EARLY Minds Act

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, TRICARE, and private insurance Issues regarding childrens mental health and the national emergency in childrens mental health, including mental health parity, the mental health workforce, suicide and injury prevention, and related access issues. Issue regarding Medicaid supplemental payments and directed payments. Issues regarding the importance of Medicaid to children, including military and veteran families.  Issues regarding Medicaid support for providers caring for children on Medicaid, including DSH payments. Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program and funding. Issues related to 340B Drug Pricing Program, the Prescription Drug User Fee Act, prescription drug pricing, drug shortages, drug compounding, high-cost drugs/therapies and pharmaceutical supply chain. Issues related to pediatric workforce, Medicare GME and the Pediatric Specialty Loan Repayment Program. Issues related to hospital financing. Issues regarding site neutrality, facility fees, and price transparency in health care.  Issues regarding pediatric pandemic and disaster preparedness and response and emergency preparedness, including work with the Pediatric Pandemic Network (PPN) and related to the Pandemic and All-Hazards Preparedness Act (PAHPA). Issues related to Emergency Medical Services for Children (EMSC). Issues related to mental health services in schools Issues regarding Artificial Intelligence (AI). Issues regarding oversight and implementation of EPSDT. Issues involving pediatric medical research and funding, specifically including research at the National Institutes of Health. Issues involving gun violence prevention. Issues regarding health care innovation. Issues involving Making America Healthy Again. Issues involving Medical Device User Fee Authorization. Issues involving biomedical research policies. Issues involving the 988 Suicide Prevention Lifeline. Issues involving the Community Mental Health Services Block Grant. Issues involving the Pediatric Mental Health Care Access Program. Issues involving telehealth. Issues involving Appropriations for pediatric health care programs. H.R. 5582/S.2355 Patients Deserve Price Tags Act H.R. 6396 Kid Providing Resources for Optimal Outcomes Against Fatalities (Kid PROOF) Act H.R.169/S.357 Prevent Family Fire Act H.R.4768/S.2448 Health Care Fairness for Military Families Act of 2025 H.R. 1509/S. 752 Accelerating Kids Access to Care Act H.R. 1735 / S. 779, The Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 2587/S. 1266, Youth Mental Health Research Act H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act H.R.3255/S.1673, Mental Health Infrastructure Act Issues related Pub. L No. 119-21; specifically state direct payments. H.R. 3890, Resident Physician Shortage Reduction Act of 2025 H.R. 1262/S.932, Give Kids a Chance Act H.R. 3505, Barriers to Suicide Act H.R. 4262, To reauthorize programs related to health professions education, and for other purposes.

Client expense: $1,520,000 · Firm income: Not reported

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

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968); EARLY Minds Act (H.R. 7808/S.779); 988 LGBTQ+ Youth Access Act of 2025 (H.R. 5434); Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783). Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2223: Building Capacity for Care Act: Grans and loan guarantees to build mental health facilities. S.931: Complete Care Act: Integrating Behavioral health care into primary care H.R. 1906:Rural Wellness Act: Grants for telemedicine to provide Access to care in rural communities S. 779/H.R. 1735: EARLY Minds Act allows States to use some Mental Health Block Grant funds towards prevention and early intervention activities. H.R. 1902: HERO Act allows for the collection of data on first responder suicides to better identify and treat PTSD and combat suicide. S. 665: Fatal Overdose Reduction Act of 2025 creates hubs to treat substance use disorders. H.R. 1305: Improving Measurements for Loneliness and Isolation Act of 2025 creates a working group to better understand and define loneliness and isolation. S. 600: Supporting Adopted Children and Families Act enhances pre and post adoption services. S. 454: Gambling Addiction Recovery, Investment, and Treatment Act creates grants for state to address gambling addiction. S. 266/H.R. 929: Dr. Lorna Breen Health Care Provider Protection Reauthorization Act continues education and awareness for mental health services. H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025 extends and expands grants for serious mental illness and substance use disorder. Support for the inclusion of those with lived experience on the Make America Health Again (MAHA) Commission Support for staffing levels as of 1.1.25 at HHS and SAMHSA Support for Maternal Mental Health programs and funding Support for ending Medicare's 190-day lifetime limit on inpatient psychiatric care -- H.R. 1141: Gambling Addiction Recovery, Investment, and Treatment Act authorizes grants to states and research funding to address gambling addiction. H.R. 2044: Suicide Prevention Assistance Act establishes grants for primary care offices to provide self-harm and suicide prevention services. H.R. 2223: Building Capacity for Care Act provides financial support for developing mental health and substance use disorder treatment facilities. H.R. 2305: Corrections Officer Blake Schwarz Suicide Prevention Act of 2025 establishes a grant program to fund mental health screenings and referrals for corrections officer. H.R. 2587/S.1266: Youth Mental Health Research Act establishes a collaborative research initiative within the NIH to improve youth mental health. H.R. 2630: Youth Suicide Prevention Research Act expands research focus areas on childhood suicide to include adverse childhood experiences and toxic stress. H.R. 2904: Pursuing Equity in Mental Health Act authorizes federal grants for culturally competent research, outreach, provider training, and priority support for programs. H.R. 2936: Addressing Boarding and Crowding in the Emergency Department Act allows grants for tracking hospital bed capacity and introduces pilot programs for emergency care improvements. H.R. 2957: STRONG Support for Children Act of 2025 establishes programs aimed at preventing and mitigating childhood trauma through data analysis and strategy implementation. H.R. 3103: Health Share Transparency Act of 2025 requires health care sharing ministries to disclose financial and operational information to federal agencies and enrollees. H.R. 3130: FACTS Act establishes education and public health partnerships to prevent synthetic opioid misuse among youth. H.R. 3262: NURSE Act creates grants to increase school nurses in under-resourced schools. H.R. 3266: Mental Health Infrastructure Improvement Act of 2025 provides loans to expand and improve pediatric and adult mental health and substance use disorder treatment facilities. H.R. 3420: Words Matter Act of 2025 replacing outdated and stigmatizing terms related to intellectual disabilities with more respectful language. H.R. 3505: Barriers to Suicide Act of 2025 creates a grant program to install nets and barriers on infrastructures like bridges and railroads. H.R. 3520: STAND Against Emerging Opioids Act schedules tianeptine and its analogues as Schedule III controlled substances. H.R. 3601: National ACERT Grant Program Authorization Act establishes a new grant program focused on addressing adverse childhood experiences related to trauma exposure. H.R. 3689: TREAT Youth Act reauthorizes and increases funding for youth substance use prevention and recovery initiatives under the SUPPORT for Patients and Communities Act. H.R. 3743: Supporting Healthy Mothers and Infants Act of 2025 modernizes language for substance use disorder and expands nutrition education and outreach. S. 1056: Home-Based Telemental Health Care Act of 2025 establishes a grant program to improve mental health and substance use services for rural populations through telemental health care. S. 1062: Suicide Prevention Act establishes programs to enhance surveillance of self-harm and provide suicide prevention services in hospital emergency departments. S. 1074: Agricultural Access to Substance Use Disorder Treatment and Mental Health Care Act of 2025 requires a study on the accessibility of mental health and substance use disorder services for farmers and ranchers. S. 1261: CONNECT for Health Act of 2025 seeks to expand telehealth access by removing geographic restrictions. S. 1329/H.R. 2741: PEER Support Act supports and professionalizes peer support specialists and establishes an Office of Recovery. S. 139: FASD Respect Act reauthorize and extend the Fetal Alcohol Spectrum Disorders (FASD) Prevention and Services program. S. 1448: Pursuing Equity in Mental Health Act seeks to improve mental health services and reduce disparities for racial and ethnic minority youth through increased funding, research, and education initiatives. S. 1663/H.R. 3243: Therapeutic Fraud Prevention Act of 2025 prohibits commercial conversion therapy. S. 1673/H.R. 3260: Mental Health Improvement Act extends the authorization period for mental and behavioral health education and training grants. S. 1689/ H.R. 3316: Stop Mental Health Stigma in Our Communities Act of 2025 mandates the development of a national outreach and education strategy tailored to the cultural and linguistic needs of AANHPI populations. S. 1878: ATTAIN Mental Health Act creates an online dashboard to centralize public access to information about federal and state grants for mental health and substance use disorder programs. S. 473: SENIOR Act address loneliness among older adults by requiring screenings, coordinating services, and preparing a report on loneliness. S. 931/H.R. 2509: COMPLETE Care Act incentivizes behavioral health integration with primary care through increased payments and technical assistance. S.Res. 208: A resolution supporting the designation of May 10, 2025, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day." S.Res. 249/H.Res. 441: A resolution expressing support for the designation of May 2025 as "Mental Health Awareness Month." H.R. 3305. Barriers to Suicide Act: Creates a grant program to provide suicide barriers on bridges and other structures H.Res 542/S. 332: Expressing support for the designation of the month of June 2025 as National Post-traumatic stress Awareness Month and June 27, 2025 as National Post-traumatic Stress Awareness Day H.Res 671: Prioritizing Mental Health to the Same Degree as Physical Health to address the epidemics of suicide and drug overdose in the United States H.Res 697/ S. Res 385: Recognizing Suicide as a serious public health problem and supporting September as National Suicide Prevention Month and September 10 as World Suicide Prevention Day H.Res 764: Recognizing the continuing disparities in Black youth mental health and access to care H.R. 4400/S. 2282: Farmers First Act: reauthorizes and expands funding of the Farm Ranch Suicide Prevention Act. HR 4723/ S.2446: Mental Health For Latinos Act: Directs the development of a culturally tailored mental health outreach and education strategy for Hispanic and Latino Populations. S. 2556: Protecting Health Care and Lowering Costs Act: repeals recent health law changes, permanently expands ACA Tax Credits beyond 400% FPL, and sets a new sliding scale for premium contributions H.Res 684: A resolution expressing support for the designation of September 9, 2025, as National Firearms Suicide Prevention Day HR 5509/S 2903: The Safe Step Act: Creates a clear process to appeal step therapy process S.2826/H.R. 5434:The 988 LGBTQ+ Youth Access Act of 2025: Mandates that at least 9% of suicide prevention hotline funding be reserved for specialized services supporting LGBTQ + youth H.R. 1492: To Amend title XI of the Social Security Act to equalize the negotiation period between small molecule and biologic candidates under the Drug Price Negotiation Program H.R. 2085: The Mental Health Research Accelerator Act: establishes programs to speed up mental health research and innovations H.R. 3419: To Amend the Public Health Service Act to reauthorize the telehealth network and telehealth resource center grant program H.R. 4805: WINGS ACT: Requires a report on the long-term brain and mental health effects of military aviation. H.R. 5306: Gun Suicide Prevention Act of 2025: requires all firearms sold in the United States to display the suicide prevention lifeline label H.R. 5733: Community Mental Wellness Worker Training Act: establishes a grant program to train and certify community mental wellness workers H.R. 5859: Behavioral Health Crisis Care Centers Act: establishes a grant program to fund comprehensive, one stop crisis facilities H.R. 5861: Legacy Act of 2025 mandates a study on creating a secure, national system for storing and retrieving last wish documents. H.R. 6226 Latino Youth Mental Health Empowerment Act: Establish a Mental Health awareness campaign focused on Latino youth. H.R. 6817 To establish a home-based telemental health care grant program to increase mental health and substance use services for individuals in fishing, farming and forestry occupations H.Res. 792 Declaring a need for increased investment in youth mental Health and recognizing youth mental health day and youth suicide prevention day. S.2005 IDeA Reauthorization Act: Strengthens the NIH's Institutional Development Award Program S.2131/H.R. 5828 Dad's Matter Act: Requires a federal public awareness campaign and state guidance to promote fatherhood. S.2336: Halting the Epidemic of Addiction and Loss Act: Update grant program regulation and guidance to include all FDA opioid reversal agents, not just Naloxone S. 2825/H.R.5417 Health Access Innovation Act 2025: grant program to support faith and community-based organizations in addressing health inequities and chronic disease. S.3199 988 Lifeline Location Improvement Act: creates an advisory committee to study and recommend a solution for transmitting geolocation information with 988 calls. S. 3076 Nitazene Control Act: permanently classifies all nitazene opioids as schedule 1 Support for improving integrated care for those with Tardive Dyskinesia H.R. 6249: Addressing Addiction After Disasters Act expands federal disaster relief to include SUD and AUD services alongside mental health support. H.R. 6283: FOSTER Act expand opioid response grants and defines and supports kinship caregivers. H.R. 6396: Kid PROOF Act of 2025 expands grant eligibility and funding to support suicide and overdose prevention among youth. H.R. 6630: Expanding Mental Health Access for Cyber Command Personnel Act requires security-cleared behavioral health professionals to be assigned to Cyber Command locations. H.R. 6679: Tech Wellness for Young Men Act requires a study on the mental, social, and developmental impacts of screen addiction among young men. H.R. 6680: Tech Wellness for Men Act study on the economic, mental health, and social impacts of screen addiction among adult men. H.R. 6940: Hope Heals Act of 2026 requires an assessment amount Executive departments to enhance mental health. H.R. 7030: Securing Facilities for Mental Health Services Act expands access to federal mortgage insurance for all licensed hospitals, including mental health facilities. H.R. 7602: State of Men's Health Act requires a study on men's health disparities and establishes an Office of Men's Health. H.R. 8124: STOP Suicide Act creates a grant program to support evidence-based stabilization services for individuals with serious suicidal thoughts. H.R. 8149: Agricultural Access to Addiction and Mental Health Care Act mandates a study on improving access to addiction and mental health care for farmers and ranchers. H.R. 8160: Premenstrual Dysphoric Disorder Awareness and Research Act of 2026 expand research, raise awareness, improve provider education, and increase access to care for PMDD. H.R.8122: 9-8-8 Connect Act allocates $30 million for crisis center follow-up services. S. 3230: Family Caregiver Peer Support Act creates grants to expand in-person and virtual peer support programs for family caregivers. S. 3271: In-Home CARE Act authorizes grants to support family caregivers through home visiting programs. S. 3402: Ensuring Excellence in Mental Health Act expands and standardizes community behavioral health clinic services S. 3431: Improving Measurements for Loneliness and Isolation Act of 2025 establishes a working group to standardize how loneliness and isolation are defined and measured. S. 3461: RISE from Trauma Act authorizes expands and builds trauma-informed systems for youth and families affected by trauma, violence, and substance use. S. 3714: Family-to-Family Reauthorization Act of 2026 extends and specifies funding for family-to-family health information centers. S. 3840/H.R. 7496: Health Investment Zones Act of 2026 creates Health Investment Zones for incentives, grants, and support to reduce health disparities. S. 921: Tyler's Law requires a federal study and subsequent guidance on whether hospital emergency departments should routinely test for fentanyl in overdose cases. H.R. 7875: Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act of 2026 expands prevention, treatment, and recovery services for individuals experiencing gambling addiction. S. 4001/H.R. 7828: Supplemental Security Income Restoration Act of 2026 modernizes SSI eligibility and benefit rules. ___ H.R. 7911: Dream's Caregiver Health and Wellness Act grant program for nonprofits to promote caregiver wellness through support services, mental health resources, and community-building initiatives H.R. 8201: Expanding Community Access to Health Services Act mandates that community health centers provide behavioral, mental health, and substance use disorder services as part of primary care H.R. 8209: To amend the Public Health Service Act to reauthorize the school-based health centers grant program. H.R. 8504: Rural Health Resilience Act of 2026 creates a federal loan and loan guarantee program to help financially distressed rural health centers maintain essential services and avoid closure H.R. 8743: SMART Kids Act requires the Surgeon General to develop and publish age-specific, evidence-based screen time recommendations for children H.R. 8961: Student Suicide Prevention Awareness Act of 2026 requires a coordinated public awareness campaign and updated, visible signage in schools about 988 H.R.8916: CHIERS Act of 2026 grants to fund free transportation services for vulnerable individuals to access substance use disorder treatment and supportive services H.Res.1290: Recognizing the significant and often overlooked behavioral health needs experienced by individuals and families affected by rare diseases, and for other purposes. H.Res.1327: Supporting the designation of May 2026 as "Borderline Personality Disorder Awareness Month" H.Res.1329: Expressing support for the designation of May 2026 as "Mental Health Awareness Month" S. 4149: Social Determinants for Moms Act creates a task force and grant program to coordinate and fund efforts addressing clinical and nonclinical factors contributing to maternal mortality and health disparities S. 4210/H.R. 8070: Child Suicide Prevention Act grant programs and educational initiatives to reduce suicide among individuals under 26 S. 4552: Moms Matter Act grant programs to expand maternal mental health and substance use disorder services S. 4640/H.R. 8122: 988 Connect Act expands funding and regulatory requirements to enhance follow-up care and accessibility for individuals using 988 S.Res. 710/H.Res. 1256: A resolution recognizing Maternal Mental Health Day to raise awareness about maternal mental health. S.Res. 727: A resolution supporting the designation of May 29, 2026, as "Mental Health Awareness in Agriculture Day" to raise awareness around mental health in the agricultural industry and workforce and to continue to reduce stigma associated with mental illness. S.Res.714: A resolution supporting the designation of May 10, 2026, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day" __ H.R. 10116: Lifeline for First Responders Act establishes a grant program to support the mental health and wellness of first responders. H.R. 10216: Public Transit Mental Health Awareness Act requires public transit agencies receiving federal funds to display suicide prevention hotline information on vehicles or in facilities. H.R. 10246: 988 Community Infrastructure Act establishes a grant program to fund capital improvements for health centers and crisis response facilities. H.R. 10280: 988 Implementation Act of 2026 comprehensive legislative proposal aimed at strengthening the behavioral health crisis response infrastructure. H.R. 10349: EMT Act establishes a federally funded fellowship program to train culturally competent mental health professionals to better serve emergency responders. H.R. 8203: Workforce Recovery and Resilience Act updates best practices and targeted grants for training and employment activities addressing substance use disorder impacts on the workforce. H.R. 8811: Moms Matter Act establishes grant programs to improve maternal mental health and substance use disorder services. H.R. 8989: Evidence-Based Youth Suicide Prevention Act of 2026 establish demonstration programs aimed at developing, implementing, and evaluating evidence-based strategies to prevent suicide among children and adolescents. H.R. 9675: Expanding Opportunities for Recovery Act of 2026 establishes a grant program to help states expand evidence-based opioid addiction treatment for uninsured and underinsured individuals. H.Res. 1503: Supporting the goals of Overdose Awareness Day and strengthening efforts to combat the opioid crisis. H.Res. 1528: Designates September, 2026, as "National Suicide Prevention Month" as well as September 10, 2026, as "World Suicide Prevention Day". H.Res. 1534: Designates the week of September 13 to 19, 2026, as "National Co-Responder and Crisis Clinician Week". S. 3924/H.R. 10193: We Can't Wait Act of 2026 allows disabled individuals to opt for early receipt of Social Security disability benefits during the waiting period with a slightly reduced monthly amount. S. 4503: Advancing Menopause Care and Mid-Life Women's Health Act directs investment and coordination to advance research, care, education, and public health initiatives for menopause. S. 4816: Addressing SILO Act of 2026 establishes a grant program to reduce social isolation and loneliness among older adults and adults with disabilities. S. 5137/H.R. 9866: CARE for Mental Health Professionals Act creates a grant program to support interstate licensure compacts for mental health professionals. S. 5207: RCORP Authorization Act establish and maintain RCORP under HRSA. S. 5263: Workforce Recovery and Resilience Act amends the WIOA to address the workforce impacts of substance use disorders. S. 5327: Constructing the Path to Suicide Prevention Act mandates a federal study of suicide risk factors among construction workers. S. 5365: Community Mental Wellness Worker Training Act establishes a grant program to train and certify community mental wellness workers. S. 5425: Addiction Grants Modernization Act establishes a centralized, streamlined application process for federal discretionary substance use disorder grant programs. S. 5558: Barriers to Suicide Act of 2026 establishes a grant program for installing evidence-based suicide deterrents on key infrastructure. S.Res. 770: A resolution designating June 6, 2026, as National Naloxone Awareness Day. S.Res. 853/H.Res. 1514: A resolution expressing support for the designation of September 8, 2026, as 988 Day.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 929/S.266 - Lorna Breen Health Care Provider Protection Reauthorization H.R. 593 - Strengthening Pathways to Health Professions Act H.R. 1153 - Rural America Health Corps Act H.R. 1227/S.475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 1735/S.779 - EARLY Minds Act H.R. 1448 - PEER for Mental Health Act H.R. 1909/S.2621 - Preventing Maternal Deaths Reauthorization Act of 2025 H.R. 957 - Parity Enforcement Act H.R. 2509/S.931 - COMPLETE Care Act H.R. 4206/S.1261 - CONNECT for Health Act H.R. 2586 - Reentry Act of 2025 H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025 H.R. 4619 - Medicare Mental Health Inpatient Equity Act S. 1062 - Suicide Prevention Act H.R. 912 - 9-8-8 Lifeline Cybersecurity Act H.R. 2483/S.2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 3655 - STAR Plus Scholarship Act H.R. 3885/S.3989 - Community TEAMS Act H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME) H.R.3505/S.5558 - Barriers to Suicide Act H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act H.R.5509 /S.2903 - Safe Step Act H.R. 5557 - Mental Health Services for Students Act H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act S. 3064 - Relief of Chronic Pain Act H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act Conversations regarding mental health parity enforcement Communication with Congressional offices on SAMHSA grant terminations Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization Communication with Congressional offices on ghost networks H.R.7092 - RAYS Act Support of funding for gun violence prevention research at CDC, NIH and NIJ. S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026 Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline. H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect H.R. 7994 - The HERO Act H.R. 8124 - STOP Suicide Act H.R. 8201 - Expanding Community Access to Health Services Act Letter expressing concerns over H.R. 5629 and H.R. 5630 H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026 H.R. 8163 - Provider Reimbursement Stability Act H.R.8961 - Student Suicide Prevention Awareness Act H.Res.1329 - Expressing support for the designation of May 2026 as Mental Health Awareness Month H.R.8989 - Evidence-Based Youth Suicide Prevention Act of 2026 H.R.8122/ S.4640 - 9-8-8 Connect Act H.R.8811/S.4552 - Moms Matter Act H.R.9257 - Primary and Behavioral Health Care Access Act H.R.8487/S.3401 - Ensuring Excellence in Mental Health Act H.R. 9948 - Addictive Design Act H.R. 9551 - Mental Health Parity Enforcement and Funding Act H.R. 9693 - Patients First Act S.4916 - Aging with Artificial Intelligence Act of 2026 H.R.9538 - Residential Recovery for Seniors Act H.R.10216 - Public Transit Mental Health Awareness Act H.R. 8657 - Campus Lifeline Act H.R. 10349 - Emergency Responders Mental Health Training (EMT) Act H.R. 10210 - Doctors Not AI Act H.R. 8693/S.3062 - GUARD Act H.R.10280 - 9-8-8 Implementation Act of 2026 Letter supporting Project AWARE funding Letter urging prior authorization and step therapy reform National Health Service Corps extension Community Health Center funding extension H.R. 1 implementation impacts on Medicaid Conversation regarding vaccine recommendations and public health Response to HRSA RFI on the Safe Administration of Psychedelic Therapies

Client expense: $144,050 · Firm income: Not reported

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

Issues related to support for the mental health counseling profession. Issues related to the Parity Enforcement Act (H.R. 957, 119th Congress); HOPE and Mental Wellbeing Act (H.R. 1096, 119th Congress); Building Capacity for Care Act (H.R. 2223; 119th Congress); Expanding Access to Mental Health Services in Schools Act (H.R.4253, 119th Congress); Mental Health Services for Students Act (H.R. 5557, 119th Congress); Latino Youth Mental Health Empowerment Act (H.R. 6226; 119th Congress); Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 6672, 119th Congress); Mental Health Access and Provider Support Act (H.R. 8081/S. 4202; 119th Congress); CONNECT for Health Act (H.R. 4206/S. 1261; 119th Congress); Early Action and Responsiveness Lifts Youth (EARLY) Minds Act (H.R. 1735/ S. 779; 119th Congress).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No Bill No. - Physician payment reform No Bill No. - Value based care No Bill No. - Kids Access to Primary Care Act No Bill No. - Medicaid Primary Care Improvement Act No Bill No. - Alleviating Barriers for Caregivers (ABC) Act No Bill No. - MA Prompt Pay No Bill No. - CY2027 Medicare Physician Fee Schedule (H.R. 879) - Medicare Patient Access and Practice Stabilization Act (H.R. 1510) - Due Process Continuity of Care Act (S. 891) - Bipartisan Health Care Act (H.R. 1735/S. 779) - EARLY Minds Act (H.R. 786) - Reserving Patient Access to Accountable Care Act (S.2671/H.R. 5269) - RESULTS Act (2. 2749) - Medicare Sequester Exemption Bill (H.R. 483) - Health Care Efficiency Through Flexibility Act (H.R. 6160) - Strengthening Medicare for Patients and Providers Act (H.R. 6210) - Senior Savings Protection Act (S. 3300) - Access to New Community Health Opportunities and Recovery (ANCHOR) Act (S. 3522) - No Red Tape for Addiction Treatment Act (H.R. 8735/ S. 4384) - Medicare Advantage Improvements Act (H.R. 8390) - National Food as Medicine Program Act of 2026 (H.R. 8425) - Strengthening the Vaccines for Children Program Act of 2026 (H.R. 9693) - Patients First Act (S. 5296) - Pay PCPs Act

Client expense: $499,510 · Firm income: Not reported

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

SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483), all provisions related to the continued bolstered funding for substance use disorder treatment and recovery. Ensuring Excellence in Mental Health Act (S.3402), all provisions relating to certified community behavioral health clinics. COMPLETE Care Act (S. 931/H.R. 2509), all provisions related to providing incentives for behavioral health integration. STAR Plus Scholarship Act (H.R. 3655), all provisions related to creating a scholarship program for students pursuing a degree to provide substance use disorder treatment, mental health and behavioral health services. PEER Support Act (H.R. 2741/S. 1329), all provisions related to background screenings for peer specialists, creating a statutory definition in the Medicare program for peer specialists, and establishing the Office of Recovery. EARLY Minds Act (S. 779/H.R. 1735), all provisions related to allowing states to allocate up to five percent of their Mental Health Block Grant funding for prevention and early intervention activities. Building Capacity for Care Act (H.R. 2223), all provisions related to creating grants, loans, and loan guarantees to fund the construction, renovation, or purchase of behavioral health facilities that provide short-term inpatient care, partial hospitalization, intensive outpatient care, and/or crisis stabilization. Expanding Student Access to Mental Health Services Act (H.R. 1649), all provisions related to improving mental health services for students. PEER Mental Health Act (H.R. 1448), all provisions related to awarding grants to train teachers, school personnel, parents/caregivers and students in mental health first aid. Parity Enforcement Act (H.R. 957), all provisions related to imposing civil monetary penalties for violations of mental health parity requirements. Telehealth Access for Tribal Communities Act of 2025 (H.R. 2639), all provisions related to providing access to healthcare services through audio-only telehealth for Medicare beneficiaries in tribal communities. Treatment and Homelessness Housing Integration Act of 2024 (H.R. 577), all provisions related to establishing a five-year demonstration program to refer qualified participants within the Continuum of Care Program to the nearest Certified Community Behavioral Health Clinic. Veteran Overmedication and Suicide Prevention Act of 2025(H.R. 136), all provisions relating to requiring the Department of Veterans Affairs (VA) to contract with the National Academies of Sciences, Engineering, and Medicine to report on the deaths of covered veterans who died by suicide during the last five years. Farmers First Act (H.R. 4400/S. 2282), all provisions related to grant recipients under the bill establishing referral relationships with Certified Community Behavioral Health Clinics. Mental Health Services for Students Act (H.R. 5557), all provisions related to bringing mental health services to students in public schools across the country and provide federal funding for school-based mental health programs to address the nations youth mental health crisis. Campus Prevention and Recovery Services Act (Not yet introduced), all provisions related to revising the illicit drug and alcohol abuse prevention program, including by expanding the program to include efforts to prevent substance misuse on campuses Community Mental Wellness Worker Training Act (H.R. 5733/S.5365), all provisions related to awarding award grants to eligible entities to implement community mental wellness worker training grants. PEERS in Medicare Act (H.R. 6748/S. 3521), all provisions related to permitting reimbursement of peer support services under Medicare in different community-based settings. LEAP Act (H.R. 6574), all provisions relating to equal treatment for loan eligibility among graduate degree programs. Home-Based Telemental Health Care Act of 2025 (S. 1056), all provisions relating to expanding access to mental health and substance abuse services for rural patients, particularly for individuals in the farming, fishing, and forestry industries. Written Informed Consent Act (H.R. 4837/S. 3314), all provisions relating to providing written consent to VA patients when prescribing certain drugs. No Red Tape for Addiction Treatment Act (S.3522), all provisions relating to requiring state Medicaid programs to cover at least one formulation of each FDA-approved medication for opioid use disorder without prior authorization when medically appropriate. Mental Health Access and Provider Support Act (S. 4202/H.R. 8081), all provisions relating to increasing Medicare reimbursement for behavioral health providers. STOP Suicide Act (H.R.8124), all provisions relating to creating a grant program at SAMHSA to expand the use of evidence-based models for stabilizing individuals with serious thoughts of suicide First Responder Behavioral Health Access Act (H.R.10712), all provisions relating to including certain emergency response providers as eligible institutions under the mental and behavioral health education and training grant program. STRONGER Act (S.5543), all provisions relating to amending the Omnibus Crime Control and Safe Streets Act of 1968 to reauthorize and update the residential substance use disorder treatment program for incarcerated individuals

Client expense: $140,923 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), 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 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 Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans Policies affecting nurse practitioner education and workforce 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. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Act H.R. 2223, Building Capacity for Care Act H.R. 3333, Magnifying Opportunities to Recruit and Educate (MORE) Nurses 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. 7092/S. 4061, Raising Awareness for Youth Suicide (RAYS) Prevention Act H.R. 7973, Momnibus Act H.R. 8089/S. 4186, Perinatal Workforce Act S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 891, Bipartisan Health Care 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. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025

Client expense: Not reported · Firm income: $29,067

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

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

Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities. COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029. Promoting Effective and Empowering Recovery Services in Medicare Act H.R. 6841/S. 3521. This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists. Expanding Community Access to Health Services Act H.R. 8201. This bill requires community health centers to provide mental health and substance use disorder services.

Client expense: $22,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; maternal health; substance misuse/behavioral health issues; vaccines and immunizations; antimicrobial resistance; public health data modernization; global health. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (H.R.5557) 3.Helping Kids Cope Act (Not yet introduced) 4.Advancing Student Services in Schools Today Act (S.2050) 5.Pursuing Equity in Mental Health Act (H.R.2904/S.1448) 6.RISE from Trauma Act (S.3461/H.R.6625) 7.Better Mental Health Care for Americans Act (Not yet introduced) 8.Reentry Act (H.R. 2586) 9.FY 2027 Labor, HHS, Education and Related Agencies Appropriations 10.FY 2027 Agriculture, Rural Development and Drug Administration Appropriations, provisions related to nutrition 11.Farm, Food, and National Security Act of 2026 12.Improving Social Determinants of Health Act (Not yet introduced) 13.The UNDERSTAND Act (Not yet introduced) 14.The TRUTH in Labeling Act (Not yet introduced) 15.Child Nutrition Reauthorization 16.Promoting Physical Activity for Americans Act (H.R. 6121) 17.Momnibus Act (H.R.7973) 18.Older Americans Act Reauthorization (S.2120) 19.Protecting the Health of Americas Older Adults Act (Not yet introduced) 20.Pandemic and All-Hazards Preparedness Act Reauthorization (Not yet introduced) 21.Public Health Infrastructure Saves Lives Act (Not yet introduced) 22.The Support for Patients and Communities Reauthorization Act (H.R. 2483/S.2121) 23.The PEER Support Act (H.R.2741/S.1329) 24.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S.931/ H.R.2509) 25.The 9-8-8 Implementation Act (Not yet introduced) 26.Local 988 Response Act (Not yet introduced) 27.Lead-Safe Housing for Kids Act (Not yet introduced) 28.The Kid PROOF Act (H.R.6396) 29.EARLY Minds Act (S.779/H.R.1735) 30.Campus Prevention and Recovery Services for Students Act (H.R.7019) 31.Stabilization to Prevent (STOP) Suicide Act (H.R.8124) 32.Womens Heart Health Expansion Act of 2026 (S.3944) 33.Childhood Diabetes Reduction Act (Not yet introduced) 34.Raising Awareness for Youth Suicide Prevention (RAYS) Act (H.R.7092/S.4061) 35.Campus Lifeline Act of 2026 (H.R.8657) 36.Improving Mental Health Access for Students Act (S.1924/H.R.3624) 37.9-8-8 CONNECT Act (H.R.8122) 38.Improving Non-medical Drivers of Health Act (Not yet introduced) 39.Alzheimers Screening and Prevention Act (H.R.6130) 40.Tech to Save Moms Act (S. 958/H.R. 8317) 41.BUILD America 250 Act (H.R.8870)/Surface transportation reauthorization House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, White House Domestic Policy Council, HHS, CDC, FDA, USDA, OMB, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Client expense: $41,945 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, TRICARE, and private insurance Issues regarding childrens mental health and the national emergency in childrens mental health, including mental health parity, the mental health workforce, suicide and injury prevention, and related access issues. Issue regarding Medicaid supplemental payments and directed payments. Issues regarding the importance of Medicaid to children, including military and veteran families.  Issues regarding Medicaid support for providers caring for children on Medicaid, including DSH payments. Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program and funding. Issues related to 340B Drug Pricing Program, the Prescription Drug User Fee Act, prescription drug pricing, drug shortages, drug compounding, high-cost drugs/therapies and pharmaceutical supply chain. Issues related to pediatric workforce, Medicare GME and the Pediatric Specialty Loan Repayment Program. Issues related to hospital financing. Issues regarding site neutrality, facility fees, and price transparency in health care.  Issues regarding pediatric pandemic and disaster preparedness and response and emergency preparedness, including work with the Pediatric Pandemic Network (PPN) and related to the Pandemic and All-Hazards Preparedness Act (PAHPA). Issues related to Emergency Medical Services for Children (EMSC). Issues related to mental health services in schools Issues regarding Artificial Intelligence (AI). Issues regarding oversight and implementation of EPSDT. Issues involving pediatric medical research and funding, specifically including research at the National Institutes of Health. Issues involving gun violence prevention. Issues regarding health care innovation. Issues involving Making America Healthy Again. Issues involving Medical Device User Fee Authorization. Issues involving biomedical research policies. Issues involving the 988 Suicide Prevention Lifeline. Issues involving the Community Mental Health Services Block Grant. Issues involving the Pediatric Mental Health Care Access Program. Issues involving telehealth. Issues involving Appropriations for pediatric health care programs. Issues involving Hospital at Home. Issues involving the Lorna Breen Health Care Provider Protections program. Issues involving National Provider Identifier. H.R. 5582/S.2355 Patients Deserve Price Tags Act H.R. 6396 Kid Providing Resources for Optimal Outcomes Against Fatalities (Kid PROOF) Act H.R.169/S.357 Prevent Family Fire Act H.R.4768/S.2448 Health Care Fairness for Military Families Act of 2025 H.R. 1509/S. 752 Accelerating Kids Access to Care Act H.R. 1735 / S. 779, The Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 2587/S. 1266, Youth Mental Health Research Act H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act H.R.3255/S.1673, Mental Health Infrastructure Act Issues related Pub. L No. 119-21; specifically state direct payments. H.R. 3890, Resident Physician Shortage Reduction Act of 2025 H.R. 1262/S.932, Give Kids a Chance Act H.R. 3505, Barriers to Suicide Act H.R. 4262, To reauthorize programs related to health professions education, and for other purposes.

Client expense: $1,370,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R.2223: Building Capacity for Care Act: Grans and loan guarantees to build mental health facilities. S.931: Complete Care Act: Integrating Behavioral health care into primary care H.R. 1906:Rural Wellness Act: Grants for telemedicine to provide Access to care in rural communities S. 779/H.R. 1735: EARLY Minds Act allows States to use some Mental Health Block Grant funds towards prevention and early intervention activities. H.R. 1902: HERO Act allows for the collection of data on first responder suicides to better identify and treat PTSD and combat suicide. S. 665: Fatal Overdose Reduction Act of 2025 creates hubs to treat substance use disorders. H.R. 1305: Improving Measurements for Loneliness and Isolation Act of 2025 creates a working group to better understand and define loneliness and isolation. S. 600: Supporting Adopted Children and Families Act enhances pre and post adoption services. S. 454: Gambling Addiction Recovery, Investment, and Treatment Act creates grants for state to address gambling addiction. S. 266/H.R. 929: Dr. Lorna Breen Health Care Provider Protection Reauthorization Act continues education and awareness for mental health services. H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025 extends and expands grants for serious mental illness and substance use disorder. Support for the inclusion of those with lived experience on the Make America Health Again (MAHA) Commission Support for staffing levels as of 1.1.25 at HHS and SAMHSA Support for Maternal Mental Health programs and funding Support for ending Medicare's 190-day lifetime limit on inpatient psychiatric care -- H.R. 1141: Gambling Addiction Recovery, Investment, and Treatment Act authorizes grants to states and research funding to address gambling addiction. H.R. 2044: Suicide Prevention Assistance Act establishes grants for primary care offices to provide self-harm and suicide prevention services. H.R. 2223: Building Capacity for Care Act provides financial support for developing mental health and substance use disorder treatment facilities. H.R. 2305: Corrections Officer Blake Schwarz Suicide Prevention Act of 2025 establishes a grant program to fund mental health screenings and referrals for corrections officer. H.R. 2587/S.1266: Youth Mental Health Research Act establishes a collaborative research initiative within the NIH to improve youth mental health. H.R. 2630: Youth Suicide Prevention Research Act expands research focus areas on childhood suicide to include adverse childhood experiences and toxic stress. H.R. 2904: Pursuing Equity in Mental Health Act authorizes federal grants for culturally competent research, outreach, provider training, and priority support for programs. H.R. 2936: Addressing Boarding and Crowding in the Emergency Department Act allows grants for tracking hospital bed capacity and introduces pilot programs for emergency care improvements. H.R. 2957: STRONG Support for Children Act of 2025 establishes programs aimed at preventing and mitigating childhood trauma through data analysis and strategy implementation. H.R. 3103: Health Share Transparency Act of 2025 requires health care sharing ministries to disclose financial and operational information to federal agencies and enrollees. H.R. 3130: FACTS Act establishes education and public health partnerships to prevent synthetic opioid misuse among youth. H.R. 3262: NURSE Act creates grants to increase school nurses in under-resourced schools. H.R. 3266: Mental Health Infrastructure Improvement Act of 2025 provides loans to expand and improve pediatric and adult mental health and substance use disorder treatment facilities. H.R. 3420: Words Matter Act of 2025 replacing outdated and stigmatizing terms related to intellectual disabilities with more respectful language. H.R. 3505: Barriers to Suicide Act of 2025 creates a grant program to install nets and barriers on infrastructures like bridges and railroads. H.R. 3520: STAND Against Emerging Opioids Act schedules tianeptine and its analogues as Schedule III controlled substances. H.R. 3601: National ACERT Grant Program Authorization Act establishes a new grant program focused on addressing adverse childhood experiences related to trauma exposure. H.R. 3689: TREAT Youth Act reauthorizes and increases funding for youth substance use prevention and recovery initiatives under the SUPPORT for Patients and Communities Act. H.R. 3743: Supporting Healthy Mothers and Infants Act of 2025 modernizes language for substance use disorder and expands nutrition education and outreach. S. 1056: Home-Based Telemental Health Care Act of 2025 establishes a grant program to improve mental health and substance use services for rural populations through telemental health care. S. 1062: Suicide Prevention Act establishes programs to enhance surveillance of self-harm and provide suicide prevention services in hospital emergency departments. S. 1074: Agricultural Access to Substance Use Disorder Treatment and Mental Health Care Act of 2025 requires a study on the accessibility of mental health and substance use disorder services for farmers and ranchers. S. 1261: CONNECT for Health Act of 2025 seeks to expand telehealth access by removing geographic restrictions. S. 1329/H.R. 2741: PEER Support Act supports and professionalizes peer support specialists and establishes an Office of Recovery. S. 139: FASD Respect Act reauthorize and extend the Fetal Alcohol Spectrum Disorders (FASD) Prevention and Services program. S. 1448: Pursuing Equity in Mental Health Act seeks to improve mental health services and reduce disparities for racial and ethnic minority youth through increased funding, research, and education initiatives. S. 1663/H.R. 3243: Therapeutic Fraud Prevention Act of 2025 prohibits commercial conversion therapy. S. 1673/H.R. 3260: Mental Health Improvement Act extends the authorization period for mental and behavioral health education and training grants. S. 1689/ H.R. 3316: Stop Mental Health Stigma in Our Communities Act of 2025 mandates the development of a national outreach and education strategy tailored to the cultural and linguistic needs of AANHPI populations. S. 1878: ATTAIN Mental Health Act creates an online dashboard to centralize public access to information about federal and state grants for mental health and substance use disorder programs. S. 473: SENIOR Act address loneliness among older adults by requiring screenings, coordinating services, and preparing a report on loneliness. S. 931/H.R. 2509: COMPLETE Care Act incentivizes behavioral health integration with primary care through increased payments and technical assistance. S.Res. 208: A resolution supporting the designation of May 10, 2025, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day." S.Res. 249/H.Res. 441: A resolution expressing support for the designation of May 2025 as "Mental Health Awareness Month." H.R. 3305. Barriers to Suicide Act: Creates a grant program to provide suicide barriers on bridges and other structures H.Res 542/S. 332: Expressing support for the designation of the month of June 2025 as National Post-traumatic stress Awareness Month and June 27, 2025 as National Post-traumatic Stress Awareness Day H.Res 671: Prioritizing Mental Health to the Same Degree as Physical Health to address the epidemics of suicide and drug overdose in the United States H.Res 697/ S. Res 385: Recognizing Suicide as a serious public health problem and supporting September as National Suicide Prevention Month and September 10 as World Suicide Prevention Day H.Res 764: Recognizing the continuing disparities in Black youth mental health and access to care H.R. 4400/S. 2282: Farmers First Act: reauthorizes and expands funding of the Farm Ranch Suicide Prevention Act. HR 4723/ S.2446: Mental Health For Latinos Act: Directs the development of a culturally tailored mental health outreach and education strategy for Hispanic and Latino Populations. S. 2556: Protecting Health Care and Lowering Costs Act: repeals recent health law changes, permanently expands ACA Tax Credits beyond 400% FPL, and sets a new sliding scale for premium contributions H.Res 684: A resolution expressing support for the designation of September 9, 2025, as National Firearms Suicide Prevention Day HR 5509/S 2903: The Safe Step Act: Creates a clear process to appeal step therapy process S.2826/H.R. 5434:The 988 LGBTQ+ Youth Access Act of 2025: Mandates that at least 9% of suicide prevention hotline funding be reserved for specialized services supporting LGBTQ + youth H.R. 1492: To Amend title XI of the Social Security Act to equalize the negotiation period between small molecule and biologic candidates under the Drug Price Negotiation Program H.R. 2085: The Mental Health Research Accelerator Act: establishes programs to speed up mental health research and innovations H.R. 3419: To Amend the Public Health Service Act to reauthorize the telehealth network and telehealth resource center grant program H.R. 4805: WINGS ACT: Requires a report on the long-term brain and mental health effects of military aviation. H.R. 5306: Gun Suicide Prevention Act of 2025: requires all firearms sold in the United States to display the suicide prevention lifeline label H.R. 5733: Community Mental Wellness Worker Training Act: establishes a grant program to train and certify community mental wellness workers H.R. 5859: Behavioral Health Crisis Care Centers Act: establishes a grant program to fund comprehensive, one stop crisis facilities H.R. 5861: Legacy Act of 2025 mandates a study on creating a secure, national system for storing and retrieving last wish documents. H.R. 6226 Latino Youth Mental Health Empowerment Act: Establish a Mental Health awareness campaign focused on Latino youth. H.R. 6817 To establish a home-based telemental health care grant program to increase mental health and substance use services for individuals in fishing, farming and forestry occupations H.Res. 792 Declaring a need for increased investment in youth mental Health and recognizing youth mental health day and youth suicide prevention day. S.2005 IDeA Reauthorization Act: Strengthens the NIH's Institutional Development Award Program S.2131/H.R. 5828 Dad's Matter Act: Requires a federal public awareness campaign and state guidance to promote fatherhood. S.2336: Halting the Epidemic of Addiction and Loss Act: Update grant program regulation and guidance to include all FDA opioid reversal agents, not just Naloxone S. 2825/H.R.5417 Health Access Innovation Act 2025: grant program to support faith and community-based organizations in addressing health inequities and chronic disease. S.3199 988 Lifeline Location Improvement Act: creates an advisory committee to study and recommend a solution for transmitting geolocation information with 988 calls. S. 3076 Nitazene Control Act: permanently classifies all nitazene opioids as schedule 1 Support for improving integrated care for those with Tardive Dyskinesia H.R. 6249: Addressing Addiction After Disasters Act expands federal disaster relief to include SUD and AUD services alongside mental health support. H.R. 6283: FOSTER Act expand opioid response grants and defines and supports kinship caregivers. H.R. 6396: Kid PROOF Act of 2025 expands grant eligibility and funding to support suicide and overdose prevention among youth. H.R. 6630: Expanding Mental Health Access for Cyber Command Personnel Act requires security-cleared behavioral health professionals to be assigned to Cyber Command locations. H.R. 6679: Tech Wellness for Young Men Act requires a study on the mental, social, and developmental impacts of screen addiction among young men. H.R. 6680: Tech Wellness for Men Act study on the economic, mental health, and social impacts of screen addiction among adult men. H.R. 6940: Hope Heals Act of 2026 requires an assessment amount Executive departments to enhance mental health. H.R. 7030: Securing Facilities for Mental Health Services Act expands access to federal mortgage insurance for all licensed hospitals, including mental health facilities. H.R. 7602: State of Men's Health Act requires a study on men's health disparities and establishes an Office of Men's Health. H.R. 8124: STOP Suicide Act creates a grant program to support evidence-based stabilization services for individuals with serious suicidal thoughts. H.R. 8149: Agricultural Access to Addiction and Mental Health Care Act mandates a study on improving access to addiction and mental health care for farmers and ranchers. H.R. 8160: Premenstrual Dysphoric Disorder Awareness and Research Act of 2026 expand research, raise awareness, improve provider education, and increase access to care for PMDD. H.R.8122: 9-8-8 Connect Act allocates $30 million for crisis center follow-up services. S. 3230: Family Caregiver Peer Support Act creates grants to expand in-person and virtual peer support programs for family caregivers. S. 3271: In-Home CARE Act authorizes grants to support family caregivers through home visiting programs. S. 3402: Ensuring Excellence in Mental Health Act expands and standardizes community behavioral health clinic services S. 3431: Improving Measurements for Loneliness and Isolation Act of 2025 establishes a working group to standardize how loneliness and isolation are defined and measured. S. 3461: RISE from Trauma Act authorizes expands and builds trauma-informed systems for youth and families affected by trauma, violence, and substance use. S. 3714: Family-to-Family Reauthorization Act of 2026 extends and specifies funding for family-to-family health information centers. S. 3840/H.R. 7496: Health Investment Zones Act of 2026 creates Health Investment Zones for incentives, grants, and support to reduce health disparities. S. 921: Tyler's Law requires a federal study and subsequent guidance on whether hospital emergency departments should routinely test for fentanyl in overdose cases. H.R. 7875: Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act of 2026 expands prevention, treatment, and recovery services for individuals experiencing gambling addiction. S. 4001/H.R. 7828: Supplemental Security Income Restoration Act of 2026 modernizes SSI eligibility and benefit rules. ___ H.R. 7911: Dream's Caregiver Health and Wellness Act grant program for nonprofits to promote caregiver wellness through support services, mental health resources, and community-building initiatives H.R. 8201: Expanding Community Access to Health Services Act mandates that community health centers provide behavioral, mental health, and substance use disorder services as part of primary care H.R. 8209: To amend the Public Health Service Act to reauthorize the school-based health centers grant program. H.R. 8504: Rural Health Resilience Act of 2026 creates a federal loan and loan guarantee program to help financially distressed rural health centers maintain essential services and avoid closure H.R. 8743: SMART Kids Act requires the Surgeon General to develop and publish age-specific, evidence-based screen time recommendations for children H.R. 8961: Student Suicide Prevention Awareness Act of 2026 requires a coordinated public awareness campaign and updated, visible signage in schools about 988 H.R.8916: CHIERS Act of 2026 grants to fund free transportation services for vulnerable individuals to access substance use disorder treatment and supportive services H.Res.1290: Recognizing the significant and often overlooked behavioral health needs experienced by individuals and families affected by rare diseases, and for other purposes. H.Res.1327: Supporting the designation of May 2026 as "Borderline Personality Disorder Awareness Month" H.Res.1329: Expressing support for the designation of May 2026 as "Mental Health Awareness Month" S. 4149: Social Determinants for Moms Act creates a task force and grant program to coordinate and fund efforts addressing clinical and nonclinical factors contributing to maternal mortality and health disparities S. 4210/H.R. 8070: Child Suicide Prevention Act grant programs and educational initiatives to reduce suicide among individuals under 26 S. 4552: Moms Matter Act grant programs to expand maternal mental health and substance use disorder services S. 4640/H.R. 8122: 988 Connect Act expands funding and regulatory requirements to enhance follow-up care and accessibility for individuals using 988 S.Res. 710/H.Res. 1256: A resolution recognizing Maternal Mental Health Day to raise awareness about maternal mental health. S.Res. 727: A resolution supporting the designation of May 29, 2026, as "Mental Health Awareness in Agriculture Day" to raise awareness around mental health in the agricultural industry and workforce and to continue to reduce stigma associated with mental illness. S.Res.714: A resolution supporting the designation of May 10, 2026, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day"

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

340B Drug Pricing Program The Early Action and Responsiveness Lifts Youth (EARLY) Minds Act (H.R. 1735, S. 779)

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 929/S.266 - Lorna Breen Health Care Provider Protection Reauthorization H.R. 593 - Strengthening Pathways to Health Professions Act H.R. 879/S.1640 - Medicare Patient Access and Practice Stabilization Act H.R. 1153 - Rural America Health Corps Act H.R. 1227/S.475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 1735/S.779 - EARLY Minds Act H.R. 1448 - PEER for Mental Health Act H.R. 1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act H.R. 1909/S.2621 - Preventing Maternal Deaths Reauthorization Act of 2025 H.R. 957 - Parity Enforcement Act H.R. 2509/S.931 - COMPLETE Care Act H.R. 4206/S.1261 - CONNECT for Health Act H.R. 1305 - Improving Measurements for Loneliness and Isolation Act H.R. 1902 - Helping Emergency Responders Overcome (HERO) Act H.R. 2223 - Building Capacity for Care Act H.R. 2586 - Reentry Act of 2025 H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025 H.R. 3266/S.1673 - Mental Health Infrastructure Improvement Act of 2025 H.R. 4619 - Medicare Mental Health Inpatient Equity Act S. 1062 - Suicide Prevention Act H.R. 912 - 9-8-8 Lifeline Cybersecurity Act H.R. 2587 - Youth Mental Health Research Act H.R. 2483/S.2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 2630 - Youth Suicide Prevention Research Act H.R. 3655 - STAR Plus Scholarship Act H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885/S.3989 - Community TEAMS Act H.R. 1867 - To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act H.R. 4723/S. 2446 - Mental Health for Latinos Act Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME) H.R.3505 - Barriers to Suicide Act H.R.6249 - Addressing Addiction After Disasters Act H.R.7394/S.3783 - Mental Health Career Promotion Act H.R. 5074 - Protecting Young Minds Online Act H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act H.R.5509 /S.2903 - Safe Step Act H.R. 5557 - Mental Health Services for Students Act H.R.1197 - PREEMIE Reauthorization Act of 2025 H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act H.Res.792 - Youth Mental Health Day and Suicide Prevention Day Resolution H.R.5725 - Mental Health Crisis Response Act of 2025 H.R.5706 - Mental Health Emergency Responder Act S. 3064 - Relief of Chronic Pain Act H.R. 6226 - Latino Youth Mental Health Empowerment Act H.R. 5482 - Prevent Youth Suicide Act H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act Letter to Letter to Department of Labor, Department of Health and Human Services, and Department of Treasury regarding mental health parity enforcement H.R. 3492 - Protect Children's Innocence Act H.R. 498 - Do No Harm in Medicaid Act H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act Communication with Congressional offices on SAMHSA grant terminations Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization Communication with Congressional offices on ghost networks S. 3486 - Expand the Behavioral Health Workforce Now Act H.R.7324/S. 683 - More Behavioral Health Providers Act H.R. 786/S. 1460 - Preserving Patient Access to Accountable Care Act H.R. 4331 - Access to Claims Data Act H.R.5281 - REAL Health Providers Act H.R.7875 - Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding H.R. 6396 - Kid PROOF Act H.R. 6468 - Rural Residency Planning and Development Act of 2025 H.R. 8234 - Save Money, Save Lives Act H.R.7092 - RAYS Act H.R.7787 - Mental Health Workforce Act Letter in support of funding for gun violence prevention research at CDC, NIH and NIJ. S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026 Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline. H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect H.R. 7994 - The HERO Act H.R. 8124 - STOP Suicide Act S.1924 / H.R.3624 - Improving Mental Health Access for Students Act H.R.8261 - Chronic Care Management Act Letter in support of funding for the Pediatric Mental Health Care Access program H.R. 8201 - Expanding Community Access to Health Services Act Letter supporting increased funding for Childrens Hospital Graduate Medical Education Letter expressing concerns over H.R. 5629 and H.R. 5630 S. 1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 S. 4110 - EMPOWER for Health Act H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026 H.R. 8163 - Provider Reimbursement Stability Act H.R.8961 - Student Suicide Prevention Awareness Act H.Res.1329 - Expressing support for the designation of May 2026 as Mental Health Awareness Month H.R.8989 - Evidence-Based Youth Suicide Prevention Act of 2026 H.R.8122/ S.4640 - 9-8-8 Connect Act H.R.8811/S.4552 - Moms Matter Act H.R.9257 - Primary and Behavioral Health Care Access Act H.R.8487/S.3401 - Ensuring Excellence in Mental Health Act Joint letter to SAMHSA regarding the planned removal of SAMHSAs buprenorphine practitioner locator and pharmacy locator.

Client expense: $137,391 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968); EARLY Minds Act (H.R. 7808/S.779); 988 LGBTQ+ Youth Access Act of 2025 (H.R. 5434); Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783). Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No Bill No. - Physician payment reform No Bill No. - Value based care No Bill No. - Kids Access to Primary Care Act No Bill No. - Medicaid Primary Care Improvement Act No Bill No. - Alleviating Barriers for Caregivers (ABC) Act No Bill No. - MA Prompt Pay (H.R. 879) - Medicare Patient Access and Practice Stabilization Act (H.R. 1510) - Due Process Continuity of Care Act (S. 891) - Bipartisan Health Care Act (H.R. 1735/S. 779) - EARLY Minds Act (H.R. 786) - Reserving Patient Access to Accountable Care Act (S.2671/H.R. 5269) - RESULTS Act (2. 2749) - Medicare Sequester Exemption Bill (H.R. 483) - Health Care Efficiency Through Flexibility Act (H.R. 6160) - Strengthening Medicare for Patients and Providers Act (H.R. 6210) - Senior Savings Protection Act (S. 3300) - Access to New Community Health Opportunities and Recovery (ANCHOR) Act (S. 3522) - No Red Tape for Addiction Treatment Act (H.R. 8735/ S. 4384) - Medicare Advantage Improvements Act (H.R. 8390) - National Food as Medicine Program Act of 2026 (H.R. 8425) - Strengthening the Vaccines for Children Program Act of 2026

Client expense: $1,048,023 · Firm income: Not reported

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

SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483), all provisions related to the continued bolstered funding for substance use disorder treatment and recovery. Ensuring Excellence in Mental Health Act (S.3402), all provisions relating to certified community behavioral health clinics. COMPLETE Care Act (S. 931/H.R. 2509), all provisions related to providing incentives for behavioral health integration. STAR Plus Scholarship Act (H.R. 3655), all provisions related to creating a scholarship program for students pursuing a degree to provide substance use disorder treatment, mental health and behavioral health services. PEER Support Act (H.R. 2741/S. 1329), all provisions related to background screenings for peer specialists, creating a statutory definition in the Medicare program for peer specialists, and establishing the Office of Recovery. EARLY Minds Act (S. 779/H.R. 1735), all provisions related to allowing states to allocate up to five percent of their Mental Health Block Grant funding for prevention and early intervention activities. WORK to Save Lives Act (H.R. 7479/S. 3812), all provisions related to requiring guidance for maintenance and training on opioid reversal medications in the workplace. Building Capacity for Care Act (H.R. 2223), all provisions related to creating grants, loans, and loan guarantees to fund the construction, renovation, or purchase of behavioral health facilities that provide short-term inpatient care, partial hospitalization, intensive outpatient care, and/or crisis stabilization. Expanding Student Access to Mental Health Services Act (H.R. 1649), all provisions related to improving mental health services for students. PEER Mental Health Act (H.R. 1448), all provisions related to awarding grants to train teachers, school personnel, parents/caregivers and students in mental health first aid. Parity Enforcement Act (H.R. 957), all provisions related to imposing civil monetary penalties for violations of mental health parity requirements. Telehealth Access for Tribal Communities Act of 2025 (H.R. 2639), all provisions related to providing access to healthcare services through audio-only telehealth for Medicare beneficiaries in tribal communities. Treatment and Homelessness Housing Integration Act of 2024 (H.R. 577), all provisions related to establishing a five-year demonstration program to refer qualified participants within the Continuum of Care Program to the nearest Certified Community Behavioral Health Clinic. Veteran Overmedication and Suicide Prevention Act of 2025(H.R. 136), all provisions relating to requiring the Department of Veterans Affairs (VA) to contract with the National Academies of Sciences, Engineering, and Medicine to report on the deaths of covered veterans who died by suicide during the last five years. Farmers First Act (H.R. 4400/S. 2282), all provisions related to grant recipients under the bill establishing referral relationships with Certified Community Behavioral Health Clinics. Mental Health Services for Students Act (H.R. 5557), all provisions related to bringing mental health services to students in public schools across the country and provide federal funding for school-based mental health programs to address the nations youth mental health crisis. Campus Prevention and Recovery Services Act (Not yet introduced), all provisions related to revising the illicit drug and alcohol abuse prevention program, including by expanding the program to include efforts to prevent substance misuse on campuses Community Mental Wellness Worker Training Act (H.R. 5733), all provisions related to awarding award grants to eligible entities to implement community mental wellness worker training grants. PEERS Act (H.R. 6841/S. 3521), all provisions related to permitting reimbursement of peer support services under Medicare in different community-based settings. LEAP Act (H.R. 6574), all provisions relating to equal treatment for loan eligibility among graduate degree programs. Home-Based Telemental Health Care Act of 2025 (S. 1056), all provisions relating to expanding access to mental health and substance abuse services for rural patients, particularly for individuals in the farming, fishing, and forestry industries. Written Informed Consent Act (H.R. 4837/S. 3314), all provisions relating to providing written consent to VA patients when prescribing certain drugs. No Red Tape for Addiction Treatment Act (S.3522), all provisions relating to requiring state Medicaid programs to cover at least one formulation of each FDA-approved medication for opioid use disorder without prior authorization when medically appropriate. Mental Health Access and Provider Support Act (S. 4202/H.R. 8081), all provisions relating to increasing Medicare reimbursement for behavioral health providers. STOP Suicide Act (H.R.8124), all provisions relating to creating a grant program at SAMHSA to expand the use of evidence-based models for stabilizing individuals with serious thoughts of suicide

Client expense: $150,555 · Firm income: Not reported

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

Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities. REAL Health Providers Act, H.R. 5281. This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation. COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029. Promoting Effective and Empowering Recovery Services in Medicare Act H.R. 6841/S. 3521. This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists.

Client expense: $19,500 · Firm income: Not reported

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 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 Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans Policies affecting nurse practitioner education and workforce 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. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) 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. 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. 7092, Raising Awareness for Youth Suicide (RAYS) Prevention 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. 891, Bipartisan Health Care 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. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025

Client expense: Not reported · Firm income: $29,067

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

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

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; maternal health; substance misuse/behavioral health issues; vaccines and immunizations; antimicrobial resistance; public health data modernization. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (H.R.5557) 3.Helping Kids Cope Act (Not yet introduced) 4.Advancing Student Services in Schools Today Act (S.2050) 5.Pursuing Equity in Mental Health Act (H.R.2904/S.1448) 6.RISE from Trauma Act (S.3461/H.R.6625) 7.Better Mental Health Care for Americans Act (Not yet introduced) 8.Reentry Act (H.R. 2586) 9.FY 2027 Labor, HHS, Education and Related Agencies Appropriations 10.FY 2027 Agriculture, Rural Development and Drug Administration Appropriations, provisions related to nutrition 11.FY 2026 Labor, HHS, Education and Related Agencies Appropriations 12.Farm, Food, and National Security Act of 2026 13.Improving Social Determinants of Health Act (Not yet introduced) 14.The UNDERSTAND Act (Not yet introduced) 15.The TRUTH in Labeling Act (Not yet introduced) 16.Child Nutrition Reauthorization 17.Promoting Physical Activity for Americans Act (H.R. 6121) 18.Momnibus Act (H.R.7973) 19.Older Americans Act Reauthorization (S.2120) 20.Protecting the Health of Americas Older Adults Act (Not yet introduced) 21.Pandemic and All-Hazards Preparedness Act Reauthorization (Not yet introduced) 22.Public Health Infrastructure Saves Lives Act (Not yet introduced) 23.The Support for Patients and Communities Reauthorization Act (H.R. 2483/S.2121) 24.The PEER Support Act (H.R.2741/S.1329) 25.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S.931/ H.R.2509) 26.The 9-8-8 Implementation Act (Not yet introduced) 27.Local 988 Response Act (Not yet introduced) 28.Lead-Safe Housing for Kids Act (Not yet introduced) 29.The Kid PROOF Act (H.R.6396) 30.EARLY Minds Act (S.779/H.R.1735) 31.Campus Prevention and Recovery Services for Students Act (H.R.7019) 32.Stabilization to Prevent (STOP) Suicide Act (H.R.8124) 33.FY 2026 Interior, Environment and Related Agencies Appropriations, provisions related to environment 34.FY 2026 Agriculture, Rural Development, and Drug Administration, provisions related to nutrition 35.Womens Heart Health Expansion Act of 2026 (S.3944) 36.Childhood Diabetes Reduction Act (Not yet introduced) 37.Raising Awareness for Youth Suicide Prevention (RAYS) Act (H.R.7092) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, White House Domestic Policy Council, HHS, CDC, FDA, USDA, OMB, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Client expense: $42,259 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, TRICARE, and private insurance Issues regarding childrens mental health and the national emergency in childrens mental health, including mental health parity, the mental health workforce, suicide and injury prevention, and related access issues. Issue regarding Medicaid supplemental payments and directed payments. Issues regarding the importance of Medicaid to children, including military and veteran families.  Issues regarding Medicaid support for providers caring for children on Medicaid, including DSH payments. Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program and funding. Issues related to 340B Drug Pricing Program, the Prescription Drug User Fee Act, prescription drug pricing, drug shortages, drug compounding, high-cost drugs/therapies and pharmaceutical supply chain. Issues related to pediatric workforce, Medicare GME and the Pediatric Specialty Loan Repayment Program. Issues related to hospital financing. Issues regarding site neutrality, facility fees, and price transparency in health care.  Issues regarding pediatric pandemic and disaster preparedness and response and emergency preparedness, including work with the Pediatric Pandemic Network (PPN) and related to the Pandemic and All-Hazards Preparedness Act (PAHPA). Issues related to Emergency Medical Services for Children (EMSC). Issues related to mental health services in schools Issues regarding Artificial Intelligence (AI). Issues regarding oversight and implementation of EPSDT. Issues involving pediatric medical research and funding, specifically including research at the National Institutes of Health. Issues involving gun violence prevention. Issues regarding health care innovation. Issues involving Making America Healthy Again. Issues involving Medical Device User Fee Authorization. Issues involving biomedical research policies. Issues involving the 988 Suicide Prevention Lifeline. Issues involving the Community Mental Health Services Block Grant. Issues involving the Pediatric Mental Health Care Access Program. Issues involving telehealth. Issues involving Appropriations for pediatric health care programs. H.R.169/S.357 Prevent Family Fire Act H.R.4768/S.2448 Health Care Fairness for Military Families Act of 2025 H.R. 1509/S. 752 Accelerating Kids Access to Care Act H.R. 1735 / S. 779, The Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 2587/S. 1266, Youth Mental Health Research Act H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act H.R.3255/S.1673, Mental Health Infrastructure Act Issues related Pub. L No. 119-21 H.R. 3890, Resident Physician Shortage Reduction Act of 2025 H.R. 1262/S.932, Give Kids a Chance Act H.R. 3505, Barriers to Suicide Act H.R. 4262, To reauthorize programs related to health professions education, and for other purposes.

Client expense: $1,440,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Issues regarding childrens health care coverage and access to care under Medicaid, CHIP, the Exchanges, TRICARE, and private insurance Issues regarding childrens mental health and the national emergency in childrens mental health, including mental health parity, the mental health workforce, suicide and injury prevention, and related access issues. Issue regarding Medicaid supplemental payments and directed payments. Issues regarding the importance of Medicaid to children, including military and veteran families.  Issues regarding Medicaid support for providers caring for children on Medicaid, including DSH payments. Issues regarding Children's Hospitals Graduate Medical Education (CHGME) program and funding. Issues related to 340B Drug Pricing Program, the Prescription Drug User Fee Act, prescription drug pricing, drug shortages, drug compounding, high-cost drugs/therapies and pharmaceutical supply chain. Issues related to pediatric workforce, Medicare GME and the Pediatric Specialty Loan Repayment Program. Issues related to hospital financing. Issues regarding site neutrality, facility fees, and price transparency in health care.  Issues regarding pediatric pandemic and disaster preparedness and response and emergency preparedness, including work with the Pediatric Pandemic Network (PPN) and related to the Pandemic and All-Hazards Preparedness Act (PAHPA). Issues related to Emergency Medical Services for Children (EMSC). Issues related to mental health services in schools Issues regarding Artificial Intelligence (AI). Issues regarding oversight and implementation of EPSDT. Issues involving pediatric medical research and funding, specifically including research at the National Institutes of Health. Issues involving gun violence prevention. Issues regarding health care innovation. Issues involving Making America Healthy Again. Issues involving Medical Device User Fee Authorization. Issues involving biomedical research policies. Issues involving the 988 Suicide Prevention Lifeline. Issues involving the Community Mental Health Services Block Grant. Issues involving the Pediatric Mental Health Care Access Program. Issues involving telehealth. Issues involving Appropriations for pediatric health care programs. H.R.169/S.357 Prevent Family Fire Act H.R.4768/S.2448 Health Care Fairness for Military Families Act of 2025 H.R. 1509/S. 752 Accelerating Kids Access to Care Act H.R. 1735 / S. 779, The Early Action and Responsiveness Lifts Youth (EARLY) Minds Act H.R. 2587/S. 1266, Youth Mental Health Research Act H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act H.R.3255/S.1673, Mental Health Infrastructure Act Issues related Pub. L No. 119-21 H.R. 3890, Resident Physician Shortage Reduction Act of 2025 H.R. 1262/S.932, Give Kids a Chance Act H.R. 3505, Barriers to Suicide Act H.R. 4262, To reauthorize programs related to health professions education, and for other purposes.

Client expense: $1,440,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968); EARLY Minds Act (H.R. 7808/S.779); 988 LGBTQ+ Youth Access Act of 2025 (H.R. 5434); Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783). Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3059/H.R.7708 REAL Health Providers Act Community Mental Health Services Block Grant Issues related to mental health in budget reconciliation Issues related to youth peer support services H.R. 1735/S. 779 EARLY Minds Act H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968); EARLY Minds Act (H.R. 7808/S.779); 988 LGBTQ+ Youth Access Act of 2025 (H.R. 5434); Improving Mental Health Access for Students Act (H.R.3624)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783). Improving Mental Health Access for Students Act (H.R.3624/S.1924).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). EARLY Minds Act (H.R. 7808/S. 779). SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2783).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1096 - HOPE and Mental Wellbeing Act of 2025 H.R. 929/S. 266 - Lorna Breen Health Care Provider Protection Reauthorization H.R. 593 - Strengthening Pathways to Health Professions Act H.R. 879/S. 1640 - Medicare Patient Access and Practice Stabilization Act H.R. 1153 - Rural America Health Corps Act H.R. 1227/S. 475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 1735/S. 779 - EARLY Minds Act H.R. 1448 - PEER for Mental Health Act H.R. 1585/S. 709 - Conrad State 30 and Physician Access Reauthorization Act H.R. 1909/S. 2621 - Preventing Maternal Deaths Reauthorization Act of 2025 H.R. 957 - Parity Enforcement Act H.R. 2509/S. 931 - COMPLETE Care Act H.R. 4206/S. 1261 - CONNECT for Health Act H.R. 1305 - Improving Measurements for Loneliness and Isolation Act H.R. 1902 - Helping Emergency Responders Overcome (HERO) Act H.R. 2223 - Building Capacity for Care Act H.R. 2586 - Reentry Act of 2025 H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025 H.R. 3266/S.1673 - Mental Health Infrastructure Improvement Act of 2025 Mental Health Matters Act H.R. 4619 - Medicare Mental Health Inpatient Equity Act S. 1062 - Suicide Prevention Act H.R. 912 - 9-8-8 Lifeline Cybersecurity Act H.R. 2587 - Youth Mental Health Research Act H.R. 2483/S. 2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 2630 - Youth Suicide Prevention Research Act H.R. 3655 - STAR Plus Scholarship Act H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885/S.3989 - Community TEAMS Act H.R. 1867 - To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act H.R. 4723/S. 2446 - Mental Health for Latinos Act Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME) H.R.3505 - Barriers to Suicide Act Letters to Congress to extend the enhanced premium tax credits H.R.6249 - Addressing Addiction After Disasters Act H.R.7394/S.3783 - Mental Health Career Promotion Act H.R. 5074 - Protecting Young Minds Online Act H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act H.R.5509 /S.2903 - Safe Step Act H.R. 5557 - Mental Health Services for Students Act H.R.1197 - PREEMIE Reauthorization Act of 2025 H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act H.Res.792 - Youth Mental Health Day and Suicide Prevention Day Resolution H.R.5725 - Mental Health Crisis Response Act of 2025 H.R.5706 - Mental Health Emergency Responder Act S. 3064 - Relief of Chronic Pain Act H.R. 6226 - Latino Youth Mental Health Empowerment Act H.R. 5482 - Prevent Youth Suicide Act H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act Letter to Letter to Department of Labor, Department of Health and Human Services, and Department of Treasury regarding mental health parity enforcement H.R. 3492 - Protect Children's Innocence Act H.R. 498 - Do No Harm in Medicaid Act H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act Communication with Congressional offices on SAMHSA grant terminations Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization Communication with Congressional offices on ghost networks S. 3486 - Expand the Behavioral Health Workforce Now Act H.R.7324/S. 683 - More Behavioral Health Providers Act H.R. 786/S. 1460 - Preserving Patient Access to Accountable Care Act H.R. 4331 - Access to Claims Data Act H.R.5281 - REAL Health Providers Act H.R.7875 - Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act Response to HHS proposed rule on nondiscrimination on the basis of disability Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding H.R. 6396 - Kid PROOF Act H.R. 6468 - Rural Residency Planning and Development Act of 2025 H.R. 8234 - Save Money, Save Lives Act H.R.7092 - RAYS Act H.R.7787 - Mental Health Workforce Act Letter in support of funding for gun violence prevention research at CDC, NIH and NIJ. S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026 Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline. H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect H.R. 7994 - The HERO Act

Client expense: $205,809 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of

H.R.2223: Building Capacity for Care Act: Grans and loan guarantees to build mental health facilities. S.931: Complete Care Act: Integrating Behavioral health care into primary care H.R. 1906:Rural Wellness Act: Grants for telemedicine to provide Access to care in rural communities S. 779/H.R. 1735: EARLY Minds Act allows States to use some Mental Health Block Grant funds towards prevention and early intervention activities. H.R. 1902: HERO Act allows for the collection of data on first responder suicides to better identify and treat PTSD and combat suicide. S. 665: Fatal Overdose Reduction Act of 2025 creates hubs to treat substance use disorders. H.R. 1305: Improving Measurements for Loneliness and Isolation Act of 2025 creates a working group to better understand and define loneliness and isolation. S. 600: Supporting Adopted Children and Families Act enhances pre and post adoption services. S. 454: Gambling Addiction Recovery, Investment, and Treatment Act creates grants for state to address gambling addiction. S. 266/H.R. 929: Dr. Lorna Breen Health Care Provider Protection Reauthorization Act continues education and awareness for mental health services. H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025 extends and expands grants for serious mental illness and substance use disorder. Support for the inclusion of those with lived experience on the Make America Health Again (MAHA) Commission Support for staffing levels as of 1.1.25 at HHS and SAMHSA Support for Maternal Mental Health programs and funding Support for ending Medicare's 190-day lifetime limit on inpatient psychiatric care -- H.R. 1141: Gambling Addiction Recovery, Investment, and Treatment Act authorizes grants to states and research funding to address gambling addiction. H.R. 2044: Suicide Prevention Assistance Act establishes grants for primary care offices to provide self-harm and suicide prevention services. H.R. 2223: Building Capacity for Care Act provides financial support for developing mental health and substance use disorder treatment facilities. H.R. 2305: Corrections Officer Blake Schwarz Suicide Prevention Act of 2025 establishes a grant program to fund mental health screenings and referrals for corrections officer. H.R. 2587/S.1266: Youth Mental Health Research Act establishes a collaborative research initiative within the NIH to improve youth mental health. H.R. 2630: Youth Suicide Prevention Research Act expands research focus areas on childhood suicide to include adverse childhood experiences and toxic stress. H.R. 2904: Pursuing Equity in Mental Health Act authorizes federal grants for culturally competent research, outreach, provider training, and priority support for programs. H.R. 2936: Addressing Boarding and Crowding in the Emergency Department Act allows grants for tracking hospital bed capacity and introduces pilot programs for emergency care improvements. H.R. 2957: STRONG Support for Children Act of 2025 establishes programs aimed at preventing and mitigating childhood trauma through data analysis and strategy implementation. H.R. 3103: Health Share Transparency Act of 2025 requires health care sharing ministries to disclose financial and operational information to federal agencies and enrollees. H.R. 3130: FACTS Act establishes education and public health partnerships to prevent synthetic opioid misuse among youth. H.R. 3262: NURSE Act creates grants to increase school nurses in under-resourced schools. H.R. 3266: Mental Health Infrastructure Improvement Act of 2025 provides loans to expand and improve pediatric and adult mental health and substance use disorder treatment facilities. H.R. 3420: Words Matter Act of 2025 replacing outdated and stigmatizing terms related to intellectual disabilities with more respectful language. H.R. 3505: Barriers to Suicide Act of 2025 creates a grant program to install nets and barriers on infrastructures like bridges and railroads. H.R. 3520: STAND Against Emerging Opioids Act schedules tianeptine and its analogues as Schedule III controlled substances. H.R. 3601: National ACERT Grant Program Authorization Act establishes a new grant program focused on addressing adverse childhood experiences related to trauma exposure. H.R. 3689: TREAT Youth Act reauthorizes and increases funding for youth substance use prevention and recovery initiatives under the SUPPORT for Patients and Communities Act. H.R. 3743: Supporting Healthy Mothers and Infants Act of 2025 modernizes language for substance use disorder and expands nutrition education and outreach. S. 1056: Home-Based Telemental Health Care Act of 2025 establishes a grant program to improve mental health and substance use services for rural populations through telemental health care. S. 1062: Suicide Prevention Act establishes programs to enhance surveillance of self-harm and provide suicide prevention services in hospital emergency departments. S. 1074: Agricultural Access to Substance Use Disorder Treatment and Mental Health Care Act of 2025 requires a study on the accessibility of mental health and substance use disorder services for farmers and ranchers. S. 1261: CONNECT for Health Act of 2025 seeks to expand telehealth access by removing geographic restrictions. S. 1329/H.R. 2741: PEER Support Act supports and professionalizes peer support specialists and establishes an Office of Recovery. S. 139: FASD Respect Act reauthorize and extend the Fetal Alcohol Spectrum Disorders (FASD) Prevention and Services program. S. 1448: Pursuing Equity in Mental Health Act seeks to improve mental health services and reduce disparities for racial and ethnic minority youth through increased funding, research, and education initiatives. S. 1663/H.R. 3243: Therapeutic Fraud Prevention Act of 2025 prohibits commercial conversion therapy. S. 1673/H.R. 3260: Mental Health Improvement Act extends the authorization period for mental and behavioral health education and training grants. S. 1689/ H.R. 3316: Stop Mental Health Stigma in Our Communities Act of 2025 mandates the development of a national outreach and education strategy tailored to the cultural and linguistic needs of AANHPI populations. S. 1878: ATTAIN Mental Health Act creates an online dashboard to centralize public access to information about federal and state grants for mental health and substance use disorder programs. S. 473: SENIOR Act address loneliness among older adults by requiring screenings, coordinating services, and preparing a report on loneliness. S. 931/H.R. 2509: COMPLETE Care Act incentivizes behavioral health integration with primary care through increased payments and technical assistance. S.Res. 208: A resolution supporting the designation of May 10, 2025, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day." S.Res. 249/H.Res. 441: A resolution expressing support for the designation of May 2025 as "Mental Health Awareness Month." H.R. 3305. Barriers to Suicide Act: Creates a grant program to provide suicide barriers on bridges and other structures H.Res 542/S. 332: Expressing support for the designation of the month of June 2025 as National Post-traumatic stress Awareness Month and June 27, 2025 as National Post-traumatic Stress Awareness Day H.Res 671: Prioritizing Mental Health to the Same Degree as Physical Health to address the epidemics of suicide and drug overdose in the United States H.Res 697/ S. Res 385: Recognizing Suicide as a serious public health problem and supporting September as National Suicide Prevention Month and September 10 as World Suicide Prevention Day H.Res 764: Recognizing the continuing disparities in Black youth mental health and access to care H.R. 4400/S. 2282: Farmers First Act: reauthorizes and expands funding of the Farm Ranch Suicide Prevention Act. HR 4723/ S.2446: Mental Health For Latinos Act: Directs the development of a culturally tailored mental health outreach and education strategy for Hispanic and Latino Populations. S. 2556: Protecting Health Care and Lowering Costs Act: repeals recent health law changes, permanently expands ACA Tax Credits beyond 400% FPL, and sets a new sliding scale for premium contributions H.Res 684: A resolution expressing support for the designation of September 9, 2025, as National Firearms Suicide Prevention Day HR 5509/S 2903: The Safe Step Act: Creates a clear process to appeal step therapy process S.2826/H.R. 5434:The 988 LGBTQ+ Youth Access Act of 2025: Mandates that at least 9% of suicide prevention hotline funding be reserved for specialized services supporting LGBTQ + youth H.R. 1492: To Amend title XI of the Social Security Act to equalize the negotiation period between small molecule and biologic candidates under the Drug Price Negotiation Program H.R. 2085: The Mental Health Research Accelerator Act: establishes programs to speed up mental health research and innovations H.R. 3419: To Amend the Public Health Service Act to reauthorize the telehealth network and telehealth resource center grant program H.R. 4805: WINGS ACT: Requires a report on the long-term brain and mental health effects of military aviation. H.R. 5306: Gun Suicide Prevention Act of 2025: requires all firearms sold in the United States to display the suicide prevention lifeline label H.R. 5733: Community Mental Wellness Worker Training Act: establishes a grant program to train and certify community mental wellness workers H.R. 5859: Behavioral Health Crisis Care Centers Act: establishes a grant program to fund comprehensive, one stop crisis facilities H.R. 5861: Legacy Act of 2025 mandates a study on creating a secure, national system for storing and retrieving last wish documents. H.R. 6226 Latino Youth Mental Health Empowerment Act: Establish a Mental Health awareness campaign focused on Latino youth. H.R. 6817 To establish a home-based telemental health care grant program to increase mental health and substance use services for individuals in fishing, farming and forestry occupations H.Res. 792 Declaring a need for increased investment in youth mental Health and recognizing youth mental health day and youth suicide prevention day. S.2005 IDeA Reauthorization Act: Strengthens the NIH's Institutional Development Award Program S.2131/H.R. 5828 Dad's Matter Act: Requires a federal public awareness campaign and state guidance to promote fatherhood. S.2336: Halting the Epidemic of Addiction and Loss Act: Update grant program regulation and guidance to include all FDA opioid reversal agents, not just Naloxone S. 2825/H.R.5417 Health Access Innovation Act 2025: grant program to support faith and community-based organizations in addressing health inequities and chronic disease. S.3199 988 Lifeline Location Improvement Act: creates an advisory committee to study and recommend a solution for transmitting geolocation information with 988 calls. S. 3076 Nitazene Control Act: permanently classifies all nitazene opioids as schedule 1 Support for improving integrated care for those with Tardive Dyskinesia H.R. 6249: Addressing Addiction After Disasters Act expands federal disaster relief to include SUD and AUD services alongside mental health support. H.R. 6283: FOSTER Act expand opioid response grants and defines and supports kinship caregivers. H.R. 6396: Kid PROOF Act of 2025 expands grant eligibility and funding to support suicide and overdose prevention among youth. H.R. 6630: Expanding Mental Health Access for Cyber Command Personnel Act requires security-cleared behavioral health professionals to be assigned to Cyber Command locations. H.R. 6679: Tech Wellness for Young Men Act requires a study on the mental, social, and developmental impacts of screen addiction among young men. H.R. 6680: Tech Wellness for Men Act study on the economic, mental health, and social impacts of screen addiction among adult men. H.R. 6940: Hope Heals Act of 2026 requires an assessment amount Executive departments to enhance mental health. H.R. 7030: Securing Facilities for Mental Health Services Act expands access to federal mortgage insurance for all licensed hospitals, including mental health facilities. H.R. 7602: State of Men's Health Act requires a study on men's health disparities and establishes an Office of Men's Health. H.R. 8124: STOP Suicide Act creates a grant program to support evidence-based stabilization services for individuals with serious suicidal thoughts. H.R. 8149: Agricultural Access to Addiction and Mental Health Care Act mandates a study on improving access to addiction and mental health care for farmers and ranchers. H.R. 8160: Premenstrual Dysphoric Disorder Awareness and Research Act of 2026 expand research, raise awareness, improve provider education, and increase access to care for PMDD. H.R.8122: 9-8-8 Connect Act allocates $30 million for crisis center follow-up services. S. 3230: Family Caregiver Peer Support Act creates grants to expand in-person and virtual peer support programs for family caregivers. S. 3271: In-Home CARE Act authorizes grants to support family caregivers through home visiting programs. S. 3402: Ensuring Excellence in Mental Health Act expands and standardizes community behavioral health clinic services S. 3431: Improving Measurements for Loneliness and Isolation Act of 2025 establishes a working group to standardize how loneliness and isolation are defined and measured. S. 3461: RISE from Trauma Act authorizes expands and builds trauma-informed systems for youth and families affected by trauma, violence, and substance use. S. 3714: Family-to-Family Reauthorization Act of 2026 extends and specifies funding for family-to-family health information centers. S. 3840/H.R. 7496: Health Investment Zones Act of 2026 creates Health Investment Zones for incentives, grants, and support to reduce health disparities. S. 921: Tyler's Law requires a federal study and subsequent guidance on whether hospital emergency departments should routinely test for fentanyl in overdose cases. H.R. 7875: Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act of 2026 expands prevention, treatment, and recovery services for individuals experiencing gambling addiction. S. 4001/H.R. 7828: Supplemental Security Income Restoration Act of 2026 modernizes SSI eligibility and benefit rules.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)