mr MARC SCARDUFFA

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

- Medicare Site Neutrality and Medicare Advantage Reform - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - H.R.2531 - Workplace Violence Prevention for Health Care and Social Service Workers Act - Request for casework on SAMHSA Grant - Title VII & VIII Funding Support - FQHC SAMSHA Application Issue

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

- Medicare Site Neutrality and Medicare Advantage Reform - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - H.R.2531 - Workplace Violence Prevention for Health Care and Social Service Workers Act - Request for casework on SAMHSA Grant - Title VII & VIII Funding Support - FQHC SAMSHA Application Issue

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

- Medicare Site Neutrality and Medicare Advantage Reform - Medicare Coverage for certain Breast Ultrasounds (Dense Breast Tissue) - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - H.R 1 - Reconciliation / One Big Beautiful Bill Act

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

H-1B Exemption for Healthcare Workers H-1B Physicians and Healthcare Workforce Act (H.R. 7961) Staff H1-B/J-1 Visa Issues/Inquiries

H.R.8659/S.4568- Nursing is a Professional Degree Act Support

H.R.9504 - Tax Exempt Hospital Transparency Act

- Medicare Site Neutrality and Medicare Advantage Reform - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - H.R.2531 - Workplace Violence Prevention for Health Care and Social Service Workers Act - Request for casework on SAMHSA Grant - Title VII & VIII Funding Support - FQHC SAMSHA Application Issue

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

- Medicare Site Neutrality and Medicare Advantage Reform - Medicare Coverage for certain Breast Ultrasounds (Dense Breast Tissue) - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - H.R 1 - Reconciliation / One Big Beautiful Bill Act

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

- Medicare Site Neutrality and Medicare Advantage Reform - Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) - FY27 Appropriations Priorities (NIH, NCI, CDC, HRSA) - Save Healthcare Workers Act (H.R. 3178/S.1600) - Title VII & VIII Funding Support - EMPOWER for Health Act (H.R 4262/S. 4110) - Resident Physician Shortage Reduction Act (H.R. 4731/S.2439) - Acute Hospital Care at Home Waiver - Skilled Nursing Facility (SNF) Eligibility

H.R.8659/S.4568- Nursing is a Professional Degree Act Support

Request for Delay in the Essential Plan Cuts to New York Advocating against hits from the H.R.1 - One Big Beautiful Bill Act (Cap on Provider Taxes)(Limits on SDPs)(Medicaid Work/Eligiblity Requirements)(Essential Plan Restricitons)(Affordable Care Act Premium Tax Credits) Delay the implementation of sections 112101 and 112102 in HR1 Engagement with CMS to advance our Suffolk CCN merger request under the site-neutral 35-mile rule exception as well as issues with Medicare Advantage Denials

- Provided feedback on draft kidney transplant legislation to improve patient access and care delivery - Advocated in support of H.R. 4299, the Protecting Patient Access to Cancer and Complex Therapies Act, to preserve timely access to complex and life-saving treatments for patients - Advocated in support of H.R. 4313, the Hospital Inpatient Services Modernization Act, to modernize inpatient care policies and improve hospital operations and patient access - Request for Delay in the Essential Plan Cuts to New York - Advocating against hits from the H.R.1 - One Big Beautiful Bill Act (Cap on Provider Taxes)(Limits on SDPs)(Medicaid Work/Eligibility Requirements)(Essential Plan Restrictions)(Affordable Care Act Premium Tax Credits) - Engagement with CMS on site-neutral/Medicare Advantage - Support for continuation of funding for Extenders (telehealth, H@H, Community Health Center Funding)

- Request for Delay in the Essential Plan Cuts to New York - Advocating against hits from the H.R.1 - One Big Beautiful Bill Act (Cap on Provider Taxes)(Limits on SDPs)(Medicaid Work/Eligibility Requirements)(Essential Plan Restrictions)(Affordable Care Act Premium Tax Credits) - Delay the implementation of sections 112101 and 112102 in HR1 - Engagement with CMS to advance our Suffolk CCN merger request under the site-neutral 35-mile rule exception as well as issues with Medicare Advantage Denials NYULH Suffolk Issues w/Hospital CCN# (Outreach to CMS) - Support for Dear Colleague Letter on 340B Rebate Model Pilot Program - Support for Dear Colleague Letter on DSH Cuts - Support for continuation of funding for Extenders (telehealth, H@H, Community Heath Center Funding, Medicare Site Neutral, Expressing F&A Cap Issues) - Engagement on NYULH issues around Medicare Advantage Denials/Medicare Site-Neutral Issues

- Engaged on Medicaid DSH cuts, health care extenders, Medicare Advantage reforms, insurer practices, nutrition education, and site-neutral and value-based care policies to protect patient access and hospital sustainability - Provided feedback on draft kidney transplant legislation focused on improving patient access, care coordination, and transplant outcomes - Advocated on H.R. 1, 340B program protections, and site-neutral payment policies impacting hospital reimbursement and access to care - Advocated for robust federal funding for the National Institutes of Health (NIH) to support biomedical research, innovation, and clinical discovery - Engaged on Medicare Advantage and physician payment reforms, supported the Protecting Patient Access to Cancer and Complex Therapies Act - Advocated in support of H.R. 4313, the Hospital Inpatient Services Modernization Act, to modernize inpatient care policies and improve hospital operations and patient access - Discussed challenges posed by OBBBA to New York hospitals and identified opportunities for CMS to improve access, efficiency, and care delivery

- Requested delay of Essential Plan cuts to New York - Opposed harmful provisions in H.R.1 (OBBBA) including provider tax caps, limits on SDPs, Medicaid work/eligibility requirements, Essential Plan restrictions, and ACA premium tax credit changes. - Advocated to delay implementation of Sections 112101 and 112102 of H.R.1. - Engaged CMS to advance NYULH Suffolks CCN merger request under the 35-mile site-neutral exception and address Medicare Advantage denial issues. -Supported Dear Colleague Letters on the 340B Rebate Model Pilot Program and DSH cuts. - Urged continuation of federal extender programs - telehealth, Hospital-at-Home, community health center funding - and addressed concerns on F&A caps and site-neutral policies. - Promoted sustained HHS and NIH research funding, CHGME slot expansion, and pediatric research investments. - Advocated for CDC engagement to support NYU-CUNY Prevention Center grant funding. - Requested support for NYULHs NIDA OPC grant.

- Advocated for Congressional outreach to the CDC in support of the NYU-CUNY Prevention Center grant funding - Discussed potential impacts of the OBBBA (H.R.1) on NYULH - Continued support for HHS and NIH funding, and key healthcare extenders such as telehealth, Hospital-at-Home, and community health center funding - Opposition to Medicaid DSH cuts - Support for expanding CHGME slots and funding, strengthening pediatric research - Outreach on support for NYULHs NIDA OPC grant

Expanding Medical Education Act 2024, H.R. 4985 / S.3175 H.R.500 - Medicare Hearing Aid Coverage Act of 2025 Stop Subsidizing Childhood Obesity Act (S.5640/H.R 10548) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care

Expanding Medical Education Act 2024, H.R. 4985 / S.3175 H.R.500 - Medicare Hearing Aid Coverage Act of 2025 Stop Subsidizing Childhood Obesity Act (S.5640/H.R 10548) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care

NYULH Priorities (Opposition to 340B changes, opposition to Site Neutral payment cuts, Continued Hospital at Home Coverage, Increased & Continued CHC Funding, Telehealth Expansion, LCME Reform) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care H.R.500 - Medicare Hearing Aid Coverage Act of 2025

Support for Prevention Research Centers (PRC) Network Support for Strengthening Medicaid for Serious Mental Illness Act (H.R.4331) Support for the Streamline Emergency Care Act (H.R.3980) Support for Brain & Spine Metastasis Awareness Month

- Provided feedback on draft kidney transplant legislation to improve patient access and care delivery - Advocated in support of H.R. 4299, the Protecting Patient Access to Cancer and Complex Therapies Act, to preserve timely access to complex and life-saving treatments for patients - Advocated in support of H.R. 4313, the Hospital Inpatient Services Modernization Act, to modernize inpatient care policies and improve hospital operations and patient access - Request for Delay in the Essential Plan Cuts to New York - Advocating against hits from the H.R.1 - One Big Beautiful Bill Act (Cap on Provider Taxes)(Limits on SDPs)(Medicaid Work/Eligibility Requirements)(Essential Plan Restrictions)(Affordable Care Act Premium Tax Credits) - Engagement with CMS on site-neutral/Medicare Advantage - Support for continuation of funding for Extenders (telehealth, H@H, Community Health Center Funding)

- Provided feedback on draft kidney transplant legislation to improve patient access and care delivery - Advocated in support of H.R. 4299, the Protecting Patient Access to Cancer and Complex Therapies Act, to preserve timely access to complex and life-saving treatments for patients - Advocated in support of H.R. 4313, the Hospital Inpatient Services Modernization Act, to modernize inpatient care policies and improve hospital operations and patient access - Request for Delay in the Essential Plan Cuts to New York - Advocating against hits from the H.R.1 - One Big Beautiful Bill Act (Cap on Provider Taxes)(Limits on SDPs)(Medicaid Work/Eligibility Requirements)(Essential Plan Restrictions)(Affordable Care Act Premium Tax Credits) - Engagement with CMS on site-neutral/Medicare Advantage - Support for continuation of funding for Extenders (telehealth, H@H, Community Health Center Funding)

- Engaged on Medicaid DSH cuts, health care extenders, Medicare Advantage reforms, insurer practices, nutrition education, and site-neutral and value-based care policies to protect patient access and hospital sustainability - Provided feedback on draft kidney transplant legislation focused on improving patient access, care coordination, and transplant outcomes - Advocated on H.R. 1, 340B program protections, and site-neutral payment policies impacting hospital reimbursement and access to care - Advocated for robust federal funding for the National Institutes of Health (NIH) to support biomedical research, innovation, and clinical discovery - Engaged on Medicare Advantage and physician payment reforms, supported the Protecting Patient Access to Cancer and Complex Therapies Act - Advocated in support of H.R. 4313, the Hospital Inpatient Services Modernization Act, to modernize inpatient care policies and improve hospital operations and patient access - Discussed challenges posed by OBBBA to New York hospitals and identified opportunities for CMS to improve access, efficiency, and care delivery

Expanding Medical Education Act 2024, H.R. 4985 / S.3175 H.R.500 - Medicare Hearing Aid Coverage Act of 2025 Stop Subsidizing Childhood Obesity Act (S.5640/H.R 10548) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care

Expanding Medical Education Act 2024, H.R. 4985 / S.3175 H.R.500 - Medicare Hearing Aid Coverage Act of 2025 Stop Subsidizing Childhood Obesity Act (S.5640/H.R 10548) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care

NYULH Priorities (Opposition to 340B changes, opposition to Site Neutral payment cuts, Continued Hospital at Home Coverage, Increased & Continued CHC Funding, Telehealth Expansion, LCME Reform) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care H.R.500 - Medicare Hearing Aid Coverage Act of 2025

Expanding Medical Education Act 2024, H.R. 4985 / S.3175 H.R.500 - Medicare Hearing Aid Coverage Act of 2025 Stop Subsidizing Childhood Obesity Act (S.5640/H.R 10548) H.R.1433 Raise Medicaid Payment: Improve the Health of Americans by Investing In Primary Care

Support for Prevention Research Centers (PRC) Network Support for Strengthening Medicaid for Serious Mental Illness Act (H.R.4331) Support for the Streamline Emergency Care Act (H.R.3980) Support for Brain & Spine Metastasis Awareness Month

Advocating for FEMA's Disaster Relief Fund passage in American Relief Act, 2025 (H.R. 10545)

Advocating for FEMA's Disaster Relief Fund passage in American Relief Act, 2025 (H.R. 10545)

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Medicaid DSH cuts (Eliminate) GME (Increased slots) Medicare site-neutral payments (Eliminate Cuts) NPI issue (Oppose proposals in HR 5378) 340B (Support of the program) Extend expiring PHE waivers (H@H, telehealth) Extension of community health center funding Prior Authorization Improvements H.R.7635/S.5021 - The 340B PATIENTS Act of 2024 H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

- Eliminate Medicaid DSH cuts - Extend expiring PHE waivers and flexibilities: (Telehealth flexibilities and hospital-at-home waiver) - Prevent Medicare site-neutral cuts to hospitals - Increased GME slots - Oppose burdensome New National Provider Identifier (NPI) Policies - Support Prior Authorization improvements - Extend Community Health Center funding H.R.8260/S.4350 - Hospital Inpatient Services Modernization Act H.R.5378 - Lower Costs, More Transparency Act H.R.2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save our Safety-Net Hospitals Act of 2024 H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.

Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for the elimination of cuts. - Public Health Emergency (PHE) Waivers: Supported extension of waivers, including telehealth flexibilities and the hospital-at-home program. - Medicare Site-Neutral Payments: Opposed proposed cuts to site-neutral payments. Healthcare Workforce: - Graduate Medical Education (GME): Supported increasing the number of GME slots. Administrative Reforms: - National Provider Identifier (NPI): Opposed burdensome policies that would impact NPI requirements under H.R. 5378. - Prior Authorization Improvements: Advocated for measures to improve access to care and reduce administrative delays. Healthcare Programs: - Community Health Center Funding: Advocated for the extension of federal funding for community health centers. - Urged members of Congress to sign the bipartisan Dear Colleague letter on Medicaid DSH, led by Representatives Clarke, Crenshaw, DeGette, and Bilirakis. Legislation Monitored and Supported/Opposed: - H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act - H.R. 5378 - Lower Costs, More Transparency Act - H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 - H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 - H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024

Specific Lobbying Issues: Medicaid/Medicare: - Medicaid Disproportionate Share Hospital (DSH) Cuts: Advocated for elimination of cuts. Medicare Site-Neutral Payments: - Opposed proposed cuts to site-neutral payments. Extension of Public Health Emergency (PHE) Waivers: - Supported continuation of waivers for Hospital-at-Home (H@H) programs and telehealth services. Healthcare Workforce: - Graduate Medical Education (GME): Advocated for increased GME slots. Improving Medicaid and CHIP Provider Enrollment Processes: - Supported proposals to streamline enrollment. Healthcare Programs: - 340B Drug Pricing Program: Supported the program and opposed efforts to impose restrictive policies. - Community Health Center Funding: Advocated for extension of funding. Administrative Reforms: - Prior Authorization Improvements: Supported measures to improve access to timely care. - National Provider Identifier (NPI): Opposed proposals included in H.R. 5378 that would impact the NPI process. Legislation Monitored and Supported/Opposed: H.R. 7635 / S. 5021 - 340B PATIENTS Act of 2024 H.R. 8260 / S. 4350 - Hospital Inpatient Services Modernization Act H.R. 5378 - Lower Costs, More Transparency Act H.R. 2389 - Resident Physician Shortage Reduction Act of 2023 H.R. 9351 - Save Our Safety-Net Hospitals Act of 2024 H.R. 8702 / S. 4532 - Improving Seniors Timely Access to Care Act of 2024 H.R. 4758 - Accelerating Kids Access to Care Act H.R. 2407 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act Meetings/letters with Congressional offices to discuss the above issues and legislative priorities. Advocacy for specific funding levels, policy changes, and program extensions.