Youth Sports Facilities Act of 2025

Reported lobbying issue

Telecommunications: Issues related to the availability and appropriate uses of commercial spectrum, the integrity and security of commercial networks, broadband availability, pricing and permitting, universal service, privacy, telecommunications supply chain security, implementation and reauthorization of the Nationwide Broadband Public Safety Network operated by the First Responder Network Authority, next generation-911, legislation designed to streamline broadband infrastructure deployment and permit placement of wireless towers on federal property. S 259 Foreign Adversary Communications Transparency (FACT) Act, issues related to foreign ownership interests S 323/HR 2850 PLAN for Broadband Act, all provisions S 866 Accelerating Broadband Permits Act, all provisions S 1337 Cybersecurity Information Sharing Extension Act, provisions related to liability protections HR 1343 Federal Broadband Deployment Tracking Act, all provisions S 1396, Content Origin Protection and Integrity from Edited and Deepfaked Media Act (COPIED ACT), provisions impacting internet and communications service providers HR 1519 Public Safety Communications Act, all provisions HR 1541Wireless Broadband Competition and Efficient Deployment Act, all provisions HR 1681, Expediting Federal Broadband Deployment Act, all provisions HR 1870SPEED for BEAD Act, all provisions S 1829/ HR 3921, Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment Act (STOP CSAM Act), provisions impacting internet and communications service providers HR 1975 BEAD FEE Act, all provisions HR 2171Spectrum Coordination Act, all provisions S 2253, Unsubscribe Act, provisions impacting internet and communications service providers S 2316/HR 4518, Cooper Davis and Devin Norring Act, provisions impacting internet and communications service providers S 2480, Telecom Cybersecurity Transparency Act, provisions impacting internet and communications service providers HR 2449 FUTURE Networks Act, all provisions HR 2482NTIA Reauthorization Act, all provisions S 1137/HR 2350Cellphone Jamming Reform Act, all provisions S 1269 Promoting US Standards bill and Countering Foreign Adversary Influence in Standards Act, all provisions HR 2298Reducing Barriers for Broadband on Federal Lands Act, all provisions HR 2289Proportional Reviews for Broadband Deployment Act, all provisions S 2455, TRAIN Act, provisions impacting internet and communications service providers S 2585, MAP for Broadband Funding Act, all provisions S 2666, Foreign Robocall Elimination Act, provisions impacting internet and communications service providers S 2714, CHAT Act, provisions impacting internet and communications service providers HR 2750, Bridging the Broadband Gap Act, all provisions S 2750, Strengthening Artificial intelligence Normalization and Diffusion By Oversight and eXperimentation Act (SANDBOX Act), provisions impacting internet and communications service providers HR 2805 PLAN for Broadband Act, all provisions HR 2817 Coastal Broadband Deployment Act, all provisions HR 2975 Broadband Incentives for Communities Act, all provisions S 2983 Extending Expired Cybersecurity Authorities Act, provisions related to liability protections HR 3125 Rural Broadband Assistance Act, all provisions S 3199 988 Lifeline Location Improvement Act of 2026, issues related to telecommunications service providers S 3268/HR 6046 Broadband and Telecommunications RAIL Act, all provisions HR 3479 SECURE Americans Telecommunications Act, all provisions S 3639 Satellite Streamlining, all provisions HR 3825 Kelsey Smith Act, all provisions HR 4032 Lowering Broadband Costs for Consumers Act, all provisions S 4448, Accelerating Broadband Permits Act, all provisions S. 4691, Disaster Communications Coordination and Preparedness Act, all provisions HR 4950, Data Broadband Reporting and Integration for Deployment in Geographically Essential Areas Act, provisions impacting internet and communications service providers HR 5079, Widespread Information Management for the Welfare of Infrastructure and Government Act, provisions related to liability protections HR 5200 Emergency Reporting Act, all provisions HR 5266 5G UPGRADE ACT, all provisions HR 6505/S 4062 Next Generation 9-1-1 Act, all provisions HR 7022 Mystic Alerts Act, all provisions HR 7386 First Responder Network Authority Reauthorization Act, all provisions HR 7422 Keep it Moving Act, all provisions HR 7757, KIDS Ac, provisions related to carrier obligations HR 7833 AI-Ready Networks Act, all provisions HR 8320, USA 6G Global Leadership Act, all provisions HR 8413, the SECURE Data Act, provisions related to carrier obligations Working draft bill on Voluntary Telecom Sector Cybersecurity Best Practices Draft, Provide Rigorous Oversight To Optimize Connectivity and Offset Latency Act, all provisions Draft, Reauthorization of Cybersecurity Information Act of 2015, provisions related to liability protections Draft, Outage Refund Reporting Act, all provisions Draft, Spectrum Relocation Enhancement Act, issues related to relocation of federal spectrum Draft, CLOSE THE GAP Act, issues related to permitting Taxation/Internal Revenue Code: S 674 Broadband Grant Tax Treatment Act, all provisions HR 1873Broadband Grant Tax Treatment Act, all provisions Trade (domestic/foreign): Issues related to trade policy Copyright/Patent/Trademark: Issues related to updates to DMCA and proposals associated with ISP site blocking to address online piracy HR 791 Foreign Anti-Digital Piracy Act, all provisions Draft, Block BEARD Act, all provisions Financial Institutions/Investments/Securities: S 4784 To authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes, section 815

Reported lobbying issue

Telecommunications: Issues related to the availability and appropriate uses of commercial spectrum, the integrity and security of commercial networks, broadband availability, pricing and permitting, universal service, privacy, telecommunications supply chain security, implementation and reauthorization of the Nationwide Broadband Public Safety Network operated by the First Responder Network Authority, next generation-911, legislation designed to streamline broadband infrastructure deployment and permit placement of wireless towers on federal property. S 259 Foreign Adversary Communications Transparency (FACT) Act, issues related to foreign ownership interests S 323/HR 2850 PLAN for Broadband Act, all provisions S 866 Accelerating Broadband Permits Act, all provisions S 1337 Cybersecurity Information Sharing Extension Act, provisions related to liability protections HR 1343 Federal Broadband Deployment Tracking Act, all provisions S 1396, Content Origin Protection and Integrity from Edited and Deepfaked Media Act (COPIED ACT), provisions impacting internet and communications service providers HR 1519 Public Safety Communications Act, all provisions HR 1541Wireless Broadband Competition and Efficient Deployment Act, all provisions HR 1681, Expediting Federal Broadband Deployment Act, all provisions HR 1870SPEED for BEAD Act, all provisions S 1829/ HR 3921, Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment Act (STOP CSAM Act), provisions impacting internet and communications service providers HR 1975 BEAD FEE Act, all provisions HR 2171Spectrum Coordination Act, all provisions S 2253, Unsubscribe Act, provisions impacting internet and communications service providers S 2316/HR 4518, Cooper Davis and Devin Norring Act, provisions impacting internet and communications service providers S 2480, Telecom Cybersecurity Transparency Act, provisions impacting internet and communications service providers HR 2449 FUTURE Networks Act, all provisions HR 2482NTIA Reauthorization Act, all provisions S 1137/HR 2350Cellphone Jamming Reform Act, all provisions S 1269 Promoting US Standards bill and Countering Foreign Adversary Influence in Standards Act, all provisions HR 2298Reducing Barriers for Broadband on Federal Lands Act, all provisions HR 2289Proportional Reviews for Broadband Deployment Act, all provisions S 2455, TRAIN Act, provisions impacting internet and communications service providers S 2585, MAP for Broadband Funding Act, all provisions S 2666, Foreign Robocall Elimination Act, provisions impacting internet and communications service providers S 2714, CHAT Act, provisions impacting internet and communications service providers HR 2750, Bridging the Broadband Gap Act, all provisions S 2750, Strengthening Artificial intelligence Normalization and Diffusion By Oversight and eXperimentation Act (SANDBOX Act), provisions impacting internet and communications service providers HR 2805 PLAN for Broadband Act, all provisions HR 2817 Coastal Broadband Deployment Act, all provisions HR 2975 Broadband Incentives for Communities Act, all provisions S 2983 Extending Expired Cybersecurity Authorities Act, provisions related to liability protections HR 3125 Rural Broadband Assistance Act, all provisions S 3199 988 Lifeline Location Improvement Act of 2026, issues related to telecommunications service providers S 3268/HR 6046 Broadband and Telecommunications RAIL Act, all provisions HR 3479 SECURE Americans Telecommunications Act, all provisions S 3639 Satellite Streamlining, all provisions HR 3825 Kelsey Smith Act, all provisions HR 4032 Lowering Broadband Costs for Consumers Act, all provisions HR 4950, Data Broadband Reporting and Integration for Deployment in Geographically Essential Areas Act, provisions impacting internet and communications service providers HR 5079, Widespread Information Management for the Welfare of Infrastructure and Government Act, provisions related to liability protections HR 5200 Emergency Reporting Act, all provisions HR 5266 5G UPGRADE ACT, all provisions HR 6505/S 4062 Next Generation 9-1-1 Act, all provisions HR 7022 Mystic Alerts Act, all provisions HR 7386 First Responder Network Authority Reauthorization Act, all provisions HR 7422 Keep it Moving Act, all provisions HR 7833 AI-Ready Networks Act, all provisions Working draft bill on Voluntary Telecom Sector Cybersecurity Best Practices Draft, Provide Rigorous Oversight To Optimize Connectivity and Offset Latency Act, all provisions Draft, Reauthorization of Cybersecurity Information Act of 2015, provisions related to liability protections Draft, Outage Refund Reporting Act, all provisions Draft, Spectrum Relocation Enhancement Act, issues related to relocation of federal spectrum Draft, CLOSE THE GAP Act, issues related to permitting Taxation/Internal Revenue Code: PL 119-21, One Big Beautiful Bill Act, Title VII, Subtitle A, corporate tax provisions S 187 ALIGN Act, all provisions S 674 Broadband Grant Tax Treatment Act, all provisions HR 1347AIMM Act, all provisions HR 1873Broadband Grant Tax Treatment Act, all provisions Trade (domestic/foreign): Issues related to trade policy Copyright/Patent/Trademark: Issues related to updates to DMCA and proposals associated with ISP site blocking to address online piracy HR 791 Foreign Anti-Digital Piracy Act, all provisions Draft, Block BEARD Act, all provisions

Reported lobbying issue

Taxation/Internal Revenue Code: Lobbying on the following specific bills: S. 187 - Accelerate Long-Term Investment Growth Now Act (ALIGN Act) (all provisions); S. 674 Broadband Grant Tax Treatment Act (all provisions); PL 119-21, One Big Beautiful Bill Act (Title VII, Subtitle A, corporate tax provisions); H.R. 1347 - American Investment in Manufacturing (AIM) Act, all provisions; and H.R. 1873 - Broadband Grant Tax Treatment Act (all provisions). Telecommunications: General lobbying communications on the following issues: availability and appropriate uses of commercial spectrum; the integrity and security of commercial communications networks; broadband availability, pricing and permitting; universal service; privacy; telecommunications supply chain security; implementation and reauthorization of the Nationwide Broadband Public Safety Network operated by the First Responder Network Authority; Next Generation 911; and legislation designed to streamline broadband infrastructure deployment and permit placement of wireless tower facilities on federal property. Lobbying on the following bills: S 259 - Foreign Adversary Communications Transparency (FACT) Act (foreign ownership issues); S 323/H.R. 2850 - PLAN for Broadband act (all provisions); S 866 Accelerating Broadband Permits Act (all provisions); S 1137/H.R. 2350 - Cellphone Jamming Reform Act (all provisions); S. 1269 - Promoting US Standards and Countering Foreign Adversary Influence on Standards Act (all provisions); S 1337 Cybersecurity Information Sharing Extension Act (provisions related to liability protections); S 1396 - Content Origin Protection and Integrity from Edited and Deepfaked Media Act (COPIED ACT) (provisions impacting Internet and Communications Service Providers); S 1829/HR 3921 - Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM Act) (provisions impacting Internet and communications service providers); S 2171 - Spectrum Coordination Act (all provisions); S 2253 - Unsubscribe Act (provisions impacting Internet and communications service providers); S 2316/*H.R. 4518 - Cooper Davis and Devin Norring Act (provisions impacting Internet and communications service providers); S 2455 - TRAIN Act (provisions impacting Internet and communications service providers); S 2480 - Telecom Cybersecurity Transparency Act (provisions impacting Internet and communications service providers); S 2585 - MAP for Broadband Funding Act (all provisions); S 2666 - Foreign Robocall Elimination Act (provisions impacting Internet and communications service providers); S 2714 - CHAT Act (provisions impacting Internet and communications service providers); S 2750 - Strengthening Artificial Intelligence Normalization and Diffusion by Oversight and Experimentation Act (Sandbox Act) (provisions impacting Internet and communications service providers); S 2983 - Extending Expired Cybersecurity Authorities Act (provisions related to liability protections); S. 3199 - Lifeline Location Improvement Act of 2026 (issues related to telecommunications service providers); S 3268/HR 6046 - Broadband and Telecommunications RAIL Act (all provisions); S. 3639 - Satellite Streamlining Act (all provisions); S. 4448 - Accelerating Broadband Permits Act (all provisions); S. 4691 - Disaster Communications and Preparedness Act (all provisions); HR 1343 - Federal Broadband Deployment Tracking Act (all provisions); HR 1519 - Public Safety Communications Act (all provisions); HR 1541 - Wireless Broadband Competition and Efficient Deployment Act (all provisions); HR 1681 - Expediting Federal Broadband Deployment Act (all provisions); HR 1870 - SPEED for BEAD Act (all provisions); HR 1975 - BEAD FEE Act (all provisions); HR 2171 - Spectrum Coordination Act (all provisions); HR 2289 - Proportional Reviews for Broadband Deployment Act (all provisions); HR 2298 - Reducing Barriers to Broadband on Federal Lands Act (all provisions); HR 2449 - FUTURE Networks Act (all provisions); HR 2482 - NTIA Reauthorization Act (all provisions); HR 2750 -- Bridging the Broadband Gap Act (all provisions); HR 2805 -- PLAN for Broadband Act (all provisions); HR 2817 -- Coastal Broadband Deployment Act (all provisions); HR 2975 -- Broadband Incentives for Communities Act (all provisions); HR 3125 -- Rural Broadband Assistance Act (all provisions); HR 3479 -- SECURE Americans Telecommunications Act (all provisions); HR 3825 -- Kelsey Smith Act (all provisions); HR 4032 - Lowering Broadband Costs for Consumers Act (all provisions); HR 4950 - Data Broadband Reporting and Integration for Deployment in Geographically Essential Areas Act (provisions impacting Internet and communications service providers); HR 5079 - Widespread Information Management for the Welfare of Infrastructure and Government Act (provisions related to liability protections); HR 5200 - Emergency Reporting Act (all provisions); HR 5266 - 5G UPGRADE ACT (all provisions); HR 6505/S. 4062 - Next Generation 9-1-1 Act (all provisions); HR 7022 - Mystic Alerts Act (all provisions); HR 7386 - First Responder Network Reauthorization Act (all provisions) HR 7422 - Keep It Moving Act (all provisions); HR 7757 - KIDS Act (provisions related to carrier obligations); HR 7833 - AI-Ready Networks Act (all provisions); HR 8320 - USA 6G Global Leadership Act (all provisions); HR 8413 - SECURE Data Act (provisions related to carrier obligations); Working Draft bill on Voluntary Telecom Sector Cybersecurity Best Practices (all provisions); Draft, Provide Rigorous Oversight to Optimize Connectivity and Offset Latency Act (all provisions); Draft, Reauthorization of Cybersecurity Information Act of 2015 (liability protection provisions); Draft, Outage Refund and Reporting Act (all provisions); Draft, Spectrum Relocation Enhancement Act (issues related to relocation of federal spectrum); and Draft, CLOSE THE GAP Act (issues related to permitting).

Reported lobbying issue

Taxation/Internal Revenue Code: Lobbying on the following specific bills: S. 187 - Accelerate Long-Term Investment Growth Now Act (ALIGN Act) (all provisions); S. 674 Broadband Grant Tax Treatment Act (all provisions); PL 119-21, One Big Beautiful Bill Act (Title VII, Subtitle A, corporate tax provisions); H.R. 1347 - American Investment in Manufacturing (AIM) Act, all provisions; and H.R. 1873 - Broadband Grant Tax Treatment Act (all provisions). Telecommunications: General lobbying communications on the following issues: availability and appropriate uses of commercial spectrum; the integrity and security of commercial communications networks; broadband availability, pricing and permitting; universal service; privacy; telecommunications supply chain security; implementation and reauthorization of the Nationwide Broadband Public Safety Network operated by the First Responder Network Authority; Next Generation 911; and legislation designed to streamline broadband infrastructure deployment and permit placement of wireless tower facilities on federal property. Lobbying on the following bills: S 259 - Foreign Adversary Communications Transparency (FACT) Act (foreign ownership issues); S 323/H.R. 2850 - PLAN for Broadband act (all provisions); S 866 Accelerating Broadband Permits Act (all provisions); S 1137/H.R. 2350 - Cellphone Jamming Reform Act (all provisions); S. 1269 - Promoting US Standards and Countering Foreign Adversary Influence on Standards Act (all provisions); S 1337 Cybersecurity Information Sharing Extension Act (provisions related to liability protections); S 1396 - Content Origin Protection and Integrity from Edited and Deepfaked Media Act (COPIED ACT) (provisions impacting Internet and Communications Service Providers); S 1829/HR 3921 - Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment (STOP CSAM Act) (provisions impacting Internet and communications service providers); S 2253 - Unsubscribe Act (provisions impacting Internet and communications service providers); S 2316/H.R. 4518 - Cooper Davis and Devin Norring Act (provisions impacting Internet and communications service providers); S 2455 - TRAIN Act (provisions impacting Internet and communications service providers); S 2480 - Telecom Cybersecurity Transparency Act (provisions impacting Internet and communications service providers); S 2585 - MAP for Broadband Funding Act (all provisions); S 2666 - Foreign Robocall Elimination Act (provisions impacting Internet and communications service providers); S 2714 - CHAT Act (provisions impacting Internet and communications service providers); S 2750 - Strengthening Artificial Intelligence Normalization and Diffusion by Oversight and Experimentation Act (Sandbox Act) (provisions impacting Internet and communications service providers); S 2983 - Extending Expired Cybersecurity Authorities Act (provisions related to liability protections); S. 3199 - Lifeline Location Improvement Act of 2026 (issues related to telecommunications service providers); S 3268/HR 6046 - Broadband and Telecommunications RAIL Act (all provisions); S. 3639 - Satellite Streamlining Act (all provisions); HR 1343 - Federal Broadband Deployment Tracking Act (all provisions); HR 1519 - Public Safety Communications Act (all provisions); HR 1541 - Wireless Broadband Competition and Efficient Deployment Act (all provisions); HR 1681 - Expediting Federal Broadband Deployment Act (all provisions); HR 1870 - SPEED for BEAD Act (all provisions); HR 1975 - BEAD FEE Act (all provisions); HR 2171 - Spectrum Coordination Act (all provisions); HR 2289 - Proportional Reviews for Broadband Deployment Act (all provisions); HR 2298 - Reducing Barriers to Broadband on Federal Lands Act (all provisions); HR 2449 - FUTURE Networks Act (all provisions); HR 2482 - NTIA Reauthorization Act (all provisions); HR 2750 -- Bridging the Broadband Gap Act (all provisions); HR 2805 -- PLAN for Broadband Act (all provisions); HR 2817 -- Coastal Broadband Deployment Act (all provisions); HR 2975 -- Broadband Incentives for Communities Act (all provisions); HR 3125 -- Rural Broadband Assistance Act (all provisions); HR 3479 -- SECURE Americans Telecommunications Act (all provisions); HR 3825 -- Kelsey Smith Act (all provisions); HR 4032 - Lowering Broadband Costs for Consumers Act (all provisions); HR 4950 - Data Broadband Reporting and Integration for Deployment in Geographically Essential Areas Act (provisions impacting Internet and communications service providers); HR 5079 - Widespread Information Management for the Welfare of Infrastructure and Government Act (provisions related to liability protections); HR 5200 - Emergency Reporting Act (all provisions); HR 5266 - 5G UPGRADE ACT (all provisions); HR 6505/S. 4062 - Next Generation 9-1-1 Act (all provisions); HR 7022 - Mystic Alerts Act (all provisions); HR 7386 - First Responder Network Reauthorization Act (all provisions) HR 7422 - Keep It Moving Act (all provisions); HR 7833 - AI-Ready Networks Act (all provisions); Working Draft bill on Voluntary Telecom Sector Cybersecurity Best Practices (all provisions); Draft, Provide Rigorous Oversight to Optimize Connectivity and Offset Latency Act (all provisions); Draft, Reauthorization of Cybersecurity Information Act of 2015 (liability protection provisions); Draft, Outage Refund and Reporting Act (all provisions); Draft, Spectrum Relocation Enhancement Act (issues related to relocation of federal spectrum); and Draft, CLOSE THE GAP Act (issues related to permitting).

Reported lobbying issue

Budget/Appropriations: H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to Alternative Payment Models (APMs) H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 5371, Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026, provisions relating to telehealth, Affordable Care Act (ACA) premium tax credits S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3204, Preventive Health Savings Act, all provisions FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding H.R. 1197, PREEMIE Reauthorization Act of 2025, all provisions H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions Womens health research funding/reproductive health/fertility treatments FY27 Gun Violence Prevention Research Funding Appropriations GME funding/teaching health centers Education: H.R. 2028, Resident Education Deferred Interest (REDI) Act, all provisions S. 942, Resident Education Deferred Interest (REDI) Act, all provisions H.R. 2314, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates S. 2715, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates S. 632, IHS Workforce Parity Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to Graduate Medical Education, and student loans H.R. 3890, Resident Physician Shortage Reduction Act of 2025, all provisions S. 2439, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4681, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions H.R. 6468, Rural Residency Planning and Development Act of 2025, all provisions H.R. 3885, Community Training, Education, and Access for Medical Students (Community TEAMS) Act of 2025, all provisions S. 632, IHS Workforce Parity Act of 2025, all provisions GME funding/teaching health centers National Health Service Corps (NHSC)/loan repayment programs NHSC Scholarship program Health Issues: H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut Immigration: H.R. 5283, Healthcare Workforce Resilience Act, all provisions S. 2759, Healthcare Workforce Resilience Act, all provisions H.R. 1585, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 1201, Doctors in our Borders Act, all provisions S. 2650, DOCTORS Act, all provisions H.R.7964, Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions H.R. 7961, H-1Bs for Physicians and the Healthcare Workforce Act, all provisions Duration of status for J-1 visa physicians H-1B visa/filing fee/regulatory changes H-1B and J-1 visas/administrative pause Foreign Medical Graduates (FMGs)/pathways to citizenship Proclamation 10998/Physician exemption Indian/Native American Affairs: S. 632, IHS Workforce Parity Act of 2025, all provisions Labor Issues/Antitrust/Workplace: S. 527, Prescription Pricing for the People Act of 2025, all provisions S. 232, Preventing Algorithmic Collusion Act of 2025, all provisions S. 3822, Break Up Big Medicine Act, all provisions Health insurance/competition Consolidation in health care markets Medicare/Medicaid: H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption Taxation/Internal Revenue Code: H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6575, CommonGround for Affordable Health Care Act, provisions related to ACA tax credits H.R. 6501, Bipartisan Health Insurance Affordability Act, provisions related to ACA premium tax credits Draft/Enhanced Premium Tax Credits extension Community preceptors for medical students and residents/National tax credit or deduction Torts: Medical liability insurance Veterans: H.R. 4837, Written Informed Consent Act, all provisions H.R. 3951, Rural Veterans Improved Access to Benefits Act of 2025, all provisions Community care providers/External Provider Scheduling (EPS) program Standardized protocols for identifying veterans in patient populations Shaving waivers

Reported lobbying issue

Budget/Appropriations: H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to Alternative Payment Models (APMs) H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 5371, Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026, provisions relating to telehealth, Affordable Care Act (ACA) premium tax credits S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3204, Preventive Health Savings Act, all provisions FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding H.R. 1197, PREEMIE Reauthorization Act of 2025, all provisions H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions Womens health research funding/reproductive health/fertility treatments FY27 Gun Violence Prevention Research Funding Appropriations GME funding/teaching health centers Education: H.R. 2028, Resident Education Deferred Interest (REDI) Act, all provisions S. 942, Resident Education Deferred Interest (REDI) Act, all provisions H.R. 2314, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates S. 2715, Fair Access In Residency (FAIR) Act, provisions to the MATCH, and foreign medical graduates S. 632, IHS Workforce Parity Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to Graduate Medical Education, and student loans H.R. 3890, Resident Physician Shortage Reduction Act of 2025, all provisions S. 2439, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions H.R. 4681, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions H.R. 6468, Rural Residency Planning and Development Act of 2025, all provisions H.R. 3885, Community Training, Education, and Access for Medical Students (Community TEAMS) Act of 2025, all provisions S. 632, IHS Workforce Parity Act of 2025, all provisions GME funding/teaching health centers National Health Service Corps (NHSC)/loan repayment programs NHSC Scholarship program Health Issues: H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut Immigration: H.R. 5283, Healthcare Workforce Resilience Act, all provisions S. 2759, Healthcare Workforce Resilience Act, all provisions H.R. 1585, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 1201, Doctors in our Borders Act, all provisions S. 2650, DOCTORS Act, all provisions H.R.7964, Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions H.R. 7961, H-1Bs for Physicians and the Healthcare Workforce Act, all provisions Duration of status for J-1 visa physicians H-1B visa/filing fee/regulatory changes H-1B and J-1 visas/administrative pause Foreign Medical Graduates (FMGs)/pathways to citizenship Proclamation 10998/Physician exemption Indian/Native American Affairs: S. 632, IHS Workforce Parity Act of 2025, all provisions Labor Issues/Antitrust/Workplace: S. 527, Prescription Pricing for the People Act of 2025, all provisions S. 232, Preventing Algorithmic Collusion Act of 2025, all provisions S. 3822, Break Up Big Medicine Act, all provisions Health insurance/competition Consolidation in health care markets Medicare/Medicaid: H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption Taxation/Internal Revenue Code: H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6575, CommonGround for Affordable Health Care Act, provisions related to ACA tax credits H.R. 6501, Bipartisan Health Insurance Affordability Act, provisions related to ACA premium tax credits Draft/Enhanced Premium Tax Credits extension Community preceptors for medical students and residents/National tax credit or deduction Torts: Medical liability insurance Veterans: H.R. 4837, Written Informed Consent Act, all provisions H.R. 3951, Rural Veterans Improved Access to Benefits Act of 2025, all provisions Community care providers/External Provider Scheduling (EPS) program Standardized protocols for identifying veterans in patient populations Shaving waivers

Reported lobbying issue

Budget/Appropriations: Federal government funding for highway projects, airport projects, intermodal and freight programs, life sciences programs, broadband, child care, K-12 and higher education, law enforcement programs, agricultural programs, and organized retail crime response. Defense: Issues related to Fairchild AFB. Natural Resources: Columbia-Snake River system dams. Labor Issues/Antitrust/Workplace: Workforce training and availability - no specific legislation. Environment/Superfund: EPA designation rule. Sports/Athletics: H.R. 2850, To amend the Public Works and Economic Development Act of 1965 with respect to the eligibility of youth sports facilities for certain grants, and for other purposes.

Reported lobbying issue

Budget/Appropriations: H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025 H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding Womens health research funding/reproductive health/fertility treatments GME funding/teaching health centers Children's Hospitals Graduate Medical Education (CHGME) Program Reauthorization Education: H.R.2028 - REDI Act, all provisions H.R.2314 - FAIR Act, all provisions H.R.3890 - Resident Physician Shortage Reduction Act of 2025, all provisions H.R.4681 - SPARC Act, all provisions H.R.4731 - Resident Physician Shortage Reduction Act of 2025, all provisions H.R.6468 - Rural Residency Planning and Development Act of 2025, all provisions S.1380 - SPARC Act, all provisions S.2439 - Resident Physician Shortage Reduction Act of 2025, all provisions S.2715 - FAIR Act of 2025, all provisions S.942 - REDI Act, all provisions GME funding/teaching health centers National Health Service Corps (NHSC)/loan repayment programs National Resident Matching Program (MATCH) and foreign international medical graduates NHSC Scholarship program Student Loans Health Issues: H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - 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, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3097 - Health Information Privacy Reform Act, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions S.1419 - Youth Sports Facilities Act of 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition Immigration: H.R.1201 - Doctors in our Borders Act, all provisions H.R.1585 - Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R.5283 - Healthcare Workforce Resilience Act, all provisions H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act, all provisions H.R.7964 - Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions H.R.8335 - PROTECT Act of 2026, all provisions S.2650 - DOCTORS Act, all provisions S.2759 - Healthcare Workforce Resilience Act, all provisions S.4637 - Conrad 30 Physician Workforce Optimization Act, all provisions S.709 - Conrad State 30 and Physician Access Reauthorization Act, all provisions Comment Letter: DOL Docket No. ETA-2026-0001: Improving Wage Protections for the Temporary and Permanent Employment of Certain Foreign Nationals in the United States Alternative pathways to citizenship for foreign international medical graduates Filing fees for physician H-1B visa holders J-1 visa processing for physicians Proclamation 10998/Physician exemption Regulatory changes to duration of status for J-1 physicians. Regulatory changes to processing physician H-1B visas including processing visas for physicians from presidentially banned countries Indian/Native American Affairs: S.632 - IHS Workforce Parity Act of 2025, all provisions Additional funding for Fiscal Year 2027 Indian Health Service Medicare/Medicaid: H.R.1 - An act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (PL 119-21), provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R.1317 - I CAN Act, all provisions H.R.1614 - To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10) H.R.2120 - ROCR Value Based Program Act, all provisions H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions H.R.2902 - SOAR Act of 2025, all provisions H.R.3069 - Medicare for All Act, all provisions H.R.3108 - RPM Access Act, all provisions, all provisions H.R.3514 - Improving Seniors Timely Access to Care Act of 2025, all provisions H.R.3878 - RNs for Rural Health Act of 2025, all provisions H.R.4002 - Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R.4074 - Optimizing Postpartum Outcomes Act of 2025, all provisions H.R.4206 - CONNECT for Health Act of 2025, all provisions H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions H.R.4977 - Connected MOM Act, all provisions H.R.5081 - Telehealth Modernization Act, all provisions H.R.5178 - Sickle Cell Disease Comprehensive Care Act, all provisions H.R.5281 - REAL Health Providers Act, all provisions H.R.5347 - Health Care Efficiency Through Flexibility Act, all provisions H.R.539 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R.5467 - PAAT Act, all provisions H.R.5940 - Seniors Deserve SMARTER Care Act of 2025, all provisions H.R.6160 - Strengthening Medicare for Patients and Providers Act, all provisions H.R.6280 - Access to Genetic Counselor Services Act of 2025, all provisions H.R.7520 - Efficiency Adjustment Delay Act, all provisions H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.7905 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R.8163 - Provider Reimbursement Stability Act of 2026, all provisions H.R.8261 - Chronic Care Management Improvement Act of 2026, all provisions H.R.8375 - Medicare Advantage Improvement Act of 2026, all provisions H.R.8487 - Ensuring Excellence in Mental Health Act, all provisions H.R.8500 - Timely Access to Coverage Decisions Act of 2026, all provisions H.R.8622 - Medicare Physician Data-driven Performance Payment System Act of 2026, all provisions H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S.1031 - ROCR Value Based Program Act, all provisions S.106 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S.1105 - No UPCODE Act, all provisions S.1261 - CONNECT for Health Act of 2025, all provisions S.1399 - Health Tech Investment Act, all provisions S.141 - Connected MOM Act, all provisions S.1460 - Preserving Patient Access to Accountable Care Act, all provisions S.1535 - Rural Patient Monitoring (RPM) Access Act, all provisions S.1640 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S.1816 - Improving Seniors Timely Access to Care Act of 2025, all provisions S.1996 - Medicare Audiology Access Improvement Act of 202, all provisions S.1996 - Medicare Audiology Access Improvement Act of 2025, all provisions S.2709 - Telehealth Modernization Act, all provisions S.3480 - Seniors Deserve SMARTER Care Act of 2025, all provisions S.3607 - Access to Genetic Counselor Services Act of 2026, all provisions S.3750 - REAL Health Providers Act, all provisions S.3762 - Prior Authorization Relief Act, all provisions S.4070 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions S.4384 - Medicare Advantage Improvement Act of 2026, all provisions S.665 - Fatal Overdose Reduction Act of 2025, all provisions S.721 - Sickle Cell Disease Comprehensive Care Act, all provisions S.891 - Bipartisan Health Care Act, all provisions Comment Letter: [CMS 0057 F] 2024 CMS Interoperability and Prior Authorization final rule Comment Letter: [CMS-0062-P] Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges Comment Letter: [CMS-1849-P] Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes Comment Letter: [CMS-9874-NC] Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard Statement for the Record: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms Draft: Artificial intelligence in prior authorization denials by Medicare Advantage organizations Draft: GOLD CARD Act Draft: MACRA/MIPS program reform Draft: Medicare bonus payment for alternative payment model (APM) participation Draft: Medicare Budget Neutrality and MIPS reform Medicaid program: Changes in Children's Health Insurance Program (CHIP) and Affordable Care Act insurance marketplaces Medicaid program: Community engagement/medical frailty exemption Medicaid program: Practice of Medicine Medicaid program: Work requirements, per capita caps, provider taxes, Federal Medical Assistance Percentage (FMAP) changes Medicare and Medicaid programs: LEAD (Long-term Enhanced ACO Design) Model Reform Medicare and Medicaid programs: ACO REACH (Realizing Equity, Access, and Community Health) Model Reform Medicare and Medicaid programs: Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model reform. Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: Evaluation and Management (E/M) codes Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicare and Medicaid programs: Indirect Practice Expense Relative Value Updates (RVU) changes Medicare and Medicaid programs: Interoperability Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: TEAM (Transforming Episode Accountability Model) changes Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Telehealth and Digital Health Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: ACO/APM flexibilities Medicare program: Advanced APM reporting Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: AI services/payment Medicare program: Aligned Networks and interoperability Medicare program: Alternative Payment Models (APMs) Medicare program: Certified electronic health record and PI Medicare program: CJR-X (Comprehensive Care for Joint Replacement Expanded) Model Medicare program: Coding Medicare program: Data privacy/cybersecurity Medicare program: Data-Driven Performance Payment System Medicare program: Digital quality measures Medicare program: G2211 Inherent Complexity Code Medicare program: Health Information Technology/physician burdens Medicare program: Indirect practice expense Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Medicare Diabetes Prevention Program Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare Part D issues Medicare program: Medicare physician payment/budget neutrality Medicare program: MEI Update Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS quality and cost measures Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Promoting Interoperability (PI) Program Medicare program: Provider directories Medicare program: Public Health Reporting and Data Exchange Medicare program: Quality Payment Program Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: RVS Update Committee (RUC) and Current Procedural Terminology (CPT) issues Medicare program: Shared Savings Program Medicare program: Site Neutral Payment Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Taxation/Internal Revenue Code: H.R.9504 - Tax Exempt Hospital Transparency Act, all provisions Torts: H.R.8823 - Putting Patients First by Strengthening Provider Accountability in FECA Act, all provisions S.1767 - Physician and Patient Safety Act, all provisions S.232 - Preventing Algorithmic Collusion Act of 2025, all provisions Independent dispute resolution process Veterans: H.R.2234 - Ensuring Veterans Timely Access to Anesthesia Care Act of 2025, all provisions H.R.4837 - Written Informed Consent Act, all provisions H.R.9237 - Take Care of Americas Veterans Act, all provisions Community care providers/External Provider Scheduling (EPS) program Medical/Disease Research/Clinical Labs: H.R.2767 - BRAIN Act, all provisions H.R.8890 - Enhancing CLIA Act of 2026, all provisions S.1330 - BRAIN Act, all provisions Issues pertaining to National Institutes of Health (NIH) funding and research Pharmacy: S.3822 - Break Up Big Medicine Act, all provisions S.526 - Pharmacy Benefit Manager Transparency Act of 2025, all provisions S.527 - Prescription Pricing for the People Act of 2025, all provisions Draft: Removal of oral phenylephrine from the Food and Drug Administrations over-the-counter monograph and subject such products to the drug approval process under section 505 of the Federal Food, Drug, and Cosmetic Act, and for other purposes Drug Shortages Telecommunications: Digital Health Screeners Act of 2025, all provisions H.R.2794 - NO FAKES Act of 2025, all provisions H.R.8031 - GUARDRAILS Act, all provisions H.R.8413 - SECURE Data Act, all provisions H.R.8915 - NO FAKES Act of 2026, all provisions S.1367 - NO FAKES Act of 2025, all provisions S.4591 - NO FAKES Act of 2026, all provisions S.4916 - Aging with Artificial Intelligence Act of 2026, all provisions Draft: Aging with AI Act Draft: The Republic Unifying Meritocratic Performance Advancing Machine intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI Act) AI oversight Cybersecurity Digital health and the autonomous practice of medicine Mental Health Chatbots/AI Chatbots Prohibiting Physician Deep Fakes U.S. Food and Drug Administration digital health regulation Welfare: H.R.9058 - Residential AED and CPR Preparedness Act of 2026, all provisions Alcohol and Drug Abuse: H.R.1266 - Combating Illicit Xylazine Act, all provisions H.R.1561 - ALERT Communities Act, all provisions H.R.2004 - Tylers Law, all provisions H.R.7970 - STOP Nitazenes Act, all provisions H.R.7994 - HERO Act, all provisions Comment Letter: [2026-11602] HHS Request for Comment on Chronic Disease of Addiction Chronic Disease of Addiction Fentanyl Substance use and mental health

Reported lobbying issue

Taxation/Internal Revenue Code: H.R.9504 - Tax Exempt Hospital Transparency Act, all provisions Torts: H.R.8823 - Putting Patients First by Strengthening Provider Accountability in FECA Act, all provisions S.1767 - Physician and Patient Safety Act, all provisions S.232 - Preventing Algorithmic Collusion Act of 2025, all provisions Independent dispute resolution process Budget/Appropriations: H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025 H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze FY 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, provisions related to Stillbirth Working Groups funding Womens health research funding/reproductive health/fertility treatments GME funding/teaching health centers Children's Hospitals Graduate Medical Education (CHGME) Program Reauthorization Education: H.R.2028 - REDI Act, all provisions H.R.2314 - FAIR Act, all provisions H.R.3890 - Resident Physician Shortage Reduction Act of 2025, all provisions H.R.4681 - SPARC Act, all provisions H.R.4731 - Resident Physician Shortage Reduction Act of 2025, all provisions H.R.6468 - Rural Residency Planning and Development Act of 2025, all provisions S.1380 - SPARC Act, all provisions S.2439 - Resident Physician Shortage Reduction Act of 2025, all provisions S.2715 - FAIR Act of 2025, all provisions S.942 - REDI Act, all provisions GME funding/teaching health centers National Health Service Corps (NHSC)/loan repayment programs National Resident Matching Program (MATCH) and foreign international medical graduates NHSC Scholarship program Student Loans Health Issues: H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - 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, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3097 - Health Information Privacy Reform Act, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions S.1419 - Youth Sports Facilities Act of 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition Immigration: H.R.1201 - Doctors in our Borders Act, all provisions H.R.1585 - Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R.5283 - Healthcare Workforce Resilience Act, all provisions H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act, all provisions H.R.7964 - Halt Immigration from Countries with Inadequate Verification Capabilities Act, all provisions H.R.8335 - PROTECT Act of 2026, all provisions S.2650 - DOCTORS Act, all provisions S.2759 - Healthcare Workforce Resilience Act, all provisions S.4637 - Conrad 30 Physician Workforce Optimization Act, all provisions S.709 - Conrad State 30 and Physician Access Reauthorization Act, all provisions Comment Letter: DOL Docket No. ETA-2026-0001: Improving Wage Protections for the Temporary and Permanent Employment of Certain Foreign Nationals in the United States Alternative pathways to citizenship for foreign international medical graduates Filing fees for physician H-1B visa holders J-1 visa processing for physicians Proclamation 10998/Physician exemption Regulatory changes to duration of status for J-1 physicians. Regulatory changes to processing physician H-1B visas including processing visas for physicians from presidentially banned countries Indian/Native American Affairs: S.632 - IHS Workforce Parity Act of 2025, all provisions Additional funding for Fiscal Year 2027 Indian Health Service Medicare/Medicaid: H.R.1 - An act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (PL 119-21), provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R.1317 - I CAN Act, all provisions H.R.1614 - To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10) H.R.2120 - ROCR Value Based Program Act, all provisions H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions H.R.2757 - Medicare Audiology Access Improvement Act of 2025, all provisions H.R.2902 - SOAR Act of 2025, all provisions H.R.3069 - Medicare for All Act, all provisions H.R.3108 - RPM Access Act, all provisions, all provisions H.R.3514 - Improving Seniors Timely Access to Care Act of 2025, all provisions H.R.3878 - RNs for Rural Health Act of 2025, all provisions H.R.4002 - Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R.4074 - Optimizing Postpartum Outcomes Act of 2025, all provisions H.R.4206 - CONNECT for Health Act of 2025, all provisions H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions H.R.483 - Health Care Efficiency Through Flexibility Act, all provisions H.R.4977 - Connected MOM Act, all provisions H.R.5081 - Telehealth Modernization Act, all provisions H.R.5178 - Sickle Cell Disease Comprehensive Care Act, all provisions H.R.5281 - REAL Health Providers Act, all provisions H.R.5347 - Health Care Efficiency Through Flexibility Act, all provisions H.R.539 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R.5467 - PAAT Act, all provisions H.R.5940 - Seniors Deserve SMARTER Care Act of 2025, all provisions H.R.6160 - Strengthening Medicare for Patients and Providers Act, all provisions H.R.6280 - Access to Genetic Counselor Services Act of 2025, all provisions H.R.7520 - Efficiency Adjustment Delay Act, all provisions H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.7905 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R.8163 - Provider Reimbursement Stability Act of 2026, all provisions H.R.8261 - Chronic Care Management Improvement Act of 2026, all provisions H.R.8375 - Medicare Advantage Improvement Act of 2026, all provisions H.R.8487 - Ensuring Excellence in Mental Health Act, all provisions H.R.8500 - Timely Access to Coverage Decisions Act of 2026, all provisions H.R.8622 - Medicare Physician Data-driven Performance Payment System Act of 2026, all provisions H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S.1031 - ROCR Value Based Program Act, all provisions S.106 - Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S.1105 - No UPCODE Act, all provisions S.1261 - CONNECT for Health Act of 2025, all provisions S.1399 - Health Tech Investment Act, all provisions S.141 - Connected MOM Act, all provisions S.1460 - Preserving Patient Access to Accountable Care Act, all provisions S.1535 - Rural Patient Monitoring (RPM) Access Act, all provisions S.1640 - Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S.1816 - Improving Seniors Timely Access to Care Act of 2025, all provisions S.1996 - Medicare Audiology Access Improvement Act of 202, all provisions S.1996 - Medicare Audiology Access Improvement Act of 2025, all provisions S.2709 - Telehealth Modernization Act, all provisions S.3480 - Seniors Deserve SMARTER Care Act of 2025, all provisions S.3607 - Access to Genetic Counselor Services Act of 2026, all provisions S.3750 - REAL Health Providers Act, all provisions S.3762 - Prior Authorization Relief Act, all provisions S.4070 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions S.4384 - Medicare Advantage Improvement Act of 2026, all provisions S.665 - Fatal Overdose Reduction Act of 2025, all provisions S.721 - Sickle Cell Disease Comprehensive Care Act, all provisions S.891 - Bipartisan Health Care Act, all provisions Comment Letter: [CMS 0057 F] 2024 CMS Interoperability and Prior Authorization final rule Comment Letter: [CMS-0062-P] Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges Comment Letter: [CMS-1849-P] Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes Comment Letter: [CMS-9874-NC] Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard Statement for the Record: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms Draft: Artificial intelligence in prior authorization denials by Medicare Advantage organizations Draft: GOLD CARD Act Draft: MACRA/MIPS program reform Draft: Medicare bonus payment for alternative payment model (APM) participation Draft: Medicare Budget Neutrality and MIPS reform Medicaid program: Changes in Children's Health Insurance Program (CHIP) and Affordable Care Act insurance marketplaces Medicaid program: Community engagement/medical frailty exemption Medicaid program: Practice of Medicine Medicaid program: Work requirements, per capita caps, provider taxes, Federal Medical Assistance Percentage (FMAP) changes Medicare and Medicaid programs: LEAD (Long-term Enhanced ACO Design) Model Reform Medicare and Medicaid programs: ACO REACH (Realizing Equity, Access, and Community Health) Model Reform Medicare and Medicaid programs: Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model reform. Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: Evaluation and Management (E/M) codes Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicare and Medicaid programs: Indirect Practice Expense Relative Value Updates (RVU) changes Medicare and Medicaid programs: Interoperability Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: TEAM (Transforming Episode Accountability Model) changes Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Telehealth and Digital Health Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: ACO/APM flexibilities Medicare program: Advanced APM reporting Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: AI services/payment Medicare program: Aligned Networks and interoperability Medicare program: Alternative Payment Models (APMs) Medicare program: Certified electronic health record and PI Medicare program: CJR-X (Comprehensive Care for Joint Replacement Expanded) Model Medicare program: Coding Medicare program: Data privacy/cybersecurity Medicare program: Data-Driven Performance Payment System Medicare program: Digital quality measures Medicare program: G2211 Inherent Complexity Code Medicare program: Health Information Technology/physician burdens Medicare program: Indirect practice expense Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Medicare Diabetes Prevention Program Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare Part D issues Medicare program: Medicare physician payment/budget neutrality Medicare program: MEI Update Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS quality and cost measures Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Promoting Interoperability (PI) Program Medicare program: Provider directories Medicare program: Public Health Reporting and Data Exchange Medicare program: Quality Payment Program Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: RVS Update Committee (RUC) and Current Procedural Terminology (CPT) issues Medicare program: Shared Savings Program Medicare program: Site Neutral Payment Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Veterans: H.R.2234 - Ensuring Veterans Timely Access to Anesthesia Care Act of 2025, all provisions H.R.4837 - Written Informed Consent Act, all provisions H.R.9237 - Take Care of Americas Veterans Act, all provisions Community care providers/External Provider Scheduling (EPS) program Medical/Disease Research/Clinical Labs: H.R.2767 - BRAIN Act, all provisions H.R.8890 - Enhancing CLIA Act of 2026, all provisions S.1330 - BRAIN Act, all provisions Issues pertaining to National Institutes of Health (NIH) funding and research Pharmacy: S.3822 - Break Up Big Medicine Act, all provisions S.526 - Pharmacy Benefit Manager Transparency Act of 2025, all provisions S.527 - Prescription Pricing for the People Act of 2025, all provisions Draft: Removal of oral phenylephrine from the Food and Drug Administrations over-the-counter monograph and subject such products to the drug approval process under section 505 of the Federal Food, Drug, and Cosmetic Act, and for other purposes Drug Shortages Telecommunications: Digital Health Screeners Act of 2025, all provisions H.R.2794 - NO FAKES Act of 2025, all provisions H.R.8031 - GUARDRAILS Act, all provisions H.R.8413 - SECURE Data Act, all provisions H.R.8915 - NO FAKES Act of 2026, all provisions S.1367 - NO FAKES Act of 2025, all provisions S.4591 - NO FAKES Act of 2026, all provisions S.4916 - Aging with Artificial Intelligence Act of 2026, all provisions Draft: Aging with AI Act Draft: The Republic Unifying Meritocratic Performance Advancing Machine intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI Act) AI oversight Cybersecurity Digital health and the autonomous practice of medicine Mental Health Chatbots/AI Chatbots Prohibiting Physician Deep Fakes U.S. Food and Drug Administration digital health regulation Welfare: H.R.9058 - Residential AED and CPR Preparedness Act of 2026, all provisions Alcohol and Drug Abuse: H.R.1266 - Combating Illicit Xylazine Act, all provisions H.R.1561 - ALERT Communities Act, all provisions H.R.2004 - Tylers Law, all provisions H.R.7970 - STOP Nitazenes Act, all provisions H.R.7994 - HERO Act, all provisions Comment Letter: [2026-11602] HHS Request for Comment on Chronic Disease of Addiction Chronic Disease of Addiction Fentanyl Substance use and mental health

Reported lobbying issue

Health Issues: Child passenger safety - CPSC; Appropriations for the Indian Health Service - IHS; Appropriations for Environmental Programs (including EPA) - EPA, CDC; Maternal, Infant, and Early Childhood Home Visiting Program & Implementation - HRSA, CMS, HHS, ACF; Infant sleep product safety - CPSC; Lead exposure prevention - EPA, CDC, HUD, FDA; Food safety - FDA, EPA, CDC; Paid family and medical leave; Regulation of high-powered magnet sets - CPSC; Climate change, Inflation Reduction Act Implementation - EPA; Vehicle emissions standards - EPA; Button battery ingestions - CPSC; Early childhood education - HHS; Child product safety and injury prevention, including drowning prevention - CPSC; Child Abuse Prevention and Treatment Act (CAPTA) - HHS, ACF; Family First Prevention Services Act implementation - HHS, ACF; Title IV-B - HHS, ACF; Congregate care reform - HHS, ACF; Mental health supports for foster youth/former foster youth - HHS, ACF; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation - EPA; QRTP/IMDs - HHS, ACF; Firearm Violence Prevention (Including Research Funding; Background Checks; Safe/Secure Storage) -CDC; NIH; Childcare Funding & Resources - HHS, OCC; Native American Child Health - DOI; HHS, HIS; Water Beads - CPSC; Vaccines - HHS, CDC; Fluoride - EPA; Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) - HHS Medicaid Payment Parity (including H.R. 1433 / S. 760 - Kids Access to Primary Care Act) - HHS/CMS; Access to Care in Medicaid/CHIP - HHS; Medicaid/CHIP federal funding - HHS; Accelerating Kids Access to Care Act (H.R. 1509 / S. 752) - HHS; Vaccines for Children program improvements - HHS/CMS, CDC; Telehealth - Medicare telehealth extension, CONNECT for Health Act (S. 1261) - HHS, DEA; Budget Reconciliation (H.R. 1) FY26 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Vaccine Injury Compensation Program, Antimicrobial Resistance, Maternal and Child Health; Newborn Screening Saves Lives Reauthorization Act; Strengthening the Vaccines for Children Program Act; FY26 National Defense Authorization Act; SSI Savings Penalty Elimination Act (S.1234/H.R.2590); Supplemental Security Income Equality Act (H.R. 2540); IDEA Full Funding Act (H.R.2598); PREEMIE Reauthorization Act (H.R. 1197); Supplemental Security Income/Social Security - Social Security Administration; Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909); Artificial Intelligence; TRICARE; Maternal mental health/perinatal mental health; Vaccines; Lifespan Respite Care Reauthorization Act (S.830/H.R.2560); Early Detection of Vision Impairments for Children (EDVI) Act; FASD Respect Act (S. 139); Family Vaccine Protection Act (H.R.3701); VACCINE Act; Youth Sports Facilities Act (S.1419/H.R.2850); HEADS UP Act (H.R.3409) Children and Teens Online Privacy Protection Act (S. 836); Legislation to Protect Young People Online; Pediatric Specialty Loan Repayment Program Funding and Program Implementation - Health Resources and Services Administration; FY26 Appropriations - NIH Environmental influences on Child Health Outcomes (ECHO) Program; Regulation of Tobacco Products - Department of Health and Human Services, FDA Center for Tobacco Products; Funding for Public Health Tobacco Programs; Reentry Act (H.R. 2586); National Institutes of Health & AHRQ Research Funding; LGBTQ Health; Federal Student Loan Programs; Federal Funding for Family Planning Clinics; Childrens Hospitals GME FY26 Funding; FY26 Funding for Federal Statistical Agencies FY26 SFOPS Appropriations - International Affairs Budget, USAID Operating Expenses, Maternal and Child Health (including Gavi, the Vaccine Alliance), Vulnerable Children, IDA, MRA, UNICEF, PEPFAR (including 10% set aside for Orphans and Vulnerable Children); FY26 LHHS Appropriations - CDC Global Immunization; Emergency Medical Services for Children (EMSC) program; The Department of State Reauthorization Act; Integration of USAID into the State Department - USAID / Department of State; Executive Order: Reevaluating and Realigning United States Foreign Aid; Protecting Sensitive Locations Act (H.R.5166 / S.455); Rescissions Act of 2025 (H.R. 4) Standards in ORR Custody - ORR, HHS; Licensure of ORR Shelters - ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC - USDA; SNAP/Farm Bill - USDA; Mental Health for Children - HRSA; DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act; PAHPA Reauthorization; CARE for Families Act; WIC Act; MODERN WIC Act