Legislative Progress
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Supporting Patient Education And Knowledge Act of 2025 or the SPEAK Act of 2025 This bill requires the Department of Health and Human Services to issue guidance with best practices for improving telehealth services for non-English speakers, including with respect to using interpreters, providing accessible instructions, and enabling multi-person video calls.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (2)
2026 · second_quarter · Health Issues
H.R. 4206; the CONNECT Act - provisions related to making the Trump waivers that were enacted during the pandemic that allowed telehealth to be accessible across the country. H.R. 2528; Association Health Plans Act - provisions related to letting employers to associates create collaborative small business insurance partnerships. H.R. 2092; SPEAK Act of 2025 - provisions related to creating federal guidelines over best practices for telehealth for those with limited English proficiency that those were included. H.R. 955; The HOPE Act - provisions related to creating a new universal Roth-style HOPE account as an optional alternative to a traditional HAS, with means-tested employer contributions. H.R. 4002; The Patient Access to Higher Quality Care Act - provisions related to lifting Medicare's ban on physician-owned hospitals (all) to promote competition and expand rural access. H.R. 548; The HSA Modernization Act that - provisions related to expanding the scope of expenses that can be charged to a Health Savings Account. H.R. 1157; Support for provisions in the ACCESS Act - provisions related to expanding the availability of Health Savings Accounts. Issues related to reducing the cost of health care premiums by reducing mandates and subsidies. Issues related to expanding access and use of Health Savings Accounts for Americans. Issues related to addressing fraud, waste, and abuse under the Affordable Care Act. Issues related to protecting and promoting physician owned hospitals over corporate hospital systems. Issues related to increasing portability of health care benefits through expanded usage of Health Savings Accounts. Issues related to site neutral payments, Health saving accounts. Issues related to opposing all efforts to renew the covid enhanced premium tax credits.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Health Issues
H.R. 4206; the CONNECT Act - provisions related to making the Trump waivers that were enacted during the pandemic that allowed telehealth to be accessible across the country. H.R. 2528; Association Health Plans Act - provisions related to letting employers to associate to create collaborative small business insurance partnerships. H.R. 2528; the Association Health Plans Act - provisions related to legalize association health plans (AHPs) for employers, including sole proprietors (especially helpful for small business). H.R. 1320; The Modern Worker Emplowerment Act - provisions related to ensure that portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 2092; SPEAK Act of 2025 - provisions related to creating federal guidelines over best practices for telehealth for those with limited english proficency that those were included. H.R. 955; Hope Act - provisions related to establishing a new universal ROTH account for the broad population. H.R. 955; The HOPE Act - provisions related to creating a new universal Roth-style HOPE account as an optional alternative to a traditional HAS, with means-tested employer contributions. H.R. 4002; The Patient Access to Higher Quality Care Act - provisions related to lifting Medicare's ban on physician-owned hospitals (all) to promote competition and expand rural access. H.R. 6296; Advancing Access to Telehealth Act - provisions related to permanently extending flexibilities for telehealth across the country. H.R. 548; The HSA Modernization Act that - provisions related to expanding the scope of expenses that can be charged to a Health Savings Account. H.R. 1157; Support for provisions in the ACCESS Act - provisions related to expanding the availability of Health Savings Accounts. Issues related to reducing the cost of health care premiums by reducing mandates and subsidies. Issues related to preventing the extension of the Covid ACA subsidies Issues related to increasing veterans access to community health care. Issues related to allowing ACA covid credits to expire. Issues related to expanding access and use of Health Savings Accounts for Americans. Issues related to making it easier for biosimilars to make it to market quicker. Issues related to lowering premiums through increased usage of associated health plans. Issues related to addressing fraud, waste, and abuse under the Affordable Care Act. Issues related to protecting and promoting physician owned hospitals over corporate hospital systems. Issues related to increasing portability of health care benefits through expanded usage of Health Savings Accounts.
Client expense: $700,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · first_quarter · Health Issues
H.R. 955; HOPE Act of 2025 - provisions related to portable benefits to an individual is not considered in determining whether such individual is an employee of a person H.R. 2309; The Medicare and Medicaid Fraud Prevention Act - provisions related to require the SSA's death file to be reviewed regularly for deceased physicians and medical device providers. H.R. 2092; Speak Act - provisions related to reintroduction and require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. This bill creates a taskforce at HHS that will pull together a private-public partnership to identify best practices for language access. H.R.1319; To amend the Fair Labor Standards Act of 1938 and the National Labor Relations Act to clarify the standard for determining whether an individual is an employee, and for other purposes - - provisions related to provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1320; to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to modifing tax advantage for HSA's by increasing accessibility. H.R. 1157; ACCESS Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1157; the ACCESS Act - provisions related to giving help to lower income families flexibility under ACA. H.R. 1585; Conrad State 30 and Physician Access Reauthorization Act - provisions related to reauthorizing and protecting J-1 visas and their expansion and use across state lines. Issues related to workforce shortages and access to care for on Medicaid/Medicare. Issues related to the SPEAK Act and gaps in telehealth services. Issues related to the reintroduction of the CONNECT Act.
Client expense: $305,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · first_quarter · Health Issues
H.R. 955; HOPE Act of 2025 - provisions related to portable benefits to an individual is not considered in determining whether such individual is an employee of a person H.R. 2309; The Medicare and Medicaid Fraud Prevention Act - provisions related to require the SSA's death file to be reviewed regularly for deceased physicians and medical device providers. H.R. 2092; Speak Act - provisions related to reintroduction and require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. This bill creates a taskforce at HHS that will pull together a private-public partnership to identify best practices for language access. H.R.1319; To amend the Fair Labor Standards Act of 1938 and the National Labor Relations Act to clarify the standard for determining whether an individual is an employee, and for other purposes - - provisions related to provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1320; to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to modifing tax advantage for HSA's by increasing accessibility. H.R. 1157; ACCESS Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1157; the ACCESS Act - provisions related to giving help to lower income families flexibility under ACA. H.R. 1585; Conrad State 30 and Physician Access Reauthorization Act - provisions related to reauthorizing and protecting J-1 visas and their expansion and use across state lines. Issues related to workforce shortages and access to care for on Medicaid/Medicare. Issues related to the SPEAK Act and gaps in telehealth services. Issues related to the reintroduction of the CONNECT Act.
Client expense: $305,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Health Issues
H.R. 1: One Big Beautiful Bill Act - provisions related to preventing a tax hike, protecting the standard deduction, and small business tax credits. Additionally highlighted key polling on health care, immigration, and economic issues. H.R. 2092; SPEAK Act - provisions related to creating a taskforce at HHS to address language barriers and best practices around telehealth access. H.R. 4206; CONNECT Act - provisions related to codifying the pandemic era waiver around limits to telehealth access regardless of geographical limitation for all Medicare and Medicaid beneficiaries. S. 1261; CONNECT Act - provisions related to codifying the pandemic era waiver around limits to telehealth access regardless of geographical limitation for all Medicare and Medicaid beneficiaries. H.R. 2309; Medicare and Medicaid Fraud Prevention act - provisions related to requiring the federal government to check the national death registry before completing medical payments to clamp down on medical provider fraud. H.R. 1585; CONRAD 30 Act - provisions related to reauthorizing the J-1 program for foreign born physicians that will allow states to retain 30 medical professionals on the condition they serve in underserved areas. This bill needs to be reauthorize every 3 years. S. 709; CONRAD 30 Act - provisions related to reauthorizing the J-1 program for foreign born physicians that will allow states to retain 30 medical professionals on the condition they serve in underserved areas. This bill needs to be reauthorize every 3 years. Issues related to supporting the expiration of Affordable Care Act premium tax credits
Client expense: $495,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · second_quarter · Health Issues
S. 1261; CONNECT for Health Act of 2025 - provisions related to codifying telehealth access and flexibility for Medicare patients. H.R. 2533; EASE Act of 2025 - provisions related to expanding primary care to rural and underserved communities via telehealth. H.R. 2092; SPEAK Act of 2025 - provisions relating to requiring the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. H.R. 936; Medicaid Improvement and State Flexibility Act of 2025 - provisions related to allowing for Medicaid beneficiaries to have HSA's and provide them with the personal option. H.R. 2484: Seniors Access to Critical Medications Act of 2025 - provisions related to support of providing seniors more flexibility and competitive pharmaceutical pricing. H.R. 4002; Patient Access to Higher Quality Health Care Act of 2025 - provisions related allowing physicians to own hospitals. H.R. 2571; Self-Insurance Protection Act (SIPA) - provisions related to helping small business owners and self-employed entrepreneurs afford health insurance by offering them more options in what kind of healthcare plans are available to them. SIPA especially helps small business owners by preventing states from barring them access to medical stop-loss insurance plans which are self-funded and therefore allow small business to competitively shop for affordable coverage. H.R. 2528; the Association Health Plans Act - provisions related to helping small business owners and self-employed entrepreneurs afford health insurance by offering them more options in what kind of healthcare plans are available to them. H.R. 1585; Conrad State 30 and Physician Access Reauthorization - provisions related to securing J-1 visas and specialty medical school graduates to serve rural and underserved communities. 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. - provisions related to the 2025 Budget Reconciliation, specifically extending all Individual Tax Rates, rejecting Any Corporate Tax Increase, maintaining Tax Simplification, and ending Corporate Welfare from the Tax Cut and Jobs Act (TCJA). Issues related to the SPEAK Act and gaps in telehealth services. Issues related to the retroduction of H.R. 118; Value Over Cost Act of 2025 and provisions related to codify billing in a way that better addresses which therapies are covered to drive down the cost of health care across the country. Issues related to using H.R. 936, the Medicaid Improvement and State Flexibility Act, and H.R. 1157, the ACCESS Act as potential savers in the reconciliation package. Issues related to reducing Medicaid payments for able-bodied adults. Issues related to adopting Medicare site-neutral payments. Issues related to cost sharing, no more $35 cost sharing agreement for parity, 90 day retroactive coverage shortening to 30 days and removing coverage for illegal immigrant all consensus. Issues related to Medicaid reforms to reduce waste fraud and abuse.
2025 · first_quarter · Health Issues
H.R. 955; HOPE Act of 2025 - provisions related to portable benefits to an individual is not considered in determining whether such individual is an employee of a person H.R. 2309; The Medicare and Medicaid Fraud Prevention Act - provisions related to require the SSA's death file to be reviewed regularly for deceased physicians and medical device providers. H.R. 2092; Speak Act - provisions related to reintroduction and require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. This bill creates a taskforce at HHS that will pull together a private-public partnership to identify best practices for language access. H.R.1319; To amend the Fair Labor Standards Act of 1938 and the National Labor Relations Act to clarify the standard for determining whether an individual is an employee, and for other purposes - - provisions related to provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1320; to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to modifing tax advantage for HSA's by increasing accessibility. H.R. 1157; ACCESS Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1157; the ACCESS Act - provisions related to giving help to lower income families flexibility under ACA. H.R. 1585; Conrad State 30 and Physician Access Reauthorization Act - provisions related to reauthorizing and protecting J-1 visas and their expansion and use across state lines. Issues related to workforce shortages and access to care for on Medicaid/Medicare. Issues related to the SPEAK Act and gaps in telehealth services. Issues related to the reintroduction of the CONNECT Act.
2025 · first_quarter · Medicare/Medicaid
Legislation to allow Medicare to reimburse services provided by mobile stroke units (no bill number) Amputation Reduction and Compassion Act (no bill number) Accelerating Kids Access to Care Act of 2025 (H.R.1509/S. 752) Patient Matching and Transparency in Certified Health IT (MATCH IT) Act (H.R. 2002) Supporting Patient Education and Knowledge (SPEAK) Act (H.R. 2092) Telehealth Coverage Act (H.R. 2263) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act (S. 1261)
Client expense: $290,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · first_quarter · Health Issues
H.R. 955; HOPE Act of 2025 - provisions related to portable benefits to an individual is not considered in determining whether such individual is an employee of a person H.R. 2309; The Medicare and Medicaid Fraud Prevention Act - provisions related to require the SSA's death file to be reviewed regularly for deceased physicians and medical device providers. H.R. 2092; Speak Act - provisions related to reintroduction and require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. This bill creates a taskforce at HHS that will pull together a private-public partnership to identify best practices for language access. H.R.1319; To amend the Fair Labor Standards Act of 1938 and the National Labor Relations Act to clarify the standard for determining whether an individual is an employee, and for other purposes - - provisions related to provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1320; to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. H.R. 548; HAS Modernization Act - provisions related to modifing tax advantage for HSA's by increasing accessibility. H.R. 1157; ACCESS Act - provisions related to ensure that the provision of portable benefits to an individual is not considered in determining whether such individual is an employee of a person. HR 1157; the ACCESS Act - provisions related to giving help to lower income families flexibility under ACA. H.R. 1585; Conrad State 30 and Physician Access Reauthorization Act - provisions related to reauthorizing and protecting J-1 visas and their expansion and use across state lines. Issues related to workforce shortages and access to care for on Medicaid/Medicare. Issues related to the SPEAK Act and gaps in telehealth services. Issues related to the reintroduction of the CONNECT Act.
| Democratic |
| DC |
| Eugene Simon Vindman | Democratic | VA |
| Gabe Evans | Republican | CO |
| Henry Cuellar | Democratic | TX |
| Jimmy Panetta | Democratic | CA |
| Juan Ciscomani | Republican | AZ |
| Julie Johnson | Democratic | TX |
| Marc A. Veasey | Democratic | TX |
| Michael Lawler | Republican | NY |
| Nanette Diaz Barragán | Democratic | CA |
| Robert J. Wittman | Republican | VA |
| Susie Lee | Democratic | NV |
| Yassamin Ansari | Democratic | AZ |
| Young Kim | Republican | CA |
| HR 1768 |
119th |
| Related bill |
Client expense: $340,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $305,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $120,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE