Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025

SUPPORT- Medicare for All (S. 1506 / H.R. 3069) Attended meeting on Break Up Big Medicine Act (S. 3822), introduced by Senator Warren and Hawley. Meetings were with Senator Ron Wyden Meeting with Congressional Progressive Caucus staff on Medicare for All Act (S. 1506 / H.R. 3069) Support S.1709/HR3415, Nursing Staffing Standards for Hospital Patient Safety and Quality Care Act Meeting with Senator Fetterman staff on Medicare for All Act (S. 1506 / H.R. 3069) "Meeting with Representative Alexandria Ocasio-Cortez staff to discuss Medicare for All Act (S. 1506 / H.R. 3069) " Coalition call with Senator Bernie Sander's team to discuss upcoming hearing on April 22 Secretary of HHS Robert F. Kennedy Jr on the FY27 Presidents HHS request Meeting with HELP Committee staff to discuss upcoming April 22 Committee hearing with Secretary of HHS Robert F. Kennedy Jr on the FY27 Presidents HHS request In response to hearing titled Lowering Health Care Costs for All Americans: Examining Policies to Increase Health Care Transparency, urged House Energy and Commerce Committee to markup H.R. 3069, Medicare for All Act. Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

SUPPORT- Workplace Violence Prevention for Health Care and Social Service Workers Act (S. 1232 / H.R. 2531) SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415) SUPPORT- VA Employee Fairness Act (S. 1650 / H.R. 3261) SUPPORT - S.J.Res. 196, a Congressional Review Act resolution on the classification of nurse degrees as graduate, not professional SUPPORT-Richard L. Trumka Protecting The Right to Organize (PRO) Act (S. 852 / H.R. 20) OPPOSE- OSHA Deregulatory Actions Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Support Protect Americas Workforce Act (PAWA) Support Workplace Violence Prevention for Health Care and Social Service Workers Act Asking Members of Congress to put out public statement supporting the nurses in their organizing efforts and calling for Rush to respect those efforts as well Asking Members of Congress to submit congressional inquiries on behalf of RNs who are experiencing delays in DACA renewal, and to ask Kaiser to extend unpaid administrative leave for the nurses. Urged Congress to pass PAWA & VA Employee Fairness Act by participating in VA Worker Roundtable hosted by the Senate and House Veterans Affairs Committee Meeting with Representative Norcross to discuss HR 5408, Faster Labor Contracts Act Attended Women of Labor Spring Fling on April 21 with Members of Congress and other women in labor unions Support S.1650/HR3261, The VA Employee Fairness Act Support S.1709/HR3415, Nursing Staffing Standards for Hospital Patient Safety and Quality Care Act Support S.851/H.R.2531, Workplace Violence Prevention for Health Care and Social Service Workers Act Support HR 20, Protecting the Right to Organize Act Meeting with Senator Alsobrooks staff discussing ongoing labor negotiations at St. Agnes in Baltimore, MD Attended VA Worker Roundtable hosted by the U.S. Senate Veteran Affairs Committee, Minority Committee. Coordinated and prepped Irma Westmoreland, Chair of the NNU VA division to serve as a panelist and discussed H.R.2550, Protect America's Workforce Act and discussed H.R.2550, Protect America's Workforce Act, VA Employee Fairness Act Meeting with Education and Workforce Committee, Minority staff to discuss upcoming hearing on Antisemitism in Hospitals Coordinated IL Support for nurses winning a union election at Rush University Medical Center owned by Prime Healthcare in Chicago Meeting with Education and Workforce Committee, Minority staff to discuss upcoming hearing on temp workers in nursing. Prepared committee letter for the record for submission to the hearing. Call with Senator Duckworth and Senator Durbins team on support for nurses striking at St. Mary's hospital in Chicago Coordinated IL support for nurses striking in St. Mary's of Narazreth in Chicago Sent letter opposing nominations of James Macy for National Labor Relations Board Sent letter opposing nomination of Charlton Allen for Federal Labor Relations Authority

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS' Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors' Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark - prior authorization under Medicare Advantage H.R. 6110 - To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model H.R. 6951 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - State Medicaid cost recoupment H.R. 6974 - Improving MA SNP Act of 2026 - Rep. Arrington, Jodey - MA SNP beneficiary approval H.R. 7189 - PrEP Access Act - Rep. Pocan, Mark - HIV prevention services under Medicare H.R. 7409 - Defend Rural Health Act - Rep. Taylor, Dave - Medicare definition of rural hospital H.R. 7727 - Sustaining Rural Healthcare Act - Rep. Alford, Mark - Medicare CAH designation H.R. 7778 - Medicaid PNA Modernization Act - Rep. Subramanyam, Suhas - Medicaid minimum monthly personal needs allowance H.R. 7803 - Save Medicare Act - Rep. Pocan, Mark - Renames Medicare Advantage H.R. 7871 - MVP Act - Rep. Guthrie, Brett - Value-based purchasing arrangements in Medicaid H.R. 8375 - Medicare Advantage Improvement Act - Rep. Joyce, John - MA programmatic reforms H.R. 8377 - Stop Deadly Denials Act - Rep. Khanna, Ro - MA prior authorization prohibition H.R. 8875 - Improving Home Dialysis Act - Rep. Miller, Carol - Home dialysis coverage under Medicare S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors' Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids' Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors' Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA S. 3642 - WALZ Act - Sen. Marshall, Roger - Medicaid payment investigation and audits S. 3690 - Ensuring Access to Medicaid Buy-in Programs - Sen. Blackburn, Marsha - Medicaid eligibility parameters S. 3727 - Putting an N to Learing about Fraud Act - Sen. Ernst, Joni - Federal program fraud prevention S. 3729 - PBM Reporting Transparency Act - Sen. Warner, Mark - MedPAC reports on PBMs S. 3750 - REAL Health Providers Act - Sen. Bennet, Michael - MA provider directory accuracy S. 3762 - Prior Authorization Relief Act - Sen. Whitehouse, Sheldon - MA prior authorization restrictions S. 3848 - Apples to Apples Comparison Act - Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours S. 4384 - Medicare Advantage Improvement Act - Sen. Marshall, Roger - MA programmatic reforms Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Waste Fraud and Abuse; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; MA reporting requirements; MA provider networks and network adequacy; implementation of the One Big Beautiful Bill Act; Medicaid provider taxes; Medicaid community engagement requirements; and VA's community care program.

Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R.1317/S.575) I CAN Act Dr. Lorna Breen Health Care Provider Protection Reauthorization Issues surrounding surgical smoke (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (S.1482) National Nursing Workforce Center Act Perinatal workforce expansion (S.2954) Health Care Workforce Expansion Act (S.3435/H.R.6607) Future Advancement of Academic Nursing Act Issues surrounding patient mobility assessments Issues surrounding expiration of enhanced advance premium tax credits (H.R.7279/S.3707) Nurse Faculty Shortage Reduction Act (H.R. 6894/S.717) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 1616/S. 1805) Promoting Access to Diabetic Shoes Act (H.R. 3415/S. 1709) Nurse Staffing Standards for Hospital Patient Safety and Quality Act Issues surrounding artificial intelligence and nursing workforce/practice

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

SUPPORT- Medicare for All (S. 1506 / H.R. 3069) Attended meeting on Break Up Big Medicine Act (S. 3822), introduced by Senator Warren and Hawley. Meetings were with Senator Ron Wyden Meeting with Congressional Progressive Caucus staff on Medicare for All Act (S. 1506 / H.R. 3069) Support S.1709/HR3415, Nursing Staffing Standards for Hospital Patient Safety and Quality Care Act Meeting with Senator Fetterman staff on Medicare for All Act (S. 1506 / H.R. 3069) "Meeting with Representative Alexandria Ocasio-Cortez staff to discuss Medicare for All Act (S. 1506 / H.R. 3069) " Coalition call with Senator Bernie Sander's team to discuss upcoming hearing on April 22 Secretary of HHS Robert F. Kennedy Jr on the FY27 Presidents HHS request Meeting with HELP Committee staff to discuss upcoming April 22 Committee hearing with Secretary of HHS Robert F. Kennedy Jr on the FY27 Presidents HHS request In response to hearing titled Lowering Health Care Costs for All Americans: Examining Policies to Increase Health Care Transparency, urged House Energy and Commerce Committee to markup H.R. 3069, Medicare for All Act. Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415)

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

SUPPORT- Workplace Violence Prevention for Health Care and Social Service Workers Act (S. 1232 / H.R. 2531) SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415) SUPPORT- VA Employee Fairness Act (S. 1650 / H.R. 3261) SUPPORT - S.J.Res. 196, a Congressional Review Act resolution on the classification of nurse degrees as graduate, not professional SUPPORT-Richard L. Trumka Protecting The Right to Organize (PRO) Act (S. 852 / H.R. 20) OPPOSE- OSHA Deregulatory Actions Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Support Protect Americas Workforce Act (PAWA) Support Workplace Violence Prevention for Health Care and Social Service Workers Act Asking Members of Congress to put out public statement supporting the nurses in their organizing efforts and calling for Rush to respect those efforts as well Asking Members of Congress to submit congressional inquiries on behalf of RNs who are experiencing delays in DACA renewal, and to ask Kaiser to extend unpaid administrative leave for the nurses. Urged Congress to pass PAWA & VA Employee Fairness Act by participating in VA Worker Roundtable hosted by the Senate and House Veterans Affairs Committee Meeting with Representative Norcross to discuss HR 5408, Faster Labor Contracts Act Attended Women of Labor Spring Fling on April 21 with Members of Congress and other women in labor unions Support S.1650/HR3261, The VA Employee Fairness Act Support S.1709/HR3415, Nursing Staffing Standards for Hospital Patient Safety and Quality Care Act Support S.851/H.R.2531, Workplace Violence Prevention for Health Care and Social Service Workers Act Support HR 20, Protecting the Right to Organize Act Meeting with Senator Alsobrooks staff discussing ongoing labor negotiations at St. Agnes in Baltimore, MD Attended VA Worker Roundtable hosted by the U.S. Senate Veteran Affairs Committee, Minority Committee. Coordinated and prepped Irma Westmoreland, Chair of the NNU VA division to serve as a panelist and discussed H.R.2550, Protect America's Workforce Act and discussed H.R.2550, Protect America's Workforce Act, VA Employee Fairness Act Meeting with Education and Workforce Committee, Minority staff to discuss upcoming hearing on Antisemitism in Hospitals Coordinated IL Support for nurses winning a union election at Rush University Medical Center owned by Prime Healthcare in Chicago Meeting with Education and Workforce Committee, Minority staff to discuss upcoming hearing on temp workers in nursing. Prepared committee letter for the record for submission to the hearing. Call with Senator Duckworth and Senator Durbins team on support for nurses striking at St. Mary's hospital in Chicago Coordinated IL support for nurses striking in St. Mary's of Narazreth in Chicago Sent letter opposing nominations of James Macy for National Labor Relations Board Sent letter opposing nomination of Charlton Allen for Federal Labor Relations Authority

1. CMS rule on policy and technical changes to the Medicare Advantage program 2. Proposals reagarding staffing standards at nursing homes 3. Proposals regarding vaccine recommendations by the Centers for Disease Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 8. S. 2524, Restoring Essential Healthcare Act, entire bill 9. H.R. 4796, Restoring Essential Healthcare Act, entire bill 10. S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, entire bill 11. H.R. 5145, Bipartisan Premium Tax Credit Extension Act, entire bill 12. H.R. 2082, Well-Being Insurance for Seniors to be at Home Act, entire bill 13. S. 3829, Corporate Crimes Against Health Care Act, entire bill

Client expense: $85,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark -prior authorization under Medicare Advantage H.R. 6110 -To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model H.R. 6951 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - State Medicaid cost recoupment H.R. 6974 - Improving MA SNP Act of 2026 - Rep. Arrington, Jodey - MA SNP beneficiary approval H.R. 7189 - PrEP Access Act - Rep. Pocan, Mark - HIV prevention services under Medicare H.R. 7409 - Defend Rural Health Act - Rep. Taylor, Dave - Medicare definition of rural hospital H.R. 7727 - Sustaining Rural Healthcare Act - Rep. Alford, Mark - Medicare CAH designation H.R. 7778 - Medicaid PNA Modernization Act - Rep. Subramanyam, Suhas - Medicaid minimum monthly personal needs allowance H.R. 7803 - Save Medicare Act - Rep. Pocan, Mark - Renames Medicare Advantage H.R. 7871 - MVP Act - Rep. Guthrie, Brett - Value-based purchasing arrangements in Medicaid S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA S. 3642 - WALZ Act - Sen. Marshall, Roger - Medicaid payment investigation and audits S. 3690 - Ensuring Access to Medicaid Buy-in Programs - Sen. Blackburn, Marsha - Medicaid eligibility parameters S. 3727 - Putting an N to Learing about Fraud Act - Sen. Ernst, Joni - Federal program fraud prevention S. 3729 - PBM Reporting Transparency Act - Sen. Warner, Mark - MedPAC reports on PBMs S. 3750 - REAL Health Providers Act - Sen. Bennet, Michael - MA provider directory accuracy S. 3762 - Prior Authorization Relief Act - Sen. Whitehouse, Sheldon - MA prior authorization restrictions S. 3848 - Apples to Apples Comparison Act - Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; implementation of the One Big Beautiful Bill Act; provider taxes; Medicaid community engagement requirements; and VAs community care program.

Removing barriers to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R.1317/S.575) I CAN Act Dr. Lorna Breen Health Care Provider Protection Reauthorization Issues surrounding surgical smoke (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (S.1482) National Nursing Workforce Center Act Perinatal workforce expansion (S.2954) Health Care Workforce Expansion Act (S.3435/H.R.6607) Future Advancement of Academic Nursing Act Issues surrounding patient mobility assessments Issues surrounding expiration of enhanced advance premium tax credits (H.R.7279/S.3707) Nurse Faculty Shortage Reduction Act (H.R. 6894/S.717) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R. 1616/S. 1805) Promoting Access to Diabetic Shoes Act (H.R. 3415/S. 1709) Nurse Staffing Standards for Hospital Patient Safety and Quality Act

Client expense: $230,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

1. CMS rule on policy and technical changes to the Medicare Advantage program 2. Proposals reagarding staffing standards at nursing homes 3. Proposals regarding vaccine recommendations by the Centers for Disease Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 8. S. 2524, Restoring Essential Healthcare Act, entire bill 9. H.R. 4796, Restoring Essential Healthcare Act, entire bill 10. S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, entire bill 11. H.R. 5145, Bipartisan Premium Tax Credit Extension Act, entire bill 12. H.R. 2082, Well-Being Insurance for Seniors to be at Home Act, entire bill 13. S. 3829, Corporate Crimes Against Health Care Act, entire bill

Client expense: $95,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Motion to Discharge H.Res.432 to consider H.R.2550, Protect Americas Workforce Act (support) H.R.2550, Protect Americas Workforce Act (support) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, H.R.3415/S.1709 (support) American Franchise Act, H.R.5267 (oppose) Artificial Intelligence (AI) Data Centers Moratorium Act, S. 4214 (support)

Client expense: $1,002,374 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Resolution of Disapproval (S.Res.374) calling for RFK Jr. to be removed from his position as Health and Human Services Secretary (support) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, H.R.3415/S.1709 (support) Healthy Families Act, H.R. 7531, S. 3869 (support)

Client expense: $1,002,374 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Follow up meeting on SEIU endorsement of a Senate Resolution introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the HHS Sec'y should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their cosponsorship. Consultation with Rep. Ocasio-Cortez's office on a letter to the HELP and related agencies subcommittee requesting investment in programs, oversight, and research for older adults and people with disabilities who receive long-term care. Follow-up meeting with Rep. Jayapal's office to discuss reintroduction of the Medicare for All Act of 2025. Meeting with Rep. Schakowsky's office discussing support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 (S. 1709). Meetings with House and Senate Democratic Offices on DOGE attacks on SSI, Medicare, Medicaid, and on HHS Reorganization.

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3492- Protect Children's Innocence Act Addressing Rising Health Care Costs S 2954- Health Care Workforce Expansion Act HR 6166- Lowering Drug Costs for American Families Act Robert F. Kennedy Jr. Nomination for HHS, oppose Dr. Mehmet Oz for CMS Administration, oppose S 46, HR 247- Health Care Affordability Act of 2025 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 2528- Association Health Care Plans Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Extension Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protect Act HR 6703- Lower Health Care Premiums for All Americans Act S 3385- Lower Health Care Costs Act HR 3971, S 3396- Domestic Worker Bill of Rights SJ Res 82, HJ Res 25- Richardson Waiver Congressional Review Act House discharge No. 10- Jeffries ACA discharge petition

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

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark -prior authorization under Medicare Advantage H.R. 6110 -To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; implementation of the One Big Beautiful Bill Act; provider taxes; Medicaid community engagement requirements; and VAs community care program.

HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6703 Oppose Lower Health Care Premiums for All Americans Act , specifically any proposal that does not include a clean 3-year extension of the enhanced Affordable Care Act (ACA) subsidies. HR 783 Support for Sustainable Cardiopulmonary Rehabilitation Services in the Home Act H Res. 876 Support and endorse Rep. Tlaib's Resolution Recognizing the Genocide of the Palestinian People in Gaza S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 1506 Support for Medicare for All Act S 1650 The VA Employee Fairness Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2444 Support for the End Polluter Welfare Act of 2025 S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2857 Endorsed the Protecting Free Vaccines Act S 2997 Endorsed the Right to Override Act S 3385 Support the Lower Health Care Costs Act Urge edits to No Robot Bosses Act Oppose VA contract termination Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Support Representative Ro Khanna on leading letter to UC management on recent contract negotiations with outreach across CA delegation. Oppose Trump Admin proposed rule to strip nurses of professional degree classification for graduate degree loan eligibility Support Sen. Patty Murray's Seniors Deserve SMARTER Act that prohibits the use of prior authorization in Medicare Support ending Israeli military operations and blockade, and demand U.S. immediately recognize Palestines sovereignty Communicate issues to support UC Nurses Support for alternate congressional action to expand and strengthen nursing education programs Support and advocate for Markey and Lees letters to agencies to protect workers from TRAPs. Support for Medicare for All Support for Rep. Khanna prior authorization bill to prevent the use of the WISeR model that would allow for prior authorization in Medicare Oppose the Affordable Care Act (ACA) health care cost hikes Support science-based vaccines and immunization practices, and make recommendations

HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014 Support for Right to Representation for Department of Veterans Affairs Workers Act of 2025 S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1650 The VA Employee Fairness Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2818 Support for the Tax Excessive CEO Pay Act of 2025 S 2837 Support for Protect Americas Workforce Act S 2997 Endorsed the Right to Override Act Support for the 99.5 Percent Act Support for Ending Corporate Greed Act Support for End Polluter Welfare Act Support for Tax Excessive CEO Pay Act Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Oppose VA contract termination Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Support Representative Ro Khanna on leading letter to UC management on recent contract negotiations with outreach across CA delegation. Oppose Trump Admin proposed rule to strip nurses of professional degree classification for graduate degree loan eligibility Support Sen. Patty Murray's Seniors Deserve SMARTER Act that prohibits the use of prior authorization in Medicare Support ending Israeli military operations and blockade, and demand U.S. immediately recognize Palestines sovereignty Communicate issues to support UC Nurses Support for alternate congressional action to expand and strengthen nursing education programs Support and advocate for Markey and Lees letters to agencies to protect workers from TRAPs. Support for Rep. Khanna prior authorization bill to prevent the use of the WISeR model that would allow for prior authorization in Medicare Support science-based vaccines and immunization practices, and make recommendations

HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014 Support for Right to Representation for Department of Veterans Affairs Workers Act of 2025 HR 6703 Oppose Lower Health Care Premiums for All Americans Act , specifically any proposal that does not include a clean 3-year extension of the enhanced Affordable Care Act (ACA) subsidies. HR 783 Support for Sustainable Cardiopulmonary Rehabilitation Services in the Home Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1650 The VA Employee Fairness Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2837 Support for Protect Americas Workforce Act S 2857 Endorsed the Protecting Free Vaccines Act S 3385 Support the Lower Health Care Costs Act Oppose VA contract termination Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Oppose Trump Admin proposed rule to strip nurses of professional degree classification for graduate degree loan eligibility Support for alternate congressional action to expand and strengthen nursing education programs Support and advocate for Markey and Lees letters to agencies to protect workers from TRAPs. Support science-based vaccines and immunization practices, and make recommendations

HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014 Support for Right to Representation for Department of Veterans Affairs Workers Act of 2025 HR 6703 Oppose Lower Health Care Premiums for All Americans Act , specifically any proposal that does not include a clean 3-year extension of the enhanced Affordable Care Act (ACA) subsidies. HR 783 Support for Sustainable Cardiopulmonary Rehabilitation Services in the Home Act H Res. 876 Support and endorse Rep. Tlaib's Resolution Recognizing the Genocide of the Palestinian People in Gaza S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1650 The VA Employee Fairness Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2444 Support for the End Polluter Welfare Act of 2025 S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2818 Support for the Tax Excessive CEO Pay Act of 2025 S 2837 Support for Protect Americas Workforce Act S 2857 Endorsed the Protecting Free Vaccines Act S 2997 Endorsed the Right to Override Act S 3385 Support the Lower Health Care Costs Act Support for the Corporate Tax Dodging Prevention Act Support for the Tax on Wall Street Speculation Act Support for the 99.5 Percent Act Support for Ending Corporate Greed Act Support for End Polluter Welfare Act Support for Tax Excessive CEO Pay Act Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Oppose VA contract termination Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Support Representative Ro Khanna on leading letter to UC management on recent contract negotiations with outreach across CA delegation. Oppose Trump Admin proposed rule to strip nurses of professional degree classification for graduate degree loan eligibility Support Sen. Patty Murray's Seniors Deserve SMARTER Act that prohibits the use of prior authorization in Medicare Support ending Israeli military operations and blockade, and demand U.S. immediately recognize Palestines sovereignty Communicate issues to support UC Nurses Support for alternate congressional action to expand and strengthen nursing education programs Support and advocate for Markey and Lees letters to agencies to protect workers from TRAPs. Support for Medicare for All Support for Rep. Khanna prior authorization bill to prevent the use of the WISeR model that would allow for prior authorization in Medicare Oppose the Affordable Care Act (ACA) health care cost hikes Support science-based vaccines and immunization practices, and make recommendations

HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2857 Endorsed the Protecting Free Vaccines Act Support science-based vaccines and immunization practices, and make recommendations

Client expense: $130,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE

HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014 Support for Right to Representation for Department of Veterans Affairs Workers Act of 2025 HR 6703 Oppose Lower Health Care Premiums for All Americans Act , specifically any proposal that does not include a clean 3-year extension of the enhanced Affordable Care Act (ACA) subsidies. HR 783 Support for Sustainable Cardiopulmonary Rehabilitation Services in the Home Act H Res. 876 Support and endorse Rep. Tlaib's Resolution Recognizing the Genocide of the Palestinian People in Gaza S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1650 The VA Employee Fairness Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1920 Oppose Continuous Skilled Nursing Quality Improvement Act of 2025 S 2228 Oppose Modern Worker Empowerment S 2444 Support for the End Polluter Welfare Act of 2025 S 2750 Oppose Strengthening Artificial intelligence Normalization and Diffusion By Oversight and Experimentation Act (SANDBOX) S 2818 Support for the Tax Excessive CEO Pay Act of 2025 S 2837 Support for Protect Americas Workforce Act S 2857 Endorsed the Protecting Free Vaccines Act S 2997 Endorsed the Right to Override Act S 3385 Support the Lower Health Care Costs Act Support for the Corporate Tax Dodging Prevention Act Support for the Tax on Wall Street Speculation Act Support for the 99.5 Percent Act Support for Ending Corporate Greed Act Support for End Polluter Welfare Act Support for Tax Excessive CEO Pay Act Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Oppose VA contract termination Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Support Representative Ro Khanna on leading letter to UC management on recent contract negotiations with outreach across CA delegation. Oppose Trump Admin proposed rule to strip nurses of professional degree classification for graduate degree loan eligibility Support Sen. Patty Murray's Seniors Deserve SMARTER Act that prohibits the use of prior authorization in Medicare Support ending Israeli military operations and blockade, and demand U.S. immediately recognize Palestines sovereignty Communicate issues to support UC Nurses Support for alternate congressional action to expand and strengthen nursing education programs Support and advocate for Markey and Lees letters to agencies to protect workers from TRAPs. Support for Medicare for All Support for Rep. Khanna prior authorization bill to prevent the use of the WISeR model that would allow for prior authorization in Medicare Oppose the Affordable Care Act (ACA) health care cost hikes Support science-based vaccines and immunization practices, and make recommendations

HR 3492- Protect Children's Innocence Act Addressing Rising Health Care Costs S 2954- Health Care Workforce Expansion Act HR 6166- Lowering Drug Costs for American Families Act Robert F. Kennedy Jr. Nomination for HHS, oppose Dr. Mehmet Oz for CMS Administration, oppose S 46, HR 247- Health Care Affordability Act of 2025 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 2528- Association Health Care Plans Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Extension Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protect Act HR 6703- Lower Health Care Premiums for All Americans Act S 3385- Lower Health Care Costs Act HR 3971, S 3396- Domestic Worker Bill of Rights SJ Res 82, HJ Res 25- Richardson Waiver Congressional Review Act House discharge No. 10- Jeffries ACA discharge petition

Client expense: $690,000 · Firm income: Not reported

1. CMS rule on policy and technical changes to the Medicare Advantage program 2. Proposals reagarding staffing standards at nursing homes 3. Proposals regarding vaccine recommendations by the Centers for Disease Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 8. S. 2524, Restoring Essential Healthcare Act, entire bill 9. H.R. 4796, Restoring Essential Healthcare Act, entire bill 10. S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, entire bill 11. H.R. 5145, Bipartisan Premium Tax Credit Extension Act, entire bill 12. H.R. 2082, Well-Being Insurance for Seniors to be at Home Act, entire bill

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5454 - Medicare Advantage Prompt Pay Act - Rep. Arrington, Jodey - payment delivery requirements for MA plans H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MedPAC spending comparisons; and MA prompt pay.

S 911, HR 1236- Chief Herbert Proffitt Act Medicaid- Funding, Eligibility Robert F. Kennedy Jr. Nomination for HHS/ oppose Dr. Mehmet Oz for CMS Administration/ oppose S 46, HR 247- Health Care Affordability Act of 2026 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Expansion Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protection Act S 2954- Health Care Workforce Expansion Act HR 2528- Association Health Care Plans Act

Client expense: $750,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1 Oppose the One Big Beautiful Bill Act HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 770 Support for Social Security Expansion Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2210 Oppose Empowering Independent Workers to Access Portable Benefits Act S 2228 Support Senator Scotts Modern Worker Empowerment Act S 2335 Shared concerns with parts of Pension for All Act S 2818 Support for Tax Excessive CEO Pay Act S 2779 Support for Tax Cuts for Striking Workers Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support introduction of Senate Protecting America's Workforce Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Oppose Temporary Protected Status for immigrants Endorse Union Participation for All Act Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NRLB and DOL nominations Outreach with HELP committee and follow-up meeting with Senator Sanders Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Provide feedback and discuss Modern Worker Empowerment Act Oppose NIOSH cuts Oppose VA contract termination Oppose Trump administration's Reduction in Force Plan Oppose Texas mid-decade redistricting efforts ahead of midterm elections Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Participate and advocate for nurses and patients in VA Day of Action Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Advocate for the support of New Orleans nurses in contract negotiations Advocate for the support of UC contract negotiations Submitted comments regarding ACIP on vaccinations

HR 1 Oppose the One Big Beautiful Bill Act HR 3069 Support for Medicare for All Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 770 Support for Social Security Expansion Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NIOSH cuts Oppose Trump administration's Reduction in Force Plan Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Submitted comments regarding ACIP on vaccinations

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

HR 1 Oppose the One Big Beautiful Bill Act HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 770 Support for Social Security Expansion Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2210 Oppose Empowering Independent Workers to Access Portable Benefits Act S 2228 Support Senator Scotts Modern Worker Empowerment Act S 2335 Shared concerns with parts of Pension for All Act S 2818 Support for Tax Excessive CEO Pay Act S 2779 Support for Tax Cuts for Striking Workers Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support introduction of Senate Protecting America's Workforce Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Oppose Temporary Protected Status for immigrants Endorse Union Participation for All Act Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NRLB and DOL nominations Outreach with HELP committee and follow-up meeting with Senator Sanders Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Provide feedback and discuss Modern Worker Empowerment Act Oppose NIOSH cuts Oppose VA contract termination Oppose Trump administration's Reduction in Force Plan Oppose Texas mid-decade redistricting efforts ahead of midterm elections Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Participate and advocate for nurses and patients in VA Day of Action Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Advocate for the support of New Orleans nurses in contract negotiations Advocate for the support of UC contract negotiations Submitted comments regarding ACIP on vaccinations

HR 1 Oppose the One Big Beautiful Bill Act HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 770 Support for Social Security Expansion Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2210 Oppose Empowering Independent Workers to Access Portable Benefits Act S 2228 Support Senator Scotts Modern Worker Empowerment Act S 2335 Shared concerns with parts of Pension for All Act S 2818 Support for Tax Excessive CEO Pay Act S 2779 Support for Tax Cuts for Striking Workers Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support introduction of Senate Protecting America's Workforce Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Oppose Temporary Protected Status for immigrants Endorse Union Participation for All Act Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NRLB and DOL nominations Outreach with HELP committee and follow-up meeting with Senator Sanders Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Provide feedback and discuss Modern Worker Empowerment Act Oppose NIOSH cuts Oppose VA contract termination Oppose Trump administration's Reduction in Force Plan Oppose Texas mid-decade redistricting efforts ahead of midterm elections Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Participate and advocate for nurses and patients in VA Day of Action Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Advocate for the support of New Orleans nurses in contract negotiations Advocate for the support of UC contract negotiations Submitted comments regarding ACIP on vaccinations

HR 1 Oppose the One Big Beautiful Bill Act HR 20 Support for Richard L. Trumka Protecting the Right to Organize Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 770 Support for Social Security Expansion Act S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 852 Support for Richard L. Trumka Protecting the Right to Organize Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2210 Oppose Empowering Independent Workers to Access Portable Benefits Act S 2228 Support Senator Scotts Modern Worker Empowerment Act S 2335 Shared concerns with parts of Pension for All Act S 2818 Support for Tax Excessive CEO Pay Act S 2779 Support for Tax Cuts for Striking Workers Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support introduction of Senate Protecting America's Workforce Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Oppose Temporary Protected Status for immigrants Endorse Union Participation for All Act Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NRLB and DOL nominations Outreach with HELP committee and follow-up meeting with Senator Sanders Urge edits to Stop Spying Bosses Act Urge edits to No Robot Bosses Act Urge edits to AI Civil Rights Act Provide feedback and discuss Modern Worker Empowerment Act Oppose NIOSH cuts Oppose VA contract termination Oppose Trump administration's Reduction in Force Plan Oppose Texas mid-decade redistricting efforts ahead of midterm elections Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Participate and advocate for nurses and patients in VA Day of Action Endorse Senator Markey and Congresswoman Lee's letters related to TRAPs. Advocate for the support of New Orleans nurses in contract negotiations Advocate for the support of UC contract negotiations Submitted comments regarding ACIP on vaccinations

HR 1 Oppose the One Big Beautiful Bill Act HR 2531 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act HR 3069 Support for Medicare for All Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 HR 5450 Support Continuing Appropriations and Extensions and other Matters Act of 2026 S 851 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S 1506 Support for Medicare for All Act S 1709 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S 1847 Support for Senator Pauls Association Health Plans Act S 2210 Oppose Empowering Independent Workers to Access Portable Benefits Act S 2882 Support for Continuing Appropriations and Extensions and other Matters Act of 2026 Support for introduction of the Medicines for the People Act Support for Universal Health Care Act Oppose corporate consolidation in the health care industry Support removal of HHS Secretary Robert F. Kennedy, Jr. and advocate for the restoration of science-based policy at CDC and other HHS agencies. Oppose NIOSH cuts Oppose Trump administration's Reduction in Force Plan Oppose Hospital Inpatient Services Modernization Act Oppose CMS Acute Hospital Care at Home program and expansion of telehealth programs Oppose the Healthcare Workforce Resilience Act Participate and advocate for nurses and patients in VA Day of Action Submitted comments regarding ACIP on vaccinations

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

1. CMS rule on policy and technical changes to the Medicare Advantage program 2. Proposals reagarding staffing standards at nursing homes 3. Proposals regarding vaccine recommendations by the Centers for Disease Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 8. S. 2524, Restoring Essential Healthcare Act, entire bill 9. H.R. 4796, Restoring Essential Healthcare Act, entire bill 10. S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, entire bill 11. H.R. 5145, Bipartisan Premium Tax Credit Extension Act, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H. Con. Res. 14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. - Rep. Arrington, Jodey - Reconciliation instructions impacting federally administered health programs H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; and MA prompt pay.

Follow up meeting on SEIU endorsement of a Senate Resolution introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the HHS Sec'y should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their cosponsorship. Consultation with Rep. Ocasio-Cortez's office on a letter to the HELP and related agencies subcommittee requesting investment in programs, oversight, and research for older adults and people with disabilities who receive long-term care. Follow-up meeting with Rep. Jayapal's office to discuss reintroduction of the Medicare for All Act of 2025. Meeting with Rep. Schakowsky's office discussing support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 (S. 1709). Meetings with House and Senate Democratic Offices on DOGE attacks on SSI, Medicare, Medicaid, and on HHS Reorganization.

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1410, S 739- 9/11 Responder and Survivor Health Funding Correction Act of 2024 HR 3415, S 1709- Safe Nurse Staffing HR 1- One Big Beautiful Bill Medicaid- Funding, Eligibility Robert F. Kennedy Jr. Nomination for HHS Dr. Mehmet Oz for CMS Administration S 46, HR 247- Health Care Affordability Act of 2025 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 2528- Association Health Care Plans Act

Client expense: $770,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. S. 852 Support Richard L. Trumka Protecting the Right to Organize Act Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support Planned Parenthood-led organizational letter opposing Medicaid cuts, focus on specific proposed policies and tied to gender and racial disparities. Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 852 Support Richard L. Trumka Protecting the Right to Organize ActS.2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 852 Support Richard L. Trumka Protecting the Right to Organize Act Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support Planned Parenthood-led organizational letter opposing Medicaid cuts, focus on specific proposed policies and tied to gender and racial disparities. Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. S. 852 Support Richard L. Trumka Protecting the Right to Organize Act Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support Planned Parenthood-led organizational letter opposing Medicaid cuts, focus on specific proposed policies and tied to gender and racial disparities. Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. S. 852 Support Richard L. Trumka Protecting the Right to Organize Act Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support Planned Parenthood-led organizational letter opposing Medicaid cuts, focus on specific proposed policies and tied to gender and racial disparities. Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

H.R.1 Oppose the budget reconciliation legislation titled, One Big Beautiful Bill Act. Oppose federal workforce pay and benefits cuts, and Medicaid cuts in final budget reconciliation legislation; supported the AFL-CIO led letter opposing AI State law preemption in reconciliation bill. Signed on and supported letter from Center for Health and Democracy opposing health care cuts in the Big Beautiful Bill Act and encouraged House and Senate members to focus on over payments to private insurance offering Medicare Advantage Support Families USA-led organizational sign on letter opposing reconciliation bill Support AFL-CIO led letter opposing AI State law preemption in reconciliation bill, and oppose provision in bill. H.R. 1732 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector H.R. 20 Support Richard L. Trumka Protecting the Right to Organize Act H.R. 2531 Support Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2550 Support Protect Americas Workforce Act to restore federal collective bargaining rights H.R. 2753 Support Hands off Medicaid and SNAP Act H.R. 3069 Support Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. H.R. 3178 Oppose The Save Healthcare Workers Act H.R. 3261 Support the VA Employee Fairness Act of 2025 H.R. 3415 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 H.R. 3944 Expressed opposition to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act H.R. 593 Discussed concerns with messaging for strengthening Strengthening Pathways to Health Professions Act, and proposals that we agreed with in the legislation S. 1232 Support Workplace Violence Prevention for Health Care and Social Service Workers Act S. 1506 Support for Medicare for All Act; discussed NNU opposition to cuts to health care programs in proposed reconciliation bill. S. 1650 Support the VA Employee Fairness Act of 2025 S. 1709 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 S. 2145 Endorsed and expressed support for the GUARD Veterans Health Care Act S. 219 Support GUARD Veterans Health Care Act to protect VA funding from going into the private sector S. 2501 Support the Asuncion Valdivia of 2023 Heat Illness, Injury, and Fatality Prevention Act Asked Members of Congress to support UC nurses and UMC New Orleans in their fight for safe staffing, workplace protections, and fair contract; and to support the Workplace Violence Prevention for Health Care and Social Service Workers Act and the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. S. 852 Support Richard L. Trumka Protecting the Right to Organize Act Oppose Department of Veterans Affairs Reduction in Force proposal Oppose funding and staff cuts to NIOSH. Called on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country. Oppose Trump administrations actions to dismantle HHS Support Planned Parenthood-led organizational letter opposing Medicaid cuts, focus on specific proposed policies and tied to gender and racial disparities. Support an All-Labor letter opposing SNAP cuts in reconciliation Support Public Citizen-led organizational letter opposing HHS rulemaking to delay Medicare drug price negotiations on pill form medication (from 7 years to 13 years) Support Senate Resolution Reinstating the Richarson Waiver Support Labor Caucus letter opposing the Trump EO of stripping federal workers of collective bargaining rights Support Rep. Greg Landsman's letter calling on the administration to restore NIOSH and reinstate 1,500 NIOSH employees and contractors across the country Support Warren, Wyden, Doggett, Schakowsky Congressional letter urging leadership to Reject Medicaid Cuts, Crack Down on Medicare Advantage Upcoding Expressed opposition to proposed Reduction in Force plan from VA Secretary Doug Collins at House Steering & Policy Committee

1. CMS rule on policy and technical changes to the Medicare Advantage program 2. Proposals reagarding staffing standards at nursing homes 3. Proposals regarding vaccine recommendations by the Centers for Disease Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE