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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 9400 W Higgins Rd |
Address2 |
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| City | Rosemont |
State | IL |
Zip Code | 60018 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 296715-12
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6. House ID# 375270000
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| 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 |
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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: Megan K. Marcinko, MPS |
Date | 1/20/2026 1:19:02 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 MMM
16. Specific lobbying issues
Mitigating cuts for Medicare Part B cuts; in general.
H.R. 879/S. 1640, the Medicare Patient Access and Practice Stabilization Act.
Inclusion of physician payment provisions in the Full-Year Continuing Appropriations and Extensions Act, 2025
H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025
H.R. 3514/S.1816, the Improving Seniors Timely Access to Care Act of 2025
H.R. 1, One Big Beautiful Bill, Medicare payment provisions, reduction in Medicaid benefits
H.R. 539/S. 106, the Chiropractic Medicare Coverage Modernization Act
Concerns regarding Expansion of Prior Authorization in Medicare FFS
Comments relating to File Code CMS-1832-P; Medicare Program; 2026 Payment Policies under the Physician Payment Schedule and Other Changes to Part B Payment and Coverage Policies; (July 16, 2025)
H.R. 4331, the Access to Claims Data Act
H.R. 4731/S. 2439, Resident Physician Shortage Reduction Act of 2025
H.R. 4681/S. 1380, the Specialty Physicians Advancing Rural Care (SPARC) Act
Medicare Physician Payment Reform; in general.
Extending ACA subsidies; in general
Issues relating to the "efficiency adjustment" policy re: CY26 MPFS
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), 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 |
Megan |
Marcinko |
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Kyle |
Gerron |
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Rep. Joe Barton (R-TX) |
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 BUD
16. Specific lobbying issues
Inclusion of physician payment provisions in the Full-Year Continuing Appropriations and Extensions Act, 2025
Support for continued funding for medical research
Support for continued funding for health-related agencies
H.R. 1, One Big Beautiful Bill
Re: Preserving Federal Loan Access for Physicians and Other Health Professionals Under OBBBA Implementation
Issues relating to FY27 appropriations re: healthcare
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), Food & Drug Administration (FDA), 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 |
Megan |
Marcinko |
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Kyle |
Gerron |
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Rep. Joe Barton (R-TX) |
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
S. 266/H.R. 929, the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act.
Issues relating to the Administration's "Make America Healthy Again" initiative
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH), Labor - Dept of (DOL), Treasury - Dept of, Federal Trade Commission (FTC)
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 |
Megan |
Marcinko |
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Kyle |
Gerron |
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Rep. Joe Barton (R-TX) |
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
S. 266/H.R. 929, the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act.
S. 942/H.R. 2028, the Resident Education Deferred Interest (REDI) Act.
Re: Preserving Federal Loan Access for Physicians and Other Health Professionals Under OBBBA Implementation
H.R. 4681/S. 1380, the Specialty Physicians Advancing Rural Care (SPARC) 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), 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 |
Megan |
Marcinko |
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Kyle |
Gerron |
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Rep. Joe Barton (R-TX) |
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
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21. Client new principal place of business (if different than line 20)
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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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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) |