American Hospital Association

FY2025 Medicare/Medicaid as client

Issues regarding reimbursement for hospital services. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. H.R. 1, One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.

H.R. 1

FY2025 Health Issues as client

Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Monitored issues related to behavioral health. Monitored SUPPORT Act Reauthorization. Issues related to workplace safety.

FY2025 Labor Issues/Antitrust/Workplace as client

Monitored issues regarding health care workforce proposals.

FY2025 Immigration as client

Issues related to visas for healthcare workers.

FY2025 Taxation/Internal Revenue Code as client

H.R. 1, One Big Beautiful Bill Act and issues related to tax-exempt hospitals.

H.R. 1

FY2025 Law Enforcement/Crime/Criminal Justice as client

Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.

H.R. 3178 S. 1600

FY2025 Budget/Appropriations as client

Issues related to hospital payments.

FY2025 Medicare/Medicaid as client

Issues related to hospital billings Issues related to Medicare Inpatient and Outpatient Hospital Payment Rates

FY2025 Immigration as client

Healthcare immigration legislation and regulation.

FY2025 Health Issues as client

Proposals related to telehealth S. 1261, CONNECT for Health Act Proposals to reduce drug costs and improve access Proposals to protect or modify the 340B Program

S. 1261

FY2025 Medicare/Medicaid as client

Proposals to modify Medicare payment reductions Changes to Medicare policy H.R. 1968, Full-Year Continuing Appropriations and Extensions Act - provisions related to health care extensions and government funding Oppose site-neutral payments Proposals related to telehealth S. 1261 CONNECT for Health Act

H.R. 1968 S. 1261

FY2025 Budget/Appropriations as client

FY 2025 House and Senate Labor, HHS, Education Appropriations bill - provision related to funding for health programs H.R. 1968, Full-Year Continuing Appropriations and Extensions Act H.Con.Res.14, Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034

H.R. 1968 H.Con.Res. 14

FY2025 Medicare/Medicaid as client

HR 1 One Big Beautiful Bill Act; discussions involving hospital payments

FY2025 Health Issues as client

Monitored HR 4822 Health Care Price Transparency Act of 2023 Monitored S 2840 Bipartisan Primary Care and Health Workforce Act

FY2025 Medicare/Medicaid self-filed

S. 2761 / H.R. 5269, the Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act, all provisions; H.R. 5142, The Home Health Stabilization Act, all provisions; H.R. 4313 / S. 2237, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Rural Hospital Support Act, all provisions; S.1816 / H.R.3514, Improving Seniors Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Relief Act, all provisions; S. 2439 / H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions; H.R. 4002, Patient Access to Higher Quality Health Care Act, all provisions; S.2011/ HR 3884, Telemental Health Care Access Act, all provisions; S. 2279, Protect Medicaid and Rural Hospitals Act, all provisions; H.R. 4619, Medicare Mental Health Inpatient Equity Act, all provisions; H.R. 5454/S. 2879, the Medicare Advantage Prompt Pay Act, all provisions; S. S. 2793, Ensuring Access to Essential Providers, all provisions; H.R. 6240, Rural Hospital Closure Relief Act of 2025, all provisions; DRAFT, Issues related to prior-authorization and employer-sponsored plans; HR 5467, Patient Access to Autoimmune Treatments Act, all provisions; H.R. 6148, Patients Over Paperwork Act, all provisions; Medicare Payment Advisory Commission (MedPAC), Letter to Medicare Payment Advisory Commission, Comments on the Medicare Payment Advisory Commissions (MedPACs) preliminary analysis of the association between Medicare Advantage (MA) enrollment changes and hospital finances; Centers for Medicare and Medicaid Services (CMS), Wasteful and Inappropriate Services Reduction (WISeR) model, Issues pertaining to the Wasteful and Inappropriate Services Reduction (WISeR) model; Centers for Medicare and Medicaid Services (CMS), Medicaid state-directed payments, Comments on implementation of changes to state directed payment provisions; Centers for Medicare and Medicaid Services (CMS), Provider Tax Preliminary Implementation Guidance, Comments pertaining to preliminary guidance on the implementation of sections 71115 and 71117 of H.R. 1 and impact on hospitals and health systems; Medicaid Program, Issues pertaining to Medicaid program and how states finance programs, reimburse providers, and determine beneficiary eligibility, and implementation of H.R. 1 provisions related to state directed payments and provider taxes; Site Neutral Payments, Issues related to site neutral payment cuts; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, REH's, implementation of Rural Health Transformation Program; Physician Payments, Issues pertaining to alternative payment models, mental health of workforce, physician reimbursement cuts for 2025; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage, Wasteful and Inappropriate Services Reduction (WISeR) model; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees, DSH cuts; Expired Health Care Provisions, Issues pertaining to Telehealth, Hospital at Home, MDH/LVA, Medicaid DSH Program; Post Acute Care, Issues pertaining to expanding patients' access to crucial services provided by Long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies; Rural Community Hospital Demonstration Project, Issues related to ending the Rural Community Hospital Demonstration Project.

S. 2761 H.R. 5269 H.R. 5142 H.R. 4313 S. 2237 S. 1261 H.R. 4206 H.R. 1805 H.R. 2191 S. 335 S. 1816 H.R. 3514 S. 502 S. 2439 H.R. 4731 H.R. 4002 S. 2011 S. 2279 H.R. 4619 H.R. 5454 S. 2879 S. 2793 H.R. 6240 H.R. 6148 H.R. 1

FY2025 Health Issues self-filed

H.R. 4581 / S.2372, 340B PATIENTS Act, all provisions; H.R. 3178 / S. 1600, The Save Healthcare Workers Act, all provisions; H.R. 929 / S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; H.R. 1585 / S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S. 1874, Title VIII Nursing Workforce Reauthorization Act, all provisions; S. 1784 / H.R. 4191, The Mapping America's Pharmaceutical Supply (MAPS) Act, all provisions; H.R. 5283 / S. 2759, Healthcare Workforce Resilience Act, all provisions; S. 2062, The Rolling Active Pharmaceutical Ingredient and Drug Reserve (RAPID Reserve) Act, all provisions; H.R. 5256, 340B Access Act, all provisions; S. 1929, SEPSIS Act, all provisions; S. 2355 / H.R. 5582, Patients Deserve Price Tags Act, all provisions; S. 1868, the Critical Access for Veterans Care Act, all provisions; S. 3435 / H.R. 6607, The Future Advancement of Academic Nursing, all provisions; DRAFT, Right to Re-Enroll Act of 2026, Issues related to the right of patients to use a special enrollment period if their providers are no longer in-network during the plan year; DRAFT, Issues related to how the Rural Health Transformation Fund allocates funding; S. 3097, Health Information Privacy Reform Act, all provisions; S. 2834 / H.R. 5439, Medically Tailored Home-Delivered Meals Program Pilot Act, all provisions; DRAFT, Issues pertaining to nursing school faculty workforce development; DRAFT, WELLS Act, Issues pertaining to maternal health; S. 3033, Improving Access to Care for Rural Veterans Act , all provisions; H.R. 6445/S. 3364, Fast Track Healthcare Apprenticeships Act, all provisions; H.R. 6010, The Fix it Act, all provisions; H.R. 6538 / S. 3264, The More Affordable Care Act, all provisions; Federal Trade Commission, Employer noncompete agreements- RFI, Comments on employer noncompete agreements; Office of Science and Technology Policy (OSTP) [White House], RFI regarding regulatory reform on artificial intelligence, Comments on regulatory reform on artificial intelligence; U.S Food & Drug Administration (FDA), RFI on artificial intelligence-enabled medical devices, Comments on artificial intelligence - enabled medical devices; U.S. Department of Education, Forthcoming Implementation of the One Big Beautiful Bill Acts (OBBBA) Definition of Professional Degree Programs, Comments pertaining to the changing definition of professional degree programs and impact to health care workforce; U.S. Department of Commerce, Section 232, Investigation on Medical Devices, Comments on impact of future tariffs on medical devices, PPE and other medical goods and impact to hospitals and health systems; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Rural Health Care Access, Issues to protect access to rural health care; 340B Program, Issues pertaining to protecting 340B Program, including 340B Rebate Model Pilot Program; Maternal and Child Health, Access to maternal and child health care and addressing related workforce shortages, conditions of participation (COP), funding priorities; Behavioral Health, Issues related to expanding access to care and reducing regulatory barriers; Workforce, Issues pertaining to workforce development grants, supporting health care workforce, changing definitions of professional degree programs; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay, No Surprises Act Independent Dispute Resolution process; Health Care Resiliency & Preparedness, Issues pertaining to natural disasters, cyberattacks, cybersecurity workforce, and securing supply chains; Price Transparency, Issues related to hospital price transparency; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Immigration, Proposed H1-B Visa Program changes and impact to health care workforce; AI in Healthcare, Issues pertaining to the use of AI in healthcare; Organ procurement and transplantation, Issues pertaining to organ procurement hearings; Veterans affairs issues, Issue pertaining to sterile processing in VA clinics.

H.R. 4581 S. 2372 H.R. 3178 S. 1600 H.R. 929 S. 266 H.R. 1585 S. 709 S. 1874 S. 1784 H.R. 4191 H.R. 5283 S. 2759 S. 2062 H.R. 5256 S. 1929 S. 2355 H.R. 5582 S. 1868 S. 3435 H.R. 6607 S. 3097 S. 2834 H.R. 5439 S. 3033 H.R. 6445 S. 3364 H.R. 6010 H.R. 6538 S. 3264

FY2025 Budget/Appropriations self-filed

H.R. 5371, The Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act of 2026, Section 2, Division F - Health Extenders; Centers for Medicare and Medicaid Services (CMS), Impact of various expired health care waivers during government shutdown; Medicare Sequestration, Statutory PAYGO Requirements.

H.R. 5371

FY2025 Taxation/Internal Revenue Code self-filed

DRAFT,Issues pertaining to FICA tax exemption for F-1 students; U.S. Department of Commerce, Section 232 Investigation on Medical Devices, Comments on impact of future tariffs on medical devices, PPE and other medical goods and impact to hospitals and health systems; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Tariffs, Issues pertaining to impact of tariffs on hospitals and health systems.

FY2025 Immigration self-filed

H.R. 4393, The Dignity Act, all provisions; S. 2941, Visa Cap Enforcement Act, all provisions; Department of Homeland Security (DHS), H-1B Visa Selection Process, Issues pertaining to H-1B visa weighted selection process and impact on health care workforce; U.S. Citizenship and Immigration Services (USCIS), Proposed Rule for Public Charge Ground of Inadmissibility, Comments pertaining to proposed rule regarding the Public Charge Ground of Inadmissibility and impact to hospitals and health systems; Immigration, Proposed H1-B Visa Program changes and impact to health care workforce.

H.R. 4393 S. 2941

FY2025 Medicare/Medicaid self-filed

H.R. 1, The One Big Beautiful Bill Act (OBBBA)Title VII - Committee on Finance; Subtitle B - Health Care: Issues pertaining to Medicaid, Medicare, Health tax, and Protecting Rural Hospitals and Providers; S. Amdt. 2554 to S. Amdt. 2360 to H.R.1, Scott, Crapo, Johnson, Lee, Lummis Amendment, all provisions; H.R. 4313 / S. 2237, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Rural Hospital Support Act, all provisions; S.1816 / H.R.3514, Improving Seniors Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Relief Act, all provisions; S. 2439 / H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions; H.R. 4002, Patient Access to Higher Quality Health Care Act, all provisions; S.2011/ HR 3884, Telemental Health Care Access Act, all provisions; S. 2279, Protect Medicaid and Rural Hospitals Act, all provisions; H.R. 4619, Medicare Mental Health Inpatient Equity Act, all provisions; H.R. 786/ S. 1460, Preserving Patient Access to Accountable Care Act, all provisions; H.R. 5120, Hospitals As Naloxone Distribution Sites (HANDS) Act, all provisions; H.R. 5454/S. 2879, The Medicare Advantage Prompt Pay Act, all provisions; S. S. 2793, Ensuring Access to Essential Providers, all provisions; H.R. 4470, The Removing Burdens from Organ Donations Act, all provisions; DRAFT, Issues pertaining to compounding of drugs; DRAFT, Legislation to provide relief for Long-Term Care Hospitals (LTCHs); DRAFT, Comments pertaining to legislative relief for independent rural hospitals; H.R.5081, Telehealth Modernization Act, all provisions; Centers for Medicare & Medicaid Services (CMS), RFI: Hospital Price Transparency Accuracy and Completeness Request for Information, Issues pertaining to the accuracy and completeness of hospitals machine-readable files; Centers for Medicare & Medicaid Services (CMS), Rural Health Transformation Fund implementation/revisions, Comments on the Rural Health Transformation Program application and award process; Centers for Medicare & Medicaid Services (CMS), Outpatient Prospective Payment System (OPPS) Proposed rule for Calendar Year (CY2026), Issues pertaining to outpatient and ambulatory surgery center prospective payment system, conditions of participation for maternal health; Centers for Medicare & Medicaid Services (CMS), "Calendar Year (CY) 2026 Home Health Prospective; Payment System (HH PPS) Rate Update", Issues pertaining to the CY26 Home Health Proposed Rule; Centers for Medicare & Medicaid Services (CMS), Physician fee schedule (PFS) proposed rule for calendar year (CY) 2026, Issues pertaining to physician fee schedule; Department of Health & Human Services (HHS) and Centers for Medicare & Medicaid Services, Health Insurer Commitment Prior Auth Process, Issues pertaining to insurer commitment to improved prior authorization processes; Medicaid Program, Issues pertaining to Medicaid program and how states finance programs, reimburse providers, and determine beneficiary eligibility; Site Neutral Payments, Issues related to site neutral payment cuts; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, REH's, implementation of Rural Health Transformation Program; Physician Payments, Issues pertaining to alternative payment models, mental health of workforce, physician reimbursement cuts for 2025; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees, DSH cuts; Expiring Health Care Provisions, Issues pertaining to Telehealth, Hospital at Home, MDH/LVA, Medicaid DSH Program; Rural Health Transformation Fund, Issues pertaining to implementation and impact on rural hospitals.

H.R. 1 H.R. 4313 S. 2237 S. 1261 H.R. 4206 H.R. 1805 H.R. 2191 S. 335 S. 1816 H.R. 3514 S. 502 S. 2439 H.R. 4731 H.R. 4002 S. 2011 S. 2279 H.R. 4619 H.R. 786 S. 1460 H.R. 5120 H.R. 5454 S. 2879 S. 2793 H.R. 4470 H.R. 5081

FY2025 Health Issues self-filed

H.R. 4581 / S.2372, 340B PATIENTS Act, all provisions; H.R. 3178 / S. 1600, The Save Healthcare Workers Act, all provisions; H.R. 929 / S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; H.R. 1585 / S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S. 1874Title VIII Nursing Workforce Reauthorization Act, all provisions; S. 1784 / H.R. 4191, The Mapping America's Pharmaceutical Supply (MAPS) Act, all provisions; H.R. 5283 / S. 2759, Healthcare Workforce Resilience Act, all provisions; H.R. 5428, Medical Student Education Authorization Act, all provisions; S. 1929, SEPSIS Act, all provisions; H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions; S. 2062, Rolling Active Pharmaceutical Ingredient and Drug Reserve (RAPID) Reserve Act, all provisions; S. 921, Tyler's Law, all provisions; H.R. 3482, Veterans Community Care Scheduling Improvement Act, all provisions; HR 3483, Forcing Real Accountability for Unlawful Distributions Act (FRAUD) Act of 2025, all provisions; HR 3494, VA Hospital Inventory Management System Authorization Act, all provisions; H.R. 3413, Physician and Patient Safety Act, all provisions; H.R. 2936, Addressing Boarding and Crowding in the Emergency Department, all provisions; Department of Health & Human Services (HHS), AHRQ 2025-001 Request for Information; Ensuring Lawful Regulation and Unleashing Innovation to Make America Healthy Again, Comments on easing administrative burdens and encouraging innovation in health care; Health Resources & Services Administration (HRSA); Health Resources and Services Administration (HRSA), 340B Rebate Model Pilot Program, Comments pertaining to 340B Rebate Model Pilot Program; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Rural Health Care Access, Issues to protect access to rural health care; 340B Program, Issues pertaining to protecting 340B Program, including 340B Rebate Model Pilot Program; Maternal and Child Health, Access to maternal and child health care and addressing related workforce shortages, conditions of participation (COP), funding priorities; Behavioral Health, Issues related to expanding access to care and reducing regulatory barriers; Workforce, Issues pertaining to workforce development grants and supporting health care workforce; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay; Health Care Resiliency & Preparedness, Issues pertaining to natural disasters, cyberattacks, cybersecurity workforce, and securing supply chains; Price Transparency, Issues related to hospital price transparency; Post Acute Care, Issues pertaining to expanding patients' access and easy regulatory burdens to crucial services provided by Long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Immigration, Proposed H1-B Visa Program changes and impact to health care workforce; Organ Procurement, Issues pertaining to organ procurement and transplantation.

H.R. 4581 S. 2372 H.R. 3178 S. 1600 H.R. 929 S. 266 H.R. 1585 S. 709 S. 1784 H.R. 4191 H.R. 5283 S. 2759 H.R. 5428 S. 1929 H.R. 2483 S. 2062 S. 921 H.R. 3482 H.R. 3413 H.R. 2936

FY2025 Budget/Appropriations self-filed

H.R. 1, The One Big Beautiful Bill Act (OBBBA)Title VII - Committee on Finance; Subtitle B - Health Care: Issues pertaining to Medicaid, Medicare, Health tax, and Protecting Rural Hospitals and Providers; Funding Priorities for Fiscal Year 2026, FY26 Appropriations Process, Strengthening the health care workforce, maternal and child health, rural health, disaster preparedness, behavioral health and medical research.

H.R. 1

FY2025 Taxation/Internal Revenue Code self-filed

Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Tariffs, Issues pertaining to impact of tariffs on hospitals and health systems.

FY2025 Immigration self-filed

Department of Homeland Security, H1-B Visa Program Changes, Issues pertaining to H1-B visa program changes; Department of Homeland Security, Duration of Status Proposed Rule, Issues pertaining to Duration of Status proposed rule for J-1 visas; Immigration, Issues pertaining to changes in immigration policy and impact on health care workforce.

FY2025 Budget/Appropriations as client

Issues related to hospital payments.

FY2025 Medicare/Medicaid as client

Issues related to hospital billings Issues related to Medicare Inpatient and Outpatient Hospital Payment Rates

FY2025 Medicare/Medicaid self-filed

S. 1261, CONNECT for Health Act, All provisions; H.R. 2191, To amend title XVII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals, All provisions; DRAFT Bill, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 335, Rural Hospital Support Act, all provisions; H.R. 1683, Protecting America's Seniors Access to Care Act, All provisions; DRAFT Bill, Clarifying that Rural Emergency Hospitals are eligible for Medicaid hospital reimbursement; Draft Bill, Issues pertaining to proposed changes to the Medicare Graduate Medical Education program and solutions to address workforce shortages in rural areas; DRAFT Bill, Resident Physician Shortage Reduction Act, All provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, All provisions; H.R. 1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, All provisions; H.R. 771, Rural Health Care Access Act of 2025, All provisions; DRAFT Bill, Supporting Healthy Moms and Babies Act, All provisions; S. 502, Rural Hospital Closure Relief Act of 2025, All provisions; Centers for Medicare & Medicaid Services (CMS), 2026 Medicare Advantage and Part D CY 2026 proposed rule, Insights on proposed policies that would increase oversight of Medicare Advantage plans and better align coverage and access under MA with Traditional Medicare; Medicare Payment Advisory Commission (MedPAC) January meeting, Inpatient and outpatient prospective payment systems (PPS), inpatient rehabilitation facilities (IRFs), hospital-based skilled nursing facilities (SNFs), and home health (HH) agencies, and physician reimbursement; Medicare Payment Advisory Commission (MedPAC), Medicare beneficiary cost-sharing in rural facilities; Site Neutral Payments, Issues related to site neutral payment cuts; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees, DSH cuts; Expiring Health Care Provisions, Issues pertaining to Telehealth, Hospital at Home, MDH/LVA, Medicaid DSH Program; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage; Physician Payments, Issues pertaining to alternative payment models, mental health of workforce, physician reimbursement cuts for 2025; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, REH's; Medicaid Program, Issues pertaining to Medicaid program.

S. 1261 H.R. 2191 S. 335 H.R. 1683 H.R. 1805 H.R. 1924 H.R. 771 S. 502

FY2025 Health Issues self-filed

DRAFTBill, the Safety from Violence for Healthcare Employees (SAVE) Act, all provisions; H.R.929 / S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; DRAFT Bill, Mental Health Infrastructure Improvement Act, all provisions; H.R. 1585 / S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions; DRAFT Bill, Healthcare Workforce Resilience Act, all provisions; DRAFT Bill, 340B PATIENTS Act , all provisions; H.R. 1417, The Rural Health Care Technical Assistance Program Act, all provisions; S. 229, Drug-price Transparency for Consumers (DTC) Act, all provisions; H.R.330, Organ Donation Referral Improvement Act, Issues pertaining to organ donation referral process; S. 526, Pharmacy Benefit Manager Reform Act, Pharmacy benefit management services; Drug Enforcement Administration, DEAs proposed rule; Physician-Focused Payment Model Technical Advisory Committee, Population-based total cost-of-care; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Price Transparency, Issues related to hospital price transparency; Rural Health Care Access, Issues to protect access to rural health care; 340B Program, Issues pertaining to protecting 340B Program; Maternal and Child Health, Access to maternal and child health care and addressing related workforce shortages, conditions of participation (COP); Behavioral Health, Issues related to expanding access to care and reducing regulatory barriers; Workforce, Nurse staffing mandate, workforce development programs; Health Care Resiliency & Preparedness, Issues pertaining to natural disasters, cyberattacks, and securing supply chains; Post-Acute Care, Issues pertaining to how Congress can better support patients' access to crucial services provided by Long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay; Hospital mergers and acquisitions, Issues pertaining to hospital consolidation, mergers an acquisition, physician practice acquisition, FTC premerger notification rules; Rural Emergency Hospital Designation, Issues pertaining to eligibility for the Rural Emergency Hospital designation and the expansion of physician-owned hospitals.

H.R. 929 S. 266 H.R. 1585 S. 709 H.R. 1417 S. 229 H.R. 330 S. 526

FY2025 Budget/Appropriations self-filed

H.Con.Res.14, Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034, Title II - Reconciliation and Related Matters; H.R. 1968, The Full-Year Continuing Appropriations and Extensions Act, 2025, Division B / Title I - Public Health Extenders, Disaster Relief Funds, Ensuring hospitals are compensated for pandemic expenses.

H.Con.Res. 14 H.R. 1968

FY2025 Taxation/Internal Revenue Code self-filed

White House, Tariffs on Canada, Mexico, and China, Tariff impact on supply chain for drugs and devices, Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax-exempt status and tax-exempt private activity bonds, Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits.

FY2025 Health Issues as client

Proposals related to telehealth S. 1261, CONNECT for Health Act Proposals to reduce drug costs and improve access Proposals to protect or modify the 340B Program H.R. 5371 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026

S. 1261 H.R. 5371

FY2025 Medicare/Medicaid as client

Proposals to modify Medicare payment reductions Changes to Medicare policy Oppose site-neutral payments Proposals related to telehealth S. 1261 CONNECT for Health Act H.R.5371 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026

S. 1261 H.R. 5371

FY2025 Budget/Appropriations as client

FY 2026 and FY 2027 House and Senate Labor, HHS, Education Appropriations bill - provision related to funding for health programs H.R.5371 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026

H.R. 5371

FY2025 Health Issues as client

H.R. 1 - One Big Beautiful Bill Act - Issues related to Medicaid, Marketplace, Essential Plan and other issues impacting hospitals' ability to provide care for patients. Policies, rules, and regulations related to Medicaid, Medicare, Essential and Marketplace coverage.

H.R. 1

FY2025 Medicare/Medicaid as client

H.R. 1 - One Big Beautiful Bill Act - Issues related to Medicaid, Marketplace, Essential Plan and other issues impacting hospitals' ability to provide care for patients. Policies, rules, and regulations related to Medicaid, Medicare, Essential and Marketplace coverage.

H.R. 1

FY2025 Medicare/Medicaid as client

PL 119-21 One Big Beautiful Bill Act; discussions involving hospital payments

FY2025 Health Issues as client

Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored HR 4822 Health Care Price Transparency Act of 2023 Monitored S 2840 Bipartisan Primary Care and Health Workforce Act

FY2025 Medicare/Medicaid as client

Issues regarding reimbursement for hospital services. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. H.R. 1968 (P.L. 119-4), Full-Year Continuing Appropriations and Extensions Act, 2025.

H.R. 1968

FY2025 Health Issues as client

Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Monitored issues related to behavioral health. Monitored SUPPORT Act Reauthorization. Issues related to workplace safety.

FY2025 Labor Issues/Antitrust/Workplace as client

Monitored issues regarding health care workforce proposals.

FY2025 Immigration as client

Issues related to visas for healthcare workers.

FY2025 Taxation/Internal Revenue Code as client

Issues related to tax-exempt hospitals.

FY2025 Law Enforcement/Crime/Criminal Justice as client

Issues involving violence against healthcare employees.

FY2025 Budget/Appropriations as client

H.R. 1968 (P.L. 119-4), Full-Year Continuing Appropriations and Extensions Act, 2025, as it relates to hospital services including extension of telehealth health, DSH and hospital at home.

H.R. 1968

FY2025 Health Issues as client

Proposals related to telehealth S. 1261, CONNECT for Health Act Proposals to reduce drug costs and improve access Proposals to protect or modify the 340B Program H.R. 1, One Big Beautiful Bill Act, the reconciliation bill H.R.5371, Continuing Appropriations and Extensions Act, 2026

S. 1261 H.R. 1 H.R. 5371

FY2025 Medicare/Medicaid as client

Proposals to modify Medicare payment reductions Changes to Medicare policy Oppose site-neutral payments Proposals related to telehealth S. 1261 CONNECT for Health Act H.R. 1 - One Big Beautiful Bill Act, reconciliation bill - provisions related to Medicaid and Medicare H.R.5371, Continuing Appropriations and Extensions Act, 2026

S. 1261 H.R. 1 H.R. 5371

FY2025 Budget/Appropriations as client

FY 2026 House and Senate Labor, HHS, Education Appropriations bill - provision related to funding for health programs H.R. 1 - One Big Beautiful Bill Act, reconciliation bill H.R.5371, Continuing Appropriations and Extensions Act, 2026

H.R. 1 H.R. 5371

FY2025 Immigration as client

Healthcare immigration legislation and regulation.

FY2025 Medicare/Medicaid as client

Issues regarding reimbursement for hospital services. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

S. 2237 H.R. 4313 H.R. 1 H.R. 5371

FY2025 Health Issues as client

Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. SUPPORT Act Reauthorization. Issues related to workplace safety. Issues related to health insurance coverage.

FY2025 Labor Issues/Antitrust/Workplace as client

Monitored issues regarding health care workforce proposals.

FY2025 Immigration as client

Issues related to visas for healthcare workers.