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
National Alliance for Care at Home (formerly National Association for Home Care & Hospice)

2. Address

Address1
228 SEVENTH STREET, SE
 Address2
​
City
WASHINGTON
 State
DC
 Zip Code
20003
 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.
​Scott Levy
​2254454136
​slevy@allianceforcareathome.org
5. Senate ID#
​26570-12
7. Client Name Self Check if client is a state or local government or instrumentality
​National Alliance for Care at Home (formerly Natl Assn for Home Care & Hospice)
6. House ID#
​325990000
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
​
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 $
​570,000.00
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: Scott Levy
 Date
4/17/2026 1:37:36 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

Issues related to Medicaid, specifically:-
H.R. 1
Medicaid Home and Community Based Services (HCBS)- Access to Medicaid-
Medicaid funding- 80/20
Program Integrity





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), Office of Management & Budget (OMB)

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
Scott
Levy
​
​
Madison
Summers
​
​
Logan
Hoover
​
​
Hillary
Loeffler
​
​
Patrick
Harrison
​
​

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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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

Issues related to Hospice, specifically:
Hospice benefit and payment
oH.R. 2437 - End-of-life Access to Supportive and Essential care Act of 2025
oH.R. 7966 / S. 4118 - Hospice CARE Act
oS. 1935 - Expanding Access to Palliative Care Act
oS. 1936 - Improving Access to Transfusion Care for Hospice Patients Act of 2025
oS. Res. 546 - A resolution designating November 2025 as "National Hospice and Palliative Care Month"
Hospice audit burdens and regulatory relief
Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool
Pediatric Hospice and Palliative Care
Medicare Advantage
oH.R. 3467 - To amend title XVIII to reform the Medicare Advantage program (as it relates to hospice carve-in)
Program Integrity
Hospice Special Focus Program
Telehealth flexibilities
oH.R. 4026 & S. 1261 - CONNECT for Health Act of 202
oH.R. 1720 - Hospice Recertification Flexibility Act
oH.R. 1968 (P.L. 119-4) - Full-Year Continuing Appropriations and Extension Act, 2025
oH.R. 5081 & S. 2709 - Telehealth Modernization Act
oH.R. 5439 - Continuing Appropriations and Extensions Act, 2026
oH.R. 5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 (P.L.119-37) - as it relates to telehealth
oH.R.7148 - Consolidated Appropriations Act, 2026 (P.L. 119-75)
Hospice and palliative care workforce
oH.R. 4425 & S. 2287 - Palliative Care and Hospice Education and Training Act
Veterans access and use of hospice and VA burial benefits
oImplementation of the Dole Act
oH.R. 4425 & S. 2287 - Palliative Care and Hospice Education and Training Act
Veterans access and use of hospice and VA burial benefits

Issues related to home health, specifically:
Extending Telehealth Flexibilities
Home Health benefit and payment
Home Health Program Integrity
Patient-Driven Groupings Model
H.R. 5142 - Home Health Stabilization Act of 2025

Issues related to home care, specifically:
Caregiving relief
oH.R. 2036/S. 925- Credit for Caring Act of 2025
oH.R. 2304 - Ensuring Access to Affordable and Quality Home Care for Seniors Act (restoration of the Companion 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), Office of Management & Budget (OMB)

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
Scott
Levy
​
​
Madison
Summers
​
​
Logan
Hoover
​
​
Hillary
Loeffler
​
​
Patrick
Harrison
​
​

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

Issues related to Hospice, specifically:
Veterans access and use of hospice and VA burial benefits
oImplementation of the Dole Act
oH.R. 4425 & S. 2287 - Palliative Care and Hospice Education and Training Act
Veterans access and use of hospice and VA burial benefits

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
Logan
Hoover
​
​
Madison
Summers
​
​

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
​
State
​
Zip Code
​
Country
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21. Client new principal place of business (if different than line 20)

City
​
State
​
Zip Code
​
Country
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22. New General description of client’s business or activities

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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
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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

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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)