A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits.

H.R. 4464/ S. 3204, Preventive Health Savings Act H.R. 5145, S. 3385, Bipartisan Premium Tax Credit Extension Act H.R. 5283/S. 2759, Healthcare Workforce Resilience Act S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits. U.S. Department of Education Negotiated Rulemaking Committees [Docket ID ED-2025-OPE-0151-0001] U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program (CMS-4212-P) U.S Department of Health and Human Services, Centers for Medicare & Medicaid ServicesAdvance Notice of Methodological Changes for Calendar Year (CY) 2027 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (CMS-2026-0034) U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program (CMS-9883-P) U.S. Department of Health and Human Services, Office of the Assistant Secretary for Technology Policy Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity (HTI-5) Proposed Rule (RIN 0955-AA09) U.S. Department of Health and Human Services, Office of the Assistant Secretary for Technology Policy Request for Information: Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care (RIN 0955-AA13)

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

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

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. 90 - Health Coverage Choice Act - Rep. Biggs, Andy - Duration of STLDHI plans H.R. 114 - Responsible Path to Full Obamacare Repeal Act - Rep. Biggs, Andy - ACA repeal H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 267 - Health Care Price Transparency Act - Rep. Davidson, Warren - Hospital and insurer transparency requirements H.R. 639 - Doctor Knows Best Act - Rep. Van Drew, Jefferson - Commercial market prior authorization H.R. 957 - Parity Enforcement Act - Rep. Norcross, Donald - Penalties for mental health parity violations H.R. 1385 - DOC Access Act - Rep. Carter, Earl Buddy - Rate setting for dental and optometric services H.R. 1397 - Increasing Access to Dental Insurance Act - Rep. Miller-Meeks, Mariannette - Standalone dental plans H.R. 1776 - New Health Options Act - Rep. Palmer, Gary - ACA reinsurance H.R. 2079 - Insurance Fraud Accountability Act - Rep. Ross, Deborah - fraudulent ACA enrollments H.R. 2199 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 2553 - Capping Prescription Costs Act - Rep. Horsford, Steven - Prescription cost-sharing H.R. 2554 - Lower Drug Costs for Families Act - Rep. Horsford, Steven - Commercial market drug rebates H.R. 2636 - Making Insulin Affordable for All Children Act - Rep. Landsman, Greg - Commercial market insulin cost-sharing H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act - Rep. Spartz, Victoria - Study on anti-competitive contracting H.R. 3527 - Bridge to Medicaid Act - Rep. Sewell, Terri - ACA subsidies for non-Medicare expansion states H.R. 3701 - Family Vaccine Protection Act - Rep. Pallone, Frank - ACIP codification and vaccine coverage H.R. 4406 - State-Based Universal Health Care Act - Rep. Khanna, Ro - State-based universal health care H.R. 4710 - No Surprises Act Enforcement Act - Rep. Murphy, Greg - Surprise billing penalties for noncompliance by health insurers H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 5509 - Safe Step Act - Rep. Allen, Rick - Step therapy requirements H.R. 5582 - Patients Deserve Price Tags Act - Rep. James, John - Hospital and insurer price transparency requirement H.R. 6171 - ACA Copay CAP Act of 2025 - Rep. Auchincloss, Jake - establish out of pocket limit on prescription drugs H.R. 6248 - Healthy Competition for Better Care Act - Rep. Arrington, Jodey - ban anticompetitive terms in contracts, promote higher quality, lower cost care H.R. 6703 - Lower Health Care Premiums for All Americans Act - Rep. Miller-Meeks, Mariannette - amend ERISA to lower premiums H.R. 7023 - Affordable CHOICE Act - Rep. Schakowsky, Janice - public option under ACA H.R. 7164 - Capping Costs for Consumers Act - Rep. Schrier, Kim - ACA cost-sharing reductions H.R. 8270 - Every Dollar Counts Act - Rep. Murphy, Greg - Requirements for deductibles and MOOP to include expenditures for DTC prescriptions H.R. 8684 - Transparency in Billing Act - Rep. Foxx, Virginia - Transparency enforcement H.R. 9393 - Lower Costs, More Transparency Act - Rep. Guthrie, Brett - Healthcare price transparency S. 46 - Health Care Affordability Act - Sen. Shaheen, Jeanne - ACA tax credit extension S. 729 - Hospital Transparency Compliance Enforcement Act - Sen. Kennedy, John - Hospital price transparency requirements S. 864 - HELP Copays Act - Sen. Marshall, Roger - Cost-sharing requirements S. 976 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - fraudulent ACA enrollments S. 2355 - Patients Deserve Price Tags Act - Sen. Marshall, Roger - Hospital and insurer price transparency requirements S. 2420 - No Surprises Act Enforcement Act - Sen. Marshall, Roger - Surprise billing penalties for noncompliance by health insurers S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 2903 - Safe Step Act - Sen. Murkowski, Lisa - Step therapy requirement S. 3599 - Affordable CHOICE Act - Sen. Whitehouse, Sheldon - public option under ACA S. 3990 - PrEP Access and Coverage Act - Sen. Smith, Tina - Coverage requirements for HIV services S. 4189 - INSULIN Act - Sen. Collins, Susan - Insulin cost-sharing caps S. 4512 - Affordable Insulin Now Act - Sen. Kennedy, John - Insulin cost-sharing caps Issues related to implementation rule implementing the No Surprises Act prohibiting surprise medical bills; transparency report requirements; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Waste Fraud and Abuse; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; coverage of weight loss drugs; Transparency in Coverage; No Surprises Act; ACA Marketplace Integrity; ACA Enhanced Tax Credits; Prior Authorization; affordability; and health savings accounts.

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. 127 - Protection from Obamacare Mandates and Congressional Equity Act - Rep. Biggs, Andy - Repeals IRS mandate on minimum essential coverage H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 379 - Healthcare Freedom and Choice Act - Rep. Carter, Earl Buddy - Duration of STLDHI plans H.R. 1157 - ACCESS Act - Rep. Steube, Gregory - HSA contributions H.R. 2571 - Self-Insurance Protection Act - Rep. Onder, Robert - Medical stop loss coverage definition H.R. 3080 - Health Care Fairness for All Act - Rep. Sessions, Pete - Health savings accounts H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6010 - To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. - Rep. Liccardo, Sam - extend enhanced premium tax credit H.R. 6232 - HOPE Act - Rep. Suozzi, Tom - extend the enhanced premium tax credit S. 2641 - Health Care Freedom and Choice Act - Sen. Johnson, Ron - Duration of STLDHI plans S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 3751 - Prescription Drug Supply Chain Pricing Transparency Act - Sen. Bennet, Michael - Prescription drug supply chain price transparency report Issues related to the employer health insurance tax exclusion.

Client expense: $3,010,000 · Firm income: Not reported

One Big Beautiful Bill Act, P.L.119-21. Advocate to protect cancer patients in implementation of changes to Medicaid under the law. Issues regarding expanding the availability of the charitable deduction for non-itemizers. Issues respecting charitable giving and life income planning, issues regarding taxation of charitable organizations, and issues regarding economic relief for nonprofit organizations. Issues related to stimulus for nonprofit organizations and increasing charitable giving. Clinical Trial Modernization Act, H.R. 3521, S. 4440. Increase access to clinical trials for all persons with cancer to participate by reducing barriers to enrollment including support for ancillary (non-medical) costs and remote access to trials. To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes, H.R. 4184. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants. Health Care Affordability Act, H.R. 247, S. 46. Bill would permanently extend the enhanced Affordable Care Act tax credits. Bipartisan Premium Tax Credit Extension Act, H.R. 5145. Bill would extend the enhanced ACA tax credits for one year. Breaking the Gridlock Act, H.R. 1834. Bill would extend the enhanced Affordable Care Act tax credits for three years. CommonGround for Affordable Health Care Act, H.R.6575. Bill would extend the enhanced Affordable Care Act tax credits for one year and make other adjustments. Bipartisan Health Insurance Affordability Act, H.R.6501. Bill would extend the enhanced Affordable Care Act tax credits for two years and make other adjustments. A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, S.2824. Bill would extend the enhanced ACA tax credits for two years. Charity Parity Act, H.R. 8783, S. 4511. The bill would allow taxpayers to make direct qualified charitable distributions (QCDs) from their employer sponsored retirement plans.

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

H.R. 2 / S. 2824,Secure the Border Act H.R. 7296 / S. 3752 / S. 1383, Safeguard American Voter Eligibility (SAVE America) Act H.R. 151 / S. 2205, Equal Representation Act S. 3857 / H.R. 7780, One Nation, One Visa Policy Act H.R. 1689, To require the Secretary of Homeland Security to designate Haiti for temporary protected status S. Con. Res. 33, Department of Homeland Security Reconciliation Package S. 2, Secure America Act S. 4620, Mandatory E-Verify Act H.R. 1, An act to provide for reconciliation pursuant to title II of H. Con. Res. 14 H.R. 9157, American White-Collar Worker Jobs Act H.R. 8628, End U Visa Abuse Act H.R. 8995, REMITTANCE Act H.R. 9514, Homeownership Eligibility Reform Act

Client expense: $42,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Budget Reconciliation (no bill number yet) - Oppsose additional healthcare cuts or changes to EITC and CTC that would reduce tax credits H.R.3069 and S.1506 - Medicare for All Act - Provide healthcare coverage for all under a single payer system H.R.3911 and S.2032 - Choose Medicare Act - Provide Medicare option for universal coverage HR 4849/S.2556 - Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer) -Support to Repeal healthcare title of HR. 1 and permanently extend ACA enhanced premium tax credits S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits (Sen. Murkowski) -Oppose a temporary two year extenstion of the ACA EPTCs S.3385 Lower Health Care Costs Act (Schumer) -Suport clean three year extension to ACA ePTCs Discharge Petition No. 10 H.Res. 780 (Jeffries) -Support three year clean extention of ACA ePTCs S.3386 Health Care Freedom for Patients Act of 2025 (Crapo/Cassidy) -Oppose bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes H.R.6703 - Lower Health Care Premiums for All Americans Act -House Republicans alternative approach to addressing rising health insurance costs without extending ACA ePTCs S.2 Secure America Act -Opposed additional funding for ICE/CBP in Budget Reconciliation 2.0 S.1506 - Medicare for All Act -Provide healthcare coverage for all under a single payer system S.2032 - Choose Medicare Act -S.2032 - Provide Medicare option for universal coverage

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

Draft, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require out- of-pocket expenditures for drugs to count towards an individuals deductible and out-of-pocket maximum. (no bill number) - Rep. Murphy, Greg - Requirements for deductibles and MOOP to include expenditures for DTC prescriptions 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. 90 - Health Coverage Choice Act - Rep. Biggs, Andy - Duration of STLDHI plans H.R. 114 - Responsible Path to Full Obamacare Repeal Act - Rep. Biggs, Andy - ACA repeal H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 267 - Health Care Price Transparency Act - Rep. Davidson, Warren - Hospital and insurer transparency requirements H.R. 639 - Doctor Knows Best Act - Rep. Van Drew, Jefferson - Commercial market prior authorization H.R. 957 - Parity Enforcement Act - Rep. Norcross, Donald - Penalties for mental health parity violations H.R. 1385 - DOC Access Act - Rep. Carter, Earl Buddy - Rate setting for dental and optometric services H.R. 1397 - Increasing Access to Dental Insurance Act - Rep. Miller-Meeks, Mariannette - Standalone dental plans H.R. 1776 - New Health Options Act - Rep. Palmer, Gary - ACA reinsurance H.R. 2079 - Insurance Fraud Accountability Act - Rep. Ross, Deborah - fraudulent ACA enrollments H.R. 2199 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 2553 - Capping Prescription Costs Act - Rep. Horsford, Steven - Prescription cost-sharing H.R. 2554 - Lower Drug Costs for Families Act - Rep. Horsford, Steven - Commercial market drug rebates H.R. 2636 - Making Insulin Affordable for All Children Act - Rep. Landsman, Greg - Commercial market insulin cost-sharing H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act - Rep. Spartz, Victoria - Study on anti-competitive contracting H.R. 3527 - Bridge to Medicaid Act - Rep. Sewell, Terri - ACA subsidies for non-Medicare expansion states H.R. 3701 - Family Vaccine Protection Act - Rep. Pallone, Frank - ACIP codification and vaccine coverage H.R. 4406 - State-Based Universal Health Care Act - Rep. Khanna, Ro - State-based universal health care H.R. 4710- No Surprises Act Enforcement Act - Rep. Murphy, Greg - Surprise billing penalties for noncompliance by health insurers H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6171 - ACA Copay CAP Act of 2025 - Rep. Auchincloss, Jake - establish out of pocket limit on prescription drugs H.R. 6248 - Healthy Competition for Better Care Act - Rep. Arrington, Jodey - ban anticompetitive terms in contracts, promote higher quality, lower cost care H.R. 6703 - Lower Health Care Premiums for All Americans Act - Rep. Miller-Meeks, Mariannette - amend ERISA to lower premiums H.R. 7023 - Affordable CHOICE Act - Rep. Schakowsky, Janice - public option under ACA H.R. 7164 - Capping Costs for Consumers Act - Rep. Schrier, Kim - ACA cost-sharing reductions S. 46 - Health Care Affordability Act - Sen. Shaheen, Jeanne - ACA tax credit extension S. 729 - Hospital Transparency Compliance Enforcement Act - Sen. Kennedy, John - Hospital price transparency requirements S. 864 - HELP Copays Act - Sen. Marshall, Roger - Cost-sharing requirements S. 976 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - fraudulent ACA enrollments S. 2355 - Patients Deserve Price Tags Act - Sen. Marshall, Roger - Hospital and insurer price transparency requirements S. 2420 - No Surprises Act Enforcement Act - Rep. Marshall, Roger - Surprise billing penalties for noncompliance by health insurers S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 3599 - Affordable CHOICE Act - Sen. Whitehouse, Sheldon - public option under ACA S. 3990 - PrEP Access and Coverage Act - Sen. Smith, Tina - Coverage requirements for HIV services Issues related to implementation rule implementing the No Surprises Act prohibiting surprise medical bills; transparency report requirements; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; coverage of weight loss drugs; Transparency in Coverage; No Surprises Act; ACA Marketplace Integrity; ACA Enhanced Tax Credits; Prior Authorization; health savings accounts; and potential changes to the VA community care program, including administration of community care.

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. 127 - Protection from Obamacare Mandates and Congressional Equity Act - Rep. Biggs, Andy - Repeals IRS mandate on minimum essential coverage H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 379 - Healthcare Freedom and Choice Act - Rep. Carter, Earl Buddy - Duration of STLDHI plans H.R. 1157 - ACCESS Act - Rep. Steube, Gregory - HSA contributions H.R. 2571 - Self-Insurance Protection Act - Rep. Onder, Robert - Medical stop loss coverage definition H.R. 3080 - Health Care Fairness for All Act - Rep. Sessions, Pete - Health savings accounts H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6010 - To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. - Rep. Liccardo, Sam - extend enhanced premium tax credit H.R. 6232 - HOPE Act - Rep. Suozzi, Tom - extend the enhanced premium tax credit S. 2641 - Health Care Freedom and Choice Act - Sen. Johnson, Ron - Duration of STLDHI plans S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 3751 - Prescription Drug Supply Chain Pricing Transparency Act - Sen. Bennet, Michael - Prescription drug supply chain price transparency report Issues related to the employer health insurance tax exclusion.

Client expense: $5,320,000 · Firm income: Not reported

One Big Beautiful Bill Act, P.L.119-21. Advocate to protect cancer patients in implementation of changes to Medicaid under the law. Issues regarding expanding the availability of the charitable deduction for non-itemizers. Issues respecting charitable giving and life income planning, issues regarding taxation of charitable organizations, and issues regarding economic relief for nonprofit organizations. Issues related to stimulus for nonprofit organizations and increasing charitable giving. Clinical Trial Modernization Act, H.R. 3521. Increase access to clinical trials for all persons with cancer to participate by reducing barriers to enrollment including support for ancillary (non-medical) costs and remote access to trials. To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes, H.R. 4184. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants. Health Care Affordability Act, H.R. 247, S. 46. Bill would permanently extend the enhanced Affordable Care Act tax credits. Bipartisan Premium Tax Credit Extension Act, H.R. 5145. Bill would extend the enhanced ACA tax credits for one year. Breaking the Gridlock Act, H.R. 1834. Bill would extend the enhanced Affordable Care Act tax credits for three years. CommonGround for Affordable Health Care Act, H.R.6575. Bill would extend the enhanced Affordable Care Act tax credits for one year and make other adjustments. Bipartisan Health Insurance Affordability Act, H.R.6501. Bill would extend the enhanced Affordable Care Act tax credits for two years and make other adjustments. A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, S.2824. Bill would extend the enhanced ACA tax credits for two years.

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

H.R. 2 / S. 2824,Secure the Border Act H.R. 7296 / S. 3752 / S. 1383 Safeguard American Voter Eligibility (SAVE America) Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 151 / S. 2205, Equal Representation Act H.R. 4371, Kayla Hamilton Act H.R. 7744, Department of Homeland Security Appropriations Act, 2026 H.R. 7148, Consolidated Appropriations Act, 2026 H.R.7147, Further Additional Continuing Appropriations Act, 2026 H.R. 1958, Deporting Fraudsters Act H.R. 4638, Federal Working Animal Protection Act S. 3857 / H.R. 7780, One Nation, One Visa Policy Act S. 3955, Migrant Crime Reporting Act S. 3909, Stop Illegal Alien Cops Act S. 3674 / H.R. 7156, Stop Citizenship Abuse and Misrepresentation (SCAM) Act Department of Homeland Security Reconciliation Package

Client expense: $44,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4464/ S. 3204, Preventive Health Savings Act H.R. 5145, S. 3385, Bipartisan Premium Tax Credit Extension Act H.R. 5283/S. 2759, Healthcare Workforce Resilience Act S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits. U.S. Department of Education Negotiated Rulemaking Committees [Docket ID ED-2025-OPE-0151-0001] U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program (CMS-4212-P) U.S Department of Health and Human Services, Centers for Medicare & Medicaid ServicesAdvance Notice of Methodological Changes for Calendar Year (CY) 2027 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (CMS-2026-0034) U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program (CMS-9883-P) U.S. Department of Health and Human Services, Office of the Assistant Secretary for Technology Policy Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity (HTI-5) Proposed Rule (RIN 0955-AA09) U.S. Department of Health and Human Services, Office of the Assistant Secretary for Technology Policy Request for Information: Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care (RIN 0955-AA13)

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

H.R. 2 / S. 2824, Secure the Border Act H.R. 318, Border Safety and Security Act H.R. 29 / S. 5, Laken Riley Act S. 84, Sarah's Law H.R. 1792, No Tax Dollars for the United Nations Immigration Invasion Act H.R. 1168, Protecting Federal Funds from Human Trafficking and Smuggling Act H.R. 30 / S. 158, Preventing Violence Against Women by Illegal Aliens Act H.R. 1220, Fee Increases for Reckless Mismanagement (FIRM) Act H.R. 1953, Deportation Compliance Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 35 / S. 512, Agent Raul Gonzalez Officer Safety Act H.R. 2315, Fairness for High-Skilled Americans Act H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 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

Client expense: $54,444 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2 / S. 2824, Secure the Border Act H.R. 318, Border Safety and Security Act H.R. 29 / S. 5, Laken Riley Act S. 84, Sarah's Law H.R. 1792, No Tax Dollars for the United Nations Immigration Invasion Act H.R. 1168, Protecting Federal Funds from Human Trafficking and Smuggling Act H.R. 30 / S. 158, Preventing Violence Against Women by Illegal Aliens Act H.R. 1220, Fee Increases for Reckless Mismanagement (FIRM) Act H.R. 1953, Deportation Compliance Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 35 / S. 512, Agent Raul Gonzalez Officer Safety Act H.R. 2315, Fairness for High-Skilled Americans Act H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 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

Client expense: $54,444 · 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

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. 90 - Health Coverage Choice Act - Rep. Biggs, Andy - Duration of STLDHI plans H.R. 114 - Responsible Path to Full Obamacare Repeal Act - Rep. Biggs, Andy - ACA repeal H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 267 - Health Care Price Transparency Act - Rep. Davidson, Warren - Hospital and insurer transparency requirements H.R. 639 - Doctor Knows Best Act - Rep. Van Drew, Jefferson - Commercial market prior authorization H.R. 957 - Parity Enforcement Act - Rep. Norcross, Donald - Penalties for mental health parity violations H.R. 1385 - DOC Access Act - Rep. Carter, Earl Buddy - Rate setting for dental and optometric services H.R. 1397 - Increasing Access to Dental Insurance Act - Rep. Miller-Meeks, Mariannette - Standalone dental plans H.R. 1776 - New Health Options Act - Rep. Palmer, Gary - ACA reinsurance H.R. 2079 - Insurance Fraud Accountability Act - Rep. Ross, Deborah - fraudulent ACA enrollments H.R. 2199 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 2553 - Capping Prescription Costs Act - Rep. Horsford, Steven - Prescription cost-sharing H.R. 2554 - Lower Drug Costs for Families Act - Rep. Horsford, Steven - Commercial market drug rebates H.R. 2636 - Making Insulin Affordable for All Children Act - Rep. Landsman, Greg - Commercial market insulin cost-sharing H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act - Rep. Spartz, Victoria - Study on anti-competitive contracting H.R. 3527 - Bridge to Medicaid Act - Rep. Sewell, Terri - ACA subsidies for non-Medicare expansion states H.R. 3701 - Family Vaccine Protection Act - Rep. Pallone, Frank - ACIP codification and vaccine coverage H.R. 4406 - State-Based Universal Health Care Act - Rep. Khanna, Ro - State-based universal health care H.R. 4710- No Surprises Act Enforcement Act - Rep. Murphy, Greg - Surprise billing penalties for noncompliance by health insurers H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6171 - ACA Copay CAP Act of 2025 - Rep. Auchincloss, Jake - establish out of pocket limit on prescription drugs H.R. 6248 - Healthy Competition for Better Care Act - Rep. Arrington, Jodey - ban anticompetitive terms in contracts, promote higher quality, lower cost care H.R. 6703 - Lower Health Care Premiums for All Americans Act - Rep. Miller-Meeks, Mariannette - amend ERISA to lower premiums S. 46 - Health Care Affordability Act - Sen. Shaheen, Jeanne - ACA tax credit extension S. 729 - Hospital Transparency Compliance Enforcement Act - Sen. Kennedy, John - Hospital price transparency requirements S. 864 - HELP Copays Act - Sen. Marshall, Roger - Cost-sharing requirements S. 976 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - fraudulent ACA enrollments S. 2355 - Patients Deserve Price Tags Act - Sen. Marshall, Roger - Hospital and insurer price transparency requirements S. 2420 - No Surprises Act Enforcement Act - Rep. Marshall, Roger - Surprise billing penalties for noncompliance by health insurers S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits Issues related to implementation rule implementing the No Surprises Act prohibiting surprise medical bills; transparency report requirements; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; coverage of weight loss drugs; Transparency in Coverage; No Surprises Act; ACA Marketplace Integrity; ACA Enhanced Tax Credits; Prior Authorization; and health savings accounts.

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. 127 - Protection from Obamacare Mandates and Congressional Equity Act - Rep. Biggs, Andy - Repeals IRS mandate on minimum essential coverage H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 379 - Healthcare Freedom and Choice Act - Rep. Carter, Earl Buddy Duration of STLDHI plans H.R. 1157 - ACCESS Act - Rep. Steube, Gregory - HSA contributions H.R. 2571 - Self-Insurance Protection Act - Rep. Onder, Robert - Medical stop loss coverage definition H.R. 3080 - Health Care Fairness for All Act - Rep. Sessions, Pete - Health savings accounts H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6010 - To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. - Rep. Liccardo, Sam - extend enhanced premium tax credit H.R. 6232 - HOPE Act - Rep. Suozzi, Tom - extend the enhanced premium tax credit S. 2641 - Health Care Freedom and Choice Act - Sen. Johnson, Ron - Duration of STLDHI plans S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits Issues related to the employer health insurance tax exclusion.

Client expense: $4,120,000 · Firm income: Not reported

HR 1 One Big Beautiful Bill Act (Rep. Arrington) - Restore eligibility for immigrant children in the Child Tax Credit and defend against removing US citizen children from current credit. - Expand the CTC to reach children left out because their parents dont earn enough - Oppose EITC pre-certification - Support Direct File program - Oppose AI moratorium H.R.5371 Continuing Appropriations and Extensions Act, 2026 (Rep. Cole) - oppose Continuing resolution with a 7-week stopgap funding because if fails to extend ACA EPTCs HR 4849/S.2556 - Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer) - Support to Repeal healthcare title of HR. 1 and permanently extend ACA enhanced premium tax credits H.R.5450/ S.2882 - Continuing Appropriations and Extensions and Other Matters Act, 2026 (Rep. DeLauro/Sen. Murray) - Support 4 week continuing resolutions that permanently extends provisions that expanded the premium tax credit, and repeals health care provisions that were included in HR1 H.R.5145 - Bipartisan Premium Tax Credit Extension Act (Rep. Kiggans) - Oppose one year extenstion of ACA EPTCs S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits (Sen. Murkowski) -Oppose a temporary two year extenstion of the ACA EPTCs S.3385 Lower Health Care Costs Act (Schumer) - Suport clean three year extension to ACA ePTCs Discharge Petition No. 10 H.Res. 780 (Jeffries) - Support three year clean extension of ACA ePTCs H.R.6703 - Lower Health Care Premiums for All Americans Act - Oppose House Republicans alternative approach to addressing rising health insurance costs without extending ACA ePTCs Discharge Petition No. 12 (Fitzpatrick) - Oppose two year extension of EPTCs. Adds $5 minimum for incomes up to 200% FPL American Family Act H.R.2763/S.1393 - Support Child Tax Credit and Earned Income Tax Credit Expansion Tax Cut for Workers Act H.R.2764/S.1372 - Support Child Tax Credit and Earned Income Tax Credit Expansion Worker Relief and Credit Reform Act H.R.2338 - Support Child Tax Credit and Earned Income Tax Credit Expansion FISC Act HR 1308 - Support Child Tax Credit and Earned Income Tax Credit Expansion HR1968 - Support Full IRS funding and oppose provisions to block free tax filing in Financial Services and General Government Appropriations Get your money back act (Rep Sykes Draft leg, no # assigned yet) - Oppose Budget Resolutions that increase tax breaks for the wealthy and cut essential programs. Working Families Tax Cut Act (not yet introduced) - Raise taxes on wealthy people to pay for tax cuts for working families

H.R.5371 Continuing Appropriations and Extensions Act, 2026 (Rep. Cole) - oppose Continuing resolution with a 7-week stopgap funding because if fails to extend ACA EPTCs HR 4849/S.2556 - Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer) - Support to Repeal healthcare title of HR. 1 and permanently extend ACA enhanced premium tax credits H.R.5450/ S.2882 - Continuing Appropriations and Extensions and Other Matters Act, 2026 (Rep. DeLauro/Sen. Murray) - Support 4 week continuing resolutions that permanently extends provisions that expanded the premium tax credit, and repeals health care provisions that were included in HR1 H.R.5145 - Bipartisan Premium Tax Credit Extension Act (Rep. Kiggans) - Oppose one year extenstion of ACA EPTCs S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits (Sen. Murkowski) -Oppose a temporary two year extenstion of the ACA EPTCs S.3385 Lower Health Care Costs Act (Schumer) - Suport clean three year extension to ACA ePTCs Discharge Petition No. 10 H.Res. 780 (Jeffries) - Support three year clean extension of ACA ePTCs H.R.6703 - Lower Health Care Premiums for All Americans Act - Oppose House Republicans alternative approach to addressing rising health insurance costs without extending ACA ePTCs Discharge Petition No. 12 (Fitzpatrick) - Oppose two year extension of EPTCs. Adds $5 minimum for incomes up to 200% FPL S.3386 Health Care Freedom for Patients Act of 2025 (Crapo/Cassidy) - Oppose bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes

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

One Big Beautiful Bill Act, P.L.119-21. Advocate to protect cancer patients in implementation of changes to Medicaid under the law. Issues regarding expanding the availability of the charitable deduction for non-itemizers. Issues respecting charitable giving and life income planning, issues regarding taxation of charitable organizations, and issues regarding economic relief for nonprofit organizations. Issues related to stimulus for nonprofit organizations and increasing charitable giving. Clinical Trial Modernization Act, H.R. 3521. Increase access to clinical trials for all persons with cancer to participate by reducing barriers to enrollment. Barriers may include ancillary (non-medical) costs, such as transportation and lodging, and remote access to trials, particularly for people who are underrepresented, including certain racial and ethnic groups, older adults, rural residents, and those with limited incomes. To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes, H.R. 4184. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants. Health Care Affordability Act, H.R. 247, S. 46. Bill would permanently extend the enhanced Affordable Care Act tax credits. Bipartisan Premium Tax Credit Extension Act, H.R. 5145. Bill would extend the enhanced ACA tax credits for one year. Breaking the Gridlock Act, H.R. 1834. Bill would extend the enhanced Affordable Care Act tax credits for three years. CommonGround for Affordable Health Care Act, H.R.6575. Bill would extend the enhanced Affordable Care Act tax credits for one year and make other adjustments. Bipartisan Health Insurance Affordability Act, H.R.6501. Bill would extend the enhanced Affordable Care Act tax credits for two years and make other adjustments. A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, S.2824. Bill would extend the enhanced ACA tax credits for two years.

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

H.R. 5145, Bipartisan Premium Tax Credit Extension Act S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits. S. 2983, Extending Expired Cybersecurity Authorities Act Request for Information; Regulatory Reform on Artificial Intelligence (FR Doc. 2025-18737) FTC Request for Information Regarding Employer Noncompete Agreements Request for Public Comments and Notice of Public Hearing Relating to the Operation of the Agreement Between the United States of America, the United Mexican States, and Canada Notice of Request for Public Comments on Section 232 National Security Investigation of Imports of Personal Protective Equipment, Medical Consumables, and Medical Equipment, Including Devices (BIS-2025-0258) (XRIN 0694-XC134)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2 / S. 2824,Secure the Border Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 151 / S. 2205, Equal Representation Act H.R. 4371, Kayla Hamilton Act H.R. 5371, Continuing Appropriations and Extensions Act, 2026 H.R. 5450, Continuing Appropriations and Extensions and Other Matters Act, 2026 S. 2296, National Defense Authorization Act for Fiscal Year 2026 H.R. 3838, Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S. 1071, National Defense Authorization Act for Fiscal Year 2026 H.R 6057, Criminal Alien Removal Clarification Act S. 3584, Stop Illegal Aliens Drunk Driving Act

Client expense: $36,515 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R. 2 / S. 2824,Secure the Border Act H.R. 1 / Senate Amendment to H.R. 1, reconciliation package H.R. 875,the Jeremy and Angel Seay and Sergeant Brandon Mendoza Protect Our Communities from DUIs Act H.R. 3486, the Stop Illegal Entry Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 151 / S. 2205, Equal Representation Act S. 2821, American Tech Workforce Act H.R. 4234, Safeguarding Americans From Extremist Risk (SAFER) at the Border Act H.R. 5232, Domestic Jobs Protection Act H.R. 5005, Sanctuary Penalty and Public Protection Act S. 2555, Student Visa Integrity Act H.R. 4371, Kayla Hamilton Act H.R. 5371, Continuing Appropriations and Extensions Act, 2026 H.R. 5450, Continuing Appropriations and Extensions and Other Matters Act, 2026

Client expense: $29,515 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 90 - Health Coverage Choice Act - Rep. Biggs, Andy - Duration of STLDHI plans H.R. 114 - Responsible Path to Full Obamacare Repeal Act - Rep. Biggs, Andy - ACA repeal H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 267 - Health Care Price Transparency Act - Rep. Davidson, Warren - Hospital and insurer transparency requirements H.R. 639 - Doctor Knows Best Act - Rep. Van Drew, Jefferson - Commercial market prior authorization H.R. 957 - Parity Enforcement Act - Rep. Norcross, Donald - Penalties for mental health parity violations H.R. 1385 - DOC Access Act - Rep. Carter, Earl Buddy - Rate setting for dental and optometric services H.R. 1397 - Increasing Access to Dental Insurance Act - Rep. Miller-Meeks, Mariannette - Standalone dental plans H.R. 1776 - New Health Options Act - Rep. Palmer, Gary - ACA reinsurance H.R. 2079 - Insurance Fraud Accountability Act - Rep. Ross, Deborah - fraudulent ACA enrollments H.R. 2199 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 2553 - Capping Prescription Costs Act - Rep. Horsford, Steven - Prescription cost-sharing H.R. 2554 - Lower Drug Costs for Families Act - Rep. Horsford, Steven - Commercial market drug rebates H.R. 2636 - Making Insulin Affordable for All Children Act - Rep. Landsman, Greg - Commercial market insulin cost-sharing H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act - Rep. Spartz, Victoria - Study on anti-competitive contracting H.R. 3527 - Bridge to Medicaid Act - Rep. Sewell, Terri - ACA subsidies for non-Medicare expansion states H.R. 3701 - Family Vaccine Protection Act - Rep. Pallone, Frank - ACIP codification and vaccine coverage H.R. 4406 - State-Based Universal Health Care Act - Rep. Khanna, Ro - State-based universal health care H.R. 4710- No Surprises Act Enforcement Act - Rep. Murphy, Greg - Surprise billing penalties for noncompliance by health insurers H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits S. 46 - Health Care Affordability Act - Sen. Shaheen, Jeanne - ACA tax credit extension S. 729 - Hospital Transparency Compliance Enforcement Act - Sen. Kennedy, John - Hospital price transparency requirements S. 864 - HELP Copays Act - Sen. Marshall, Roger - Cost-sharing requirements S. 976 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - fraudulent ACA enrollments S. 2355 - Patients Deserve Price Tags Act - Sen. Marshall, Roger - Hospital and insurer price transparency requirements S. 2420 - No Surprises Act Enforcement Act - Rep. Marshall, Roger - Surprise billing penalties for noncompliance by health insurers S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits Issues related to implementation rule implementing the No Surprises Act prohibiting surprise medical bills; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); Rulemaking related to insurance requirements under the Mental Health Parity and Addiction Equity Act; final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; coverage of weight loss drugs; Transparency in Coverage; No Surprises Act; ACA Marketplace Integrity; ACA Enhanced Tax Credits; and Prior Authorization.

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. 127 - Protection from Obamacare Mandates and Congressional Equity Act - Rep. Biggs, Andy - Repeals IRS mandate on minimum essential coverage H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 379 - Healthcare Freedom and Choice Act - Rep. Carter, Earl Buddy - Duration of STLDHI plans H.R. 1157 - ACCESS Act - Rep. Steube, Gregory - HSA contributions H.R. 2571 - Self-Insurance Protection Act - Rep. Onder, Robert - Medical stop loss coverage definition H.R. 3080 - Health Care Fairness for All Act - Rep. Sessions, Pete - Health savings accounts H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits S. 2641 - Health Care Freedom and Choice Act - Sen. Johnson, Ron - Duration of STLDHI plans S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits Issues related to the employer health insurance tax exclusion; Health Savings Accounts; and ACA premium tax credits.

Client expense: $4,230,000 · Firm income: Not reported

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

One Big Beautiful Bill Act, H.R. 1. Advocate to protect Medicaid from cuts as part of the FY25 budget reconciliation process. Advocate for the inclusion of the enhanced premium tax credits as part of the package. Issues regarding expanding the availability of the charitable deduction for non-itemizers. Issues respecting charitable giving and life income planning, issues regarding taxation of charitable organizations, and issues regarding economic relief for nonprofit organizations. Issues related to stimulus for nonprofit organizations and increasing charitable giving. Clinical Trial Modernization Act, H.R. 3521. Increase access to clinical trials for all persons with cancer to participate by reducing barriers to enrollment. Barriers may include ancillary (non-medical) costs, such as transportation and lodging, and remote access to trials, particularly for people who are underrepresented, including certain racial and ethnic groups, older adults, rural residents, and those with limited incomes. To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes, H.R. 4184. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants. Health Care Affordability Act, H.R. 247, S. 46. Bill would permanently extend the enhanced Affordable Care Act tax credits. Bipartisan Premium Tax Credit Extension Act, H.R. 5145. Bill would extend the enhanced ACA tax credits for one year. A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits, S.2824. Bill would extend the enhanced ACA tax credits for two years.

Client expense: $2,130,000 · Firm income: Not reported

Child Tax Credit and Earned Income Tax Credit Expansion - American Family Act H.R.2763/S.1393 - Tax Cut for Workers Act H.R.2764/S.1372 - Worker Relief and Credit Reform Act H.R.2338 - FISC Act HR 1308 (Rep. Golden) Oppose Budget Resolutions that increase tax breaks for the wealthy and cut essential programs - Get your money back Act HR4267 HR 1 One Big Beautiful Bill Act - Restore eligibility for immigrant children in the Child Tax Credit and defend against removing US citizen children from current credit - Expand the CTC to reach children left out because their parents dont earn enough - Oppose EITC pre-certification - Support Direct File program Oppose a temporary two year extension of the ACA EPTCs - S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits Support 4 week continuing resolutions that permanently extends provisions that expanded the premium tax credit, and repeals health care provisions that were included in HR1 - H.R.5450/ S.2882 - Continuing Appropriations and Extensions and Other Matters Act, 2026 Oppose one year extenstion of ACA EPTCs - H.R.5145 - Bipartisan Premium Tax Credit Extension Act Oppose a temporary two year extenstion of the ACA EPTCs - S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits

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

H.R.5371 Continuing Appropriations and Extensions Act, 2026 - oppose Continuing resolution with a 7-week stopgap funding because if fails to extend ACA EPTCs HR 4849/S.2556 - Protecting Healthcare and Lowering Costs Act of 2025 - Support to Repeal healthcare title of HR. 1 and permanently extend ACA enhanced premium tax credits H.R.5450/ S.2882 - Continuing Appropriations and Extensions and Other Matters Act, 2026 - Support 4 week continuing resolutions that permanently extends provisions that expanded the premium tax credit, and repeals health care provisions that were included in HR1 H.R.5145 - Bipartisan Premium Tax Credit Extension Act - Oppose one year extension of ACA EPTCs S.2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits - Oppose a temporary two year extension of the ACA EPTCs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R. 247/S. 46, Health Care Affordability Act H.R. 919, Chronic Disease Flexible Coverage Act H.R. 4464, Preventive Health Savings Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5269/S. 2761, Reforming and Enhancing Sustainable Updates on Laboratory Testing Services Act (RESULTS) S. 2824, A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium credits.

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

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

H.R. 2 / S. 2824,Secure the Border Act H.R. 1 / Senate Amendment to H.R. 1, reconciliation package H.R. 875,the Jeremy and Angel Seay and Sergeant Brandon Mendoza Protect Our Communities from DUIs Act H.R. 2056, District of Columbia Federal Immigration Compliance Act H.R. 884, to prohibit noncitizens from voting in elections in the District of Columbia H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 2708, Safeguarding American Property Act S. 1517 / H.R. 3064, Better Enforcement of Grievous Offenses by unNaturalized Emigrants (BE GONE) Act H.R. 2315, Fairness for High-Skilled Americans 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 H.R. 3715, New Illegal Deduction Elimination Act (New IDEA) Act H.R. 4200, End DED Act H.R. 3781, Visa Overstays Penalties Act H.R. 3984, Expedited Removal Expansion Act H.R.1958, Deporting Fraudsters Act H.R. 151 / S. 2205, Equal Representation Act H.R. 4092, Protect Railroads Against Illegal Looters (Protect RAIL) Act

Client expense: $48,261 · Firm income: Not reported

H.R. 2 / S. 2824, Secure the Border Act H.R. 318, Border Safety and Security Act H.R. 29 / S. 5, Laken Riley Act S. 84, Sarah's Law H.R. 1792, No Tax Dollars for the United Nations Immigration Invasion Act H.R. 1168, Protecting Federal Funds from Human Trafficking and Smuggling Act H.R. 30 / S. 158, Preventing Violence Against Women by Illegal Aliens Act H.R. 1220, Fee Increases for Reckless Mismanagement (FIRM) Act H.R. 1953, Deportation Compliance Act H.R. 22 / S. 128, Safeguard American Voter Eligibility (SAVE) Act H.R. 35 / S. 512, Agent Raul Gonzalez Officer Safety Act H.R. 2315, Fairness for High-Skilled Americans Act H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 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

Client expense: $54,444 · Firm income: Not reported