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Supported and urged Congress to pass (H.R. 8163, S.5180), the Provider Reimbursement Stability Act, to enhance Medicare reimbursement stability for physicians by modernizing the Medicare Physician Fee Schedule. The Provider Reimbursement Stability Act of 2026. H.R. 8163 would raise the budget neutrality threshold from $20 million to $57.64 million and would use cumulative increases in the Medicare Economic Index (MEI) to update the threshold every 5 years. ACP supported the Medicare Physician Data-Drive Performance Payment System Act of 2026, H.R. 8622. This critical legislation seeks to modernize Medicare payments by reducing administrative burdens, improving patient care, and supporting small/rural practices through a more practical, data-driven approach. Dr. William Fox, Chair Emeritus of ACPs Board of Regents, testified before the House Energy and Commerce Committees Health Subcommittee on policy reforms to improve the Medicare Physician Fee Schedule and the Medicare Access and CHIP Reauthorization Act (MACRA) on behalf of ACP. Dr. Rebecca Andrews, Past Chair of ACPs Board of Regents, testified before the House E&C Health Subcommittee in favor of each of the bills mentioned above. ACP supported Pay PCPs Act of 2026 (S. 5269), to inject $10 billion federal investment from fiscal year 2027 through 2031 to provide for the establishment of hybrid primary care payments under Medicare. Support Value-Based Care: Urged reintroduction and support of the Value in Health Care Act of 2024. The bill provides a multi-year commitment to reforming care delivery by extending MACRAs 5 percent advanced alternative payment models (APM) incentives that expired at the end of 2024. ACP supported the Preserving Patient Access to Accountable Care Act which aligns with Colleges policy to support the transition to value-based payments through alternative payment models (APMs) that can accommodate a wide range of specialties, practice sizes, and unique patient populations. ACP supported this legislation as it would extend the incentive payments for qualifying physicians and other clinicians to participate in Medicare advanced APMs through payment year 2027 at an increased amount of 3.53 percent and would freeze the scheduled increase in qualifying thresholds. Pricing Transparency/Consolidation: Provided comments to the House Energy and Commerce Committees markup, which includes the Lower Cost, More Transparency Act, H.R. 9393, and the Improving Seniors Timely Access to Care Act, H.R. 3514. The two bills would enhance price transparency across health care entities and streamline unnecessary administrative burden, respectively. ACP also supported several policies included in bills slated for markup that would reform Medicare Advantage practices to ensure accountability and safeguard market competition. ACP strongly supports pricing transparency in health care. ACP supported the passage of the Lower Costs, More Transparency Act, which passed the House in the 118th Congress, and we continue to support its reintroduction and passage in this Congress under H.R. 9393. ACP supported provisions within the Medicare Advantage Cost Transparency Act, H.R. 9392, led by Ranking Member DeGette and Dr. Joyce, which would provide greater oversight by requiring that Medicare Advantage (MA) plans report to the Centers for Medicare & Medicaid Services (CMS) on encounter data, including the allowed amount that a plan agreed to pay for a service in total and the total out-of-pocket costs the patient pays for a service. The College has repeatedly voiced support for the Improving Seniors' Timely Access to Care Act, led by Reps. Kelly and DelBene, which would protect patients from unnecessary delays in care and reduce administrative burden on physicians by streamlining MAs prior authorization approval processes. We urge Congress to pass H.R. 3514 to ensure that our patients will get the care they need, when they need it most. FY2026 Appropriations/Agency Restructuring: For FY2027, ACP is urged appropriations committees that funding be either maintained or increased for the following proven programs: 1) Health Resources Services Administration (HRSA), $10.5 billion, including: 2) Health Workforce, National Health Service Corps (NHSC), $915.6 million in total program funding; 3) Primary Care Training and Enhancement (PCTE), $71 million; 4) Title X Family Planning Program, $390 million; 5) Agency for Healthcare Research and Quality (AHRQ), $500 million; 6) Centers for Disease Control and Prevention (CDC) Injury Prevention and Control, $11.6 billion, including: 7) Firearm Injury and Mortality Prevention Research, $35 million; 8) Chronic Disease Prevention and Health Promotion, Social Determinants of Health, $100 million; 9) National Institutes of Health (NIH), $51.3 billion, including: 10) Office of the Director, Firearms Research, $25 million; 11) Centers for Medicare and Medicaid Services (CMS) and Government Accountability Office (GAO); and 12) Report language to ensure primary care physicians are receiving Medicare physician revaluations. We urged Congress to include report language in the FY2026 Labor HHS appropriations bill to direct the GAO to conduct a study encompassing the last decade of CMS estimates of new and revised code utilizations. ACP believes CMS has overestimated utilizations, thus adversely affecting available funds in the Medicare physician fee schedule for other code usage. While the House and Senate bills included language, we prefer the stronger House version language and hope Congress will pass the FY26 Labor HHS bills. Also urged Congress to include report language in the FY2027 Labor HHS appropriations bill directing a study on extent G2211 add on codes and increases in fee schedule for primary care are being retained by hiring entities (hospitals, ACOs, private equity) versus the physicians. ACP urged appropriators to provide $35 million for the U.S. Centers for Disease Control and Prevention (CDC), $25 million for the National Institutes of Health (NIH), and $1 million for the National Institute of Justice (NIJ) to conduct public health research into firearm morbidity and mortality prevention. Primary Care and the Physician Workforce: ACP urged Congress to support the Resident Physician Shortage Reduction Act of 2025 (S. 2439/ H.R. 4731), which would increase the number of Medicare supported direct graduate medical education (DGME) and indirect medical education (IME) positions by 14,000 over seven years. ACP supported the Conrad State 30 and Physician Access Reauthorization Act, S. 709 and H.R. 1585, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement. We supported the Resident Education Deferred Interest (REDI) Act (S 942/HR 2028) that, if passed, will allow borrowers to qualify for interest-free deferment on their student loans while serving in a medical or dental internship or residency program. ACP supported legislation for the H-1Bs for Physicians and Healthcare Workforce Act, H.R. 7961. The bill's primary goal is to exempt healthcare professionals from a $100,000 H-1B visa filing fee. ACP supported H.R. 8765, the Prioritizing Primary Care Act. This legislation would mandate an annual report on federal spending on primary care as well as establish a working group to study and make recommendations on how each federal agency addresses the issue. Scope of Practice: ACP provided comments urging the House Ways and Means Committee during markup to oppose the Equitable Community Access to Pharmacist Services Act, which would expand Medicare coverage to permanently include select services provided by a pharmacist. ACP advocated before Senate offices against the marked-up bill coming out of House Ways and Means and renamed the Main Street Pharmacy Access Act enabling pharmacists to bill certain Medicare codes and to diagnose and treat flu, strep throat and other respiratory infections. Expand Patient Access: We urged Congress to reintroduce and pass the Chronic Care Management Improvement Act. This legislation would have removed the cost sharing requirement for patients to access chronic care management services. We also support allowing the physician that performs chronic care management services to waive the requirement that the patient pay the 20 percent coinsurance fee associated with this service. We urged Congress to protect the public health infrastructure, recognize evidence-based science and preserve healthcare agency staffing to inform and protect the public from infectious disease and other health emergencies. Incidences of previously well-controlled, vaccine-preventable diseases, such as pertussis (whooping cough) and measles, are increasing in the United States. Vaccines are vital to our ability to prevent diseases that threaten public health, including novel diseases and future pandemics. We urged Congress to utilize the best possible scientific evidence to guide public health legislation. It is critical that public health leaders support evidence-based medicine, including the use of vaccines and other effective public health strategies that protect the public. ACP conducted a Hill Briefing on using scientifically driven, evidenced-based vaccines. Clinical Labs: Supported the provision in H.R. 6366 that would delay payment reductions and data reporting periods for the Clinical Laboratory Fee Schedule under the Protecting Access to Medicare Act (PAMA). Legislation could improve patient access to laboratory tests used to diagnose, monitor, prevent, and manage diseases for Medicare beneficiaries. Prescription Drug Reform: Supported the Capping Prescription Costs Act, introduced by Senator Raphael Warnock. The legislation would lower prescription drug costs for millions of Americans by placing annual caps on out-of-pocket costs for prescription drugs at $2,000 for individuals and $4,000 for families with private insurance. Supported bipartisan Drug-price Transparency for Consumers (DTC) Act, a bill that would require price disclosures on advertisements for prescription drugs in order to empower patients and reduce Americans colossal spending on medications. The bill was introduced by Senators Dick Durbin and Chuck Grassley. ACP also supported the Saving Seniors Money on Prescriptions Act, H.R. 950, which aims to drive down the rising costs of prescription drugs for patients on Medicare by improving price transparency in Pharmacy Benefit Managers (PBMs) business practices. Urged Congress to reintroduce and pass: 1) the Lowering Drug Costs for American Families Act, to expand the number of prescription drugs which Medicare can negotiate under the Inflation Reduction Act from 20 to 50 starting in 2029; 2) the Medicare PBM Accountability Act, legislation aimed at lowering the costs of prescription drugs for seniors covered by Medicare Part D and Medicare Advantage plans; 3) the Increasing Access to Biosimilars Act of 2023, legislation which would encourage adoption of biosimilars in Medicare and improve biosimilar accessibility, by establishing a new pilot program - a voluntary, shared savings demonstration program - for providers of biosimilars in Medicare Part B; 4) the Cutting Copays Act, legislation which would eliminate cost-sharing for generic drugs for LIS beneficiaries, helping to incentivize the use of generic drugs; and the Drug Shortage Prevention Act of 2023, which would require that manufacturers of over-the-counter and prescription drugs notify Food & Drug Administration when they are unlikely to meet demand. ACP supported legislation, Drug-Price Transparency for Consumers (DTC) Act, by Senators. Durbin and Grassley that requires Direct-to-Consumer advertisements for prescription drugs and biological products paid for by Medicare and Medicaid to include the list price or Wholesale Acquisition Cost (WAC) for a 30-month supply-which is the price set by manufacturers (and which is paid by uninsured patients, as well as the 50 percent of patients with high-deductible plans).","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":37837,"prefix":null,"prefix_display":null,"first_name":"BRIAN","nickname":null,"middle_name":null,"last_name":"BUCKLEY","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":60177,"prefix":null,"prefix_display":null,"first_name":"JARED","nickname":null,"middle_name":null,"last_name":"FROST","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":104508,"prefix":null,"prefix_display":null,"first_name":"GEORGE","nickname":null,"middle_name":null,"last_name":"LYONS","suffix":"jr","suffix_display":"JR"},"covered_position":null,"new":false}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/eab4438c-b170-4e2d-b0d6-7914bcb62ee3/","filing_uuid":"eab4438c-b170-4e2d-b0d6-7914bcb62ee3","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/eab4438c-b170-4e2d-b0d6-7914bcb62ee3/print/","filing_document_content_type":"text/html","income":null,"expenses":"86880.00","expenses_method":"B","expenses_method_display":"B","posted_by_name":"Shari Erickson","dt_posted":"2026-10-14T15:04:42-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"25 Massachusetts Avenue, NW, Suite 700","registrant_address_2":null,"registrant_different_address":false,"registrant_city":"WASHINGTON","registrant_state":"DC","registrant_zip":"20001","registrant":{"id":2002,"url":"https://lda.gov/api/v1/registrants/2002/","house_registrant_id":32190,"name":"AMERICAN COLLEGE OF PHYSICIANS","description":null,"address_1":"25 Massachusetts Avenue, NW, Suite 700","address_2":null,"address_3":null,"address_4":null,"city":"WASHINGTON","state":"DC","state_display":"District of Columbia","zip":"20001","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"GEORGE LYONS JR.","contact_telephone":"+1 202-261-4531","dt_updated":"2026-07-13T17:53:37.650943-04:00"},"client":{"id":102673,"url":"https://lda.gov/api/v1/clients/102673/","client_id":12,"name":"AMERICAN COLLEGE OF PHYSICIANS","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"1996-02-14"},"lobbying_activities":[{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"ACPs 2026 Third Quarter Lobbying Disclosure Report Medicare Payments to Physicians: Sent letter and met with legislators in support of the Patients First Act of 2026, (H.R. 9693) for a Medicare Economic Index inflationary updated to the physician fee schedule for physician practices, support for independent practices and replacement of MIPS with POINTS for quality measures. Supported and urged Congress to pass (H.R. 8163, S.5180), the Provider Reimbursement Stability Act, to enhance Medicare reimbursement stability for physicians by modernizing the Medicare Physician Fee Schedule. The Provider Reimbursement Stability Act of 2026. H.R. 8163 would raise the budget neutrality threshold from $20 million to $57.64 million and would use cumulative increases in the Medicare Economic Index (MEI) to update the threshold every 5 years. ACP supported the Medicare Physician Data-Drive Performance Payment System Act of 2026, H.R. 8622. This critical legislation seeks to modernize Medicare payments by reducing administrative burdens, improving patient care, and supporting small/rural practices through a more practical, data-driven approach. Dr. William Fox, Chair Emeritus of ACPs Board of Regents, testified before the House Energy and Commerce Committees Health Subcommittee on policy reforms to improve the Medicare Physician Fee Schedule and the Medicare Access and CHIP Reauthorization Act (MACRA) on behalf of ACP. Dr. Rebecca Andrews, Past Chair of ACPs Board of Regents, testified before the House E&C Health Subcommittee in favor of each of the bills mentioned above. ACP supported Pay PCPs Act of 2026 (S. 5269), to inject $10 billion federal investment from fiscal year 2027 through 2031 to provide for the establishment of hybrid primary care payments under Medicare. Support Value-Based Care: Urged reintroduction and support of the Value in Health Care Act of 2024. The bill provides a multi-year commitment to reforming care delivery by extending MACRAs 5 percent advanced alternative payment models (APM) incentives that expired at the end of 2024. ACP supported the Preserving Patient Access to Accountable Care Act which aligns with Colleges policy to support the transition to value-based payments through alternative payment models (APMs) that can accommodate a wide range of specialties, practice sizes, and unique patient populations. ACP supported this legislation as it would extend the incentive payments for qualifying physicians and other clinicians to participate in Medicare advanced APMs through payment year 2027 at an increased amount of 3.53 percent and would freeze the scheduled increase in qualifying thresholds. Pricing Transparency/Consolidation: Provided comments to the House Energy and Commerce Committees markup, which includes the Lower Cost, More Transparency Act, H.R. 9393, and the Improving Seniors Timely Access to Care Act, H.R. 3514. The two bills would enhance price transparency across health care entities and streamline unnecessary administrative burden, respectively. ACP also supported several policies included in bills slated for markup that would reform Medicare Advantage practices to ensure accountability and safeguard market competition. ACP strongly supports pricing transparency in health care. ACP supported the passage of the Lower Costs, More Transparency Act, which passed the House in the 118th Congress, and we continue to support its reintroduction and passage in this Congress under H.R. 9393. ACP supported provisions within the Medicare Advantage Cost Transparency Act, H.R. 9392, led by Ranking Member DeGette and Dr. Joyce, which would provide greater oversight by requiring that Medicare Advantage (MA) plans report to the Centers for Medicare & Medicaid Services (CMS) on encounter data, including the allowed amount that a plan agreed to pay for a service in total and the total out-of-pocket costs the patient pays for a service. The College has repeatedly voiced support for the Improving Seniors' Timely Access to Care Act, led by Reps. Kelly and DelBene, which would protect patients from unnecessary delays in care and reduce administrative burden on physicians by streamlining MAs prior authorization approval processes. We urge Congress to pass H.R. 3514 to ensure that our patients will get the care they need, when they need it most. FY2026 Appropriations/Agency Restructuring: For FY2027, ACP is urged appropriations committees that funding be either maintained or increased for the following proven programs: 1) Health Resources Services Administration (HRSA), $10.5 billion, including: 2) Health Workforce, National Health Service Corps (NHSC), $915.6 million in total program funding; 3) Primary Care Training and Enhancement (PCTE), $71 million; 4) Title X Family Planning Program, $390 million; 5) Agency for Healthcare Research and Quality (AHRQ), $500 million; 6) Centers for Disease Control and Prevention (CDC) Injury Prevention and Control, $11.6 billion, including: 7) Firearm Injury and Mortality Prevention Research, $35 million; 8) Chronic Disease Prevention and Health Promotion, Social Determinants of Health, $100 million; 9) National Institutes of Health (NIH), $51.3 billion, including: 10) Office of the Director, Firearms Research, $25 million; 11) Centers for Medicare and Medicaid Services (CMS) and Government Accountability Office (GAO); and 12) Report language to ensure primary care physicians are receiving Medicare physician revaluations. We urged Congress to include report language in the FY2026 Labor HHS appropriations bill to direct the GAO to conduct a study encompassing the last decade of CMS estimates of new and revised code utilizations. ACP believes CMS has overestimated utilizations, thus adversely affecting available funds in the Medicare physician fee schedule for other code usage. While the House and Senate bills included language, we prefer the stronger House version language and hope Congress will pass the FY26 Labor HHS bills. Also urged Congress to include report language in the FY2027 Labor HHS appropriations bill directing a study on extent G2211 add on codes and increases in fee schedule for primary care are being retained by hiring entities (hospitals, ACOs, private equity) versus the physicians. ACP urged appropriators to provide $35 million for the U.S. Centers for Disease Control and Prevention (CDC), $25 million for the National Institutes of Health (NIH), and $1 million for the National Institute of Justice (NIJ) to conduct public health research into firearm morbidity and mortality prevention. Primary Care and the Physician Workforce: ACP urged Congress to support the Resident Physician Shortage Reduction Act of 2025 (S. 2439/ H.R. 4731), which would increase the number of Medicare supported direct graduate medical education (DGME) and indirect medical education (IME) positions by 14,000 over seven years. ACP supported the Conrad State 30 and Physician Access Reauthorization Act, S. 709 and H.R. 1585, to allow states to sponsor foreign-trained physicians to work in medically underserved areas in exchange for a waiver of the physicians' two-year foreign residence requirement. We supported the Resident Education Deferred Interest (REDI) Act (S 942/HR 2028) that, if passed, will allow borrowers to qualify for interest-free deferment on their student loans while serving in a medical or dental internship or residency program. ACP supported legislation for the H-1Bs for Physicians and Healthcare Workforce Act, H.R. 7961. The bill's primary goal is to exempt healthcare professionals from a $100,000 H-1B visa filing fee. ACP supported H.R. 8765, the Prioritizing Primary Care Act. This legislation would mandate an annual report on federal spending on primary care as well as establish a working group to study and make recommendations on how each federal agency addresses the issue. Scope of Practice: ACP provided comments urging the House Ways and Means Committee during markup to oppose the Equitable Community Access to Pharmacist Services Act, which would expand Medicare coverage to permanently include select services provided by a pharmacist. ACP advocated before Senate offices against the marked-up bill coming out of House Ways and Means and renamed the Main Street Pharmacy Access Act enabling pharmacists to bill certain Medicare codes and to diagnose and treat flu, strep throat and other respiratory infections. Expand Patient Access: We urged Congress to reintroduce and pass the Chronic Care Management Improvement Act. This legislation would have removed the cost sharing requirement for patients to access chronic care management services. We also support allowing the physician that performs chronic care management services to waive the requirement that the patient pay the 20 percent coinsurance fee associated with this service. We urged Congress to protect the public health infrastructure, recognize evidence-based science and preserve healthcare agency staffing to inform and protect the public from infectious disease and other health emergencies. Incidences of previously well-controlled, vaccine-preventable diseases, such as pertussis (whooping cough) and measles, are increasing in the United States. Vaccines are vital to our ability to prevent diseases that threaten public health, including novel diseases and future pandemics. We urged Congress to utilize the best possible scientific evidence to guide public health legislation. It is critical that public health leaders support evidence-based medicine, including the use of vaccines and other effective public health strategies that protect the public. ACP conducted a Hill Briefing on using scientifically driven, evidenced-based vaccines. Clinical Labs: Supported the provision in H.R. 6366 that would delay payment reductions and data reporting periods for the Clinical Laboratory Fee Schedule under the Protecting Access to Medicare Act (PAMA). Legislation could improve patient access to laboratory tests used to diagnose, monitor, prevent, and manage diseases for Medicare beneficiaries. Prescription Drug Reform: Supported the Capping Prescription Costs Act, introduced by Senator Raphael Warnock. The legislation would lower prescription drug costs for millions of Americans by placing annual caps on out-of-pocket costs for prescription drugs at $2,000 for individuals and $4,000 for families with private insurance. Supported bipartisan Drug-price Transparency for Consumers (DTC) Act, a bill that would require price disclosures on advertisements for prescription drugs in order to empower patients and reduce Americans colossal spending on medications. The bill was introduced by Senators Dick Durbin and Chuck Grassley. ACP also supported the Saving Seniors Money on Prescriptions Act, H.R. 950, which aims to drive down the rising costs of prescription drugs for patients on Medicare by improving price transparency in Pharmacy Benefit Managers (PBMs) business practices. Urged Congress to reintroduce and pass: 1) the Lowering Drug Costs for American Families Act, to expand the number of prescription drugs which Medicare can negotiate under the Inflation Reduction Act from 20 to 50 starting in 2029; 2) the Medicare PBM Accountability Act, legislation aimed at lowering the costs of prescription drugs for seniors covered by Medicare Part D and Medicare Advantage plans; 3) the Increasing Access to Biosimilars Act of 2023, legislation which would encourage adoption of biosimilars in Medicare and improve biosimilar accessibility, by establishing a new pilot program - a voluntary, shared savings demonstration program - for providers of biosimilars in Medicare Part B; 4) the Cutting Copays Act, legislation which would eliminate cost-sharing for generic drugs for LIS beneficiaries, helping to incentivize the use of generic drugs; and the Drug Shortage Prevention Act of 2023, which would require that manufacturers of over-the-counter and prescription drugs notify Food & Drug Administration when they are unlikely to meet demand. ACP supported legislation, Drug-Price Transparency for Consumers (DTC) Act, by Senators. Durbin and Grassley that requires Direct-to-Consumer advertisements for prescription drugs and biological products paid for by Medicare and Medicaid to include the list price or Wholesale Acquisition Cost (WAC) for a 30-month supply-which is the price set by manufacturers (and which is paid by uninsured patients, as well as the 50 percent of patients with high-deductible plans).","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":53637,"prefix":null,"prefix_display":null,"first_name":"SHARI","nickname":null,"middle_name":null,"last_name":"ERICKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141127,"prefix":null,"prefix_display":null,"first_name":"DAVID","nickname":null,"middle_name":null,"last_name":"PUGACH","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/52ae4b1e-c5f2-43e5-978d-891798411d4d/","filing_uuid":"52ae4b1e-c5f2-43e5-978d-891798411d4d","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/52ae4b1e-c5f2-43e5-978d-891798411d4d/print/","filing_document_content_type":"text/html","income":null,"expenses":"499510.00","expenses_method":"C","expenses_method_display":"C","posted_by_name":"David R Tully","dt_posted":"2026-10-15T11:29:20-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"11400 TOMAHAWK CREEK PARKWAY","registrant_address_2":null,"registrant_different_address":false,"registrant_city":"LEAWOOD","registrant_state":"KS","registrant_zip":"66211","registrant":{"id":1342,"url":"https://lda.gov/api/v1/registrants/1342/","house_registrant_id":32180,"name":"AMERICAN ACADEMY OF FAMILY PHYSICIANS","description":null,"address_1":"11400 TOMAHAWK CREEK PARKWAY","address_2":null,"address_3":null,"address_4":null,"city":"LEAWOOD","state":"KS","state_display":"Kansas","zip":"66211","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"DAVID TULLY","contact_telephone":"+1 202-232-9033","dt_updated":"2026-07-22T14:55:32.986947-04:00"},"client":{"id":102605,"url":"https://lda.gov/api/v1/clients/102605/","client_id":12,"name":"AMERICAN ACADEMY OF FAMILY PHYSICIANS","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"KS","state_display":"Kansas","country":"US","country_display":"United States of America","ppb_state":"KS","ppb_state_display":"Kansas","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-02"},"lobbying_activities":[{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"No Bill No. - FY27 Appropriations","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":72463,"prefix":null,"prefix_display":null,"first_name":"STEPHANIE","nickname":null,"middle_name":null,"last_name":"QUINN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":83708,"prefix":null,"prefix_display":null,"first_name":"DAVID","nickname":null,"middle_name":null,"last_name":"TULLY","suffix":null,"suffix_display":null},"covered_position":"Senior Legislative Assistant - Rep. Kay Granger (R-Tx)","new":false},{"lobbyist":{"id":142935,"prefix":"ms","prefix_display":"MS.","first_name":"NATALIE","nickname":null,"middle_name":"ELAINE","last_name":"WILLIAMS","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":146729,"prefix":null,"prefix_display":null,"first_name":"MEGAN","nickname":null,"middle_name":null,"last_name":"MORTIMER","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":149012,"prefix":"ms","prefix_display":"MS.","first_name":"KATE","nickname":null,"middle_name":"WALLIS","last_name":"GILLIARD","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":154249,"prefix":null,"prefix_display":null,"first_name":"JULIE","nickname":null,"middle_name":null,"last_name":"RILEY","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":154250,"prefix":null,"prefix_display":null,"first_name":"SAHANA","nickname":null,"middle_name":null,"last_name":"CHAKRAVARTTI","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":154684,"prefix":"ms","prefix_display":"MS.","first_name":"AMANDA","nickname":"MANDI","middle_name":null,"last_name":"NEFF","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"No Bill No. - Graduate Medical Education Reform No Bill No. - Resident Education Deferred Interest (REDI) Act No Bill No. - Public Service Loan Forgiveness Program No Bill No. - EDUCATE Act","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":72463,"prefix":null,"prefix_display":null,"first_name":"STEPHANIE","nickname":null,"middle_name":null,"last_name":"QUINN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":83708,"prefix":null,"prefix_display":null,"first_name":"DAVID","nickname":null,"middle_name":null,"last_name":"TULLY","suffix":null,"suffix_display":null},"covered_position":"Senior Legislative Assistant - Rep. 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Reducing Medically Unnecessary Delays in Care Act No Bill No. - Global Health Empowerment and Rights (Global HER) Act No Bill No. - WHO withdrawal No Bill No. - Chronic Disease Flexible Coverage Act No Bill No. - Rural Physician Workforce Production Act No Bill No. - Bringing Low-Cost Options and Competition While Keeping Incentives for New Generics (BLOCKING) Act No Bill No. - Protecting Patients from Deceptive Drug Ads Online Act No Bill No. - Protect Health Savings Account Act No Bill No. - HHS reorganization No Bill No. - Workforce Mobility Act No Bill No. - Health Care Workforce Expansion Act No Bill No. - TRUTH in Labeling Act No Bill No. - NIH Clinical Trial Integrity Act No Bill No. - Modernizing Opioid Treatment Access Act 2.0 NO Bill NO. - Follow the Science Act (H.R. 8765) - Prioritizing Primary Care Act (H.R. 21/S.6) - Born-Alive Abortion Survivors Protection Act (H.R. 1061) - Protecting Sensitive Locations Act (S. 229) - Drug Price Transparency for Consumers (DTC) Act (H.R. 777) - 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IHS Provider Expansion Act (S. 2072) - MORE Savings Act (S. 2169) - Rural Hospital Cybersecurity Act (S. 1847/H.R. 3672) - Supporting Healthy Moms and Babies Act (H.R. 3885) - TEAMS Act (H.R. 3942) - Keeping Obstetrics Local Act (H.R. 4837) - Written Informed Consent Act (H.R. 3013) - Vaccine Transportation Act (H.R. 6468) - Rural Residency Planning and Development Act of 2025 (H.R. 6760) - Protecting Access to Affordable Coverage Act (H.R. 5461/S.2211) - Special Diabetes Program Reauthorization Act (H.R. 5684) - Medical Foods and Formulas Access Act (H.R. 7064) - AI in Healthcare Efficiency and Study Act (S. 4027/H.R. 6248) - Healthy Competition for Better Care Act (S. 3842) - 21st Century WIC Act (H.R. 5488) - Special Diabetes Program for Indians Reauthorization Act (S. 3274/H.R. 6242) - Healthy Maternity and Obstetric Medicine (MOM) Act (H.R. 5360) - AI Warnings and Resources for Education (AWARE) Act (H.R. 6353) - Algorithmic Choice and Transparency Act (H.R. 6292) - Don't Sell Kid's Data Act (S. 3618/H.R. 6259) - 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In Houston, ICE shot and killed Lorenzo Salgado Araujo, a beloved resident and father who was on his way to work on July 7 in the citys East End. On July 13 in Biddeford, Maine, ICE also shot and killed Johan Sebastian, a 25-year-old husband and father of a three-year-old daughter. The letter addresses the need for training standards as well as reallocation of budget funds. The letter ends with \"as people of faith, we believe public funding should go toward caring for our communities, rather than fueling agencies that are killing our neighbors and tearing families apart.\" DREAM AND PROMISE ACT DISCHARGE PETITION (H.R. 1589): NAC was part of this sign-on to members of the House of Representatives re: protections for immigrant youth, Deferred Action for Childhood Arrivals (DACA) recipients, and Temporary Protective Status (TPS) holders. These protections are long overdue and the urgent need for permanent protections is more pressing than ever. With the June 2026 devastating TPS ruling by the Supreme Court and the continuous DACA renewal delays, detentions, and even deportations - our communities cannot wait a moment longer. Congress must act now. The letter calls for a discharge petition: if 218 Members of the House of Representatives agree and sign on, the bill will be moved out of committee and brought to the floor for a vote. TEMPORARY PROTECTED STATUS REDESIGNATION FOR VENEZUELA: Letter to President Trump, Secretary Mullin, Dept. of Homeland Security, Secretary Rubio, Dept. of State. NAC is part of an organizational letter urging Secretary Mullin of the Department of Homeland Security (DHS) to re-designate Venezuela for Temporary Protected Status (TPS) for an 18-month designation, as recent events merit reconsideration of country conditions. Reports have shown that there have been no significant changes over the years concerning the human rights situation. Even after U.S. intervention, which ousted Nicolas Maduro from power, Venezuela continues to remain under authoritarianism. In addition, the recent devastating 7.2 and 7.5 magnitude earthquakes that struck the country on June 24 caused a major humanitarian impact and showed the governments lack of coordination, emergency response, and relief efforts. As of July 12, 2026, the USGS reported more than 4,400 persons killed, approximately 16,600 injured, and nearly 30,000 missing. According to the United Nations Development Program (UNDP), the earthquakes caused an estimated $6.7 billion in immediate physical damage. TEMPORARY PROTECTIVE STATUS (TPS) FOR EL SALVADOR: NAC was part of this sign-on urging the Department of Homeland Security Secretary to extend the TPS designation for El Salvador before it is scheduled to expire on Sept. 9, 2026. Current conditions in El Salvador do not support a safe return for holders living in the U.S. MEDICARE IMMIGRANT ELIGIBILITY CHANGES: NAC joined the Justice in Aging sign-on letter commenting on the proposed rules implementing H.R. 1 restrictions on Medicare eligibility. The letter outlines key issues and the impact the rule will have on older immigrants, including those who are dually eligible for Medicare and Medicaid. The letter urges the Centers for Medicare & Medicaid Services to adopt a person-centered equitable approach to the implementation of Medicare eligibility changes presented in the CY 2027 Medicare Physician fee Schedule. Letter directed to Dr. Mehmet Oz, Centers for Medicare & Medicaid Services, U.S. Dept of Health and Human Services. ENDORSEMENT OF TEMPORARY PROTECTIVE STATUS (TPS) FOR NEPAL: Letter to President Trump and Secretary Markwayne Mullin, Department of Homeland Security urging TPS for Nepal. Triggered by a massive collapse of glacier ice and rock high in the Himalayas near the Nepal-China border, flooding sent a destructive surge of water, sediment, rock, and debris through downstream communities in Nepal, causing extensive loss of life and widespread destruction. Communities have been displaced, homes and livelihoods have been lost, and critical infrastructure-including roads, bridges, schools, health facilities, and power systems-has been damaged or destroyed. Nepal now faces the immediate work of supporting affected communities and restoring essential services while beginning a substantial reconstruction effort. The letter endorses Congressional leaders call for TPS designation for Nepal. REFUGEE GREEN CARD PROCESSING, RE-VETTING, AND MEDICAID CUTS: NAC joined this letter opposing the ongoing green card processing freeze and refugee \"re-vetting\" efforts. The letter focuses on the interaction between the green card adjudication halt and the coming Medicaid and CHIP eligibility changes that cut off refugees who do not have green cards (including over 149,000 with pending applications). The letter urges DHS and USCIS to immediately resume adjudication of all refugee green card applications, end unnecessary re-vetting of resettled refugees, and establish a channel for members of Congress to request expedited adjudication for applicants facing a loss of medical coverage. PROTECT A FAIR, COMPLETE AND ACCURATE 2030 CENSUS: The U.S. Census Bureau published a proposed regulation that would make significant changes to how the 2030 Decennial Census counts people and collects demographic data. If implemented, the proposed changes would directly impact the people and communities that nonprofits serve every day and undermine the census's ability to provide a fair and accurate count of the people living in America. The proposal would exclude broad categories of people, including international students, H-1B visa holders, refugees, asylum seekers, undocumented people and others, from the population count used to allocate congressional seats and federal funding. The proposed regulation would also eliminate questions on race, ethnicity, and sexual orientation, an unprecedented departure from the censuss longstanding practice of collecting critical demographic information. These changes would undercount the number of people living in communities, reducing their access to federal resources and political representation, and they would make it harder to understand changing community needs and address racial, social, and other disparities. ICE SENSITIVE LOCATIONS POLICY IN PLACES OF WORSHIP: Upon request of Muslim Advocates.org, and the National Immigration Law Center, NAC, along with other faith-based organizations were invited to sign on to an amicus brief that discusses the harm of immigration enforcement in places of worship with a focus on anti-Muslim targeting. The brief also situates these harms within the broader pattern of racialized and anti-Muslim national security policies that have historically targeted specific communities and have implications for all immigrant communities. NAC QUOTE IN INTERFAITH IMMIGRATION COALITION PRESS RELEASE ON TEMPORARY PROTECTIVE STATUIS TERMINATION: Fran Eskin-Royer, Executive Director of the National Advocacy Center of the Sisters of the Good Shepherd, said: America opened our arms, recognizing the severity of life in unsafe societies such as Haiti and El Salvador. Life has not improved in these countries. Rather, men, women and children are barely surviving in places like Haiti, overcome with violence and poverty. Now is not the time to end Temporary Protected Status, forcing these innocent individuals and families back to countries in turmoil and crisis. We call on the Trump Administration and U.S. Congress to extend TPS, and, in particular for Haiti, to pass S. 4814 extending TPS for Haitians for three years. STATEMENT FOR UNITED NATIONS GENERAL ASSEMBLY HIGH-LEVEL WEEK AND 75TH ANNIVERSARY YEAR OF THE REFUGEE CONVENTION: NAC joined faith-based organizations in expressing deep concern for ongoing human rights violations experienced by refugees, asylum seekers , and other forcibly displaced people as part of acknowledging the 75th anniversary year. The statement urges all member states to reaffirm their commitment to the Refugee convention and other international human rights instruments, ensuring that dignity, solidarity, protection, and responsibility-sharing remain at the center of responses to forced displacement, upholding the rights of refugees towards a more just, peaceful, and humane world. NAC QUOTE IN INTERFAITH IMMIGRATION COALITION PRESS RELEASE ON PRESIDENTIAL DETERMINATION NUMBER: Fran Eskin-Royer, Executive Director of the National Advocacy Center of the Sisters of the Good Shepherd: Displacement and fear do not take a holiday; nor do they take a pause for U.S. midterm elections. Americans would be mortified to discover that our great country has only welcomed around 15,000 vetted refugees in the last year - and that over 95% of them are white Afrikaners leaving South Africa. Meanwhile, there are more than 41 million refugees from the rest of the world who purposefully are being prohibited entry or even consideration. What of those escaping Myanmar and Ukraine? What of all the Christians being persecuted and hunted in Nigeria and Sudan? The Trump Administration must fully resume the governments refugee processing and resettlement program, including a nondiscriminatory framework to protect the most at-risk refugees. And, for the love of God, the miserably low cap must be raised dramatically. IMMIGRATION ADVOCACY VISITS (Sept 15): Our Lady of Sorrows Mass, Procession and Advocacy - Advocated for Immigration Principles paralleling the 7 sorrowful mysteries of the rosary. Organized by the Dorothea Project - a group of Catholic women from around the U.S. organized for action around Catholic Social Teaching for the dignity and rights of immigrants and all vulnerable people. . NAC met with Rep. Conaway, (NJ-3) staff, Sen. Booker staff and Rep. Crockett (TX-30) staff.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":154,"name":"Bureau of Citizenship & Immigration Services (BCIS)"},{"id":105,"name":"Bureau of the Census"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"PROTECT MEDICAID FROM FURTHER RECONCILIATION CUTS: NAC was part of a letter urging members of Congress to oppose any further cuts or harmful changes to Medicaid through any budget reconciliation or other legislation. PROTECT BABIES AND FAMILIES IN FY2027 APPROPRIATIONS: NAC was among the signers of this letter to members of the House and Senate Appropriations Committees calling for policy decisions to be grounded in principles that support babies, toddlers, and their families. This letter highlights many programs that could be harmed and must be protected including Head Start and Early Head Start, Child Care and Development Block Grants, and Individuals with Disabilities Education Act programs. NATIONAL DEFENSE AUTHORIZATION ACT (NDAA) FISCAL YEAR 2027 (HR 8800): Request for NAC advocates to urge their representatives to vote NO on the National Defense Authorization Act (NDAA) for Fiscal Year 2027 (HR 8800), unless the SAVE America Act (S 1383), as passed by the House, is removed. HEALTHY START PROGRAM (MATERNAL HEALTH): NAC was part of this sign on from state and national organizations urging Congress to fully fund Healthy Start for FY2027 (from October 1, 2026, through September 30, 2027). Like previous sign-on letters, this letter was meant to demonstrate the depth of support for Healthy Start across the nation. THE CENSUS PROJECT BUDGET: White House released its initial list of Fiscal Year 2027 funding anomalies. To reflect this unexpected development, the sign-on organizers made some minor edits to a previous Census-related sign-on to Congress; specifically: If the current appropriations process lapses, we urge you to reinforce your commitment to the U.S. Census Bureau by adding the agency to the Administrations requested list of funding anomalies as deliberations regarding the FY 2027 Commerce, Justice, Science Appropriations bill continue. NAC was among the signers. PROTECT NUTRITION FOR WOMEN, INFANTS AND CHILDREN (WIC) THROUGH REMOTE SERVICES LEGISLATIONT: NAC constituents are urging their members of Congress to pass the MODERN WIC Act/21st Century WIC Act (H.R.1464/S. 3842) by including them in the FY 2027 Agriculture Appropriations. These bipartisan, bicameral bills would make permanent the virtual (such as video or telephone) certification/recertification, benefit distribution, nutrition education and breastfeeding support options for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) which are set to expire as early as October 1, 2026. (Until recent years, families were required to have in-person appointments to get certified for, pick up, and reload WIC benefits.) MODERN WIC ACT / 21st Century WIC ACT: (H.R.1464/S. 3842) ACTION ALERT: NAC constituents were asked to advocate for future students and moms by contacting their members of Congress to pass these acts by including them in the FY2027 Agricultural Appropriations. JOINT STATEMENT WITH OTHER CONGREGATIONS ON U.S. COVENANT FOR OUR FUTURE (EFFORT TO REPEAL H.R. 1): Covenant For Our Future is a rising multi faith, multi issue movement mobilizing thousands of leaders across traditions and communities to repeal H.R. 1 (the One Big Beautiful Bill Act) and renew the federal governments commitment to justice. NAC is among those that affirmed / signed the Covenant. Our country is facing a convergence of crises-escalating threats to democracy, cuts to healthcare and the social safety net, racist persecution of migrants, fast growing climate impacts, and massive tax breaks for the wealthiest that violate our deepest moral commitments. $1.15 TRILLION PENTAGON BUDGET: NAC was a part of this sign-on letter focused on opposing the $1.15 trillion Pentagon budget. The letter had three main asks: 1.Reject the $1.15 trillion Pentagon topline and oppose any further increase in Pentagon funding for FY 2027, including plus-ups sought through supplemental or reconciliation packages. 2.Protect and invest in programs that make life more affordable for those struggling. Ensure adequate investment in human needs programs, including Medicare, the Affordable Care Act and SNAP, and ensure Pentagon spending does not further eclipse non-defense spending. 3.Refuse to fund unauthorized war, including Iran, Latin America and elsewhere, and invest instead in the true sources of security-diplomacy, peacebuilding, foreign assistance, and nonviolent approaches to human, national, and global security.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOR","general_issue_code_display":"Foreign Relations","description":"ADVOCACY FOR CUBA: The Trump administration's policies have pushed Cuba into a full-blown humanitarian crisis, and the signs now point to a possible military escalation. U.S. military planners are reportedly already examining options for action on the island, including an air assault involving thousands of soldiers. The public groundwork is being laid as well: last week, the State Department released a 100-page report casting Cuba as the driving force behind \"far left terrorism\" in the United States. Many observers, including members of Congress, have read it as an effort to manufacture consent for military intervention. NAC and collaborators asked the Senate to address this issue before they recess for summer break. JULY 14 HUMAN TRAFFICKING BRIEFING AND ADVOCACY: NAC helped organize and promote a July 14 briefing for House and Senate staff around two pieces of legislation, the Frederick Douglass TVPRA (H.R. 1144 - Foreign Relations focus) and the Kids Online Safety Act (S. 1748 - Science & Technology focus). The briefing was followed by in person lobby visits on July 14. NAC made visits on the two bills to Rep. Stephen Lynch MA-08, Rep. Gabe Evans CO-08, Rep. David Kustoff TN-08, and Senator Bill Hagerty TN. NAC advocates also did online email advocacy on the two bills on or around July 14. ACCOUNTABILITY FOR BOAT STRIKES ON ONE-YEAR ANNIVERSARY: The sign-on letter to Congress marked the one-year anniversary (September 2) since the first boat strike in Latin America and urged Congress to adopt an aggressive oversight and accountability agenda to redress these illegal and immoral operations. HOUSE VOTE ON THE CUBA WAR POWER RESOLUTION: NAC joined this letter urging House Democratic leadership to call a vote on a Cuba War Powers Resolution as soon as possible and oppose the White House's illegal oil blockade. Since January 2026, President Trump has declared a functional U.S. blockade on Cuban-bound oil, widely understood to be an illegal act of war under international law. Trump's oil embargo has pushed Cuba to the brink of humanitarian collapse, and a UN panel last week that U.S. sanctions threaten to make Cuba into a \"silent Gaza\". Trump and Secretary Rubio continue to announce new sanctions and interventions in Cuba aimed at fomenting regime change, as well as threaten direct military intervention on the island. ACT TO STOP U.S. GUN TRAFFICKING - ARMAS ACT Action Alert: Constituents of NAC were asked to write to Congress urging their members to co-sponsor the Americas Regional Monitoring of Arms Sales (ARMAS) Act of 2025 (H.R. 6736 / S.3508); this legislation would profoundly impact Latin America and the Caribbean, reducing gun violence, promoting regional stability, and preventing U.S. firearms from contributing to humanitarian crises there. It would effectively stop the illegal flow of U.S. weapons and ammunition to Latin America and the Caribbean. ARMAS Act (Sept 29/30): Coalition of 20+ organizations (incl NAC) advocating for the Americas Regional Monitoring of Arms Sales (ARMAS) Act of 2025 (H.R. 6736 / S.3508); this legislation would profoundly impact Latin America and the Caribbean - particularly Mexico and Haiti, reducing gun violence, promoting regional stability, and preventing U.S. firearms from contributing to humanitarian crises there. Sept 29 included a briefing on the Hill featuring people impacted by gun violence in Haiti and Mexico, and other experts on the regions and legislation. After the briefing advocates took part in a training and heard from additional experts on Haiti and Mexico. Sept 30 was devoted to online and in person advocacy.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"AGR","general_issue_code_display":"Agriculture","description":"SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM): Hunger is a daily experience for millions in the U.S. As living costs rise and wages lag, the One Big Beautiful Bill Acts (OBBBA) significant cuts to SNAP remain. NAC Constituents were asked to alert their members of Congress to reverse the SNAP cuts, undo the new state-level benefit cost-shifts and undo the additional 25% administrative fee by passing a Farm Bill that rectifies these program harms. The Congressional Budget Office estimates that states will be forced to contribute $35 billion to meet these changes or forego the program entirely. VOTE NO ON FARM BILL: NAC blasted the members of the Senate Agricultural Committee urging them to vote NO on the revised Farm Bill recently released by the Senate Agriculture Committee Chairman Boozman. The bill would delay the SNAP benefit cost-share to the states for only ONE year and increase the costs states may have to pay for SNAP. The committee members were asked to continue to pursue a bipartisan solution that: gives states and communities more time to adapt to the changes to SNAP brought by H.R. 1; keeps food on families tables and invests wisely in children and farmers.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"FAMILY STABILITY AND OPPORTUNITY VOUCHERS ACT (S. 5405): The Family Stability and Opportunity Vouchers Act was to be reintroduced in Sept. 2026 - and was, in fact, as S. 5405. The co-sponsors requested endorsing organizations and NAC obliged. The Act focuses on increasing housing options for low-income families experiencing or at risk of homelessness.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":1,"name":"SENATE"}]},{"general_issue_code":"LAW","general_issue_code_display":"Law Enforcement/Crime/Criminal Justice","description":"DOMESTIC VIOLENCE (DV) SURVIVORS ALERTED FOR EMERGENCY (SAFE) NOTICE ACT OF 2026 (S. 5656): NAC was among the organizations endorsing this bill that would require DV victims and survivors be notified when a prohibited abusive intimate partner fails a firearms background check. Shared with members of Congress.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"AIDS RELIEF: NAC was part of this sign-on letter urging Congress to protect the Presidents Emergency Plan for AIDS Relief (PEPFAR) from a new State Department plan to shut off funding that is critical for the U.S. Centers for Disease Control and Prevention (CDC) work on PEPFAR and Global Health Security. MEDICARE: NAC was part of a sign-on letter asking Centers for Medicare & Medicaid Services (CMS) to prioritize pro-consumer reforms and to ensure health care consumers can access the affordable, high-quality hospital care they need and deserve. In July 2026, the Trump Administration proposed major changes to how Medicare pays for hospital care in its annual Outpatient Prospective Payment System (OPPS). If finalized, these proposals would take important steps to rein in key payment distortions, including site of service payment differences, that drive hospital consolidation and unaffordable hospital care. PRESCRIPTION DRUG COSTS: NAC was part of this sign-on urging policymakers in the Senate to build on the Inflation Reduction Act with policies to save hundreds of billions of dollars in prescription drug costs and make sure all Americans have access to the medicines they need. Sent to Ranking Member Wyden of the Senate Finance Committee and other Senate Democrats in response to their request for information from stakeholders on policies to lower drug prices and make drugs more affordable for patients.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"CPI","general_issue_code_display":"Computer Industry","description":"CONGRESSIONAL LETTER ON AI PRINCIPLES: NAC was among the signers of this letter that took the form of a Statement of Principles Regarding Artificial Intelligence.\" Its introduction stated that AI oversight legislation must be driven by the voices of working families and governed by the following principles to ensure justice and benefit to humanity. The principles include: Independence, Broad mandate, Enforce existing laws, Universal benefit","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"CHILD TAX CREDIT (CTC): This sign-on letter from NAC and others to congressional leadership expressed support for expansion of the Child Tax Credit (CTC). It endorsed the American Family Act (AFA) to expand the CTC by increasing the credit, making it fully available to all children on a monthly basis, and creating a baby bonus. The letter also urged congressional leaders to make the AFA a cornerstone of the federal affordability agenda. CHILD TAX CREDIT AND EARNED INCOME TAX CREDIT: NAC joined a coalition letter urging Congressional leaders to include direct cash policies in any affordability agenda. The request is to: 1. Expand the Child Tax Credit by making it fully available to low- and middle-income families, including all children regardless of immigration status, and delivering it in monthly payments. 2. Expand the Earned Income Tax Credit by broadening age and income eligibility and increasing the credit for workers without children. AFFORDABILITY AND THE CHILD TAX CREDIT: NAC signed on to two additional letters to Congress: 1.Cash & Affordability Letter The letter calls on Congress to make direct cash supports-including an expanded monthly Child Tax Credit and Earned Income Tax Credit-part of any affordability agenda. The letter highlights policies that can help families and workers meet rising costs and calls for expanding the CTC and EITC to reach more people. 2.American Family Act (S. 1393 / H.R. 2763) Sign-On Letter This letter urges Congress to pass the American Family Act, which would expand the Child Tax Credit, make it fully available to children in low- and middle-income families, provide enhanced support for newborns, and deliver payments monthly. The letter highlights the role of an expanded CTC in helping families meet basic needs and addressing the rising cost of raising children.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"DOC","general_issue_code_display":"District of Columbia","description":"OCCUPATION OF DC BY MIILITARY: August 11, 2026 marked one year of military occupation of DC. NAC was a part of this open letter to Congress marking the occasion and noting the deep harms inflicted over the past year. Topics include: 1) Oppose the military occupation and full support of DC statehood. 2) That every governor serving as Commander in Chief of deployed National Guard troops withdraw those troops from Washington, D.C. immediately. 3) Call on every Member of Congress to honor the principle of consent of the governed and commit to not overturning or interfering with Washington, D.C.'s locally enacted laws. Congress' constitutional jurisdiction over the federal enclave should not be used as an excuse to take away the authority DC has over its own affairs. 4) Urge the federal government to dismantle the \"DC Safe and Beautiful Task Force\" and the Joint Task Force created to operationalize it, to end the surge of forces in Washington, D.C., and to cease all ICE, DHS, DEA, IRS, FBI, Park Police, and other federal surge traffic checkpoints, high speed chases, and raids on homes and workplaces. 5) Encourage our communities to use their First Amendment rights in the District of Columbia to peaceably assemble and petition their government for a redress of grievances. 6) Publicly oppose any effort to prevent the seating of duly elected officials representing Washington, D.C. or any other jurisdiction and commit our resources to ensure that every elected official is sworn in and seated.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"SCI","general_issue_code_display":"Science/Technology","description":"JULY 14 HUMAN TRAFFICKING BRIEFING AND ADVOCACY: NAC helped organize and promote a July 14 briefing for House and Senate staff around two pieces of legislation, the Frederick Douglass TVPRA (H.R. 1144 - Foreign Relations focus) and the Kids Online Safety Act (S. 1748 -Science & Tech focus). The briefing was followed by in person lobby visits on July 14. NAC made visits on the two bills to Rep. Stephen Lynch MA-08, Rep. Gabe Evans CO-08, Rep. David Kustoff TN-08, and Senator Bill Hagerty TN. NAC advocates also did online email advocacy on the two bills on or around July 14. KIDS ONLINE SAFETY ACT (S.1748) Action Alert: NAC has advocated several years for the passage of this Act. Some progress has taken place. Meta was recently held accountable in court for its addictive design features. The company has agreed to pay $17 billion and add child-safety measures to its Facebook and Instagram platforms to end a landmark trial over teen social media addiction, settling claims filed by forty-seven states. While a significant step toward better protecting our kids online - it is not enough. Time is running out. Constituents were asked to urge Senators to pass the Act in September 2026. Kids Online Safety Act (KOSA) Advocacy (S. 1748) (Sept 16/17): Urged the following to work for KOSA passage ASAP: Sen. Warnock (GA) staff; Sen. McCormick (PA) staff; Sen. Schumer (NY) staff (LEADERSHIP); Sen. Ossoff (GA) drop off; Sen. Thune (SD) staff (LEADERSHIP); Sen. Cruz (TX) staff (COMMERCE COMMITTEE); Sen. Schiff (CA) staff; Sen. Padilla staff (CA). Want to build on META Court case outcome with Congressional action.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":145398,"prefix":"ms","prefix_display":"MS.","first_name":"FRANCES","nickname":"FRAN","middle_name":null,"last_name":"ESKIN-ROYER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/077ce5fe-efe9-402f-bc8a-65ce00e9bac1/","filing_uuid":"077ce5fe-efe9-402f-bc8a-65ce00e9bac1","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/077ce5fe-efe9-402f-bc8a-65ce00e9bac1/print/","filing_document_content_type":"text/html","income":null,"expenses":"50000.00","expenses_method":"C","expenses_method_display":"C","posted_by_name":"Noah Block","dt_posted":"2026-10-16T11:08:21-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":"113 S. 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Support Restoring Essential Plan Coverage Act, H.R. 10692/S.5619, repealing H.R. premium tax credit eligibility restrictions and creating permanent option for expanded basic health plan. Support permanently extending Affordable Care Act enhanced premium tax credits. Support 340B Drug Pricing Program and discuss certain changes: oppose 340B ACCESS Act, SECURE 340B Act, HRSA Rebate Model Pilot Program, support enforcement action against manufacturer claims data policies. Support recommendations to address workforce shortages for nursing and ancillary health care workforce: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training sites, and immigration reforms that expedite entry for foreign health care workers. Support SAVE Healthcare Workers Act (H.R. 3178/S. 1600). Discuss New York State transition from Affordable Care Act Section 1332 State Innovation Waiver to Section 1331 Basic Health Plan. Discuss legislative proposals to regulate the use of artificial intelligence in health care settings. Discuss non-profit tax-exempt status of hospitals and examples of community benefit for IRS purposes (H.R. 9504, Tax Exempt Hospital Transparency Act). Discuss price transparency regulations and legislative proposals: Lower Costs, More Transparency Act; Patients Deserve Price Tags Act; Prices on the Wall Act; Transparency in Billing Act, Health Care Price Certainty for All Americans Act. Support commercial insurance reforms. Discuss antitrust exemption for National Resident Matching Program. 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Discuss H.R.1689, designating Haiti for Temporary Protected Status.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":62352,"prefix":null,"prefix_display":null,"first_name":"LAURA","nickname":null,"middle_name":null,"last_name":"ALFREDO","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":55087,"prefix":null,"prefix_display":null,"first_name":"JONATHAN","nickname":null,"middle_name":null,"last_name":"COOPER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141029,"prefix":null,"prefix_display":null,"first_name":"GENNY","nickname":null,"middle_name":null,"last_name":"GLEMBOTZKY","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":9170,"prefix":null,"prefix_display":null,"first_name":"TIM","nickname":null,"middle_name":null,"last_name":"JOHNSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71010,"prefix":null,"prefix_display":null,"first_name":"PUJA","nickname":null,"middle_name":null,"last_name":"KHARE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":140187,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"LEISH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":33417,"prefix":"mr","prefix_display":"MR.","first_name":"KENNETH","nickname":null,"middle_name":"E","last_name":"RASKE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":9479,"prefix":"ms","prefix_display":"MS.","first_name":"ELISABETH","nickname":null,"middle_name":"R","last_name":"WYNN","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":154,"name":"Bureau of Citizenship & Immigration Services (BCIS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/f7393b62-0249-4496-bd7c-09d1f89f883d/","filing_uuid":"f7393b62-0249-4496-bd7c-09d1f89f883d","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/f7393b62-0249-4496-bd7c-09d1f89f883d/print/","filing_document_content_type":"text/html","income":null,"expenses":"100000.00","expenses_method":"A","expenses_method_display":"A","posted_by_name":"Chad Appel","dt_posted":"2026-10-16T15:11:42-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"11400 Rockville Pike","registrant_address_2":"Suite 220","registrant_different_address":false,"registrant_city":"Rockville","registrant_state":"MD","registrant_zip":"20852","registrant":{"id":3116,"url":"https://lda.gov/api/v1/registrants/3116/","house_registrant_id":31452,"name":"AMERICAN PODIATRIC MEDICAL ASSOCIATION","description":null,"address_1":"11400 Rockville Pike","address_2":"Suite 220","address_3":null,"address_4":null,"city":"Rockville","state":"MD","state_display":"Maryland","zip":"20852","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"CHAD APPEL","contact_telephone":"+1 301-581-9267","dt_updated":"2026-07-20T15:26:02.205539-04:00"},"client":{"id":103629,"url":"https://lda.gov/api/v1/clients/103629/","client_id":12,"name":"AMERICAN PODIATRIC MEDICAL ASSOCIATION","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"MD","state_display":"Maryland","country":"US","country_display":"United States of America","ppb_state":"MD","ppb_state_display":"Maryland","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-13"},"lobbying_activities":[{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"Medical student loan assistance; 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HR 7905/S 4070, Diabetes Foot Health Access and Modernization Act","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":149428,"prefix":null,"prefix_display":null,"first_name":"CHAD","nickname":null,"middle_name":null,"last_name":"APPEL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":151784,"prefix":null,"prefix_display":null,"first_name":"DAVIS","nickname":null,"middle_name":null,"last_name":"KADERLI","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"VET","general_issue_code_display":"Veterans","description":"Working with VA on creation and implementation of new national standards of practice for podiatrists; seeking increased funding for continuing medical education grants for providers; participating in national standard of practice project.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":149428,"prefix":null,"prefix_display":null,"first_name":"CHAD","nickname":null,"middle_name":null,"last_name":"APPEL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":151784,"prefix":null,"prefix_display":null,"first_name":"DAVIS","nickname":null,"middle_name":null,"last_name":"KADERLI","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"DEF","general_issue_code_display":"Defense","description":"Requesting that DOD expand the list of eligible board certification bodies to include entities other than American Board of Medical Specialties; moving doctors of podiatric medicine from the Medical Service Corps to the Medical Corps.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":149428,"prefix":null,"prefix_display":null,"first_name":"CHAD","nickname":null,"middle_name":null,"last_name":"APPEL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":151784,"prefix":null,"prefix_display":null,"first_name":"DAVIS","nickname":null,"middle_name":null,"last_name":"KADERLI","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"Supporting legislation to reduce H-1B Visa filing fees for healthcare workers.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":151784,"prefix":null,"prefix_display":null,"first_name":"DAVIS","nickname":null,"middle_name":null,"last_name":"KADERLI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":149428,"prefix":null,"prefix_display":null,"first_name":"CHAD","nickname":null,"middle_name":null,"last_name":"APPEL","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/1b073512-f7b3-4f60-8194-db6a114ba0b2/","filing_uuid":"1b073512-f7b3-4f60-8194-db6a114ba0b2","filing_type":"Q3","filing_type_display":"3rd Quarter - 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Support for a permanent expansion of telehealth in Medicare, including eliminating originating site and geographic restrictions. Support for policies to address prescription drug costs, including supporting direct negotiation in Medicare, improving drug pricing transparency, and capping beneficiary out-of-pocket costs in Medicare Part D. Expressing concerns with Medicare physician payment Expressing concerns related to prior authorization","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":150030,"prefix":null,"prefix_display":null,"first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"KENNEY","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"VET","general_issue_code_display":"Veterans","description":"Support for increased funding for the VA Neurology Centers of Excellence, which include centers dedicated to Epilepsy, Multiple sclerosis, Headache, and Parkinsons disease. Support for the VA Medical and Prosthetic Research Program VA teleneurology and patient access to telehealth - VA neurology workforce issues","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":150030,"prefix":null,"prefix_display":null,"first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"KENNEY","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Medical research funding related to NIH including the BRAIN Initiative, NINDS, ARPA-H, NIA Support for increased funding for the VA Neurology Centers of Excellence, which include centers dedicated to Epilepsy, Multiple sclerosis, Headache, and Parkinsons disease.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":150030,"prefix":null,"prefix_display":null,"first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"KENNEY","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/824ab428-edd7-4d53-97fe-75ea11156183/","filing_uuid":"824ab428-edd7-4d53-97fe-75ea11156183","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/824ab428-edd7-4d53-97fe-75ea11156183/print/","filing_document_content_type":"text/html","income":null,"expenses":"431446.00","expenses_method":"A","expenses_method_display":"A","posted_by_name":"Leonard Marquez","dt_posted":"2026-10-19T11:36:33-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"655 K Street NW, Suite 100","registrant_address_2":null,"registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20001","registrant":{"id":4493,"url":"https://lda.gov/api/v1/registrants/4493/","house_registrant_id":31243,"name":"ASSOCIATION OF AMERICAN MEDICAL COLLEGES","description":"Healthcare, Medicare and Medicaid","address_1":"655 K Street NW, Suite 100","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20001","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"LEONARD MARQUEZ","contact_telephone":"+1 202-862-6281","dt_updated":"2026-07-06T11:16:03.440176-04:00"},"client":{"id":104867,"url":"https://lda.gov/api/v1/clients/104867/","client_id":12,"name":"ASSOCIATION OF AMERICAN MEDICAL COLLEGES","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2017-03-13"},"lobbying_activities":[{"general_issue_code":"ANI","general_issue_code_display":"Animals","description":"Issue: Support ethical research with non-human primates and other animals. H.R.1802 - Save Pets, Animals, and Research Ethics (SPARE) Act Issue: Oppose limits on animal research that would halt critical research and restrict innovation in the biological and biomedical fields. Issue: Support novel approaches to research in addition to ethical use of animal models in research.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":145142,"prefix":null,"prefix_display":null,"first_name":"ANDREA","nickname":null,"middle_name":null,"last_name":"PRICE-CARTER","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":139129,"prefix":"ms","prefix_display":"MS.","first_name":"SINEAD","nickname":null,"middle_name":"NIAMH","last_name":"HUNT","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147747,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"PREST","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":32,"name":"Education, Dept of"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":21,"name":"Office of Science & Technology Policy (OSTP)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 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 (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":145142,"prefix":null,"prefix_display":null,"first_name":"ANDREA","nickname":null,"middle_name":null,"last_name":"PRICE-CARTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139129,"prefix":"ms","prefix_display":"MS.","first_name":"SINEAD","nickname":null,"middle_name":"NIAMH","last_name":"HUNT","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147747,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"PREST","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":32,"name":"Education, Dept of"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. 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. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, 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 health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139129,"prefix":"ms","prefix_display":"MS.","first_name":"SINEAD","nickname":null,"middle_name":"NIAMH","last_name":"HUNT","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":145142,"prefix":null,"prefix_display":null,"first_name":"ANDREA","nickname":null,"middle_name":null,"last_name":"PRICE-CARTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147747,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"PREST","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":19,"name":"Office of Natl Drug Control Policy (NDCP)"},{"id":21,"name":"Office of Science & Technology Policy (OSTP)"},{"id":1,"name":"SENATE"},{"id":141,"name":"Substance Abuse & Mental Health Services Administration (SAMHSA)"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - 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. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act  Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Oppose renewal of Presidential Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers to hire a worker. Support a national interest exemption for all of academic medicine and the health care sector. Issue: Oppose the Department of Homeland Security (DHS) proposed rule for a new $103,265 fee on new cap-subject H-1B applications, The extra add-on fee did not previously exist for H-1B cap-subject petitions. Issue: Oppose the Department of Homeland Security (DHS) proposed rule which implements new fees for F-1 foreign students seeking to participate in Optional Practical Training (OPT), a temporary employment authorization connected to a students field of study. The proposed rule would establish a $70,000 fee for F-1 student visas for an initial 12-month OPT and an additional $30,000 fee for a 24-month extension. H.Res.215/S.J.Res.213 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Immigration and Customs Enforcement of the Department of Homeland Security (DHS) relating to \"Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media\" Issue: Support the preservation of Duration of Status (D/S) and oppose the Department of Homeland Security (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current D/S visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Support bicameral Congressional Review Act (CRA) resolution of disapproval regarding the U.S. Immigration and Customs Enforcement (ICE) of the DHS D/S final rule. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":145142,"prefix":null,"prefix_display":null,"first_name":"ANDREA","nickname":null,"middle_name":null,"last_name":"PRICE-CARTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147747,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"PREST","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false}],"government_entities":[{"id":154,"name":"Bureau of Citizenship & Immigration Services (BCIS)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"Issue: Educate Congress and the administration about the impact of regulatory burden on medical research. Issue: Oppose inappropriate use of march-in authority. Issue: Educate Congress and the administration about opportunities to strengthen medical research supported by National Institutes of Health (NIH). H.R.1864/S.854 - Risky Research Review Act Issue: Support prevention of unintended consequences from new restrictions on life sciences research. H.R.1863/S.855 - Royalty Transparency Act Issue: Support efforts to ensure the National Institutes of Health (NIH) peer review system is not hampered. Issue: Avoid unnecessary restrictions on types of research including human embryonic stem cell, fetal tissue, gain of function, and animal research. H.Res.708 - Recognizing the contributions of medical research and observing \"Medical Research Week\" from September 15 through September 19, 2025. Issue: Educate Congress about the importance of National Institutes of Health (NIH)-supported medical research. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Provide comments on provisions to strengthen research, including rejecting inclusion of subtitle D, SAFE Research Act. S.5295 - NIH Mentorship Modernization Act Issue: Provide feedback on National Institutes of Health (NIH) research training and mentors. Issue: Suggest opportunities to strengthen support for clinical trials. Issue: Educate Congress and the administration on challenges associated with slow pace of National Institutes of Health (NIH) obligations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":219,"name":"Natl Institute of Standards & Technology (NIST)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":21,"name":"Office of Science & Technology Policy (OSTP)"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and 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, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - 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.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers 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. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (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 Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions 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 (PFS) 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.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans 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 elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). 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: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. 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). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) 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. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139129,"prefix":"ms","prefix_display":"MS.","first_name":"SINEAD","nickname":null,"middle_name":"NIAMH","last_name":"HUNT","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"VET","general_issue_code_display":"Veterans","description":"Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers.   Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":49454,"prefix":null,"prefix_display":null,"first_name":"LEONARD","nickname":null,"middle_name":null,"last_name":"MARQUEZ","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":69769,"prefix":null,"prefix_display":null,"first_name":"ALLYSON","nickname":null,"middle_name":"RAE","last_name":"PERLEONI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139129,"prefix":"ms","prefix_display":"MS.","first_name":"SINEAD","nickname":null,"middle_name":"NIAMH","last_name":"HUNT","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":145142,"prefix":null,"prefix_display":null,"first_name":"ANDREA","nickname":null,"middle_name":null,"last_name":"PRICE-CARTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147747,"prefix":null,"prefix_display":null,"first_name":"EMILY","nickname":null,"middle_name":null,"last_name":"PREST","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"SCI","general_issue_code_display":"Science/Technology","description":"P.L.119-83 - Small Business Innovation and Economic Security Act H.R.5100 - To extend the SBIR and STTR programs, and for other purposes. Issue: Support 1-year reauthorization of the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs. S.3971 - Small Business Innovation and Economic Security Act Issue: Support reauthorization of the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs. Issue: Provide comments to Congress and the administration on implications of proposed revisions to the Uniform Guidance.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":141307,"prefix":null,"prefix_display":null,"first_name":"DANIELLE","nickname":null,"middle_name":null,"last_name":"TURNIPSEED","suffix":"jd","suffix_display":"JD"},"covered_position":null,"new":false},{"lobbyist":{"id":8526,"prefix":null,"prefix_display":null,"first_name":"TANNAZ","nickname":null,"middle_name":null,"last_name":"RASOULI","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147366,"prefix":"mr","prefix_display":"MR.","first_name":"DEVAN","nickname":null,"middle_name":"MICHAEL","last_name":"O'TOOLE","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":18,"name":"Office of Management & Budget (OMB)"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/c2f15653-13f9-4374-8748-21c113fe0b71/","filing_uuid":"c2f15653-13f9-4374-8748-21c113fe0b71","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/c2f15653-13f9-4374-8748-21c113fe0b71/print/","filing_document_content_type":"text/html","income":"10000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Keith G. Morrison, Vice President","dt_posted":"2026-10-19T12:39:52-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"800 Maine Avenue, SW","registrant_address_2":"Suite 800","registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20024","registrant":{"id":39837,"url":"https://lda.gov/api/v1/registrants/39837/","house_registrant_id":32802,"name":"VAN SCOYOC ASSOCIATES","description":"Government Relations Consultant","address_1":"800 Maine Avenue, SW","address_2":"Suite 800","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20024","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"H. 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The bill would give the Federal Reserve the authority to tailor capital standards for insurance companies subject to Fed supervision. Issue: Capital Standards, Basel III Implementation of H.R. 748 - the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This bill responds to the COVID-19 (i.e., coronavirus disease 2019) outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses. Issue: CECL, TDR, Remote Online Notarization, SBA loans. H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 643 - Federal Insurance Office Elimination Act. To eliminate the Federal Insurance Office of the Department of the Treasury. Issue: FIO Reform. S. 1544/H.R. 3437 - Insurance Data Protection Act. To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. Issue: FIO Reform H.R. 4735 and S. 2419 - Business of Insurance Regulatory Reform Act- To amend the Consumer Financial Protection Act of 2010 to clarify the authority of the Bureau of Consumer Financial Protection with respect to persons regulated by a State insurance regulator. Issue: Business of Insurance. H.R. 3503 - Kidney Donation Anti-Discrimination Act. The bill would prohibit life insurance providers from discriminating based on a persons status as a living kidney donor. Issue: underwriting. H.R. 3383 - Incentivizing New Ventures and Economic Strength Through Capital Formation (INVEST) Act of 2025. This bill allows a closed-end fund-a portfolio of pooled assets with a limited number of shares traded on an exchange-to increase its investment in private investment funds. Specifically, the Securities and Exchange Commission is prohibited from limiting the sale or listing of securities of a closed-end fund that invests in private investment funds. This bill also apples to a closed-end company treated as a business development company. Issue: Capital formation H.R. 7130 - McCarran-Ferguson Restoration Act. The bill would eliminate the Federal Insurance Office of the Department of the Treasury and establish a United States Insurance Representative within the Department of the Treasury. Issue: FIO Reform. H.R. 10184 - Consumer Financial Protection Accountability and Reform Act of 2026. The bill would make reforms to the Bureau of Consumer Financial Protection (CFPB). Issue: CFPB reform. Issus: FSOC nonbank guidance rule. Issue: private equitys growing role in the insurance industry. Issue: S&P proposal on the methodology that is used to rate insurance companies. Issue: National Association of Registered Agents and Brokers (NARAB) board. No bill number assigned. Issue: Housing Finance Reform. No bill number assigned. Issue: SEC e-delivery. No bill number assigned.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":59703,"prefix":null,"prefix_display":null,"first_name":"IAN","nickname":null,"middle_name":null,"last_name":"STEGER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":70345,"prefix":null,"prefix_display":null,"first_name":"PAUL","nickname":null,"middle_name":null,"last_name":"KANGAS","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"RET","general_issue_code_display":"Retirement","description":"Retirement Security 1.H.R.1013, S.424 Retirement Fairness for Charities and Educational Institutions Act of 2025: Allows 403(b) retirement plans to invest in Collective Investment Trust or Separate Accounts Insurance Products to establish investment parity with other defined contribution plans, like 401(k)s. 2.H.R.2023, S.988 Womens Retirement Protection Act (WRPA): This legislation imposes spousal consent requirements on nearly all distributions from defined contribution plans. The bill also seeks to enhance financial literacy through grants to community-based organizations and offers grants to such organizations to help low-income women and survivors of domestic abuse obtain qualified domestic relations orders. 3.H.R.2067, S.928 Protecting Americans Retirement Savings Act (PARSA): This bill prohibits ERISA-covered retirement plans from making new investments in companies controlled by or based in countries considered to be foreign adversaries. Foreign adversaries include China, Iran, North Korea, and Russia. The bill also requires fiduciaries to disclose continuing investments in such entities and sanctioned firms. 4.H.R.2089 Generating Retirement Ownership through Long-Term Holding (GROWTH): The legislation provides that reinvested mutual fund dividends are not subject to capital gains taxation until the investor sells his or her shares. 5.H.R.2163 No Penalties for Victims of Fraud Act: The bill ensures that victims of retirement account fraud are not subject to the 10% additional income tax on early retirement plan distributions. 6.H.R.2544, S.1222 Financial Freedom Act of 2025: The legislation prohibits the Secretary of Labor from restricting the investments available in self-directed 401(k) brokerage windows. The bill also prohibits the DOL from preventing a fiduciary from selecting, any particular type of investment alternative, provided that a fiduciary provides the participant or beneficiary an opportunity to choose, from a broad range of investment alternatives, nor can the DOL require that any particular type of investment be either favored or disfavored, other than on the basis of the investments risk-return characteristics. 7.H.R.2696, S.1526 Retirement Savings for Americans Act (RSAA): This legislation establishes a federally run American Worker Retirement Plan for private-sector workers that do not have access to a workplace-based retirement plan. The bill also includes an enhanced federal matching contribution that only applies to lower income workers that participate in the federal plan. 8.H.R.2748 First Time Homeowner Savings Plan Act: This legislation increases the amount first-time homebuyers could pull from their retirement savings from the $10,000 set in the 1990s to $25,000 (indexed to inflation) without the 10% additional income tax on early retirement plan distributions to use as a down payment on their home. 9.H.R.2869 EBSA Investigations Transparency Act: This legislation requires the Department of Labors Employee Benefits Security Administration (EBSA) to submit annual reports to Congress on the status of its open employee plan audits and to explain why any audits open for more than 36 months have not been closed. 10.H.R.2958 Balance the Scales Act: This legislation requires the Department of Labors Employee Benefits Security Administration (EBSA) to report annually to Congress about its use of common interest agreements. 11.H.R.2988 Protecting Prudent Investment of Retirement Savings Act: This legislation amends ERISA to specify that a retirement plan fiduciary shall be considered acting solely in the interest of participants only if: 1) the investment does not subordinate the interest of participants in their retirement income or financial benefits under the plan to other objectives, including ESG objectives and 2) the fiduciary does not sacrifice investment returns or take on additional investment risks to promote goals unrelated to the plan. 12.H.R.3526, S.2867 Uplifting First-Time Homebuyers Act of 2025: This legislation allows individuals to take an early distribution out of an IRA of up to $50,000 for a qualified first-time home purchase without the 10% additional income tax penalty. Current rules only allow up to a $10,000 early distribution without penalty. 13.S.2003 Strengthening Benefits Plans Act of 2025: This legislation permits surplus assets in a retiree health account to be used for other benefits, like active employee health benefits. The legislation also permits surplus assets in a defined benefit plan to be used to provide contributions to the employers defined contribution plan without terminating the defined benefit plan. 14.S.2210 Unlocking Benefits for Independent Workers Act: This legislation establishes a safe harbor under federal law for companies that would like to voluntarily provide independent workers with any benefit or protection commonly provided to full-time employees, such as retirement and health care benefits. 15.S.2217 Independent Retirement Fairness Act: This legislation relaxes the audit rules for pooled employer plans (PEPs) and allows companies to enroll their independent workers in PEPs and simplified employer pensions (SEPs) IRAs without triggering employee classification. 16.H.R.4548, S.2365 Small Nonprofit Retirement Security Act of 2025: This legislation makes the credit for small employer pension plan startup costs and the retirement auto-enrollment credit available to tax-exempt eligible small employers. 17.H.R.4718, S.1707 Helping Young Americans Save for Retirement Act: This legislation lowers the required minimum participation age in ERISA-covered retirement plans from age 21 to age 18. 18.H.R.5325 Unclaimed Retirement Rescue Plan: This legislation directs the Department of Labor (DOL) to issue a regulation that would permit retirement plan fiduciaries to transfer unclaimed retirement distributions to State unclaimed property programs. 19.H.R.5748 Retirement Investment Choice Act: This legislation codifies Executive Order 14330 relating to democratizing access to alternative assets for 401(k) investors. 20.S.3083 Providing Complete Information to Retirement Investors Act: This legislation adds a new notice requirement to participants investing through brokerage windows in 401(k) plans to explain that the investments in a brokerage window have not been prudently selected and are not monitored by a plan fiduciary. 21.S.3086 Restoring Integrity in Fiduciary Duty Act: This legislation limits fiduciary consideration of nonpecuniary factors for investments. The bill further states that ERISA fiduciaries must also make decisions regarding the exercise of shareholder rights and proxy voting based on pecuniary factors. 22.H.R.5887 Saving for the Future Act: This legislation establishes a hybrid emergency savings and 401(k)-type government-run program called the Federal Universal Personal Savings Investment Program and creates UP Retirement Accounts for every full-time and part-time worker not covered by an active defined benefit pension plan. The legislation also requires employers to make a minimum employer contribution to the workers retirement account. 23.H.R.6084 ERISA Litigation Reform Act: This legislation amends the pleading standard under ERISA Section 502 for certain claims to put the burden on the plaintiff to plausibly allege and prove that an ERISA prohibitive transaction occurred that is not exempt under ERISA section 408(b)(2). 24.H.R.6324, S.5156 Retirement Simplification and Clarity Act: This legislation would: (1) permit an in-service plan distribution to an individual retirement annuity on or after attainment of age 50; and (2) include a specific reference to an individual retirement annuity as a rollover option under a simplified 402(f) safe harbor notice. 25.H.R.6417, S.3333 Emergency Savings Enhancement Act of 2025: This legislation would double the maximum balance limit for Pension-Linked Emergency Savings Accounts (PLESAs) from $2,500 to $5,000 and allows Highly Compensated Employees (HCEs) to participate. 26.H.R.6450, S.3352 Retirement Rollover Flexibility Act: This legislation would permit rollover contributions from Roth IRAs to designated Roth accounts in qualified retirement plans, like 401(k)s. 27.H.R.6722 Automatic IRA Act of 2025: The legislation would require employers with more than 10 employees that do not sponsor a retirement plan to automatically enroll their employees in IRAs (automatic IRAs) or other automatic contribution plans or arrangements, like 401(k) plans. The legislation also requires 401(k) plans with over 100 participants plans must permit participants to elect to receive at least 50 percent of their vested account balance in the form of lifetime income. This requirement does not apply to participants with balances below $200,000. 28.H.R.6729, S.1831 Auto Reenroll Act of 2025: This legislation amends the qualified automatic contribution arrangement (QACA) safe harbor in the tax code for 401(k) plans to allow for automatic periodic reenrollment into the plan. 29.H.R.7185 Home Savings Act: This legislation permits penalty-free withdrawals from a 401(k) account for up to five years when the funds are used for a down payment or closing costs on a primary residence. The legislation also allows an individual to make a penalty-free 401(k) withdrawal and gift those funds to a relative, exempt from gift tax, provided the relative uses the money for a down payment or closing costs on a primary residence. 30.H.R.7362, S.4953 5500 Filing Simplification Act: This legislation extends the Form 5500 filing deadline to October 15 (for calendar year retirement plans), thus eliminating the need for an extension. 31.H.R.7556, S.2335 Pensions for All Act: This legislation requires every employer to provide to their employees a retirement program with benefits equivalent to the Federal Employees Retirement System (FERS) or to elect for their employees to participate in FERS. 32.H.R.8273, S.4291 Catching Up Family Caregivers Act of 2026: This legislation allows full-time family caregivers to qualify for up to five additional years of retirement plan catch-up contributions. Catch-up contributions currently allow individuals over age 50 to contribute above the standard annual retirement plan contribution limit, with even higher limits available for those ages 60 to 63. 33.H.R.8274, S.4292 Improving Retirement for Family Caregivers Act of 2026: Current law limits Roth IRA contributions to the lesser of $7,000 or total annual income. This legislation eliminates the annual income requirement for family caregivers, thus allowing them to contribute to a Roth IRA even if they do not have any income. 34.H.R.8313 Trump Accounts for All Generations Act: The One Big Beautiful Bill Act (OBBBA) enacted last year created the Trump Account, which is a new individual tax-preferred savings vehicle for children, with a $1,000 government seed contribution for every child born in the United States from 2025 to 2029. This legislation makes the $1,000 government contribution for children permanent and indexes the $1,000 contribution amount to inflation beginning in 2029. 35.H.R.8314 OPTIONS Act: The legislation allows employees to allocate employer contributions among various pre-tax benefits, including retirement accounts, health savings accounts, health reimbursement accounts, and educational assistance programs. 36.S.4360 Investigation Status and Governance for Honest Transparency (INSIGHT) Act: This legislation requires the Employee Benefits Security Administration (EBSA) to submit annual reports to Congress on the status of its open employee plan audits and to explain why any audits open for more than 36 months have not been closed. And it also requires the Department of Labor to formalize and disclose situations in which it is providing adverse assistance which means assistance to plaintiffs lawyers suing ERISA benefit plan sponsors and fiduciaries. 37.H.R.8783, S.4511 Charity Parity Act: Current law allows retirement savers to exclude up to $111,000 in annual gross income to make qualified charitable distributions (QCDs), but only if the funds are donated directly from an IRA. This tax break excludes distributions from employer-sponsored retirement plans like 401(k)s and 403(b)s. So, under current law, individuals must first roll assets into an IRA to make a QCD. The Charity Parity Act would permit direct QCDs from employer-sponsored retirement plans. 38.H.R.8837, S.1840 Retirement Investment in Small Employers (RISE) Act: This legislation raises the floor for the existing $250 per-employee tax credit available to small businesses to create retirement plans, ensuring that all small businesses can receive a tax credit of at least $2,500. The House version of the legislation allows the service provider to claim the tax credit as payment for services that would ordinarily be charged to the employer for starting the plan. 39.H.R.9813, S.5040 A bill to amend the Internal Revenue Code of 1986 to impose limitations on high-income taxpayers with large retirement account balances: This legislation that would prohibit further contributions to a Roth or traditional IRA if the total of an individuals IRA and defined contribution plan vested account balances exceeds $10 million for the prior year. The limit on contributions would only apply to married single taxpayers with modified adjusted gross income (MAGI) over $400,000 for the prior year ($425,000 for heads of households, $450,000 for joint filers). 40.H.R.10039, S.5204 SMART Savings Act of 2026: This legislation amends the Internal Revenue Code to exempt individual retirement accounts (IRAs) from the Department of Labors prohibited transaction rules. Although IRAs are generally not ERISA plans, they remain subject to DOL-administered prohibited transaction rules because Congress incorporated those rules into the Internal Revenue Code. 41.S.5507 Savers Match Enhancement Act of 2026: The bill makes the existing Savers Match more generous in the following ways. The bill doubles the matching rate from 50 percent to 100 percent, so that the government matches retirement plan contributions dollar for dollar up to $2,000 per year (now indexed to inflation). The bill also increases the amount of people eligible for the match with an income phase-out range beginning at $85,000 to $115,000 for a joint return ($42,500 to $57,500 for single and $63,750 to $86,250 for head of household). Savers Match contributions would now have after-tax Roth treatment, so the contributions and earnings would not be taxed upon distribution but also not be taxable to the saver in the year of contribution unlike normal Roth contributions. 42.S.5550 529 Retirement Enhancement Act of 2026: The bill eliminates the $35,000 lifetime cap on rollovers from 529 education savings accounts to Roth IRAs. 43.H.R.10641 Employee and Retiree Access to Justice Act of 2026: The bill amends ERISA Section 502 to deem pre-dispute and post-dispute forced arbitration clauses, class action waivers, and representation waivers unenforceable. 44.H.R.10702 Workers Retirement Savings Protection Act of 2026: The bill creates a new statutory definition of an investment advice fiduciary under Section 3(21) of the Employee Retirement Income Security Act (ERISA). 45.H.R.10703 Protecting Workers Benefits Act of 2026: The bill amends ERISA Section 502 to allow individuals to bring a legal action as assignees on behalf of their plan and get a cut of any settlement or award, similar to whistleblower actions under the False Claims Act. 46.General Account Product Corrections Act: This proposed legislation clarifies fiduciary responsibilities for life insurance companies as it relates to investments in their general accounts. Income Security S. 2415 and H.R. 7107, the Long-Term Care Affordability Act: Would allow for tax free distributions from retirement accounts to fund LTC contracts. H.R. 133, Both provisions are in the larger bill. S. 5017 - More Paid Leave for Americans Act. Issue: paid family and medical leave H.R. 3089 - Paid Family Leave Public Partnerships Act. Issue: paid family and medical leave H.R. 3090 - Interstate Paid Leave Action Network Act (I-PLAN Act). Issue: paid family and medical leave H.R. 1521 - Dentist and Optometric Care Access Act of 2025 or the DOC Access Act of 2025. Issue: dental and vision insurance H.R.1185 - FAMILY Act. Issue: paid family and medical leave proposal would offer paid leave benefits via a payroll tax for birth or adoption of a child or caring for a sick family member. H.R.1940 - New Parents Act of 2019. Issue: paid family and medical leave H.R.2163 - To amend the Internal Revenue Code of 1986 to allow for tax-advantaged distributions from health savings accounts during family or medical leave, and for other purposes. Issue: paid family and medical leave S.463 - FAMILY Act. Issue: paid family and medical leave- paid family and medical leave proposal would offer paid leave benefits via a payroll tax for birth or adoption of a child or caring for a sick family member S.920 - New Parents Act of 2019. Issue: paid family and medical leave Discussion draft - CRADLE Act. Issue: paid family and medical leave - allows for a deferment of retirement benefits for paid leave benefits. Proposed FY 2020 Budget proposal on paid family and medical leave. Issue: paid family and medical leave H.R. 2694 - Pregnant Workers Fairness Act. Issue: paid family and medical leave. Concurrent Resolution on the Budget, FY2022, S.Con.Res.14. The budget resolution calls for the $3.5 trillion in long-term investments to be fully offset by a combination of new tax revenues, health care savings, and long-term economic growth. In addition, the agreement would prohibit new taxes on families making less than $400,000 per year, and on small businesses and family farms. Issue: Medicare/Dental (Expanding Medicare to include dental, vision, hearing benefits and lowering the eligibility age). H.R. 5376- Build Back Better Act This bill provides funding, establishes programs, and otherwise modifies provisions relating to a broad array of areas, including education, labor, child-care, health care, taxes, immigration, and the environment. Excepted Benefits on Supplemental Benefits-proposed tri-agency rule through HHS, Treasury and Labor. S.3680 - Paid Family and Medical Leave Tax Credit Extension and Enhancement Act Diversity and Inclusion H.R. 5084 - Improving Corporate Governance Through Diversity Act. Issue: diversity and inclusion. H.R. 5360 - Closing the Racial Wealth Gap Act. Issue: diversity and inclusion. H.R. 281 - Ensuring Diverse Leadership Act. Issue: diversity and inclusion. H.R. 7946 and S. 4464 - Federal Reserve Racial and Economic Equity Act. Issue: diversity and inclusion.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":79500,"prefix":null,"prefix_display":null,"first_name":"LAURYL","nickname":null,"middle_name":"DODSON","last_name":"JACKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144931,"prefix":null,"prefix_display":null,"first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"REMO","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"S4279 - Protecting Proper Life Insurance from (PPLI) Abuse Act. This bill would restrict the use of private placement life insurance. HR 2547 and S 1335 - Secure Family Futures Act of 2025 Issues pertaining to lifetime income and annuitization Issues pertaining to a tax exemption for long term care insurance","foreign_entity_issues":"S4279 - Protecting Proper Life Insurance from (PPLI) Abuse Act. This bill would restrict the use of private placement life insurance. HR 2547 and S 1335 - Secure Family Futures Act of 2025 Issues pertaining to lifetime income and annuitization Issues pertaining to a tax exemption for long term care insurance","lobbyists":[{"lobbyist":{"id":63785,"prefix":null,"prefix_display":null,"first_name":"JEFFRY","nickname":null,"middle_name":null,"last_name":"JANOSKA","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":148618,"prefix":"mr","prefix_display":"MR.","first_name":"DOUGLAS","nickname":null,"middle_name":null,"last_name":"LATHROP","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TRD","general_issue_code_display":"Trade (domestic/foreign)","description":"U.S.-Chile Income Tax Treaty U.S.-Chile changes to pension system Protecting Americans Retirement Savings Act (PARSA) (H.R. 2607 / S.928). This bill prohibits ERISA-covered retirement plans from making new investments in companies controlled by or based in countries considered to be foreign adversaries. Foreign adversaries include China, Iran, North Korea, and Russia. The bill also requires fiduciaries to disclose continuing investments in such entities and sanctioned firms. Halting International Relocation of Employment (HIRE) Act (S. 2976/ H.R. 7559). To amend the Internal Revenue Code of 1986 to impose an excise tax on payments by United States taxpayers to foreign persons for services provided to United States consumers. Issue: International H-1B and L-1 Visa Reform Act (S. 2928). To amend the Immigration and Nationality Act to reform and reduce fraud and abuse in certain visa programs for aliens working temporarily in the United States. Issue: Visas Issue: Tariffs Issue: Data Localization & Cross-Border Data Flow. USTR reversal of its long-standing support for WTO core disciplines that protect U.S. businesses cross-border data flows and prohibit data localization mandates. Issue: Digital Services Tax (DST). Issue: OECD Pillar II UTPR. Issue: Mexico Value Added Tax (VAT) Issue: U.S.-Mexico-Canada Free Trade Agreement Review","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":59703,"prefix":null,"prefix_display":null,"first_name":"IAN","nickname":null,"middle_name":null,"last_name":"STEGER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/ddc07a4c-cb6f-4fbb-9196-ed48e514e497/","filing_uuid":"ddc07a4c-cb6f-4fbb-9196-ed48e514e497","filing_type":"Q3","filing_type_display":"3rd Quarter - Report","filing_year":2026,"filing_period":"third_quarter","filing_period_display":"3rd Quarter (July 1 - Sep 30)","filing_document_url":"https://lda.gov/filings/public/filing/ddc07a4c-cb6f-4fbb-9196-ed48e514e497/print/","filing_document_content_type":"text/html","income":null,"expenses":"700000.00","expenses_method":"A","expenses_method_display":"A","posted_by_name":"Chris Vaughan","dt_posted":"2026-10-19T14:40:40-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"440 First Street NW","registrant_address_2":"Suite 200","registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20001","registrant":{"id":4766,"url":"https://lda.gov/api/v1/registrants/4766/","house_registrant_id":30846,"name":"ASSOCIATED BUILDERS AND CONTRACTORS, INC.","description":"Construction trade Association","address_1":"440 First Street NW","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20001","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"CHRIS VAUGHAN","contact_telephone":"+1 202-595-1505","dt_updated":"2026-07-20T15:01:02.021990-04:00"},"client":{"id":104899,"url":"https://lda.gov/api/v1/clients/104899/","client_id":12,"name":"ASSOCIATED BUILDERS AND CONTRACTORS INC","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2008-01-01"},"lobbying_activities":[{"general_issue_code":"LBR","general_issue_code_display":"Labor Issues/Antitrust/Workplace","description":"Government-mandated project labor agreements (PLAs) on federal and federally assisted construction projects. Executive Order 13202: Preservation of Open Competition and Government Neutrality Towards Government Contractors and Labor Relations on Federal and Federally Funded Construction Projects - February 17, 2001. Executive Order 13502: Use of Project Labor Agreement for Federal Construction Projects - February 6, 2009. Proposal to expand Executive Order 13502: Use of Project Labor Agreements on Federal Construction Projects - February 6, 2009. Executive Order 14063: Use of Project Labor Agreements for Federal Construction Projects. FAR Council (Reg.) Title: Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (RIN: 9000-AO40). DOL-OSHA (Reg.) Title: Heat Injury and Illness Prevention in Outdoor and Indoor Work Setting (RIN: 1218-AD39). DOL-WHD (Reg.) Title: Employee or Independent Contractor Classification Under the Fair Labor Standards Act (RIN: 1235-AA43). DOL-WHD (Reg.) Title: Independent Contractor Status Under the Fair Labor Standards Act (RIN 1235-AA34). DOL-WHD (Reg.) Title: Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales, and Computer Employees (RIN: 1235-AA39). DOL-WHD (Reg.) Title: Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees (RIN: 1235-AA20). DOL-WHD (Reg.) Title: Employee or Independent Contractor Status Under the Fair Labor Standards Act, Family and Medical Leave Act, and Migrant and Seasonal Agricultural Worker Protection Act (RIN: 1235-AA46). Inflation Reduction Act Prevailing Wage and Apprenticeship Regulations. Davis-Bacon Act. Apprenticeship Programs, generally. Apprenticeship Requirements on Federal Contracts. Workforce development, generally. Fair Pay and Safe Workplaces/Blacklisting policies. Fair Labor Standards Act. National Labor Relations Act. OSHA compliance and enforcement, generally. Workforce Innovation and Opportunity Act reauthorization, generally. NLRB members recusal obligations. DOL-OSHA (Reg.) Title: Worker Walkaround Designation Process (RIN: 1218-AD45). DOL-WHD (Reg.) Title: Updating the Davis-Bacon and Related Acts Regulations (RIN: 1235-AA40) Sen. Josh Hawley labor policy framework, generally and workplace safety provisions. H.R. 5408/S. 844: the Faster Labor Contracts Act. H.R. 2126/S. 1064: the Fair and Open Competition Act of 2025. H.R. 20/S. 852: Richard L. Trumka Protecting the Right to Organize Act of 2025. H.R. 4154/S. 2984: Employee Rights Act. Office of Management and Budget Memorandum M-25-29: Use of Project Labor Agreements on Federal Construction Projects, Amendments to OMB-Memorandum M-24-06. U.S. Department of Justice Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001). Executive Order 14278, Preparing Americans for High-Paying Skilled Trade Jobs of the Future. H.R. 4366: the Save Local Business Act. H.R. 2844: the Michael Enzi Voluntary Protection Program Act. DOL (Reg.) Title: Prohibiting Illegal Discrimination in Registered Apprenticeship Programs (RIN 1205-AC21). H.R. 4896/S. 2613: the Warehouse Worker Protection Act. S. 3852: Guaranteeing Rate Insulation from Data Centers Act. H.Res.1140: Providing for consideration of the bill (H.R. 5408) to accelerate workplace time-to-contract under the National Labor Relations Act. H.R. 8210: A Stronger Workforce for America Act of 2026. DOL-WHD (Reg.) Title: Joint Employer Status Under the Fair Labor Standards Act, Family and Medical Leave Act, and Migrant and Seasonal Agricultural Worker Protection Act Proposed Rule (RIN 1235-AA48). Nomination of Keith Sonderling to serve as Secretary of the U.S. Department of Labor. H.R. 8602/S. 4477: Davis-Bacon Repeal Act. DOL-ETA guidance documents on the implementation of registered apprenticeship programs (Circulars 2026-01, 2026-02, and 2026-03 and Bulletin 2026-35). H.R. 1319: Modern Worker Empowerment Act. H.R. 1320: Modern Worker Security Act. H.R. 2952: the Start Applying Labor Transparency Act. H.R. 1399: Prior Approval Reform Act. Nomination of James Macy and David Prouty to serve as members of the National Labor Relations Board. OMB (Reg.) Title: Regulation for Federal Financial Assistance (RIN: 0348-AB88). H.R. 10250: No Preference Act. DOL-ETA Training and Employment Notice (TEN 05-26): Framework for Effective Pre-Apprenticeships (Sept. 8, 2026). 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Employee Retirement Income Security Act preemption.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":148909,"prefix":"ms","prefix_display":"MS.","first_name":"KRISTEN","nickname":null,"middle_name":"SWEARINGEN","last_name":"YORK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147372,"prefix":"mr","prefix_display":"MR.","first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"VAUGHAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":188,"name":"Internal Revenue Service (IRS)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"529 Plans. 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H.R. 8800: National Defense Authorization Act for Fiscal Year 2027, Amendment 1223.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":148909,"prefix":"ms","prefix_display":"MS.","first_name":"KRISTEN","nickname":null,"middle_name":"SWEARINGEN","last_name":"YORK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":66625,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"BELLAMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":52046,"prefix":"ms","prefix_display":"MS.","first_name":"KAREN","nickname":null,"middle_name":"J","last_name":"LIVINGSTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71855,"prefix":null,"prefix_display":null,"first_name":"VANCE","nickname":null,"middle_name":null,"last_name":"WALTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147151,"prefix":"mr","prefix_display":"MR.","first_name":"JOSHUA","nickname":null,"middle_name":null,"last_name":"LEONARD","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147372,"prefix":"mr","prefix_display":"MR.","first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"VAUGHAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":188,"name":"Internal Revenue Service (IRS)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"Perkins Act: Post Secondary Education, generally. 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FCC (Public Notice) Title: Seeking Comment on Prohibiting the Importation and Marketing of Certain Foreign-Produced Military-Grade Uncrewed Aircraft Systems (UAS) and UAS Critical Components for Non-U.S. Government, Including Those With Swarming Capabilities (PS Docket No. 26-189; DA 26-758).","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":148909,"prefix":"ms","prefix_display":"MS.","first_name":"KRISTEN","nickname":null,"middle_name":"SWEARINGEN","last_name":"YORK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":66625,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"BELLAMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":52046,"prefix":"ms","prefix_display":"MS.","first_name":"KAREN","nickname":null,"middle_name":"J","last_name":"LIVINGSTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71855,"prefix":null,"prefix_display":null,"first_name":"VANCE","nickname":null,"middle_name":null,"last_name":"WALTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":141464,"prefix":"mr","prefix_display":"MR.","first_name":"MICHAEL","nickname":null,"middle_name":"FREDERIC","last_name":"ALTMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147151,"prefix":"mr","prefix_display":"MR.","first_name":"JOSHUA","nickname":null,"middle_name":null,"last_name":"LEONARD","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":147372,"prefix":"mr","prefix_display":"MR.","first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"VAUGHAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":11,"name":"Executive Office of the President (EOP)"},{"id":53,"name":"Federal Communications Commission (FCC)"},{"id":64,"name":"Federal Trade Commission (FTC)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":90,"name":"Small Business Administration (SBA)"}]},{"general_issue_code":"SMB","general_issue_code_display":"Small Business","description":"DOL-WHD (Reg.) 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U.S. Department of Justice Anticompetitive Regulations Task Force (Docket No. ATR-2025-0001). Executive Order 14278, Preparing Americans for High-Paying Skilled Trade Jobs of the Future. H.R. 4305: Destroying Unnecessary, Misaligned, and Prohibitive (DUMP) Red Tape Act. H.R. 6855: White House Conference on Small Business Act of 2025. DOL-ETA guidance documents on the implementation of registered apprenticeship programs (Circulars 2026-01, 2026-02, and 2026-03 and Bulletin 2026-35). DOL (Reg.) Title: Prohibiting Illegal Discrimination in Registered Apprenticeship Programs (RIN 1205-AC21). DOL-WHD (Reg.) Title: Employee or Independent Contractor Classification Under the Fair Labor Standards Act (RIN: 1235-AA43). DOL-WHD (Reg.) Title: Independent Contractor Status Under the Fair Labor Standards Act (RIN 1235-AA34). DOL-WHD (Reg.) 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