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Advocated for legislation ensuring VA providers can access a full range of individualized, evidence-based post-surgical pain management options, including non-opioid therapies, without overly restrictive one-size-fits-all barriers. Argued that clinical judgment must guide acute pain care for veterans recovering from surgery or serious procedures. Major Richard Star Act (H.R. 2102 / S. 1032) - Concurrent Receipt for Combat-Injured Retirees Advocated for elimination of the dollar-for-dollar offset that reduces retirement pay for approximately 52,000 combat-injured veterans medically retired before completing 20 years of service. Communicated that this 'wounded veteran tax' breaks faith with those who sacrificed most and that concurrent receipt of earned retirement pay and VA disability compensation should be permitted. Veterans Mental Health & Suicide Prevention - VA Staffing, Telehealth, In-Person Care Advocated for a comprehensive strategy to address veteran suicide (averaging 17.6 deaths per day). Communicated support for increased VA mental health staffing, expanded telehealth services to reach rural and underserved veterans, and preservation of in-person mental health care. Emphasized that telehealth must complement, not replace, VA mental health professionals. Hyperbaric Oxygen Therapy (HBOT) - VA Pilot Program for PTSD/TBI Advocated for VA implementation of pilot programs to evaluate Hyperbaric Oxygen Therapy as a covered treatment for veterans with PTSD and Traumatic Brain Injuries, citing studies indicating HBOT can significantly reduce PTSD symptoms and improve cognitive function. Urged Congress to direct the VA to expand access to evidence-based alternative treatments. Guard and Reserve GI Bill Parity Act Advocated for legislation ensuring all service days count toward Post-9/11 GI Bill eligibility for National Guard and Reserve members who serve alongside active-duty counterparts. Communicated that existing education benefit disparities are inequitable given equivalent operational contributions. Student Veteran Benefit Restoration Act Advocated for legislation ensuring veterans who lose education benefits due to school closures or fraud have those benefits restored. Communicated that veterans should not suffer financial losses due to circumstances beyond their control. Veteran Caregiver Reeducation, Reemployment, and Retirement Act Advocated for comprehensive reforms to support family caregivers of veterans, including provisions addressing financial security, career reemployment, and retirement benefits for individuals who sacrifice their own professional advancement to provide uncompensated daily care. Communicated that caregivers are the backbone of the veterans' care system and must not be left behind when caregiving roles end. Survivor Benefits - DIC Modernization (Remarriage Restriction Repeal / Rate Modernization) Advocated for elimination of the DIC remarriage age restriction and modernization of DIC rates to reflect the true cost of sacrifice. Communicated that surviving spouses should not be forced to choose between financial security and honoring their loved one's wishes, and that current restrictions impose unnecessary financial penalties on Gold Star families. Protecting Veterans' Disability and Retirement Pay from Budget Reductions Advocated against any legislative or executive action to reduce veterans' disability compensation or retirement pay to balance the federal budget. Communicated alignment with VA Secretary Doug Collins's stated opposition to cutting earned veterans' benefits, and emphasized that reducing these benefits undermines national trust and deters future enlistment. Written Informed Consent for Black Box Medications (VA Policy) Advocated for VA policy requiring written informed consent before prescribing psychiatric medications with black box warnings. Communicated that veterans deserve transparency, patient autonomy, and the ability to make fully informed decisions regarding high-risk medications. Protecting the VA as an Institution - Structural and Operational Integrity Advocated for preservation of VA capacity, organizational structure, and services for enrolled veterans. Communicated concerns about any restructuring or resource reductions that would diminish the VA's ability to deliver timely, high-quality care and benefits to the veteran community.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":143722,"prefix":"mr","prefix_display":"MR.","first_name":"JONATHAN","nickname":null,"middle_name":null,"last_name":"NUTMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":138652,"prefix":"mr","prefix_display":"MR.","first_name":"KEITH","nickname":null,"middle_name":"ALEXANDER","last_name":"REED","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)"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"DEF","general_issue_code_display":"Defense","description":"Pay Our Troops Act (S. 3002 / H.R. 5401) Advocated for passage of legislation guaranteeing uninterrupted military pay during government shutdowns or continuing resolution periods. Communicated to committee staff and bill sponsors that pay disruptions harm retention, readiness, and financial stability of enlisted Airmen and Guardians and their families. AFSA's primary priority is full-year defense appropriations on time; this bill serves as a critical backstop. IVF for Military Families Act (H.R. 2557 / S. 1231) Advocated for TRICARE coverage of in vitro fertilization (IVF) treatments for servicemembers whose ability to start families has been impaired by service-connected injuries or deployments. Emphasized closing the gap between military and federal civilian workforce healthcare access and the importance of family planning support to retention and holistic readiness. Military Family GI Bill Promise Act (H.R. 4540) Advocated for legislation ensuring transferable Post-9/11 GI Bill education benefits can be passed to dependents by servicemembers who separate or have children later in life or after separation. Emphasized that no servicemember should lose benefits they rightfully earned and that transferability is a powerful family-focused recruiting and retention tool. H.R. 6976 - Codify Duty Status Reform Advocated for legislation codifying duty status reforms for National Guard and Reserve members to ensure appropriate benefits and protections apply during all periods of service, including those not covered under traditional active duty orders. H.R. 6796 - Military CARE Act Advocated for provisions supporting military caregiver support programs and expanding resources available to servicemembers and their families during and after service. S. 2448 / H.R. 4768 - Health Care Fairness for Military Families Act Advocated for parity in healthcare access, affordability, and quality between military families and the federal civilian workforce, reducing out-of-pocket costs and improving the overall TRICARE benefit. H.R. 4381 / S. 2239 - Improving Access to Prenatal Care for Military Families Act Advocated for legislation improving access to prenatal care for military families, addressing gaps in TRICARE coverage and geographic access to maternity services for servicemembers stationed at remote or OCONUS installations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":143722,"prefix":"mr","prefix_display":"MR.","first_name":"JONATHAN","nickname":null,"middle_name":null,"last_name":"NUTMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":138652,"prefix":"mr","prefix_display":"MR.","first_name":"KEITH","nickname":null,"middle_name":"ALEXANDER","last_name":"REED","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":25,"name":"Defense, Dept of (DOD)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/8d1b9d81-1452-4cb9-943a-a99fb6b7ff82/","filing_uuid":"8d1b9d81-1452-4cb9-943a-a99fb6b7ff82","filing_type":"Q1","filing_type_display":"1st Quarter - 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of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 982, the Warriors to Workforce Act H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National 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Murphy, Gregory - Hospital transparency requirements S. 339 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act - Sen. Crapo, Mike - Medicare coverage of cancer screenings S. 422 - Right to Contraception Act - Sen. Markey, Edward - Contraception and contraception services access S. 931 - COMPLETE Care Act - Sen. Cortez Masto, Catherine - Behavioral health integration S. 1056 - Home-Based Telemental Health Care Act - Sen. Rounds, Mike - mental health and SUD telehealth services S. 1227 - ABC Act - Sen. Markey, Edward - Family caregiver coverage paperwork S. 1261 - CONNECT for Health Act - Sen. Schatz, Brian - Telehealth expansion and oversight S. 1329 - PEER Support Act - Sen. Kaine, Tim - Behavioral health workforce shortage S. 1847 - Association Health Plans Act - Sen. Paul, Rand - Association health plans treatment S. 2356 - ADAPT Act - Sen. Barrasso, John - Behavioral health service reimbursement for supervised trainees S. 2709 - Telehealth Modernization Act - Sen. Scott, Tim - Medicare telehealth flexibility extension S. 3822 - Break Up Big Medicine Act - Sen. Warren, Elizabeth - Health care entity vertical integration restrictions S. 3829 - Corporate Crimes Against Health Care Act - Sen. Warren, Elizabeth - Private equity restrictions for health care industry S. 3834 - Expanded Telehealth Access Act - Sen. Daines, Steve - Medicare telehealth allowances Issues related to broadband and public health infrastructure; mental health and telehealth; behavioral health; rural health; substance use disorder treatments; Health Savings Accounts; provider directories; artificial intelligence and privacy; cyber security issues; ACA Marketplace; ACA Marketplace Program Integrity; Mental Health Parity; Surprise Medical Billing; IDR; private equity ownership; transparency; prior authorization; IVF Coverage; ACA market regulations; maternal health coding; maternal health; vaccine coverage; and ICHRAs.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":43527,"prefix":null,"prefix_display":null,"first_name":"JEANETTE","nickname":null,"middle_name":null,"last_name":"THORNTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":61321,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"HAMELBURG","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":67251,"prefix":null,"prefix_display":null,"first_name":"ADAM","nickname":null,"middle_name":"S","last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":68717,"prefix":null,"prefix_display":null,"first_name":"ARON","nickname":null,"middle_name":null,"last_name":"GRIFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71192,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DUGAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139720,"prefix":"mr","prefix_display":"MR.","first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"SHINE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":142437,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143588,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DICKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143589,"prefix":null,"prefix_display":null,"first_name":"SOHINI","nickname":null,"middle_name":null,"last_name":"GUPTA","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144554,"prefix":null,"prefix_display":null,"first_name":"ANTHONY","nickname":null,"middle_name":null,"last_name":"MITCHELL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146235,"prefix":null,"prefix_display":null,"first_name":"SHANE","nickname":null,"middle_name":null,"last_name":"HAND","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146236,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"TUFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":154624,"prefix":null,"prefix_display":null,"first_name":"ANNA","nickname":null,"middle_name":null,"last_name":"RUSSELL","suffix":null,"suffix_display":null},"covered_position":"Director of Strategic Initiatives, Office of the Secretary, Department of Labor; Deputy Director, Office of Public Liaison, Department of Labor","new":true}],"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":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS' Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors' Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark - prior authorization under Medicare Advantage H.R. 6110 - To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model H.R. 6951 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - State Medicaid cost recoupment H.R. 6974 - Improving MA SNP Act of 2026 - Rep. Arrington, Jodey - MA SNP beneficiary approval H.R. 7189 - PrEP Access Act - Rep. Pocan, Mark - HIV prevention services under Medicare H.R. 7409 - Defend Rural Health Act - Rep. Taylor, Dave - Medicare definition of rural hospital H.R. 7727 - Sustaining Rural Healthcare Act - Rep. Alford, Mark - Medicare CAH designation H.R. 7778 - Medicaid PNA Modernization Act - Rep. Subramanyam, Suhas - Medicaid minimum monthly personal needs allowance H.R. 7803 - Save Medicare Act - Rep. Pocan, Mark - Renames Medicare Advantage H.R. 7871 - MVP Act - Rep. Guthrie, Brett - Value-based purchasing arrangements in Medicaid H.R. 8375 - Medicare Advantage Improvement Act - Rep. Joyce, John - MA programmatic reforms H.R. 8377 - Stop Deadly Denials Act - Rep. Khanna, Ro - MA prior authorization prohibition H.R. 8875 - Improving Home Dialysis Act - Rep. Miller, Carol - Home dialysis coverage under Medicare S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors' Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids' Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors' Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA S. 3642 - WALZ Act - Sen. Marshall, Roger - Medicaid payment investigation and audits S. 3690 - Ensuring Access to Medicaid Buy-in Programs - Sen. Blackburn, Marsha - Medicaid eligibility parameters S. 3727 - Putting an N to Learing about Fraud Act - Sen. Ernst, Joni - Federal program fraud prevention S. 3729 - PBM Reporting Transparency Act - Sen. Warner, Mark - MedPAC reports on PBMs S. 3750 - REAL Health Providers Act - Sen. Bennet, Michael - MA provider directory accuracy S. 3762 - Prior Authorization Relief Act - Sen. Whitehouse, Sheldon - MA prior authorization restrictions S. 3848 - Apples to Apples Comparison Act - Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours S. 4384 - Medicare Advantage Improvement Act - Sen. Marshall, Roger - MA programmatic reforms Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Waste Fraud and Abuse; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; MA reporting requirements; MA provider networks and network adequacy; implementation of the One Big Beautiful Bill Act; Medicaid provider taxes; Medicaid community engagement requirements; and VA's community care program.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":43527,"prefix":null,"prefix_display":null,"first_name":"JEANETTE","nickname":null,"middle_name":null,"last_name":"THORNTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":61321,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"HAMELBURG","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":68717,"prefix":null,"prefix_display":null,"first_name":"ARON","nickname":null,"middle_name":null,"last_name":"GRIFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71192,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DUGAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139720,"prefix":"mr","prefix_display":"MR.","first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"SHINE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":142437,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143588,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DICKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143589,"prefix":null,"prefix_display":null,"first_name":"SOHINI","nickname":null,"middle_name":null,"last_name":"GUPTA","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144554,"prefix":null,"prefix_display":null,"first_name":"ANTHONY","nickname":null,"middle_name":null,"last_name":"MITCHELL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146235,"prefix":null,"prefix_display":null,"first_name":"SHANE","nickname":null,"middle_name":null,"last_name":"HAND","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146236,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"TUFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":149902,"prefix":null,"prefix_display":null,"first_name":"ANNA","nickname":null,"middle_name":null,"last_name":"DUNBAR-HESTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":154624,"prefix":null,"prefix_display":null,"first_name":"ANNA","nickname":null,"middle_name":null,"last_name":"RUSSELL","suffix":null,"suffix_display":null},"covered_position":"Director of Strategic Initiatives, Office of the Secretary, Department of Labor; Deputy Director, Office of Public Liaison, Department of Labor","new":true}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"INS","general_issue_code_display":"Insurance","description":"H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 90 - Health Coverage Choice Act - Rep. Biggs, Andy - Duration of STLDHI plans H.R. 114 - Responsible Path to Full Obamacare Repeal Act - Rep. Biggs, Andy - ACA repeal H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 267 - Health Care Price Transparency Act - Rep. Davidson, Warren - Hospital and insurer transparency requirements H.R. 639 - Doctor Knows Best Act - Rep. Van Drew, Jefferson - Commercial market prior authorization H.R. 957 - Parity Enforcement Act - Rep. Norcross, Donald - Penalties for mental health parity violations H.R. 1385 - DOC Access Act - Rep. Carter, Earl Buddy - Rate setting for dental and optometric services H.R. 1397 - Increasing Access to Dental Insurance Act - Rep. Miller-Meeks, Mariannette - Standalone dental plans H.R. 1776 - New Health Options Act - Rep. Palmer, Gary - ACA reinsurance H.R. 2079 - Insurance Fraud Accountability Act - Rep. Ross, Deborah - fraudulent ACA enrollments H.R. 2199 - Restore Protections for Dialysis Patients Act - Rep. Kelly, Mike - ESRD coverage H.R. 2553 - Capping Prescription Costs Act - Rep. Horsford, Steven - Prescription cost-sharing H.R. 2554 - Lower Drug Costs for Families Act - Rep. Horsford, Steven - Commercial market drug rebates H.R. 2636 - Making Insulin Affordable for All Children Act - Rep. Landsman, Greg - Commercial market insulin cost-sharing H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act - Rep. Spartz, Victoria - Study on anti-competitive contracting H.R. 3527 - Bridge to Medicaid Act - Rep. Sewell, Terri - ACA subsidies for non-Medicare expansion states H.R. 3701 - Family Vaccine Protection Act - Rep. Pallone, Frank - ACIP codification and vaccine coverage H.R. 4406 - State-Based Universal Health Care Act - Rep. Khanna, Ro - State-based universal health care H.R. 4710 - No Surprises Act Enforcement Act - Rep. Murphy, Greg - Surprise billing penalties for noncompliance by health insurers H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 5509 - Safe Step Act - Rep. Allen, Rick - Step therapy requirements H.R. 5582 - Patients Deserve Price Tags Act - Rep. James, John - Hospital and insurer price transparency requirement H.R. 6171 - ACA Copay CAP Act of 2025 - Rep. Auchincloss, Jake - establish out of pocket limit on prescription drugs H.R. 6248 - Healthy Competition for Better Care Act - Rep. Arrington, Jodey - ban anticompetitive terms in contracts, promote higher quality, lower cost care H.R. 6703 - Lower Health Care Premiums for All Americans Act - Rep. Miller-Meeks, Mariannette - amend ERISA to lower premiums H.R. 7023 - Affordable CHOICE Act - Rep. Schakowsky, Janice - public option under ACA H.R. 7164 - Capping Costs for Consumers Act - Rep. Schrier, Kim - ACA cost-sharing reductions H.R. 8270 - Every Dollar Counts Act - Rep. Murphy, Greg - Requirements for deductibles and MOOP to include expenditures for DTC prescriptions H.R. 8684 - Transparency in Billing Act - Rep. Foxx, Virginia - Transparency enforcement H.R. 9393 - Lower Costs, More Transparency Act - Rep. Guthrie, Brett - Healthcare price transparency S. 46 - Health Care Affordability Act - Sen. Shaheen, Jeanne - ACA tax credit extension S. 729 - Hospital Transparency Compliance Enforcement Act - Sen. Kennedy, John - Hospital price transparency requirements S. 864 - HELP Copays Act - Sen. Marshall, Roger - Cost-sharing requirements S. 976 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - fraudulent ACA enrollments S. 2355 - Patients Deserve Price Tags Act - Sen. Marshall, Roger - Hospital and insurer price transparency requirements S. 2420 - No Surprises Act Enforcement Act - Sen. Marshall, Roger - Surprise billing penalties for noncompliance by health insurers S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 2903 - Safe Step Act - Sen. Murkowski, Lisa - Step therapy requirement S. 3599 - Affordable CHOICE Act - Sen. Whitehouse, Sheldon - public option under ACA S. 3990 - PrEP Access and Coverage Act - Sen. Smith, Tina - Coverage requirements for HIV services S. 4189 - INSULIN Act - Sen. Collins, Susan - Insulin cost-sharing caps S. 4512 - Affordable Insulin Now Act - Sen. Kennedy, John - Insulin cost-sharing caps Issues related to implementation rule implementing the No Surprises Act prohibiting surprise medical bills; transparency report requirements; parity in mental health benefits; ERISA preemption; paperless delivery for health plan disclosures; Unauthorized Enrollments/Unauthorized Plan Switching; ACA Tax Credits (Inflation Reduction Act); final rule on Section 1557 of the ACA and its impact on Medigap plans; ACA Marketplace Enrollment and Agents and Brokers; Waste Fraud and Abuse; Vaccine Coverage; Preventative Services Coverage; the Advanced Explanation of Benefits; coverage of weight loss drugs; Transparency in Coverage; No Surprises Act; ACA Marketplace Integrity; ACA Enhanced Tax Credits; Prior Authorization; affordability; and health savings accounts.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":43527,"prefix":null,"prefix_display":null,"first_name":"JEANETTE","nickname":null,"middle_name":null,"last_name":"THORNTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":67251,"prefix":null,"prefix_display":null,"first_name":"ADAM","nickname":null,"middle_name":"S","last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":68717,"prefix":null,"prefix_display":null,"first_name":"ARON","nickname":null,"middle_name":null,"last_name":"GRIFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":61321,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"HAMELBURG","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71192,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DUGAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139720,"prefix":"mr","prefix_display":"MR.","first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"SHINE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":142437,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143588,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DICKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143589,"prefix":null,"prefix_display":null,"first_name":"SOHINI","nickname":null,"middle_name":null,"last_name":"GUPTA","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144554,"prefix":null,"prefix_display":null,"first_name":"ANTHONY","nickname":null,"middle_name":null,"last_name":"MITCHELL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146235,"prefix":null,"prefix_display":null,"first_name":"SHANE","nickname":null,"middle_name":null,"last_name":"HAND","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146236,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"TUFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":154624,"prefix":null,"prefix_display":null,"first_name":"ANNA","nickname":null,"middle_name":null,"last_name":"RUSSELL","suffix":null,"suffix_display":null},"covered_position":"Director of Strategic Initiatives, Office of the Secretary, Department of Labor; Deputy Director, Office of Public Liaison, Department of Labor","new":true}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"PHA","general_issue_code_display":"Pharmacy","description":"Draft, the Expedited Access to Biosimilars Act (no bill number) - Rep. Langworthy, Nick - Biosimilar approval requirements H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 843 - Prompt Approval of Safe Generic Drugs Act - Rep. Barragan, Nanette Diaz - Generic drugs applications and approvals H.R. 946 - ORPHAN Cures Act - Rep. Joyce, John - Medicare Drug Negotiation Program H.R. 950 - Saving Seniors Money on Prescriptions Act - Rep. Landsman, Greg - PBM reporting requirements for MA/Part D plans. H.R. 1117 - Responsibility in Drug Advertising Act - Rep. DeLauro, Rosa - Direct-to-consumer ads H.R. 1244 - Reducing Drug Prices for Seniors Act - Rep. Davis, Donald - Coinsurance for Part D drugs H.R. 2214 - DRUG Act - Rep. Miller-Meeks, Mariannette - PBM contracts H.R. 2450 - Prescription Drug Transparency and Affordability Act - Rep. McDonald Rivet, Kristen - PBM transparency H.R. 3493 - Global Fairness in Drug Pricing Act - Rep. Khanna, Ro - Prescription drug international reference pricing H.R. 3546 - Prescription Drug Price Relief Act - Rep. Khanna, Ro - Prescription drug patent reform H.R. 3775 - Fair Prescription Drug Prices for Americans Act - Rep. Van Drew, Jefferson - Prescription drug and biological product international reference pricing H.R. 3789 - DTC Act - Rep. Taylor, David - Direct-to-consumer prescription advertising transparency H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4231 - Treat and Reduce Obesity Act - Rep. Kelly, Mike - Medicare coverage of obesity drugs H.R. 4317 - PBM Reform Act - Rep. Carter, Earl L. Buddy - PBM contracting requirements and transparency H.R. 4605 - End Prescription Drug Ads Now Act - Rep. Nadler, Jerrold - Ban on DTC drug ads H.R. 4623 - Plain Prescription Prices Act - Rep. Williams, Nikema - Transparency requirements for DTC drug ads H.R. 5094 - Protect Patients from Costly Care Act - Rep. Pappas, Chris - Repeal of Medicaid cost sharing requirements for drugs; Orphan drug inclusion in Medicare Drug Price Negotiation Program H.R. 5197 - Protect Beneficiaries from Middlemen Act - Rep. Malliotakis, Nicole - Medicare cost-sharing limit for drugs H.R. 5526 - Biosimilar Red Tape Elimination Act - Rep. Pfluger, Austin - Biosimilars approval procedures H.R. 6255 - Affordable Insulin Now Act - Rep. Craig, Angie - require cost-sharing for certain insulin products H.R. 7837 - Most Favored Patient Act - Rep. Meuser, Daniel - MFN demonstration H.R. 8779 - PBM Act - Rep. Harshbarger, Diana - PBM ownership requirements S. 229 - DTC Act - Sen. Durbin, Richard - Drug advertising requirements S. 483 - Responsibility in Drug Advertising Act - Sen. King, Angus - Drug advertising requirements S. 526 - Pharmacy Benefit Manager Transparency Act of 2025 - Sen. Grassley, Chuck - PBM reporting requirements S. 529 - Capping Prescription Costs Act - Sen. Warnock, Raphael - Drug copay caps S. 652 - Protecting Patients from Deceptive Drugs Ads Act - Sen. Durbin, Richard - Drug advertising requirements S. 882 - Patients Before Middlemen Act - Sen. Blackburn, Marsha - PBM reforms S. 891 - Bipartisan Health Care Act - Sen. Wyden, Ron - PBM reforms and transparency S. 1040 - Drug Competition Enhanced Act - Sen. Cornyn, John - Drug patent reform S. 1041 - Affordable Prescriptions for Patients Act - Sen. Cornyn, John - Patent issues S. 1095 - Stop STALLING Act - Sen. Klobuchar, Amy - Drug patent reform S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act - Sen. Klobuchar, Amy - Drug patent reform S. 1414 - Expedited Access to Biosimilars Act - Sen. Paul, Rand - Biosimilars assessment and approval S. 1587 - Fair Prescription Drug Prices for Americans Act - Sen. Hawley, Josh - Prescription drug international reference pricing S. 1753 - End Price Gouging for Medications Act - Sen. Merkley, Jeff - Prescription drug international reference pricing S. 1818 - Prescription Drug Price Relief Act - Sen. Sanders, Bernard - Prescription drug patent reform S. 1954 - Biosimilar Red Tape Elimination Act - Sen. Lee, Mike - Biological product assessment and approval S. 1973 - Treat and Reduce Obesity Act - Sen. Cassidy, Bill - Medicare coverage for obesity drugs S. 2345 - Short on Competition Act - Sen. Klobuchar, Amy - Expedited approval for generic drugs S. 2447 - Repealing the Trump Sick Tax Act - Sen. Welch, Peter - Repeal of Medicaid cost sharing requirements for drugs; Orphan drug inclusion in Medicare Drug Price Negotiation Program S. 2620 - REMEDY Act - Sen. Durbin, Richard - Expedited approvals for certain drug approvals S. 2658 - Medication Affordability and Patient Integrity Act - Sen. Hassan, Margaret - FDA and USPTO coordination S. 3014 - Ensuring Timely Access to Generics Act - Sen. Shaheen, Jeanne - Generic drug approval S. 4332 - Medication Competition Act - Sen. Hassan, Maggie - Pharmaceutical exclusivity periods S. 4355 - Drug Deal Disclosure Act - Sen. Wyden, Ron - Federal MFN agreement transparency S. 4509 - PBM Act - Sen. Warren, Elizabeth - PBM ownership requirements Issues related to the implementation of Inflation Reduction Act - Medicare negotiation; cost-sharing and coverage of weight loss drugs/GLP-1s; high priced drugs; patent reforms; generic approval; Pharmacy Benefit Managers; PBM-related issues; step therapy; copay caps; insulin costs; and copay coupons.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":61321,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"HAMELBURG","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":68717,"prefix":null,"prefix_display":null,"first_name":"ARON","nickname":null,"middle_name":null,"last_name":"GRIFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":43527,"prefix":null,"prefix_display":null,"first_name":"JEANETTE","nickname":null,"middle_name":null,"last_name":"THORNTON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":71192,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DUGAN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":139720,"prefix":"mr","prefix_display":"MR.","first_name":"ANDREW","nickname":null,"middle_name":null,"last_name":"SHINE","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":142437,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"BECK","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143588,"prefix":null,"prefix_display":null,"first_name":"SEAN","nickname":null,"middle_name":null,"last_name":"DICKSON","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":143589,"prefix":null,"prefix_display":null,"first_name":"SOHINI","nickname":null,"middle_name":null,"last_name":"GUPTA","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144554,"prefix":null,"prefix_display":null,"first_name":"ANTHONY","nickname":null,"middle_name":null,"last_name":"MITCHELL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146235,"prefix":null,"prefix_display":null,"first_name":"SHANE","nickname":null,"middle_name":null,"last_name":"HAND","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":146236,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"TUFFIN","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":154624,"prefix":null,"prefix_display":null,"first_name":"ANNA","nickname":null,"middle_name":null,"last_name":"RUSSELL","suffix":null,"suffix_display":null},"covered_position":"Director of Strategic Initiatives, Office of the Secretary, Department of Labor; Deputy Director, Office of Public Liaison, Department of Labor","new":true}],"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":"H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 127 - Protection from Obamacare Mandates and Congressional Equity Act - Rep. Biggs, Andy - Repeals IRS mandate on minimum essential coverage H.R. 247 - Health Care Affordability Act - Rep. Underwood, Lauren - ACA tax credit extension H.R. 379 - Healthcare Freedom and Choice Act - Rep. Carter, Earl Buddy - Duration of STLDHI plans H.R. 1157 - ACCESS Act - Rep. Steube, Gregory - HSA contributions H.R. 2571 - Self-Insurance Protection Act - Rep. Onder, Robert - Medical stop loss coverage definition H.R. 3080 - Health Care Fairness for All Act - Rep. Sessions, Pete - Health savings accounts H.R. 5145 - Bipartisan Premium Tax Credit Extension Act - Rep. Kiggans, Jennifer - Temporary extension of ACA enhanced premium tax credits H.R. 6010 - To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. - Rep. Liccardo, Sam - extend enhanced premium tax credit H.R. 6232 - HOPE Act - Rep. Suozzi, Tom - extend the enhanced premium tax credit S. 2641 - Health Care Freedom and Choice Act - Sen. Johnson, Ron - Duration of STLDHI plans S. 2824 - A bill to amend the Internal Revenue Code of 1986 to extend the temporary enhanced premium tax credits - Sen. Murkowski, Lisa - Temporary extension of ACA enhanced premium tax credits S. 3751 - Prescription Drug Supply Chain Pricing Transparency Act - Sen. 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Advocated for legislation ensuring VA providers can access a full range of individualized, evidence-based post-surgical pain management options, including non-opioid therapies, without overly restrictive one-size-fits-all barriers. Argued that clinical judgment must guide acute pain care for veterans recovering from surgery or serious procedures. Major Richard Star Act (H.R. 2102 / S. 1032) - Concurrent Receipt for Combat-Injured Retirees Advocated for elimination of the dollar-for-dollar offset that reduces retirement pay for approximately 52,000 combat-injured veterans medically retired before completing 20 years of service. Communicated that this 'wounded veteran tax' breaks faith with those who sacrificed most and that concurrent receipt of earned retirement pay and VA disability compensation should be permitted. Veterans Mental Health & Suicide Prevention - VA Staffing, Telehealth, In-Person Care Advocated for a comprehensive strategy to address veteran suicide (averaging 17.6 deaths per day). Communicated support for increased VA mental health staffing, expanded telehealth services to reach rural and underserved veterans, and preservation of in-person mental health care. Emphasized that telehealth must complement, not replace, VA mental health professionals. Hyperbaric Oxygen Therapy (HBOT) - VA Pilot Program for PTSD/TBI Advocated for VA implementation of pilot programs to evaluate Hyperbaric Oxygen Therapy as a covered treatment for veterans with PTSD and Traumatic Brain Injuries, citing studies indicating HBOT can significantly reduce PTSD symptoms and improve cognitive function. Urged Congress to direct the VA to expand access to evidence-based alternative treatments. Guard and Reserve GI Bill Parity Act Advocated for legislation ensuring all service days count toward Post-9/11 GI Bill eligibility for National Guard and Reserve members who serve alongside active-duty counterparts. Communicated that existing education benefit disparities are inequitable given equivalent operational contributions. Student Veteran Benefit Restoration Act Advocated for legislation ensuring veterans who lose education benefits due to school closures or fraud have those benefits restored. Communicated that veterans should not suffer financial losses due to circumstances beyond their control. Veteran Caregiver Reeducation, Reemployment, and Retirement Act Advocated for comprehensive reforms to support family caregivers of veterans, including provisions addressing financial security, career reemployment, and retirement benefits for individuals who sacrifice their own professional advancement to provide uncompensated daily care. Communicated that caregivers are the backbone of the veterans' care system and must not be left behind when caregiving roles end. Survivor Benefits - DIC Modernization (Remarriage Restriction Repeal / Rate Modernization) Advocated for elimination of the DIC remarriage age restriction and modernization of DIC rates to reflect the true cost of sacrifice. Communicated that surviving spouses should not be forced to choose between financial security and honoring their loved one's wishes, and that current restrictions impose unnecessary financial penalties on Gold Star families. Protecting Veterans' Disability and Retirement Pay from Budget Reductions Advocated against any legislative or executive action to reduce veterans' disability compensation or retirement pay to balance the federal budget. Communicated alignment with VA Secretary Doug Collins's stated opposition to cutting earned veterans' benefits, and emphasized that reducing these benefits undermines national trust and deters future enlistment. Written Informed Consent for Black Box Medications (VA Policy) Advocated for VA policy requiring written informed consent before prescribing psychiatric medications with black box warnings. Communicated that veterans deserve transparency, patient autonomy, and the ability to make fully informed decisions regarding high-risk medications. Protecting the VA as an Institution - Structural and Operational Integrity Advocated for preservation of VA capacity, organizational structure, and services for enrolled veterans. Communicated concerns about any restructuring or resource reductions that would diminish the VA's ability to deliver timely, high-quality care and benefits to the veteran community. Take Care of American Veterans Act -- Many of the provisions included above as but with the concern of legislating changes to the VA Disability Compensation Rating System.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":143722,"prefix":"mr","prefix_display":"MR.","first_name":"JONATHAN","nickname":null,"middle_name":null,"last_name":"NUTMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":138652,"prefix":"mr","prefix_display":"MR.","first_name":"KEITH","nickname":null,"middle_name":"ALEXANDER","last_name":"REED","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)"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"DEF","general_issue_code_display":"Defense","description":"Pay Our Troops Act (S. 3002 / H.R. 5401) Advocated for passage of legislation guaranteeing uninterrupted military pay during government shutdowns or continuing resolution periods. Communicated to committee staff and bill sponsors that pay disruptions harm retention, readiness, and financial stability of enlisted Airmen and Guardians and their families. AFSA's primary priority is full-year defense appropriations on time; this bill serves as a critical backstop. IVF for Military Families Act (H.R. 2557 / S. 1231) Advocated for TRICARE coverage of in vitro fertilization (IVF) treatments for servicemembers whose ability to start families has been impaired by service-connected injuries or deployments. Emphasized closing the gap between military and federal civilian workforce healthcare access and the importance of family planning support to retention and holistic readiness. Military Family GI Bill Promise Act (H.R. 4540) Advocated for legislation ensuring transferable Post-9/11 GI Bill education benefits can be passed to dependents by servicemembers who separate or have children later in life or after separation. Emphasized that no servicemember should lose benefits they rightfully earned and that transferability is a powerful family-focused recruiting and retention tool. H.R. 6976 - Codify Duty Status Reform Advocated for legislation codifying duty status reforms for National Guard and Reserve members to ensure appropriate benefits and protections apply during all periods of service, including those not covered under traditional active duty orders. H.R. 6796 - Military CARE Act Advocated for provisions supporting military caregiver support programs and expanding resources available to servicemembers and their families during and after service. S. 2448 / H.R. 4768 - Health Care Fairness for Military Families Act Advocated for parity in healthcare access, affordability, and quality between military families and the federal civilian workforce, reducing out-of-pocket costs and improving the overall TRICARE benefit. H.R. 4381 / S. 2239 - Improving Access to Prenatal Care for Military Families Act Advocated for legislation improving access to prenatal care for military families, addressing gaps in TRICARE coverage and geographic access to maternity services for servicemembers stationed at remote or OCONUS installations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":143722,"prefix":"mr","prefix_display":"MR.","first_name":"JONATHAN","nickname":null,"middle_name":null,"last_name":"NUTMAN","suffix":null,"suffix_display":null},"covered_position":null,"new":true},{"lobbyist":{"id":138652,"prefix":"mr","prefix_display":"MR.","first_name":"KEITH","nickname":null,"middle_name":"ALEXANDER","last_name":"REED","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":25,"name":"Defense, Dept of (DOD)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/79a357d0-30b8-4918-8305-e63f86f6c9d1/","filing_uuid":"79a357d0-30b8-4918-8305-e63f86f6c9d1","filing_type":"Q3","filing_type_display":"3rd Quarter - 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