A resolution expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a reduction in public notice and comment opportunities.

S. RES. 198: A RESOLUTION EXPRESSING THE SENSE OF THE SENATE THE SECRETARY OF HEALTH AND HUMAN SERVICES SHOULD WITHDRAW A REDUCTION IN PUBLIC NOTICE AND COMMENT OPPORTUNITIES; ALL PROVISIONS

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

Government targets: SENATE

Repeal healthcare provisions of H.R.1, One Big Beautiful Bill Act The ACAs enhanced Advanced Premium Tax Credits H.R. 5557, Mental Health Services for Students Act S.2556/H.R.4849, Protecting Health Care and Lowering Costs Act Calling on HHS Secretary to resign Preserve the United States Preventive Services Task Force S.Res.374, a resolution expressing the sense of the Senate that Secretary of Health and Human Services Robert Fitzgerald Kennedy Jr. does not have the confidence of the Senate or of the American people to faithfully carry out the duties of his office and should be removed from his position. H.R.1197/S.1562, PREEMIE Reauthorization Act S.2621, Preventing Maternal Deaths Act S.Res.198, A resolution expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a reduction in public notice and comment opportunities. Monitor the following: Nurse Staffing Standards for Hospital Patent Safety and Quality Care Act Public Law 119-21, To provide for reconciliation pursuant to title II of H. Con. Res. 14, Healthcare related provisions. Medicaid, Medicare, ACA cuts H.R.4253, Expanding Access to Mental Health Services in Schools Act Funding for access to reproductive healthcare H.R.3907/S.2024, ENROLL Act S.2032, Choose Medicare Act Stop Medical Profiteering and Theft Act Justice Department anticompetitive regulations related issues H.R.3063, Rural Hospital Stabilization Act H.R.3262, NURSE Act Restructuring of the Department of Health and Human Services Workplace Violence Prevention for Health Care and Social Services Workers Act, Draft H.R.593, Strengthening Pathways to Health Professions Act Healthcare workforce issues Funding for SUNY Downstate hospital Impact of private equity on healthcare Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Rural healthcare and hospital workforce challenges and related issues Supporting investments in school-based mental health professionals Healthcare high school apprenticeships Safe staffing levels at nursing homes Artificial Intelligence, Healthcare related issues Medicare drug negotiation program PBM reform Reauthorization of healthcare workforce programs Medicaid DSH Payments, Hospital funding formula Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Telehealth issues Mental health supports for educators Workplace Violence Prevention for Health Care and Social Service Worker Act Workplace violence related issues Health Worker Shortage/Staffing Crisis Funding for Medicare low-income outreach and enrollment efforts Prevention and Public Health Fund related issues Healthcare cybersecurity related issues Safe staffing levels

Client expense: $430,000 · Firm income: Not reported

H. Res. 369, S. Res. 198- HHS Notice and Comment on Rules PROMESA S 1585- Reduction in Force (RIF) Review Act HR 5572- Help FEDS Act HR 5628- Pay Workers What They've Earned Act HR 5657- Fair Pay for Federal Contractors Act of 2025 HR 2550- Protect America's Workforce Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1: ONE BIG BEAUTIFUL BILL ACT: PROVISIONS RELATED TO ACA MARKETPLACE CHANGES, MEDICARE, MEDICAID, AND SOCIAL SECURITY PROGRAMS. HHS AND RELATED AGENCIES, FDA AND RELATED AGENCIES, CDC AND RELATED AGENCIES, NIH AND RELATED AGENCIES, AND FUNDING FOR NUTRITION ASSISTANCE PROGRAMS H.R. 247: HEALTH CARE AFFORDABILITY ACT OF 2025; ALL PROVISIONS H.R. 1262: GIVE KIDS A CHANCE ACT OF 2025; ALL PROVISIONS H.R. 1509: ACCELERATING KIDS' ACCESS TO CARE ACT OF 2025; ALL PROVISIONS H.R. 2079: INSURANCE FRAUD ACCOUNTABILITY ACT; ALL PROVISIONS H.R. 2902: SUPPLEMENTAL OXYGEN ACCESS REFORM (SOAR) ACT OF 2025; ALL PROVISIONS S. 46: HEALTH CARE AFFORDABILITY ACT OF 2025; ALL PROVISIONS S. 752: ACCELERATING KIDS' ACCESS TO CARE ACT OF 2025; ALL PROVISIONS S. 864: HELP ENSURE LOWER PATIENT (HELP) COPAYS ACT; ALL PROVISIONS S. 976: INSURANCE FRAUD ACCOUNTABILITY ACT; ALL PROVISIONS S. 1406: SUPPLEMENTAL OXYGEN ACCESS REFORM (SOAR) ACT OF 2025; ALL PROVISIONS S. RES. 198: A RESOLUTION EXPRESSING THE SENSE OF THE SENATE THE SECRETARY OF HEALTH AND HUMAN SERVICES SHOULD WITHDRAW A REDUCTION IN PUBLIC NOTICE AND COMMENT OPPORTUNITIES; ALL PROVISIONS (DRAFT) PASTEUR ACT; ALL PROVISIONS (DRAFT) MODERNIZING AND ENSURING PBM ACCOUNTABILITY (MEPA) ACT; ALL PROVISIONS (DRAFT) LOWER COSTS, MORE TRANSPARENCY ACT; ALL PROVISIONS GENERAL DISCUSSIONS SURROUNDING ANTIBIOTICS REIMBURSEMENT AND INCENTIVIZING THE DEVELOPMENT OF NOVEL ANTIMICROBIALS GENERAL DISCUSSIONS SURROUNDING THE EXPANSION OF TELEHEALTH SERVICES FOR PATIENTS GENERAL DISCUSSIONS SURROUNDING PHARMACY BENEFIT MANAGER PRACTICES GENERAL DISCUSSIONS SURROUNDING MAINTAINING ACCESS TO MEDICAID AND PROPOSED CHANGES TO THE PROGRAM GENERAL DISCUSSIONS SURROUNDING MAINTAINING LIMITS ON SHORT-TERM LIMITED DURATION INSURANCE PLANS GENERAL DISCUSSIONS SURROUNDING THE USE AND PRACTICES OF ALTERNATIVE FUNDING PLANS GENERAL DISCUSSIONS SURROUNDING: FUNDING AND SUPPORT FOR THE NIH AND FDA; MAINTAINING ACCESS TO MEDICAID; THE EXTENSION OF THE ACAS ENHANCED ADVANCED PREMIUM TAX CREDITS; LIMITING SHORT-TERM LIMITED DURATION PLANS; PBM REFORM THAT IS PATIENT CENTERED; ANTIMICROBIAL INVESTMENT AND PAYMENT MODELS; TELEHEALTH SERVICES GENERAL DISCUSSIONS SURROUNDING FY2025 APPROPRIATIONS; PROVISIONS RELATED TO FUNDING FOR DOMESTIC AND GLOBAL AMR PROGRAMS, PUBLIC HEALTH WORKFORCE REPAYMENT PROGRAM, BIO-PREPAREDNESS WORKFORCE PILOT PROGRAM, AND PROTECTION OF MEDICARE, MEDICAID, AND SOCIAL SECURITY PROGRAMS. HHS AND RELATED AGENCIES, FDA AND RELATED AGENCIES, CDC AND RELATED AGENCIES, NIH AND RELATED AGENCIES, FUNDING FOR NUTRITION ASSISTANCE PROGRAMS, AND MEDICAL EXPENSE DEDUCTION. POLICY RIDERS INCLUDED IN A DRAFT LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION RELATED AGENCIES FUNDING BILL COMMENTS IN RESPONSE TO DRAFT RULE ON PATIENT PROTECTION AND AFFORDABLE CARE ACT; MARKETPLACE INTEGRITY AND AFFORDABILITY PROPOSED RULE LETTER TO ADMINISTRATION ON LARGE-SCALE AND RAPID REDUCTIONS IN WORKFORCE, URGING THE ADMINISTRATION TO REVERSE THEM

H.R. 142: REGULATIONS FROM THE EXECUTIVE IN NEED OF SCRUTINY (REINS) ACT OF 2025; ALL PROVISIONS S. RES. 198: A RESOLUTION EXPRESSING THE SENSE OF THE SENATE THE SECRETARY OF HEALTH AND HUMAN SERVICES SHOULD WITHDRAW A REDUCTION IN PUBLIC NOTICE AND COMMENT OPPORTUNITIES; ALL PROVISIONS LETTER TO ADMINISTRATION ON LARGE-SCALE AND RAPID REDUCTIONS IN WORKFORCE, URGING THE ADMINISTRATION TO REVERSE THEM

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA)

Support for reproductive rights in the following legislation and government actions: H.R. 12/S. 2150, Womens Health Protection Act of 2025 H.R. 4104/S. 2149 Health Equity and Access under the Law (HEAL) For Immigrant Families Act of 2025 H.R. 3762/S. 1834, Supporting Healthy Moms and Babies Act H.R. 3218, Reproductive Data Privacy and Protection Act H.Res.369/S.Res.198, A resolution expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a reduction in public notice and comment opportunities. H.R. 3480, Health Coverage for IVF Act of 2025 H.Res 445, May as Sex Ed for All Month: Equity and Access for All S. 2189, A bill to amend the Internal Revenue Code of 1986 to treat certain assisted reproduction expenses as medical expenses of the taxpayer. H.R. 999/S.422, Right to Contraception Act H.R. 211, Equal Access to Contraception for Veterans Act Opposing provisions impacting reproductive rights in the following legislation:  H.R. 1, One Big Beautiful Bill Act, Section 71113 "Federal Payments to Prohibited Entities" and Sec. 44202 "Funding Cost Sharing Reduction Payments." * Section 71113 bars Essential Community Providers whose Medicaid reimbursements exceeded $800,000 in FY23 from receiving federal funds if they are primarily engaged in providing family planning or related reproductive health services and provide abortion care beyond the exceptions in the Hyde Amendment. * Section 44202 eliminates subsidies for Affordable Care Act marketplace insurance plans that cover abortion. Section 44202 was not included in the final version of H.R. 1. Opposing all provisions in the following legislation or administrative actions:  H.R. 589/S.223, FACE Act Repeal Act 2025/Restoring the First Amendment and Right to Peaceful Civil Disobedience Act of 2025 H.R. 1526, No Rogue Rulings Act of 2025 (NORRA) Opposing the nominations of: Mike Waltz, US Ambassador to the United Nations, US Mission to the United Nations Thomas March Bell, Inspector General, Department of Health & Human Services Elliot Gaiser, Asst. Attorney General, Department of Justice's Office of Legal Counsel Dr. Brian Christine, Asst. Secretary for Health, Department of Health & Human Services Michael Stuart, General Counsel, Department of Health & Human Services

H Res 396, S Res 198- HHS Notice and Comment on Rules S 1585- Reduction in Force (RIF) Review Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE