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 REGISTRATION

Lobbying Disclosure Act of 1995 (Section 4)

Check One: New Registrant New Client for Existing Registrant Amendment

1. Effective Date of Registration
12/1/2022
2. House Identification
 44299
 Senate Identification
 401105159

REGISTRANT Organization/Lobbying Firm Self Employed Individual

3. Registrant Organization
FULCRUM PUBLIC AFFAIRS LLC
Address
660 Pennsylvania Avenue SE
 Address2
​Suite 300
City
Washington
 State
DC
 Zip
20003
 Country
USA

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

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5. Contact name and telephone number International Number
Contact
​Mr. Oscar Ramirez
 Telephone
​2023652971
 E-mail
​contact@fulcrum-dc.com
6. General description of registrant’s business or activities
​Lobbying firm

CLIENT A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the box labeled “Self” and proceed to line 10. Self

7. Client name
​America's Health Insurance Plans (AHIP)
Address
​601 Pennsylvania Avenue, NW Suite 500
City
​Washington
 State
​DC
 Zip
​20004
 Country
​USA
8. Principal place of business (if different than line 7)
City
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State
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Zip
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Country
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9. General description of client’s business or activities
​Trade Association

LOBBYISTS

10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed in this section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of first acting as a lobbyist for the client, state the executive and/or legislative position(s) in which the person served.

Name Covered Official Position (if applicable)
First
Last
Suffix
​Dana ​Thompson ​ ​Legislative Director / Chief Counsel, Rep. Maxine Waters (D-CA-43) // Legislative Counsel / Chief Counsel / Deputy Chief of Staff / Chief of Staff, Rep. Sheila Jackson Lee (D-TX-18)
​Oscar ​Ramirez ​ ​Special Asst. to the Secretary, Department of Labor // Chief of Staff, Rep. Hilda Solis (D-CA-32) // Legislative Director/Deputy Chief of Staff, Rep. Al Green (D-TX-09) // Legislative Assistant / Legislative Director, Rep. Joe Baca (D-CA-43)
​Margaret ​Franklin ​ ​LD, Rep. Al Lawson (D-FL-05) // Senior Leg. Assistant / Acting LD / Legislative Assistant, Rep. Alma Adams (D-NC-12) // Leg. Aide, Sen. Kirsten Gillibrand (D-NY) / Associate, Senate Finance Committee // Intern, Rep. Danny Davis (D-IL-07)
​Josie ​Villanueva ​ ​ Counselor, Department of Health and Human Services // LD/Dep. Chief of Staff, Rep. Steven Horsford (D-NV-04) // Leg. Assistant, Sen. Tammy Duckworth (D-IL) // Leg. Assistant, Rep. Tammy Duckworth (D-IL-09) // Leg. Aide, Sen. Richard Durbin (D-IL)
​Andrea ​Mares ​ ​Staff Assistant / Legislative Correspondent / Legislative Aide / Legislative Assistant, Sen. Martin Heinrich (D-NM)

LOBBYING ISSUES

11. General lobbying issue areas (Select all applicable codes).

​HCR
​MMM
​INS
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12. Specific lobbying issues (current and anticipated)

Issues related to Medicare Advantage and health insurance industry.

AFFILIATED ORGANIZATIONS

13. Is there an entity other than the client that contributes more than $5,000 to the lobbying activities of the registrant in a quarterly period and either participates in and/or in whole or in major part supervises or controls the registrant’s lobbying activities?

No --> Go to line 14. Yes --> Complete the rest of this section for each entity matching the criteria above, then proceed to line 14.
Internet Address:
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Name Address Principal Place of Business
Street
City State/Province Zip Code Country
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FOREIGN ENTITIES

14. Is there any foreign entity

a) holds at least 20% equitable ownership in the client or any organization identified on line 13; or

b) directly or indirectly, in whole or in major part, plans, supervises, controls, directs, finances or subsidizes activities of the client or any organization identified on line 13; or

c) is an affiliate of the client or any organization identified on line 13 and has a direct interest in the outcome of the lobbying activity?

No --> Sign and date the registration. Yes --> Complete the rest of this section for each entity matching the criteria above, then sign the registration.
Address Ownership
Name Street Principal place of business Amount of contribution
City State/Province Country
(city and state or country) for lobbying activities
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CONVICTIONS DISCLOSURE

15. 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?

Signature
Digitally Signed By: Oscar Ramirez
 Date
1/20/2023 11:30:40 PM