|
LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 800 Maine AVE SW |
Address2 | Suite 900 |
| City | Washington |
State | DC |
Zip Code | 20024-2002 |
Country | USA |
3. Principal place of business (if different than line 2)
| City |
|
State |
|
Zip Code |
|
Country |
|
|
5. Senate ID# 3151-12
|
||||||||
|
6. House ID# 304890000
|
||||||||
| TYPE OF REPORT | 8. Year | 2025 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
|
11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
|
|
||||||||
|
|
||||||||
| 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. | ||||||||
|
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 |
|||||||||
| Signature | Digitally Signed By: Mike Troubh |
Date | 1/20/2026 1:48:37 PM |
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. 1 - One Big Beautiful Bill Act
Fiscal Year 2026 (FY2026) Departments of Labor, Health and Human Services, Education, and Related Agencies appropriations bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Executive Office of the President (EOP)
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 |
Mikael |
Troubh |
|
|
|
Daniel |
Stanford |
III |
|
|
Dana |
Doran |
|
|
|
Abigail |
Griffin |
|
|
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. 21/S. 6 - Born-Alive Abortion Survivors Protection Act
H.R.1096 - HOPE and Mental Wellbeing Act of 2025
H.R. 929/S. 266 - Lorna Breen Health Care Provider Protection Reauthorization
H.R. 593 - Strengthening Pathways to Health Professions Act
H.R. 879/S. 1640 - Medicare Patient Access and Practice Stabilization Act
H.R. 1153 - Rural America Health Corps Act
H.R. 1227/S. 475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act
H.R. 1735/S. 779 - EARLY Minds Act
H.R. 1448 - PEER for Mental Health Act
H.R. 1585/S. 709 - Conrad State 30 and Physician Access Reauthorization Act
H.R. 1909/S. 2621 - Preventing Maternal Deaths Reauthorization Act of 2025
H.R. 957 - Parity Enforcement Act
H.R. 2509/S. 931 - COMPLETE Care Act
H.R. 4206/S. 1261 - CONNECT for Health Act
H.R. 1305 - Improving Measurements for Loneliness and Isolation Act
H.R. 1902 - Helping Emergency Responders Overcome (HERO) Act
H.R. 2223 - Building Capacity for Care Act
H.R. 2586 - Reentry Act of 2025
H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025
H.R. 3266/S.1673 - Mental Health Infrastructure Improvement Act of 2025
Mental Health Matters Act
H.R. 4619 - Medicare Mental Health Inpatient Equity Act
Letter to Congress in support of the Prevention and Public Health Fund
Letter to Congress to extend telehealth flexibilities
Letter to Congress for funding for public health research into firearm morbidity and mortality prevention at CDC, NIH and NIJ.
Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding
Letter to Congress on funding for FDAs Neurology Drug Program in FY26
Letter to Congress on funding for the BRAIN Initiative in FY26
Letter to Congress regarding school-based Medicaid programs
Letters to Congress in support of Medicaid
Letter to NIH regarding indirect cost caps for NIH grants
Letter to HHS in response to the draft Make American Healthy Again Commission Assessment.
S. 1062 - Suicide Prevention Act
H.R. 912 - 9-8-8 Lifeline Cybersecurity Act
H.R. 2587 - Youth Mental Health Research Act
H.R. 2483/S. 2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025
H.R. 539/S. 106 - Chiropractic Medicare Coverage Modernization Act of 2025
H.R. 2630 - Youth Suicide Prevention Research Act
H.R. 3655 - STAR Plus Scholarship Act
Letter to Congress in support of NIH neuroscience research
Letter to Congress to protect federal funding of maternal health programs
Letter to Congress supporting the Pediatric Mental Health Care Access (PMHCA) program
Letter to Congress in support of funding for the Children's Hospital Graduate Medical Education (CHGME) program
Letter to Congress in support of school mental health workforce grants
Communication with Congressional offices on CCBHC funding
Letter to Congress to include report language in FY26 appropriations for the 988 Suicide and Crisis Lifeline and Garrett Lee Smith Youth Suicide Prevention Campus Grants
Letter to Congress concerning funding for 988 lifeline LGBTQ+ youth specialized services
H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025
H.R. 3885 - Community TEAMS Act
H.R. 3658 - 911 Community Crisis Responders Act
H.R. 4745/S. 2410 - Medicaid Bump Act
H.R. 3758 - Workers' Disability Benefits Parity Act
H.R. 4744/S. 2445 - Community Mental Wellness and Resilience Act
H.R. 1867 - To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology
H.R 4641 - Keep Kids Covered Act
Letter opposing H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act
Letter to Congress to support the integrity of the United States Preventive Services Task Force (USPSTF)
Letter in response to FDA panel review of SSRIs and pregnancy
Letter to HHS in response to proposed change to its interpretation of federal public benefit to include 13 additional programs as restricted Federal public benefits
Letter to SAMHSA regarding reports on the redirection of FY25 funds
H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act
H.R. 4723/S. 2446 - Mental Health for Latinos Act
Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME)
H.R.3505 - Barriers to Suicide Act
H.R. 5454/S.2879 - Medicare Advantage Prompt Pay Act
Letters to Congress to extend the enhanced premium tax credits
H.R.6249 - Addressing Addiction After Disasters Act
Mental Health Emergency Needs in Disasters (MEND) Act
Mental Health Career Promotion Act
H.R. 5074 - Protecting Young Minds Online Act
H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act
H.R.5509 /S.2903 - Safe Step Act
H.R.5553 - CTE Student Mental Health and Wellness Act
H.R. 5557 - Mental Health Services for Students Act
H.R.1197 - PREEMIE Reauthorization Act of 2025
H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act
Draft legislation on expedited FDA approval pathways for addiction therapeutics
Mental Health Emergency Package: Youth Mental Health Day and Suicide Prevention Day Resolution, Mental Health Crisis Response Act, and Mental Health Emergency Responder Act
S. 3064 - Relief of Chronic Pain Act
H.R. 6226 - Latino Youth Mental Health Empowerment Act
H.R. 5482 - Prevent Youth Suicide Act
H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act
Letter to Letter to Department of Labor, Department of Health and Human Services, and Department of Treasury regarding mental health parity enforcement.
H.R. 3492 - Protect Children's Innocence Act
H.R. 498 - Do No Harm in Medicaid Act
H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act
Letters and a presentation to the FDA digital health advisory panel regarding generative AI enabled mental health medical devices
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), Substance Abuse & Mental Health Services Administration (SAMHSA), Food & Drug Administration (FDA), Labor - Dept of (DOL), Treasury - Dept of
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 |
Mikael |
Troubh |
|
|
|
Daniel |
Stanford |
III |
|
|
Dana |
Doran |
|
|
|
Becky |
Yowell |
|
|
|
Maureen |
Maguire |
|
|
|
Brooke |
Trainum |
|
|
|
Abigail |
Griffin |
|
|
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. 241 - Sergeant Ted Grubbs Mental Healthcare for Disabled Veterans Act
H.R. 1107 - Protecting Veteran Access to Telemedicine Services Act
H.R. 1987/ S. 926 - Saving Our Veterans Lives Act
H.R. 2426/ S. 702 - Veterans Mental Health and Addiction Therapy Quality of Care Act
Letter to Secretary Collins in support of physician exemptions to return to office
H.R. 3863 - VA Mental Health Outreach and Engagement Act
Letter to VA expressing concerns over the U.S. Department of Veterans Affairs Reproductive Health Services Proposed Rule
H.R. 4837 - Written Informed Consent Act
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, 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 |
Daniel |
Stanford |
III |
|
|
Abigail |
Griffin |
|
|
|
Brooke |
Trainum |
|
|
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
Letter to CMS outlining recommendations for the Medicaid Community Engagement Provisions of H.R.1
17. House(s) of Congress and Federal agencies Check if None
Centers For Medicare and Medicaid Services (CMS)
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 |
Maureen |
Maguire |
|
|
|
Becky |
Yowell |
|
|
|
Brooke |
Trainum |
|
|
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
Letters to Congress opposing provisions to eliminate student aid programs
H.R. 2028/ S. 942 - Resident Education Deferred Interest Act (REDI Act)
Letter to Department of Education to preserve federal loan exception that allows medical students and other health professions to borrow additional Unsubsidized Direct loans
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Education - Dept of
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 |
Abigail |
Griffin |
|
|
|
Mike |
Troubh |
|
|
|
Daniel |
Stanford |
III |
|
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
Letter to Congress opposing the elimination of the Pass-Through Entity Tax (PTET) deduction
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 |
Abigail |
Griffin |
|
|
|
Mike |
Troubh |
|
|
|
Daniel |
Stanford |
III |
|
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
Letter to DHS Secretary regarding physician J-1 visas
Letter to DHS Secretary for physician exemption to new H-1B visa fee
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Homeland Security - Dept of (DHS)
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 |
Mike |
Troubh |
|
|
|
Abigail |
Griffin |
|
|
|
Dana |
Doran |
|
|
|
Daniel |
Stanford |
III |
|
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
Teleprescribing of controlled medications prior to an in person evaluation continuation of flexibilities
17. House(s) of Congress and Federal agencies Check if None
Drug Enforcement Administration (DEA)
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 |
Brooke |
Trainum |
|
|
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 DEF
16. Specific lobbying issues
National Defense Authorization Act for Fiscal Year 2026
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 |
Daniel |
Stanford |
III |
|
|
Mike |
Troubh |
|
|
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 |
|
||||||
| City |
|
State |
|
Zip Code |
|
Country |
|
21. Client new principal place of business (if different than line 20)
| City |
|
State |
|
Zip Code |
|
Country |
|
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
|
|
||||||||
| 1 |
|
3 |
|
||||||
| 2 |
|
4 |
|
ISSUE UPDATE
24. General lobbying issue that no longer pertains
|
|
|
|
|
|
|
|
|
AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
||||||||||||
| ||||||||||||||
|
||||||||||||||
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 | ||||||||||
| ||||||||||||||
|
% | |||||||||||||
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) |