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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 25 MASSACHUSETTS AVENUE, NW |
Address2 | SUITE 600 |
| City | WASHINGTON |
State | DC |
Zip Code | 20001-7400 |
Country | USA |
3. Principal place of business (if different than line 2)
| City | Chicago |
State | IL |
Zip Code | 60611-5885 |
Country | USA |
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5. Senate ID# 2877-12
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6. House ID# 304640000
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| TYPE OF REPORT | 8. Year | 2026 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Margaret D. Garikes |
Date | 7/20/2026 10:58:53 AM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code BUD
16. Specific lobbying issues
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025
H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze
FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding
Womens health research funding/reproductive health/fertility treatments
GME funding/teaching health centers
Children's Hospitals Graduate Medical Education (CHGME) Program Reauthorization
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Dana |
Lichtenberg |
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Christopher |
Sherin |
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Alexis |
Pierce |
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Robert |
Redding |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code EDU
16. Specific lobbying issues
H.R.2028 - REDI Act, all provisions
H.R.2314 - FAIR Act, all provisions
H.R.3890 - Resident Physician Shortage Reduction Act of 2025, all provisions
H.R.4681 - SPARC Act, all provisions
H.R.4731 - Resident Physician Shortage Reduction Act of 2025, all provisions
H.R.6468 - Rural Residency Planning and Development Act of 2025, all provisions
S.1380 - SPARC Act, all provisions
S.2439 - Resident Physician Shortage Reduction Act of 2025, all provisions
S.2715 - FAIR Act of 2025, all provisions
S.942 - REDI Act, all provisions
GME funding/teaching health centers
National Health Service Corps (NHSC)/loan repayment programs
National Resident Matching Program (MATCH) and foreign international medical graduates
NHSC Scholarship program
Student Loans
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Education - Dept of, Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Katherine |
Dapper |
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Christopher |
Sherin |
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Alexis |
Pierce |
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Andrew |
Wankum |
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Dana |
Lichtenberg |
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Lindsey |
Brill |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
H.R.2332 - SHARE Act of 2025, all provisions
H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions
S.2426 - Equitable Community Access to Pharmacist Services , all provisions
H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions
H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions
S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions
H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions
H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions
H.R.4710 - No Surprises Act Enforcement Act, all provisions
S.2420 - No Surprises Act Enforcement Act, all provisions
H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions
H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions
H.R.9396 - Prior Authorization Accountability Act, all provisions
H.R.7884 - Healthcare is Human Act of 2026, all provisions
H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions
H.R.628 - Honor Our Living Donors Act, all provisions
H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
H.R.5861 - Legacy Act of 2025, all provisions
H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions
H.R.6100 - Health ACCESS Act, all provisions
S.1140 - Health ACCESS Act, all provisions
H.R.6121 - Promoting Physical Activity for Americans Act, all provisions
H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions
S.3599 - Affordable CHOICE Act, all provisions
H.R.7023 - Affordable CHOICE Act, all provisions
H.R.8201 - To amend Public Health Service Act to require community health centers to provide behavioral and mental health and substance use disorder services, and for other purposes, all provisions
H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions
S.3097 - Health Information Privacy Reform Act, all provisions
H.R.4583 - Living Donor Protection Act of 2025, all provisions
S.1552 - Living Donor Protection Act of 2025, all provisions
H.R.2850 - Youth Sports Facilities Act of 2025, all provisions
S.1419 - Youth Sports Facilities Act of 2024, all provisions
H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions
H.R.4541 - EARLY Act Reauthorization of 2025, all provisions
H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions
H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions
H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions
H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI)
Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031
Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act)
Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information
Payment for AI services within health care
AI use in prior authorization
Data privacy, cybersecurity, and AI
AI services/payment
Health Insurance Portability and Accountability Act (HIPAA) and electronic records
Maternal health and hypertensive disorder during pregnancy
Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes
Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds
Health care consolidation
ICD-11 Implementation
United States Preventative Services Task Force (USPSTF)
Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program
Maintenance of public health data
Licensure portability
Private practice and the results of the 2024 AMA physician practice benchmark survey
Vaccines/ACIP
Nutrition
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Angela |
Franklin |
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Jeffrey |
Coughlin |
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Matthew |
Reid |
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Ashley |
Delosh |
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Philip |
Lynch |
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Lisa |
Myers |
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Alexis |
Pierce |
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Jennifer |
Brown |
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Shannon |
Curtis |
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Bryan |
Hull |
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Suzanne |
Joy |
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Sandy |
Marks |
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Sierra |
Burgon |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code IMM
16. Specific lobbying issues
H.R.1201 - Doctors in our Borders Act, all provisions
H.R.1585 - Conrad State 30 and Physician Access Reauthorization Act, all provisions
H.R.5283 - Healthcare Workforce Resilience Act, all provisions
H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act, all provisions
H.R.7964 - Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions
H.R.8335 - PROTECT Act of 2026, all provisions
S.2650 - DOCTORS Act, all provisions
S.2759 - Healthcare Workforce Resilience Act, all provisions
S.4637 - Conrad 30 Physician Workforce Optimization Act, all provisions
S.709 - Conrad State 30 and Physician Access Reauthorization Act, all provisions
Comment Letter: DOL Docket No. ETA-2026-0001: Improving Wage Protections for the Temporary and Permanent Employment of Certain Foreign Nationals in the United States
Alternative pathways to citizenship for foreign international medical graduates
Filing fees for physician H-1B visa holders
J-1 visa processing for physicians
Proclamation 10998/Physician exemption
Regulatory changes to duration of status for J-1 physicians.
Regulatory changes to processing physician H-1B visas including processing visas for physicians from presidentially banned countries
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Homeland Security - Dept of (DHS), State - Dept of (DOS), Health Resources & Services Administration (HRSA), U.S. Citizenship & Immigration Services (USCIS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Robert |
Redding |
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Christopher |
Sherin |
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Alexis |
Pierce |
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Dana |
Lichtenberg |
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Angela |
Franklin |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code IND
16. Specific lobbying issues
S.632 - IHS Workforce Parity Act of 2025, all provisions
Additional funding for Fiscal Year 2027 Indian Health Service
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Katherine |
Dapper |
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Alexis |
Pierce |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
H.R.1 - An act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (PL 119-21), provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs)
H.R.1317 - I CAN Act, all provisions
H.R.1614 - To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions
H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10)
H.R.2120 - ROCR Value Based Program Act, all provisions
H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions
H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions
H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions
H.R.2902 - SOAR Act of 2025, all provisions
H.R.3069 - Medicare for All Act, all provisions
H.R.3108 - RPM Access Act, all provisions, all provisions
H.R.3514 - Improving Seniors Timely Access to Care Act of 2025, all provisions
H.R.3878 - RNs for Rural Health Act of 2025, all provisions
H.R.4002 - Patient Access to Higher Quality Health Care Act of 2025, all provisions
H.R.4074 - Optimizing Postpartum Outcomes Act of 2025, all provisions
H.R.4206 - CONNECT for Health Act of 2025, all provisions
H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions
H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions
H.R.4977 - Connected MOM Act, all provisions
H.R.5081 - Telehealth Modernization Act, all provisions
H.R.5178 - Sickle Cell Disease Comprehensive Care Act, all provisions
H.R.5281 - REAL Health Providers Act, all provisions
H.R.5347 - Health Care Efficiency Through Flexibility Act, all provisions
H.R.539 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
H.R.5467 - PAAT Act, all provisions
H.R.5940 - Seniors Deserve SMARTER Care Act of 2025, all provisions
H.R.6160 - Strengthening Medicare for Patients and Providers Act, all provisions
H.R.6280 - Access to Genetic Counselor Services Act of 2025, all provisions
H.R.7520 - Efficiency Adjustment Delay Act, all provisions
H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions
H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions
H.R.7905 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions
H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions
H.R.8163 - Provider Reimbursement Stability Act of 2026, all provisions
H.R.8261 - Chronic Care Management Improvement Act of 2026, all provisions
H.R.8375 - Medicare Advantage Improvement Act of 2026, all provisions
H.R.8487 - Ensuring Excellence in Mental Health Act, all provisions
H.R.8500 - Timely Access to Coverage Decisions Act of 2026, all provisions
H.R.8622 - Medicare Physician Data-driven Performance Payment System Act of 2026, all provisions
H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
S.1031 - ROCR Value Based Program Act, all provisions
S.106 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
S.1105 - No UPCODE Act, all provisions
S.1261 - CONNECT for Health Act of 2025, all provisions
S.1399 - Health Tech Investment Act, all provisions
S.141 - Connected MOM Act, all provisions
S.1460 - Preserving Patient Access to Accountable Care Act, all provisions
S.1535 - Rural Patient Monitoring (RPM) Access Act, all provisions
S.1640 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
S.1816 - Improving Seniors Timely Access to Care Act of 2025, all provisions
S.1996 - Medicare Audiology Access Improvement Act of 202, all provisions
S.1996 - Medicare Audiology Access Improvement Act of 2025, all provisions
S.2709 - Telehealth Modernization Act, all provisions
S.3480 - Seniors Deserve SMARTER Care Act of 2025, all provisions
S.3607 - Access to Genetic Counselor Services Act of 2026, all provisions
S.3750 - REAL Health Providers Act, all provisions
S.3762 - Prior Authorization Relief Act, all provisions
S.4070 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions
S.4384 - Medicare Advantage Improvement Act of 2026, all provisions
S.665 - Fatal Overdose Reduction Act of 2025, all provisions
S.721 - Sickle Cell Disease Comprehensive Care Act, all provisions
S.891 - Bipartisan Health Care Act, all provisions
Comment Letter: [CMS 0057 F] 2024 CMS Interoperability and Prior Authorization final rule
Comment Letter: [CMS-0062-P] Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges
Comment Letter: [CMS-1849-P] Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes
Comment Letter: [CMS-9874-NC] Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard
Statement for the Record: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms
Draft: Artificial intelligence in prior authorization denials by Medicare Advantage organizations
Draft: GOLD CARD Act
Draft: MACRA/MIPS program reform
Draft: Medicare bonus payment for alternative payment model (APM) participation
Draft: Medicare Budget Neutrality and MIPS reform
Medicaid program: Changes in Children's Health Insurance Program (CHIP) and Affordable Care Act insurance marketplaces
Medicaid program: Community engagement/medical frailty exemption
Medicaid program: Practice of Medicine
Medicaid program: Work requirements, per capita caps, provider taxes, Federal Medical Assistance Percentage (FMAP) changes
Medicare and Medicaid programs: LEAD (Long-term Enhanced ACO Design) Model Reform
Medicare and Medicaid programs: ACO REACH (Realizing Equity, Access, and Community Health) Model Reform
Medicare and Medicaid programs: Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model reform.
Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms
Medicare and Medicaid programs: CMMI reform/Physician AI use
Medicare and Medicaid programs: Evaluation and Management (E/M) codes
Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicare and Medicaid programs: Indirect Practice Expense Relative Value Updates (RVU) changes
Medicare and Medicaid programs: Interoperability
Medicare and Medicaid programs: MACRA/physician burdens
Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform
Medicare and Medicaid programs: Prior authorization
Medicare and Medicaid programs: TEAM (Transforming Episode Accountability Model) changes
Medicare and Medicaid programs: Telehealth
Medicare and Medicaid programs: Telehealth and Digital Health
Medicare program: ACO (Accountable Care Organization) REACH Model
Medicare program: ACO/APM flexibilities
Medicare program: Advanced APM reporting
Medicare program: AI chatbots/Medicare Advantage preventive screens
Medicare program: AI services/payment
Medicare program: Aligned Networks and interoperability
Medicare program: Alternative Payment Models (APMs)
Medicare program: Certified electronic health record and PI
Medicare program: CJR-X (Comprehensive Care for Joint Replacement Expanded) Model
Medicare program: Coding
Medicare program: Data privacy/cybersecurity
Medicare program: Data-Driven Performance Payment System
Medicare program: Digital quality measures
Medicare program: G2211 Inherent Complexity Code
Medicare program: Health Information Technology/physician burdens
Medicare program: Indirect practice expense
Medicare program: Long-term Enhanced ACO Design (LEAD) Model
Medicare program: Medicare Advantage provider networks/physician experience
Medicare program: Medicare Diabetes Prevention Program
Medicare program: Medicare Economic Index (MEI)/inflationary updates
Medicare program: Medicare Part D issues
Medicare program: Medicare physician payment/budget neutrality
Medicare program: MEI Update
Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties
Medicare program: MIPS quality and cost measures
Medicare program: MIPS Value Pathways (MVPs) reform
Medicare program: Organ transplantation access
Medicare program: Prior authorization/Medical billing transition
Medicare program: Promoting Interoperability (PI) Program
Medicare program: Provider directories
Medicare program: Public Health Reporting and Data Exchange
Medicare program: Quality Payment Program
Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF)
Medicare program: RVS Update Committee (RUC) and Current Procedural Terminology (CPT) issues
Medicare program: Shared Savings Program
Medicare program: Site Neutral Payment
Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties
Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model
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), Government Accountability Office (GAO), Medicare Payment Advisory Commission (MedPAC), Health Resources & Services Administration (HRSA), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB), Congressional Budget Office (CBO)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Angela |
Franklin |
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Jeffrey |
Coughlin |
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Suzanne |
Joy |
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Sandy |
Marks |
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Matthew |
Reid |
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Koryn |
Rubin |
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Bryan |
Hull |
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Philip |
Lynch |
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Shannon |
Curtis |
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Alexis |
Pierce |
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Ashley |
Delosh |
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Neda |
Ashtari |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code TAX
16. Specific lobbying issues
H.R.9504 - Tax Exempt Hospital Transparency Act, all provisions
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
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Margaret |
Garikes |
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Jason |
Marino |
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Lisa |
Myers |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code TOR
16. Specific lobbying issues
H.R.8823 - Putting Patients First by Strengthening Provider Accountability in FECA Act, all provisions
S.1767 - Physician and Patient Safety Act, all provisions
S.232 - Preventing Algorithmic Collusion Act of 2025, all provisions
Independent dispute resolution process
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
|
Lisa |
Myers |
|
|
|
Katherine |
Dapper |
|
|
|
Christopher |
Sherin |
|
|
|
Robert |
Redding |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code VET
16. Specific lobbying issues
H.R.2234 - Ensuring Veterans Timely Access to Anesthesia Care Act of 2025, all provisions
H.R.4837 - Written Informed Consent Act, all provisions
H.R.9237 - Take Care of Americas Veterans Act, all provisions
Community care providers/External Provider Scheduling (EPS) program
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
|
Jason |
Marino |
|
|
|
Christopher |
Sherin |
|
|
|
Angela |
Franklin |
|
|
|
Alexis |
Pierce |
|
|
|
Matthew |
Reid |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MED
16. Specific lobbying issues
H.R.2767 - BRAIN Act, all provisions
H.R.8890 - Enhancing CLIA Act of 2026, all provisions
S.1330 - BRAIN Act, all provisions
Issues pertaining to National Institutes of Health (NIH) funding and research
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
|
Angela |
Franklin |
|
|
|
Alexis |
Pierce |
|
|
|
Ashley |
Delosh |
|
|
|
Katherine |
Dapper |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code PHA
16. Specific lobbying issues
S.3822 - Break Up Big Medicine Act, all provisions
S.526 - Pharmacy Benefit Manager Transparency Act of 2025, all provisions
S.527 - Prescription Pricing for the People Act of 2025, all provisions
Draft: Removal of oral phenylephrine from the Food and Drug Administrations over-the-counter monograph and subject such products to the drug approval process under section 505 of the Federal Food, Drug, and Cosmetic Act, and for other purposes
Drug Shortages
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Food & Drug Administration (FDA), Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Katherine |
Dapper |
|
|
|
Ashley |
Delosh |
|
|
|
Angela |
Franklin |
|
|
|
Christopher |
Sherin |
|
|
|
Margaret |
Garikes |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code TEC
16. Specific lobbying issues
Digital Health Screeners Act of 2025, all provisions
H.R.2794 - NO FAKES Act of 2025, all provisions
H.R.8031 - GUARDRAILS Act, all provisions
H.R.8413 - SECURE Data Act, all provisions
H.R.8915 - NO FAKES Act of 2026, all provisions
S.1367 - NO FAKES Act of 2025, all provisions
S.4591 - NO FAKES Act of 2026, all provisions
S.4916 - Aging with Artificial Intelligence Act of 2026, all provisions
Draft: Aging with AI Act
Draft: The Republic Unifying Meritocratic Performance Advancing Machine intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI Act)
AI oversight
Cybersecurity
Digital health and the autonomous practice of medicine
Mental Health Chatbots/AI Chatbots
Prohibiting Physician Deep Fakes
U.S. Food and Drug Administration digital health regulation
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Food & Drug Administration (FDA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
|
Shannon |
Curtis |
|
|
|
Sandy |
Marks |
|
|
|
Lisa |
Myers |
|
|
|
Ashley |
Delosh |
|
|
|
Christopher |
Sherin |
|
|
|
Katherine |
Dapper |
|
|
|
Jeffery |
Coughlin |
|
|
|
Lindsey |
Brill |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code WEL
16. Specific lobbying issues
H.R.9058 - Residential AED and CPR Preparedness Act of 2026, all provisions
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Christopher |
Sherin |
|
|
|
Todd |
Askew |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code ALC
16. Specific lobbying issues
H.R.1266 - Combating Illicit Xylazine Act, all provisions
H.R.1561 - ALERT Communities Act, all provisions
H.R.2004 - Tylers Law, all provisions
H.R.7970 - STOP Nitazenes Act, all provisions
H.R.7994 - HERO Act, all provisions
Comment Letter: [2026-11602] HHS Request for Comment on Chronic Disease of Addiction
Chronic Disease of Addiction
Fentanyl
Substance use and mental health
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Lisa |
Myers |
|
|
|
Sandy |
Marks |
|
|
|
Todd |
Askew |
|
|
|
Margaret |
Garikes |
|
|
19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
| Address |
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Zip Code |
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21. Client new principal place of business (if different than line 20)
| City |
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State |
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Zip Code |
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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3 |
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4 |
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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% | |||||||||||||
28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |