Sickle Cell Disease Comprehensive Care Act

Reported lobbying issue

Medicare/Medicaid: HR 5178/S 721, Sickle Cell Disease Comprehensive Care Act Health Issues: CDC Reform

Reported lobbying issue

Medicare/Medicaid: HR 5178/S 721, Sickle Cell Disease Comprehensive Care Act Health Issues: CDC Reform

Reported lobbying issue

Medicare/Medicaid: HR 5178/S 721, Sickle Cell Disease Comprehensive Care Act Health Issues: CDC Reform

Reported lobbying issue

Medicare/Medicaid: HR 5178/S 721, Sickle Cell Disease Comprehensive Care Act; HR 2433, Reducing Medically Unnecessary Delays in Care Act of 2025; HR 1, One Big Beautiful Bill Act

Reported lobbying issue

Budget/Appropriations: Labor/HHS Appropriations H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act Health Issues: H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act

Reported lobbying issue

Health Issues: Potential legislation on hospital emergency department care of people with sickle cell disease Education and support for Congressional Sickle Cell Disease Caucus Medicare/Medicaid: Engagement with the Center for Medicare and Medicaid Innovation on the Cell & Gene Therapy Access Model Sickle Cell Disease Comprehensive Care Act (S. 721/H.R. 5178) Medicaid eligibility and coverage for needed services for people living with sickle cell disease Implementation of Medicaid Community Engagement provisions of HR 1 Budget/Appropriations: Funding for federal sickle cell disease programs Funding and staffing for the CDC Division of Blood Disorders and Public Health Genomics Funding for and continuation of HRSAs Sickle Cell Disease Newborn Screening Follow Up Program FY27 House and Senate Labor-HHS Appropriations Insurance: Implementation of H.R. 1, One Big Beautiful Bill Act Policies related to Medicaid and ACA Marketplace plans

Reported lobbying issue

Copyright/Patent/Trademark: Intellectual Property Protections and Policy S. 2658 - Medication Affordability and Patent Integrity Act Health Issues: Vaccine Coverage and Coverage Executive Order 14297 - Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients Codification and Sec. 301 trade investigations FDA User Fee Agreements: 2027 PDUFA Cycle H.R. 7837 - Most Favored Patient Act of 2026 H.R. 7391 - Community Health Center Drug Pricing Protection Act 340B Program Reform Inflation Reduction Act (IRA) H.R. 8646 - Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriates Act, 2027 H.R. 9260 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriation Act, 2027 H.R. 5178 - Sickle Cell Disease Comprehensive Care Act H.R. 5526 - Biosimilars Red Tape Elimination Act H.R. 4930 - To Expand the Sharing of Information with Respect to Suspected Violations of Intellectual Property Rights in Trade H.R. 4299 - Protecting Patient Access to Cancer and Complex Therapies Act: IRA reforms Prior Authorization Step Therapy Practices FDA Modernization and Reforms Drug Pricing PBM Reform Direct-to-Patient Prescription Drug Purchase Platforms and Insurance Coverage Medicare/Medicaid: H.R. 7391 - Community Health Center Drug Pricing Protection Act Executive Order 14297 - Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients Vaccine Access and Coverage 340B Program Reform PBM Reform Direct-to-Patient Prescription Drug Purchase Platforms and Insurance Coverage Step Therapy Practices Drug Pricing Medicare/Medicaid Issues Taxation/Internal Revenue Code: H.R. 1 - An Act to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14 Trade (domestic/foreign): H.R. 9102 - Biotech Investment National Security Act (BINSA) Act: US Competitiveness, Biotechnology H.R. 4930 - To Expand the Sharing of Information with Respect to Suspected Violations of Intellectual Property Rights in Trade International Supply Chain Section 301 Investigation re: Germany Issues Market Access Most Favored Nation Policies Foreign Freeriding Issues Non-Tariff Trade Barriers Competitiveness Issues Trade Issues

Reported lobbying issue

Budget/Appropriations: Public health program funding Federal research funding Advanced Research Projects Agency for Health (ARPA-H) Impact of restructuring and reorganization of federal public health and research agencies FY 2027 NIH funding FY 2027 AHRQ funding FY 2027 CDC funding FY 2027 funding for CDC Sickle Cell Data Collection program FY 2027 funding for HRSA Sickle Cell Disease Treatment Demonstration program and Sickle Cell Disease Newborn Screening program FY 2027 funding for Defense Health Research Programs, including the Congressionally Directed Medical Research Programs (CDMRP) FY 2027 Department of Veterans Affairs research funding FY 2027 funding for Pediatric Specialty Loan Repayment Program Medical/Disease Research/Clinical Labs: Sickle cell disease/trait issues Hematology/oncology treatment issues Hematology/oncology drug research and approval issues General hematology public health and research issues Issues impacting laboratory testing and pediatric reference intervals (PRIs) Clinical trials regulations and coverage Issues impacting drug shortages FDA guidance impacting hematology Impact of restructuring and reorganization of federal public health and research agencies Issues related to vaccines and immunization practices for individuals with hematologic disorders Medicare/Medicaid: Coverage of blood transfusions under Medicare hospice benefit Medicare physician reimbursement issues CMS national coverage determinations Medicaid coverage for sickle cell disease Issues related to telehealth and extension of telehealth flexibilities Sickle cell disease/trait issues, including coverage for cell and gene therapies Prior authorization Implementation of the Inflation Reduction Act of 2022 (P.L. 117-169) Dental coverage for Medicare beneficiaries Sickle cell disease quality measures Issues impacting drug shortages Access to safe and effective vaccines Issues related to CAR-T/cellular and gene therapies Local Coverage Decisions for hematopoietic stem cell transplantation (HSCT) for lymphoma Local Coverage Decisions for next generation sequencing Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879) Issues related to Social Security Administration disability evaluations for sickle cell disease Impact of Medicaid funding cuts on hematology Medicare codes for Chronic Care Management (CCM) and Principal Care Management (PCM) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261) Health Issues: Hematology/oncology drug research and approval issues Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Implementation of No Surprises Act (P.L. 116-260) Sickle cell disease/trait issues Issues related to maternal health care and hematology Issues related to healthcare workforce Issues impacting drug shortages Sickle cell disease quality measures FDA guidance impacting hematology Access to safe and effective vaccines Impact of restructuring and reorganization of federal public health and research agencies Issues related to H-1B visas for physician workforce Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261)

Reported lobbying issue

Budget/Appropriations: FY2027 Labor-HHS-Education Appropriations FY2027 Military Construction, Veteran Affairs, and Related Agencies FY26 DHS Minibus Package FY2027 IHS Appropriations Agriculture: H.R. 1246 Investing in Rural America Act H.R. 4400 / S. 2282 Farmers First Act H.R. 7567 Farm, Food, and National Security Act (Farm Bill) General access to behavioral health Defense: Promotion Rates for DOD Psychologists Recruitment of DOD Psychologists TRICARE Payments DOD Congressionally Directed Medical Research Program (CDMRP) H.R. 3906 Medical Research For Our Troops Act FY27 National Defense Authorization Act WARP AI Act Education: S.4468, Supporting the Mental Health of Educators and Staff Act H.R.8979/S.4618, Elementary and Secondary School Counseling Act H.R.8961, Student Suicide Prevention Awareness Act H.R.8978, Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R.9044, Minority Fellowship Program Reauthorization Act H.R.8657, Campus Lifeline Act ACCESS in Mental Health Act Project Aware grants Health Issues: H.R.4484/S.2356, ADAPT Act H.Res.697, Supporting September as National Suicide Prevention Month Budget Reconciliation bill H.R. 1246 Investing in Rural America Act Alleviating Barriers for Caregivers Act Response to FDA proposed industry guidance on AI-enabled device Budget Reconciliation H. R. 912/S. 1007, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 929/S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 957, Parity Enforcement Act of 2025 H.R 2509/ S. 931, COMPLETE Care Act H.R. 2630, Youth Suicide Prevention Research Act H.R. 3266/ S. 1673, Mental Health Infrastructure Improvement Act H.R.3505, Barriers to Suicide Act of 2025 H.R. 3624/S.1924, Improving Mental Health Access for Students Act H.R. 5178 /S. 721 Sickle Cell Disease Comprehensive Care Act H.R 4619/S.4076, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R.5629, Medications for the Treatment of Opioid Use Disorder H.R.5630, to Require Additional Information in State Plans for SUPTRS Block Grant H.R. 5706, Mental Health Emergency Responder Act H.R. 6396, Kid PROOF Act of 2025 H.R. 6601, CARE for First Responders Act S. 1062, Suicide Prevention Act Reintroduction of Pursuing Equity in Mental Health Act Rural Behavioral Health Improvement Act (H.R. 5217) Therapeutic Fraud Prevention Act (H.R. 3243 / S. 1663) H.R. 12/S. 2150 Womens Health Protection Act of 2025 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act S. 3431, Improving Measurements for Loneliness and Isolation Act of 2025 Black women and girls mental health Forthcoming legislation concerning transparency in AI chatbot products H.R. 4206 /S. 1261, CONNECT for Health Act Status of enhanced ACA subsidies and impact on rural communities H.R 2587/S.1266 - Youth Mental Health Research Act Coalition Letter to Protect LGBTQ+ dedicated line to 988 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act H.R. 138 / S. 1565 Lowering Costs for Caregivers Act H.R.7092/S.4061, Raising Awareness for Youth Suicide Prevention Act (RAYS) Act H.R. 7875, Providing Opportunities for Individuals in Need of Treatment and Support Act (POINTS Act) H.R. 7985 CHATBOT Act H.R.8124, Stabilization to Prevent (STOP) Suicide Act H.R.8201, Require FQHCs to Provide Behavioral and Mental Health and Substance Use Disorder Services H.R.9257/S.4754, The Primary and Behavioral Health Care Access Act H.R.9389, Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 S.4076/H.R.4619, To End the 190-day Lifetime Limit on Inpatient Psychiatric Care Under Medicare SAMHSAs Reorganization Access to evidence-based behavioral treatments for substance use disorders Implementation of Rural Health Improvement Fund Federal Trade Commission's Request for Public Comment (RFI) regarding Gender-Affirming Care for minors Response to CMS proposed rule on Inpatient Psychiatric Facilities Immigration: H.R. 4393 The Dignity Act of 2025 H.R. 4954, Immigrants Mental Health Act draft legislation Reintroduction of H.R. 9550, Taking Action to Prevent Suicide Act (TAPS) and general border agent suicide prevention Public Charge Comments for NPRM H,R, 7335, Humanitarian Standards for Individuals in ICE and CBP Custody Act Seeking H1-B visa fee exemption for psychologists. Indian/Native American Affairs: Medicaid for Native American children Native American student loan repayment Value of Public Health Psychologists in Commissioned Corp of USPHS HR 8318 Tribal Tax and Investment Reform Act IHS Workforce Law Enforcement/Crime/Criminal Justice: S.2645 DHS +Suicide Prevention and Resiliency for Law Enforcement Act Status of DEA tele-prescribing flexibilities Intimate Partner Violence S. 2703 Protecting Older Americans Act S. 1820 Protecting Older Workers Against Discrimination Act H.R. 8690 Pregnant Women in Custody Act Labor Issues/Antitrust/Workplace: S. 2703 Protecting Older Americans Act S. 1820 Protecting Older Workers Against Discrimination Act S. 4916 Aging with Artificial Intelligence Act Medicare/Medicaid: Telemental Health Care Access Act (H.R. 3884 / S. 2011) CONNECT for Health Act of 2025 (H.R. 4206 / S. 1261) Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act S. 931/H.R. 2509 , COMPLETE Care Act Improving Care for Youth Act (TBD) Independent practice authority for psychologists in all Medicare-covered treatment settings Valuation of psychological and neuropsychological testing and assessment services Availability of evaluation and management codes for use by prescribing psychologists Hybrid payment models for primary care services CY 2027 Physician Fee Schedule proposed rule Payment and Coding for Intensive Behavioral Therapy (IBT) services Response to CMS RFI re: Medicaid/Medicare fraud/waste/abuse Science/Technology: HR 1802 - SPARE Act S.1226 and H.R. 2587 - Youth Mental Health Research Act Kids Online Safety Act S.1748 Children's Online Privacy and Protection Act 2.0 S.836 National Institutes for Health Funding S.146 and H.R. 633 - TAKE IT DOWN Act Budget Reconciliation Bill - AI Moratorium AI Chatbot regulations H.R.2587 - Youth Mental Health Research Act KIDS Act SAGE AI Act Taxation/Internal Revenue Code: H.R. 2036, S. 925 Credit for Caring Act H.R. 1151/S. 756 Freedom to Invest in Tomorrows Workforce Act Preservation of tax exemption for associations and charitable organizations in budget reconciliation H.R. 5145, Bipartisan Premium Tax Credit Extension Act Health care tax credits S. 1565/H.R. 138 Lowering Costs for Caregivers Act of 2025 Veterans: S. 3466 Honor Our Promise to Veterans Act (the Honor Act) HR 1987 / S.926 SAVING VETERANS LIVES Act HR 4837/S. 3314 Written Informed Consent Act S. 3245 Medical Integrity in Necessary Diagnostics for (MIND) Our Veterans Act of 2025 S. 1868 Critical Access for Veterans Care Act of 2025 S. 2397 CARING (Coordinating and Aligning Records to Improve and Normalize Governance) for Our Veterans Health Act of 2025 Privacy and Confidentiality, Return to Work Implementation Fox Grant Suicide Prevention Program Reauthorization Veterans Community Care Program (VCCP) H.R. 740 / S. 275, Veterans ACCESS Act of 2025 H.R 1969, No Wrong Door for Veterans Act S. 1139, Hope for Heroes Act S. 4162, Get Justice-Involved Veterans BACK HOME Act VA psychology workforce shortages, Title 38 VA prescribing privileges for psychologists Psychedelic assisted therapy VA Research Veteran Suicide Prevention HR 5535 Veteran Service Recognition Act VA Hiring Freeze Impact on Research VA Clinical Practice Guidelines S. 702/H.R. 2426 Veterans Mental Health and Addiction Therapy Quality of Care Act Veteran Reproductive Health Services S. 787 VetPAC Act of 2025 H.R. 2283, Recognizing Community Organizations for Veteran Engagement and Recovery Act or the RECOVER Act Veterans Health Desert Reform Act (draft) H.R. 6993, Veterans TBI Breakthrough Exploration of Adaptive Care Opportunities Nationwide Act of 2026 or the BEACON Act of 2026 H.R. 8486, Data Driven Suicide Prevention Act (draft) H.R. 4509, NOPAIN for Veterans Act H.R. 6526, Clarity on Care Options Act H.R. 6848, Whole Health for Veterans Act S. 4744 / H.R. 9237, the Take Care of Americas Veterans Act H.R. 9533, Veterans Health Administration Personnel Transparency and Accountability Act

Reported lobbying issue

Health Issues: Alleviating Barriers for Caregivers (House and Senate), S. 1227/H.R. 2491. Reauthorization of C.W. Bill Young Cell Transplantation Program (House and Senate), H.R. 5160/S. 4109. Accelerating Kids Access to Care Act (House and Senate), S. 752/H.R. 1509. Credit for Caring Act (House and Senate), S. 925/H.R. 2036. Sickle Cell Disease Comprehensive Care Act (House and Senate), H.R. 5178/S. 721. Lowering Costs for Caregives Act (House and Senate), S. 1565/H.R. 138. Budget/Appropriations: Continued funding for the C.W. Bill Young Cell Transplantation Program. Increased funding to expand patient access to transplants. Increased medical research funding. Transportation: Donated bone marrow/cell transportation for life-saving transplant.

Reported lobbying issue

Budget/Appropriations: Public health program funding Federal research funding Advanced Research Projects Agency for Health (ARPA-H) FY 2026 NIH funding FY 2026 AHRQ funding FY 2026 CDC funding FY 2026 funding for CDC Sickle Cell Data Collection program FY 2026 funding for HRSA Sickle Cell Disease Treatment Demonstration program and Sickle Cell Disease Newborn Screening program FY 2026 funding for Defense Health Research Programs, including the Congressionally Directed Medical Research Programs (CDMRP) Impact of restructuring and reorganization of federal public health and research agencies Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 (H.R. 5304 / S. 2587) FY2026 Continuing Appropriations, Agriculture, Leg. Branch & Extensions Act (through 01/30/2026) (H.R. 5371) FY 2026 Consolidated Defense, LHHSED, Nat. Sec.-State, THUD, FSGG Appropriations Act (H.R. 7148) FY 2027 NIH funding FY 2027 AHRQ funding FY 2027 CDC funding FY 2027 funding for CDC Sickle Cell Data Collection program FY 2027 funding for HRSA Sickle Cell Disease Treatment Demonstration program and Sickle Cell Disease Newborn Screening program FY 2027 funding for Defense Health Research Programs, including the Congressionally Directed Medical Research Programs (CDMRP) FY 2027 Department of Veterans Affairs research funding Medical/Disease Research/Clinical Labs: Sickle cell disease/trait issues Hematology/oncology treatment issues Hematology/oncology drug research and approval issues General hematology public health and research issues Open access policy for peer reviewed research journals Women's health and research Issues impacting blood supply shortages/safety Issues impacting delivery of bone marrow, peripheral blood, and cord blood Clinical trials regulations and coverage Issues impacting laboratory testing and pediatric reference intervals (PRIs) Issues impacting drug shortages FDA guidance impacting hematology Impact of restructuring and reorganization of federal public health and research agencies Issues related to vaccines and immunization practices for individuals with hematologic disorders Medicare/Medicaid: Coverage of blood transfusions under Medicare hospice benefit Medicare physician reimbursement issues Issues related to CAR-T/cellular and gene therapies Implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10) Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) CMS national coverage determinations Medicaid coverage for sickle cell disease Issues related to telehealth and extension of telehealth flexibilities Sickle cell disease/trait issues, including coverage for cell and gene therapies Prior authorization Implementation of the Inflation Reduction Act of 2022 (P.L. 117-169) Dental coverage for Medicare beneficiaries National Coverage Decision for hematopoietic stem cell transplantation (HSCT) for MDS Local Coverage Decisions for hematopoietic stem cell transplantation (HSCT) for lymphoma Local Coverage Decisions for next generation sequencing Sickle cell disease quality measures Issues impacting drug shortages Access to safe and effective vaccines Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879) Issues related to Social Security Administration disability evaluations for sickle cell disease Impact of Medicaid funding cuts on hematology Medicare codes for Chronic Care Management (CCM) and Principal Care Management (PCM) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261) Health Issues: Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) Hematology/oncology drug research and approval issues Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Issues related to CAR-T/cellular and gene therapies Issues impacting blood supply shortages/safety Implementation of No Surprises Act (P.L. 116-260) Sickle cell disease/trait issues Issues related to maternal health care and hematology Issues related to healthcare workforce Issues impacting drug shortages Sickle cell disease quality measures FDA guidance impacting hematology Access to safe and effective vaccines Impact of restructuring and reorganization of federal public health and research agencies Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261) Extension of Affordable Care Act enhanced advance premium tax credits Issues related to H-1B visas for physician workforce Immigration: Issues related to H-1B visas for physician workforce

Reported lobbying issue

Health Issues: Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2023 (H.R. 1796/S. 735) Medicare/Medicaid: Engagement with the Center for Medicare and Medicaid Innovation on the Cell & Gene Therapy Access Model Sickle Cell Disease Comprehensive Care Act (S. 721/H.R. 5178) Medicaid eligibility and coverage for needed services for people living with sickle cell disease Implementation of H.R. 1, One Big Beautiful Bill Act Issues relating to medical listings of impairment for sickle cell disease for SSDI and SSI Budget/Appropriations: Funding for federal sickle cell disease programs FY26 House and Senate Labor-HHS Appropriations bills FY27 House and Senate Labor-HHS Appropriations H.R. 8067, Candis King Hope for Sickle Cell Families Act Insurance: Implementation of H.R. 1, One Big Beautiful Bill Act Policies related to the extension of enhanced advanced premium tax credits, including HR 247, HR 1, HR 5371, S 46.

Reported lobbying issue

Budget/Appropriations: Labor/HHS Appropriations H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act Health Issues: H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act

Reported lobbying issue

Budget/Appropriations: Funding for federal sickle cell disease programs FY26 House and Senate Labor-HHS Appropriations bills Medicare/Medicaid: Engagement with the Center for Medicare and Medicaid Innovation on the Cell & Gene Therapy Access Model Sickle Cell Disease Comprehensive Care Act (S. 721/H.R. 5178) Medicaid eligibility and coverage for needed services for people living with sickle cell disease H.R. 1, One Big Beautiful Bill Act Health Issues: Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2023 (H.R. 1796/S. 735) Insurance: H.R. 1, One Big Beautiful Bill Act Policies related to the extension of enhanced advanced premium tax credits, including HR 247, HR 1, HR 5371, S 46.

Reported lobbying issue

Health Issues: Alleviating Barriers for Caregivers (House and Senate), S. 1227/H.R. 2491. Reauthorization of C.W. Bill Young Cell Transplantation Program (House and Senate), H.R. 5160. Accelerating Kids Access to Care Act (House and Senate), S. 752/H.R. 1509. Credit for Caring Act (House and Senate), S. 925/H.R. 2036. Sickle Cell Disease Comprehensive Care Act (House and Senate), H.R. 5178/S. 721. Budget/Appropriations: Continued funding for the C.W. Bill Young Cell Transplantation Program. Increased funding to expand patient access to transplants. Increased medical research funding. Transportation: Donated bone marrow/cell transportation for life-saving transplant.

Reported lobbying issue

Budget/Appropriations: Labor/HHS Appropriations H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act Health Issues: H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act

Reported lobbying issue

Budget/Appropriations: Public health program funding Federal research funding Advanced Research Projects Agency for Health (ARPA-H) FY 2026 NIH funding FY 2026 AHRQ funding FY 2026 CDC funding FY 2026 funding for CDC Sickle Cell Data Collection program FY 2026 funding for HRSA Sickle Cell Disease Treatment Demonstration program and Sickle Cell Disease Newborn Screening program FY 2026 funding for Defense Health Research Programs, including the Congressionally Directed Medical Research Programs (CDMRP) Impact of restructuring and reorganization of federal public health and research agencies Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 (H.R. 5304 / S. 2587) FY2026 Continuing Appropriations, Agriculture, Leg. Branch & Extensions Act (through 01/30/2026) (H.R. 5371) Medical/Disease Research/Clinical Labs: Sickle cell disease/trait issues Hematology/oncology treatment issues Hematology/oncology drug research and approval issues General hematology public health and research issues Open access policy for peer reviewed research journals Women's health and research Issues impacting blood supply shortages/safety Issues impacting delivery of bone marrow, peripheral blood, and cord blood Clinical trials regulations and coverage Issues impacting laboratory testing and pediatric reference intervals (PRIs) Issues impacting laboratory developed tests (LDTs) Issues impacting drug shortages FDA guidance impacting hematology Impact of restructuring and reorganization of federal public health and research agencies Issues related to vaccines and immunization practices for individuals with hematologic disorders Medicare/Medicaid: Coverage of blood transfusions under Medicare Hospice Benefit Medicare physician reimbursement issues Issues related to CAR-T/cellular and gene therapies Implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10) Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) CMS national coverage determinations Medicaid coverage for sickle cell disease Issues related to telehealth and extension of telehealth flexibilities Sickle cell disease/trait issues, including coverage for cell and gene therapies Prior authorization Implementation of the Inflation Reduction Act of 2022 (P.L. 117-169) Dental coverage for Medicare beneficiaries National Coverage Decision for hematopoietic stem cell transplantation (HSCT) for MDS Local Coverage Decisions for hematopoietic stem cell transplantation (HSCT) for lymphoma Local Coverage Decisions for next generation sequencing Sickle cell disease quality measures Issues impacting drug shortages Access to safe and effective vaccines Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879) Impact of proposed Medicaid funding cuts on hematology Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261) Health Issues: Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) Hematology/oncology drug research and approval issues Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Issues related to CAR-T/cellular and gene therapies Issues impacting blood supply shortages/safety Implementation of No Surprises Act (P.L. 116-260) Sickle cell disease/trait issues Issues related to maternal health care and hematology Issues related to healthcare workforce Issues impacting drug shortages Sickle cell disease quality measures FDA guidance impacting hematology Access to safe and effective vaccines Impact of restructuring and reorganization of federal public health and research agencies Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Improving Seniors Timely Access to Care Act (H.R. 3514 / S. 1816) CONNECT for Health Act (H.R. 4206 / S. 1261) Extension of Affordable Care Act enhanced advance premium tax credits Issues related to H-1B visas for physician workforce Immigration: Issues related to H-1B visas for physician workforce

Reported lobbying issue

Health Issues: -Honor Our Living Donors Act (H.R. 628 / S. 957) Legislation to simplify the process of determining eligibility for reimbursement for living kidney donation-related costs -CONNECT for Health Act (S. 1261) Legislation to expand the use of telehealth and remote patient monitoring services in Medicare on a permanent basis -Organ Donation Referral Improvement Act (H.R. 330) Calls for study on adoption and best practices in automated referral regarding potential organ donors from donor hospitals to local organ procurement organizations -Removing Barriers for Organ Donation Act (H.R.4470) Mandates implementation of automated referral regarding potential organ donors from donor hospitals to local organ procurement organizations, with exceptions, and calls for a GAO study and agency coordination -Living Donor Protection Act (H.R. 4583) and related FMLA bill (H.R. 4582 and S. 1552). Clarifies and strengthens protections for Americans who donate an organ. - H.R. 5178, Sickle Cell Disease Comprehensive Care Act Authorizes state Medicaid Programs to provide comprehensive coordinated care through a Home Health program. (Senate companion S. 721) -$67M in appropriations for HRSA Organ Transplant work in FY26 (funding to modernize the US transplant system and support living donors through reimbursement for living kidney donation-related costs) -$25M in appropriations for HHS in FY26 to support KidneyX (public-private partnership to catalyze innovation in kidney disease prevention, diagnosis, and treatment through a series of prize competitions) -Called for HRSA to focus on transparency for patients, improvements to data use and management, and attention to allocation out of sequence issues as it implements the 2023 Securing the US OPTN Act and FY25 appropriations -Called for the creation of an Officer of Kidney Health and Transplantation within the immediate office of the secretary of HHS (to coordinate kidney health care, research, and data-related efforts across the numerous HHS agencies with a role in kidney health) -Urged CMS to ensure kidney health data, particularly through the EQRS, remains readily available to the kidney research community as well as to the USRDS -Urged additional improvements to kidney care models at CMMI, particularly CKCC and IOTA - Urged Department of Homeland Security to not impose restrictions on physician visas, including to waive the $100,000 application fee for H1b visas, not implement new weighted tier system for H1b visa availability, and responded to proposal to modify current Duration of Status for J1 visa holders. Science/Technology: -$51.303B in appropriations for NIH in FY26 (to support investments in basic, clinical, translational, and other health-related research activities) -$25M in appropriations for HHS in FY26 to support KidneyX (public-private partnership to catalyze innovation in kidney disease prevention, diagnosis, and treatment through a series of prize competitions)

Reported lobbying issue

Budget/Appropriations: Public health program funding Federal research funding Advanced Research Projects Agency for Health (ARPA-H) FY 2026 NIH funding FY 2026 AHRQ funding FY 2026 CDC funding FY 2026 funding for CDC Sickle Cell Data Collection program FY 2026 funding for HRSA Sickle Cell Disease Treatment Demonstration program and Sickle Cell Disease Newborn Screening program FY 2026 funding for Defense Health Research Programs, including the Congressionally Directed Medical Research Programs (CDMRP) Impact of restructuring and reorganization of federal public health and research agencies One Big Beautiful Bill Act (H.R. 1) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 (H.R. 5304 / S. 2587) Medical/Disease Research/Clinical Labs: Sickle cell disease/trait issues Hematology/oncology treatment issues Hematology/oncology drug research and approval issues General hematology public health and research issues Open access policy for peer reviewed research journals Women's health and research Issues impacting blood supply shortages/safety Issues impacting delivery of bone marrow, peripheral blood, and cord blood Clinical trials regulations and coverage Issues impacting laboratory testing and pediatric reference intervals (PRIs) Issues impacting laboratory developed tests (LDTs) Issues impacting drug shortages FDA guidance impacting hematology Impact of restructuring and reorganization of federal public health and research agencies Issues related to vaccines and immunization practices for individuals with hematologic disorders Medicare/Medicaid: Coverage of blood transfusions under Medicare Hospice Benefit Medicare physician reimbursement issues Issues related to CAR-T/cellular and gene therapies Implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10) Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) CMS national coverage determinations Medicaid coverage for sickle cell disease Issues related to telemedicine/telehealth Sickle cell disease/trait issues, including coverage for cell and gene therapies Prior authorization Implementation of the Inflation Reduction Act of 2022 (P.L. 117-169) Dental coverage for Medicare beneficiaries National Coverage Decision for hematopoietic stem cell transplantation (HSCT) for MDS Local Coverage Decisions for hematopoietic stem cell transplantation (HSCT) for lymphoma Local Coverage Decisions for next generation sequencing Sickle cell disease quality measures Issues impacting drug shortages Access to safe and effective vaccines Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879) Impact of proposed Medicaid funding cuts on hematology One Big Beautiful Bill Act (H.R. 1) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Health Issues: Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) Hematology/oncology drug research and approval issues Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) (P.L. 112-144) Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Issues related to CAR-T/cellular and gene therapies Issues impacting blood supply shortages/safety Implementation of No Surprises Act (P.L. 116-260) Sickle cell disease/trait issues Issues related to maternal health care and hematology Issues related to healthcare workforce Issues impacting drug shortages Sickle cell disease quality measures FDA guidance impacting hematology Access to safe and effective vaccines Impact of restructuring and reorganization of federal public health and research agencies Sickle Cell Disease Comprehensive Care Act (S. 721 / H.R. 5178) One Big Beautiful Bill Act (H.R. 1) Implementation of One Big Beautiful Bill Act (Public Law No. 119-21) Improving Access to Transfusion Care for Hospice Patients Act (S. 1936) Extension of Affordable Care Act enhanced advance premium tax credits Issues related to H-1B visas for physician workforce Immigration: Issues related to H-1B visas for physician workforce

Reported lobbying issue

Budget/Appropriations: Labor/HHS Appropriations H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act Health Issues: H.R 1796/ S. 735 - Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2025 H.R. 5178/ S.721 - Sickle Cell Disease Comprehensive Care Act

Reported lobbying issue

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

Reported lobbying issue

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: Advocating for federal health care policies based on the National Academies 2020 report that will improve the lives of patients living with Sickle Cell Disease; H.R.1796, Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act; H.R.5178, Sickle Cell Disease Comprehensive Care Act.

Reported lobbying issue

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