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

9. Check if this filing amends a previously filed version of this report

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 ANI

16. Specific lobbying issues

P.L. 118-159 - Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025
S.4638 National Defense Authorization Act for Fiscal Year 2025
Issue: Oppose efforts to prohibit funds for canine and feline research at DOD.

Issue: Support research with non-human primates and other animals.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Veterans Affairs - Dept of (VA)

18. Name of each individual who acted as a lobbyist in this issue area

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

P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024
Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall.

P.L.118-5 - Fiscal Responsibility Act of 2023
Issue: Oppose cuts to discretionary spending.
Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill.

S.862 - Restoring Americas Health Care Workforce and Readiness Act
Issue: Support extension of National Health Service Corps funding.

Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs.

P.L. 118-158 American Relief Act 2025
S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025
H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025
FY 2025 Presidents Budget Request on Health and Human Services
Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. Support funding for the National Health Service Corps (NHSC) and Teaching Health Centers Graduate Medical Education (THCGME).

S.4942/ H.R. 9029 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025
H.R.8771/ S. 4797 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025
Issue: Oppose efforts to limit certain types of medical research.

H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill
S.4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025
Issue: Support funding for the National Science Foundation.

FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies
H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act
S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025
Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall.

FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies
Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research.

H.R.485 - Protecting Health Care for All Patients Act of 2023
Issue: Preserve funding for the Prevention and Public Health Fund.

S.2840 - Bipartisan Primary Care and Health Workforce Act
Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees.

Issue: Prevent rescissions of COVID relief funding.

Issue: Support restoration and continuation of funding for the 21st Century Cures Act.

P.L.118-83 - Continuing Appropriations and Extensions Act, 2025
Issue: Support continuing resolution.

H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025
P.L. 118-158 American Relief Act, 2025
Issue: Urge congress to finalize FY2025 funding and maintain government operations and programs.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, White House Office, Office of Management & Budget (OMB), Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH), Health Resources & Services Administration (HRSA), Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Veterans Affairs - Dept of (VA), Food & Drug Administration (FDA), Office of Science & Technology Policy (OSTP)

18. Name of each individual who acted as a lobbyist in this issue area

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

Draft Higher Education Act Reauthorization
Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of Direct PLUS loans.

H.R.4985/S.3175 - Expanding Medical Education Act
Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs).

Draft Pathway to Practice Act
Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students.

Draft National Medical Corps Act
Issue: Support improving the pathway from community college to careers in medicine.

S.4744 - Foreign Medical School Accountability Fairness Act
Issue: Support improving the accountability of foreign medical schools receiving federal student aid.

Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice.

Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.

H.R.6585 - Bipartisan Workforce Pell Act
Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax.

H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act
Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans.

H.R.6951 - College Cost Reduction Act
Issue: Oppose elimination of DirectPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization.

H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act
Issue: Oppose policies that interfere with medical education, curriculum autonomy, and prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion.

H.Res.1180 - Recognizing the importance of diversity, equity, and inclusion efforts in medical education.
Issue: Support efforts to increase awareness and recognize the importance of diversity, equity, and inclusion in medical education.

Issue: Support loan repayment incentives for rural health care providers.

Issue: Support tax incentives for clinical preceptors.

H.R.8070 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025
Issue: Oppose amendments to NDAA that would attach the Bipartisan Workforce Pell Act and DETERRENT Act.

Issue: Support Public Service Loan Forgiveness eligibility for enrollees in income driven loan repayment programs, including SAVE.

Issue: Support delay in implementation of reporting requirement in financial value transparency and gainful employment regulations.

H.R. 8932 FAFSA Deadline Act
Issue: Support bill codifying FAFSA release date.

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Education - Dept of

18. Name of each individual who acted as a lobbyist in this issue area

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

H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023
Issue: Support grants for primary care training in medically under-resourced communities.

Draft Social Determinants Accelerator Act
Issue: Support grants to address social determinants of health.

H.R.9161/S.4773 - Health Equity and Accountability Act of 2024
Issue: Support programs to improve health equity and address social determinants of health.

S.2333 - Pandemic and All-Hazards Preparedness and Response Act
H.R.4420 - Preparedness and Response Reauthorization Act
H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act
H.R.4697 - Protecting PAHPA Act of 2023
Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels.

Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats.

S.1995 - Public Health Infrastructure Saves Lives Act
Issue: Support investments in core public health infrastructure.

Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Oppose efforts to reduce the scope of the program and transition 340B into a rebate model.

H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act)
Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities.

H.R.7635 - 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (340B PATIENTS) Act
Issue: Support amending the 340B statute to codify covered entities ability to use contract pharmacies.

H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program.
Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals.

Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act
Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals.

H.R.8574 - 340B ACCESS Act
Issue: Oppose efforts to restrict hospital eligibility for the 340B program.

Issue: Oppose insurance plans that do not meet Affordable Care Act requirements.

Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period.

P.L. 118-159 - Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025
S.4638 National Defense Authorization Act for Fiscal Year 2025
Issue: Oppose prohibition on coverage for gender affirming care.

H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023
Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers.

Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency.

Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260).

Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care.

Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others.

Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve.

H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023
H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs.
Issue: Support clean reauthorization of the Childrens Hospital GME program.

Issue: Support reauthorization of the National Health Service Corps and Teaching Health Center Graduate Medical Education.

Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority.

Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health.

Issue: Educate Congress and the administration about resident physician practice decision making post US SCOTUS decision in Dobbs.

Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates.

H.R.7855 - Rural Residency Planning and Development Act of 2024
Issue: Support codification of HRSAs rural residency planning and development program.

Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs.

Issue: Educate Congress on vaccine safety.

Issue: Encourage changes to HRSA financial aid programs as a result of FAFSA updates.

Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine.

S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act
Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers.

H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act
Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities.

H.R.7153/S.3673 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act
Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders.

Issue: Provide input on Next Generation Cures initiative.

Issue: Promote overdose prevention.

H.R. 10047 The Closing the Substance Use Care Gap Act
Issue: Support extension of SAMHSA harm reduction programs.

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), Office of Management & Budget (OMB), Health Resources & Services Administration (HRSA), Centers For Medicare and Medicaid Services (CMS), Natl Institutes of Health (NIH), Substance Abuse & Mental Health Services Administration (SAMHSA), Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), Executive Office of the President (EOP), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Agency for Healthcare Research & Quality (AHRQ), White House Office, Vice President of the U.S., Natl Security Council (NSC), Natl Council on Disability

18. Name of each individual who acted as a lobbyist in this issue area

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

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act
Issue: Educate Congress on policies related to amending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders.

H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act
Issue: Support expansion of the Conrad 30 program and improvements to physician immigration.

H.R.4875 - Doctors in our Borders Act
Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education.

H.R.6205/S.3211 - Healthcare Workforce Resilience Act
Issue: Support reduction of green card backlogs for health professionals.

Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.

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

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 MED

16. Specific lobbying issues

Issue: Educate Congress and the administration about the impact of regulatory burden on medical research.

Issue: Support the role of academic medical centers in engaging with Advanced Research Projects Agency for Health (ARPA-H).

Issue: Oppose inappropriate use of march-in authority.

Issue: Educate Congress and the administration about opportunities to strengthen medical research supported by NIH.

Issue: Provide input on proposed NIH optimization frameworks.

Issue: Educate Congress and the administration about preparedness and lab safety for pathogens with pandemic potential.

S.4667 - Risky Research Review Act
Issue: Support prevention of unintended consequences from new restrictions on life sciences research.

S. 3664 Royalty Transparency Act
Issue: Support technical correction to ensure bill does not paralyze NIH peer review system.

H.Res.1458 - Recognizing the contributions of medical research and observing "Medical Research Week" from September 16 through September 20, 2024.
Issue: Educate Congress on unique role and benefits of supporting medical research and support for NIH.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), White House Office, Executive Office of the President (EOP), Office of Science & Technology Policy (OSTP), Commerce - Dept of (DOC), Natl Institute of Standards & Technology (NIST)

18. Name of each individual who acted as a lobbyist in this issue area

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

H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023
H.R.7050 - Substance Use Disorder Workforce Act
Issue: Support increased Medicare funding for graduate medical education (GME).

Draft Bipartisan Senate Medicare GME Expansion proposal
Issue: Support increased Medicare funding for GME. Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden.

H.R.751 - Fair Access in Residency Act
Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications.

H.R.834/S.230 - Rural Physician Workforce Production Act
Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals.

GME Data Transparency Act of 2024
Issue: Educate Congress on teaching health system and hospital GME data collection practices and concerns related to duplicative reporting requirements.

H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act
Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals.

H.R.5378 - Lower Costs, More Transparency Act
Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts paid for by cuts to hospital outpatient departments.

H.R.5013 - Value in Health Care Act
Issue: Support legislation that ensures the continued move to value-based care.

H.R.8235 - Rural Physician Workforce Preservation Act
Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported GME slots from the CAA, 2021 and 2023.

Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization.

Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief.

Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments.

Issue: Oppose reduction of Medicare DGME/IME payments.

Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution.

Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare.

Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services.

Draft Senate Finance Medicare Physician Fee Schedule request for information
Issue: Support efforts to reform the Medicare physician fee schedule.

H.R.2474 - Strengthening Medicare for Patients and Providers Act
Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI).

S.4338 - Pay PCPs Act
Issue: Respond to Senate request for information on hybrid payments for Medicare physicians.

P.L.118-42 - Consolidated Appropriations Act, 2024
H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025
P.L. 118-158 American Relief Act, 2025
Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth.

H.R.2665 - The Supporting Safety Net Hospitals Act
Issue: Support elimination of two years of scheduled reductions to the Medicaid DSH program.

H.R.9351 - The Save Our Safety-Net Hospitals (SOS) Act
Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap.

Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives.

Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency.

Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health.

Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health.

Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals.

Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries.

Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals.

Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement.

Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth.

Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services.

H.R.1397 - The Telehealth Improvement for Kids Essential Services Act
Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP.

Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults).

H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act
Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments.

Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers.

H.R.2829 - Chronic Care Management Improvement Act of 2023
Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.

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

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

18. Name of each individual who acted as a lobbyist in this issue area

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

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships.

Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers.

Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208, 205, and 203 waivers.  

Issue: Oppose limitations on animal research.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)

18. Name of each individual who acted as a lobbyist in this issue area

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

Issue: Support preservation of nonprofit tax status for AAMC members teaching health systems and hospitals with federal non-profit status.

Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefits related to such activities.

Issue: Support tax-exempt status for higher education institutions.

H.R.7418 Harley Jacobsen Clinical Trial Participant Income Exemption Act
Issue: Support exempting from taxable income compensation for clinical trial participation.

H.R. 10280 Strengthening Pathways to Health Professions Act
Issue: Support extending tax-exempt status to certain Health Resources and Services Administration health workforce education scholarship and loan programs.

H.R. 3435/ S. 566 Charitable Act
Issue: Support tax incentives for charitable contributions.

Issue: Support incentives for clinicians volunteering to be preceptors for medical students.

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

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

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

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

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

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?
No Yes