppose provisions in Title III re: offsets H.R. 3331 & S. 754, Improving Mental Health and Wellness in Schools Act H.R. 5012 & S.2647, Stillbirth Health Improvement and Education (SHINE) For Autum Act Development of future patient ID Legislation

Client expense: $195,386 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rural mental health concerns related to availability of services for low income and/or Latinx communities and availability of service providers. Specific legislation includes: H.R. 1638: Improving Access to Mental Health Act of 2023; H.R. 1689: Connecting Students with Mental Health Services Act; H.R. 773: Homelessness and Behavioral Health Care Coordination Act of 2023; H.R. 744: Supporting the Mental Health of Educators and Staff Act of 2023; S. 923: Better Mental Health Care for Americans Act; S. 754: Improving Mental Health and Wellness in School Act; S. 24: Fighting Homelessness Through Services and Housing Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordability; COVID commercialization; Affordable Care Act; Telehealth - extending flexibilities; Youth Mental Health - timing of legislation introduction, school-based solutions; Health Equity; Site Neutrality and Fair Hospital Billing; Appropriations; Labor HHS Funding; Health Savings Accounts; Employee Retirement Income Security Act; Prior Authorization; Transparency in coverage; Surprise Billing; OPM Federal Employee Health Benefits Program; Association Health Plans (AHPs), Maternal Health S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 485 - Protecting Health Care for All Patients Act of 2023 To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 3561, The Patient Act of 2023 To promote hospital and insurer price transparency, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R.7702/S.754 - Ensuring Lasting Smiles Act Sponsor: Rep. Dunn, Neal P. [R-FL-2] - To provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a craniofacial, oral, or maxillofacial congenital anomaly or birth defect. Sponsor: Sen. Baldwin, Tammy [D-WI] - To provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a congenital anomaly or birth defect.

Client expense: $1,580,000 · Firm income: Not reported

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

HR 3331 / S 754 "Improving Mental Health and Wellness in Schools Act," all provisions. Issues pertaining to legislation on data collection on school safety interventions. Issues pertaining to Active Shooter Drills. HR 3872 "School Safety Drill Research Act of 2023," all provisions. HR 2869 "School Shooting Safety and Preparedness Act," all provisions. HR 2617 "Consolidated Appropriations Act, 2023" / H Rept. 117-403 "DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2023," all provisions relating to active shooter drills.

Client expense: $80,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Issues pertaining to the FY 2024 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. H.R. 3331/S. 754, "Improving Mental Health and Wellness in Schools Act", all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to the FY 2024 Agriculture, Rural Development, Food and Drug Administration Appropriations Act. Issues pertaining to school mental health. S. 754, "Improving Mental Health and Wellness in Schools Act", all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE