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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 1009 Duke Street |
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| 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# 8101-366
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6. House ID# 308130010
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| TYPE OF REPORT | 8. Year | 2026 |
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: Nathaniel Baugh |
Date | 4/17/2026 2:57:05 PM |
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
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs
Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage
Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs
H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid
Strengthening Pathways to Health Professions Act (H.R.593)
Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas.
Rural Health Care Access Act of 2025 (H.R.771)
Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH.
Improving Care and Access to Nurses Act (H.R.1317)
Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses.
Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433)
Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider
Medicare Audiology Access Improvement Act of 2025 (H.R.2757)
This bill adds audiologists as Medicare-covered providers in RHCs.
Improving Seniors Timely Access to Care Act of 2025 (S.1816)
Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans.
Registered Nurses (RNs) for Rural Health Act (H.R.3878)
Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare.
Critical Access for Veterans Care Act (S.1868)
Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs.
CONNECT for Health Act of 2025 (S.1261 and H.R. 4206)
Includes the language necessary to achieve reimbursement parity for RHC telehealth visits.
Save America's Rural Hospitals Act (H.R.3684)
Includes the language necessary to achieve reimbursement parity for RHC telehealth visits.
Prompt and Fair Pay Act (H.R.4559)
Requires MA plans to provide reimbursement comparable to traditional Medicare.
Telehealth Modernization Act (H.R.5081 and S.2709)
Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits.
Helping Ensure Access to Local TeleHealth Act (H.R.5496)
Allows RHCs to permanently receive Medicare reimbursement for telehealth services.
Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621)
Expands Medicare coverage for Physical Therapy services at RHCs.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS)
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 |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Maureen |
Sullivan |
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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
Rural Health Clinic Workforce Initiative ~ Grant program to cover startup costs of hiring needed clinicians in RHCs
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
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 |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Maureen |
Sullivan |
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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
Premium Tax Credit Extension Act (H.R.5145)
Extends ACA subsidies for 1 year.
H.R.5217 Rural Behavioral Health Improvement Act of 2025
Removes limitation on amount of behavioral health services RHCs can provide.
H.R.5198 Rural Health Clinic Location Modernization Act of 2025
Updates RHC statute to keep status quo in alignment with 2020 Census Bureau change.
H.R.5199 Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
Aligns NP and PA medical director supervision requirements with state scope of practice laws.
H1-B waiver fee of $100,000 - opposition for negative impacts on rural workforce.
Issues related to RHC Skilled Nursing Facility incorrect claims denials.
Issues related to RHC flu/pnuemo billing not working properly
Issues related to RHC care management services not being billed properly
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Homeland Security - Dept of (DHS), Centers For Medicare and Medicaid Services (CMS)
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 |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Maureen |
Sullivan |
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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
| Address | 1009 Duke Street |
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| City | Alexandria |
State | VA |
Zip Code | 22314 |
Country | USA |
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) |