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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 800 Maine AVE SW |
Address2 | Suite 900 |
| City | Washington |
State | DC |
Zip Code | 20024-2002 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 3151-12
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6. House ID# 304890000
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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: Mike Troubh |
Date | 4/20/2026 11:13:07 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 BUD
16. Specific lobbying issues
Fiscal Year 2026 (FY2026) Departments of Labor, Health and Human Services, Education, and Related Agencies appropriations bill
Fiscal Year 2027 (FY2027) Departments of Labor, Health and Human Services, Education, and Related Agencies appropriations bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Executive Office of the President (EOP)
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 |
Mikael |
Troubh |
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Daniel |
Stanford |
III |
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Dana |
Doran |
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Abigail |
Griffin |
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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
H.R.1096 - HOPE and Mental Wellbeing Act of 2025
H.R. 929/S. 266 - Lorna Breen Health Care Provider Protection Reauthorization
H.R. 593 - Strengthening Pathways to Health Professions Act
H.R. 879/S. 1640 - Medicare Patient Access and Practice Stabilization Act
H.R. 1153 - Rural America Health Corps Act
H.R. 1227/S. 475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act
H.R. 1735/S. 779 - EARLY Minds Act
H.R. 1448 - PEER for Mental Health Act
H.R. 1585/S. 709 - Conrad State 30 and Physician Access Reauthorization Act
H.R. 1909/S. 2621 - Preventing Maternal Deaths Reauthorization Act of 2025
H.R. 957 - Parity Enforcement Act
H.R. 2509/S. 931 - COMPLETE Care Act
H.R. 4206/S. 1261 - CONNECT for Health Act
H.R. 1305 - Improving Measurements for Loneliness and Isolation Act
H.R. 1902 - Helping Emergency Responders Overcome (HERO) Act
H.R. 2223 - Building Capacity for Care Act
H.R. 2586 - Reentry Act of 2025
H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025
H.R. 3266/S.1673 - Mental Health Infrastructure Improvement Act of 2025
Mental Health Matters Act
H.R. 4619 - Medicare Mental Health Inpatient Equity Act
S. 1062 - Suicide Prevention Act
H.R. 912 - 9-8-8 Lifeline Cybersecurity Act
H.R. 2587 - Youth Mental Health Research Act
H.R. 2483/S. 2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025
H.R. 2630 - Youth Suicide Prevention Research Act
H.R. 3655 - STAR Plus Scholarship Act
H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025
H.R. 3885/S.3989 - Community TEAMS Act
H.R. 1867 - To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology
H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act
H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act
H.R. 4723/S. 2446 - Mental Health for Latinos Act
Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME)
H.R.3505 - Barriers to Suicide Act
Letters to Congress to extend the enhanced premium tax credits
H.R.6249 - Addressing Addiction After Disasters Act
H.R.7394/S.3783 - Mental Health Career Promotion Act
H.R. 5074 - Protecting Young Minds Online Act
H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act
H.R.5509 /S.2903 - Safe Step Act
H.R. 5557 - Mental Health Services for Students Act
H.R.1197 - PREEMIE Reauthorization Act of 2025
H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act
H.Res.792 - Youth Mental Health Day and Suicide Prevention Day Resolution
H.R.5725 - Mental Health Crisis Response Act of 2025
H.R.5706 - Mental Health Emergency Responder Act
S. 3064 - Relief of Chronic Pain Act
H.R. 6226 - Latino Youth Mental Health Empowerment Act
H.R. 5482 - Prevent Youth Suicide Act
H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act
Letter to Letter to Department of Labor, Department of Health and Human Services, and Department of Treasury regarding mental health parity enforcement
H.R. 3492 - Protect Children's Innocence Act
H.R. 498 - Do No Harm in Medicaid Act
H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act
Communication with Congressional offices on SAMHSA grant terminations
Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization
Communication with Congressional offices on ghost networks
S. 3486 - Expand the Behavioral Health Workforce Now Act
H.R.7324/S. 683 - More Behavioral Health Providers Act
H.R. 786/S. 1460 - Preserving Patient Access to Accountable Care Act
H.R. 4331 - Access to Claims Data Act
H.R.5281 - REAL Health Providers Act
H.R.7875 - Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act
Response to HHS proposed rule on nondiscrimination on the basis of disability
Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding
H.R. 6396 - Kid PROOF Act
H.R. 6468 - Rural Residency Planning and Development Act of 2025
H.R. 8234 - Save Money, Save Lives Act
H.R.7092 - RAYS Act
H.R.7787 - Mental Health Workforce Act
Letter in support of funding for gun violence prevention research at CDC, NIH and NIJ.
S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026
Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline.
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. 7994 - The HERO Act
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), Substance Abuse & Mental Health Services Administration (SAMHSA), Food & Drug Administration (FDA), Labor - Dept of (DOL), Treasury - Dept of
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 |
Mikael |
Troubh |
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Daniel |
Stanford |
III |
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Dana |
Doran |
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Becky |
Yowell |
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Maureen |
Maguire |
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Brooke |
Trainum |
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Abigail |
Griffin |
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Rebecca |
Kilmer |
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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 VET
16. Specific lobbying issues
H.R. 1107 - Protecting Veteran Access to Telemedicine Services Act
H.R. 1987/ S. 926 - Saving Our Veterans Lives Act
Support for VA physician exemptions to return to office
H.R. 3863 - VA Mental Health Outreach and Engagement Act
H.R. 4837 - Written Informed Consent Act
Get Justice-Involved Veterans Behavioral Assistance and Care for Key Health Outcomes to Maintain Empowerment (BACK HOME) Act
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Veterans Affairs - Dept of (VA)
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 |
Daniel |
Stanford |
III |
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Abigail |
Griffin |
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Brooke |
Trainum |
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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 MMM
16. Specific lobbying issues
Letter to CMS outlining recommendations for the Medicaid Community Engagement Provisions of H.R.1
Letter to CMS regarding Medicaid and CHIP funding for gender affirming care proposed rule
Letter to CMS regarding conditions of participation for gender affirming care proposed rule
Response to CMS Medicare Advantage and Medicare Part D 2027 proposed rule
Letter to CMS regarding hospital signage guidance
Letter to CMS regarding Patient Protection and Affordable Care Act Benefit and Payment Parameters 2027 proposed rule
Letter to CMS regarding support for Suicide Safety Planning, and The Collaborative Care Model
17. House(s) of Congress and Federal agencies Check if None
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 |
Maureen |
Maguire |
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Becky |
Yowell |
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Brooke |
Trainum |
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Rebecca |
Kilmer |
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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 EDU
16. Specific lobbying issues
H.R. 2028/ S. 942 - Resident Education Deferred Interest Act (REDI Act)
Letter to Department of Education to preserve federal loan exception that allows medical students and other health professions to borrow additional Unsubsidized Direct loans
Letter to Department of Education regarding proposed amendments to federal student loan limits
Letter supporting funding for Mental Health Services Professional Demonstration (MHSP) and School-Based Mental Health Services (SBMH) grant programs
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Education - Dept of
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 |
Abigail |
Griffin |
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Mike |
Troubh |
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Daniel |
Stanford |
III |
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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 IMM
16. Specific lobbying issues
Letter to DHS Secretary regarding physician J-1 visas
Letter to DHS Secretary for physician exemption to H-1B visa fee
H.R. 7961 - H-1Bs for Physicians and the Healthcare Workforce Act
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
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Mike |
Troubh |
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Abigail |
Griffin |
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Dana |
Doran |
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Daniel |
Stanford |
III |
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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 MED
16. Specific lobbying issues
APA Letter to the CDC on the extension of the Maternal Mortality Review Information Application
17. House(s) of Congress and Federal agencies Check if None
Centers For Disease Control & Prevention (CDC)
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 |
Brooke |
Trainum |
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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
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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) |