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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 25 Massachusetts Avenue, NW |
Address2 | Suite 320 |
| City | Washington |
State | DC |
Zip Code | 20001 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 1650-12
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6. House ID# 317150000
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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: Ingrida Lusis |
Date | 1/20/2026 7:13:11 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 HCR
16. Specific lobbying issues
Departments of Labor, Health and Human Services, Education, and related agencies appropriations for the fiscal year 2026 (S. 2587) - Issues pertaining to increased funding for Title VIII Nursing Workforce Programs.
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid
(S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 - Supporting the reauthorization of Nursing Workforce Development Programs
(H.R.6545) Anesthesia for All Act - Issues surrounding cannabis rescheduling and related research and pain care
Justice Department Launces Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001) - Issues pertaining to Medicare supervision, VA, and provider nondiscrimination
Development of Non-Opioid Analgesics for Chronic Pain (Docket No. FDA-2025-D-0610) - Supporting the involvement of CRNAs in the non-opioid pain relief
Provider nondiscrimination
Anti-competitive practices
CRNA Scope of Practice
CRNA Reimbursement
Rural Healthcare
Nursing Workforce
Nurse Education
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), White House Office, Justice - Dept of (DOJ), Labor - Dept of (DOL), Treasury - Dept of, Veterans Affairs - Dept of (VA), Food & Drug Administration (FDA)
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 |
Romy |
Gelb-Zimmer |
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Matt |
Thackston |
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Catharine |
Harris |
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Ingrida |
Lusis |
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Gregory |
Craig |
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Emily |
Champlin |
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Alec |
Gonzalez |
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Austin |
Jackson |
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JP |
Mason |
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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 VET
16. Specific lobbying issues
Ensuring Veterans Timely Access to Anesthesia Care Act (H.R. 2234) - Issues pertaining to aligning VA policy with Defense Health Agency guidelines for CRNAs in VA facilities
Reimbursement for VA CRNAs
Full Practice Authority for VA CRNAs
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA), Justice - Dept of (DOJ)
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 |
Romy |
Gelb-Zimmer |
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Matt |
Thackston |
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Catharine |
Harris |
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Ingrida |
Lusis |
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Gregory |
Craig |
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Austin |
Jackson |
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Alec |
Gonzalez |
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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 MMM
16. Specific lobbying issues
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (CMS-1834-P) - Issues related to CRNAs
Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation to Make America Healthy Again (90 Fed.Reg. 20478) -Issues pertaining to removing supervision requirements for CRNAs in Medicare and to modify 42 CFR 482.52 so that anesthesia services can be under the direction of a CRNA
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 [RIN 0938-AV50]CMS-1832-P - Issues pertaining to participation in APMs, Medicare Part B payment reform, and use of empirical data for service valuation
Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192)- Request for Information - Issues pertaining to removing physician supervision of CRNAs
Medicare Administrative Contractor Coverage Determinations
Medicare Reimbursement CRNA Scope of Practice Rural Healthcare
Medicare Teaching Rules
Provider Nondiscrimination
Funding for Title VIII Nursing Workforce Programs
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), White House Office, Justice - Dept of (DOJ)
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 |
Romy |
Gelb-Zimmer |
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Matt |
Thackston |
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Catharine |
Harris |
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Ingrida |
Lusis |
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Gregory |
Craig |
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Emily |
Champlin |
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Austin |
Jackson |
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Alec |
Gonzalez |
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JP |
Mason |
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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
The One Big Beautiful Bill Act (H.R.1) - Issues pertaining to Medicaid cuts
Departments of Labor, Health and Human Services, Education, and related agencies appropriations for the fiscal year 2026 (H.R. 5304/S. 2587) - Issues pertaining to increased funding for Title VIII Nursing Workforce Programs
Fiscal Year 2026 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act (H.R. 3944) - Issues pertaining to improving practice standards for CRNAs within the VA
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, 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 |
Matthew |
Thackston |
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Ingrida |
Lusis |
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Alec |
Gonzalez |
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Austin |
Jackson |
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Emily |
Champlin |
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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
Nurse Corps Tax Parity Act of 2025 (S.1548/H.R.3145) - Issues pertaining to changing the tax status of the Nurse Corp program to ensure the program is no longer subject to federal taxes.
PRECEPT Nurse Act (H.R. 392/S. 131) - Issues pertaining to tax credits for clinicians who serve as preceptors for nursing 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
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Matthew |
Thackston |
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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
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program
Title VIII Funding for FY 26 and FY 27
(H.R. 1) One Big Beautiful Bill Act- implementation and federal student loan limits
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, White House Office, 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 |
Matthew |
Thackston |
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Romy |
Gelb-Zimmer |
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Emily |
Champlin |
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Catharine |
Harris |
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Ingrida |
Lusis |
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Alec |
Gonzalez |
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Austin |
Jackson |
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Gregory |
Craig |
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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:
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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) |