Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

9. Check if this filing amends a previously filed version of this report

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code BUD

16. Specific lobbying issues

H.R. 9260, H.R. 9171, H.R. 8800, H.R. 8469 - FY27 appropriations for dentistry and oral health funding, including federal oral health prevention programs, dental research, NIH/NIDCR funding, VA funding, HRSA oral health workforce programs, CDC oral health activities, and Indian Health Service dental programs.

Federal grant, research funding, and nonprofit funding policy affecting dental research institutions, dental schools, FQHCs, and oral health nonprofits, including OMB and NIH policy proposals affecting allowable costs, publishing costs, indirect costs, and federal research support.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code EDU

16. Specific lobbying issues

Dental faculty pipeline impacts tied to immigration/H-1B policies affecting dental schools

Implementation of changes to student aid programs put forth in the One Big Beautiful Bill Act of 2025

Efforts to make changes to eligibility requirements for the Public Service Loan Forgiveness (PSLF) Program.

Teaching Health Center, GME, National Health Service Corps and Community Health Center reauthorization

H.R. 2028/ S. 942 Resident Education Deferred Interest Act (REDI Act)

H.R. 3711/S. 1948 Protecting Our Students by Terminating Graduate Rates that Add to Debt Act (POST GRAD Act)

H.R. 3885, Community Training, Education, and Access for Medical Students Act of 2025 (Community TEAMS Act)

H.R. 4262, To reauthorize programs related to health professions education

ED-2025 Negotiated Rulemaking; William D. Ford Federal Direct Loan (Direct Loan) Program (90 FR 15665) (namely proposed changes to the Public Service Loan Forgiveness (PSLF) program)

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Education - Dept of, U.S. Citizenship & Immigration Services (USCIS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MMM

16. Specific lobbying issues

Medicaid strengthening and public benefit policy, including adult dental benefits, pediatric dental/EPSDT protections, Medicaid financing, and Medicaid managed care.
CMS Chief Dental Officer position in the Office of the Administrator

CMS Rural Health Transformation Program guidance

Implementation of changes to Medicaid programs put forth in the One Big Beautiful Bill Act of 2025

H.R. 5243, To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage

H.R. 9392, Medicare Advantage Cost Transparency Act

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code LBR

16. Specific lobbying issues

Health care workforce expansion policy and improving outcomes in rural and health professional shortage areas

S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization

S. 1101/H.R. 2332, the States Handling Access to Reciprocity for Employment (SHARE) Act

S. 2954, Healthcare Workforce Expansion Act of 2025

S. 4370, the Primary Care Team Education Centers Act

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Labor - Dept of (DOL), Indian Health Service, U.S. Citizenship & Immigration Services (USCIS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code TAX

16. Specific lobbying issues

Eligibility of oral health services and products as qualified medical expenses for reimbursement or payment through Flexible Spending Arrangements (FSAs) and Health Savings Accounts (HSAs); H.R. 1219, Oral Health Products Inclusion Act

Tax policy affecting dental practices, small businesses, and health care providers, including implementation of tax provisions in the One Big Beautiful Bill Act of 2025, as applicable.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code TOB

16. Specific lobbying issues

CDC Office on Smoking and Health FY27 funding level and appropriations language

17. House(s) of Congress and Federal agencies Check if None

Centers For Disease Control & Prevention (CDC), U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code IND

16. Specific lobbying issues

FY27 appropriations and policy support for Indian Health Service dental programs, oral health workforce, and access to dental care in tribal communities.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Indian Health Service

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code DEF

16. Specific lobbying issues

H.R. 1800, National Defense Authorization Act provisions related to military dental treatment facilities, accreditation, military dental readiness, and TRICARE Dental Program policy, including Selected Reserve dental cost-sharing or fee provisions.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Defense - Dept of (DOD)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code HCR

16. Specific lobbying issues

Senate HELP Committee health care affordability input

House Ways and Means and Senate Finance Committee submissions on rising health care costs, early prevention, oral health integration, strengthening public benefits for high-risk patients, team-based models, and reducing administrative barriers

H.R. 6561, PREVENT HPV Cancers Act of 2025

H.R. 2001, Action for Dental Health Act

Federal oral health infrastructure and public health policy, including oral health leadership and capacity across HHS agencies, cross-agency coordination, the relationship between oral health and mental health outcomes, and HRSA public health priorities relevant to oral health.
H.R. 3409, HEADs UP Act

H.R. 4556, Protect Our Treatment for Enamel, Erosion, and Tooth Health Act (Protect our TEETH Act)

S. 4008, Promoting Dental Health Act

House Energy and Commerce health care transparency legislation and related proposals, including itemized billing, provider disclosure, charity care, collections, surprise billing, and application of hospital-style requirements to dental offices.

S. 4008, Promoting Dental Health Act

EPA-Review of Science on Fluoride in Drinking Water: Preliminary Assessment Plan and Literature Survey (91 FR 3722)

FDA-Use of Orally Ingestible Unapproved Prescription Drug Products Containing Fluoride in the Pediatric Population (90 FR 25329)

NIH-Request for Information on Maximizing Research Funds by Limiting Allowable Publishing Costs (NOT-OD-25-138)

NIH-Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 (NOT-OD-26-047)

NIH policy affecting dental and craniofacial research, including proposals related to limits on principal investigator grants and research funding stewardship.

HHS/PACCARB policy concerning antimicrobial stewardship and the National Action Plan on Combating Antibiotic-Resistant Bacteria.

HHS request for information on chronic disease of addiction, mental health, prevention, treatment, and recovery policy.

HHS Section 1557 nondiscrimination implementation and notice of vacatur affecting covered health programs and activities.

Teledentistry, direct-to-consumer dental/orthodontic treatment, and legislation or policy concerning in-person examination requirements before dental or orthodontic treatment.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), Executive Office of the President (EOP), Centers For Medicare and Medicaid Services (CMS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code INS

16. Specific lobbying issues

Medicare Advantage supplemental dental benefits, including benefit transparency, encounter data, marketing, beneficiary understanding of coverage, alignment of advertised benefits with actual coverage, consumer protections, surprise billing, provider directory accuracy, and oversight of dental benefit administration.
CMS Notice of Benefit and Payment Parameters for 2027 and CMS RFI on the essential health benefits framework and typical employer standard, including pediatric oral health EHB, adult dental coverage, stand-alone dental plans, riders, carve-outs, and state flexibility.t

H.R. 1521, Dental and Optometric Care (DOC) Access Act

S. 1677/H.R. 3277, Ensuring Lasting Smiles Act (ELSA)

S. 1164/H.R. 1397, Increasing Access to Dental Insurance Act

H.R. 7931, Improving Dental Administration Act

ERISA preemption and dental benefit plan accountability, including noncovered services, network leasing, assignment of benefits, virtual credit cards, prior authorization, retroactive denials, downcoding, prompt payment, and application of state dental insurance reforms to self-funded plans.

H.R. 5582, Patients Deserve Price Tags Act

H.R. 9177, Clear Healthcare Expense Cost Knowledge Act of 2026

H.R. 9397, Premium Transparency Act

H.R. 9396, Prior Authorization Accountability Act

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code TRD

16. Specific lobbying issues

Tariffs affecting dental medical devices, consumables, and PPE

17. House(s) of Congress and Federal agencies Check if None

Commerce - Dept of (DOC)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code SMB

16. Specific lobbying issues

Tariffs cost impacts on dental practices and the dental supply chain

17. House(s) of Congress and Federal agencies Check if None

Commerce - Dept of (DOC)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code SCI

16. Specific lobbying issues

HIPAA Security Rule, HIPAA Privacy Rule, cybersecurity compliance, and administrative burden for dental providers.

17. House(s) of Congress and Federal agencies Check if None

Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code IMM

16. Specific lobbying issues

USCIS policy changes affecting H-1B visas and the dental education workforce

17. House(s) of Congress and Federal agencies Check if None

U.S. Citizenship & Immigration Services (USCIS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code VET

16. Specific lobbying issues

Implementation of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act of 2024 in the context of VA community care dental program, dental provider networks, and access to dental care for eligible veterans.

17. House(s) of Congress and Federal agencies Check if None

Veterans Affairs - Dept of (VA)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

21. Client new principal place of business (if different than line 20)

22. New General description of client’s business or activities

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

CONVICTIONS DISCLOSURE

29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery, extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
No Yes