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
California Medical Association Inc.

2. Address

Address1
c/o Brian T. Hildreth
 Address2
​455 Capitol Mall, Suite 600
City
Sacramento
 State
CA
 Zip Code
95814
 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.
​BRIAN T. HILDRETH
​916-442-7757
​bhildreth@bmhlaw.com
5. Senate ID#
​40006052-12
7. Client Name Self Check if client is a state or local government or instrumentality
​California Medical Association Inc.
6. House ID#
​397410000
TYPE OF REPORT 8. Year
​2024
 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 $
​62,000.00
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: Brian Hildreth
 Date
10/10/2024 5:03:08 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

Panetta/Miller-Meeks House Dear Colleague Letter on Medicare Physician Payment Reform
Joint AMA, National Specialty Society, State Medical Association letter to Congress urging Medicare Physician Payment Reform
HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update
- House Dear Colleague letter (Bera-Bucschon) to Leadership Urging Medicare Payment Reform
Medicare MACRA Payment Reform - reduce administrative burdens in the MIPS reporting programs
HR 6371 Provider Reimbursement Stability Act of 2023 (Bucshon, Kelly) budget neutrality reform
S 4935 Physician Fee Stabilization Act of 2024 (Welch, Boozman) Medicare budget neutrality reform
Proposals to extend the Medicare work Geographic Practice Cost Index (GPCI) floor, alter the Medicare physician work GPCI and the Medicare physician practice expense GPCI
HR 3784 Providers and Payers Compete Act
HR 6445 Medicare Audiology Access Improvement Act
File Code CMS-1807-P. Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies.
-Medicare Advance payments to assist physicians impacted by the United/Change Healthcare cyberattack: CMA letters and multiple virtual meetings.
-Medicare Physician Fee Schedule 2024 Issues. Meetings prior to the release of the proposed 2024 Fee Schedule.

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)

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
Elizabeth
McNeil
​
Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991.

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

CMA/ACEP Letter to California Congressional Delegation regarding Aetnas Claim and Code Review program
S 4532/HR 8702 Seniors Timely Access to Care Act - prior authorization reform
S 3503/HR 5013 The Value in Health Care Act of 2023 (Lahood, Wenstrup) Extends the ACO Bonus +
HR 8261 Preserving Telehealth, Hospital, and Ambulance Access to Care Act (Ways and Means Committee adopted)
HR 7623 Telehealth Modernization Act of 2024 (Energy and Commerce Health Subcommittee adopted)
S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui)
HR 6371 No Fees for EFT Act (EFT=Electronic Funds Transfer)
S 1302/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick)
S 704/HR 1202 The Resident Education Deferred Interest (REDI) Act (Rosen, Boozman/Babin, Houlahan)
HR 4941 (Schiff) Providing Access to Treatment and Housing Act of 2023 (PATH Act)
HR 4974 (Cardenas) Local 988 Response Act of 2023 Mental Health Hotline
S 1339 (Sanders, Cassidy) PBM Reform Act
Drug Enforcement Administration 21 CFR Part 1308 [Docket No. DEA-1362; A.G. Order No. 5931-2024] Schedules of Controlled Substances: Rescheduling of Marijuana AGENCY: Drug Enforcement Administration, Department of Justice.

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Health & Human Services - Dept of (HHS), Justice - Dept of (DOJ)

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
Elizabeth
McNeil
​
Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991.

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

Expand funding for the Teaching Health Center Program
88 Federal Register 61578; Sept 7, 2023: Revised version of the Public Service Loan Forgiveness Program application form.
Docket ID ED-2021-OPE-0077: Student Assistance General Provisions, Federal Perkins Loan Program, Federal Family Ed Loan Program, and William D. Ford Federal Direct Loan Program; Negotiated Rulemaking for Title IV Regulations: Higher Education Act. (PSLF 87 Fed Reg 65904)
Public Service Loan Forgiveness Program Regulations and On-Going Implementation Issues for California and Texas.

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

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
Elizabeth
McNeil
​
Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991.

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

Reauthorize the Conrad-30 J-1 VISA Waiver Program

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
Elizabeth
McNeil
​
Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991.

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
​
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ISSUE UPDATE

24. General lobbying issue that no longer pertains

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​
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​
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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)
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)