AMY BLUMBERG

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; provisions related to provider tax, community engagement requirement, and implementation issues H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to provider taxes S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments S. 1816: Improving Seniors Timely Access to Care Act of 2025; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions HHS-OS-2026-0332-0001: Categories Used in Federal Vaccine Recommendations and the Roles of Shared Clinical Decision-Making; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; all provisions related to provider taxes H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions CMS-2451-P: Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children; all provisions CMS-3481: Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 7945: Nitrous Oxide Safety Act of 2026; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments S. 1816: Improving Seniors Timely Access to Care Act of 2025; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions HHS-OS-2026-0332-0001: Categories Used in Federal Vaccine Recommendations and the Roles of Shared Clinical Decision-Making; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; all provisions related to provider taxes H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions CMS-2451-P: Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children; all provisions CMS-3481: Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments S. 1816: Improving Seniors Timely Access to Care Act of 2025; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions HHS-OS-2026-0332-0001: Categories Used in Federal Vaccine Recommendations and the Roles of Shared Clinical Decision-Making; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; provisions related to provider tax, community engagement requirement, and implementation issues H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to provider taxes S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 7945: Nitrous Oxide Safety Act of 2026; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions

H.R. 7961: H-1Bs for Physicians and the Healthcare Workforce Act; provisions related to waiving $100,000 H-1 B Visa filing fee

H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) budget neutrality H.R. 9693: Patients First Act of 2026; all provisions S. 5180: Provider Reimbursement Stability Act of 2026 ; all provisions CMS-1848-P: Medicare Physician Payment Rule; all provisions CMS-2449-P: Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments; all provisions CMS-2452-P: Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; provisions related to provider tax, community engagement requirement, and implementation issues H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to provider taxes S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions

H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) budget neutrality H.R. 9693: Patients First Act of 2026; all provisions S. 5180: Provider Reimbursement Stability Act of 2026 ; all provisions CMS-1848-P: Medicare Physician Payment Rule; all provisions CMS-2449-P: Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments; all provisions CMS-2452-P: Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments S. 1816: Improving Seniors Timely Access to Care Act of 2025; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions HHS-OS-2026-0332-0001: Categories Used in Federal Vaccine Recommendations and the Roles of Shared Clinical Decision-Making; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; provisions related to provider tax, community engagement requirement, and implementation issues H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to provider taxes S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions

P.L. 119-21 (H.R. 1): One Big Beautiful Bill; all provisions related to provider taxes H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions S. 1816: Improving Seniors' Timely Access to Care Act of 2025; all provisions CMS-2451-P: Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children; all provisions CMS-3481: Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 3514: Improving Seniors' Timely Access to Care Act of 2025; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 6160: Strengthening Medicare for Patients and Providers Act; provisions related to Medicare physician payments S. 1816: Improving Seniors Timely Access to Care Act of 2025; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions HHS-OS-2026-0332-0001: Categories Used in Federal Vaccine Recommendations and the Roles of Shared Clinical Decision-Making; all provisions

H.R. 3164: Ensuring Community Access to Pharmacist Services Act; all provisions H.R. 4710: No Surprises Act Enforcement Act; all provisions H.R. 7945: Nitrous Oxide Safety Act of 2026; all provisions S. 2420: No Surprise Act Enforcement Act; all provisions

H.R. 8163: Provider Reimbursement Stability Act of 2026; provisions related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) budget neutrality H.R. 9693: Patients First Act of 2026; all provisions S. 5180: Provider Reimbursement Stability Act of 2026 ; all provisions CMS-1848-P: Medicare Physician Payment Rule; all provisions CMS-2449-P: Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments; all provisions CMS-2452-P: Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes; all provisions

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

HR 247/S 46: Health Care Affordability Act: Extends the expiring Affordable Care Act enhanced premium Tax Credits HR 5145 Bipartisan Premium Tax Credit Extension Act: One year ACA premium tax credit extension Affordable Care Act Premium Tax Credits

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

HR 247/S 46: Health Care Affordability Act: Extends the expiring Affordable Care Act enhanced premium Tax Credits HR 5145 Bipartisan Premium Tax Credit Extension Act: One year ACA premium tax credit extension Affordable Care Act Premium Tax Credits

HR 5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs and Extensions Act of 2026: Extends the Telehealth Waivers, the Teaching Health Center Primary Care GME Program, the National Health Service Corps, Community Clinics, Disproportionate Share Hospital payments; CMA urging an additional Medicare physician payment update and an extension of the Affordable Care Act premium tax credits.

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare) S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform S 1105 The No Upcode Act (Medicare Advantage) Potential Medicare Sequestration Cuts - Physician Payment Cuts HR 6160 Strengthening Medicare for Patients and Providers Act of 2025 Implementation of PL 119-21 the One Big Beautiful Bill Act. Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025. CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025) CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

S 1261/HR 4206 The Connect For Health Act of 2025 Pandemic Telehealth Waiver Extension Dear Colleague Letter HR 1585 Conrad State 30 Physician Access Reauthorization Act HR 3890/S 2439 Physician Shortage Reduction Act HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025 HR 4710/S 2420 No Surprises Act Enforcement Act HR 3164 Ensuring Community Access to Pharmacist Services Act CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025

HR 247/S 46: Health Care Affordability Act: Extends the expiring Affordable Care Act enhanced premium Tax Credits HR 5145 Bipartisan Premium Tax Credit Extension Act: One year ACA premium tax credit extension Affordable Care Act Premium Tax Credits