Health Care Freedom for Patients Act of 2025

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Work on extending advanced premium tax credits. This includes related proposals S. 3385, the Lower Health Care Costs Act; S. 3386, the Health Care Freedom for Patients Act; and H.R. 6703, the Lower Health Care Premiums for All Americans Act.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Potential changes in authorizations for nurse education, workforce, and research programs as a result of workforce reductions and reorganization of agencies and programs within the Department of Health and Human Services Policies related to the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices, child vaccine recommendations and schedule, the Vaccines For Children Program, and the Vaccine Injury Compensation Fund Cancellation of federal nursing workforce grants Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Use of provider-neutral and inclusive language in federal documents, forms, and surveys Reauthorization of the Child Nutrition Act Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Mental health services and violence prevention Tobacco and vaping prevention and cessation Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21) H.R. 1197/S. 1562, PREEMIE Reauthorization Act H.R. 1435/S. 3714, Family-to-Family Reauthorization Act of 2025 H.R. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Act H.R. 2472, Improving Newborns' Food and Nutrition Testing Safety (INFANTS) Act of 2025 H.R. 2493, Improving Care in Rural America Reauthorization Act of 2025 H.R. 3333, Magnifying Opportunities to Recruit and Educate (MORE) Nurses Act H.R. 3492, Protect Childrens Innocence Act H.R. 3624/S. 1924, Improving Mental Health Access for Students Act H.R. 3701, Family Vaccine Protection Act H.R. 3884/S. 2011, Telemental Health Care Access Act H.R. 4262/S. 4110, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act H.R. 4340/S. 921, Tyler's Law H.R. 4564, Dillons Law H.R. 4709, Newborn Screening Saves Lives Reauthorization Act of 2025 H.R. 4725, Transparency, Readability, Understandability, Truth, and Helpfulness (TRUTH) in Labeling Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5434/S. 2826, 988 LGBTQ+ Youth Access Act of 2025 H.R. 5469/S. 2858, Stillbirth Health Improvement and Education (SHINE) for Autumn Act H.R. 5582, Patients Deserve Price Tags Act H.R. 6088/S. 3281, Restoring Food Security for Families & Farmers Act of 2025 H.R. 6121/S. 2303, Promoting Physical Activity for Americans Act H.R. 6252, Food Assurance and Security Act H.R. 6396, Kid Providing Resources for Optimal Outcomes against Fatalities (Kid PROOF) Act of 2025 H.R. 6561, PREVENT HPV Cancers Act of 2025 H.R. 6703, Lower Health Care Premiums for All Americans Act H.R. 6844, Tobacco TRACE Act H.R. 6845/S. 3569, S.T.O.P. Illegal Vaping Act H.R. 6945/S. 4242, Supporting Pregnant and Parenting Women and Families Act H.R. 7092/S. 4061, Raising Awareness for Youth Suicide (RAYS) Prevention Act H.R. 7567, Farm, Food, and National Security Act of 2026 H.R. 7757, Kids Internet and Digital Safety (KIDS) Act H.R. 7867, Infant Formula Safety Modernization Act of 2026 H.R. 7875, Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act H.R. 7973, Momnibus Act H.R. 8081/S. 4202, Mental Health Access and Provider Support Act H.R. 8089/S. 4186, Perinatal Workforce Act H.R. 8163, Provider Reimbursement Stability Act H.R. 8201, Expanding Community Access to Health Services Act H.R. 8209, School-Based Health Centers Reauthorization Act of 2026 H.R. 8385, Food Labeling Modernization Act of 2026 H.R. 8425, Strengthening the Vaccines for Children Program Act of 2026 H.R. 8429, Baby Food Safety Act of 2026 H.R. 8521/S. 4387, Protect Moms from Domestic Violence Act H.R. 8657, Campus Lifeline Act H.R. 9257/S. 4754, Primary and Behavioral Health Care Access Act H.R. 9393, Lower Costs, More Transparency Act of 2026 S. 222/H.R. 649, Whole Milk for Healthy Kids Act of 2025 S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 272, Protect Infant Formula from Contamination Act S. 278, Kids Off Social Media Act S. 705, Innovations in Pediatric Drugs Act S. 836/H.R. 6291, Children and Teens Online Privacy Protection Act (COPPA 2.0) S. 891, Bipartisan Health Care Act S. 1157/H.R. 2319, Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1885, Stop the Scroll Act S. 1482, National Nursing Workforce Center Act of 2025 S. 1599/H.R. 6394, Midwives for Maximizing Optimal Maternity Services (MOMS) Act of 2025 S. 1748/H.R. 6484, Kids Online Safety Act S. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025 S. 2169, Rural Hospital Cybersecurity Enhancement Act S. 2857/H.R. 5448, Protecting Free Vaccines Act S. 2954, Health Care Workforce Expansion Act of 2025 S. 3199, 988 Lifeline Location Improvement Act of 2025 S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 S. 3386, Health Care Freedom for Patients Act of 2025 S. 3402, Ensuring Excellence in Mental Health Act S. 3799, Healthy Start Reauthorization Act of 2026 S. 3853, End the Vaccine Carveout Act S. 4088, Welcome Back to the Health Care Workforce Act S. 4141, Rural Hospital Revitalization Act S. 4189, Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $660,000 · Firm income: Not reported

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

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $660,000 · Firm income: Not reported

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

H.R. 1 - One Big Beautiful Bill Act (implementation) H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 H.R.5081 - Telehealth Modernization Act H.R. 5940, the Seniors Deserve Streamlined Medical Approvals for Timely, Efficient, Recovery (SMARTER) Care Act of 2025 H.R.6183 - To amend the Internal Revenue Code of 1986 to reform certain rules related to health savings accounts. H.R.6837 - To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. H.R. 8270: Every Dollar Counts Act of 2026 S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 S. 3549 - PBM FAIR Act S. 3386 - Health Care Freedom for Patients Act of 2025 Submitted comments to Department of Labor on its proposed rule: Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure. Submitted comments to the Food and Drug Administration (FDA) on the Impacts of Patient-Focused Drug Development Meetings. The comments emphasized the meetings are of critical importance for capturing meaningful, disease-specific patient input at scale.

Client expense: $66,189 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.

Client expense: $821,438 · Firm income: Not reported

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Work on extending advanced premium tax credits. This includes related proposals S. 3385, the Lower Health Care Costs Act; S. 3386, the Health Care Freedom for Patients Act; and H.R. 6703, the Lower Health Care Premiums for All Americans Act.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Potential changes in authorizations for nurse education, workforce, and research programs as a result of workforce reductions and reorganization of agencies and programs within the Department of Health and Human Services Policies related to the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices, child vaccine recommendations and schedule, the Vaccines For Children Program, and the Vaccine Injury Compensation Fund Cancellation of federal nursing workforce grants Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Use of provider-neutral and inclusive language in federal documents, forms, and surveys Reintroduction of the Primary and Behavioral Health Care Access Act Reauthorization of the Child Nutrition Act Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Mental health services and violence prevention Tobacco and vaping prevention and cessation Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21) H.R. 1197/S. 1562, PREEMIE Reauthorization Act H.R. 1435/S. 3714, Family-to-Family Reauthorization Act of 2025 H.R. 1627, Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Act H.R. 1834, Breaking the Gridlock Act H.R. 1909/S. 2621, Preventing Maternal Deaths Act H.R. 2223, Building Capacity for Care Act H.R. 3333, Magnifying Opportunities to Recruit and Educate (MORE) Nurses Act H.R. 3492, Protect Childrens Innocence Act H.R. 3701, Family Vaccine Protection Act H.R. 3884/S. 2011, Telemental Health Care Access Act H.R. 4262/S. 4110, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act H.R. 4340/S. 921, Tyler's Law H.R. 4564, Dillons Law H.R. 4709, Newborn Screening Saves Lives Reauthorization Act of 2025 H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5434/S. 2826, 988 LGBTQ+ Youth Access Act of 2025 H.R. 5469/S. 2858, Stillbirth Health Improvement and Education (SHINE) for Autumn Act H.R. 5629, To provide that the HHS final rule titled Medications for the Treatment of Opioid Use Disorder (except the portion relating to accreditation of opioid treatment programs) shall have no force or effect H.R. 6088/S. 3281, Restoring Food Security for Families & Farmers Act of 2025 H.R. 6252, Food Assurance and Security Act H.R. 6396, Kid Providing Resources for Optimal Outcomes against Fatalities (Kid PROOF) Act of 2025 H.R. 6561, PREVENT HPV Cancers Act of 2025 H.R. 6703, Lower Health Care Premiums for All Americans Act H.R. 6844, Tobacco TRACE Act H.R. 6845/S. 3569, S.T.O.P. Illegal Vaping Act H.R. 6945/S. 4242, Supporting Pregnant and Parenting Women and Families Act H.R. 7092, Raising Awareness for Youth Suicide (RAYS) Prevention Act H.R. 7567, Farm, Food, and National Security Act of 2026 H.R. 7757, Kids Internet and Digital Safety (KIDS) Act H.R. 7973, Momnibus Act H.R. 8089/S. 4186, Perinatal Workforce Act S. 222/H.R. 649, Whole Milk for Healthy Kids Act of 2025 S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 272, Protect Infant Formula from Contamination Act S. 278, Kids Off Social Media Act S. 705, Innovations in Pediatric Drugs Act S. 836/H.R. 6291, Children and Teens Online Privacy Protection Act (COPPA 2.0) S. 891, Bipartisan Health Care Act S. 1157/H.R. 2319, Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1885, Stop the Scroll Act S. 1261, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025 S. 1482, National Nursing Workforce Center Act of 2025 S. 1599/H.R. 6394, Midwives for Maximizing Optimal Maternity Services (MOMS) Act of 2025 S. 1748/H.R. 6484, Kids Online Safety Act S. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025 S. 2169, Rural Hospital Cybersecurity Enhancement Act S. 2857/H.R. 5448, Protecting Free Vaccines Act S. 2954, Health Care Workforce Expansion Act of 2025 S. 3199, 988 Lifeline Location Improvement Act of 2025 S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 S. 3386, Health Care Freedom for Patients Act of 2025 S. 3853, End the Vaccine Carveout Act S. 4088, Welcome Back to the Health Care Workforce Act S. 4189, Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

H.R. 1 - One Big Beautiful Bill Act H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 H.R.5081 - Telehealth Modernization Act H.R. 5940, the Seniors Deserve Streamlined Medical Approvals for Timely, Efficient, Recovery (SMARTER) Care Act of 2025 H.R.6183 - To amend the Internal Revenue Code of 1986 to reform certain rules related to health savings accounts. H.R.6837 - To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 S. 3549 - PBM FAIR Act S. 3386 - Health Care Freedom for Patients Act of 2025 Joined a coalition comment letter in response to the HHS Notice of Benefit and Payment Parameters for 2027 proposed rule. These comments focused on key proposals related to enrollees in need of, the essential health benefit (EHB) category of rehabilitation and habilitation services and devices.

Client expense: $77,400 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $740,000 · Firm income: Not reported

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

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $740,000 · Firm income: Not reported

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

H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

LEGISLATION: S. 1748-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy, Civil Rights and Liberties. S. 3663-Kids Online Safety Act-Issues Lobbied: Free Speech, Kids Online Safety, Civil Rights and Liberties. S. 9-Protection of Women and Girls in Sports Act-Issues Lobbied: LGBTQ Rights. S. 894-Do No Harm Act-Issues Lobbied: Religious Liberty. S. 128-SAVE Act-Issues Lobbied: Voting Rights. S. 1503-Equality Act-Issues Lobbied: LGBTQ Rights. S. 2164-Algorithmic Accountability Act of 2025-Issues Lobbied: Algorithmic Justice. S. 1957-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. S. 1829-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. S. 2150-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. S. 2296-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: Artificial Intelligence. S. 2212-VISIBLE Act-Issues Lobbied: Federal Policing Reform. S. 2523-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. S.3386-Health Care Freedom for Patients Act of 2025-Issues Lobbied: Reproductive Rights. S. 2316-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. S. 836-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S. 3495-Artificial Intelligence Scam Prevention Act-Issues Lobbied: Artificial Intelligence. S. 1691-Traveler Privacy Protection Act of 2025-Issues Lobbied: Privacy. S. 278-Kids Off Social Media Act-Issues Lobbied: Free Speech, Privacy. S. 3308-Artificial Intelligence Civil Rights Act of 2025-Issues Lobbied: Algorithmic Justice. S. 2149-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigration. S. 3077-Safer Supervision Act of 2025-Issues Lobbied: Federal Supervision, Re-Entry. S. 3206-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. S.Res. 604-A resolution recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. S. 3702-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. S. 3893-SAFE Act-Issues Lobbied: Section 702. S. 4082-Government Surveillance Reform Act of 2026-Issues Lobbied: Section 702. S. 1809-Drone Espionage Act-Issues Lobbied: Espionage Act issues. S. 3752-SAVE America Act-Issues Lobbied: Voting Rights, Transgender Rights. S.J.Res. 103-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Veterans Affairs relating to "Reproductive Health Services"-Issues Lobbied: Abuse of Power, Reproductive Freedom. S. 3186-Constitutional Accountability Act-Issues Lobbied: Federal Law Enforcement Accountability, Policing Reform. S. 3674-SCAM Act-Issues Lobbied: Immigration. S. 3699-FOCUS Act-Issues Lobbied: Body Cam Legislation, Civil Liberties. S. 3805-End Sanctuary Cities Act of 2026-Issues Lobbied: Attacks on State and Local Governments. S. 558-Antisemitism Awareness Act of 2025-Issues Lobbied: Free Speech. S. 4199-Youth AI Privacy Act-Issues Lobbied: Free Speech. S. 3803-Right to Redress Act-Issues Lobbied: Policing Reform. S. 4143-Fair Wages for Incarcerated Workers Act of 2026-Issues Lobbied: Prison Reform. S .545-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. S. 1572-Federal Carjacking Enforcement Act-Issues Lobbied: Sentencing, Mass Incarceration. S. 3869-Healthy Families Act-Issues Lobbied: Womens Rights. S. 4081-Fair Wages for Home Care Workers Act-Issues Lobbied: Womens Rights. S. 51-Washington, D.C. Admission Act- Issues Lobbied: Voting Rights. H.R. 14-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. H.R. 12-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 28-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. H.R. 2487-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. H.R. 1954-Do No Harm Act-Issues Lobbied: Religious Liberty. H.R. 22-SAVE Act-Issues Lobbied: Voting Rights. H.R. 1-One Big Beautiful Bill Act-Issues Lobbied: Algorithmic Justice (Reconciliation Package/AI moratorium). H.R. 15-Equality Act-Issues Lobbied: LGBTQ Rights. H.R. 3492-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ Rights. H.R. 3708-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 59-Mens Rea Reform Act of 2025-Issues Lobbied: Sentencing Reform. H.R. 4889-To prohibit States from carrying out more than one Congressional redistricting after a decennial census and apportionment-Issues Lobbied: Voting Rights. H.R. 4358-Anti-Rigging Act of 2025-Issues Lobbied: Voting Rights. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4518-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. H.R. 3921-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. H.R. 6291-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. H.R. 2683-Remote Access Security Act-Issues Lobbied: Privacy. H.R. 4831-ENFORCE Act-Issues Lobbied: Privacy. H.R. 6397-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lobbied: Policing Reform, Federal Law Enforcement Accountability. H.R. 4250-PRESS Act-Issues Lobbied: First Amendment. H.R. 7661-Stop the Sexualization of Children Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.R. 7651-Chloe Cole Act of 2026-Issues Lobbied: LGBTQ Rights. H.R. 1028-Protection of Women in Olympic and Amateur Sports Act of 2026-Issues Lobbied: LGBTQ Rights. H.R. 2616-PROTECT Kids Act-Issues Lobbied: LGBTQ Rights. H.R. 2617-Say No to Indoctrination Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.Res. 1058-Recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. H.Res. 965-Providing for consideration of the bill (H.R. 1689) to require the Secretary of Homeland Security to designate Haiti for temporary protected status-Issues Lobbied: Temporary Protected Status. H.R. 7816-Protect Liberty and End Warrantless Surveillance Act of 2026-Issues Lobbied: Section 702. H.R. 7901-To implement reforms relating to foreign intelligence surveillance authorities, and for other purposes-Issues Lobbied: Section 702. H.R. 4076-Insurrection Act of 2025-Issues Lobbied: Insurrection Act reform. H.R. 7147-Further Additional Continuing Appropriations Act-Issues Lobbied: Immigration, Abuse of Power, ICE and Border Patrol Accountability, Election Interference. H.Con.Res. 38-Directing the President pursuant to section 5(c) of the War Powers Resolution to remove United States Armed Forces from unauthorized hostilities in the Islamic Republic of Iran-Issues Lobbied: Surveillance, War Authority. H.R. 7296-SAVE America Act-Issues Lobbied: Voting Rights, Transgender Rights. H.R. 1958-Deporting Fraudsters Act of 2026-Issues Lobbied: Immigration. H.R. 7744-Department of Homeland Security Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 7423-No Sanctuary Cities Act of 2026-Issues Lobbied: Attacks on State and Local Governments. H.R. 7148-Consolidated Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 7161-No Private Bounty Hunters for Immigration Enforcement Act-Issues Lobbied: Immigration. H.R. 7709-Full-Body Restraint Prohibition Act-Issues Lobbied: Immigration. H.R. 7930-Daniel Ellsberg Press Freedom and Whistleblower Protection Act of 2026-Issues Lobbied: Press Freedom. H.R. 7691-Fight Book Bans Act- Issues Lobbied: Free Speech. H.R. 1007-Antisemitism Awareness Act of 2025-Issues Lobbied: Free Speech. H.R. 3149-App Store Accountability Act-Issues Lobbied: Free Speech, Privacy. H.R. 6453-ADA 30 Days to Comply Act-Issues Lobbied: Disability Rights. H.R. 2029-Stop Comstock Act-Issues Lobbied: Reproductive Rights. H.R. 5973-Stop Excessive Force in Immigration Act-Issues Lobbied: Federal Policing Reform; H.R .7125-Stop Body Camera Paywalls Act-Issues Lobbied: Policing Reform. H.R. 2853-Combating Organized Retail Crime Act of 2025-Issues Lobbied: Sentencing, Mass Incarceration. H.R. 1266-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. H.R. 7247-Prison Libraries Act of 2026-Issues Lobbied: Prison Reform. H.R. 8175-To amend title 10, United States Code, and the National Defense Authorization Act for Fiscal Year 1994, to codify and clarify gender neutral standards for members of certain Armed Forces, and for other purposes-Issues Lobbies: Womens Rights, Women in Combat. H.R. 7531-Healthy Families Act-Issues Lobbied: Womens Rights. H.R. 7856-Fair Housing for Survivors Act of 2026-Issues Lobbied: Womens Rights. H.R. 7917-Fair Wages for Home Care Workers Act-Issues Lobbied: Womens Rights. H.R. 7300-Make Elections Great Again Act-Issues Lobbied: Voting Rights. H.R. 7621-Stop ICE Election Militarization Act-Issues Lobbied: Election Interference. H.R. 51-Washington, D.C. Admission Act-Issues Lobbied: Voting Rights. LEGISLATION WITH NO BILL NUMBER AND APPOINTMENTS: Additional legislation not yet introduced - Patenting of genes and gene research legislation; Legislation relating to defining antisemitism in education programs - First Amendment protections; Draft legislation on artificial intelligence and implementation of EO on artificial intelligence - free speech, privacy, nondiscrimination; Oversight over counterterrorism policy and practices - torture, detention, drones, war authority, Guantanamo Bay; Section 702 - civil liberties and national security; Car privacy; General age verification and privacy; Mental Health Justice Act - community safety; Cannabis Administration and Opportunity Act - marijuana decriminalization; Section 230 of Communications Decency Act proposals - free speech, internet integrity, content moderation; Amendments to the Privacy Act of 1974; TSA use of facial recognition technology; DHS data consolidation; FCC First Amendment violations - free speech; Protest Rights; Continued funding for Affordable Connectivity Act - ensuring continued funding for broadband subsidy; DC Statehood; Civil liberties; Free speech; Algorithmic justice; Reproductive rights; FY26 Federal Funding; Administration First Amendment violations; Kinetic impact weapons regulation; Privacy Act of 1974 reforms; Federal consumer privacy framework; Federal AI use case inventories; Jawboning; Future abortion codification legislation; Womens rights; Disability rights; Fourth Amendment is Not For Sale Act - prohibiting data purchases by law enforcement and intelligence agencies; Immigration detention - advising on oversight; Accountability for ICE/federal immigration agency violations - prospective bills; Freedom to Vote Act; Administration attacks on Head Start; Legal authority related to military strikes/Venezuela/boats - presidential action and concurrent resolutions, use of lethal force; FCC commissioner pressuring private companies in violation of First Amendment; Use of AI in hiring, healthcare, and other protected areas; Department of Governmental Efficiency; Immigration; DHS Funding; Artificial intelligence; FISA reauthorization; Iran war funding; Transgender rights; Abuse of Power; End Racial and Religious Profiling Act - federal law enforcement accountability, policing reform; Election safeguarding issues; Childrens Dignity and Due Process Act; Right to seek redress; ICE and Border Patrol accountability legislation and oversight hearings; ICE and Border Patrol abuses in Minneapolis and elsewhere; JAWBONE Act; Daniel Ellsberg Whistleblower Protection Act; Pipeline Safety Authorization Act of 2026 - protest rights, free speech; Youth AI Privacy Act; Press Freedom; Prison book bans; Safeguard American Voter Eligibility (SAVE) Act - LGBTQ rights; WARRIOR Act - womens rights; BE HEARD in the Workplace Act - womens rights; Appropriations funding for health care and home and community based services - disability rights; VA Care Protection Act - disability rights; Hyde Amendment; Potential legislation to protect mifepristone; Sharia-Free America hearing - religious liberty; Legislative proposal on reproductive rights and access; Resolution regarding FDAs restrictions on medication abortion; Legislation on funding for training for abortion care providers; Uphold Privacy Act - reproductive rights, data privacy; Women in combat; Discussions about fraud funding freezes - womens rights; Veterans Care Protection Act; Prohibition on DHS interference with elections; Election interference; Democracy Without Intimidation Act; Native American Voting Rights Act; Appropriations for FY26 spending - civil right and civil liberties; Legislation authorizing IRS to sanction nonprofit organizations based on allegations related to material support for terrorism. AGENCIES: Agency - Homeland Security - Issues Lobbied: Dignity for Detained Immigrants Act, temporary protected status, general immigration detention oversight, nomination of Markwayne Mullin to be DHS Secretary, ICE abuses, DHS oversight. Agency - Office of Science and Technology Policy - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - Labor - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - U.S. Trade Representative - Issues Lobbied: U.S. commitments at WTO, open internet. Agency - Education - Issues Lobbied: Legislation relating to defining antisemitism in education programs, First Amendment protections. Agency - NIST - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice, supply chains and digital trade. Agency - Office of the Director of National Intelligence - Issues Lobbied: Section 702 of Foreign Intelligence Surveillance Act, related legislation and hearings, civil liberties and national security issues. Agency - Department of Health and Human Services - Issues Lobbied: NIH data sharing platform, privacy, disability rights, abortion access for unaccompanied minors in ORR custody, access to mifepristone. Agency - Federal Communications Commission - Issues Lobbied: First Amendment violations, FCC commissioner pressuring private companies in violation of First Amendment. Agency - Department of Justice - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, prison conditions, PREA, Executive Order 14164: Restoring the Death Penalty and Protecting Public Safety - state opt in for certification, state lethal injection protocols covered by the EO. Agency - Executive Office of the President - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, Iran War supplemental appropriations. Agency - Office of Management and Budget - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, prison conditions, PREA. Agency - Equal Employment Opportunity Commission - Issues Lobbied: Letter opposing EEOC rescission of voting rules.

Client expense: $720,000 · Firm income: Not reported

Government targets: Director of National Intelligence (ODNI), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, U.S. Trade Representative (USTR)

P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.

Client expense: $577,720 · Firm income: Not reported

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

Work on extending advanced premium tax credits. This includes related proposals S. 3385, the Lower Health Care Costs Act; S. 3386, the Health Care Freedom for Patients Act; and H.R. 6703, the Lower Health Care Premiums for All Americans Act.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Reproductive healthcare in FY26 federal spending bills; A federal right to abortion; Federal issues related to state abortion bans and abortion access in the United States; Administrative actions that restrict abortion access; H.R.4611 and S.2377, the Equal Access to Abortion Coverage in Health Insurance (EACH) Act of 2025, regarding access to affordable health insurance plans that cover abortion; Abortion-coverage restrictions, including restrictions related to ACA premium tax credits; Extension of ACA enhanced premium tax credits, including S.3385, the Lower Health Care Costs Act; S.3386, the Health Care Freedom for Patients Act of 2025; Issues related to Medicaids free-choice-of-provider provision; Defunding Planned Parenthood; H.R.5925, the Reproductive and Sexual Health Ombuds Act; Access to evidence-based medication abortion care; The Endometriosis CARE Act (not yet introduced); Veterans access to reproductive health care, including H.R.4876 The Reproductive Freedom for Veterans Act; Healthy pregnancy and post-partum period; Family and medical leave, including paid leave; Gender equity and sex discrimination; Empowering and informing young people about sexual and reproductive health, including gender identity and LGBTQ+ inclusion in sex ed curriculum; LGBTQI+ rights; Discrimination against LGBTQI+ people; Bans and restrictions on gender affirming care, including. S.2907 and H.R. 5483, the Chloe Cole Act, and H.R.3492, the Protect Childrens Innocence Act; Issues related to workplace fairness and gender discrimination.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Thomas Bell, of Virginia, to be Inspector General, Department of Health and Human Services (PN 55-7) Brian Christine, of Alabama, to be an Assistant Secretary of Health and Human Services, vice Rachel Leland Levine, resigned. (PN 55-14) Michael Stuart, of West Virginia, to be General Counsel of the Department of Health and Human Services, vice Samuel R. Bagenstos, resigned. (PN25-52) Health Care Freedom for Patients Act of 2025 (S. 3386) Lower Health Care Costs Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R. 3492) Do No Harm in Medicaid Act (H.R. 498) Breaking the Gridlock Act (H.R.1834) Affordable Care Act (ACA) tax credits extension proposals CommonGround for Affordable Health Care Act (H.R.6575) Rep. Ansari reproductive health package (not yet introduced) Endometriosis CARE Act (H.R. 6682) Health Information Privacy Reform Act (S. 3097) SUSTAIN 340B Act (not introduced)

Client expense: $94,048 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Thomas Bell, of Virginia, to be Inspector General, Department of Health and Human Services (PN 55-7) Brian Christine, of Alabama, to be an Assistant Secretary of Health and Human Services, vice Rachel Leland Levine, resigned. (PN 55-14) Michael Stuart, of West Virginia, to be General Counsel of the Department of Health and Human Services, vice Samuel R. Bagenstos, resigned. (PN25-52) Health Care Freedom for Patients Act of 2025 (S. 3386) Lower Health Care Costs Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R. 3492) Do No Harm in Medicaid Act (H.R. 498) Breaking the Gridlock Act (H.R.1834) Affordable Care Act (ACA) tax credits extension proposals

Client expense: $7,513 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R. 4977, Connected MOM Act, all provisions H.R. 1, One Big Beautiful Bill Act (PL 119-21), provisions relating to Graduate Medical Education, Medicare Physician Payment Reform, Medicaid Reform (work requirements, per capita caps, provider taxes, and FMAP changes), Alternative Payment Models (APMs), Artificial Intelligence (AI), and Medicaid biannual redetermination requirements S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to APMs H.R. 483, Health Care Efficiency Through Flexibility Act, provisions relating to APMs H.R. 3890, Resident Physician Shortage Reduction Act of 2025, all provisions S. 2439, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions S. 1261, CONNECT for Health Act of 2025, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services (ECAPS) Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services (ECAPS) Act, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve SMARTER Care Act of 2025, all provisions S. 3480, Seniors Deserve SMARTER Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credit S.J.Res.84, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability,/Congressional Review Act repeal effort S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to ACA premium tax credit H.R. 6575, CommonGround for Affordable Health Care Act, provisions related to ACA premium tax credit H.R. 6501, Bipartisan Health Insurance Affordability Act, provisions related to ACA premium tax credit H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, all provisions H.R. 5813, Womens Health and Cancer Rights Modernization Act of 2025, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5269, Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act of 2025, all provisions S. 2761, Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act of 2025, all provisions Access to Genetic Counselor Services Act/draft GOLD CARD Act/drafts Medicare Access to Radiology Care (MARCA) Act/drafts Data-Driven Payment Performance System (DPPS) Act/draft Value in Health Care Act/draft Legislation to reform the MACRA and MIPS Programs/draft Medicare program: Medicare Economic Index (MEI)/Physician inflationary updates Medicare program: Medicare Physician Payment System/Budget Neutrality reforms Medicare program: MEDPAC/physician practice 2027 payment update/full MEI update recommendation Medicare program: Merit-Based Incentive Payment System (MIPS)/reforms/penalties/replacement proposal Medicare program: CY 2026 Medicare Physician Fee Schedule/implementation phase-in/indirect practice expense Medicare program: APMs/bonuses/incentive payments Medicare program: G2211 Inherent Complexity Code Medicare program: Private practice physician issues/benchmark survey Medicare program: Center for Medicare & Medicaid Innovation (CMMI) reforms Medicare program: Payer and EHR developers/proprietary technology and electronic prior authorizations Medicare program: Prior Authorization/AI Medicare program: Medicare Advantage/prior authorization Medicare program: Site neutral payment Medicare program: Coding Medicare program: Medicare Advantage/preventive screens/AI Chatbots Medicare program: AI services/payment Medicare program: Diabetes Prevention Program Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: HIPAA/Electronic health records Medicare program: Certified electronic health record technology and PI Medicare program: Medicare Shared Savings Program/Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Value-based care delivery Medicare program: Telehealth/digital health/budget neutrality Medicare program: Medicare Telehealth waiver extension Medicare program: Wasteful and Inappropriate Service Reduction (WISER) payment model Medicare program: Modifier 25/appropriate use Medicare program: Provider directories Medicare program: ACO/MIPS/skin substitutes/clinicians increased spending Medicare program: ACO/APM flexibilities Medicare program: Local Coverage Determination/peripheral nerve blocks/chronic pain procedures Medicare program: Data privacy/cybersecurity Medicare program: ACA/Enhanced tax credit extension Medicare program: Digital health and wearables Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Health IT/physician burdens

Client expense: $5,480,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

S. 3385, Lower Health Care Costs Act, provisions relating to healthcare premium tax credit H.R. 6575, CommonGround for Affordable Health Care Act, provisions relating to ACA premium tax credit H.R. 6501, Bipartisan Health Insurance Affordability Act, provisions related to ACA premium tax credit H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credit S.J.Res.84, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability,/Congressional Review Act repeal effort S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to ACA premium tax credit ACA/Enhanced tax credit extension

Client expense: $5,480,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1834 - Breaking the Gridlock Act (provisions related to the enhanced premium tax credits) H.R.247/S.46 - Health Care Affordability Act of 2025 H.R.6703 - Lower Health Care Premiums for All Americans Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7, S. 186 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025; H.R. 6501, Fitzpatrick Discharge Petition #12 Bipartisan Health Insurance Affordability Act; H.R. 6575, Gottheimer Petition #13 Common Ground for Affordable Health Care Act; H.R. 1834, Jeffries Discharge Petition #10 Breaking the Gridlock Act; Patient Protection and Affordable Care Act; Abortion funding; S. 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; S.3385 Lower Health Care Costs Act; H.R.5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026; Contraception Issues; IVF Issues; S.3389 Lowering Health Care Costs for Americans Act; S.3011 Prohibiting Abortion & Transgender Procedures on the Exchanges Act; S.3264, H.R.6538 More Affordable Care Act; H.R. 6703 Lower Health Care Premiums for All Americans Act; S.3391 Accountability for Better Care Act of 2025; S. 3386 Health Care Freedom for Patients Act of 2025; H.R.6512 To Empower American Families with Direct Control Over Healthcare Dollars, Codify President Trump's Proven Reforms for Flexibility and Choice, Prohibit Taxpayer Funding for Abortion and Gender Transition Procedures, Eliminate Waste and Fraud in the Affordable Care Act, and Reject Extensions of Enhanced Subsidies to Insurance Companies; H.R.1157 Affordable Care and Comprehensive Economic Support through Savings (ACCESS) Act

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1 One Big Beautiful Bill Act; Shield Laws; H.R. 7, S. 186 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025; Dismemberment Abortion Ban Act; H.R. 5485 Second Chance at Life Act of 2025; H.R. 6501, Fitzpatrick Discharge Petition #12 Bipartisan Health Insurance Affordability Act; H.R. 6575, Gottheimer Petition #13 Common Ground for Affordable Health Care Act; H.R. 1834, Jeffries Discharge Petition #10 Breaking the Gridlock Act; Patient Protection and Affordable Care Act; Contraception Issues; National Defense Authorization Act; H.R. 629 Ending Chemical Abortions Act; H.R. 679 To nullify the modifications made by the Food and Drug Administration in January 2023 to the risk evaluation and mitigation strategy for the abortion pill mifepristone, and for other purposes; H.R. 795 Pregnancy Is Not an Illness Act; H.R. 796 Second Chance for Moms Act; H.R. 1349 Womens Protection in Telehealth Act; H.R. 1525 Protecting Life from Chemical Abortions Act; H.R. 627 Ensuring Accurate & Complete Abortion Data Reporting Act; H.R. 6466 Forced Abortion Prevention and Accountability Act; H.R. 729 Teleabortion Prevention Act of 2025; S.3389 Lowering Health Care Costs for Americans Act; Presidential Administration Actions; S.3011 Prohibiting Abortion & Transgender Procedures on the Exchanges Act; S.3264, H.R.6538 More Affordable Care Act; H.R. 6703 Lower Health Care Premiums for All Americans Act; S.3391 Accountability for Better Care Act of 2025; S. 3386 Health Care Freedom for Patients Act of 2025; H.R.6512 To Empower American Families with Direct Control Over Healthcare Dollars, Codify President Trump's Proven Reforms for Flexibility and Choice, Prohibit Taxpayer Funding for Abortion and Gender Transition Procedures, Eliminate Waste and Fraud in the Affordable Care Act, and Reject Extensions of Enhanced Subsidies to Insurance Companies; H.R.1157 Affordable Care and Comprehensive Economic Support through Savings (ACCESS) Act

Client expense: $420,000 · Firm income: Not reported

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

H.R. 1 One Big Beautiful Bill Act; H.R.2557 IVF For Military Families Act; S.2035 Protect IVF Act; H.R.6797 To amend title 10, United States Code, to provide fertility treatment under the TRICARE; Shield laws, chemical abortion drugs, H.R. 7, S. 186 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025; Dismemberment Abortion Ban Act; H.R. 5485 Second Chance at Life Act of 2025; H.R. 6501, Fitzpatrick Discharge Petition #12 Bipartisan Health Insurance Affordability Act; H.R. 6575, Gottheimer Petition #13 Common Ground for Affordable Health Care Act; H.R. 1834, Jeffries Discharge Petition #10 Breaking the Gridlock Act; S.2955 , H.R.6466 Forced Abortion Prevention and Accountability Act; Patient Protection and Affordable Care Act; Abortion funding; S. 2882 Continuing Appropriations and Extensions and Other Matters Act; S.3385 Lower Health Care Costs Act; H.R.5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act; Contraception issues; IVF issues; National Defense Authorization Act; Supreme Court Decisions; S. 1631, H. R. 5646 Restoring Safeguards for Dangerous Abortion Drugs Act; H.R. 629 Ending Chemical Abortions Act; H.R. 679 To nullify the modifications made by the Food and Drug Administration in January 2023 to the risk evaluation and mitigation strategy for the abortion pill mifepristone, and for other purposes; H.R. 795 Pregnancy Is Not an Illness Act; H.R. 796 Second Chance for Moms Act; H.R. 1349 Womens Protection in Telehealth Act; H.R. 1525 Protecting Life from Chemical Abortions Act; H.R. 627 Ensuring Accurate & Complete Abortion Data Reporting Act; H.R. 6466 Forced Abortion Prevention and Accountability Act; H.R. 729 Teleabortion Prevention Act of 2025; S.3389 Lowering Health Care Costs for Americans Act; Presidential Administration Actions; S.3011 Prohibiting Abortion & Transgender Procedures on the Exchanges Act; S.3264, H.R.6538 More Affordable Care Act; H.R. 6703 Lower Health Care Premiums for All Americans Act; S.3391 Accountability for Better Care Act of 2025; S. 3386 Health Care Freedom for Patients Act of 2025; H.R.6512 To Empower American Families with Direct Control Over Healthcare Dollars, Codify President Trump's Proven Reforms for Flexibility and Choice, Prohibit Taxpayer Funding for Abortion and Gender Transition Procedures, Eliminate Waste and Fraud in the Affordable Care Act, and Reject Extensions of Enhanced Subsidies to Insurance Companies; H.R.1157 Affordable Care and Comprehensive Economic Support through Savings (ACCESS) Act; H.R.2589 Consensual Donation and Research Integrity Act of 2025; H.R.5969 LABEL Act; H.Res.803 Urging the Director of the Food and Drug Administration to reevaluate the safety of all chemical abortion drugs in light of recent independent studies, and for other purposes; H.R. 6372 D.C. Shield Law Repeal Act; H.R.6359 Pregnant Students Rights Act; H.R. 6191 No Taxpayer Funded Abortion Travel for Illegal Aliens Act

Client expense: $420,000 · Firm income: Not reported

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

H.R. 1 One Big Beautiful Bill Act; H.R. 7, S. 186 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025; Patient Protection and Affordable Care Act; Abortion Funding; S. 2882 Continuing Appropriations and Extensions and Other Matters Act, 2026; S. 5371 Continuing Appropriations and Extensions Act, 2026; Administration Personnel and Judicial Nominees; S.3385 Lower Health Care Costs Act; S.3264, H.R.6538 More Affordable Care Act; H.R. 6703 Lower Health Care Premiums for All Americans Act; S.3391 Accountability for Better Care Act of 2025; S. 3386 Health Care Freedom for Patients Act of 2025; H.R.6512 To Empower American Families with Direct Control Over Healthcare Dollars, Codify President Trump's Proven Reforms for Flexibility and Choice, Prohibit Taxpayer Funding for Abortion and Gender Transition Procedures, Eliminate Waste and Fraud in the Affordable Care Act, and Reject Extensions of Enhanced Subsidies to Insurance Companies; H.R.1157 Affordable Care and Comprehensive Economic Support through Savings (ACCESS) Act

Client expense: $420,000 · Firm income: Not reported

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

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reproductive healthcare in FY26 federal spending bills; A federal right to abortion; Federal issues related to state abortion bans and abortion access in the United States; Administrative actions that restrict abortion access; H.R.4611 and S.2377, the Equal Access to Abortion Coverage in Health Insurance (EACH) Act of 2025, regarding access to affordable health insurance plans that cover abortion; Abortion-coverage restrictions, including restrictions related to ACA premium tax credits; Extension of ACA enhanced premium tax credits, including S.3385, the Lower Health Care Costs Act; S.3386, the Health Care Freedom for Patients Act of 2025; Issues related to Medicaids free-choice-of-provider provision; Defunding Planned Parenthood; H.R.5925, the Reproductive and Sexual Health Ombuds Act; Access to evidence-based medication abortion care; The Endometriosis CARE Act (not yet introduced); Veterans access to reproductive health care, including H.R.4876 The Reproductive Freedom for Veterans Act; Healthy pregnancy and post-partum period; Family and medical leave, including paid leave; Gender equity and sex discrimination; Empowering and informing young people about sexual and reproductive health, including gender identity and LGBTQ+ inclusion in sex ed curriculum; LGBTQI+ rights; Discrimination against LGBTQI+ people; Bans and restrictions on gender affirming care, including. S.2907 and H.R. 5483, the Chloe Cole Act, and H.R.3492, the Protect Childrens Innocence Act; Issues related to workplace fairness and gender discrimination.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1834 Breaking the Gridlock Act S 3385 Lower Health Care Costs Act S 3386 Health Care Freedom for Patients Act H.R. 6703 Lower Health Care Premiums for All Americans Act Labor staff briefing on DOL safety and health notice of proposed rulemaking Letter to house committee's-RE: labor's key concerns affecting occupational exposures under the Toxic Substance Control Act. OSHA Voluntary Protection Program (VPP) H.R. 5437, Protection of Lawful Commerce in Stone Slab Products Act

Client expense: $760,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to tax advantaged savings vehicles for health expenses Issues related to Health Out-of-Pocket Expense Act of 2024 - H.R. 9394 Issues related to Health Out-of-Pocket Expense Act of 2025 - H.R. 955 One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S.3386 Lower Health Care Premiums for All Americans Act - H.R. 6703

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to tax advantaged savings vehicles for health expenses Issues related to Health Out-of-Pocket Expense Act of 2024 - H.R. 9394 Issues related to Health Out-of-Pocket Expense Act of 2025 - H.R. 955 One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their disproportionate share hospital (DSH) cap. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R. 4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761 / H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.

Client expense: $708,395 · Firm income: Not reported

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

LEGISLATION: S. 1748-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy, Civil Rights and Liberties. S. 3663-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy. S. 9-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. S. 894-Do No Harm Act-Issues Lobbied: Religious Liberty. S. 128-SAVE Act-Issues Lobbied: Voting Rights. S. 1503-Equality Act-Issues Lobbied: LGBTQ Rights. S. 2164-Algorithmic Accountability Act of 2025-Issues Lobbied: Algorithmic Justice. S. 1957-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. S. 1829-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. S. 2150-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. S. 2296-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Death Penalty, Immigration, Law Enforcement, National Security, Intelligence Authorization Act, ECSP Fix, Defense Authorization Bill, DETERRENCE Act, New Death Penalty Provision in the US Military Code, Federal Sentencing, Civil Rights and Liberties. S. 2212-VISIBLE Act-Issues Lobbied: Immigration, Federal Policing Reform. S. 188-Free Speech Protection Act-Issues Lobbied: Free Speech. S. 2523-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. S. 2902-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. S. 1071-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Immigrants Rights, Racial Justice, Privacy & Technology, Crime Related Amendments, Trans Justice, Systemic Equality, Reproductive Rights. S.3386-Health Care Freedom for Patients Act of 2025-Issues Lobbied: LGBTQ Rights, Reproductive Rights, Immigrants Rights. S. 2198-Military in Law Enforcement Accountability Act-Issues Lobbied: Domestic Deployment of the Military, Law Enforcement, National Security, Immigration, Abuse of Power. S. 2316-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. S. 836-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S. 3495-Artificial Intelligence Scam Prevention Act-Issues Lobbied: Artificial Intelligence. S. 1691-Traveler Privacy Protection Act of 2025-Issues Lobbied: Privacy. S. 278-Kids Off Social Media Act-Issues Lobbied: Free Speech, Privacy. S. 3308-Artificial Intelligence Civil Rights Act of 2025-Issues Lobbied: Algorithmic Justice. S. 3167-No Troops in Our Streets Act of 2025-Issues Lobbied: Law Enforcement Deployment. S. 2975-PIPELINE Safety Act of 2025-Issues Lobbied: Pipeline Harassment. S. 2803-SUN Act-Issues Lobbied: Law Enforcement, National Security. S. 3326-Temporary Immigration Judge Integrity Act-Issues Lobbied: Immigration. S. 3396-Domestic Workers Bill of Rights Act-Issues Lobbied: Immigration, Womens Rights. S. 2070-Insurrection Act of 2025-Issues Lobbied: Civil Rights and Liberties. S. 2149-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigration. S. 3077-Safer Supervision Act of 2025-Issues Lobbied: Federal Supervision, Re-Entry. S. 3385-Lower Health Care Costs Act-Issues Lobbied: Disability Rights. S. 3448-Keeping All Students Safe Act-Issues Lobbied: Disability Rights. H.R. 14-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. H.R. 12-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 28-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. H.R. 2487-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. H.R. 1954-Do No Harm Act-Issues Lobbied: Religious Liberty. H.R. 22-SAVE Act-Issues Lobbied: Voting Rights. H.R. 1-One Big Beautiful Bill Act-Issues Lobbied: Algorithmic Justice (Reconciliation Package/AI moratorium), Letter to Senate Aging Committee for hearing on HCBS and impact of H.R. 1. H.R. 15-Equality Act-Issues Lobbied: LGBTQ Rights. H.R. 3492-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ Rights, Trans Justice. H.R. 3944-Military Construction, Veterans Affairs, and Related Agencies Appropriations Act-Issues Lobbied: Civil Rights and Liberties. H.R. 3708-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. H.R. 4121-Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Reproductive Rights. H.R. 151-Equal Representation Act-Issues Lobbied: Census. H.R. 3838-Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Civil Rights and Liberties. H.R. 4016-Department of Defense Appropriations Act-Issues Lobbied: Reproductive Rights, Diversity Equity and Inclusion. H.R. 3486-Stop Illegal Entry Act of 2025-Issues Lobbied: Mandatory Minimums, Sentencing Reform, Mass Incarceration. H.R. 5304-Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Reproductive Rights, Disability Rights, Healthcare Access, Civil Rights and Liberties. H.R. 1880-Broadcast Freedom and Independence Act of 2025-Issues Lobbied: Free Speech. H.R. 5371-Continuing Appropriations and Extensions Act, 2026-Issues Lobbied: Government Funding, Impoundments, Government Shutdown. H.R. 4922-D.C. Criminal Reforms to Immediately Make Everyone Safe Act of 2025-Issues Lobbied: Criminal Justice, Criminal Penalties. H.R. 5143-District of Columbia Policing Protection Act of 2025-Issues Lobbied: Criminal Justice. H.R. 5125-District of Columbia Judicial Nominations Reform Act of 2025-Issues Lobbied: Criminal Justice. H.R. 5140-To lower the age at which a minor may be tried as an adult for certain criminal offenses in the District of Columbia to 14 years of age Act-Issues Lobbied: Criminal Justice. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 59-Mens Rea Reform Act of 2025-Issues Lobbied: Sentencing Reform. H.R. 4371-Kayla Hamilton Act-Issues Lobbied: Immigration, Child Immigrants. H.R. 5342-Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Criminal Legal Reform. H.R. 4553-Energy and Water Development and Related Agencies Appropriations Act, 2026-Issues Lobbied: Civil Rights and Liberties. H.R. 5166-Financial Services and General Government Appropriations Act, 2026-Issues Lobbied: DC Home Rule. H.R. 4213-Department of Homeland Security Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 4889-To prohibit States from carrying out more than one Congressional redistricting after a decennial census and apportionment-Issues Lobbied: Voting Rights. H.R. 4358-Anti-Rigging Act of 2025-Issues Lobbied: Voting Rights. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights, Trans Justice. H.R. 5604-National Guard Proper Use Act-Issues Lobbied: Domestic Deployment of the Military, Law Enforcement, National Security, Immigration. H.R. 4518-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. H.R. 3921-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. H.R. 6291-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. H.R. 2683-Remote Access Security Act-Issues Lobbied: Privacy. H.R. 4831-ENFORCE Act-Issues Lobbied: Privacy. H.R. 5214-District of Columbia Cash Bail Reform Act of 2025-Issues Lobbied: Bail in DC. H.R. 780-Alexandras Law Act of 2025-Issues Lobbied: Admonition for Fentanyl Sales. H.R. 4998-SUN Act-Issues Lobbied: Law Enforcement, National Security. H.R. 6397-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. H.R. 2870-Working Families Flexibility Act of 2025-Issues Lobbied: Womens Rights. H.R. 6521-Immigration Court Due Process Protection Act of 2025-Issues Lobbied: Immigration. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6703-Lower Health Care Premiums for All Americans Act-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lobbied: Policing Reform, Cause of Action for Victims, Abuse of Power. H.R. 6617-Keeping All Students Safe Act-Issues Lobbied: Disability Rights. H.R. 2918-Fair Housing for Survivors Act of 2023-Issues Lobbied: Womens Rights. H.R. 3971-Domestic Workers Bill of Rights Act-Issues Lobbied: Womens Rights. H.R. 4250-PRESS Act-Issues Lobbied: First Amendment. LEGISLATION WITH NO BILL NUMBER AND APPOINTMENTS: Additional legislation not yet introduced - Patenting of genes and gene research legislation; Legislation relating to defining antisemitism in education programs - First Amendment protections; Draft legislation on artificial intelligence and implementation of EO on artificial intelligence - free speech, privacy, nondiscrimination; Oversight over counterterrorism policy and practices - torture, detention, drones, war authority, Guantanamo Bay; Section 702 reauthorization - civil liberties and national security; Car privacy; General age verification and privacy; Mental Health Justice Act - community safety; Cannabis Administration and Opportunity Act - marijuana decriminalization; Section 230 of Communications Decency Act proposals - free speech, internet integrity; Amendments to the Privacy Act of 1974; TSA use of facial recognition technology; DHS data consolidation; FCC First Amendment violations - free speech; Censorship; Protest Rights; Domestic deployment of the military; Continued funding for Affordable Connectivity Act - ensuring continued funding for broadband subsidy; DC Statehood; Civil liberties; Free speech; Algorithmic justice; Reproductive rights; FY26 Federal Funding; ICE detainment of students for protesting - free speech; Administration First Amendment violations; Immigration enforcement oversight; ICE Use of Force Act - federal policing reform; Removing body worn camera paywall - policing reform; Kinetic impact weapons regulation; New death penalty provision in the US military code; Privacy Act of 1974 reforms; Federal consumer privacy framework; Federal AI use case inventories; Law Enforcement Deployment; National Security; Jawboning; No Political Enemies Act; Bivens remedy; Free speech on campus; Federal Domestic Workers Bill of Rights; Aging in place hearing; Future abortion codification legislation; Womens rights; Disability rights; Appropriations - LGBTQ rights, reproductive rights; Stop Terror-Financing and Tax Penalties on American Hostages Act - nonprofits tax status and material support for terrorism; Fourth Amendment is Not For Sale Act - prohibiting data purchases by law enforcement and intelligence agencies; Legislative proposal on reproductive rights and access; Immigration detention - advising on oversight; Accountability for ICE/federal immigration agency violations - prospective bills; PROTECT Immigration Act - state and local involvement in immigration; Third country removal accountability; Immigrant children warrant bill; Criminal legal reform; Response to potential invocation of Insurrection Act; Freedom to Vote Act; Voter challenge legislation; Automatic Voter Registration Act; Administration attacks on Head Start; Fair Wages for Home Care Workers Act; Legal authority related to military strikes/Venezuela/boats - presidential action and concurrent resolutions, use of lethal force; FCC commissioner pressuring private companies in violation of First Amendment; Continuing Resolutions for FY26 - Protecting existing nondiscrimination provisions. AGENCIES: Agency - Homeland Security - Issues Lobbied: Federal artificial intelligence use case inventories, algorithmic justice, Dignity for Detained Immigrants Act, immigration detention conditions, MOC access to detention facilities, temporary protected status, travel ban. Agency - Office of Science and Technology Policy - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - Labor - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - U.S. Trade Representative - Issues Lobbied: U.S. commitments at WTO, open internet. Agency - National Security Council - National Security memo on uses of AI, privacy. Agency - Education - Issues Lobbied: Legislation relating to defining antisemitism in education programs, First Amendment protections, statement opposing breakup of Department of Education, disability rights. Agency - NIST - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice, supply chains and digital trade. Agency - Office of the Director of National Intelligence - Issues Lobbied: Section 702 of Foreign Intelligence Surveillance Act, related legislation and hearings, civil liberties and national security issues. Agency - Department of Health and Human Services - Issues Lobbied: NIH data sharing platform, privacy, Executive Order 12866-HHS/CMS proposed rules, LGBTQ Rights. Agency - Federal Communications Commission - Issues Lobbied: First Amendment violations, FCC commissioner pressuring private companies in violation of First Amendment. Agency - Department of Justice - Issues Lobbied: Executive Order 12866-DOJ/BOP PREA proposed rule, LGBTQ Rights, Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, federal prisons. Agency - Executive Office of the President - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, privacy. Agency - Department of State - Issues Lobbied: Travel ban. Agency - Office of Management and Budget - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, federal prisons.

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

Government targets: Director of National Intelligence (ODNI), Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

Issues related to the extension of enhanced Affordable Care Act insurance subsidies, including S.3385, Lower Health Care Costs Act; S. 3386, Health Care Freedom for Patients Act of 2025; H.R.6703, Lower Health Care Premiums for All Americans Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.

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

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

Work on extending advanced premium tax credits. This includes related proposals S. 3385, the Lower Health Care Costs Act; S. 3386, the Health Care Freedom for Patients Act; and H.R. 6703, the Lower Health Care Premiums for All Americans Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE