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 HCR

16. Specific lobbying issues

ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Community Health + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability
S.4027 - Healthy Competition for Better Care Act
To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Sponsor: Sen. Husted, Jon [R-OH]

H.R.6248 - Healthy Competition for Better Care Act
To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]

H.R.4710 - No Surprises Act Enforcement Act
To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
Sponsor: Rep. Murphy, Gregory F. [R-NC-3]

S.2420 - No Surprises Act Enforcement Act
To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes.
Sponsor: Sen. Marshall, Roger [R-KS]

S.2355 - Patients Deserve Price Tags Act
To amend the Public Health Service Act to provide for hospital and insurer price transparency.
Sponsor: Sen. Marshall, Roger [R-KS]

H.R.8684 - Transparency in Billing Act of 2026
To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes.
Sponsor: Rep. Foxx, Virginia [R-NC-5]

H.R.9393 - Lower Costs, More Transparency Act of 2026
To promote price transparency in the health care sector.
Sponsor: Rep. Guthrie, Brett [R-KY-2]

H.R.9397 - Premium Transparency Act
To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information.
Sponsor: Rep. Pfluger, August [R-TX-11]

H.R.9396 - Prior Authorization Accountability Act
To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
Sponsor: Rep. Goldman, Craig A. [R-TX-12]

H.R. 8201 - Expanding Community Access to Health Services Act
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.
Sponsor: Rep. Lee, Susie [D-NV-3]

S.380 - Rural Obstetrics Readiness Act
To improve obstetric emergency care.
Sponsor: Sen. Hassan, Margaret Wood [D-NH]

H.R.1254 - Rural Obstetrics Readiness Act
To improve obstetric emergency care.
Sponsor: Rep. Kelly, Robin L. [D-IL-2]

H.R.7973 - Momnibus Act
To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes.
Sponsor: Rep. Underwood, Lauren [D-IL-14]

H.R.1521 - DOC Access Act of 2025
To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans, and for other purposes.
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]

S.3097 - Health Information Privacy Reform Act
To provide additional protections with respect to health information, and for other purposes.
Sponsor: Sen. Cassidy, Bill [R-LA]

S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2026
To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes.
Sponsor: Sen. Merkley, Jeff [D-OR]

S.2301 - Improving Care in Rural America Reauthorization Act of 2025
To reauthorize certain programs regarding rural health care.
Sponsor: Sen. Scott, Tim [R-SC]

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

​

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

Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse
H.R. 7996, Improving CARE for Youth Act (118th)
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
Sponsor: Rep. Dunn, Neal P. [R-FL-2]

S.2556 - Improving CARE for Youth Act (118th)
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
Sponsor: Sen. Carper, Thomas R. [D-DE]

H.R.4077 - GUARD Veterans Health Care Act
To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes.
Sponsor: Rep. Doggett, Lloyd [D-TX-37]

S.2145 - GUARD Veterans Health Care Act
To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes.
Sponsor: Sen. Warren, Elizabeth [D-MA]

H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act
To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs.
Sponsor: Rep. Ciscomani, Juan [R-AZ-6]

S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act
This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system.
Sponsor: Sen. Moran, Jerry [R-KS]

H.R.9392 - Medicare Advantage Cost Transparency Act
To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data.
Sponsor: Rep. DeGette, Diana [D-CO-1]

H.R. 5243 - Supplemental Benefits Transparency Bill
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Sponsor: Rep. McClellan, Jennifer L. [D-VA-4]

H.R.3514 - Improving Seniors Timely Access to Care Act of 2025
To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Sponsor: Rep. Kelly, Mike [R-PA-16]

H.R.8883 - Protecting Seniors and Stopping Fraudsters Act
To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes.
Sponsor: Rep. Van Duyne, Beth [R-TX-24]

H.R.8871 - DME Scammer Prevention Act of 2026
To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies.
Sponsor: Rep. Bean, Aaron [R-FL-4]

H.R.9847 - Improving CARE for Youth Act
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services or substance use disorder services and primary care services furnished on the same day.
Sponsor: Rep. Dunn, Neal P. [R-FL-2]

S.5236 - Improving CARE for Youth Act
To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
Sponsor: Sen. Hassan, Margaret Wood [D-NH]

H.R.9693 - Patients First Act of 2026
To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program.
Sponsor: Rep. Joyce, John [R-PA-13]

H.R.8375 - Medicare Advantage Improvement Act of 2026
To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes.
Sponsor: Rep. Joyce, John [R-PA-13]

S.4384 - Medicare Advantage Improvement Act of 2026
To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes.
Sponsor: Sen. Marshall, Roger [R-KS]

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

​

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

Generics access; Prescription Drug Cost; PBM Reform and Prescription Drug Policy
S.1954 - Biosimilar Red Tape Elimination Act
To improve the requirements for making a determination of interchangeability of a biological product and its reference product.
Sponsor: Sen. Lee, Mike [R-UT]

S.3014 - Ensuring Timely Access to Generics Act of 2025
To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions.
Sponsor: Sen. Shaheen, Jeanne [D-NH]

S.1041 - Affordable Prescriptions for Patients Act
A bill to amend title 35, United States Code, to address the infringement of patents that claim biological products, and for other purposes.
Sponsor: Sen. Cornyn, John [R-TX]

S.1040 - Drug Competition Enhancement Act
A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
Sponsor: Sen. Cornyn, John [R-TX]

S.1096 - Preserve Access to Affordable Generics and Biosimilars Act
A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products.
Sponsor: Sen. Klobuchar, Amy [D-MN]

S.1095 - Stop STALLING Act
A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition, and facilitate the efficient review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes.
Sponsor: Sen. Klobuchar, Amy [D-MN]

S.1097 - Interagency Patent Coordination and Improvement Act of 2025
To amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes.
Sponsor: Sen. Durbin, Richard J. [D-IL]

H.R.4570 - Interagency Patent Coordination and Improvement Act of 2025
To amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes.
Sponsor: Rep. Neguse, Joe [D-CO-2]

S.1302 - Increasing Transparency in Generic Drug Applications Act
To provide for increased transparency in generic drug applications.
Sponsor: Sen. Hassan, Margaret Wood [D-NH]

H.R.1843 - Increasing Transparency in Generic Drug Applications Act
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Sponsor: Rep. Dunn, Neal P. [R-FL-2]

H.R.7895 - PBM Kickback Prohibition Act
To amend section 408 of the Employee Retirement Income Security Act of 1974 to prohibit kickbacks to pharmacy benefit managers.
Sponsor: Rep. Allen, Rick W. [R-GA-12]

S.4189 - INSULIN Act of 2026
To reduce the price of insulin and provide for patient protections with respect to the cost of insulin.
Sponsor: Sen. Shaheen, Jeanne [D-NH]

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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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