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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 500 Montgomery Street |
Address2 | Suite 820 |
| City | Alexandria |
State | VA |
Zip Code | 22314 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 28195-12
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6. House ID# 321400000
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| TYPE OF REPORT | 8. Year | 2025 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Timothy Clement |
Date | 10/22/2025 10:52:47 AM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code ALC
16. Specific lobbying issues
Mental Health
Substance use disorder
H.R. 1, One Big Beautiful Bill Act; specifically, lobbying to amend Medicaid community engagement requirements to require states to perform ex parte verifications for individuals eligible for exceptions due to having a substance use disorder; lobbying House Energy and Commerce (majority and minority) and Senate HELP (majority and minority) on legislative language related to ex-parte verifications and 42 CFR Part 2 that would improve implementation of H.R. 1
H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act of 2025; legislation that would reauthorize numerous substance use disorder treatment and prevention programs; lobbying for passage in similar form to what was nearly passed in December of 2024
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Timothy |
Clement |
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Vice President of Federal Government Affairs |
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code BUD
16. Specific lobbying issues
Appropriations for Mental Health Block Grant at levels contained within H.R. 5304
Appropriations for Parity Enforcement Grants within Center for Consumer Information and Insurance Oversight
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Timothy |
Clement |
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Vice President of Federal Government Affairs |
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities.
REAL Health Providers Act, H.R. 5281. This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.
H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025. This bill would reauthorize the many programs originally created in the SUPPORT Act of 2018 that address the opioid epidemic, focusing on overdose prevention, substance use disorder treatment, and co-occurring mental health conditions.
COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029.
Promoting Effective and Empowering Recovery Services in Medicare Act (bill not introduced yet this Congress; Previous Congress bill numbers S.3498/H.R.6748). This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists.
One Big Beautiful Bill Act (H.R. 1). Specifically, lobbying for amendment to Medicaid community engagement requirements to require states to perform ex parte verifications for people eligible for exceptions due to substance use disorder or a disabling mental disorder
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Timothy |
Clement |
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Vice President of Federal Government Affairs |
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
One Big Beautiful Bill (H.R. 1). Specifically, lobbying for amendment to Medicaid community engagement requirements to require states to perform ex parte verifications for people eligible for exceptions due to having a substance use disorder or disabling mental disorder.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Timothy |
Clement |
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Vice President of Federal Government Affairs |
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
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21. Client new principal place of business (if different than line 20)
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |