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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 25 MASSACHUSETTS AVENUE, NW |
Address2 | SUITE 600 |
| City | WASHINGTON |
State | DC |
Zip Code | 20001-7400 |
Country | USA |
3. Principal place of business (if different than line 2)
| City | Chicago |
State | IL |
Zip Code | 60611-5885 |
Country | USA |
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5. Senate ID# 2877-12
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6. House ID# 304640000
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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: Margaret D. Garikes |
Date | 4/20/2026 2:53:33 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 BUD
16. Specific lobbying issues
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to Alternative Payment Models (APMs)
H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze
H.R. 5371, Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026, provisions relating to telehealth, Affordable Care Act (ACA) premium tax credits
S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits
S. 3204, Preventive Health Savings Act, all provisions
FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding
H.R. 1197, PREEMIE Reauthorization Act of 2025, all provisions
H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions
S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions
Womens health research funding/reproductive health/fertility treatments
FY27 Gun Violence Prevention Research Funding Appropriations
GME funding/teaching health centers
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH)
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Dana |
Lichtenberg |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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, Resident Education Deferred Interest (REDI) Act, all provisions
S. 942, Resident Education Deferred Interest (REDI) Act, all provisions
H.R. 2314, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates
S. 2715, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates
S. 632, IHS Workforce Parity Act of 2025, all provisions
H.R. 1, One Big Beautiful Bill Act, provisions relating to Graduate Medical Education, and student loans
H.R. 3890, Resident Physician Shortage Reduction Act of 2025, all provisions
S. 2439, Resident Physician Shortage Reduction Act of 2025, all provisions
H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions
H.R. 4681, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions
S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions
H.R. 6468, Rural Residency Planning and Development Act of 2025, all provisions
H.R. 3885, Community Training, Education, and Access for Medical Students (Community TEAMS) Act of 2025, all provisions
S. 632, IHS Workforce Parity Act of 2025, all provisions
GME funding/teaching health centers
National Health Service Corps (NHSC)/loan repayment programs
NHSC Scholarship program
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Katherine |
Dapper |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions
H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions
H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions
S. 1767, Physician and Patient Safety Act, all provisions
H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions
S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions
H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions
S. 3097, Health Information Privacy Reform Act, all provisions
H.R. 4583, Living Donor Protection Act of 2025, all provisions
S. 1552, Living Donor Protection Act of 2025, all provisions
H.R. 2850, Youth Sports Facilities Act of 2025, all provisions
S. 1419, Youth Sports Facilities Act of 2025, all provisions
S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions
H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions
H.R. 247, Health Care Affordability Act of 2025, all provisions
H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions
S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits
S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits
H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions
H.R. 3492, Protect Childrens Innocence Act, all provisions
H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives
S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions
H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions
H.R. 628, Honor Our Living Donors Act, all provisions
H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI)
H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions
S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions
S. 3204, Preventive Health Savings Act, all provisions
H.R. 7602, State of Mens Health Act, all provisions
H.R. 4710, No Surprises Act Enforcement Act, all provisions
S. 2420, No Surprises Act Enforcement Act, all provisions
H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions
H.R. 4206, CONNECT for Health Act of 2025, all provisions
H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions
Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act)
Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act
Draft/Enhanced Premium Tax Credits extension
Drug shortages
Gender affirming care
Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA)
Prior authorization
Licensure portability
Artificial Intelligence (AI) services/payment
AI use in prior authorization
Womens health issues
Health Insurance Portability and Accountability Act (HIPAA)
Pharmacy Benefits Managers
AI Deepfake/legislative framework
Mental health chatbots/regulatory guardrails
Cybersecurity/small physician practices
Fuel economy standards/proposed rollback
Postpartum hypertension
Vaccines
Nutrition
Menopause education
Insurance plans/downcoding
Out-of-Network physician payment cut
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), White House Office, Natl Highway Traffic Safety Administration (NHTSA)
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Angela |
Franklin |
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Jeffrey |
Coughlin |
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Matthew |
Reid |
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George |
Cox |
III |
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Ashley |
Delosh |
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Philip |
Lynch |
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Lisa |
Myers |
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Alexis |
Pierce |
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Jennifer |
Brown |
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Shannon |
Curtis |
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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
H.R. 5283, Healthcare Workforce Resilience Act, all provisions
S. 2759, Healthcare Workforce Resilience Act, all provisions
H.R. 1585, Conrad State 30 and Physician Access Reauthorization Act, all provisions
S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions
H.R. 1201, Doctors in our Borders Act, all provisions
S. 2650, DOCTORS Act, all provisions
H.R.7964, Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions
H.R. 7961, H-1Bs for Physicians and the Healthcare Workforce Act, all provisions
Duration of status for J-1 visa physicians
H-1B visa/filing fee/regulatory changes
H-1B and J-1 visas/administrative pause
Foreign Medical Graduates (FMGs)/pathways to citizenship
Proclamation 10998/Physician exemption
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Homeland Security - Dept of (DHS), State - Dept of (DOS), Health Resources & Services Administration (HRSA)
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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 IND
16. Specific lobbying issues
S. 632, IHS Workforce Parity Act of 2025, all provisions
17. House(s) of Congress and Federal agencies Check if None
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Katherine |
Dapper |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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 LBR
16. Specific lobbying issues
S. 527, Prescription Pricing for the People Act of 2025, all provisions
S. 232, Preventing Algorithmic Collusion Act of 2025, all provisions
S. 3822, Break Up Big Medicine Act, all provisions
Health insurance/competition
Consolidation in health care markets
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Lisa |
Myers |
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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
H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
S, 891, Bipartisan Health Care Act, all provisions
H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions
S. 1460, Preserving Patient Access to Accountable Care Act, all provisions
H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions
H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions
S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions
S. 665, Fatal Overdose Reduction Act of 2025, all provisions
H.R, 4977, Connected MOM Act, all provisions
S. 141, Connected MOM Act, all provisions
H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions
S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions
S. 1105, No UPCODE Act, all provisions
H.R. 5081, Telehealth Modernization Act, all provisions
S. 2709, Telehealth Modernization Act, all provisions
H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions
H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs)
H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions
H.R. 7520, Efficiency Adjustment Delay Act, all provisions
H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs
H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions
H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions
S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions
H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions
H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions
H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions
H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions
H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions
S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions
H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions
H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions
H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions
S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions
H.R. 3878, RNs for Rural Health Act of 2025, all provisions
H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions
H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions
H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions
H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions
S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions
H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions
H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions
S. 1399, Health Tech Investment Act, all provisions
S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA
H.R. 498, Do No Harm in Medicaid Act, all provisions
H.R. 4710, No Surprises Act Enforcement Act, all provisions
S. 2420, No Surprises Act Enforcement Act, all provisions
S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria
H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria
H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions
S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions
S. 3934, Medical Nutrition Therapy Act of 2026, all provisions
H.R. 4206, CONNECT for Health Act of 2025, all provisions
No Fees for EFTs Act, all provisions
Drafts/Chronic Care Management Improvement Act
Drafts/Access to Genetic Counselor Services Act
Drafts/GOLD CARD Act
Drafts/Medicare Advantage Improvement Act
Draft/Value in Health Care Act
Draft/Medicare Budget Neutrality and MIPS reform
Draft/MACRA/MIPS program reform
Medicare program: Medicare Economic Index (MEI)/inflationary updates
Medicare program: Medicare physician payment/budget neutrality
Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties
Medicare program: MIPS Value Pathways (MVPs) reform
Medicare program: MIPS quality and cost measures
Medicare program: G2211 Inherent Complexity Code
Medicare program: Alternative Payment Models (APMs)
Medicare program: ACO (Accountable Care Organization) REACH Model
Medicare program: Long-term Enhanced ACO Design (LEAD) Model
Medicare program: ACO/APM flexibilities
Medicare program: Prior authorization
Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model
Medicare program: Site Neutral Payment
Medicare program: AI chatbots/Medicare Advantage preventive screens
Medicare program: Coding
Medicare program: MEI Update
Medicare program: AI services/payment
Medicare program: Indirect practice expense
Medicare program: Telehealth and Digital Health
Medicare program: Medicare Advantage provider networks/physician experience
Medicare program: Shared Savings Program
Medicare program: Medicare Diabetes Prevention Program
Medicare program: Data-Driven Performance Payment System
Medicare program: Promoting Interoperability (PI) Program
Medicare program: Quality Payment Program
Medicare program: Certified electronic health record and PI
Medicare program: Advanced APM reporting
Medicare program: Public Health Reporting and Data Exchange
Medicare program: Provider directories
Medicare program: Digital quality measures
Medicare program: Aligned Networks and interoperability
Medicare program: Health Information Technology/physician burdens
Medicare program: Data privacy/cybersecurity
Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF)
Medicare program: Organ transplantation access
Medicare program: Prior authorization/Medical billing transition
Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties
Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform
Medicare and Medicaid programs: MACRA/physician burdens
Medicare and Medicaid programs: Telehealth
Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms
Medicare and Medicaid programs: CMMI reform/Physician AI use
Medicare and Medicaid programs: High-cost disposable supplies/billing codes
Medicaid program: Gender affirming care
Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes
Medicaid program: Community engagement/medical frailty exemption
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), Government Accountability Office (GAO), Medicare Payment Advisory Commission (MedPAC)
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Angela |
Franklin |
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Jeffrey |
Coughlin |
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Jennifer |
Hananoki |
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Suzanne |
Joy |
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Sandy |
Marks |
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Matthew |
Reid |
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Koryn |
Rubin |
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George |
Cox |
III |
|
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Bryan |
Hull |
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Philip |
Lynch |
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Shannon |
Curtis |
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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 TAX
16. Specific lobbying issues
H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions
S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits
S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits
H.R. 6575, CommonGround for Affordable Health Care Act, provisions related to ACA tax credits
H.R. 6501, Bipartisan Health Insurance Affordability Act, provisions related to ACA premium tax credits
Draft/Enhanced Premium Tax Credits extension
Community preceptors for medical students and residents/National tax credit or deduction
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS)
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 |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Christopher |
Sherin |
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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 TOR
16. Specific lobbying issues
Medical liability insurance
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
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
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George |
Cox |
III |
|
|
Lisa |
Myers |
|
|
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. 4837, Written Informed Consent Act, all provisions
H.R. 3951, Rural Veterans Improved Access to Benefits Act of 2025, all provisions
Community care providers/External Provider Scheduling (EPS) program
Standardized protocols for identifying veterans in patient populations
Shaving waivers
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA), Defense - Dept of (DOD)
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 |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
|
Jason |
Marino |
|
|
|
Christopher |
Sherin |
|
|
|
Angela |
Franklin |
|
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George |
Cox |
III |
|
|
Alexis |
Pierce |
|
|
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 |
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| City |
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State |
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Zip Code |
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Country |
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21. Client new principal place of business (if different than line 20)
| City |
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State |
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Zip Code |
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Country |
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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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| 1 |
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3 |
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| 2 |
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4 |
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
TOB |
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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 | ||||||||||
| ||||||||||||||
|
% | |||||||||||||
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) |