ROSEMARY GUTIERREZ

Medicare Advantage issues. 2027 Medicare Advantage Rate Notice. Star rating issues.

Issues affecting the water techology sector. Tax incentives for water reuse. H.R. 2940/S. 5406 - Advancing Water Reuse Act.

U.S. trade, tariff and supply chain policy, including the USMCA sunset review. Foreign market access.

Issues affecting the water technology sector.

Issues affecting the water technology sector.

FY2027 Appropriations (H.R.9171, Interior, Environment)

Issues related to animal drug compounding.

Issues related to animal drug compounding.

Issues related to corporate tax policy, workforce training initiatives, and opportunity programs that benefit the future of work. S. 492/H.R. 6231, Improve and Enhance the Work Opportunity Tax Credit Act, including a 5 year extension.

Privacy legislation and regulation. Monitor competition policy/antitrust proposals. Monitor artificial intelligence policy proposals. H.R. 2853/S. 1404 - Combating Organized Retail Crime Act.

Discussions on payment acceptance. Discussions in support of the Credit Card Competition Act. H.R. 3074./S. 1525 - Common Cents Act.

Issues related to the decennial census; FY 2027 Appropriations

Issues related to the decennial census.

Monitor issues related to sustainable aviation. Monitor permitting reform.

Monitor aviation fuel issues.

Issues related to commercial aviation. Air Traffic Control modernization efforts & systemic failure mitigation measures. S.2503/H.R. 6222 ROTOR Act; H.R. 7613 Airspace Location and Enhanced Risk Transparency (ALERT) Act of 2026

Issues relating to rare disease and patient access. Issues related to newborn screening.

FY27 Appropriations (H.R.8646, Agriculture, Rural Development, Food and Drug Administration)

Federal data privacy issues. Issues related to healthcare AI.

Coverage of telehealth in FEHBP program.

Medicare coverage of telehealth benefits.

Proposals to change taxation of multi-national corporations.

U.S. trade, tariff and supply chain policy, including US-China relations and USMCA sunset review.

Monitor AI proposals.

Advocacy regarding restaurant service industry issues and competition.

Issues related to the semiconductor industry, innovation in manufacturing technologies.

Issues related to the semiconductor industry, innovation in manufacturing technologies.

U.S. trade and tariff policy; U.S. supply chain policy; USMCA; U.S. sanctions, export controls and outbound investment policy; U.S.-China trade relations.

H.R. 1566, the Right to Equitable and Professional Auto Industry Repair (REPAIR) Act. H.R. 8870 - BUILD America 250 Act.

Consulting, strategy, and advocacy related to higher education, workforce development, research, and education reforms.

Consulting, strategy, and advocacy related to higher education, workforce development, and research. FY 2027 Appropriations.

Trade, tariff, and supply chain policy.

Issues related to charter aircraft services. S. 2503 The ROTOR Act; H.R. 7613 - Airspace Location and Enhanced Risk Transparency (ALERT) Act of 2026

FY 2027 Appropriations.

Issues related to artificial intelligence governance, deployment and use across government.

Monitoring implementation of VA Home Loan Program legislation. Monitoring of H.R. 6047 - The Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2026. Monitoring H.R. 9237/S. 4744 - Take Care of Americas Veterans Act

Issues related to general business taxation and real estate incentives.

Issues related to customer engagement and data security. Issues related to remote online notarization.

Enhanced Premium Tax Credits. Issues related to non-profit hospitals.

Issues related to health care quality, access, and reimbursement.

Issues related to health care quality, access, and reimbursement. Medicaid reform.

Issues related to waste to energy. Monitoring issues related to PFAS destruction.

Issues related to energy production, waste to energy and general corporate taxation.

Issues related to cyber-security; data and privacy laws and regulations; issues related to artificial intelligence. H.R. 2853/S. 1404 - Combatting Organized Retail Crime Act.

U.S. trade, tariff and supply chain policy, including US-China relations and the USMCA sunset review. S.1241 - Sanctioning Russia Act of 2025. H.R. 5522 - Peace Through Strength Against Russia Act of 2025.

Monitor issues before the NLRB; policies impacting gig/shared economy.

Issues related to End Stage Renal Disease, Acute Kidney Injury, Dialysis, and ESRD Treatment Choice Model. Telehealth. H.R. 6214/S. 2730 - Kidney Care Access Protection Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act. H.R. 8875 - Improving Home Dialysis Act of 2026.

Issues related to End Stage Renal Disease, Acute Kidney Injury, Dialysis, and ESRD Treatment Choice Model. Issues related to access for rural and underserved patients with ESRD. Medicare Advantage. H.R. 8875 - Improving Home Dialysis Act of 2026.

Health issues impacting academic medical systems. Medicare and federal funding for Medicaid.

H.R. 9504, the Tax Exempt Hospital Transparency Act.

Health issues impacting academic medical systems. Issues related to NIH research. 340B Pharmaceutical pricing issues. S.2355 - Patients Deserve Price Tags Act H.R. 9393 - Lower Costs More Transparency Act. H.R. 9599 SECURE 340B Act - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act. S. 5244 SUSTAIN 340B Act - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act.

General accounting issues.

340B pharmaceutical pricing issues. Healthcare workforce issues. Healthcare affordability. H.R. 9599 SECURE 340B Act - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act. S. 5244 SUSTAIN 340B Act - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act.

Issues related to nonprofit hospitals H.R. 9504, the Tax Exempt Hospital Transparency Act

Medicare physician payment reform. Medicare Advantage reimbursement. Issues related to Medicaid funding and reform. Issues related to implementation of PL 119-21. H.R. 9390 - Prices on the Wall Act of 2026. H.R. 9393 - Lower Prices More Transparency Act. Patients Deserve Price Tags Act.

FY 2027 Appropriations - H.R. 8469 MILCON.

Monitor issues relating to supply chain.

Issues relating to veterans' health and diabetes care, the VA Remote Patient Pedal Monitoring Program; diabetic foot ulcer monitoring and amputation prevention.

Educate policymakers on cybersecurity considerations for federal IT network security, artificial intelligence, procurement, and privacy legislation.

Educate policymakers on cybersecurity threats to federal government, state and local governments and critical infrastructure.

Monitor issues related to energy efficiency, sustainability, circular economy.

Monitor issues related to energy efficiency and building codes. H.R. 3474 - The Federal Mechanical Insulation Act of 2025.

Issues related to workforce development.

Issues related to the individual market. H.R. 5498 - Small Business Health Options Awareness Act of 2025. CMS Notice of Benefit and Payment parameters for 2027.

Issues related to Individual Coverage Health Reimbursement Arrangements and Enhanced Premium Tax Credits.

Issues related to home infusion. H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act.

Payment policies related to home infusion. H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act.

Monitor matters related to transportation of energy sources.

Tariff bills and Executive Actions

Monitor matters related to transportation of energy sources, including permitting reform, renewable fuel waivers, and year-round E15

Issues related to digital privacy. Cyber security and consumer protection. S.1628/H.R. 6291 - Children and Teens Online Privacy Protection Act. Artificial intelligence policy frameworks.

General corporate tax policy; tax treatment of corporate debt.

FY 2027 LHHS Appropriations. Census Bureau related issues.

340B pharmaceutical pricing issues. Healthcare workforce issues. Healthcare affordability. H.R. 9393 - Lower Costs More Transparency Act. H.R. 9390 - Prices on the Walls Act. H.R. 9599 SECURE 340B Act - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act. S. 5244 SUSTAIN 340B Act - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act.

Issues related to nonprofit hospitals. H.R. 9504, the Tax Exempt Hospital Transparency Act

Issues related to FEMA.

Issues related to remote, secure online notarization and identity proofing.

Monitor issues related to artificial intelligence and Remote Identity-Proofing policies. Issues related to consumer privacy legislation and artificial intelligence. H.R 3633-Digital Asset Market Clarity Act of 2025. Bank Secrecy Act Modernization (no specific legislation). H.R. 5967 - Strategic Task Force on Scam Prevention Act.

Issues related to implementation of PL 119-21. H.R. 2089 - Generating Retirement Ownership through Long-term Holding; issue: Sec. Deferral of Reinvested Capital Gain Dividends of Regulated Investment Companies

Custody banking issues related to cryptocurrency legislation. Issues related to custodial banking, including FED, FDIC and SEC regulations. H.R. 2392, the STABLE Act. S. 394, the GENIUS Act. H.R. 1013/S. 424, the Retirement Fairness for Charities and Education Institutions Act of 2025. Senate Bill - Discussion Draft "Responsible Financial Innovation Act of 2025".

H.R. 9504, Tax Exempt Hospital Transparency Act

Senate FY2027 Labor, HHS, Education, and Related Agencies Appropriations, H.R. 9260 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027 Issues related to OMB uniform guidance

Issues related to Medicaid Issues related to Hospital at Home.

Tax treatment of investment capital and start-up companies; and tax policy that encourages new company formation.

Monitor proposals to regulate artificial intelligence. Cyber security policy initiatives. Monitor competition policy proposals' impact on investors.

Policies to encourage and empower entrepreneurship, including streamlined regulations at the SEC. Capital markets reforms to encourage more U.S. IPO's. Pro-innovation blockchain regulatory policy.

H.R. 2555/S. 1225 - The Freedom of Association in Higher Education Act of 2025. Monitor issues related to implementation of Public Law 118-173.

Monitor Veterans' benefits claims issues. H.R.1732 - GUARD VA Benefits Act. H.R.3132 - CHOICE for Veterans Act of 2025. S.4646 - SAFEGUARD Veterans Act of 2026. H.R. 9237 - Take Care of America's Veterans Act.

Anti-discrimination protections in Artificial Intelligence policies.

Issues related to fair housing and fair lending. Issues related to opportunities for first time homebuyers. Policies related to Artificial Intelligence.

FY27 Appropriations, and grant disbursements. H.R.9170 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2027

Issues related to operating a PEO.

Issues related to operating a PEO. The Employee Retention Tax Credit (ERTC), small business rights to tax credits and tax liability reform. H.R. 3223 - To amend the Internal Revenue Code of 1986 to establish procedures relating to the attribution of errors in the case of third party payors of payroll taxes, and for other purposes.

Issues related to operating a PEO.

H.R. 8800 National Defense Authorization Act, monitor issues related to index funds.

Issues related to financial services and capital markets. Limitations on index providers, including S. 2046 - No China in Index Funds Act. Issues related to Trump accounts implementation

Issues related to the value of in-home care for rural and underserved patients. Medicare Advantage reimbursement, as well as coding and billing issues. S. 1105, the No Upcode Act

Issues related to Medicaid. CY 2027 Medicare Advantage Rate Notice.

Issues related to healthcare affordability and transparency.

Issues related to access and coverage of diabetes care, treatment, and devices. Issues related to Medicare competitive bidding for durable medical equipment

Issues related to access and coverage of diabetes care, treatment, and devices. Issues related to Medicare competitive bidding for durable medical equipment

Issues related to privacy, security, artificial intelligence, children's online safety, and online advertising. H.R.3149 - App Store Accountability Act

Data centers.

Legislation and proposals related to artificial intelligence (AI). Monitor Privacy issues.

Monitor issues related to taxation of multinational corporations.

Coverage for emerging technologies.

Monitoring of health care and small business issues. H.R. 3195 - To amend the Small Business Act to include surviving children in the definition of small business concern owned and controlled by service-disabled veterans.

Monitoring of health care and small business issues.

Issues related to primary care. Health care workforce issues. Issues Related to Direct Primary Care Access.

Issues Related to Direct Primary Care Access.

Monitor Medicare physician payment and Medicare telehealth.

Health care transparency and quality. Healthcare technology and Artificial Intelligence.

Hospital at Home and health information technology access. Issues related to Medicare.

H.R. 9504, the Tax Exempt Hospital Transparency Act

Issues related to federal call centers.

Issues related to Medicare enrollment and program operations.

FY 2027 LHHS Appropriations

Issues related to the semiconductor industry, including trade, export controls, export promotion, data center energy efficiency, tax, AI policy & workforce issues. Monitor 2027 National Defense Authorization Act (H.R. 8800/S. 4784).

U.S. trade, tariff, and customs policy. S. 4003 - Securing Accountability in Foreign Entries Act

Issues related to access to affordable health care and drugs, Medicare Advantage, private insurance, telehealth, artificial intelligence, and health quality. CY 2027 Medicare Advantage Rate Notice. Issues related to healthcare transparency and S. 2355 - The Patients Deserve Price Tags Act. NIH research issues including grant review. Issues related to value-based care.

Enhanced Premium Tax Credits Issues related to nonprofit hospitals. H.R. 9504, the Tax Exempt Hospital Transparency Act.

Issues related to access to affordable health care, Medicare Advantage, private insurance, telehealth, and health quality.

Ensuring access to appropriate medical technology for cardiac patients.

Ensuring access to appropriate medical technology for cardiac patients.

Ensuring access to appropriate medical technology for cardiac patients.

Issues related to energy transmission and permitting reform, including H.R. 4776 - The SPEED Act.

Issues related to taxation of energy production, clean energy incentive and financing.

Issues related to Agriculture Foreign Investment Act

Issues important to the Natural Gas Industry including: permitting reform; Pipeline Safety reauthorization; S. 2975 Pipeline Safety Act of 2025

Agriculture Foreign Investment Disclosure Act.

Monitor environmental regulation important to the natural gas industry.

Issues related to funding to advance U.S. semiconductor manufacturing.

U.S. trade policy, including digital trade policy; U.S. - China relations, U.S. export controls, U.S. outbound investment policy. Issues related to artificial intelligence and semiconductor export controls. U.S. economic security.

Issues related to Artificial Intelligence. Privacy legislation. Cybersecurity.

H.R. 979/S. 315, AM Radio for Every Vehicle Act of 2025.

H. Con. Res. 12, Supporting the Local Radio Freedom Act. H.R. 979/S. 315, AM Radio for Every Vehicle Act of 2025.

H.R. 8870 - BUILD America 250 Act.

Issues related to artificial intelligence, quantum computing, and semiconductors. S. 3062 - The GUARD Act. S. 3597 - The National Quantum Initiative Reauthorization Act of 2026. FY 2027 National Defense Authorization Act.

Issues related to linear generation technology.

Monitor issues related to linear generators/fuel cells.

Issues related to linear generation technology.

Medicare Advantage.S.1105 - No UPCODE Act.

Medicare physician reimbursement. Workforce issues. Medicaid funding and reform.

340B reform. S.2355/H.R.5582 - Patients Deserve Price Tags Act. H.R. 9390 - Prices on the Wall Act of 2026. H.R. 9393 - Lower Costs More Transparency Act. H.R. 9599 SECURE 340B Act - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act. S. 5244 SUSTAIN 340B Act - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act.

Issues related to Non-profit hospitals H.R. 9504, the Tax Exempt Hospital Transparency Act

Medicare and Medicaid dental health coverage issues.

FY 2027 Appropriations

Tariff policy

Issues related to the CDC and the Strategic National Stockpile.

Issues related to enhanced premium tax credits.

Hospital outpatient issues. Healthcare technology issues and application of artificial intelligence regulation to health systems. Hospital transparency. S. 2355 - Patients Deserve Price Tags Act H.R. 9390 - Prices on the Wall Act of 2026.

Issues related to Medicare payment policies, Medicaid waivers and physician owned hospitals. Hospital Outpatient issues. Medicaid directed payment programs. Medicaid reform. H.R. 9390 - Prices on the Wall Act of 2026.

Issues related to US tariff, trade and customs policy.

Issues impacting the global appliance industry, including manufacturing, supply chains, and energy and water related standards.

Issues impacting the global appliance industry, including trade, tariff and supply chain policy and the USMCA sunset review

Monitor issues impacting the global appliance industry, including manufacturing, supply chains, and energy and water related standards. EPCA Reform efforts.

FY 2027 Appropriations

Issues related to freight, rail, supply chains, and free trade zones.

Issues related to tax credits in PL 119-21 H.R. 516/S. 1532 - Short Line Railroad Tax Credit Modernization Act.

FY 2027 Transportation Appropriations. H.R. 5342/S. 2354 - CJS Appropriations. Issues related to government shutdown and airline safety.

Monitor issues important to general aviation industry. S. 2503/H.R. 6222 - ROTOR Act.

Monitor environmental issues important to aviation.

FY 2027 Appropriations.

Monitor Issues related to sustainable aviation.

Issues related to corporate governance.

Issues related to the adaptive engine. H.R. 8800, issues related to stock buybacks and dividend restrictions in the National Defense Authorization Act.

Issues related to AI Adoption, FY27 Intel Reauthorization

Issues related to AI Adoption, FY2027 National Defense Authorization Act (H.R. 8800/S.4784)

Issues related to AI Adoption, FY 2027 Appropriations.

Monitor funding issues important to nuclear industry.

Monitor issues related to FEMA.

Monitor issues important to nuclear industry.

Issues related to online sports betting. S.4160, Prediction Markets Are Gambling Act.

Issues related to online sports betting. H.R. 4304 - FAIR Bet Act. S. 2230 - Full House Act.

Medical records interoperability. Regulation of provider clinical decision support tools. Issues related to Health information technology and the National Coordinator. Issues related to Artificial Intelligence. Issues related to prior authorization.

Data privacy issues. Issues related to interoperability, Health IT, and technology policy. Issues related to Artificial Intelligence.

Medical health records interoperability.

Issues related to employer provided benefits such as HSAs, FSAs, HRAs, ICHRAs, DCFSAs and commuter benefits. H.R. 548, The HSA Modernization Act of 2025. H.R. 138, The Lowering Costs for Caregivers Act of 2025. H.R. 3799, The Choice Arrangement Act. H.R. 1421, The Improving Child Care for Working Families Act. H.R. 5463 - Choice Arrangement Act of 2025. S. 2875 - CHOICE Act. H.R. 6703 - Lower Healthcare Premiums for All Americans Act.

Expansion of HSA's to those serviced by the Veterans Affairs Administration/Tricare. H.R. 548, The HSA Modernization Act of 2025.

Issues related to tax-preferred accounts to help lower the cost of insurance.

Medicare Advantage, Medicare Part D, Medicaid Managed Care. Issues related to prescription drug costs and delivery. PBM Reform issues. CY 2027 Medicare Advantage Rate Notice. S. 1105 - No UPCODE Act. H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. H.R. 4093 - Apples to Apples Comparison Act of 2026.

Prescription Drug Pricing.

Issues related to the autonomous vehicle industry and access to critical technologies. H.R.7390 - SELF DRIVE Act of 2026

H.R. 8870 - BUILD America 250 Act.

FY 2027 Appropriations

S.1462 - Fix Our Forests Act

FY2027 Appropriations (H.R.9171, Interior, Environment)

Monitor legislation and regulations and Executive Orders affecting the utility industry. Monitor cyber regulations.

Issues related to distilled spirits excise taxes, tariffs, and non-tariff market access barriers. H.R. 3028 - Duty Drawback Clarification Act

Issues related to U.S. dietary guidelines. Issues related to Hemp production, including S. 2112 - The HEMP Act.

Issues related to distilled spirits excise taxes.

Monitor AI policy and engage with stakeholders to advance policies that enable AI innovation, adoption (including government leadership), global leadership, and productivity.

Monitor legislation and administration actions important to nuclear utilities including permitting reform and nuclear waste.

Monitor legislation and administration actions important to nuclear utilities.

Monitor legislation and administration actions important to nuclear utilities.

Market access issues, including cross-border data flows, platform liability and network usage fees.

Cyber-security; Internet industry growth and network management. AI policy proposals. Export controls and rules for data centers. Monitor crypto/stablecoin proposals, and quantum computing proposals.

Global internet freedom of speech. Internet Governance. Privacy legislation and regulation

Issues relating to the software industry and government procurement of information technology services. Monitor AI policy.

Issues relating to the software industry and government procurement of information technology services. Monitor AI policy.

Monitor issues related to insurance industry. Monitor TRIA - Terrorism Risk Insurance Act.

Monitor issues related to financial services industry.

Issues related to privacy legislation. Issues related to artificial intelligence.

Issues related to the oil and gas industry.

Monitor energy related issues, pipeline issues and permitting reform.

Monitor legislation and regulations related to climate change and the oil and gas industry.

Issues related to trade, tariff and customs policy and the USMCA sunset review.

Issues related to rail and the cross-border flow of goods. H.R. 8870 BUILD America 250 Act.

FY 2027 Appropriations

Prescription drug pricing issues. Fair Accountability and Innovative Research Drug Pricing Act. H.R. 3789/S. 229 - The Drug-price Transparency for Consumers (DTC) Act.

Prescription drug pricing issues. H.R. 1843/S. 1032 - Increasing Transparency in Generic Drug Applications Act. S. 1954/H.R. 5526 - Biosimilar Red Tape Elimination Act; S. 1095 - Stop Stalling Act S. 2630 - Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R.1262 - Mikaela Naylon Give Kids a Chance Act. S. 3014 - Ensuring Timely Access to Generics Act of 2025 S. 1414 - Expedited Access to Biosimilars Act

Monitor issues related to permitting reform.

Monitor issues related to value-added services, federal government acquisition of technology, artificial intelligence, and trade policy.

Monitor issues related to value-added services, and federal government acquisition of technology.

Expanding and protecting structured family caregiver model of long-term care services and supports. Medicaid reform. Medicaid program integrity issues. Implementation of PL 119-21.

Expanding and protecting structured family caregiver model of long-term care services and supports.

FY 2027 Appropriations (Commerce, Justice and Science).

Issues related to drones and first responders. Issues related to Unmanned Aircraft Systems. National Defense Authorization Act for FY 2026. Issues related to the implementation of the White House Executive Order of Drone Dominance.

Issues related to supply chain resiliency.

Issues related to prescription drug pricing and transparency. Issues related to health IT & interoperability. S.1105 - No UPCODE Act.

Issues related to prescription drug pricing and transparency.

Issues related to funding changes and program requirements within Medicaid.

Enhanced Premium Tax Credits.

Medicare Advantage Reimbursement. Medicaid reform.

Affordable Care Act Coverage. Issues related to surprise medical billing

Issues related to health insurance.

Issues related to prescription drug pricing.

Issues related to Medicare Advantage. Issues related to Medicaid managed care. S. 1105 - No UPCODE Act.

Issues related to compounding pharmacies. S. 3794 - SAFE Drugs Act of 2025.

FY 2027 Appropriations

Issues related to the autonomous vehicle industry and access to critical technologies. H.R.7390 - SELF DRIVE Act of 2026

H.R. 8870 - BUILD America 250 Act.

Issues related to generic medicines.

Issues related to pharmaceutical manufacturing supply chain. S. 1040 - Drug Competition Enhancement Act; H.R. 5526/S. 1954 -Biosimilar Red tape Elimination Act; H.R. 3269 - ETHIC Act; S. 43 - Skinny Labels, Big Savings Act; H.R. 1843/S. 1302- Increasing Transparency in Generic Drug Applications Act; Country of origin labeling. H.R. 9661/S. 1414 - Expediated Access to Biosimilars Act.

Issues related to generic and biosimilar medications.

Affordable prescription drugs. Telehealth. Health care workforce and staffing. Medicaid coverage issues. Site-neutral payment policy. Implementation of PL 119-21

Affordable prescription drugs. Health care privacy. Health care workforce and staffing. Issues related to children's medical care. Issues related to non-profit hospital practices. H.R. 247 - Healthcare Affordability Act. Patients Deserve Price Tags Act. H.R. 9390 - Prices on the Wall Act of 2026. H.R. 9393 - Lower Costs More Transparency Act. H.R. 9599 SECURE 340B Act - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act. S. 5244 SUSTAIN 340B Act - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act.