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Save America’s Rural Hospitals Act
Legislative Progress
Momentum (last 30 days)
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0 actions · 0 new cosponsors · 0 votes
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vs 10,940 other HR bills in the 119th — cohort avg 30d
No CRS summary is available for this bill yet. The source title, actions, sponsors, and text versions below come from Congress.gov.
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Filing registrants (8)
Referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2026 · third_quarter · Medicare/Medicaid
Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services, including remote patient monitoring Medicaid eligibility expansion and state options, including reauthorization of the state option for mobile crisis intervention services Medicaid community engagement policies and definition of medical frailty exemptions Medicaid waiver application procedures and guidance on budget neutrality assessment Medicaid funding for Puerto Rico Protection and improvement of Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) Centers for Medicare & Medicaid Services proposed rule, Calendar Year 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies (CMS-1848-P) Centers for Medicare & Medicaid Services proposed rule, Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update (CMS-1844-P) Centers for Medicare & Medicaid Services proposed rule, Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments (CMS-2449-P) Centers for Medicare & Medicaid Services interim final rule, Medicaid Program; Community Engagement Requirement for Certain Individuals (CMS-2454-IFC) Centers for Medicare & Medicaid Services proposed rule, Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes (CMS-2452-P) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home Infusion Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 3108/S. 1535, Rural Patient Monitoring Access Act H.R. 3684, Save Americas Rural Hospitals Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973/S. 5283, Momnibus Act H.R. 9693, Patients First Act of 2026 H.R. 10410, Educating Future Nurses Act S. 683/H.R. 7324, More Behavioral Health Providers Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act S. 2954, Health Care Workforce Expansion Act of 2025
Client expense: Not reported · Firm income: $24,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2026 · third_quarter · Medicare/Medicaid
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973/S. 5283 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act H.R. 9693/S. 5672 - Patients First Act of 2026 Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic
Client expense: $390,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2026 · third_quarter · Health Issues
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599/H.R. 6394 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482/H.R. 4407 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973/S. 5283 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act H.Res. 1264/S.Res. 709 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026. H.R. 8163 - the Provider Reimbursement Stability Act H.R. 8261 - Chronic Care Management Improvement Act S. 5269 - Pay PCPs Act of 2026 H.R. 10410 - Educating Future Nurses Act H.R. 4464 - Preventive Health Savings Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies H.R. 9257/S. 4754 - Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records
Client expense: $390,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2026 · third_quarter · Budget/Appropriations
Appropriations Act, 2026. - Fiscal Year 2026 Homeland Security Appropriations. - Fiscal Year 2026 Commerce-Justice-Science Appropriations - Fiscal Year 2026 Transportation-HUD Appropriations. - Fiscal Year 2026 Energy & Water Development Appropriations. American Relief Act 2025. FY 26 and Fy 27 Appropriations requests for Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684) and Secure America Act. Provisions related to H.R.1 - One Big Beautiful Bill Act.
Client expense: Not reported · Firm income: $25,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Transportation
Issues related to IIJA HR 3684 implementation for public transit funding as well as issues related to Automated Track Inspections Issues related to Passenger Rail Operations on Freight-Owned Corridors Issues and third party access to rail and rights of way Issues; Grade Crossing Safety Issues. Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging, and highways. Surface Transportation Re-Authorization Legislation, BUILD America 250 Act) and Secure America Act. PROTECT Grant Application for Route 66.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), White House Office
2026 · third_quarter · Budget/Appropriations
Fiscal Year 2026 and FY 2027 budget and appropriations requests to include project funding through the Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684) and H.R.1 - One Big Beautiful Bill Act and Secure America Act.
Client expense: Not reported · Firm income: $36,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Budget/Appropriations
Fiscal Year FY 2026 and Fiscal Year 2027 budget and appropriations requests for regional rail projects in the annual appropriations bill to include project funding through the Community project funding and Congressionally Directed Spending. Grant funding in the Infrastructure Bill (IIJA, HR 3684). Surface Transportation Re-authorization (BUILD America 250 Act) legislation.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Transportation
Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging and Surface Transportation Reauthorization Act (BUILD America 250 Act).
Client expense: Not reported · Firm income: $30,000
Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2026 · third_quarter · Medicare/Medicaid
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid Strengthening Pathways to Health Professions Act (H.R.593) Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses. Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433) Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider Medicare Audiology Access Improvement Act of 2025 (H.R.2757) This bill adds audiologists as Medicare-covered providers in RHCs. Improving Seniors Timely Access to Care Act of 2025 (S.1816) Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans. Registered Nurses (RNs) for Rural Health Act (H.R.3878) Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare. Critical Access for Veterans Care Act (S.1868) Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs. CONNECT for Health Act of 2025 (S.1261 and H.R. 4206) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Save America's Rural Hospitals Act (H.R.3684) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Prompt and Fair Pay Act (H.R.4559) Requires MA plans to provide reimbursement comparable to traditional Medicare. Telehealth Modernization Act (H.R.5081 and S.2709) Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits. Helping Ensure Access to Local TeleHealth Act (H.R.5496) Allows RHCs to permanently receive Medicare reimbursement for telehealth services. Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621) Expands Medicare coverage for Physical Therapy services at RHCs.
2026 · second_quarter · Taxation/Internal Revenue Code
Taxation Renewable Chemicals / Biobased Products and Biofuels (Ground Transportation Biofuels and Aviation Biofuels) (Non-Funding) Renewable fuels incentives and tax incentives (Non-Funding) --H.R.3592; Adopt GREET Act --Senate Finance Bill, Title XII- Committee on Finance --H.R.3684; Infrastructure Investment and Jobs Act One Big Beautiful Bill Act (OBBBA) --H.R.1; OBBBA --Senate version OBBBA Agencies Contacted: Senate House
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Health Issues
issues relative to hospitals and healthcare; S3389 Lowering Healthcare Costs for Americans Act; S3315 Healthcare Cybersecurity and Resiliency Act 2026; H.Res Recognizing the 250th Anniversary of US and Importance of Healthcare; HR 7884 Healthcare Human Act 2026; HR 1160 Healthcare Provider Shortage Minimization Act; HR 706 AI in Healthcare Efficiency Study Act; HR6246 Save American Healthcare Act; S 729 Hospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; HR 538 Critical Access Hospital Relief Act 2025; H.R.3023 Preventing Hospital Overbilling of Medicare Act; H.R.3684 Save Americas Rural Hospitals Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
issues relative to hospitals, healthcare and medicare; H.R.8216 Improving Medicare Services Act of 2026; H.R.3580 Oversight of Medicare Billing Code Cost Act; HR 8749 and S4358 SAFE through Medicare Act; S 729 Hospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act; H.R.2309 - Medicare and Medicaid Fraud Prevention Act; H.R.3023 Preventing Hospital Overbilling of Medicare Act.; H.R.3684 Save Americas Rural Hospitals Act; H.R.3911 Choose Medicare Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Protection and improvement of Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home Infusion Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 3108/S. 1535, Rural Patient Monitoring Access Act H.R. 3684, Save Americas Rural Hospitals Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 683/H.R. 7324, More Behavioral Health Providers Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act S. 2954, Health Care Workforce Expansion Act of 2025
2026 · second_quarter · Health Issues
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599/H.R. 6394 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482/H.R. 4407 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act H.Res. 1264/S.Res. 709 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026. H.R. 8163 - the Provider Reimbursement Stability Act H.R. 8261 - Chronic Care Management Improvement Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies H.R. 9257/S. 4754 - Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records
2026 · second_quarter · Medicare/Medicaid
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic
2026 · second_quarter · Budget/Appropriations
Appropriations Act, 2026. - Fiscal Year 2026 Homeland Security Appropriations. - Fiscal Year 2026 Commerce-Justice-Science Appropriations - Fiscal Year 2026 Transportation-HUD Appropriations. - Fiscal Year 2026 Energy & Water Development Appropriations. American Relief Act 2025. FY 26 and Fy 27 Appropriations requests for Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684) and Secure America Act. Provisions related to H.R.1 - One Big Beautiful Bill Act.
Client expense: Not reported · Firm income: $25,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Transportation
Issues related to IIJA HR 3684 implementation for public transit funding as well as issues related to Automated Track Inspections Issues related to Passenger Rail Operations on Freight-Owned Corridors Issues and third party access to rail and rights of way Issues; Grade Crossing Safety Issues. Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging, and highways. Surface Transportation Re-Authorization Legislation, BUILD America 250 Act) and Secure America Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), White House Office
2026 · second_quarter · Budget/Appropriations
Fiscal Year 2026 and FY 2027 budget and appropriations requests to include project funding through the Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684) and H.R.1 - One Big Beautiful Bill Act and Secure America Act.
Client expense: Not reported · Firm income: $36,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Transportation
Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging and Surface Transportation Reauthorization Act (BUILD America 250 Act).
Client expense: Not reported · Firm income: $30,000
Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2026 · second_quarter · Budget/Appropriations
Fiscal Year FY 2026 and Fiscal Year 2027 budget and appropriations requests for regional rail projects in the annual appropriations bill to include project funding through the Community project funding and Congressionally Directed Spending. Grant funding in the Infrastructure Bill (IIJA, HR 3684). Surface Transportation Re-authorization (BUILD America 250 Act) legislation.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid Strengthening Pathways to Health Professions Act (H.R.593) Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses. Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433) Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider Medicare Audiology Access Improvement Act of 2025 (H.R.2757) This bill adds audiologists as Medicare-covered providers in RHCs. Improving Seniors Timely Access to Care Act of 2025 (S.1816) Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans. Registered Nurses (RNs) for Rural Health Act (H.R.3878) Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare. Critical Access for Veterans Care Act (S.1868) Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs. CONNECT for Health Act of 2025 (S.1261 and H.R. 4206) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Save America's Rural Hospitals Act (H.R.3684) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Prompt and Fair Pay Act (H.R.4559) Requires MA plans to provide reimbursement comparable to traditional Medicare. Telehealth Modernization Act (H.R.5081 and S.2709) Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits. Helping Ensure Access to Local TeleHealth Act (H.R.5496) Allows RHCs to permanently receive Medicare reimbursement for telehealth services. Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621) Expands Medicare coverage for Physical Therapy services at RHCs.
2026 · first_quarter · Taxation/Internal Revenue Code
Taxation Renewable Chemicals / Biobased Products and Biofuels (Ground Transportation Biofuels and Aviation Biofuels) (Non-Funding) Renewable fuels incentives and tax incentives (Non-Funding) --H.R.3592; Adopt GREET Act --Senate Finance Bill, Title XII- Committee on Finance --H.R.3684; Infrastructure Investment and Jobs Act One Big Beautiful Bill Act (OBBBA) --H.R.1; OBBBA --Senate version OBBBA Agencies Contacted: Senate House
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Medicare/Medicaid
Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Protection and improvement of Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home Infusion Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 3108/S. 1535, Rural Patient Monitoring Access Act H.R. 3684, Save Americas Rural Hospitals Act H.R. 4231/S. 1973, Treat and Reduce Obesity Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 683/H.R. 7324, More Behavioral Health Providers Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act S. 1941, Cure Hepatitis C Act of 2025 S. 2954, Health Care Workforce Expansion Act of 2025
2026 · first_quarter · Health Issues
Dr. Lorna Breen Health Care Provider Protection Act (H.R 929, S. 266) Rural Physician Workforce Production Act (H.R. 1153) Physicians for Underserved Areas Act (H.R. 870, S. 1044) Rural Health Innovation Act of 2025 (H.R.1480) Fair Access In Residency Act (H.R. 2314/S.2715) Teaching Health Center Graduate Medical Education National Institutes of Health Research Pathways to Health Professions Act (H.R. 593) Bipartisan Rural America Health Corps Act (H.R. 1127) Expanding Medical Education Act (H.R. 2106, S. 975) Community TEAMS Act (H.R. 3885, S.3989) Specialty Physicians Advancing Rural Care Act (S. 1380) Post GRAD Act (H.R. 3711) Physician and Patient Safety Act (H.R. 3413, S. 1767) IHS Workforce Production Act ( S.632) Rural Health Focus Act (S.403) Rural Health Transformation Program Healthcare Advisory Council Resident Physician Shortage Reduction Act (H.R.4731/S.2439) Medical Student Education Authorization Act (H.R.5248) Palliative Care and Hospice Education and Training Act (S.2287) Improving Care in Rural America Reauthorization Act (S.2301) Health Care Workforce Expansion Act (S.2954) Resident Education Deferred Interest (REDI Act) (H.R. 2028,S. 942) Save Americas Rural Hospitals Act (H.R. 3684) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act (H.R. 4262) Train More Primary Care Doctors Act of 2025 (H.R. 958) Rural Hospital Flexibility Act (S. 3250) Rural Behavioral Health Improvement Act (H.R.5217) Community Health Workforce Development Act (H.R. 7289) Student Loan Tax Elimination Act (H.R. 3165 / S.3538) Healthcare is Human Act of 2026 (H.R. 7884) Rural Residency Planning and Development Act of 2025 (H.R. 6468) Healthcare Education in AI Literacy (HEAL A.I.) Act (H.R. 6077) PSLF Payment Completion Fairness Act (H.R. 3267 / S.3487) Foreign Medical School Accountability Fairness Act (S. 3757) Medically Tailored Home-Delivered Meals Program Pilot Act (H.R. 5439, S. 2834) Nutrition Education Community Academic Health Systems
2026 · first_quarter · Health Issues
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act Chronic Care Management Improvement Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records
2026 · first_quarter · Medicare/Medicaid
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973 - Momnibus Act Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic
2026 · first_quarter · Medicare/Medicaid
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid Strengthening Pathways to Health Professions Act (H.R.593) Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses. Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433) Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider Medicare Audiology Access Improvement Act of 2025 (H.R.2757) This bill adds audiologists as Medicare-covered providers in RHCs. Improving Seniors Timely Access to Care Act of 2025 (S.1816) Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans. Registered Nurses (RNs) for Rural Health Act (H.R.3878) Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare. Critical Access for Veterans Care Act (S.1868) Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs. CONNECT for Health Act of 2025 (S.1261 and H.R. 4206) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Save America's Rural Hospitals Act (H.R.3684) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Prompt and Fair Pay Act (H.R.4559) Requires MA plans to provide reimbursement comparable to traditional Medicare. Telehealth Modernization Act (H.R.5081 and S.2709) Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits. Helping Ensure Access to Local TeleHealth Act (H.R.5496) Allows RHCs to permanently receive Medicare reimbursement for telehealth services. Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621) Expands Medicare coverage for Physical Therapy services at RHCs.
2026 · first_quarter · Medicare/Medicaid
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid Strengthening Pathways to Health Professions Act (H.R.593) Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses. Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433) Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider Medicare Audiology Access Improvement Act of 2025 (H.R.2757) This bill adds audiologists as Medicare-covered providers in RHCs. Improving Seniors Timely Access to Care Act of 2025 (S.1816) Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans. Registered Nurses (RNs) for Rural Health Act (H.R.3878) Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare. Critical Access for Veterans Care Act (S.1868) Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs. CONNECT for Health Act of 2025 (S.1261 and H.R. 4206) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Save America's Rural Hospitals Act (H.R.3684) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Prompt and Fair Pay Act (H.R.4559) Requires MA plans to provide reimbursement comparable to traditional Medicare. Telehealth Modernization Act (H.R.5081 and S.2709) Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits. Helping Ensure Access to Local TeleHealth Act (H.R.5496) Allows RHCs to permanently receive Medicare reimbursement for telehealth services. Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621) Expands Medicare coverage for Physical Therapy services at RHCs.
2026 · first_quarter · Budget/Appropriations
Appropriations Act, 2026. - Fiscal Year 2026 Homeland Security Appropriations. - Fiscal Year 2026 Commerce-Justice-Science Appropriations - Fiscal Year 2026 Transportation-HUD Appropriations. - Fiscal Year 2026 Energy & Water Development Appropriations. American Relief Act 2025. FY 26 and Fy 27 Appropriations requests for Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684). Provisions related to H.R.1 - One Big Beautiful Bill Act.
Client expense: Not reported · Firm income: $25,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Transportation
Issues related to IIJA HR 3684 implementation for public transit funding as well as issues related to Automated Track Inspections Issues related to Passenger Rail Operations on Freight-Owned Corridors Issues and third party access to rail and rights of way Issues; Grade Crossing Safety Issues. Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging, and highways. Surface Transportation Re-Authorization Legislation (2026).
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), White House Office
2026 · first_quarter · Budget/Appropriations
Fiscal Year 2026 and FY 2027 budget and appropriations requests to include project funding through the Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684) and H.R.1 - One Big Beautiful Bill Act. Continuing Appropriations and Extensions Act, 2026. Funding in Surface Transportation Reauthorization.
Client expense: Not reported · Firm income: $36,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Transportation
Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging and Surface Transportation Reauthorization Act.
Client expense: Not reported · Firm income: $30,000
Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2026 · first_quarter · Budget/Appropriations
Fiscal Year FY 2026 and Fiscal Year 2027 budget and appropriations requests for regional rail projects in the annual appropriations bill to include project funding through the Community project funding and Congressionally Directed Spending. Grant funding in the Infrastructure Bill (IIJA, HR 3684). Surface Transportation Re-authorization legislation.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Transportation
Surface Transportation Authorization (to include funding in the IIJA HR 3684) and funding in FY 2026 THUD appropriations bills and FY 2027 Appropriations.
Client expense: Not reported · Firm income: $62,400
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2025 · fourth_quarter · Taxation/Internal Revenue Code
Taxation Renewable Chemicals / Biobased Products and Biofuels (Ground Transportation Biofuels and Aviation Biofuels) (Non-Funding) Renewable fuels incentives and tax incentives (Non-Funding) --H.R.3592; Adopt GREET Act --Senate Finance Bill, Title XII- Committee on Finance --H.R.3684; Infrastructure Investment and Jobs Act One Big Beautiful Bill Act (OBBBA) --H.R.1; OBBBA --Senate version OBBBA Agencies Contacted: Senate House
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Medicare/Medicaid
Connect for Health Act - S.1261 - Fixes telehealth reimbursement for RHCs Seeking to create a reimbursement benefit for RHCs vis a vis Medicare Advantage Informing Members of Congress of the impacts of Medicaid cut proposals on RHCs H.R. 1 - One Big Beautiful Bill Act - Opposing cuts to Medicaid Strengthening Pathways to Health Professions Act (H.R.593) Provides tax relief for certain health professional scholarships and loan payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advanced practice registered nurses. Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R.2433) Requires Medicare, Medicare Advantage, and Part D prior authorization decisions to be made by physicians in the same specialty as the requesting provider Medicare Audiology Access Improvement Act of 2025 (H.R.2757) This bill adds audiologists as Medicare-covered providers in RHCs. Improving Seniors Timely Access to Care Act of 2025 (S.1816) Streamlines the prior authorization process to reduce administrative burden on providers and improve access to care for seniors enrolled in Medicare Advantage (MA) plans. Registered Nurses (RNs) for Rural Health Act (H.R.3878) Allows RNs at RHCs to conduct Annual Wellness Visits (AWVs) and receive reimbursement from Medicare. Critical Access for Veterans Care Act (S.1868) Removes prior authorization and referral requirements for covered veterans seeking care under the Veterans Community Care Program at provider-based RHCs affiliated with CAHs. CONNECT for Health Act of 2025 (S.1261 and H.R. 4206) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Save America's Rural Hospitals Act (H.R.3684) Includes the language necessary to achieve reimbursement parity for RHC telehealth visits. Prompt and Fair Pay Act (H.R.4559) Requires MA plans to provide reimbursement comparable to traditional Medicare. Telehealth Modernization Act (H.R.5081 and S.2709) Extends Medicare telehealth flexibilities through FY 27 and includes language necessary to achieve reimbursement parity for RHC telehealth visits. Helping Ensure Access to Local TeleHealth Act (H.R.5496) Allows RHCs to permanently receive Medicare reimbursement for telehealth services. Physical Therapist Workforce and Patient Access Act of 2025 (H.R.5621) Expands Medicare coverage for Physical Therapy services at RHCs.
2025 · fourth_quarter · Health Issues
Legislation and policies relating to: Potential changes in authorizations for nurse education, workforce, and research programs as a result of workforce reductions and reorganization of agencies and programs within the Department of Health and Human Services Policies related to the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices, child vaccine recommendations and schedule, the Vaccines For Children Program, and the Vaccine Injury Compensation Fund Cancellation of federal nursing workforce grants Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Mental health services and violence prevention Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21) Reintroduction of the Nurse Faculty Shortage Reduction Act H.R. 498, Do No Harm in Medicaid Act H.R. 1197/S. 1562, PREEMIE Reauthorization Act H.R. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Act H.R. 1909/S. 2621, Preventing Maternal Deaths Act H.R. 2223, Building Capacity for Care Act H.R. 2483/S. 2121, SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 3492, Protect Childrens Innocence Act H.R. 3684, Save Americas Rural Hospitals Act of 2025 H.R. 3701, Family Vaccine Protection Act H.R. 3884/S. 2011, Telemental Health Care Access Act H.R. 4231/S. 1973, Treat and Reduce Obesity Act H.R. 4262, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act H.R. 4709, Newborn Screening Saves Lives Reauthorization Act of 2025 H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5434/S. 2826, 988 LGBTQ+ Youth Access Act of 2025 H.R. 6561, Prevent HPV Cancers Act of 2025 H.R. 6703, Lower Health Care Premiums for All Americans Act S. 222, Whole Milk for Healthy Kids Act of 2025 S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 278, Kids Off Social Media Act S. 705, Innovations in Pediatric Drugs Act S. 836/H.R. 6291, Children and Teens Online Privacy Protection Act S. 891, Bipartisan Health Care Act S. 1261, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025 S. 1482, National Nursing Workforce Center Act of 2025 S. 1599, Midwives for Maximizing Optimal Maternity Services (MOMS) Act of 2025 S. 1748/H.R. 6484, Kids Online Safety Act S. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025 S. 2857/H.R. 5448, Protecting Free Vaccines Act S. 2954, Health Care Workforce Expansion Act of 2025 S. 3435/H.R. 6607, Future Advancement of Academic Nursing (FAAN) Act S.J. Res. 82, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to Policy on Adhering to the Text of the Administrative Procedure Act
2025 · fourth_quarter · Health Issues
issues relative to hospitals and healthcare; S 729 Hospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; HR 538 Critical Access Hospital Relief Act 2025; H.R.3023 Preventing Hospital Overbilling of Medicare Act; H.R.3684 Save Americas Rural Hospitals Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Medicare/Medicaid
issues relative to hospitals, healthcare and medicare; S 729 Hospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; H.R.2309 - Medicare and Medicaid Fraud Prevention Act; H.R.3023 Preventing Hospital Overbilling of Medicare Act.; H.R.3684 Save Americas Rural Hospitals Act; H.R.3911 Choose Medicare Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Health Issues
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records
2025 · fourth_quarter · Medicare/Medicaid
H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic
2025 · fourth_quarter · Budget/Appropriations
Continuing Appropriations and Extensions Act, 2025. The Full-Year Continuing Appropriations and Extensions Act, 2025. HR 8752 - Fiscal Year 2025 Homeland Security Appropriations. HR 9026/S 4795 - Fiscal Year 2025 Commerce-Justice-Science Appropriations. HR 9028/S 4796 - Fiscal Year 2025 Transportation-HUD Appropriations. HR 8997/S4927 - Fiscal Year 2025 Energy & Water Development Appropriations. American Relief Act 2025 HR 1238. FY 26 Appropriations requests for Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684). Provisions related to H.R.1 - One Big Beautiful Bill Act. Continuing Appropriations and Extensions Act, 2026.
Client expense: Not reported · Firm income: $25,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Transportation
Issues related to IIJA HR 3684 implementation for public transit funding as well as issues related to Automated Track Inspections Issues related to Passenger Rail Operations on Freight-Owned Corridors Issues and third party access to rail and rights of way Issues; Grade Crossing Safety Issues. Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging, and highways. Surface Transportation Authorization Legislation (2026).
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), White House Office
2025 · fourth_quarter · Budget/Appropriations
Fiscal Year 2025 and FY 2026 budget and appropriations requests to include project funding through the Community project funding and Congressionally Directed Spending. Project funding in the Infrastructure Bill (IIJA, HR 3684). Funding in the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 and The Full-Year Continuing Appropriations and Extensions Act, 2025 and H.R.1 - One Big Beautiful Bill Act. Continuing Appropriations and Extensions Act, 2026.
Client expense: Not reported · Firm income: $36,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Transportation
Transportation funding in the IIJA HR 3684 to include grant funding for rail infrastructure and EV charging and Surface Transportation Reauthorization Act.
Client expense: Not reported · Firm income: $30,000
Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2025 · fourth_quarter · Budget/Appropriations
Fiscal Year FY 2026 budget and appropriations requests for regional rail projects in the annual appropriations bill. Funding in HH.R. 1968, the Full-Year Continuing Appropriations and Extensions Act, 2025 to include project funding through the Community project funding and Congressionally Directed Spending. Grant funding in the Infrastructure Bill (IIJA, HR 3684). Surface Transportation Authorization legislation.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Transportation
Surface Transportation Authorization (to include funding in the IIJA HR 3684) and funding in FY 2026 THUD appropriations bills and H.R. 1968, the Full-Year Continuing Appropriations and Extensions Act, 2025 and H.R. 1968, the Full-Year Continuing Appropriations and Extensions Act, 2025 and CR for 2026.
Client expense: Not reported · Firm income: $62,400
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
2025 · fourth_quarter · Health Issues
Dr. Lorna Breen Health Care Provider Protection Act (H.R 929, S. 266) Rural Physician Workforce Production Act (H.R. 1153) Physicians for Underserved Areas Act (H.R. 870, S. 1044) Rural Health Innovation Act of 2025 (H.R.1480) Fair Access In Residency Act (H.R. 2314/S.2715) Teaching Health Center Graduate Medical Education National Institutes of Health Research Pathways to Health Professions Act (H.R. 593) Bipartisan Rural America Health Corps Act (H.R. 1127) Expanding Medical Education Act (H.R. 2106, S. 975) Community TEAMS Act (H.R. 3885) Specialty Physicians Advancing Rural Care Act (S. 1380) Post GRAD Act (H.R. 3711) Physician and Patient Safety Act (H.R. 3413, S. 1767) IHS Workforce Production Act ( S.632) Rural Health Focus Act (S.403) Rural Health Transformation Program Healthcare Advisory Council Resident Physician Shortage Reduction Act (H.R.4731/S.2439) Medical Student Education Authorization Act (H.R.5248) Palliative Care and Hospice Education and Training Act (S.2287) Improving Care in Rural America Reauthorization Act (S.2301) Health Care Workforce Expansion Act (S.2954) Resident Education Deferred Interest (REDI Act) (H.R. 2028,S. 942) Save Americas Rural Hospitals Act (H.R. 3684) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act (H.R. 4262) Train More Primary Care Doctors Act of 2025 (H.R. 958) Rural Hospital Flexibility Act (S. 3250) Rural Behavioral Health Improvement Act (H.R.5217)
Client expense: $100,000 · Firm income: Not reported
2025 · third_quarter · Taxation/Internal Revenue Code
Taxation Renewable Chemicals / Biobased Products and Biofuels (Ground Transportation Biofuels and Aviation Biofuels) (Non-Funding) Renewable fuels incentives and tax incentives (Non-Funding) --H.R.3592; Adopt GREET Act --Senate Finance Bill, Title XII- Committee on Finance --H.R.3684; Infrastructure Investment and Jobs Act One Big Beautiful Bill Act (OBBBA) --H.R.1; OBBBA --Senate version OBBBA Agencies Contacted: Senate House
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · second_quarter · Taxation/Internal Revenue Code
Taxation Renewable Chemicals / Biobased Products and Biofuels (Ground Transportation Biofuels and Aviation Biofuels) (Non-Funding) Renewable fuels incentives and tax incentives (Non-Funding) --H.R.3592; Adopt GREET Act --Senate Finance Bill, Title XII- Committee on Finance --H.R.3684; Infrastructure Investment and Jobs Act Agencies Contacted: Senate House
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
| Republican |
| AZ |
| Nikki Budzinski | Democratic | IL |
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: Not reported · Firm income: $24,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Client expense: $400,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $400,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: Not reported · Firm income: $24,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Client expense: $110,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE
Client expense: $400,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $400,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: Not reported · Firm income: $24,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: $550,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $550,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE