Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

9. Check if this filing amends a previously filed version of this report

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

H.R. 766, Preventive Health Savings Act, all provisions
S. 114, Preventive Health Savings Act, all provisions
H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions
H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, all provisions
H.R. 2670, National Defense Authorization Act of fiscal year 2024, provisions pertaining to sequester; and World Trade Center Health Program funding

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

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 EDU

16. Specific lobbying issues

H.R. 1202, Resident Education Deferred Interest (REDI) Act, all provisions
S. 704, Resident Education Deferred Interest (REDI) Act, all provisions
H.R. 751, Fair Access In Residency (FAIR) Act, all provisions
H.R. 3046, Medical Student Education Authorization Act of 2023, all provisions
S. 1403, Medical Student Education Authorization Act of 2023, all provisions
H.R. 2761, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions
S. 705, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions
H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions
S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions
H.R. 4829, Physical Therapist Workforce and Patient Access Act of 2023, all provisions
Medicare Student Education Authorization Act/draft
Opioid Workforce Act (Senate)/draft
Substance Use Disorder Workforce Act (House)/draft
Indian Health Service Health Professions Tax Fairness Act/draft
Indian Health Service/access to care/Office of Academic Affiliations
Pathways to practice
Graduate Medical Education (GME)/cap flexibility

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), Indian Health Service

18. Name of each individual who acted as a lobbyist in this issue area

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

H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, All provisions
S. 1375, Help Ensure Lower Patient (HELP) Copays Act, all provisions
H.R. 618, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions
S. 131, Improving Access to Workers Compensation for Injured Federal Workers Act of 2023, all provisions
H.R. 1359, Modernizing Opioid Treatment Access Act, all provisions
S. 644, Modernizing Opioid Treatment Access Act, all provisions
H.R. 2630, Safe Step Act, all provisions
S. 652, Safe Step Act, all provisions
H.R. 2923, Living Donor Protection Act of 2023, all provisions
S. 1384, Living Donor Protection Act of 2023, all provisions
H.R. 3752, Parity Enforcement Act of 2023, all provisions
S. 2840, Bipartisan Primary Care and Health Workforce Act, all provisions
H.R. 6487, No Fees for EFTs Act, all provisions
S. 2666, EPCS 2.0 Act, all provisions
H.R. 4507, Transparency in Coverage Act of 2023, all provisions
H.R. 4508, Hidden Fee Disclosure Act of 2023, all provisions
H.R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2023, provisions relating to telehealth/equity
H.R. 6230, Doctor Knows Best Act of 2023, all provisions
S. 2362, Drug Shortage Prevention Act of 2023, all provisions
S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions
H.R. 382, Pandemic is Over Act, all provisions
H.R. 467, HALT Fentanyl Act, all provisions
H.R. 3065, School Access to Naloxone Act of 2023, all provisions

Reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA)
Health Workforce Well-Being Day of Awareness/draft proposal
Substance Use Disorder Workforce Act/draft
Physical therapy care plans/physician approvals
Provider Relief Fund recoupment
Digital health/Augmented intelligence (AI)
Physician workforce/scope of practice
Nutrition
Data privacy
HIPAA/electronic records
Overdose Epdemic
Xylazine use/drug overdose deaths
Opioid prescribing
Testosterone/regulation/scheduling
Physician gender equity/COVID-19 pandemic
Health equity/persons with disabilities
Health equity/Superfund sites
Breast reconstruction codes/reimbursement and coverage
Methotrexate/access and supply chain issues
Street medicine/place-of-service code/homelessness and maternal health
Mental health/physician burnout
Prior authorization reform
Released inmates recidivism/health care and social services
Duty to care
Reproductive health/over-the-counter birth control access
Clinical algorithms/bias/discrimination
Precision medicine
Telehealth/permanent flexibility expansion
Coding
Health equity/Maternal health
Reproductive health/data privacy

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Food & Drug Administration (FDA), Office of Natl Drug Control Policy (NDCP), Health & Human Services - Dept of (HHS), Federal Bureau of Prisons (BOP), Occupational Safety & Health Administration (OSHA), Treasury - Dept of

18. Name of each individual who acted as a lobbyist in this issue area

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 IMM

16. Specific lobbying issues

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions
S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions
S. 2719, DOCTORS Act, all provisions
H.R. 6205, Healthcare Workforce Resilience Act, all provisions
S. 3211, Healthcare Workforce Resilience Act, all provisions
H.R. 4875, Doctors in our Borders Act, all provisions
H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions
H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, all provisions
Dual intent resident visas

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Homeland Security - Dept of (DHS)

18. Name of each individual who acted as a lobbyist in this issue area

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 LBR

16. Specific lobbying issues

S. 113, Prescription Pricing for the People Act of 2023, all provisions
Insurance market competition
Competition/merge guidelines

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

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

H.R. 2474, Strengthening Medicare for Patients and Providers Act, provisions relating to Medicare Economic Index inflation updates
H.R. 6371, Provider Reimbursement Stability Act of 2023, provisions relating to budget neutrality, MIPS, and G2211 code
H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions
S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions
H.R. 751, Fair Access In Residency (FAIR) Act, all provisions
H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions
S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions
H.R. 2829, Chronic Care Management Improvement Act of 2023, all provisions
H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions
S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions
H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions
S. 2418, Improving Care and Access to Nurses (I CAN) Act, all provisions
H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions
S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions
H.R. 2377, Saving Access to Laboratory Services Act, all provisions
S. 1000, Saving Access to Laboratory Services Act, all provisions
H.R. 3432, Telemental Health Care Access Act of 2023, all provisions
H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions
S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions
S. 712, Connected MOM Act, all provisions
H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023, all provisions
H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions
H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions
H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions
S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions
H.R. 6445, Medicare Audiology Access Improvement Act of 2023, all provisions
S. 2377, Medicare Audiology Access Improvement Act of 2023, all provisions
H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions
H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions
H.R. 6364, Medicare Telehealth Privacy Act of 2023, all provisions
H.R. 4822, Health Care Price Transparency Act of 2023, all provisions
H.R. 4839, Hospital and ASC Price Transparency Act of 2023, all provisions
H.R. 5378, Lower Costs, More Transparency Act, all provisions
H.R. 5013, Value in Health Care Act of 2023, all provisions
S. 3503, Value in Health Care Act of 2023, all provisions
H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions
H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions
S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions
S. 669, Increasing Mental Health Options Act of 2023, all provisions
H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023, all provisions
H.R. 5958, Drug-price Transparency for Consumers Act of 2023, all provisions
H.R. 3074, Due Process Continuity of Care Act, all provisions
S. 971, Due Process Continuity of Care Act, all provisions
H.R. 1694, Emergency Care Improvement Act, all provisions
H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions
H.R. 1746, Preventing Medicare Telefraud Act, all provisions
H.R. 497, Freedom for Health Care Workers Act, all provisions
H.R. 5506, Hospitals As Naloxone Distribution Sites (HANDS) Act, all provisions
H.R. 5388, Supporting Innovation for Seniors Act, all provisions
H.R. 8863, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023, provisions relating to eliminating 3.37 Medicare cuts
S. 198, Rural Health Clinic Burden Reduction Act, all provisions
H.R. 4882, Clinical Laboratory Price Transparency Act of 2023, provisions relating to Section 101
H.R. 6475, Health Disparity Zones Act of 2023, all provisions
H.R. 6230, Doctor Knows Best Act of 2023, all provisions
S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions
H.R. 3284, Providers and Payers COMPETE Act, all provisions
H.R. 4828, Imaging Services Price Transparency Act of 2023, all provisions

Improving Seniors Timely Access to Care Act of 2022
SURS Extension Act, provisions related to renewal of technical support for small practices in the Quality Payment Program
Fewer Burdens for Better Care Act/drafts
Medicare Student Education Authorization Act/drafts
Medicare program: 21st Century Cures Act implementation
Medicare program: No Surprises Act implementation
Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/physician burden
Medicare program: MACRA/Broad reform
Medicare program: Medicare Payment Advisory Commission (MedPAC)/Physician payment inflationary update
Medicare program: Physician payment
Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation
Medicare program: Provider Relief Fund recoupment
Medicare program: Open Payments
Medicare program: Budget neutrality
Medicare program: Merit-based Incentive Payment System (MIPS)/Cost performance category
Medicare program: MIPS/quality/cost/promoting interoperability
Medicare program: Quality/Diabetes measure
Medicare program: Site neutral payment policies
Medicare program: Physician-Owned Hospitals
Medicare program: 3.37% CY 2024 Medicare cut
Medicare program: Nursing home staff mandate
Medicare program: Quality payment program/physician burdens
Medicare program: Health IT/physician burdens
Medicare program: EHR certification
Medicare program: Miller-Meeks, Bera, Bucshon and Schrier letter/2024 Medicare cut
Medicare program: Alternative payment models for specialists
Medicare program: Medicare Advantage cuts/Advanced Rate Notice
Medicare program: Scope of practice
Medicare program: Prescription drug pricing and payment
Medicare program: G2211 utilization
Medicare program: Provider compliance and regulatory relief
Medicaid program: Information blocking/reproductive health and penalties
Medicare program: In-office pharmacies/Part B prescriptions/Stark Law
Medicare program: Part B/geographic payment disparities
Medicare and Medicaid programs: Data privacy
Medicare and Medicaid programs: Lung cancer/low-dose computed tomography coverage expansion
Medicare and Medicaid programs: Wheelchair repairs/barriers to timely access
Medicare and Medicaid programs: Street medicine/place of service code
Medicaid program: Medicaid unwinding/data collection
Medicaid program: Maternal health

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Treasury - Dept of

18. Name of each individual who acted as a lobbyist in this issue area

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 TAX

16. Specific lobbying issues

Indian Health Service Health Professions Tax Fairness Act/draft

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

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 TOR

16. Specific lobbying issues

AI/Clinical algorithms/liability

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

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 TOB

16. Specific lobbying issues

H.R. 4775, Helping Tobacco Users Quit Act, all provisions

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

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 VET

16. Specific lobbying issues

S. 10, VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023, all provisions
H.R. 3347, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions
S. 2070, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions
S. 2259, Leveraging Integrated Networks in Communities for Veterans (LINC VA) Act, all provisions
VA Supremacy Project/scope of practice
Veterans Choice/Community Care Program

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)

18. Name of each individual who acted as a lobbyist in this issue area

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

21. Client new principal place of business (if different than line 20)

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

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

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?
No Yes