Restore Protections for Dialysis Patients Act

Reported lobbying issue

Retirement: ERISA Preemption Employee Benefits Security Administration (EBSA) oversight, Investigations Transparency Act (HR 2869) Transparency for Secret Litigation Agreements (HR 2958), The INSIGHT Act (S. 4360) Proposed regulation regarding investment selection in retirement plans Facilitating automatic re-enrollment of unenrolled plan participants, (S. 1831) Reduction in required age for participation in retirement plans to 18, (S. 1707 / HR 4718) Defined benefit and defined contribution retirement plans Retiree health accounts (S. 2003) Market-based cash balance pension plans Pooled Employer Plans and Multiple Employer Plans Trump Accounts Trump IRAs - SAVERS Match Electronic delivery of retirement plans statements and notices Caregiver retirement savings catch-up credit, S. 4291 / HR 8273 The Form 5500 Simplification Act (HR 7362) Health Issues: ERISA preemption, ERISA self-funded health plans Health Savings Accounts (HSA) and High-Deductible Health Plans, permanent safe harbor for HSA-eligible plans to cover specific benefits, direct primary care, chronic disease coverage, on-site clinics Tax treatment of employer-sponsored health benefit plans Health care price transparency, prescription drug price transparency, Pharmacy Benefit Manufacturer (PBM) price transparency, hospital price transparency, ERISA fiduciary duties for health care plans, (S. 3345, S. 526) Hospital consolidation and billing practices, site neutral payment reform, anti-competitive practices (S. 2497) Healthy Competition for Better Care Act (HR 6248) Patients Deserve Price Tags Act (HR 5582 / S. 2355) End-stage renal disease, Restore Protections for Dialysis Patients Act (HR 2199) Surprise Medical Billing, No Surprises Enforcement Act (HR 4710), enforcement and reform Voluntary Employee Beneficiary Associations Consolidated Appropriations Act of 2026 Mental Health Parity and substance addiction Proposed Regulation regarding PBM transparency under sec. 408(b)(2) of ERISA Paid leave; bipartisan Interstate Paid Leave Action Network

Reported lobbying issue

Budget/Appropriations: S 4874/HR 8800 - National Defense Authorization Act for Fiscal Year 2027 including issues related to tactical fixed wing aviation programs; S (not yet introduced)/HR 9495 - Department of Defense Appropriations Act, 2027 including issues related to defense, Army procurement, Navy procurement, Missile Defense Agency procurement, Research Development Test & Evaluation (RDTE), sensors, munitions, tactical aircraft, Intelligence Surveillance and Reconnaissance aircraft, acquisition policy; HR 9171 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2027, Report 119-687, including issues related to wildland fire technology and integration Defense: S 4874/HR 8800 - National Defense Authorization Act for Fiscal Year 2027 including issues related to aircraft, acquisition policy, wildland fire technology, spectrum, space, missile defense, classified and strategic programs, RDTE, defense, Army procurement, Navy procurement, Missile Defense Agency procurement, weapons, munitions, rotary wing aircraft, missile defense systems, sensors, tactical aircraft, transport aircraft, integrated air and missile defense systems, electronic warfare systems, military space, cyber, technology, intelligence, spectrum, dividend and share repurchase restrictions; S (not yet introduced)/HR 9495 - Department of Defense Appropriations Act, 2027 including issues related to aircraft, acquisition policy, space, missile defense, classified and strategic programs, tactical fixed wing aviation programs, tactical aircraft, transport aircraft, classified programs, helicopters, land sea and air based tactical missiles, integrated air and missile defense systems, radars and sensors, electronic warfare systems, military space, strategic programs, missile defense, cyber, technology, intelligence, spectrum Aerospace: S (not yet introduced)/HR 8845 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2027 including issues related to civil space, aeronautics; S 933 - NASA Transition Authorization Act of 2025 including issues related to civil space, aeronautics; S 4802 - Hurricane Hunter Aircraft Recapitalization Act including issues related to civil space, aeronautics Health Issues: S 1173/HR 2199 - Restore Protections for Dialysis Patients Act including issues related to Medicare secondary payer issues; S 2420/HR 4710 - No Surprises Act Enforcement Act including issues related to independent dispute resolution abuse Homeland Security: HR 8752 - Homeland Security and Further Additional Continuing Appropriations Act, 2027 including issues related to aircraft Intelligence: S 4615/HR (not yet introduced) - Intelligence Authorization Act for Fiscal Year 2027 including issues related to classified intelligence matters Taxation/Internal Revenue Code: S (not yet introduced)/HR (not yet introduced) - Corporate Alternative Minimum Tax/Foreign Derived Deduction Eligible Income including issues related to tax Trade (domestic/foreign): S 4784/HR 8800 - National Defense Authorization Act for Fiscal Year 2027, Title XII, including issues related to foreign nations, foreign military sales, direct commercial sales

Reported lobbying issue

Health Issues: HR 2199/S 1173, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199/S 1173, the Restore Protections for Dialysis Patients Act CMS Kidney Care Choices model Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: Monitor competition in the kidney dialysis market Monitor telehealth issues Restore Act - HR 2199 Immigration: Monitor H1-B visas Monitor issues related to high-skilled immigration

Reported lobbying issue

Health Issues: Issues related to Restore Protecting for Dialysis Patients Act, HR 2199 and S. 1173.

Reported lobbying issue

Defense: S 2572/HR 4016 - Department of Defense Appropriations Act, 2026 including issues related to space, missile defense, classified and strategic programs; S (not yet introduced/HR (not yet introduced) - National Defense Authorization Act for Fiscal Year 2027 including issues related to aircraft, acquisition policy, procurement, small business, critical minerals, tactical aircraft, transport aircraft, classified programs, helicopters, land sea and air based tactical missiles, integrated air and missile defense systems, radars and sensors, electronic warfare systems, military space, strategic programs, missile defense, cyber, technology, intelligence, spectrum, Army, Navy, Missile Defense Agency procurement, RDTE, helicopters, hypersonic weapons; S (not yet introduced/HR (not yet introduced) - Department of Defense Appropriations Act, 2027, P.L. 119-75, including issues related to aircraft, acquisition policy, procurement, tactical aircraft, transport aircraft, classified programs, helicopters, land sea and air based tactical missiles, integrated air and missile defense systems, radars and sensors, electronic warfare systems, military space, strategic programs, missile defense, cyber, technology, intelligence, spectrum, helicopters; S (not yet introduced/HR (not yet introduced) - Spectrum Relocation and Enhancement Act including issues related to spectrum sharing, deployment of systems, operation requirements; HR 7148 - Consolidated Appropriations Act, 2026 including issues related to space, strategic missile defense programs, intelligence Aerospace: S 2354/HR 5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 including issues related to civil space, aeronautics; S 933 - NASA Transition Authorization Act of 2025 including issues related to civil space, aeronautics; HR 6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 including issues related to space programs; S (not yet introduced)/HR (not yet introduced) - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2027 including issues related to space programs Intelligence: S 2342/HR 5167 - Intelligence Authorization Act for Fiscal Year 2026 including issues related to intelligence matters Health Issues: S 1173/HR 2199 - Restore Protections for Dialysis Patients Act including issues related to Medicare and secondary payer; HR 4317 - PBM Reform Act of 2025 including issues related to healthcare; HR 7148 - Consolidated Appropriations Act, 2026 including issues related to Pharmacy Benefit Manager issues Taxation/Internal Revenue Code: Discussions related to the Corporate Alternative Minimum Tax Trade (domestic/foreign): Congressional Notifications for Lockheed Martin Corp. platforms Budget/Appropriations: S 2572/HR 4016 - Department of Defense Appropriations Act, 2026 including issues related to Army, Navy and Missile Defense Agency procurement, Research Development Test and Evaluation (RDTE), tactical aircraft, hypersonic weapons programs; HR 7148 - Consolidated Appropriations Act, 2026 including issues related to procurement, RDTE tiles for Army, Navy, Air Force and Missile Defense Agency; S (not yet introduced/HR (not yet introduced) - Department of Defense Appropriations Act, 2027 including issues related to Army, Navy and Missile Defense Agency procurement, Research Development Test and Evaluation (RDTE), tactical aircraft, intelligence and reconnaissance aircraft, acquisition policy; S (not yet introduced/HR (not yet introduced) - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2027 including issues related to wildfires and innovation technology for prevention, suppression, and mitigation

Reported lobbying issue

Health Issues: Issues related to Restore Protecting for Dialysis Patients Act, HR 2199 and S. 1173.

Reported lobbying issue

Retirement: ERISA preemption Oversight of EBSA programs - EBSA Investigations Transparency Act (2869); Transparency for Secret Litigation Agreements (HR 2958) Alternative investments in qualified retirement plans Pooled Employer Plans Collective investment trusts (CITs) and insurance company separate accounts HR 1013 and HR 3383 ERISA Litigation Reform Act (HR 6084) Limited Scope Audit Prohibited Transaction Exemption (PTE) 77-4 INSIGHT Act (Sen. Banks) Pension Benefit Guaranty Corporation single-employer premiums Market Based Cash Balance Plans Age of participation in retirement plans reduced from 21 to 18 (HR 4718 / S. 1707) Permitting optional re-enrollment, S. 1831 Defined Benefit Pension Plans (DBs), retiree health accounts, IRC sec. 401(h) limited access to surplus, S. 2003 Child Saving Accounts (IRC sec. 530A, Trump Accounts) Retire Through Ownership Act, HR 5160 / S. 2403 Health Issues: ERISA Preemption Tax treatment of employer-sponsored health care Health care affordability, price transparency, prescription drug prices, Pharmacy Benefit Managers (PBM) pricing and transparency, hospital pricing and transparency, site neutral payment reform, hospital consolidation and billing practices Consolidated Appropriations Act of 2026, Pharmacy Benefit Manufacturer reforms and hospital billing practices Healthy Competition for Better Care Act, HR 6248 / S 4027 Voluntary Employee Beneficiary Association (VEBAs) to allow repurposing of excess assets in VEBAs 340B prescription drug program Chronic Disease Flexible Coverage Act, HR 919 Surprise Medical Billing (No Surprises Act) Telehealth and Remote Care Services Paid Leave and I-PLAN (H.R. 3090) Restore Protections for Dialysis Patients Act - HR 2199 Electronic delivery for health benefit plans Patients Deserve Price Tags Act (S. 2355)

Reported lobbying issue

Health Issues: HR 2199/S 1173, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199/S 1173, the Restore Protections for Dialysis Patients Act Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: Health policy related to kidney, renal, and dialysis care. Including, Medicare reimbursement, coverage, and policies pursuant to the Medicare End Stage Renal Disease (ESRD) Prospective Payment System (PPS); bundling of certain oral-only drugs to the ESRD PPS; support for innovative therapies for patients living with kidney disease. KCC supports the Kidney Care Access Protection Act (HR 6214, S 2730) which addresses some of these issues. Medicare Secondary Payer issues to protect patient choice of coverage for individuals with ESRD, including support for the Restore Protections for Dialysis Patients Act (HR 2199, S.1173.). Introduction to Kidney Care Council as an organization, our member companies, and the patients they serve. Medicare/Medicaid: Health policy related to kidney, renal, and dialysis care. Including, Medicare reimbursement, coverage, and policies pursuant to the Medicare End Stage Renal Disease (ESRD) Prospective Payment System (PPS); bundling of certain oral-only drugs to the ESRD PPS; support for innovative therapies for patients living with kidney disease. KCC supports the Kidney Care Access Protection Act (HR 6214, S 2730) which addresses some of these issues. Medicare Secondary Payer issues to protect patient choice of coverage for individuals with ESRD, including support for the Restore Protections for Dialysis Patients Act (HR 2199, S.1173.). Introduction to Kidney Care Council as an organization, our member companies, and the patients they serve.

Reported lobbying issue

Health Issues: Issues related to Restore Protecting for Dialysis Patients Act, HR 2199 and S. 1173.

Reported lobbying issue

Health Issues: HR 2199/S 1173, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199/S 1173, the Restore Protections for Dialysis Patients Act Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: Issues related to Restore Protecting for Dialysis Patients Act, HR 2199 and S. 1173.

Reported lobbying issue

Health Issues: HR 2199, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199, the Restore Protections for Dialysis Patients Act Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: Issues related to Restore Protecting for Dialysis Patients Act, HR 2199 and S. 1173.

Reported lobbying issue

Health Issues: HR 2199, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199, the Restore Protections for Dialysis Patients Act Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: HR 2199, Restore Protections for Dialysis Patients Act Issues related to access to treatment for End Stage Renal Disease (ESRD) Medicare/Medicaid: HR 2199, the Restore Protections for Dialysis Patients Act Issues related to reimbursement for treatment of End Stage Renal Disease (ESRD)

Reported lobbying issue

Health Issues: S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act Medicare/Medicaid: S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Reported lobbying issue

Medicare/Medicaid: Meetings with Rep. Doggett Office and Minority Staff of the Senate Finance Committee to discuss legislation in support of Biden era CMS Nursing Home Staffing Rule (i.e., H.R. 810, Safe Staffing Saves Lives Act and S. 3866, Nurses Belong in Nursing Homes Act), and continued opposition to Administrative and Congressional efforts to weaken or eliminate Biden era nursing home minimum staffing rule. Meeting with Minority staff of Senate Finance Committee, House Budget Committee, House Education and Workforce, and Energy and Commerce to learn more about HHS Secretary budget hearing featuring Sec. Kennedy. Meeting with minority staff of Senate Finance Committee and several Senate offices to discuss their long term care (LTC) vision document and efforts to reform LTC. Budget/Appropriations: Meetings, letters, briefings and recommendations to the entire House and Senate after passage of Budget Reconciliation (i.e., H. Con Res. 14, S. Con Res. 7, H.R. 1) and discussions on implementation and further legislation to curb cuts/changes to Medicaid authorized after passage of bill. Meetings with Members of Congress in both the House and Senate in support of legislation to extend ACA Tax Credits after discharge petition (i.e., H.R. 780, 5145, 247; S. 46) and repeal cuts in H.R. 1 (H.R. 4849, S. 2556). Meeting with House Budget Committee staff, Leader Jeffries office, Sen. Schumer Office, Senate HELP staff, Ways and Means staff, Energy and Commerce Staff, and Senate Finance Staff in opposition to Reconciliation 2.0 and any additional health care cuts as offsets to fund ICE and CBP. L-HHS 2027 Appropriations. Labor Issues/Antitrust/Workplace: Advocating for labor policy changes including raising the federal minimum wage and expanding rights for workers to join a union and enter into CBAs with their employers. S 1332, HR 2743, Raise the Wage Act; S1352, HR 2736, Public Service Freedom to Negotiate Act; S 852, HR 20- Richard L. Trumka Protecting the Right to Organize Act of 2025. Consultation and meetings with Rep. Alexandria Ocasio-Cortez legislative staff and Senator Patty Murray Office on introduction of legislation to rescind DOLs proposed rule related to Fair Labor Standards Act (FLSA) for domestic service employees (i.e., H.R. 7917, Fair Wages for Home Care Workers Act). Meeting with minority staff of House Education and Workforce Committee Staff to discuss and learn more about Bad Medicine: Politics, Unions and Antisemitism in Health Care hearing. Meeting with minority staff of House Education and Workforce Committee Staff to discuss temporary staffing in healthcare and SEIU position. Discussion of Jobs Guarantee Resolution with Pressley team (No Bill Number), H.R. 8555 and Senate companion, H.R. 9571. Health Issues: Meetings with minority staff of House Ways and Means in opposition to H.R. 2199/S. 4750, the Restore Protections for Dialysis Patients Act. Consultation with staff of Rep. Debbie Dingell, and supported introduction of H.R. 5228, HCBS Workers Protection Act of 2025 and revisions as they draft HCBS Access Act in 119th Congress. SEIU also worked closely with Congresswomans office on press conference as she reintroduced these bills on April 29, 2026. Meeting with Senate HELP Committee to talk about Large Dialysis Providers duopoly and learn more about Senate oversight of this industry. Meeting with House and Senate Democratic Offices, minority staff of House Budget Committee, Ways and Means Committee, minority staff of House Energy and Commerce Committee, and minority staff of Senate Finance to discuss GOP Waste, Fraud and Abuse Narrative to scale back Medicaid and childcare dollars. Meeting with Rep. Schakowsky office in support of reintroducing Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. Meeting with Kassandra Navarro (Sen. Blumenthal) and email to Mike Dunn (Rep. Larson) to discuss SEIU position on any revisions to Essential Caregivers Act (S. 3492/H.R. 6766). Prepped SEIU Members and supported Congressional Progressive Caucus (CPC) Shadow Hearing on lowering healthcare costs. Meeting with Rep. Simon aide to discuss SEIU healthcare and childcare priorities. Immigration: Path to Legal Status - S. 2468, H.R. 4698, H.R. 1589 Temporary Protected Status - H.R. 1689, S. 4814 Temporary and work visas - bills in formation Appropriations and reconciliation - S.2 Immigration Reform - H.R. 4638 and H.R. 1958 Civil Rights/Civil Liberties: Advocating for democracy reforms that make elections more transparent, get more people involved in the political process, and expand voting rights. John R. Lewis Voting Rights Advancement Act of 2025. Advocating against laws that would make it harder for eligible voters to register and participate in elections. HR 22, S 128- Safeguard American Voter Eligibility (SAVE) Act Transportation: Advocating for service workers within both the aviation/airports and other transportation sectors. The Good Jobs for Good Airports Act- will be reintroduced in July. Consumer Issues/Safety/Products: Meeting with majority and minority staff of Senate HELP Committee to discuss Patients Deserve Price Tag Act, AI legislation and price transparency bills. Meeting with Senator Murphys staff to discuss SEIU support for legislation that would limit private equity and REIT control of hospitals and skilled nursing facilities. Meeting with minority staff of House Oversight Committee in opposition to Stopping Fraudulent Payments Act (H.R. 8464) and Fraud Prevention and Accountability Act (H.R. 8312). We also raised alarms with staff about Pre Payment Fraud Prevention and Treasury Data Access Act (H.R 8463) and Timely and Accurate Benefits Act of 2025 (H.R. 1755). We also sent a letter widely to all House Members to alert them to oppose H.R. 8464 and H.R. 8312, and for further congressional scrutiny of H.R. 8463 and H.R. 1755. Agriculture: The Farm, Food, and National Security Act of 2026 (H.R. 7567) - Lobbied against the passage of this bill. Addressed the negative impact this bill will have on merit staffers and the concern for the exclusion of SNAP language in this bill. Agricultural Act of 2026 (or Farm Bill 2.0) - Lobbied in the Senate against the passage of this bill. Addressed the negative impact this bill will have on merit staffers and the concern for the exclusion of SNAP language in this bill. Education: No Aid for Ghost Students Act of 2026 - H.R. 7892 - Lobbied against this bill. Addressed the impact it will have on students and families pursuing higher education. Banking: Opposed HR 3633 the Clarity Act that sets up a weak regulatory scheme for crypto currency. Family issues/Abortion/Adoption: Stop Child Care Scams Act of 2026 - H.R. 7726 - Lobbied against the passage of this bill and the negative impact it will have on families and childcare providers. Insurance: Meeting with Minority staff of Senate Finance Committee and several Senate offices to discuss private insurance reform. Science/Technology: Misc. AI-related bill drafts (no bill numbers yet). Veterans: Opposed S.4744/HR9237 that reorganized the VA. Law Enforcement/Crime/Criminal Justice: Advocating against legislation that would dilute the judiciary and the powers granted to the branch by Article 3 of the Constitution and case law precedent. HR 1702- the Judicial Understaffing Delays Getting Emergencies Solved (JUDGES) Act HR 1789- the Promptly Ending Political Prosecutions and Executive Retaliation (PEPPER) Act HR 1526 - No Rogue Rulings Act (NORRA)

Reported lobbying issue

Medicare/Medicaid: Urge Congress to provide access to Medigap for all ESRD patients under 65 years of age; Protect organ donors by urging passage of the living donor legislation, including S. 1552/H.R. 4582/3 - The Living Donor Protection Act; Protect dialysis patient access to charitable premium assistance; Support ESRD care coordination; Support increased oversight of Organ Procurement Organizations; Assist the Administration about prioritizing prevention of kidney disease and home dialysis; Support H.R. 2199/S. 1173 -The Restore Protections for Dialysis Patients Act to protect access to private insurance; and Support S. 2730/H.R. 6214 - The Kidney Care Access Protection Act which would ensure appropriate reimbursement for quality care and improve patient access to innovative drugs, treatments, and technologies. Encourage Members of Congress to join the Congressional Kidney Caucus

Reported lobbying issue

Medicare/Medicaid: Issues related to Medicare ESRD payments and policy, including Medicare Advantage. Medicare reimbursement and Medicare Secondary Payer policies, including H.R. 2199 and S.1173.

Reported lobbying issue

Health Issues: H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599/H.R. 6394 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482/H.R. 4407 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act H.Res. 1264/S.Res. 709 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026. H.R. 8163 - the Provider Reimbursement Stability Act H.R. 8261 - Chronic Care Management Improvement Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies H.R. 9257/S. 4754 - Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Budget/Appropriations: Appropriations Act, 2027 H.R. 7148 - Consolidated Appropriations Act, 2026 [P.L. No. 119-75] H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Funding for Fiscal Year 2027 for Title VIII Nursing Workforce Development Programs Funding for Fiscal Year 2027 for the National Institute of Nursing Research H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 S. 2882 - Continuing Appropriations and Extensions and Other Matters Act, 2026 H.R. 5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S. 2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits Funding for Fiscal Year 2026 for Title VIII Nursing Workforce Development Programs Funding for Fiscal Year 2026 for the National Institute of Nursing Research H.R. 1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 H.Con.Res. 14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. H.R. 9260 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Supporting nursing as a professional degree Issues pertaining to the Department of Education proposal for the professional degree designation of federal student loans Funding for DCD Environmental Health Laboratory for childrens health Support funding for the National Health Service Corps Removal of burdensome Medicare requirements pertaining to nurse practitioners Government Issues: H.R. 4122/S. 2167 - Health Care for Energy Workers Act H.R. 3170/S. 3296 - The Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 2332/S. 1101 - States Handling Access to Reciprocity for Employment (SHARE) Act. Provider neutral language in federal forms, documents and surveys Medicare/Medicaid: H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Veterans: H.R. 2234 - Ensuring Veterans Timely Access to Anesthesia Care Act S. 3329/H.R. 6203 - U.S. Cadet Nurse Corps Service Recognition Act of 2025 Advanced Practice Nursing full practice authority in the Veterans Health Administration Use of non-opioid therapies in the VA Taxation/Internal Revenue Code: H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 3145/S. 1548 - Nurse Corp Tax Parity Act Taxation of non-profit organizations Education: H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 S. 4568/H.R. 8691 - Nursing is a Professional Degree Act H.R. 6718 - Professional Student Degree Act H.J. Res. 189 / S.J. Res. 196 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations" Defense: H.J.Res.149 - Recognizing the 125th anniversary of the Army Nurse Corps, expressing gratitude for members of the Army Nurse Corps for their service to the Nation, and for other purposes. S.Con.Res.27 - A concurrent resolution celebrating the 125th Anniversary of the Army Nurse Corps H.R. 8800/S. 4784 - National Defense Authorization Act for Fiscal Year 2027 H.R. 3170/S. 3296 - Improving Access to Workers Compensation for Injured Federal Workers Act Labor Issues/Antitrust/Workplace: H.R. 8272 - To classify qualified locum tenens professionals and advanced care practitioners as independent contractors for the purposes of the Fair Labor Standards Act of 1938 and the National Labor Relations Act.

Reported lobbying issue

Health Issues: S. 2355, Patients Deserve Price Tags Act H.R. 8464, Stopping Fraudulent Payments Act H.R. 4710 No Surprises Act Enforcement Act S. 4378, Protecting American Taxpayers Act S. 4886, Medicare Cost Cap Act H.R. 2199, Restore Protections for Dialysis Patients Act TSCA Fee Reauthorization and Improvement Act of 2026 Chemicals in Commerce: Legislative Proposal to Modernize America's Chemical Safety Law. H.R.6145 - EXPERTS Act of 2025 The Regulations from the Executive in Need of Scrutiny Act (H.R. 142/ S. 485) AWARE Act (H.R. 9381) The Protecting America's Workers Act (H.R. 3036/S.4413) nursing home staffing standards Labor Issues/Antitrust/Workplace: H.R. 1689 To require the Secretary of Homeland Security to designate Haiti for temporary protected status. H.R. 1723 & S. 1301 - Tribal Labor Sovereignty Act of 2025 H.R. 20 & S. 852 - Protecting the Right to Organize Act H.R. 2262 - Flexibility for Workers Education Act H.R. 2270 Empowering Employer Child and Elder Care Solutions Act H.R. 2299 - Ensuring Workers Get PAID Act H.R. 2312 - Tipped Employee Protection Act H.R. 2550 - Protecting America's Workforce Act H.R. 2572 - Worker Enfranchisement Act H.R. 2736 & S. 1352 - Public Service Freedom to Negotiate Act H.R. 2870 - Working Families Flexibility Act H.R. 3120 - Modern Worker Security Act H.R. 4154 - Employee Rights Act H.R. 4312 - SCORE Act H.R. 4366 - Save Local Business Act H.R. 5267 & S. 3525 - American Franchise Act H.R. 5408 & S. 844 - Faster Labor Contracts Act H.R. 5761 - Fair Warning Act of 2025 H.R. 6136 - PURE Act H.R. 6139 - Union Members Rights to Know Act Automation Taxation Bill H.R. 20 & S. 852 - Protecting the Right to Organize Act H.R. 5408 & S. 844 - Faster Labor Contracts Act H.Res.1140 Faster Labor Contracts Act Discharge Petition H.R. 2736 & S. 1352 - Public Service Freedom to Negotiate Act H.R. 1723 & S. 1301 - Tribal Labor Sovereignty Act of 2025 S. 2731 - Empowering Striking Workers Act H.R. 6597 - LETS Protect Workers Act H.R. 5267 & S. 3525 - American Franchise Act H.R. 4312 - SCORE Act National Labor Relations Board Member nominations for James Macy and David Prouty (no bill #) DOL Independent Contractor Notice of Proposed Rule (no bill #) NLRB JOINT EMPLOYER RULE Norcross Amendment to H.R. 8800, the National Defense Authorization Act for Fiscal Year 2027 S.1367 - NO FAKES Act of 2025 H.R.8775 - Ending Predator Access to Union Power Act Protect College Sports Act of 2026 (H.R.9137/S. 4668) H.R. 1689 - Haiti TPS H.R. 8210 - A Stronger Workforce for America Act S.J. Res. 99 - regarding automatic extension of work permits Build America, Buy America implementation S.2 - Secure America Act H.R. 8800, the National Defense Authorization Act for Fiscal Year 2027 S. 4744 / H.R. 9237, the Take Care of Americas Veterans Act Confirmation of NLRB Members Prouty and Macy H.R. 4696- Renewing Immigration Provisions of the Immigration Act of 1929 S. 2468- Renewing Immigration Provisions of the Immigration Act of 1929 H.R.8870 - BUILD America 250 Act Government Issues: USPS proposed rule on mail in voting S.4369 - Absentee and Mail Voter Protection Act Artificial Intelligence-Ready Data Act (S.4098) SAVE America Act (S. 3752/H.R. 7296) Budget/Appropriations: NDAA FY2027 Prevent Government Shutdowns Act of 2026 (S.4632) Labor-HHS-Education Appropriations (H.R. 9260) National Security State Appropriations (H.R. 8595) Appropriations The National Defense Authorization Act Retirement: H.R. 8286, the Protecting Americans Retirement Savings from Politics Act. CLARITY Act DOL fiduciary rule on duties in selecting designated investment alternatives proposal HR 3289 - Fiscal Commission Act S. 4012 - Fiscal Commission Act Social Security solvency Trade (domestic/foreign): S.1449 - Trade Adjustment Assistance Reauthorization Act of 2025 Shipbuilding 301 S.1541 - SHIPS for America Act of 2025 Tariff policy HR 1432 African Growth and Opportunity Act USMCA Joint Review: Process and Role of Congress SRPTA H.R.1548 - Leveling the Playing Field 2.0 Act ILAB funding Reauthorizing the Defense Production Act Export-Import Bank Reauthorization Act H.R.6318 - No GOUGE Act H.R.2653 - Manifest Modernization Act of 2025 S.Amdt.6060 to S.4784 Uyghur Forced Labor Prevention Act Tariff Revenue Investment Bill 301 Overcapacity 301 Forced Labor Bans H.R.9284 - Foreign Investment Review Monitoring and Commitment Tracking Oversight Board Act Sec. 122 Tariffs H.R.5209 - HOPE for Haitian Prosperity Act of 2025 H.R.6659 - Critical Minerals Trade Security Act Commercial space trade policy AD/CVD investigation practices H.R.1869 - Protecting American Industry and Labor from International Trade Crimes Act of 2025 Foreign Assistance Policy Fair Trade for Working Families Act HR 1548 Level the Playing Field Act 2.0 USMCA Digital Trade letter S.4781 - Make More in America Act of 2026 Price Gouging Prevention Act Science/Technology: S.3319 - Workforce of the Future Act of 2025 S.1213 - Protect Elections from Deceptive AI Act H.R.6371 - No Robot Bosses Act S.262 - Stop Spying Bosses Act H.R.6356 - Artificial Intelligence Civil Rights Act of 2025 S.2750 - SANDBOX Act S.4214 - Artificial Intelligence Data Center Moratorium Act Federal preemption of AI H.R. 8893-Protecting Consumers from Deceptive AI Act People First Chatbot Act The Great American AI Discussion Draft H.R.9125 - Sectoral AI Governance Act of 2026 S.4591 - NO FAKES Act of 2026 Better Jobs Through Evidence and Innovation Act H.R.9363 - AI Security and Innovation Act AI and labor law compliance HR 7334 National Commission on Robotics Robotics Supply Chain Improvement Act H.R.9438 - SKILL Act S.4476 - Workforce Transparency Act of 2026 S.1748 - Kids Online Safety Act S.3339 - AI Workforce PREPARE Act AI Displacement/Workforce Policies H.R.3460 - AI Whistleblower Protection Act S.4046 - Economy of the Future Commission Act of 2026 S.3952 - Future of Artificial Intelligence Innovation Act of 2026 WARN Act & AI AI GAO Study Bill National Robotics Strategy Bill Agriculture: H.R. 7657 - Farm, Food and National Security Act of 2026 H.R. 7567, the Farm, Food, and National Security Act of 2026 H.R. 6088 - Restoring Food Security for American Families and Farmers Act of 2025 Repeal SNAP funding cuts in H.R.1 (no bill number) Housing: H. R. 6644 Housing for the 21st Century Act H.R.6644 - 21st Century ROAD to Housing Act H.R.3633 - Digital Asset Market Clarity Act Manufacturing: H.R.665 - Noncontiguous Shipping Competition Act IRA & clean energy manufacturing H.R.9097 - American Manufacturing Revitalization Exchange Program Act of 2026 Chinese Robotics Prohibition H.R.5878 - HOME Reform Act of 2025 HUD Buy America Buy America EV Charging Stations DPA for Housing Legislation The Native American Housing Assistance and Self-Determination Act (NAHASDA) Surface Transportation Reauthorization: Public Transportation S.4611 - Job Corps Shipbuilding-Defense Industrial Base Pipeline Act Taxation/Internal Revenue Code: AI Token Tax & Jobs Bill Stop Corporations and High Earners from Avoiding Taxes and Enforce the Rules Strictly (Stop CHEATERS) Act (S. 4298) Graduated Rat Tax Legislation ( No Bill Number) Crypto Tax Legislation ( No Bill Number) Education: The Department of Educations Proposed Rule to Define Professional Student H.R.7082 - FLEX Act H.R.7086 - Equitable Access to School Facilities Act Congressional Review Act resolution to overturn the Department of Educations final rule to the Public Service Loan Forgiveness program (S.J.Res.182)

Reported lobbying issue

Medicare/Medicaid: Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Medicare forecast error adjustment in ESRD PPS

Reported lobbying issue

Health Issues: H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act H.R. 8376, Concurrent Care for Comfort Act H.R. 6214/S. 2730, Kidney Care Access Protection Act Issues related to End Stage Renal Disease (ESRD) Perspective Payment System (PPS) Issues related to nursing shortages CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney transplantation for ESRD patients ESRD Treatment Choices (ETC) mandatory demonstration Kidney Care Choices (KCC) Model and the Comprehensive Kidney Care Contracting (CKCC) Model Medicare/Medicaid: H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act H.R. 8376, Concurrent Care for Comfort Act H.R. 6214/S. 2730, Kidney Care Access Protection Act Issues related to End Stage Renal Disease (ESRD) Perspective Payment System (PPS) Issues related to nursing shortages CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney transplantation for ESRD patients ESRD Treatment Choices (ETC) mandatory demonstration Kidney Care Choices (KCC) Model and the Comprehensive Kidney Care Contracting (CKCC) Model Veterans: Issues related to Veterans Affairs and dialysis H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, provisions related to dialysis