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 HCR

16. Specific lobbying issues

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Provider Directories; Health Equity + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Health Equity; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence
Bills:
S. 1451 Healthy Competition for Better Care Act
To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Sponsor: Sen. Braun, Mike [R-IN]

H.R.3120 - Healthy Competition for Better Care Act
To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Sponsor: Rep. Steel, Michelle [R-CA-45]

H.R.2630 - Safe Step Act
To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes.
Sponsor: Rep. Wenstrup, Brad R. [R-OH-2]

S.652 - Safe Step Act
To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes.
Sponsor: Sen. Murkowski, Lisa [R-AK]

S.1869 - SITE Act
To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes.
Sponsor: Sen. Braun, Mike [R-IN]

H.R.3417 - FAIR Act
To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider.
Sponsor: Rep. Hern, Kevin [R-OK-1]

H.R. 5378 Lower Costs, More Transparency Act
To promote price transparency in the health care sector, and for other purposes.
Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5]

H.R.2483 - Support for Patients and Communities Reauthorization Act
To reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, and for other purposes.
Sponsor: Rep. Guthrie, Brett [R-KY-2]

S.3393 - SUPPORT for Patients and Communities Reauthorization Act
To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes.
Sponsor: Sen. Sanders, Bernard [I-VT]

S.2016 - CONNECT for Health Act of 2023
To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes.
Sponsor: Sen. Schatz, Brian [D-HI]

H.R. 4189, CONNECT for Health Act
To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes.
Sponsor: Rep. Thompson, Mike [D-CA-4]

H.R. 6033, SPEAK Act
To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers.
Sponsor: Rep. Steel, Michelle [R-CA-45]

H.R. 10545, American Relief Act, 2025
Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes.
Sponsor: Rep. Cole, Tom [R-OK-4]

H.R. 1627 TREATS Act
To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes.
Sponsor: Rep. Norcross, Donald [D-NJ-1]

H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025
To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes.
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]

H.R.1197 - PREEMIE Reauthorization Act of 2025
To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act.
Sponsor: Rep. Kelly, Robin L. [D-IL-2]

S.46 - Health Care Affordability Act of 2025
A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan.
Sponsor: Sen. Shaheen, Jeanne [D-NH]

H.R.247 - Health Care Affordability Act of 2025
To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan.
Sponsor: Rep. Underwood, Lauren [D-IL-14]

H.R.3237
To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
Sponsor: Rep. Joyce, John [R-PA-13]

H.R.3312 - Moms Matter Act
This bill establishes two grant programs to address maternal mental health conditions and substance use disorders, with a focus on demographic groups with elevated rates of maternal mortality and morbidity, maternal health disparities, and other adverse outcomes.
Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large]

H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025
This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government.
Sponsor: Rep. Cole, Tom [R-OK-4]

H.R.3029 - Primary Care Enhancement Act of 2023
To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes.
Sponsor: Rep. Smucker, Lloyd [R-PA-11]

S.5535 - No Surprises Act Enforcement Act
To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
Sponsor: Sen. Marshall, Roger [R-KS]

S.1973 - Treat and Reduce Obesity Act of 2025
To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes.
Sponsor: Sen. Cassidy, Bill [R-LA]

S.1004 - Pregnant and Postpartum Women Treatment Reauthorization Act
To reauthorize the program to support residential treatment programs for pregnant and postpartum women, and for other purposes.
Sponsor: Sen. Lujan, Ben Ray [D-NM]

H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act
To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes.
Sponsor: Rep. Dingell, Debbie [D-MI-6]

S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act
To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes.
Sponsor: Sen. Kaine, Tim [D-VA]

H.R.2571 - Self-Insurance Protection Act
To amend the Employee Retirement Income Security Act of 1974 to exclude from the definition of health insurance coverage certain medical stop-loss insurance obtained by certain plan sponsors of group health plans, and for other purposes.
Sponsor: Rep. Onder, Robert [R-MO-3]

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), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB), White House Office, Executive Office of the President (EOP), Labor - Dept of (DOL)

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

Issues:
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; Value Base Care; MA Reform
Bills:
H.R.2533 - EASE Act of 2025
To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a model to improve access to specialty health services for certain Medicare and Medicaid beneficiaries.
Sponsor: Rep. Arrington, Jodey C. [R-TX-19]

S.1248 - EASE Act of 2024
To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a model to improve access to specialty health services for certain Medicare and Medicaid beneficiaries.
Sponsor: Sen. Mullin, Markwayne [R-OK]

H.R.5746 - Addressing Whole Health in Medicare Advantage Act
To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees.
Sponsor: Rep. Bilirakis, Gus M. [R-FL-12]

H.R. 7623, Telehealth Modernization Act
To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program.
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]

H.R. 7996, Improving CARE for Youth Act
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
Sponsor: Rep. Dunn, Neal P. [R-FL-2]

S.2556 - Improving CARE for Youth Act
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
Sponsor: Sen. Carper, Thomas R. [D-DE]

H.R.1227 - Alternatives to PAIN Act
To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program.
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]

H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025
To ensure that prior authorization medical decisions under Medicare are determined by physicians.
Sponsor: Rep. Green, Mark E. [R-TN-7]

H.R.1 - One Big Beautiful Bill Act
This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government.
Sponsor: Rep. Arrington, Jodey C. [R-TX-19]

S.1105 - No UPCODE Act
To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Sponsor: Sen. Cassidy, Bill [R-LA]

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), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB)

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 PHA

16. Specific lobbying issues

Issues:
340B Program/Transparency; generics access; Pharmacy Benefit Managers; Prescription Drug Cost; Step Therapy
Bills:
S. 1114, Expanding Access to Low-Cost Generics Act
To amend the Federal Food, Drug, and Cosmetic Act with respect to the 180-day exclusivity period.
Sponsor: Sen. Smith, Tina [D-MN]

S. 2305 - Biosimilar Red Tape Elimination Act
To improve the requirements for making a determination of interchangeability of a biological product and its reference product.
Sponsor: Sen. Lee, Mike [R-UT]

S.1339 - Pharmacy Benefit Manager Reform Act
To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage.
Sponsor: Sen. Sanders, Bernard [I-VT]

S. 775, Increasing Transparency in Generic Drug Applications
To provide for increased transparency in generic drug applications.
Sponsor: Sen. Hassan, Margaret Wood [D-NH]

H.R.3839 - To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Sponsor: Rep. Dunn, Neal P. [R-FL-2]

S.1542, DRUG Act
To improve services provided by pharmacy benefit managers.
Sponsor: Sen. Marshall, Roger [R-KS]

S. 1067, Ensuring Timely Access to Generics Act
To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions.
Sponsor: Sen. Shaheen, Jeanne [D-NH]

S.1041 - Affordable Prescriptions for Patients Act
A bill to amend title 35, United States Code, to address the infringement of patents that claim biological products, and for other purposes.
Sponsor: Sen. Cornyn, John [R-TX]

S.1040 - Drug Competition Enhancement Act
A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
Sponsor: Sen. Cornyn, John [R-TX]

S.1096 - Preserve Access to Affordable Generics and Biosimilars Act
A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products.
Sponsor: Sen. Klobuchar, Amy [D-MN]

S.1095 - Stop STALLING Act
A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition, and facilitate the efficient review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes.
Sponsor: Sen. Klobuchar, Amy [D-MN]

S.1097 - Interagency Patent Coordination and Improvement Act of 2025
To amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes.
Sponsor: Sen. Durbin, Richard J. [D-IL]

H.R.5429 - Medication Affordability and Patent Integrity Act
To require sponsors of drug applications and holders of approved applications to provide certain submissions and communications to the Food and Drug Administration and the United States Patent and Trademark Office.
Sponsor: Rep. Kuster, Ann M. [D-NH-2]

S.2780 - Medication Affordability and Patent Integrity Act
To require sponsors of drug applications and holders of approved applications to provide certain submissions and communications to the Food and Drug Administration and the United States Patent and Trademark Office.
Sponsor: Sen. Hassan, Margaret Wood [D-NH]

S.1036 - Improving Access to Addiction Medicine Providers Act
To amend the Public Health Service Act to authorize fellowships under the Minority Fellowship Program to be awarded for training for professionals in the addiction medicine field.
Sponsor: Sen. Cornyn, John [R-TX]

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), Health & Human Services - Dept of (HHS), Executive Office of the President (EOP), White House Office

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

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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