|
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 | 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 |
|
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 | 10/20/2026 9:40:55 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
Fiscal Year 2027 (FY2027) Departments of Labor, Health and Human Services, Education, and Related Agencies appropriations bill
Response to OMB proposed rule, Regulation for Federal Financial Assistance
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), Office of Management & Budget (OMB)
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 |
|
|
Abigail |
Griffin |
|
|
|
Dana |
Doran |
|
|
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. 929/S.266 - Lorna Breen Health Care Provider Protection Reauthorization
H.R. 593 - Strengthening Pathways to Health Professions 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. 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. 2586 - Reentry Act of 2025
H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025
H.R. 4619 - Medicare Mental Health Inpatient Equity Act
S. 1062 - Suicide Prevention Act
H.R. 912 - 9-8-8 Lifeline Cybersecurity Act
H.R. 2483/S.2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025
H.R. 3655 - STAR Plus Scholarship Act
H.R. 3885/S.3989 - Community TEAMS Act
H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act
H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act
Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME)
H.R.3505/S.5558 - Barriers to Suicide Act
H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act
H.R.5509 /S.2903 - Safe Step Act
H.R. 5557 - Mental Health Services for Students Act
H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act
S. 3064 - Relief of Chronic Pain Act
H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act
Conversations regarding mental health parity enforcement
Communication with Congressional offices on SAMHSA grant terminations
Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization
Communication with Congressional offices on ghost networks
H.R.7092 - RAYS Act
Support of funding for gun violence prevention research at CDC, NIH and NIJ.
S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026
Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline.
H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect
H.R. 7994 - The HERO Act
H.R. 8124 - STOP Suicide Act
H.R. 8201 - Expanding Community Access to Health Services Act
Letter expressing concerns over H.R. 5629 and H.R. 5630
H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026
H.R. 8163 - Provider Reimbursement Stability Act
H.R.8961 - Student Suicide Prevention Awareness Act
H.Res.1329 - Expressing support for the designation of May 2026 as Mental Health Awareness Month
H.R.8989 - Evidence-Based Youth Suicide Prevention Act of 2026
H.R.8122/ S.4640 - 9-8-8 Connect Act
H.R.8811/S.4552 - Moms Matter Act
H.R.9257 - Primary and Behavioral Health Care Access Act
H.R.8487/S.3401 - Ensuring Excellence in Mental Health Act
H.R. 9948 - Addictive Design Act
H.R. 9551 - Mental Health Parity Enforcement and Funding Act
H.R. 9693 - Patients First Act
S.4916 - Aging with Artificial Intelligence Act of 2026
H.R.9538 - Residential Recovery for Seniors Act
H.R.10216 - Public Transit Mental Health Awareness Act
H.R. 8657 - Campus Lifeline Act
H.R. 10349 - Emergency Responders Mental Health Training (EMT) Act
H.R. 10210 - Doctors Not AI Act
H.R. 8693/S.3062 - GUARD Act
H.R.10280 - 9-8-8 Implementation Act of 2026
Letter supporting Project AWARE funding
Letter urging prior authorization and step therapy reform
National Health Service Corps extension
Community Health Center funding extension
H.R. 1 implementation impacts on Medicaid
Conversation regarding vaccine recommendations and public health
Response to HRSA RFI on the Safe Administration of Psychedelic Therapies
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), 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 |
Mike |
Troubh |
|
|
|
Daniel |
Stanford |
III |
|
|
Maureen |
Maguire |
|
|
|
Brooke |
Trainum |
|
|
|
Abigail |
Griffin |
|
|
|
Rebecca |
Kilmer |
|
|
|
Dana |
Doran |
|
|
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. 1107 - Protecting Veteran Access to Telemedicine Services Act
H.R. 1987/ S. 926 - Saving Our Veterans Lives Act
Support for VA physician exemptions to return to office
H.R. 3863 - VA Mental Health Outreach and Engagement Act
H.R. 4837 - Written Informed Consent Act
H.R.8044 - Get Justice-Involved Veterans Behavioral Assistance and Care for Key Health Outcomes to Maintain Empowerment (BACK HOME) 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 HHS regarding Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
Letter to CMS regarding CMS Proposed 2027 Medicare Physician Fee Schedule and Quality Payment Program Rule
Coalition letter to CMS regarding Group-Based Interventions in Collaborative Care
Coalition letter to CMS regarding the Adoption of Prevention-Focused Cost Measures for Mental Health Care
Letter to CMS regarding the Proposed 2027 Hospital Outpatient Prospective Payment System Rule
Coalition letter to CMS urging CMS to Withdraw Proposed 50% Payment Reduction for Same-Day E/M Services
Letter to HHS regarding Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes
17. House(s) of Congress and Federal agencies Check if None
Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), 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 |
Maureen |
Maguire |
|
|
|
Brooke |
Trainum |
|
|
|
Rebecca |
Kilmer |
|
|
|
Benjamin |
Eichberg |
|
|
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/ S. 942 - Resident Education Deferred Interest Act (REDI Act)
Letter supporting funding for Mental Health Services Professional Demonstration (MHSP) and School-Based Mental Health Services (SBMH) grant programs
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 IMM
16. Specific lobbying issues
Letter to DHS Secretary regarding physician J-1 visas
Letter to DHS Secretary for physician exemption to H-1B visa fee
H.R. 7961 - H-1Bs for Physicians and the Healthcare Workforce Act
Congressional Review Act (CRA) resolution of disapproval regarding a regulation, entitled Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media
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 |
|
|
|
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
APA response to the Temporary Scheduling of 7-Hydroxymitragynine (7-OH)
APA response to HHSs RFI on the prevention, treatment, and recovery of substance use disorders
17. House(s) of Congress and Federal agencies Check if None
Health & Human Services - Dept of (HHS), 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
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) |