Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes. Education regarding DEA's final telemedicine rule. Education about asynchronous telemedicine and letters of medical necessity in the FSA/HSA space.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, Treasury, Dept of, White House Office

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including, the Medicare Patient Access and Practice Stabilization Act (H.R. 879); the Strengthening Medicare for Patients and Providers Act (H.R. 6160), the Provider Reimbursement Stability Act (S. 4935); the Provider Reimbursement Stability Act (H.R. 8163/S. 5180); and the Efficiency Adjustment Delay Act (H.R. 7520); new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); provide a specialty physician loan repayment program with the SPARC Act (H.R 4681/S. 1380); provide deferred interest payments for residents on student loans with the Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390) and the Patient Access to Higher Quality Health Care Act (H.R. 4002); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380), and the Womens Heart Health Expansion Act (H.R. 7417/S. 3944) ; prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433), and the Safe Step Act (H.R. 5509/S. 2903); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (H.R. 6894/S. 717), Centers for Medicare and Medicaid Innovation payment models, including the Ambulatory Specialty Model for Heart Failure.

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes. Education regarding DEA's final telemedicine rule.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Assistance with issues related to permanent tele-health flexibilities for cardiac rehabilitation services. Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (H.R.783/S.248) Issues related to advancng coverage for lifestyle medicine

Client expense: Not reported · Firm income: $45,000

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

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including, the Medicare Patient Access and Practice Stabilization Act (H.R. 879); the Strengthening Medicare for Patients and Providers Act (H.R. 6160), the Provider Reimbursement Stability Act (S. 4935); the Provider Reimbursement Stability Act (H.R. 8163); and the Efficiency Adjustment Delay Act (H.R. 7520); new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); provide a specialty physician loan repayment program with the SPARC Act (H.R 4681/S. 1380); provide deferred interest payments for residents on student loans with the Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390) and the Patient Access to Higher Quality Health Care Act (H.R. 4002); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380), and the Womens Heart Health Expansion Act (H.R. 7417/S. 3944) ; prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433), and the Safe Step Act (H.R. 5509/S. 2903); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (H.R. 6894/S. 717), Centers for Medicare and Medicaid Innovation payment models.

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3521 Clinical Trial Modernization Act; ;; HR 4417 Mobile Cancer Screening Act; HR 5304 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 45448 Protecting Free Vaccines Act; HR 9260, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; HR 6178 Increasing Access to Lung Cancer Screening Act; HR 6321 Lung Cancer Medicare Access to Precise Testing Act; HR 6320 Improving Medicaid Precision and Cancer Test Act of 2025; Consolidated Appropriations Act, 2026; HR 8839, Lanie Jones Comprehensive Cancer Survivorship Act of 2026; S. 4566, Increasing Access to Lung Cancer Screening Act

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3701 Family Vaccine Protection Act; H.R. 3521 Clinical Trial Modernization Act;;; HR 4417 Mobile Cancer Screening Act HR 3701 Family Vaccine Protection Act; HR 5304Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 6703 Lower Health Care Premiums for All Americans Act; S 2466 Senior Savings Protection Act; HR Senior Savings Protection Act; HR 6052 Elijah E. Cummings Family Asthma Act; HR 6319 Benay Taub Lung Cancer Research Act; HR 45448 Protecting Free Vaccines Act; Consolidated Appropriations Act, 2026; Breaking the Gridlock Act; HR 9260, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ATA Action - Federal Legislative Priorities (119th Congress) As of Q4 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including, the Medicare Patient Access and Practice Stabilization Act (H.R. 879); the Strengthening Medicare for Patients and Providers Act (H.R. 6160), the Provider Reimbursement Stability Act (S. 4935); the Provider Reimbursement Stability Act (H.R. 8163); and the Efficiency Adjustment Delay Act (H.R. 7520); new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); provide a specialty physician loan repayment program with the SPARC Act (H.R 4681/S. 1380); provide deferred interest payments for residents on student loans with the Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390) and the Patient Access to Higher Quality Health Care Act (H.R. 4002); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380), and the Womens Heart Health Expansion Act (H.R. 7417/S. 3944) ; prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433), and the Safe Step Act (H.R. 5509/S. 2903); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (H.R. 6894/S. 717), Centers for Medicare and Medicaid Innovation payment models.

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3521 Clinical Trial Modernization Act; HR 4417 Mobile Cancer Screening Act; HR 5304 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 45448 Protecting Free Vaccines Act

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3701 Family Vaccine Protection Act; H.R. 3521 Clinical Trial Modernization Act; HR 4417 Mobile Cancer Screening Act HR 3701 Family Vaccine Protection Act; HR 5304Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 6703 Lower Health Care Premiums for All Americans Act; S 2466 Senior Savings Protection Act; HR Senior Savings Protection Act; HR 6052 Elijah E. Cummings Family Asthma Act; HR 6319 Benay Taub Lung Cancer Research Act; HR 45448 Protecting Free Vaccines Act; Consolidated Appropriations Act, 2026; Breaking the Gridlock Act

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; HR 6178 Increasing Access to Lung Cancer Screening Act; HR 6321 Lung Cancer Medicare Access to Precise Testing Act; HR 6320 Improving Medicaid Precision and Cancer Test Act of 2025

Client expense: $160,000 · Firm income: Not reported

Supplemental Oxygen Access Reform Act, HR 2602/S 1406 Sustainable Rehabilitation Services in the Home Act, HR 783/S 248

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ATA Action - Federal Legislative Priorities (119th Congress) As of Q4 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025; the Strengthening Medicare for Patients and Providers Act (H.R. 6160), and; the Provider Reimbursement Stability Act (S. 4935); new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); provide a specialty physician loan repayment program with the SPARC Act (H.R 4681/S. 1380); provide deferred interest payments for residents on student loans with the Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390) and the Patient Access to Higher Quality Health Care Act (H.R. 4002); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380); prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816) and the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (H.R. 6894/S. 717), Centers for Medicare and Medicaid Innovation payment models

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3701 Family Vaccine Protection Act; H.R. 3521 Clinical Trial Modernization Act; HR 5371 Continuing Appropriations and Extensions Act, 2026; HR 5450Continuing Appropriations and Extensions and Other Matters Act, 2026; S 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; HR 4417 Mobile Cancer Screening Act HR 3701 Family Vaccine Protection Act; HR 5304Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 6703 Lower Health Care Premiums for All Americans Act; S 2466 Senior Savings Protection Act; HR Senior Savings Protection Act; HR 6052 Elijah E. Cummings Family Asthma Act; HR 6319 Benay Taub Lung Cancer Research Act; HR 45448 Protecting Free Vaccines Act

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3521 Clinical Trial Modernization Act; HR 5371 Continuing Appropriations and Extensions Act, 2026; HR 5450 Continuing Appropriations and Extensions and Other Matters Act, 2026; S 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; HR 4417 Mobile Cancer Screening Act; HR 5304 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025; HR 45448 Protecting Free Vaccines Act

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; HR 6178 Increasing Access to Lung Cancer Screening Act; HR 6321 Lung Cancer Medicare Access to Precise Testing Act; HR 6320 Improving Medicaid Precision and Cancer Test Act of 2025

Supplemental Oxygen Access Reform Act, HR 2602/S 1406 Sustainable Rehabilitation Services in the Home Act, HR 783/ S 248

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ATA Action - Federal Legislative Priorities (119th Congress) As of Q3 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; HR 1 One Big Beautiful Bill Act

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3701 Family Vaccine Protection Act; H.R. 3521 Clinical Trial Modernization Act; HR 5371 Continuing Appropriations and Extensions Act, 2026; HR 5450Continuing Appropriations and Extensions and Other Matters Act, 2026; S 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; HR 4417 Mobile Cancer Screening Act HR 3701 Family Vaccine Protection Act; HR 5304Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3521 Clinical Trial Modernization Act; HR 1 One Big Beautiful Bill Act; HR 5371 Continuing Appropriations and Extensions Act, 2026; HR 5450 Continuing Appropriations and Extensions and Other Matters Act, 2026; S 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; HR 4417 Mobile Cancer Screening Act; HR 5304 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; S 2587 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026; HR 5278/S 2756 Affordable Inhalers and Nebulizers Act of 2025

Supplemental Oxygen Access Reform Act, HR 2602/S 1406 Sustainable Rehabilitation Services in the Home Act, HR 783/ S 248

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ATA Action - Federal Legislative Priorities (119th Congress) As of Q3 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380); prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816) and the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717).

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Inclusion of HDHP first dollar coverage in the reconciliation legislation H.R.1 - One Big Beautiful Bill Act

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

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

ATA Action - Federal Legislative Priorities (119th Congress) As of Q2 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3701 Family Vaccine Protection Act; H.R. 3521 Clinical Trial Modernization Act;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; S.Con.Res 7 An original concurrent resolution setting forth 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 HR 1 One Big Beautiful Bill Act

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; H.R. 3521 Clinical Trial Modernization Act; HR 1 One Big Beautiful Bill Act

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; HR 1 One Big Beautiful Bill Act

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

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 4189/S. 1261) and the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380); prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816) and the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433); and clinician-led registry access to federal claims data, including the Access to Claims Data Act

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Inclusion of HDHP first dollar coverage in the reconciliation legislation

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

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to agency restructuring; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; HR 1968 Full-Year Continuing Appropriations and Extension Act of 2025; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act

Client expense: $63,000 · Firm income: Not reported

Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; Issues related to asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to NIH reorganization; Issues related to agency restructuring; Issues related to lung disease treatment, prevention and research; Issues related to COVID-19; Issues related to telehealth; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to health equity; Issues related to Cancer Moonshot; Issues related to CDC public health workforce and data modernization; Issues related to regulatory reform; Issues related to Medicaid; H.R. 1509/S. 752, the Accelerating Kids Access to Care Act; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act

Client expense: $63,000 · Firm income: Not reported

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to agency restructuring; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to FY26 appropriations; HR 1968 Full-Year Continuing Appropriations and Extension Act of 2025; 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; S.Con.Res 7 An original concurrent resolution setting forth 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; S 1406 the Supplemental Oxygen Access Reform Act; HR 2902 the Supplemental Oxygen Access Reform Act; H.R. 783 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S. 248 Sustainable Cardiopulmonary Rehabilitation Services in the Home Act; S 77 Early Participation in Regulations Act; S 81 Guidance Clarity Act; HR 77 Midnight Rules Relief Act; S 717 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025;

Client expense: $63,000 · Firm income: Not reported

Public Health Emergency, Telehealth, and Physician Virtual Supervision issues. H.R.783/S.248 - Sustainable Cardiopulmonary Rehabilitation Services in the Home Act - permanently extending Medicare reimbursement for at-home, hospital-based cardiac rehabilitation which expired when the Public Health Emergency expired.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE