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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 901 New York Ave NW |
Address2 | Suite 515E |
| City | Washington |
State | DC |
Zip Code | 20001-4432 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 1967-12
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6. House ID# 317210000
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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: Jeanne Slade |
Date | 1/21/2026 9:34:46 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 ALC
16. Specific lobbying issues
Opioids, pain management
Federal funding for substance use disorder treatments
H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose
H.R. 2483-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder
S.921-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose
S. 2121-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder
S. 3522-No Red Tape for Addiction Treatment Act, to require that State Medicaid programs provide at least one formulation of each type of medication for the treatment of opioid use disorder without prior authorization or limitations on dosage
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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
Federal funding to implement Preventing Overdoses While in Emergency Rooms (POWER) program
Federal funding to implement MISSION ZERO program
Federal funding to for firearm safety and injury prevention research
Federal funding to implement Emergency Medical Services for Children (EMSC)
Federal funding for emergency medicine research activities
Federal funding for implementation of Dr. Lorna Breen Health Care Provider Protection Act
H.R. 5371, Continuing Appropriations and Extension Act, 2026, to provide appropriations for federal agencies and extend several public health, Medicare, and Medicaid authorities and programs
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 DIS
16. Specific lobbying issues
Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency
Reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA)
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy and Political Affairs
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Fred |
Essis |
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Congressional Lobbyist |
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
H.R.2028-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program.
S.942-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Advocacy |
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Fred |
Essis |
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Congressional Lobbyist |
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 FIR
16. Specific lobbying issues
Federal funding for firearms safety and injury prevention research
Firearms safety and injury prevention policy
H.R.5178-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease
S. 1595-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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
Reproductive health, physician-patient relationship, and EMTALA issues
Emergency department boarding
Drug shortages
Health care consolidation
H.R. 929-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers
H.R. 1254-Rural Obstetrics Readiness Act, to improve obstetric emergency care
H.R. 2414-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness
H.R. 2936-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes
H.R. 3134-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers
H.R. 3980-Streamline Emergency Care Act, to authorize the Secretary of Health and Human Services to award grants for expanding, modernizing, or streamlining emergency department operations
S. 266-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers
S. 380- Rural Obstetrics Readiness Act, to improve obstetric emergency care
S. 1974-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 INS
16. Specific lobbying issues
No Surprises Act implementation
Eliminating prior authorization requirements in Medicare Advantage
H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians.
H.R. 3514-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans
H.R. 4710-No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements.
S. 1816-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans
S. 2420- No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements.
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 LBR
16. Specific lobbying issues
Workplace violence prevention for health care workers
H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers
H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians
H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics
S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers
S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians
S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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
Federal funding for emergency medicine research activities
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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
Physician payment reform
Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage
H.R. 1-One Big Beautiful Bill Act, to provide for reconciliation pursuant to title II of H. Con. Res. 14
H.R. 539-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes.
H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital
H.R. 772-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities
H.R. 879- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes
H.R.1968-Full-Year Continuing Appropriations and Extensions Act, to provide appropriations for federal departments and agencies and to provide an increase for the calendar year 2024 physician fee schedule conversion factor
H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians.
H.R. 3164-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services
H.R. 4206-CONNECT for Health Act, to expand access to telehealth services
H.R. 6721-Medicare Choices Empowerment and Protection Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive
S. 106-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes.
S.1261-CONNECT for Health Act, to expand access to telehealth services
S. 1640- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes
S. 2426-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services
S. 3473- Medicare Choices Empowerment and Protection Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 LAW
16. Specific lobbying issues
Fentanyl analogues scheduling extension
H.R. 3178-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care workers
H.R. 5864-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds
S. 1595-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds
S. 1600-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care workers
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy & Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 AVI
16. Specific lobbying issues
Updating first aid and emergency medical kits and flight crew training requirements
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Senior Director, Grassroots Advocacy and Political Affairs |
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Fred |
Essis |
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Congressional Lobbyist |
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 TRA
16. Specific lobbying issues
H.R. 2992-Preventing Roadside and Work Zone Deaths Act, to require the Department of Transportation to collect, analyze, compile, and publish accurate, detailed data on disabled roadside vehicle crashes and work zone crashes to develop a strategic plan to stop these incidents.
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 |
Laura |
Wooster |
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Senior Vice President, Advocacy and Practice Affairs |
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Ryan |
McBride |
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Congressional Affairs Director |
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Jeanne |
Slade |
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Director, NEMPAC and ACEP Grassroots Advocacy |
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Fred |
Essis |
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Congressional Lobbyist |
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:
| Name | Address |
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) |