Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby
LOBBYING REPORT

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

1. Registrant Name Organization/Lobbying Firm Self Employed Individual
AMERICAN SOCIETY FOR RADIATION ONCOLOGY

2. Address

Address1
251 18th Street S
 Address2
​8th Floor
City
Arlington
 State
VA
 Zip Code
22202
 Country
USA

3. Principal place of business (if different than line 2)

City
​
State
​
Zip Code
​
Country
​
4a. Contact Name b. Telephone Number c. E-mail
​Mr.
​Dave Adler
​7038397362
​dave.adler@astro.org
5. Senate ID#
​57737-12
7. Client Name Self Check if client is a state or local government or instrumentality
​AMERICAN SOCIETY FOR RADIATION ONCOLOGY
6. House ID#
​352510000
TYPE OF REPORT 8. Year
​2023
 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
​
11. No Lobbying Issue Activity
INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13
12. Lobbying 13. Organizations
INCOME relating to lobbying activities for this reporting period was: EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
Less than $5,000
$5,000 or more $
​
$5,000 or more $
​223,488.00
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.
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

Signature
Digitally Signed By: Dave Adler
 Date
7/13/2023 3:33:58 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 HCR

16. Specific lobbying issues

FY2024 LHHS Appropriations bill-funding for NIH/NCI
Access to radioactive isotopes
Support to ensure that advances in biomedical research impacting patient care are not compromised by any policies imposed on the
medical use and research applications of cesium chloride
Support for NRC Commissioner nominee to have medical background
Radiation Oncology reimbursement
Radiation Oncology safety
Cancer Moonshot Initiative
Legislation to increase transparency in the prior authorization process
Efforts to educate legislators about unintended consequences associated with rate setting for health care services
Curb surprise billing for patients
Preserve current training and experience requirements for radiopharmaceuticals
Support for advancing health equity and eliminating health care disparities
Support current NRC medical event reporting regulations and patient safety protocols without additional requirements for extravasations

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), Food & Drug Administration (FDA), Nuclear Regulatory Commission (NRC)

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
Dave
Adler
​
​
Cynthia
Tomlinson
​
​
Anne
Hubbard
​
​
Courtney
Williams
​
​
Colin
Whitney
​
​

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

Oppose restrictive prior authorization practices
Support for structural changes that lead to delivering high quality care for patients while increasing efficiencies and promoting Medicare
sustainability; oppose radiation oncology benefit managers
Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value
Support for waiving budget neutrality adjustments with evaluation and management code changes
Support for protecting access to care for Medicare patients
Oppose physician fee schedule cuts due to clinical labor price updates
Support for H.R. 1202 for resident education deferred interest
Support for H.R. 2474 to add inflationary updates to the MPFS
Support for H.R. 2761 to defer loan payments for specialty physicians in rural areas

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

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
Dave
Adler
​
​
Cynthia
Tomlinson
​
​
Anne
Hubbard
​
​
Courtney
Williams
​
​
Colin
Whitney
​
​

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 HOM

16. Specific lobbying issues

Support for protecting access to medical isotopes used in cancer treatments such as brachytherapy and stereotactic radio surgery
Support access to radioactive isotopes

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Nuclear Regulatory Commission (NRC)

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
Dave
Adler
​
​
Cynthia
Tomlinson
​
​
Anne
Hubbard
​
​
Courtney
Williams
​
​
Colin
Whitney
​
​

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

Support legislation to increase the budget for the National Institutes of Health, National Cancer Institute and the Centers for Disease Control and
Prevention for fiscal year 2024
Support for increased funding for radiation therapy cooperative groups within the National Cancer Institute
Support for the National Institutes of Health to recognize radiation oncology as an individual specialty in reporting systems to create more
transparency of federal appropriations
Ensure that radiological materials used for the diagnosis and treatment of patients are secured and access to care preserved
Cancer Moonshot Initiative
Support for ARPA-H to support innovative cancer treatments
Support for initiatives to increase diversity in clinical trials
Support for DOD lung cancer research program funding

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
Dave
Adler
​
​
Cynthia
Tomlinson
​
​
Anne
Hubbard
​
​
Courtney
Williams
​
​
Colin
Whitney
​
​

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
​
City
​
State
​
Zip Code
​
Country
​

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

City
​
State
​
Zip Code
​
Country
​

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

First Name
Last Name
Suffix
First Name
Last Name
Suffix
1
​
​
​
3
​
​
​
2
​
​
​
4
​
​
​

ISSUE UPDATE

24. General lobbying issue that no longer pertains

​
​
​
​
​
​
​
​
​

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

Name Address Principal Place of Business
(city and state or country)
Street Address
City State/Province Zip Country
City
State Country

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
Street Address
City State/Province Country
City
State Country
%

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)