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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
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)
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5. Senate ID# 40006052-12
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6. House ID# 397410000
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| TYPE OF REPORT | 8. Year | 2025 |
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: Brian Hildreth |
Date | 1/15/2026 1:46:25 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
HR 1 The One Big Beautiful Bill Act: Medicaid, the Affordable Care Act, Medicare Physician Payment, Student Loans
Medicare Payment Reform, including Ruiz/Bilirakis legislation Strengthening Medicare for Patients and Providers Act of 2025 introduced Nov 20, 2025, and HR 879 Medicare Patient Access and Practice Stabilization Act (Medicare)
S 1816/HR 3514 Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform
S 1105 The No Upcode Act (Medicare Advantage)
Potential Medicare Sequestration Cuts - Physician Payment Cuts
HR 6160 Strengthening Medicare for Patients and Providers Act of 2025
Implementation of PL 119-21 the One Big Beautiful Bill Act.
Dear Colleague Letter: Section 71115 and Section 71117 of Working Families Tax Cuts Legislation on Provider Taxes; November 14, 2025.
CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Published Federal Register July 16, 2025)
CMS 9884-P: 2025 Marketplace Integrity and Affordability Proposed Rule
CMS 2448-P: Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule
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 |
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Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991. |
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Amy |
Blumberg |
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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
S 1261/HR 4206 The Connect For Health Act of 2025
Pandemic Telehealth Waiver Extension Dear Colleague Letter
HR 1585 Conrad State 30 Physician Access Reauthorization Act
HR 3890/S 2439 Physician Shortage Reduction Act
HR 4317 Pharmacy Benefit Manager (PBM) Reform Act of 2025
HR 4710/S 2420 No Surprises Act Enforcement Act
HR 3164 Ensuring Community Access to Pharmacist Services Act
CMA Press Statement regarding the Centers for Disease Control (CDC) webpage related to vaccines and autism. November 22, 2025
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), 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 |
Elizabeth |
McNeil |
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Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991. |
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Amy |
Blumberg |
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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
34 CFR; Part 685. ED-2025-OPE-0016-7221; RIN 1801-AA28: William D. Ford Federal Direct Loan Program - Public Service Loan Forgiveness Program (PSLF)
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 |
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Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991. |
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Amy |
Blumberg |
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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 BUD
16. Specific lobbying issues
HR 5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs and Extensions Act of 2026:
Extends the Telehealth Waivers, the Teaching Health Center Primary Care GME Program, the National Health Service Corps, Community Clinics, Disproportionate Share Hospital payments; CMA urging an additional Medicare physician payment update and an extension of the Affordable Care Act premium tax credits.
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 |
Amy |
Blumberg |
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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
HR 247/S 46: Health Care Affordability Act: Extends the expiring Affordable Care Act enhanced premium Tax Credits
HR 5145 Bipartisan Premium Tax Credit Extension Act: One year ACA premium tax credit extension
Affordable Care Act Premium Tax Credits
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 |
Amy |
Blumberg |
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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
Public Charge Ground of Inadmissibility (CIS No. 2836-25; DHS USCIS- 2025-0304) December 19, 2025
17. House(s) of Congress and Federal agencies Check if None
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 |
Amy |
Blumberg |
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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) |