Efficiency Adjustment Delay Act

Reported lobbying issue

Medicare/Medicaid: Oppose provisions in the 2026 Medicare Physician Fee Schedule: 1) a -2.5% efficiency adjustment to Work RVUs for non-time-based services; 2) a new methodology for calculating indirect practice expenses in facility settings that unfairly penalizes facility-based surgical services. Support for H.R. 6160, the Strengthening Medicare for Patients and Providers Act, which would provide an annual inflationary update for Medicare physician payment tied to the Medicare Economic Index (MEI). Support for The Efficiency Adjustment Delay Act (HR 7520), which would would delay the efficiency adjustment provision in the 2026 Medicare Physician Fee Schedule until January of 2030 and require CMS to submit a report to Congress within 2 years containing an assessment of whether it is necessary to apply a one-time, across-the-board adjustment to work relative value units, and to make corresponding updates to the intraservice portion of physician time inputs for non-time-based services, with respect to services that have not been revalued or reviewed within the 10-year period preceding the calendar year in which such one-time adjustment would be applied. Support for the Improving Seniors Timely Access to Care Act of 2025 (H.R. 3514/S. 1816) that would would streamline and standardize prior authorization requirements within the Medicare Advantage (MA) program. Support for H.R. 8163, the Provider Reimbursement Stability Act, urging Congress to take immediate steps to stabilize Medicare physician reimbursement and to modernize the Medicare payment system. Health Issues: Urge Congress appropriators to reject proposed Office of Management and Budget (OMB) regulations and provisions in the Presidents Budget Request that would prohibit or restrict the use of federal research grants to support high-quality, peer reviewed scientific publications. Responded to a CMS RFI: Request for Information Related to Comprehensive Regulations to Uncover Suspicious Healthcare Activity (CRUSH) [CMS-6098-NC]." The response went to Mehmet Oz, MD, MBA, Administrator of the Centers for Medicare and Medicaid Services (CMS). Letter to Scott Bessent, Secretary of the Department of the Treasury; Keith Sonderling, Acting Secretary of the Department of Labor; and Robert F. Kennedy, Jr., Secretary of the Department of Health and Human Services, expressing growing concern that some health plans are undermining the careful balance achieved in the No Surprises Act (NSA).

Reported lobbying issue

Medicare/Medicaid: Oppose provisions in the 2026 Medicare Physician Fee Schedule: 1) a -2.5% efficiency adjustment to Work RVUs for non-time-based services; 2) a new methodology for calculating indirect practice expenses in facility settings that unfairly penalizes facility-based surgical services. Support an amendment in the Fiscal Year 2026 appropriations legislation that would halt funding for implementation of the Medicare Wasteful and Inappropriate Service Reduction (WISeR). Support for H.R. 6160, the Strengthening Medicare for Patients and Providers Act, which would provide an annual inflationary update for Medicare physician payment tied to the Medicare Economic Index (MEI). Support for The Efficiency Adjustment Delay Act (HR 7520), which would would delay the efficiency adjustment provision in the 2026 Medicare Physician Fee Schedule until January of 2030 and require CMS to submit a report to Congress within 2 years containing an assessment of whether it is necessary to apply a one-time, across-the-board adjustment to work relative value units, and to make corresponding updates to the intraservice portion of physician time inputs for non-time-based services, with respect to services that have not been revalued or reviewed within the 10-year period preceding the calendar year in which such one-time adjustment would be applied. Support for the Improving Seniors Timely Access to Care Act of 2025 (H.R. 3514/S. 1816) that would would streamline and standardize prior authorization requirements within the Medicare Advantage (MA) program. Support for H.R. 8163, the Provider Reimbursement Stability Act, urging Congress to take immediate steps to stabilize Medicare physician reimbursement and to modernize the Medicare payment system. Health Issues: Responded to Request for Information Related to Comprehensive Regulations to Uncover Suspicious Healthcare Activity (CRUSH) [CMS-6098-NC] regarding potential regulatory actions to strengthen program integrity and uncover suspicious healthcare activity in federal healthcare programs. Letter to Scott Bessent, Secretary of the Department of the Treasury; Keith Sonderling, Acting Secretary of the Department of Labor; and Robert F. Kennedy, Jr., Secretary of the Department of Health and Human Services, expressing growing concern that some health plans are undermining the careful balance achieved in the No Surprises Act (NSA).

Reported lobbying issue

Transportation: H.R. 2992-Preventing Roadside and Work Zone Deaths Act, to require the Department of Transportation to collect, analyze, compile, and publish accurate, detailed data on disabled roadside vehicle crashes and work zone crashes to develop a strategic plan to stop these incidents. Alcohol and Drug Abuse: Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose H.R. 2483-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder S.921-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose S. 2121-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder S. 3522-No Red Tape for Addiction Treatment Act, to require that State Medicaid programs provide at least one formulation of each type of medication for the treatment of opioid use disorder without prior authorization or limitations on dosage Budget/Appropriations: Federal funding to implement Preventing Overdoses While in Emergency Rooms (POWER) program Federal funding to implement MISSION ZERO program Federal funding to for firearm safety and injury prevention research Federal funding to implement Emergency Medical Services for Children (EMSC) Federal funding for emergency medicine research activities Federal funding for implementation of Dr. Lorna Breen Health Care Provider Protection Act H.R. 5371, Continuing Appropriations and Extension Act, 2026, to provide appropriations for federal agencies and extend several public health, Medicare, and Medicaid authorities and programs H.R.7148-Consolidated Appropriations Act, 2026, to provide appropriations for federal agencies and extend several public health, Medicare, and Medicaid authorities and programs Disaster Planning/Emergencies: Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency Reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA) Education: H.R.2028-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. S.942-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program Firearms/Guns/Ammunition: Federal funding for firearms safety and injury prevention research Firearms safety and injury prevention policy H.R.5178-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease S. 1595-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease Aviation/Airlines/Airports: Updating first aid and emergency medical kits and flight crew training requirements Health Issues: Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R. 929-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers H.R. 1254-Rural Obstetrics Readiness Act, to improve obstetric emergency care H.R. 2414-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2936-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes H.R. 3134-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers H.R. 3443-When Minutes Count for Emergency Medical Patients Act, to create a model, and to direct the Medicare Payment Advisory Commission to carry out a study and report with respect to Medicare payment for emergency medical services H.R. 3266-Mental Health Infrastructure Improvement Act of 2025, to make loans and loan guarantees for planning, constructing, or renovating pediatric or adult mental health treatment facilities and pediatric or adult substance use disorder treatment facilities H.R. 3980-Streamline Emergency Care Act, to authorize the Secretary of Health and Human Services to award grants for expanding, modernizing, or streamlining emergency department operations S. 266-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S. 380- Rural Obstetrics Readiness Act, to improve obstetric emergency care S. 1673-Mental Health Infrastructure Improvement Act of 2025, to make loans and loan guarantees for planning, constructing, or renovating pediatric or adult mental health treatment facilities and pediatric or adult substance use disorder treatment facilities S. 1974-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes Insurance: No Surprises Act implementation Eliminating prior authorization requirements in Medicare Advantage H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R. 3514-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans H.R. 4710-No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements. S. 1816-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans S. 2420- No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements. Labor Issues/Antitrust/Workplace: Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements Medical/Disease Research/Clinical Labs: Federal funding for emergency medicine research activities Medicare/Medicaid: Physician payment reform Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage H.R. 1-One Big Beautiful Bill Act, to provide for reconciliation pursuant to title II of H. Con. Res. 14 H.R. 539-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities H.R. 879- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes H.R.1968-Full-Year Continuing Appropriations and Extensions Act, to provide appropriations for federal departments and agencies and to provide an increase for the calendar year 2024 physician fee schedule conversion factor H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R. 3164-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services H.R. 4206-CONNECT for Health Act, to expand access to telehealth services H.R. 6160-Strengthening Medicare for Patients and Providers Act, provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index H.R. 6721-Medicare Advance Planning for Care Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive H.R. 7520-Efficiency Adjustment Delay Act, to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule H.R. 8163-Provider Reimbursement Stability Act, ensure stability for provider payments under the Medicare program H.R. 8622-Medicare Data-driven Performance Payment System Act of 2026, to transform the Merit-based Incentive Payment System into the Data-driven Performance Payment System under the Medicare physician fee schedule S. 106-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. S.1261-CONNECT for Health Act, to expand access to telehealth services S. 1640- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes S. 2426-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services S. 3473-Medicare Advance Planning for Care Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive S. 4927-Rural Hospital Emergency Room Guarantee Act, to establish a guaranteed funding stream to keep existing emergency rooms at America's rural hospitals open. Law Enforcement/Crime/Criminal Justice: Fentanyl analogues scheduling extension H.R. 3178-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care workers H.R. 5864-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds S. 1595-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds S. 1600-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care

Reported lobbying issue

Health Issues: Medicare physician reimbursement and the importance of long-term structural reform to the reimbursement system, including the Provider Reimbursement Stability Act (H.R. 8163), the Strengthening Medicare for Patients and Providers Act (H.R. 6160) and the Efficiency Adjustment Delay Act (H.R. 7520) The Safe Step Act (H.R. 5509/S. 2903) requires group health plans regulated by the Employee Retirement Income Security Act (ERISA) to provide a clear exception process for any medication step therapy protocol. The Specialty Physicians Advancing Rural Care (SPARC) Act (S. 1380; H.R. 4681), a bill designed to increase access to specialty care services in rural areas. Expanding the definition of a preventive service to surveillance colonoscopy. Efforts to secure appropriations language that guides action at the U.S. Department of Health and Human Services. Opposing National Institutes of Health (NIH) research cuts. Medical/Disease Research/Clinical Labs: Opposing National Institutes of Health (NIH) research cuts Insurance: The Safe Step Act (H.R. 5509/S. 2093) requires group health plans regulated by the Employee Retirement Income Security Act (ERISA) to provide a clear exception process for any medication step therapy protocol. Medicare/Medicaid: Medicare physician reimbursement and the importance of long-term structural reform to the reimbursement system, including the Provider Reimbursement Stability Act (H.R. 8163), the Strengthening Medicare for Patients and Providers Act (H.R. 6160) and the Efficiency Adjustment Delay Act (H.R. 7520).

Reported lobbying issue

Medicare/Medicaid: Support Medicare Access and CHIP Reauthorization Act, specifically reform of the Medicare Physician Fee Schedule Support the Provider Reimbursement Stability Act (H.R. 8163), which would reform outdated physician fee schedule budget-neutrality requirements, including raising the existing $20 million budget-neutrality trigger to $54.3 million. Support the Efficiency Adjustment Delay Act (H.R. 7520), which would pause the new Medicare -2.5% efficiency adjustment and require CMS to issue a report with data justifying a one-time efficiency adjustment application and only if certain conditions are met. Oppose the Radiology Outpatient Ordering Transmission (ROOT) Act (S. 1692 / H.R. 5737) which requires the consultation of appropriate use criteria for advanced diagnostic imaging in the Medicare program Health Issues: Oppose the Patients Deserve Price Tags Act (S. 2355 / H.R. 5582). The bill requires price transparency, including discounted cash price and payer-specific negotiated rates, from all imaging providers, including physician practices. Support the he H-1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961), which would exempt healthcare professionals from the $100,000 H-1B petition fee

Reported lobbying issue

Health Issues: Health care quality; physician and hospital quality; health care innovation; Patient Protection and Affordable Care Act/health care reform implementation; unique device identifier policy and post-market surveillance for medical devices; clinical trial design; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, FDA, HRSA and the Childrens Hospital Graduate Medical Education payment program, the Prevention & Public Health Fund, medical research, and prevention; research and scholarly communication policy; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; artificial intelligence/machine learning; algorithm transparency; health disparities; reduction/oversight of prior authorization and other administrative burdens; digital health; Sect. 1557 Nondiscrimination in Health Programs and Activities; cardiomyopathy education and awareness; peripheral arterial disease (PAD) education and awareness; VA Mission Act implementation; COVID-19 and implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act , the Coronavirus Aid, Relief, and Economic Security Act, Coronavirus Provider Protection Act, and clinician mental health and wellbeing; patient identification; Pandemic and All Hazards Preparedness; MCIT/TCET/Breakthrough devices; Amputation Reduction and Compassion (ARC) Act (H.R. 307); Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); Implementation and funding for the Cardiomyopathy Health, Education, Awareness, Research and Training in Schools (HEARTS) Act (P.L. 118-176); provide AEDs in transportation facilities with the Public Access to Defibrillation in Transportation Facilities Act (H.R. 5897); Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 929/S. 266; Physician Led and Rural Access to Access to Quality Care Act (H.R. 2191/S. 1390); Section 232, National Security Investigation of Imports of Pharmaceuticals and Pharmaceutical Ingredients; and to protect health care workers from violence with the Save Healthcare Workers Act (H.R. 3178/S. 1600), Front of Package Food Labeling, The Medically Tailored Home-Delivered Meals Program Pilot Act (H.R. 5439/S. 2834); The Nursing is a Professional Degree Act (H.R. 8691/S. 4568), H.R.9260 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027; and the H-1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961). Medicare/Medicaid: The One Big Beautiful Bill Act, H.R. 1; Medicare physician payment including, the Medicare Patient Access and Practice Stabilization Act (H.R. 879); the Strengthening Medicare for Patients and Providers Act (H.R. 6160), the Provider Reimbursement Stability Act (S. 4935); the Provider Reimbursement Stability Act (H.R. 8163); and the Efficiency Adjustment Delay Act (H.R. 7520); new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act (H.R. 3890/S. 2439); provide a specialty physician loan repayment program with the SPARC Act (H.R 4681/S. 1380); provide deferred interest payments for residents on student loans with the Resident Education Deferred Interest (REDI) Act (H.R. 2028/S. 942); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (H.R. 2191/S. 1390) and the Patient Access to Higher Quality Health Care Act (H.R. 4002); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act; Increasing Access to Quality Cardiac Rehabilitation Care Act; the expansion of telehealth services, including the CONNECT for Health Act (H.R. 41894206/S. 1261), the Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 783/S. 248), and the Telehealth Modernization Act (H.R. 5081/S. 2709); Improving maternal health, including Connected Maternal Online Monitoring Act (Connected MOM Act) (H.R. 4977/S. 141), Preventing Maternal Deaths Reauthorization Act of 2025 (H.R. 1909), and Rural Obstetrics Readiness Act (H.R. 1254/S. 380), and the Womens Heart Health Expansion Act (H.R. 7417/S. 3944) ; prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433), and the Safe Step Act (H.R. 5509/S. 2903); clinician-led registry access to federal claims data, including the Access to Claims Data Act (H.R. 4331); and expanding in home prescribing coverage provided in the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (H.R. 6894/S. 717), Centers for Medicare and Medicaid Innovation payment models. Tobacco: Tobacco use prevention and smoking cessation; FDA regulation of tobacco; electronic cigarettes and nicotine products; tobacco and electronic cigarette policy in House and Senate Appropriations; Federal funding for the CDCs Office of Smoking and Health and chronic disease prevention.

Reported lobbying issue

Budget/Appropriations: Womens health research (general); Centers for Disease Control and Prevention (CDC); CDC Office on Smoking and Health; National Institutes of Health (NIH); NIH workforce training programs; National Center for Health Statistics; Division of Sexually Transmitted Disease Prevention; Agency for Healthcare Research and Quality (AHRQ); NIH Office of Research on Womens Health; Health Resources and Services Administration (HRSA); Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); Safe Motherhood and Infant Health Program (CDC); IHS funding (general); National Center for Chronic Disease Prevention and Health Promotion (CDC); Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC); inclusion of pregnant and lactating people in clinical trials (general); Congressionally Directed Medical Research Program (CDMRP); Title X family planning program; Title V Maternal and Child Health Block Grant; Title VII Health Professions and Title VIII Nursing Workforce Development programs; Pregnancy Risk Assessment Monitoring System (CDC); Teaching Health Center Graduate Medical Education Program (THCGME); Healthy Start; National Maternal Mental Health Hotline; maternal mental health programs; Alliance for Innovation on Maternal Health (AIM); stillbirth prevention; Surveillance for Emerging Threats to Mothers and Babies Network (SET-NET); firearm injury and prevention research; menopause education; Womens Reproductive Health Research (WRHR); National Center for Environmental Health; Center for Substance Abuse Treatment Pregnant and Postpartum Womens Residential Services Grant Program; State Pilot Program for Treatment for Pregnant and Postpartum Women (PPW-PLT); SPRANS; Teen Pregnancy Prevention Program; CDC newborn screening; ovarian cancer detection (general); NIH ECHO Program; Neglected Surgical Conditions; Pediatric Specialty Loan Repayment Program; Agency for Toxic Substances and Disease Registry; WIC; OMB Rule of Federal Financial Assistance. Defense: FY27 National Defense Authorization Act; IVF coverage for servicemembers and dependents (general) Health Issues: Abortion access (general); Access to mifepristone (general); Contraception (general); Maternal mortality and morbidity (general); H.R. 8651/S. _____, Advancing Safe Medications for Moms and Babies Act; Obstetric and gynecologic care in rural and underserved areas (general); impact of closures of labor and delivery units in rural hospitals on patient access to care and maternal morbidity and mortality; abortion training in obstetrics and gynecology residency programs (general); Teaching Health Center Graduate Medication Education program (general); implementation of P.L. 119-21, One Big, Beautiful Bill Act; implementation of Sec. 6501 of P.L. 119-75, Preventing Maternal Deaths Reauthorization Act; Telemedicine (general); S. 380/H.R. 1254, Rural Obstetrics Readiness Act; S. 1834/H.R. 3762, Supporting Healthy Moms and Babies Act; H.R. 7973, Momnibus Act; H.R. 7830, WELLS Act; H.R.8159, Gynecologic Pain Management Study Act; H.R.8160, Premenstrual Dysphoric Disorder Awareness and Research Act; H.R. 9441, SAFE Training for OBGYNs Act; H.R. 9061, PREEMPT Act; H.Res. 1282, a resolution recognizing ACOGs 75th anniversary; H.R. 8358, Breast Cancer Research Stamp Reauthorization Act; S. Res. 710, a resolution recognizing Maternal Mental Health Day; H.R. 9090/S. 4503, Advancing Menopause Care and Mid-Life Womens Health Act; H.Res. 1323, a resolution recognizing National Menstrual Health Awareness Month; H.R. 8500, Timely Access to Coverage Decisions Act; H.R. 7694, Gwenns Law; S. 4878, Reproductive Health Care Training Act; H.R. _____/S. _____, Right to IVF Act; S. 4494, America Cures Act; maternal mortality review committees (general); Patient-physician relationship (general); Obstetrician-gynecologist workforce (general); Substance use disorder during pregnancy (general); Maternal mental health (general); Insurance coverage for infertility (general); Protections for in vitro fertilization (general); Vaccination (general); childhood vaccine recommendations (general); Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC) recommendations (general); inclusion of pregnant and lactating women in clinical trials (general); pregnancy exposure registries (general); NIH/NICHD womens health research (general); access to fertility services and treatments (general); Restorative Reproductive Medicine (general); Advisory Committee on Immunization Practices (ACIP); COVID vaccine during pregnancy (general); S. 4550/H.R. 8807, Maternal Health Pandemic Response Act; United States Preventive Services Taskforce (general); hormone therapy for menopause symptoms (general); acetaminophen use during pregnancy (general); SSRI use during pregnancy (general); Pregnancy Risk Assessment Monitoring System (PRAMS); Maternal Mortality Review Information Application (MMRIA); FACE Act implementation; Nexplanon REMS; chaperones during sensitive procedures (general); FDA regulation of flavored e-cigarettes (general); ORR policies regarding pregnant minors (general); breast cancer risk assessment (general). Immigration: Treatment of pregnant and postpartum people in immigration detention (general); access to medical care in immigration detention (general); H.R. 1061/S. 455, Protecting Sensitive Locations Act; H-1B and J-1 visa delays/disruptions for physicians and trainees (general); H.R. 7961, H-1Bs for Physicians and the Healthcare Workforce Act Medicare/Medicaid: Physician payment under Medicare (general); Medicare Physician Fee Schedule Efficiency Adjustment (general); Graduate medical education (general); S.1816/H.R. 3514, Improving Seniors Timely Access to Care Act of 2025; Prior authorization in Medicare (general); Medicaid (general); Physician payment under Medicaid (general); Medicaid work requirements (general); CMS billing and coding procedures (general); preserving postpartum Medicaid extension (general); implementation of P.L. 119-21, One Big, Beautiful Bill Act; telehealth (general); H.R. 7520, Efficiency Adjustment Delay Act; H.R. 8163, Provider Reimbursement Stability Act; FMAP for Puerto Rico; unbundling of obstetric codes in Medicare Foreign Relations: H.R. 8582/S. 4436, Protecting Human Rights and Public Health in Foreign Assistance Act Veterans: Abortion access at the VA (general); H.R. 7841, Warrior Infertility Act

Reported lobbying issue

Medicare/Medicaid: H.R. 879/S. 1640, the Medicare Patient Access and Practice Stabilization Act of 2025; H.R. 1, the One Big Beautiful Bill Act; H.R. 3164/S. 2426, the Ensuring Community Access to Pharmacist Services Act; Draft legislation to amend title XVIII of the Social Security Act to modify the conversion factor updates applicable to physicians' services under the Medicare program; Implementation of Centers for Medicare & Medicaid Services. (2025). Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program. Federal Register, 88, 90 FR 49266-50481; H.R. 6160, the Strengthening Medicare for Patients and Providers Act; H.R. 8163, the Provider Reimbursement Stability Act; H.R. 7520, the Efficiency Adjustment Delay Act; H.R. 8622, the Medicare Physician Data-driven Performance Payment System Act of 2026 Budget/Appropriations: H.R. 1968, the Full-Year Continuing Appropriations and Extensions Act, 2025 Health Issues: H.R. 3686, the SAFE Sunscreen Standards Act; H.R. 4273/S. 2292, Over-the-Counter Monograph Drug User Fee Amendments; H.R. 5509/S. 2903, the Safe Step Act; H.R. 4002, the Patient Access to Higher Quality Health Care Act of 2025 Taxation/Internal Revenue Code: H.R. 1940, the Tanning Tax Repeal Act of 2025; H.R. 1, the One Big Beautiful Bill Act Defense: Revised military shaving waiver policies; Sunscreen access for servicemembers

Reported lobbying issue

Medicare/Medicaid: Medicare Physician Payments: H.R. 8163- The Provider Reimbursement Stability Act; would help stabilize Medicare physician payment by raising the budget neutrality trigger from $20 million to $54 million, tying reimbursement to the Medicare Economic Index, and capping annual reductions at 2.5%. The legislation would also require CMS to use real utilization data and allow later adjustments for new or revised codes. H.R. 7520- Efficiency Adjustment Delay Act; the CY 2026 MPFS introduced a 2.5% reduction in work Relative Value Units (RVUs) for non-time-based procedures with additional reductions scheduled every three years. The Efficiency Adjustment Delay Act would delay the implementation of the policy until 2030 and require CMS to provide a justification and improved implementation report to Congress. Educating members on the need for updates to the physician fee schedule with an annual update based on a portion of the growth in the Medicare Economic Index (MEI). Educating members about the harm caused by CMS reducing the indirect practice expense (PE) allocated per work RVU allocated to facility services to 50% of the amount allocated for non-facility (office-based) services. Medicaid Cuts: Urging Congress to preserve Medicaids vital role in the healthcare system and explore solutions that maintain access to high-quality care, particularly for underserved communities. Access to Care: H.R. 2433- Reducing Medically Unnecessary Delays in Care Act; requires Medicare coverage decisions, including prior authorization requirements and adverse coverage decisions, to be based on written clinical criteria that is developed in consultation with physicians. H.R. 4331- The Access to Claims Data Act; would require the Centers for Medicare & Medicaid Services (CMS) to establish a program that allows clinician-led clinical data registries access to Medicare claims data for research, quality of care measurement, and reporting. Educating CMS about the importance of continuing Coverage with Evidence Development (CED) through the STS/ACC TVT Registry to support the safe and evidence-based expansion of TAVR. Educating HHS and members on the need to protect the scientific integrity of the U.S. Preventive Services Task Force (USPSTF). Education: Expanding GME opportunities: H.R. 3890- Resident Physician Shortage Reduction Act; adds 14,000 new residency slots over seven years. Loan Repayment: H.R.2028/ S.942- Resident Education Deferred Interest (REDI) Act; would permit a pause on student loan interest accrual and principal loan repayment for the duration of medical residencies and fellowships. Medical/Disease Research/Clinical Labs: Lung Cancer: H.R.4417/ S. 2927- Mobile Cancer Screening Act; would establish a competitive grant program through the Health Resources and Services Administration (HRSA) to fund mobile cancer screening units, grants of up to $2 million would help providers acquire vehicles, imaging equipment, and essential software to reach more patients where they live. H.R. 2319/ S.1157- Women in Lung Cancer Research; would provide additional funding for prevention and treatment of lung cancer in women, particularly non-smokers. NIH Funding: Requesting that Congress fund NIH for FY27 at at least $51.303 billion; an 8.7% increase over the enacted funding level for FY26. CDC Funding: Requesting full funding for CDC's Firearms Violence Research and the Office of Smoking Health. OMB Uniform Grant Guidance: Submitted comments urging that scientific merit remain the top priority in funding decisions and that safeguards be added to protect ongoing cardiothoracic research from funding disruptions. Labor Issues/Antitrust/Workplace: Workforce: H.R. 1585/ S.709- The Conrad State 30 and Physician Access Reauthorization Act; would modify the Conrad 30 Waiver program, which incentivizes qualified foreign physicians to serve in underserved communities. H.R.3178- The Save Health Care Workers Act; would make it a federal crime to assault or intimidate hospital workers. S. 2031- Workforce Mobility Act; would prohibit certain noncompete agreements. H.R. 7961- H-1Bs for the Physicians and Healthcare Workforce Act; would exempt physicians and health professionals from the $100,000 H-1B filing fee imposed by the Department of Homeland Security. Defense: H.R.2414- To amend the Public Health Service Act to reauthorize a military and civilian partnership for trauma readiness grant program (aka Mission Zero); would reauthorize a military and civilian partnership for trauma readiness grant program. Securing Defense funding for Lung Cancer Research. Educating members about the need for military readiness of surgeons.

Reported lobbying issue

Medicare/Medicaid: S. 1390/H.R.2191, Physician-Led and Rural Access to Quality Care Act: To revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1640, the Medicare Patient Access and Practice Stabilization Act: Io increase support for physicians and other practitioners in adjusting to Medicare payment changes S. 1816/H.R.3514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training. S. 2903/H.R.5509, Safe Step Act: To amend ERISA to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. H.R.4002, Patient Access to Higher Quality Health Care Act of 2025: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. H.R. 4331, Access to Claims Data Act: To establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. H.R.6160, Strengthening Medicare for Patients and Providers Act: To provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 7520, Efficiency Adjustment Delay Act: To delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule. H.R. 8163, Provider Reimbursement Stability Act of 2026: Modifying Medicare's budget neutrality rules under the Medicare physician fee schedule. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expands prior authorization to traditional Medicare. No Bill: Urging Congress to modify MACRA to improve physician payment under the Medicare program, including improvements to the quality payment program. Budget/Appropriations: FY 2027 Appropriations: Funding for NIH, CDC injury prevention programs, telehealth flexibilities, APM incentive payments and Medicare Advantage enforcement reforms, firearms research Health Issues: S. 2420/H.R. 4710, the No Surprises Enforcement Act: To increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements

Reported lobbying issue

Medicare/Medicaid: HR 879 Medicare reimbursements for physicians Prior Authorization reform Medicare Advantage reforms to reduce administrative burdens HR 2433 H.R.1, the One Big Beautiful Bill Act S.1105 S.1816/H.R.3514 HR.4559 Provider Reimbursement Stability Act H.R. 7520 Medicare Provider Enrollment Issues Medicare HETS System Changes Medicare Program Integrity Initiatives Health Issues: No Fees for EFTs Act Cybersecurity Reforms Telehealth One Big Beautiful Bill Act No Surprises Act Implementation

Reported lobbying issue

Medicare/Medicaid: S. 1390/H.R.2191, Physician-Led and Rural Access to Quality Care Act: To revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1640, the Medicare Patient Access and Practice Stabilization Act: Io increase support for physicians and other practitioners in adjusting to Medicare payment changes S. 1816/H.R.3514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training. S. 2903/H.R.5509, Safe Step Act: To amend ERISA to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. H.R.4002, Patient Access to Higher Quality Health Care Act of 2025: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. H.R. 4331, Access to Claims Data Act: To establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. H.R.6160, Strengthening Medicare for Patients and Providers Act: To provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 7520, Efficiency Adjustment Delay Act: To delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule. H.R. 8163, Provider Reimbursement Stability Act of 2026: Modifying Medicare's budget neutrality rules under the Medicare physician fee schedule. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expandsprior authorization to traditional Medicare. No Bill: Urging Congress to modify MACRA to improve physician payment under the Medicare program, including improvements to the quality payment program. Budget/Appropriations: FY 2027 Appropriations: Funding for NIH, CDC injury prevention programs, telehealth flexibilities, APM incentive payments and Medicare Advantage enforcement reforms, firearms research Health Issues: S. 2420/H.R. 4710, the No Surprises Enforcement Act: To increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements

Reported lobbying issue

Health Issues: Medicare Reimbursement / Physician Payment Schedule Cuts - H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 - H.R. 7520, the Efficiency Adjustment Delay Act of 2026 - H.R. 8163, the Provider Reimbursement Stability Act of 2026 Prior Authorization Reform - 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 - H.R. 8375/S. 4384, the Medicare Advantage Improvement Act Federal Funding for Disability and Rehabilitation Research Permanently Extending Telehealth Flexibilities Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) Project WISeR Model - H.R. 5940/S. 3480, Seniors Deserve SMARTER Care Act of 2025 Medical/Disease Research/Clinical Labs: Federal Funding for Disability and Rehabilitation Research Medicare/Medicaid: Medicare Reimbursement / Physician Payment Schedule Cuts - H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 - H.R. 7520, the Efficiency Adjustment Delay Act of 2026 - H.R. 8163, the Provider Reimbursement Stability Act of 2026 Prior Authorization Reform - 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. 8375/S. 4384, the Medicare Advantage Improvement Act Permanently Extending Telehealth Flexibilities Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) Project WISeR Model - H.R. 5940/S. 3480, Seniors Deserve SMARTER Care Act of 2025

Reported lobbying issue

Medicare/Medicaid: H.R. 879 Medicare Patient Access and Practice Stabilization Act: To amend title XVIII of the Social Security Act to increase support for physicians and other practitioners in adjusting to Medicare payment changes. H.R. 2433 Reducing Medically Unnecessary Delays in Care Act: To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program. H.R. 2191 Physician Led and Rural Access to Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1390 Physician Led and Rural Access to Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals. H.R. 751 HEALTH Panel Act: To amend the Congressional Budget and Impoundment Control Act of 1974 to codify the Panel of Health Advisors within the Congressional Budget Office, and for other purposes H.R. 1407 Permanent Telehealth from Home Act: To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services under the Medicare program. H.R. 2028 REDI Act: To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. S. 942 REDI Act: To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. H.R. 3514 Improving Seniors' Access to Timely 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. S. 1816: Improving Seniors' Access to Timely 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. H.R. 7520: Efficiency Adjustment Delay Act: To amend title XVIII of the Social Security Act to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule. Labor Issues/Antitrust/Workplace: H.R. 929 Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act: To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Budget/Appropriations: H.R. 4016 Department of Defense Appropriations Act of 2026: This bill provides FY2026 appropriations to the Department of Defense (DOD) for military activities.

Reported lobbying issue

Medicare/Medicaid: H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Modernization Act of 2025 S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) RMOCC development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues One Big Beautiful Bill Act (Reconciliation) Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Health Issues: H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Modernization Act of 2025 S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) RMOCC development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues One Big Beautiful Bill Act (Reconciliation) Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Budget/Appropriations: National Institutes of Health Funding Cancer funding Government funding MISSION Zero Reauthorization One Big Beautiful Bill Act (Reconciliation) Budget neutrality FY27 Appropriations Rural health funding Veterans: Dept of VA Cancer Database Veteran Healthcare

Reported lobbying issue

Medicare/Medicaid: H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Modernization Act of 2025 S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) RMOCC development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues One Big Beautiful Bill Act (Reconciliation) Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Health Issues: H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Modernization Act of 2025 S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) RMOCC development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues One Big Beautiful Bill Act (Reconciliation) Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda Budget/Appropriations: National Institutes of Health Funding Cancer funding Government funding MISSION Zero Reauthorization One Big Beautiful Bill Act (Reconciliation) Budget neutrality FY27 Appropriations Rural health funding Veterans: Dept of VA Cancer Database Veteran Healthcare

Reported lobbying issue

Health Issues: Issues related to health care workforce shortages Issues related to funding for the Early Hearing Detection and Intervention Act (Public Law 117-241) Stop CMV Act (H.R. 5435/S. 2842) Ensuring Lasting Smiles Act (H.R. 3277/S. 1677) Various issues related to implementation of the ACA, including Essential Health Benefits and marketplace plans Various issues related to non-discrimination legislation and regulation Issues related to coverage of gender-affirming care/gender-affirming voice therapy Issues related to health information technology, including interoperability Issues related to use of AI in health care Issues related to funding in Fiscal Year 2026 for programs administered by the Department of Health and Human Services and National Institutes of Health Issues related to reform/restructuring of the National Institutes of Health H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act Issues related to coverage of and support for individuals who stutter through federal health programs Issues related to consolidation in the health care industry. Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2531/S. 1232) Allys Act (H.R. 4606/S. 3400) Healthcare is Human Act (H.R. 7884) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027 (H.R. 9260) Defense: Issues related to Tricare, including provider enrollment and payment, and related provisions in H.R. 8800, the National Defense Authorization Act for Fiscal Year 2027. Taxation/Internal Revenue Code: Issues related to the tax-exempt status of non-profit organizations, including the Safeguarding Charity Act (H.R. 2896/S. 1428). Education: Various issues related to elimination of the Department of Education and the Presidential Executive Order titled Improving Education Outcomes by Empowering Parents, States, and Communities, including IDEA, federal protections, and workforce issues. Various issues related to administrative burden on school-based providers Various issues related to the Higher Education Act, specifically related to student loans, loan forgiveness, and accreditation Issues related to funding of the Individuals with Disabilities Education Act (IDEA), including the IDEA Full Funding Act (H.R. 2598/S. 1277) Issues related to IDEA statute and regulations Issues related to school-based Medicaid services Various issues related to shortages of specialized instructional support personnel Issues related to funding in Fiscal Year 2026 for programs administered by the Department of Education Issues related to higher education and college affordability, including student loans Issues related to pediatric audiology workforce shortages, including recognition of pediatric audiology under federal pediatric specialty loan repayment programs H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act H.R. 1151/S. 756, the Freedom To Invest in Tomorrow's Workforce Act H.R.1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 Strengthening Efforts for Relief and Vital Incentives for Community Service and Engagement (SERVICE) Act (H.R. 2829) H.R. 6574, the Loan Equity for Advanced Professionals Act H.R. 6677/S. 4039, the Professional Degree Access Restoration Act H.R. 6718, to amend the definition of professional degree in the Higher Education Act of 1965. H.R. 6739, to amend the Higher Education Act of 1965 to expand the definition of professional degree. H.R. 6862, the Protecting Health Care Workforce Pipelines Act H.R. 7148, the Consolidated Appropriations Act, 2026 Medicare/Medicaid: Issues related to prior authorization requirements in Medicare, including H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, H.R. 5801, H.R. 6296, the Advancing Access to Telehealth Act, the Telehealth Modernization Act (H.R. 5081/S. 2709), and S. 3834, the Expanded Telehealth Access Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 8163, the Provider Reimbursement Stability Act of 2026 Issues related to the Multiple Procedure Payment Reduction, including the Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386) H.R. 6160, Strengthening Medicare for Patients and Providers Act H.R. 7520, the Efficiency Adjustment Delay Act Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Stopping Fraudulent Payments Act (H.R. 8464) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: Audits of medical records and claims for Part A and B services Procedure code development and valuation of audiology and speech-language pathology services Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems, including home health and skilled nursing facility policy and payment issues Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Various issues related to interoperable health information, including the post-acute care interoperability project (PACIO) Medicare telehealth coverage under Part A and B Provision and payment for Part A therapy Various issues related to implementation of ACA Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to qualified Medicare providers Issues related to fraud, waste, and abuse Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program.

Reported lobbying issue

Health Issues: AI Diabetic Retinopathy Screening H.R.3277/S. 1677- Ensuring Lasting Smiles Act Medicare Access and CHIP Reauthorization Act (P.L. 114-10) Improvement Issues Medicare Physician Payment Issues Drug Pricing and Shortages Issues Medicare Part B Drug Price Issues Expansion of Telehealth Services Vision Research Funding and proposed policy changes for federal research programs Step therapy requirements reforms Medicare Coverage for Low Vision Devices Modifications for federal student loan programs Modifications to the Medicaid Program H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 Healthcare Workforce Issues S. 864, the Help Ensure Lower Patient Copays Act (HELP Copays Act) S. 1105, the No Upcode Act Funding for the Pediatric Specialty Loan Repayment Program H.R. 2527, the Early Detection of Vision Impairments for Children Act of 2024 (EDVI Act) H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 H.R. 3514/S. 1816- The Improving Seniors Timely Access to Care Act H.R. 7520, the Efficiency Adjustment Delay Act H.R. 3277/S. 16776, the Ensuring Lasting Smiles Act Veterans: Vision Center of Excellence funding/support Provision of vision care within VA health systems Defense: Vision Center of Excellence funding/support NIH/Defense, vision related research funding

Reported lobbying issue

Medicare/Medicaid: Medicare Physician Payment Reform; in general; Mitigating cuts for Medicare Part B cuts; in general; Concerns regarding Expansion of Prior Authorization in Medicare FFS; H.R. 879/S. 1640, the Medicare Patient Access and Practice Stabilization Act; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act; H.R. 3514/S.1816, the Improving Seniors Timely Access to Care Act; H.R. 539/S. 106, the Chiropractic Medicare Coverage Modernization Act; H.R. 4731/S. 2439, Resident Physician Shortage Reduction Act; H.R. 4681/S. 1380, the Specialty Physicians Advancing Rural Care (SPARC) Act; H.R. 7520, the Efficiency Adjustment Delay Act; H.R. 1616/S. 1805, the Promoting Access to Diabetic Shoes Act; H.R. 8163, the Provider Reimbursement Stability Act of 2026 Expansion of Physician Workforce/surgical workforce shortages; in general Budget/Appropriations: Support for continued funding for medical research; Support for continued funding for health-related agencies; Issues relating to FY27 appropriations, including: peripheral artery disease (PAD) education and screening language in LHHS Reports Health 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 and preventative medical care Expansion of Physician Workforce/surgical workforce shortages; in general Education: Preserving Federal Loan Access for Physicians and Other Health Professionals Under OBBBA Implementation; S. 942/H.R. 2028, the Resident Education Deferred Interest (REDI) Act; H.R. 4681/S. 1380, the Specialty Physicians Advancing Rural Care (SPARC) Act Expansion of Physician Workforce/surgical workforce shortages; in general

Reported lobbying issue

Medicare/Medicaid: Oppose Centers for Medicare and Medicaid Services' (CMS) proposal to implement an efficiency adjustment to Medicare Physician Fee Schedule payments. Support the Efficiency Adjustment Delay Act (H.R. 7520), which would stop the application of an efficiency adjustment until at least January 1, 2030. Oppose the CMS practice expense site differential proposal (no specific legislation) Ask Congress to amend Section 1847A(c)(4) of the Social Security Act to extend the Secretary of Health and Human Services authority to use the wholesale acquisition cost (WAC) plus 3% as the reimbursement methodology for drugs under Medicare Part B until the Average Sales Price (ASP) reaches sustainable levels, as determined by the Secretary. This change will allow biosimilars administered in office settings to be reimbursed adequately so that physicians can afford to prescribe and administer biosimilars. (No specific legislation) Support the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) to codify CMS prior authorization regulations for MA plans and require greater transparency of prior authorization processes Health Issues: Oppose the Patients Deserve Price Tags Act (S. 2355), specifically Section 5.

Reported lobbying issue

Medicare/Medicaid: Support the Efficiency Adjustment Delay Act (H.R. 7520), which would stop the application of an efficiency adjustment until at least January 1, 2030.

Reported lobbying issue

Medicare/Medicaid: Support the Efficiency Adjustment Delay Act (H.R. 7520), which would stop the application of an efficiency adjustment until at least January 1, 2030. Support the Resident Physician Shortage Reduction Act (H.R. 4731 / S. 2439) Health Issues: Support the Fair Access in Residency (FAIR) Act (S. 2715 / H.R. 2314) to facilitate training of osteopathic medical students Support the Community Training, Education, and Access for Medical Students Act (H.R. 3885 / S. 3989)

Reported lobbying issue

Education: H.R.2028-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. S.942-REDI Act, to amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program Alcohol and Drug Abuse: Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose H.R. 2483-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder S.921-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl testing for patients experiencing an overdose S. 2121-Support for Patients and Communities Reauthorization Act, to reauthorize grants and programs to address opioid and substance use disorder S. 3522-No Red Tape for Addiction Treatment Act, to require that State Medicaid programs provide at least one formulation of each type of medication for the treatment of opioid use disorder without prior authorization or limitations on dosage Budget/Appropriations: Federal funding to implement Preventing Overdoses While in Emergency Rooms (POWER) program Federal funding to implement MISSION ZERO program Federal funding to for firearm safety and injury prevention research Federal funding to implement Emergency Medical Services for Children (EMSC) Federal funding for emergency medicine research activities Federal funding for implementation of Dr. Lorna Breen Health Care Provider Protection Act H.R. 5371, Continuing Appropriations and Extension Act, 2026, to provide appropriations for federal agencies and extend several public health, Medicare, and Medicaid authorities and programs H.R.7148-Consolidated Appropriations Act, 2026, to provide appropriations for federal agencies and extend several public health, Medicare, and Medicaid authorities and programs Disaster Planning/Emergencies: Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency Reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA) Firearms/Guns/Ammunition: Federal funding for firearms safety and injury prevention research Firearms safety and injury prevention policy H.R.5178-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease S. 1595-Sickle Cell Disease Comprehensive Care Act, to enable State Medicaid programs to provide comprehensive, coordinated care through a health home to individuals with sickle cell disease Health Issues: Reproductive health, physician-patient relationship, and EMTALA issues Emergency department boarding Drug shortages Health care consolidation H.R. 929-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers H.R. 1254-Rural Obstetrics Readiness Act, to improve obstetric emergency care H.R. 2414-To reauthorize the MISSION ZERO military-civilian partnership for trauma readiness H.R. 2936-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes H.R. 3134-Emergency Care Improvement Act, to permanently allow for coverage under Medicare and Medicaid of services that are provided by freestanding emergency centers H.R. 3443-When Minutes Count for Emergency Medical Patients Act, to create a model, and to direct the Medicare Payment Advisory Commission to carry out a study and report with respect to Medicare payment for emergency medical services H.R. 3980-Streamline Emergency Care Act, to authorize the Secretary of Health and Human Services to award grants for expanding, modernizing, or streamlining emergency department operations S. 266-Dr. Lorna Breen Health Care Provider Protection Act, to reauthorize programs to improve mental health access for health care providers S. 380- Rural Obstetrics Readiness Act, to improve obstetric emergency care S. 1974-Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes Insurance: No Surprises Act implementation Eliminating prior authorization requirements in Medicare Advantage H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R. 3514-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans H.R. 4710-No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements. S. 1816-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans S. 2420- No Surprises Act Enforcement Act, to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements Labor Issues/Antitrust/Workplace: Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements Medical/Disease Research/Clinical Labs: Federal funding for emergency medicine research activities Medicare/Medicaid: Physician payment reform Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage H.R. 1-One Big Beautiful Bill Act, to provide for reconciliation pursuant to title II of H. Con. Res. 14 H.R. 539-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities H.R. 879- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes H.R.1968-Full-Year Continuing Appropriations and Extensions Act, to provide appropriations for federal departments and agencies and to provide an increase for the calendar year 2024 physician fee schedule conversion factor H.R. 2433-Reducing Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R. 3164-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services H.R. 4206-CONNECT for Health Act, to expand access to telehealth services H.R. 6160-Strengthening Medicare for Patients and Providers Act, provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index H.R. 6721-Medicare Advance Planning for Care Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive H.R. 7520-Efficiency Adjustment Delay Act, to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule H.R. 8163-Provider Reimbursement Stability Act, ensure stability for provider payments under the Medicare program S. 106-Chiropractic Medicare Coverage Modernization Act of 2025, to amend title XVIII of the Social Security Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. S.1261-CONNECT for Health Act, to expand access to telehealth services S. 1640- Medicare Patient Access and Practice Stabilization Act of 2025, to address the 2025 Medicare Physician Fee Schedule cuts and increaser support for physicians and other practitioners in adjusting to Medicare payment changes S. 2426-Ensuring Community Access to Pharmacist Services Act (ECAPS) Act, to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services S. 3473-Medicare Advance Planning for Care Act, to encourage Medicare beneficiaries to voluntarily adopt advance directives guiding the medical care they receive Law Enforcement/Crime/Criminal Justice: Fentanyl analogues scheduling extension H.R. 3178-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care workers H.R. 5864-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds S. 1595-Improving Police CARE Act, to provide standards for trauma kits purchased using Byrne JAG grant funds S. 1600-Save Healthcare Workers Act, to establish federal criminal penalties for violence against health care workers Aviation/Airlines/Airports: Updating first aid and emergency medical kits and flight crew training requirements Transportation: H.R. 2992-Preventing Roadside and Work Zone Deaths Act, to require the Department of Transportation to collect, analyze, compile, and publish accurate, detailed data on disabled roadside vehicle crashes and work zone crashes to develop a strategic plan to stop these incidents.

Reported lobbying issue

Insurance: The Safe Step Act (H.R. 5509/S. 2093) requires group health plans regulated by the Employee Retirement Income Security Act (ERISA) to provide a clear exception process for any medication step therapy protocol. Medicare/Medicaid: Medicare physician reimbursement and the importance of long-term structural reform to the reimbursement system, including the Provider Reimbursement Stability Act (H.R. 8163), the Strengthening Medicare for Patients and Providers Act (H.R. 6160) and the Efficiency Adjustment Delay Act (H.R. 7520). Health Issues: Medicare physician reimbursement and the importance of long-term structural reform to the reimbursement system, including the Provider Reimbursement Stability Act (H.R. 8163), the Strengthening Medicare for Patients and Providers Act (H.R. 6160) and the Efficiency Adjustment Delay Act (H.R. 7520) The Safe Step Act (H.R. 5509/S. 2903) requires group health plans regulated by the Employee Retirement Income Security Act (ERISA) to provide a clear exception process for any medication step therapy protocol. The Specialty Physicians Advancing Rural Care (SPARC) Act (S. 1380; H.R. 4681), a bill designed to increase access to specialty care services in rural areas. Expanding the definition of a preventive service to surveillance colonoscopy. Efforts to secure appropriations language that guides action at the U.S. Department of Health and Human Services. Opposing National Institutes of Health (NIH) research cuts. Medical/Disease Research/Clinical Labs: Opposing National Institutes of Health (NIH) research cuts

Reported lobbying issue

Labor Issues/Antitrust/Workplace: H.R. 929 Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act: To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Budget/Appropriations: H.R. 4016 Department of Defense Appropriations Act of 2026: This bill provides FY2026 appropriations to the Department of Defense (DOD) for military activities. Medicare/Medicaid: H.R. 879 Medicare Patient Access and Practice Stabilization Act: To amend title XVIII of the Social Security Act to increase support for physicians and other practitioners in adjusting to Medicare payment changes. H.R. 2433 Reducing Medically Unnecessary Delays in Care Act: To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program. H.R. 2191 Physician Led and Rural Access to Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1390 Physician Led and Rural Access to Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals. H.R. 751 HEALTH Panel Act: To amend the Congressional Budget and Impoundment Control Act of 1974 to codify the Panel of Health Advisors within the Congressional Budget Office, and for other purposes H.R. 1407 Permanent Telehealth from Home Act: To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services under the Medicare program. H.R. 2028 REDI Act: To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. S. 942 REDI Act: To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. H.R. 3514 Improving Seniors' Access to Timely 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. S. 1816: Improving Seniors' Access to Timely 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. H.R. 7520: Efficiency Adjustment Delay Act: To amend title XVIII of the Social Security Act to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule.