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
Primacy Strategy Group

2. Address

Address1
50 F Street N.W., Suite 440
 Address2
​
City
Washington
 State
DC
 Zip Code
20001
 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.
​Ryan Kelly
​2026293569
​gregr@primacysg.com
5. Senate ID#
​401105877-52420
7. Client Name Self Check if client is a state or local government or instrumentality
​Minnesota Society of Anesthesiologists
6. House ID#
​449740026
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 $
​10,000.00
$5,000 or more $
​
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: Ryan Kelly
 Date
1/21/2025 9:53:27 AM

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

Congress is asked to contact VA leadership to urge a halt to this risky VA initiative and to support the inclusion
of provisions from H.R. 3347/S.2070, the Protect Lifesaving Anesthesia Care for Veterans Act, in any Veterans'
legislation considered this year.

Congress should use its authority to curtail the harmful behavior of insurance companies including:

Holding United Health Group (UHG) and Change Healthcare (CHC) accountable for fully repairing the harm to physicians and for ensuring future protections from unexpected delays in claims processing and payment.

Scrutinizing insurance companies that divert premium dollars away from patient care for the sake of corporate profits.
Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process.

Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process.

Passing legislation to address insurers' prior authorization abuse.

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

First Name Last Name Suffix Covered Official Position (if applicable) New
Ryan
Kelly
​
President and CEO
Emily
Tranter
​
Lead Lobbyist
Greg
Rubio
​
Federal and Regulatory Affairs Professional

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

Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update.

To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system.

Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help
to address the opioid crisis by making naloxone available in school settings.

Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities.

Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.

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

First Name Last Name Suffix Covered Official Position (if applicable) New
Ryan
Kelly
​
President and CEO
Emily
Tranter
​
Lead Lobbyist
Greg
Rubio
​
Federal and Regulatory Affairs Professional

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
​
​
​

ISSUE UPDATE

24. General lobbying issue that no longer pertains

​
​
​
​
​
​
​
​
​

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)