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GUARD Veterans’ Health Care Act
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
94pct
163d open
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 (12)
Committee Hearings Held
Referred to the Committee on Veterans' Affairs, and in addition to the Committees on Ways and Means, and Energy and Commerce, 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
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] H.R.9847 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services or substance use disorder services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.5236 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Hassan, Margaret Wood [D-NH] H.R.9693 - Patients First Act of 2026 To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program. Sponsor: Rep. Joyce, John [R-PA-13] H.R.8375 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS]
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
Medicaid Reform Implementation, Medicare Advantage, Risk Adjustment, Star Ratings, Prior Authorization, Site Neutral Payments, Prompt Pay, Provider Directories, Transparency H.R.8375 - Medicare Advantage Improvement Act of 2026 - A bill to provide for certain reforms under the Medicare Advantage program, and for other purposes. S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. S. 3848/H.R. 4093 - Apples to Apples Comparison Act of 2025 - to require the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, and for other purposes. H.R.5243 - A bill to increase data transparency for supplemental benefits under Medicare Advantage. H.R. 9392, Medicare Advantage Cost Transparency Act - A bill to require MA plans to report specified information on encounter data submitted to CMS. H.R. 9395, Transparency in Medicare Advantage Steering Act - Requires MA plans to annually identify individuals enrolled by an agent, broker or other third-party and report information about compensation paid.
2026 · third_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] H.R.9693 - Patients First Act of 2026 To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program. Sponsor: Rep. Joyce, John [R-PA-13] H.R.8375 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS]
2026 · third_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] H.R.9847 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services or substance use disorder services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.5236 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Hassan, Margaret Wood [D-NH] H.R.9693 - Patients First Act of 2026 To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program. Sponsor: Rep. Joyce, John [R-PA-13] H.R.8375 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS]
2026 · third_quarter · Medicare/Medicaid
Issues: Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] H.R.9693 - Patients First Act of 2026 To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program. Sponsor: Rep. Joyce, John [R-PA-13] H.R.8375 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS]
| House |
| Referred To |
| June 23, 2025 |
| Republican |
| PA |
| Mark Takano | Democratic | CA |
| Suzan K. DelBene | Democratic | WA |
| Troy Downing | Republican | MT |
Client expense: $300,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $100,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
Client expense: $1,240,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
Client expense: $276,347 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Program Fraud, Waste, and Abuse Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] H.R.9693 - Patients First Act of 2026 To amend title XVIII of the Social Security Act to modify certain physician payments under the Medicare program. Sponsor: Rep. Joyce, John [R-PA-13] H.R.8375 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS]
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2026 · third_quarter · Medicare/Medicaid
Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Veterans
H.R. 210, the Dental Care for Veterans Act H.R. 217, the CHIP IN for Veterans Act H.R. 219, the Improving Menopause Care for Veterans Act of 2025 H.R. 220, the Veterans Infertility Treatment Act of 2025 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 H.R. 472, Restore VA Accountability Act H.R. 530, the ACES Act H.R. 553, the BRAVE Act H.R. 647, the Ensuring Veterans' Final Resting Place Act of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 982, the Warriors to Workforce Act H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National Traumatic Brain Injury Treatment Act H.R. 1344, the Dennis and Lois Krisfalusy Act H.R. 1364, the ASSIST Act of 2025 H.R. 1391, the Student Veteran Benefit Restoration Act of 2025 H.R. 1404, the CHAMPVA Childrens Care Protection Act of 2025 H.R. 1423, the Guard and Reserve GI Bill Parity Act of 2025 H.R. 1458, the VETS Opportunity Act of 2025 H.R. 1578, the Veterans Claims Education Act of 2025 H.R. 1663, the VSAFE Act of 2025 H.R. 1644, the Copay Fairness for Veterans Act H.R. 1685, the Justice for ALS Veterans Act H.R. 1732, the GUARD VA Benefits Act H.R. 1733, the Rural Veterans Transportation to Care Act H.R. 1741, the Veteran Appeals Transparency Act of 2025 H.R. 1793, the Veteran Readiness and Employment Transparency Act of 2025 H.R. 1803, the Fair Access to Co-ops for Veterans Act of 2025 H.R. 1814, the Restoring the VA Home Loan Program in Perpetuity Act of 2025 H.R. 1815, the VA Home Loan Program Reform Act H.R. 1823 H.R. 1860, the Women Veterans Cancer Care Coordination Act H.R. 1872, the Fairness in Veterans' Education Act of 2025 H.R. 1912, the Veteran Fraud Reimbursement Act of 2025 H.R. 1957, the End Veteran Homelessness Act of 2025 H.R. 1960, the Simplifying Veterans Assistance Act of 2025 H.R. 1965, the Veteran Education Assistance Adjustment Act H.R. 1970, the Providing Veterans Essential Medications Act H.R. 1971, the SPORT Act H.R. 1972, the Standardizing Treatment and Referral Times (START ACT) H.R. 1987, the Saving Our Veterans Lives Act H.R. 2034, the Edith Nourse Rogers STEM Scholarship Opportunity Act H.R. 2055, the Caring for Survivors Act H.R. 2068, the Veterans Patient Advocacy Act H.R. 2077, the Helping Heroes Act H.R. 2137, the Review Every Veterans Claim Act of 2025 H.R. 2138, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 H.R. 2148, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2195, the Feed Hungry Veterans Act of 2025 H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 2245, the Autonomy for Disabled Veterans Act H.R. 2264, the Service-Connected Suicide Compensation Act H.R. 2576, the Servicemembers and Veterans Empowerment and Support Act of 2025 H.R. 2605, the SAVES Act H.R. 2625, the VERY Act H.R. 2717, the Servicewomen and Veterans Menopause Research Act H.R. 2720, the Gold Star Family Education Parity Act H.R. 2721, the Honoring our Heroes Act H.R. 2722, the VA Funding and Workforce Protection Act H.R. 2791 H.R. 2954, the Veterans Transition to Trucking Act of 2025 H.R. 3031, the Gold Star and Surviving Spouse Career Services Act H.R. 3123, the Ernest Peltz Accrued Veterans Benefits Act H.R. 3183, the SAFE STEPS for Veterans Act of 2025 H.R. 3309, the Autonomy for All Disabled Veterans Act H.R. 3386, the Streamlining the Solid Start Communications Act H.R. 3400, the Territorial Response and Access to Veterans Essential Lifecare Act of 2025 H.R. 3481, the Delivering Digitally to Our Veterans Act of 2025 H.R. 3579, the Veterans Readiness and Employment Program Integrity Act H.R. 3627, the Justice for Americas Veterans and Survivors Act of 2025 H.R. 3643, the VA Data Transparency and Trust Act H.R. 3710, the Loved Ones Interment Act H.R. 3720, the HOME Act of 2025 H.R. 3726, the Fisher House Availability Act of 2025 H.R. 3752, the Specialist Fourth Class Keith Smith Glioblastoma Parity Act of 2025 H.R. 3753, the Expanding Access for Online Veteran Students Act H.R. 3767, the Health Professionals Scholarship Program Improvement Act of 2025 H.R. 3833, the Veterans Caregivers Appeals Modernization Act H.R. 3834, the Protecting Veterans Claim Options Act H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act H.R. 3855 H.R. 3863, the VA Mental Health Outreach and Engagement Act H.R. 3869, the Every Veteran Housed Act H.R. 3886, the Veterans PTSD Screening Act H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025 H.R. 4026, the POST Act of 2025 H.R. 4077, the Guarantee Utilization of All Reimbursements for Delivery of Veterans Health Care Act H.R. 4105, the VET Act of 2025 H.R. 4114, the Ensuring Veterans Smooth Transition (EVEST) Act H.R. 4271, the VR&E Accountability Act H.R. 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act H.R. 4637, the Veterans Surviving Spouse Equity Act H.R. 4805, the Warrior Impact from Neurological and G Force Stress (WINGS) Act H.R. 4855, the Veteran Families Health Services Act of 2025 H.R. 4509, the NO PAIN for Veterans Act H.R. 5203 H.R. 5261, the Veterans Emergency Care Reimbursement Act of 2025 H.R. 5339, the Susan E. Lukas 9/11 Servicemember Fairness Act H.R. 5436 H.R. 5634, the Veterans Flight Training Responsibility Act of 2025 H.R. 5992, the Stuck On Hold Act H.R. 6001, the Veterans With ALS Reporting Act H.R. 6024, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 H.R. 6032, the Headstones for Honor Act H.R. 6033, the Strengthening Transparent Reporting to Improve Veteran Equality (STRIVE) Act H.R. 6038, the Improving Veteran Access to Care Act H.R. 6047, the Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2025 H.R. 6224, the Servicemember Student Loan Affordability Act of 2025 H.R. 6376, the Supporting Military Families Exposed to Toxic Substances Act H.R. 6377, the Gold Star Siblings Educational Benefits Act H.R. 6549, the VA Contracting and Procurement Act H.R. 6580, the VA National Formular Act of 2025 H.R. 6583, the VA Research Reform Act of 2025 H.R. 6599, the Leasing and Infrastructure Act of 2025 H.R. 6698, the Board of Veterans Appeals Annual Report Transparency Act of 2025 H.R. 6733, the VISN Reform Act of 2025 H.R. 6740, the VA Trust Act H.R. 6755, the Accountable Leadership for Veterans Act of 2025 H.R. 6764, the Veterans Affairs Advisory Committee Oversight Act of 2025 H.R. 6833, the Acquisition Reform and Cost Assessment Act of 2025 H.R. 6835, the Veterans STAND Act H.R. 6843, the Establishing the Veterans Economic Opportunity and Transition Administration of 2025 H.R. 6861, the Consolidating Veteran Employment Services for Improved Performance Act H.R. 6904 H.R. 6943, the Veterans Burial Allowance and Reimbursement Act of 2026 H.R. 7083, the CRUISE Act H.R. 7094, the Improving Mental Health Care and Coordination for Homeless Veterans Act H.R. 7103, the Improving Emerging Tech Opportunities for Veterans Act H.R. 7141, the Affordable Housing Guarantee Act H.R. 7149, the Veteran Housing Promise Act H.R. 7150 H.R. 7199, Geralds Law Act H.R. 7260, the National Cemetery Administration Annual Report Act of 2026 H.R. 7411 H.R. 7472 H.R. 7841, the Warrior Infertility Act H.R. 8224 H.R. 8420, the Veterans Legal Support Act of 2026 H.R. 8486, the Data Driven Suicide Prevention and Outreach Act of 2026 H.R. 8532, the VA Home Loan Affordability Act H.R. 8667, the MISSION Rx Act H.R.8793, the Veterans Suicide Prevention and Care Enhancement Act of 2026 H.R. 9018, the Fostering TRUST Act of 2026 H.R. 9105, the SAFEGUARD Veterans Act H.R. 9237, the Take Care of Americas Veterans Act H.R. 9316, the Travel Assistance for Veterans in Medical Deserts Act H.R. 9364, the Facilitating Access to Service and Timely Repairs for Wheelchairs Act H.R. 9376, the Veteran Chaplaincy Engagement and Suicide Prevention Data Act H.R. 9379, the Affordable Homes for Veterans Act of 2026 H.R. 9410, the VA Education Oversight Improvement Act H.R. 9433, the VA Coaching into Care Act H.R. 9446, the VA Health Care Capacity Assessment Act H.R. 9466, the Foreign Medical Program Integrity and Improvement Act H.R. 9475, the National Task Force on Caregiving Youth of Veterans Act H.R. 9510, the VHA OPEN Policies Act of 2026 H.R. 9524, the Veterans Care and Cost Coordination Act of 2026 H.R. 9533, the VHA Personnel Transparency and Accountability Act H.R. 9826, the Responsible Artificial Intelligence for Veterans Act of 2026 H.R. 9752, the Protecting Home-Based Care for Rural Veterans Act of 2026 H.R. 9861, the Veterans Surviving Spouse Parity Act of 2026 H.R. 10417, the VA AI Transparency Act of 2026 H.R. 10418, the VA Claims AI Accountability Act H. RES. 222 House Draft, the VA-CMS Memorandum of Understanding Act House Draft, to provide for the modernization of the electronic health record system and other health information technology activities and systems of the VA House Draft, the Veteran Readiness and Employment Success Act House Draft, the Youth Caregiver of Veterans Community Grant Program Act House Draft, the Post-9/11 GI Bill Modernization Act of 2025 House Draft, the Iran Service Recognition and Toxic Exposure Locations Review Act House Draft, the Hire Our Heroes Act House Draft, the Keep Veterans Powered Act of 2026 S. 124, the Restore VA Accountability Act S. 201, the Aviator Cancers Examination Study (ACES) Act S. 214, the MEDAL Act of 2025 S. 275, the Veterans ACCESS Act S. 342, the Purple Heart Veterans Education Act S. 410, the Love Lives On Act S. 478, the Veterans 2nd Amendment Protection Act of 2025 S. 506, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 585, the Servicemember to Veteran Health Care Connection Act S. 599 the DRIVE Act S. 605, the CHAMPVA Children's Care Protection Act of 2025 S. 607, the Improving Veteran Access to Care Act S. 609, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 S. 610, Ensuring VetSuccess On Campus Act of 2025 S. 611, the Caring for Survivors Act S. 635, the Veterans Homecare Choice Act of 2025 S. 649, the Guard and Reserve GI Bill Parity Act S. 654 S. 668, the SAFE STEPS for Veterans Act of 2025 S. 701, the Helping Heroes Act S. 702, the Veterans Mental Health and Addiction Therapy Quality of Care Act S. 749, the Justice for ALS Veterans Act S. 778, the Lactation Spaces for Veteran Moms Act S. 784, the Rural Veterans Transportation to Care Act S. 787, the VetPAC Act of 2025 S. 800, the Precision Brain Health Research Act of 2025 S. 827, the Supporting Rural Veterans Access to Healthcare Services Act S. 831, the Representing VA with Accuracy (REP VA) Act S. 862, the HBOT Access Act of 2025 S. 879, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 892, the Veterans Fraud Reimbursement Act S. 926, the Saving Our Veterans Lives Act of 2025 S. 972, the Fairness in Veterans' Education Act of 2025 S. 1116, the Ensuring Veterans Final Resting Place Act of 2025 S. 1127, the Dennis and Lois Krisfalusy Act S. 1245, the Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1320, the Servicewomen and Veterans Menopause Research Act S. 1383, the Veterans Accessibility Act S. 1441, the Service Dogs Assisting Veterans (SAVES) Act S. 1533, the VA License Portability Act S. 1543, the Veterans Education, Transition and Opportunity Prioritization Plan Act S. 1591, the Acquisition Reform and Cost Assessment Act of 2025 S. 1644, the Autonomy for Disabled Veterans Act S. 1657, the Review Every Veterans Claim Act (Previous Draft: the Veterans Claims Act of 2025) S. 1665, the Obligations to Aberdeens Trusted Heroes (OATH) S. 1726, the ASSIST Act S. 1868, the Critical Access for Veterans Care Act S. 1992, the Veterans Appeals Efficiency Act of 2025 S. 2055, the Veterans Caregiver Appeals Modernization Act of 2025 S. 2061, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act of 2025 S. 2107, the POST Act of 2025 S. 2145, the GUARD Veterans Health Care Act S. 2171 S. 2220, the Fighting for the Overlooked Recognition of Groups Operating in Toxic Test Environments in Nevada (FORGOTTEN) Veterans Act of 2025 S. 2264, the Advancing VAs Emergency Response to (AVERT) Crises Act of 2025 S. 2309, the Veteran Burial Timeliness and Death Certificate Accountability Act S. 2328, the Military Learning for Credit Act of 2025 S. 2333, the Health Records Enhancement Act S. 2392, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 S. 2397, the Caring for our Veterans Health Act of 2025 S. 2534, the Veteran Families Health Services Act of 2025 S. 2623, the HONOR Act S. 2683, the VSAFE Act of 2025 S. 2737, the Veterans National Traumatic Brain Injury Treatment Act S. 2807, the Restoring Eligibility Standards for Placement in Eligible Cemeteries and Tombs (RESPECT) Act S. 2988, the VITAL Act S. 3000, the FRAUD in VA Disability Exams Act of 2025 S. 3033, the Improving Access to Care for Rural Veterans Act S. 3098, the Presumptive CLARITY Act of 2025 S. 3119, the Fisher House Availability Act S. 3170, the Stuck On Hold Act S. 3253, Servicemember Student Loan Affordability Act S. 3286, the Veterans Appeals Improvement and Modernization Act 2.0 S. 3303, the Leveraging Integrated Networks in Communities for Veterans Act S. 3311, the Veterans Affairs Peer Review Neutrality Act of 2025 S. 3388, the Sharing Essential Resources for Veterans Everywhere (SERVE) Act S. 3395, the Mammography Access for Veterans Act S. 3591, the Thomas M. Conway Veterans Access to Resources in the Workplace Act S. 3647, the Disabled Veterans Dignity Act 2026 S. 3653, the Veterans Bill of Rights Act of 2026 S. 3691, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 3706, the Produce Prescriptions for Veterans Act S. 3726, the National Veterans Strategy Act S. 3818, the Ensuring Benefits for Disabled Veterans Act S. 3988, the Veterans STAND Act S. 3992, the Joint Medical Facilities Fund Act S. 3993, the Reducing Arbitrary Barriers to Apprenticeships Act of 2026 S. 3999, the Women Veterans Specialty Care Access Act S. 4043, the Health Care for Homeless Veterans Act S. 4108, the Veteran Burial Benefit Correction Act S. 4131, the Veteran Acquired Brain Injury Caregiving Act S. 4140, the Carlton H. Ingram Veterans Benefits Protection Act S. 4162, the Get Justice Involved Veterans BACK HOME Act S. 4183, the Veteran Education Assistance Adjustment Act of 2026 S. 4197, the Veterans Outdoor Rehabilitation Act S. 4217, the Copay Fairness for Veterans Act of 2026 S. 4220, the VHA Novel Therapeutics Preparedness Act S. 4400, the Optimizing the VA Workforce for Veterans Act S. 4694, the Maternal Health for Veterans Act S. 4744, the Take Care of Americas Veterans Act S. 5027, the Protecting Home-Based Care for Rural Veterans Act of 2026 S. 5286, the Supporting Disabled Entrepreneurs Act S. 5361, the MMU Rural Expansion Act of 2026 S. 5464, the Veterans Outcomes, Inclusion, Care, and Experience (VOICE) for Women Veterans Act S. 5585, a bill to require a pilot program to support members of the Armed Forces and military family members transitioning to civilian life Senate Draft, the Warrior Infertility Act Senate Draft, the Veterans Claims Act of 2025 Senate Draft, to improve the VA schedule for rating disabilities Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, P.L. 117-333, and P.L. 118-210 Discussions: Availability of VA home care and long-term care facilities for veterans with SCI/D Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: Increasing access to VA dental care Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement and other transportation options Discussions: Adequacy of VA Special Monthly Compensation Discussions: Increasing VA health care and benefits staffing Discussions: Improving VA hiring processes Discussions: Access to wheelchair repair Discussions: VA research funding Discussions: Improving VAs VR&E program Discussions: Reforming the Transition Assistance Program for disabled veterans Discussions: Increasing access to care and benefits for women veterans Discussions: Alternative health therapies Discussions: Adequacy of survivor benefits Discussions: Rehabilitation facility accreditation Discussions: Increase access to transportation for veterans
Client expense: $105,716 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service
2026 · first_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · first_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · second_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · second_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · first_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · second_quarter · Medicare/Medicaid
Issues: Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.9395 - Transparency in Medicare Advantage Steering Act To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations. Sponsor: Rep. Ocasio-Cortez, Alexandria [D-NY-14] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8163 - Provider Reimbursement Stability Act of 2026 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] S.3762 - Prior Authorization Relief Act To amend part C of title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program. Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Client expense: $80,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2026 · second_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied against H.R. 9237/S. 4744, the Take Care of Americas Veterans Act, Which further privatizes the VA, moves psychologist from hybrid to full title 38 and pays for new benefits for veterans by cutting other veteran benefits. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on May 13, 2026, at a Senate Veterans Affairs Committee oversight hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied to highlight general process and production issues facing Board Attorneys. Submitted at Statement for the Record for a April 15, 2026, House Veterans Affairs Committee hearing titled Faster Decisions, Stronger Outcomes: VAs Work to Streamline the Disability Claims Backlog. AFGE Local Vice President Matt Leffler testified on May 13, 2026, before the Senate Veterans Affairs Committee at a hearing titled Protecting Those Who Served: A Review of VA Police Operations.
Client expense: $390,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · second_quarter · Medicare/Medicaid
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse; Medicaid Managed Care H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.9395 - Transparency in Medicare Advantage Steering Act To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations. Sponsor: Rep. Ocasio-Cortez, Alexandria [D-NY-14] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8163 - Provider Reimbursement Stability Act of 2026 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] S.3762 - Prior Authorization Relief Act To amend part C of title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program. Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Client expense: $990,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
2026 · second_quarter · Medicare/Medicaid
Issues: Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse; Medicaid Managed Care Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.9395 - Transparency in Medicare Advantage Steering Act To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations. Sponsor: Rep. Ocasio-Cortez, Alexandria [D-NY-14] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8163 - Provider Reimbursement Stability Act of 2026 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] H.R.8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. Sponsor: Rep. Bean, Aaron [R-FL-4] S.3762 - Prior Authorization Relief Act To amend part C of title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program. Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Client expense: $20,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2026 · second_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse; Medicaid Managed Care Bills: H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R. 5243 - Supplemental Benefits Transparency Bill To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] H.R.9395 - Transparency in Medicare Advantage Steering Act To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations. Sponsor: Rep. Ocasio-Cortez, Alexandria [D-NY-14] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8163 - Provider Reimbursement Stability Act of 2026 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes. Sponsor: Rep. Van Duyne, Beth [R-TX-24] S.3762 - Prior Authorization Relief Act To amend part C of title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program. Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Client expense: $276,347 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Prior Authorization, Site Neutral Payments, Prompt Pay, Provider Directories H.R.8375 - Medicare Advantage Improvement Act of 2026 - A bill to provide for certain reforms under the Medicare Advantage program, and for other purposes. S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. S. 3848/H.R. 4093 - Apples to Apples Comparison Act of 2025 - to require the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, and for other purposes.
Client expense: $230,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Veterans
H.R. 210, the Dental Care for Veterans Act H.R. 217, the CHIP IN for Veterans Act H.R. 219, the Improving Menopause Care for Veterans Act of 2025 H.R. 220, the Veterans Infertility Treatment Act of 2025 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 H.R. 472, Restore VA Accountability Act H.R. 530, the ACES Act H.R. 553, the BRAVE Act H.R. 647, the Ensuring Veterans' Final Resting Place Act of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 982, the Warriors to Workforce Act H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National Traumatic Brain Injury Treatment Act H.R. 1344, the Dennis and Lois Krisfalusy Act H.R. 1364, the ASSIST Act of 2025 H.R. 1391, the Student Veteran Benefit Restoration Act of 2025 H.R. 1404, the CHAMPVA Childrens Care Protection Act of 2025 H.R. 1423, the Guard and Reserve GI Bill Parity Act of 2025 H.R. 1458, the VETS Opportunity Act of 2025 H.R. 1578, the Veterans Claims Education Act of 2025 H.R. 1663, the VSAFE Act of 2025 H.R. 1644, the Copay Fairness for Veterans Act H.R. 1685, the Justice for ALS Veterans Act H.R. 1732, the GUARD VA Benefits Act H.R. 1733, the Rural Veterans Transportation to Care Act H.R. 1741, the Veteran Appeals Transparency Act of 2025 H.R. 1793, the Veteran Readiness and Employment Transparency Act of 2025 H.R. 1803, the Fair Access to Co-ops for Veterans Act of 2025 H.R. 1814, the Restoring the VA Home Loan Program in Perpetuity Act of 2025 H.R. 1815, the VA Home Loan Program Reform Act H.R. 1823 H.R. 1860, the Women Veterans Cancer Care Coordination Act H.R. 1872, the Fairness in Veterans' Education Act of 2025 H.R. 1912, the Veteran Fraud Reimbursement Act of 2025 H.R. 1957, the End Veteran Homelessness Act of 2025 H.R. 1960, the Simplifying Veterans Assistance Act of 2025 H.R. 1965, the Veteran Education Assistance Adjustment Act H.R. 1970, the Providing Veterans Essential Medications Act H.R. 1971, the SPORT Act H.R. 1972, the Standardizing Treatment and Referral Times (START ACT) H.R. 1987, the Saving Our Veterans Lives Act H.R. 2034, the Edith Nourse Rogers STEM Scholarship Opportunity Act H.R. 2055, the Caring for Survivors Act H.R. 2068, the Veterans Patient Advocacy Act H.R. 2077, the Helping Heroes Act H.R. 2137, the Review Every Veterans Claim Act of 2025 H.R. 2138, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 H.R. 2148, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2195, the Feed Hungry Veterans Act of 2025 H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 2245, the Autonomy for Disabled Veterans Act H.R. 2264, the Service-Connected Suicide Compensation Act H.R. 2576, the Servicemembers and Veterans Empowerment and Support Act of 2025 H.R. 2605, the SAVES Act H.R. 2625, the VERY Act H.R. 2717, the Servicewomen and Veterans Menopause Research Act H.R. 2720, the Gold Star Family Education Parity Act H.R. 2721, the Honoring our Heroes Act H.R. 2722, the VA Funding and Workforce Protection Act H.R. 2791 H.R. 2954, the Veterans Transition to Trucking Act of 2025 H.R. 3031, the Gold Star and Surviving Spouse Career Services Act H.R. 3123, the Ernest Peltz Accrued Veterans Benefits Act H.R. 3183, the SAFE STEPS for Veterans Act of 2025 H.R. 3309, the Autonomy for All Disabled Veterans Act H.R. 3386, the Streamlining the Solid Start Communications Act H.R. 3400, the Territorial Response and Access to Veterans Essential Lifecare Act of 2025 H.R. 3481, the Delivering Digitally to Our Veterans Act of 2025 H.R. 3579, the Veterans Readiness and Employment Program Integrity Act H.R. 3627, the Justice for Americas Veterans and Survivors Act of 2025 H.R. 3643, the VA Data Transparency and Trust Act H.R. 3710, the Loved Ones Interment Act H.R. 3720, the HOME Act of 2025 H.R. 3726, the Fisher House Availability Act of 2025 H.R. 3752, the Specialist Fourth Class Keith Smith Glioblastoma Parity Act of 2025 H.R. 3753, the Expanding Access for Online Veteran Students Act H.R. 3767, the Health Professionals Scholarship Program Improvement Act of 2025 H.R. 3833, the Veterans Caregivers Appeals Modernization Act H.R. 3834, the Protecting Veterans Claim Options Act H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act H.R. 3855 H.R. 3863, the VA Mental Health Outreach and Engagement Act H.R. 3869, the Every Veteran Housed Act H.R. 3886, the Veterans PTSD Screening Act H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025 H.R. 4026, the POST Act of 2025 H.R. 4077, the Guarantee Utilization of All Reimbursements for Delivery of Veterans Health Care Act H.R. 4105, the VET Act of 2025 H.R. 4114, the Ensuring Veterans Smooth Transition (EVEST) Act H.R. 4271, the VR&E Accountability Act H.R. 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act H.R. 4637, the Veterans Surviving Spouse Equity Act H.R. 4805, the Warrior Impact from Neurological and G Force Stress (WINGS) Act H.R. 4855, the Veteran Families Health Services Act of 2025 H.R. 4509, the NO PAIN for Veterans Act H.R. 5203 H.R. 5261, the Veterans Emergency Care Reimbursement Act of 2025 H.R. 5339, the Susan E. Lukas 9/11 Servicemember Fairness Act H.R. 5436 H.R. 5634, the Veterans Flight Training Responsibility Act of 2025 H.R. 5992, the Stuck On Hold Act H.R. 6001, the Veterans With ALS Reporting Act H.R. 6024, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 H.R. 6032, the Headstones for Honor Act H.R. 6033, the Strengthening Transparent Reporting to Improve Veteran Equality (STRIVE) Act H.R. 6038, the Improving Veteran Access to Care Act H.R. 6047, the Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2025 H.R. 6224, the Servicemember Student Loan Affordability Act of 2025 H.R. 6376, the Supporting Military Families Exposed to Toxic Substances Act H.R. 6377, the Gold Star Siblings Educational Benefits Act H.R. 6549, the VA Contracting and Procurement Act H.R. 6580, the VA National Formular Act of 2025 H.R. 6583, the VA Research Reform Act of 2025 H.R. 6599, the Leasing and Infrastructure Act of 2025 H.R. 6698, the Board of Veterans Appeals Annual Report Transparency Act of 2025 H.R. 6733, the VISN Reform Act of 2025 H.R. 6740, the VA Trust Act H.R. 6755, the Accountable Leadership for Veterans Act of 2025 H.R. 6764, the Veterans Affairs Advisory Committee Oversight Act of 2025 H.R. 6833, the Acquisition Reform and Cost Assessment Act of 2025 H.R. 6835, the Veterans STAND Act H.R. 6843, the Establishing the Veterans Economic Opportunity and Transition Administration of 2025 H.R. 6861, the Consolidating Veteran Employment Services for Improved Performance Act H.R. 6904 H.R. 6943, the Veterans Burial Allowance and Reimbursement Act of 2026 H.R. 7083, the CRUISE Act H.R. 7094, the Improving Mental Health Care and Coordination for Homeless Veterans Act H.R. 7103, the Improving Emerging Tech Opportunities for Veterans Act H.R. 7141, the Affordable Housing Guarantee Act H.R. 7149, the Veteran Housing Promise Act H.R. 7150 H.R. 7199, Geralds Law Act H.R. 7260, the National Cemetery Administration Annual Report Act of 2026 H.R. 7411 H.R. 7472 H.R. 7841, the Warrior Infertility Act H.R. 8224 H.R. 8420, the Veterans Legal Support Act of 2026 H.R. 8532, the VA Home Loan Affordability Act H.R. 8667, the MISSION Rx Act H.R.8793, the Veterans Suicide Prevention and Care Enhancement Act of 2026 H.R. 9018, the Fostering TRUST Act of 2026 H.R. 9105, the SAFEGUARD Veterans Act H.R. 9237, the Take Care of Americas Veterans Act H.R. 9316, the Travel Assistance for Veterans in Medical Deserts Act H.R. 9364, the Facilitating Access to Service and Timely Repairs for Wheelchairs Act H.R. 9376, the Veteran Chaplaincy Engagement and Suicide Prevention Data Act H.R. 9379, the Affordable Homes for Veterans Act of 2026 H.R. 9410, the VA Education Oversight Improvement Act H.R. 9433, the VA Coaching into Care Act H.R. 9446, the VA Health Care Capacity Assessment Act H.R. 9466, the Foreign Medical Program Integrity and Improvement Act H.R. 9475, the National Task Force on Caregiving Youth of Veterans Act H.R. 9510, the VHA OPEN Policies Act of 2026 H.R. 9524, the Veterans Care and Cost Coordination Act of 2026 H.R. 9533, the VHA Personnel Transparency and Accountability Act H. RES. 222 House Draft, the Veterans Surviving Spouse Parity Act House Draft, the VA-CMS Memorandum of Understanding Act House Draft, the Veterans Community Care Coordination Act House Draft, to improve the use and management of VA's mobile medical units House Draft, the Responsible Artificial Intelligence for Veterans Act of 2026 House Draft, the Protecting Home-Based Care for Rural Veterans Act House Draft, the Data Driven Suicide Prevention and Outreach Act of 2026 House Draft, to provide for the modernization of the electronic health record system and other health information technology activities and systems of the VA House Draft, the Veteran Readiness and Employment Success Act House Draft, to provide for the use of the Consumer Price Increase to increase certain limitations on specially adapted housing assistance for disabled veterans provided by the Department of Veterans Affairs House Draft, to direct the Secretary of Veterans Affairs to publish information about payment for providing automobiles and adaptive equipment when the processing of such payments takes longer than 30 days House Draft, the Youth Caregiver of Veterans Community Grant Program Act House Draft, the National Task Force on Youth Caregivers of Veterans Act House Draft, the Post-9/11 GI Bill Modernization Act of 2025 S. 124, the Restore VA Accountability Act S. 201, the Aviator Cancers Examination Study (ACES) Act S. 214, the MEDAL Act of 2025 S. 275, the Veterans ACCESS Act S. 342, the Purple Heart Veterans Education Act S. 410, the Love Lives On Act S. 478, the Veterans 2nd Amendment Protection Act of 2025 S. 506, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 585, the Servicemember to Veteran Health Care Connection Act S. 599 the DRIVE Act S. 605, the CHAMPVA Children's Care Protection Act of 2025 S. 607, the Improving Veteran Access to Care Act S. 609, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 S. 610, Ensuring VetSuccess On Campus Act of 2025 S. 611, the Caring for Survivors Act S. 635, the Veterans Homecare Choice Act of 2025 S. 649, the Guard and Reserve GI Bill Parity Act S. 654 S. 668, the SAFE STEPS for Veterans Act of 2025 S. 701, the Helping Heroes Act S. 702, the Veterans Mental Health and Addiction Therapy Quality of Care Act S. 749, the Justice for ALS Veterans Act S. 778, the Lactation Spaces for Veteran Moms Act S. 784, the Rural Veterans Transportation to Care Act S. 787, the VetPAC Act of 2025 S. 800, the Precision Brain Health Research Act of 2025 S. 827, the Supporting Rural Veterans Access to Healthcare Services Act S. 831, the Representing VA with Accuracy (REP VA) Act S. 862, the HBOT Access Act of 2025 S. 879, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 892, the Veterans Fraud Reimbursement Act S. 926, the Saving Our Veterans Lives Act of 2025 S. 972, the Fairness in Veterans' Education Act of 2025 S. 1116, the Ensuring Veterans Final Resting Place Act of 2025 S. 1127, the Dennis and Lois Krisfalusy Act S. 1245, the Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1320, the Servicewomen and Veterans Menopause Research Act S. 1383, the Veterans Accessibility Act S. 1441, the Service Dogs Assisting Veterans (SAVES) Act S. 1533, the VA License Portability Act S. 1543, the Veterans Education, Transition and Opportunity Prioritization Plan Act S. 1591, the Acquisition Reform and Cost Assessment Act of 2025 S. 1644, the Autonomy for Disabled Veterans Act S. 1657, the Review Every Veterans Claim Act (Previous Draft: the Veterans Claims Act of 2025) S. 1665, the Obligations to Aberdeens Trusted Heroes (OATH) S. 1726, the ASSIST Act S. 1868, the Critical Access for Veterans Care Act S. 1992, the Veterans Appeals Efficiency Act of 2025 S. 2055, the Veterans Caregiver Appeals Modernization Act of 2025 S. 2061, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act of 2025 S. 2107, the POST Act of 2025 S. 2145, the GUARD Veterans Health Care Act S. 2171 S. 2220, the Fighting for the Overlooked Recognition of Groups Operating in Toxic Test Environments in Nevada (FORGOTTEN) Veterans Act of 2025 S. 2264, the Advancing VAs Emergency Response to (AVERT) Crises Act of 2025 S. 2309, the Veteran Burial Timeliness and Death Certificate Accountability Act S. 2328, the Military Learning for Credit Act of 2025 S. 2333, the Health Records Enhancement Act S. 2392, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 S. 2397, the Caring for our Veterans Health Act of 2025 S. 2534, the Veteran Families Health Services Act of 2025 S. 2623, the HONOR Act S. 2683, the VSAFE Act of 2025 S. 2737, the Veterans National Traumatic Brain Injury Treatment Act S. 2807, the Restoring Eligibility Standards for Placement in Eligible Cemeteries and Tombs (RESPECT) Act S. 2988, the VITAL Act S. 3000, the FRAUD in VA Disability Exams Act of 2025 S. 3033, the Improving Access to Care for Rural Veterans Act S. 3098, the Presumptive CLARITY Act of 2025 S. 3119, the Fisher House Availability Act S. 3170, the Stuck On Hold Act S. 3253, Servicemember Student Loan Affordability Act S. 3286, the Veterans Appeals Improvement and Modernization Act 2.0 S. 3303, the Leveraging Integrated Networks in Communities for Veterans Act S. 3311, the Veterans Affairs Peer Review Neutrality Act of 2025 S. 3388, the Sharing Essential Resources for Veterans Everywhere (SERVE) Act S. 3395, the Mammography Access for Veterans Act S. 3591, the Thomas M. Conway Veterans Access to Resources in the Workplace Act S. 3647, the Disabled Veterans Dignity Act 2026 S. 3653, the Veterans Bill of Rights Act of 2026 S. 3691, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 3706, the Produce Prescriptions for Veterans Act S. 3726, the National Veterans Strategy Act S. 3818, the Ensuring Benefits for Disabled Veterans Act S. 3988, the Veterans STAND Act S. 3992, the Joint Medical Facilities Fund Act S. 3993, the Reducing Arbitrary Barriers to Apprenticeships Act of 2026 S. 3999, the Women Veterans Specialty Care Access Act S. 4043, the Health Care for Homeless Veterans Act S. 4108, the Veteran Burial Benefit Correction Act S. 4131, the Veteran Acquired Brain Injury Caregiving Act S. 4140, the Carlton H. Ingram Veterans Benefits Protection Act S. 4162, the Get Justice Involved Veterans BACK HOME Act S. 4183, the Veteran Education Assistance Adjustment Act of 2026 S. 4197, the Veterans Outdoor Rehabilitation Act S. 4217, the Copay Fairness for Veterans Act of 2026 S. 4220, the VHA Novel Therapeutics Preparedness Act S. 4400, the Optimizing the VA Workforce for Veterans Act S. 4694, the Maternal Health for Veterans Act S. 4744, the Take Care of Americas Veterans Act Senate Draft, the Women Veterans Reporting Bill Senate Draft, the Protecting Home-Based Care for Rural Veterans Act Senate Draft, the Warrior Infertility Act Senate Draft, the Veterans Claims Act of 2025 Senate Draft, the Building Readiness and Integration for Dependents Going to Civilian Environments or BRIDGE Act Senate Draft, to improve the VA schedule for rating disabilities Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, P.L. 117-333, and P.L. 118-210 Discussions: Availability of VA home care and long-term care facilities for veterans with SCI/D Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: Increasing access to VA dental care Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement and other transportation options Discussions: Adequacy of VA Special Monthly Compensation Discussions: Increasing VA health care and benefits staffing Discussions: Improving VA hiring processes Discussions: Access to wheelchair repair Discussions: VA research funding Discussions: Improving VAs VR&E program Discussions: Reforming the Transition Assistance Program for disabled veterans Discussions: Increasing access to care and benefits for women veterans Discussions: Alternative health therapies Discussions: Adequacy of survivor benefits Discussions: Rehabilitation facility accreditation
Client expense: $112,137 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service
2026 · second_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.7324 - More Behavioral Health Providers Act of 2026 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Rep. Budzinski, Nikki [D-IL-13]
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Veterans
Lobbied Against VA staff reductions and removal of vacant positions. Lobbied in support of provisions in S. 3466 Honor Our Promise to Veterans Act of 2025 that would make VA telehealth primary, equalize standards between private VA providers and the VA and restore VA telework. Lobbied against a provision in S. 3466 Honor Our Promise to Veterans Act of 2025 that would move psychologist from hybrid to full title 38. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Lobbied in favor of protecting Veteran Crises Line workers and veterans from abusive callers tying up the hotline by taking away time for legitimate callers. Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied in support of H.R. 6015/S. 3174, the VA Care and Benefits Accountability Act, Lobbied in support of H.R. 6014/S. 2196, the Right to Representation for Department of Veterans Affairs Workers Act of 2025, Lobbied in opposition to H.R. 7950, a bill to amend title 38, United States Code, to establish the Office of Congressional and Legislative Affairs in the Department of Veterans Affairs, and for other purposes. Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of H.R. 8010, the VA Police Recruitment and Retention Act of 2026, including having an AFGE Member testify in support of the legislation on March 25, 2026, at a House Veterans Affairs Committee Subcommittee on Oversight and Investigations Legislative hearing. Lobbied in support of H.R. 7948, the VA Employee Family Care Expansion Act. Lobbied in support of H.R. 8041, the Supporting VA Families Act. Lobbied for changes to H.R. 8052, the Veteran Infection Prevention Act. Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbied to highlight general process and production issues facing Board Attorneys.
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2026 · first_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.1510 - Due Process Continuity of Care Act To amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes. Sponsor: Rep. Turner, Sylvester [D-TX-18] H.R.7324 - More Behavioral Health Providers Act of 2026 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Rep. Budzinski, Nikki [D-IL-13]
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2026 · first_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.1510 - Due Process Continuity of Care Act To amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes. Sponsor: Rep. Turner, Sylvester [D-TX-18] H.R.7324 - More Behavioral Health Providers Act of 2026 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Rep. Budzinski, Nikki [D-IL-13]
Client expense: $130,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2026 · first_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1510 - Due Process Continuity of Care Act To amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes. Sponsor: Rep. Turner, Sylvester [D-TX-18]
Client expense: $276,347 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.7324 - More Behavioral Health Providers Act of 2026 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Rep. Budzinski, Nikki [D-IL-13]
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] H.R.1227 - Alternatives to PAIN Act To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.1510 - Due Process Continuity of Care Act To amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes. Sponsor: Rep. Turner, Sylvester [D-TX-18] H.R.7324 - More Behavioral Health Providers Act of 2026 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Rep. Budzinski, Nikki [D-IL-13]
Client expense: $1,520,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
2026 · first_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index/EHO4A, Prior Authorization, Site Neutral Payments, Prompt Pay S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. S. 3848/H.R. 4093 - Apples to Apples Comparison Act of 2025 - to require the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, and for other purposes.
Client expense: $250,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Medicare/Medicaid
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Veterans
H.R. 210, the Dental Care for Veterans Act H.R. 217, the CHIP IN for Veterans Act H.R. 219, the Improving Menopause Care for Veterans Act of 2025 H.R. 220, the Veterans Infertility Treatment Act of 2025 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 H.R. 472, Restore VA Accountability Act H.R. 530, the ACES Act H.R. 553, the BRAVE Act H.R. 647, the Ensuring Veterans' Final Resting Place Act of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 982, the Warriors to Workforce Act H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National Traumatic Brain Injury Treatment Act H.R. 1344, the Dennis and Lois Krisfalusy Act H.R. 1364, the ASSIST Act of 2025 H.R. 1391, the Student Veteran Benefit Restoration Act of 2025 H.R. 1404, the CHAMPVA Childrens Care Protection Act of 2025 H.R. 1423, the Guard and Reserve GI Bill Parity Act of 2025 H.R. 1458, the VETS Opportunity Act of 2025 H.R. 1578, the Veterans Claims Education Act of 2025 H.R. 1663, the VSAFE Act of 2025 H.R. 1644, the Copay Fairness for Veterans Act H.R. 1685, the Justice for ALS Veterans Act H.R. 1732, the GUARD VA Benefits Act H.R. 1733, the Rural Veterans Transportation to Care Act H.R. 1741, the Veteran Appeals Transparency Act of 2025 H.R. 1793, the Veteran Readiness and Employment Transparency Act of 2025 H.R. 1803, the Fair Access to Co-ops for Veterans Act of 2025 H.R. 1814, the Restoring the VA Home Loan Program in Perpetuity Act of 2025 H.R. 1815, the VA Home Loan Program Reform Act H.R. 1823 H.R. 1860, the Women Veterans Cancer Care Coordination Act H.R. 1872, the Fairness in Veterans' Education Act of 2025 H.R. 1912, the Veteran Fraud Reimbursement Act of 2025 H.R. 1957, the End Veteran Homelessness Act of 2025 H.R. 1965, the Veteran Education Assistance Adjustment Act H.R. 1970, the Providing Veterans Essential Medications Act H.R. 1971, the SPORT Act H.R. 1972, the Standardizing Treatment and Referral Times (START ACT) H.R. 1987, the Saving Our Veterans Lives Act H.R. 2034, the Edith Nourse Rogers STEM Scholarship Opportunity Act H.R. 2055, the Caring for Survivors Act H.R. 2068, the Veterans Patient Advocacy Act H.R. 2077, the Helping Heroes Act H.R. 2137, the Review Every Veterans Claim Act of 2025 H.R. 2138, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 H.R. 2148, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2195, the Feed Hungry Veterans Act of 2025 H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 2245, the Autonomy for Disabled Veterans Act H.R. 2264, the Service-Connected Suicide Compensation Act H.R. 2576, the Servicemembers and Veterans Empowerment and Support Act of 2025 H.R. 2605, the SAVES Act H.R. 2625, the VERY Act H.R. 2717, the Servicewomen and Veterans Menopause Research Act H.R. 2720, the Gold Star Family Education Parity Act H.R. 2721, the Honoring our Heroes Act H.R. 2722, the VA Funding and Workforce Protection Act H.R. 2791 H.R. 2954, the Veterans Transition to Trucking Act of 2025 H.R. 3031, the Gold Star and Surviving Spouse Career Services Act H.R. 3123, the Ernest Peltz Accrued Veterans Benefits Act H.R. 3183, the SAFE STEPS for Veterans Act of 2025 H.R. 3309, the Autonomy for All Disabled Veterans Act H.R. 3386, the Streamlining the Solid Start Communications Act H.R. 3400, the Territorial Response and Access to Veterans Essential Lifecare Act of 2025 H.R. 3481, the Delivering Digitally to Our Veterans Act of 2025 H.R. 3579, the Veterans Readiness and Employment Program Integrity Act H.R. 3627, the Justice for Americas Veterans and Survivors Act of 2025 H.R. 3643, the VA Data Transparency and Trust Act H.R. 3710, the Loved Ones Interment Act H.R. 3720, the HOME Act of 2025 H.R. 3726, the Fisher House Availability Act of 2025 H.R. 3752, the Specialist Fourth Class Keith Smith Glioblastoma Parity Act of 2025 H.R. 3753, the Expanding Access for Online Veteran Students Act H.R. 3767, the Health Professionals Scholarship Program Improvement Act of 2025 H.R. 3833, the Veterans Caregivers Appeals Modernization Act H.R. 3834, the Protecting Veterans Claim Options Act H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act H.R. 3855 H.R. 3863, the VA Mental Health Outreach and Engagement Act H.R. 3869, the Every Veteran Housed Act H.R. 3886, the Veterans PTSD Screening Act H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025 H.R. 4026, the POST Act of 2025 H.R. 4077, the Guarantee Utilization of All Reimbursements for Delivery of Veterans Health Care Act H.R. 4105, the VET Act of 2025 H.R. 4114, the Ensuring Veterans Smooth Transition (EVEST) Act H.R. 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act H.R. 4637, the Veterans Surviving Spouse Equity Act H.R. 4855, the Veteran Families Health Services Act of 2025 H.R. 4509, the NO PAIN for Veterans Act H.R. 5203 H.R. 5261, the Veterans Emergency Care Reimbursement Act of 2025 H.R. 5339, the Susan E. Lukas 9/11 Servicemember Fairness Act H.R. 5436 H.R. 5634, the Veterans Flight Training Responsibility Act of 2025 H.R. 6001, the Veterans With ALS Reporting Act H.R. 6024, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 H.R. 6032, the Headstones for Honor Act H.R. 6033, the Strengthening Transparent Reporting to Improve Veteran Equality (STRIVE) Act H.R. 6047, the Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2025 H.R. 6224, the Servicemember Student Loan Affordability Act of 2025 H.R. 6376, the Supporting Military Families Exposed to Toxic Substances Act H.R. 6377, the Gold Star Siblings Educational Benefits Act H.R. 6549, the VA Contracting and Procurement Act H.R. 6580, the VA National Formular Act of 2025 H.R. 6583, the VA Research Reform Act of 2025 H.R. 6599, the Leasing and Infrastructure Act of 2025 H.R. 6698, the Board of Veterans Appeals Annual Report Transparency Act of 2025 H.R. 6733, the VISN Reform Act of 2025 H.R. 6740, the VA Trust Act H.R. 6755, the Accountable Leadership for Veterans Act of 2025 H.R. 6764, the Veterans Affairs Advisory Committee Oversight Act of 2025 H.R. 6833, the Acquisition Reform and Cost Assessment Act of 2025 H.R. 6835, the Veterans STAND Act H.R. 6843, the Establishing the Veterans Economic Opportunity and Transition Administration of 2025 H.R. 6861, the Consolidating Veteran Employment Services for Improved Performance Act H.R. 6904 H.R. 6943, the Veterans Burial Allowance and Reimbursement Act of 2026 H.R. 7083, the CRUISE Act H.R. 7094, the Improving Mental Health Care and Coordination for Homeless Veterans Act H.R. 7103, the Improving Emerging Tech Opportunities for Veterans Act H.R. 7141, the Affordable Housing Guarantee Act H.R. 7149, the Veteran Housing Promise Act H.R. 7150 H.R. 7199, Geralds Law Act H.R. 7260, the National Cemetery Administration Annual Report Act of 2026 H.R. 7411 H.R. 7472 H.R. 7841, the Warrior Infertility Act H.R. 8224 H. RES. 222 House Draft, the Data Driven Suicide Prevention and Outreach Act of 2026 House Draft, to provide for the modernization of the electronic health record system and other health information technology activities and systems of the VA House Draft, the Veteran Readiness and Employment Success Act House Draft, to require the VA Secretary to provide guidance to applicants for grants and comprehensive service program for homeless veterans House Draft, to provide for the use of the Consumer Price Increase to increase certain limitations on specially adapted housing assistance for disabled veterans provided by the Department of Veterans Affairs House Draft, to direct the Secretary of Veterans Affairs to publish information about payment for providing automobiles and adaptive equipment when the processing of such payments takes longer than 30 days House Draft, the Youth Caregiver of Veterans Community Grant Program Act House Draft, the National Task Force on Youth Caregivers of Veterans Act House Draft, the Post-9/11 GI Bill Modernization Act of 2025 S. 124, the Restore VA Accountability Act S. 201, the Aviator Cancers Examination Study (ACES) Act S. 214, the MEDAL Act of 2025 S. 275, the Veterans ACCESS Act S. 342, the Purple Heart Veterans Education Act S. 410, the Love Lives On Act S. 478, the Veterans 2nd Amendment Protection Act of 2025 S. 506, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 585, the Servicemember to Veteran Health Care Connection Act S. 599 the DRIVE Act S. 605, the CHAMPVA Children's Care Protection Act of 2025 S. 607, the Improving Veteran Access to Care Act S. 609, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 S. 610, Ensuring VetSuccess On Campus Act of 2025 S. 611, the Caring for Survivors Act S. 635, the Veterans Homecare Choice Act of 2025 S. 649, the Guard and Reserve GI Bill Parity Act S. 654 S. 668, the SAFE STEPS for Veterans Act of 2025 S. 701, the Helping Heroes Act S. 702, the Veterans Mental Health and Addiction Therapy Quality of Care Act S. 749, the Justice for ALS Veterans Act S. 778, the Lactation Spaces for Veteran Moms Act S. 784, the Rural Veterans Transportation to Care Act S. 787, the VetPAC Act of 2025 S. 800, the Precision Brain Health Research Act of 2025 S. 827, the Supporting Rural Veterans Access to Healthcare Services Act S. 831, the Representing VA with Accuracy (REP VA) Act S. 862, the HBOT Access Act of 2025 S. 879, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 892, the Veterans Fraud Reimbursement Act S. 926, the Saving Our Veterans Lives Act of 2025 S. 972, the Fairness in Veterans' Education Act of 2025 S. 1116, the Ensuring Veterans Final Resting Place Act of 2025 S. 1127, the Dennis and Lois Krisfalusy Act S. 1245, the Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1320, the Servicewomen and Veterans Menopause Research Act S. 1383, the Veterans Accessibility Act S. 1441, the Service Dogs Assisting Veterans (SAVES) Act S. 1533, the VA License Portability Act S. 1543, the Veterans Education, Transition and Opportunity Prioritization Plan Act S. 1591, the Acquisition Reform and Cost Assessment Act of 2025 S. 1644, the Autonomy for Disabled Veterans Act S. 1657, the Review Every Veterans Claim Act (Previous Draft: the Veterans Claims Act of 2025) S. 1665, the Obligations to Aberdeens Trusted Heroes (OATH) S. 1726, the ASSIST Act S. 1868, the Critical Access for Veterans Care Act S. 1992, the Veterans Appeals Efficiency Act of 2025 S. 2055, the Veterans Caregiver Appeals Modernization Act of 2025 S. 2061, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act of 2025 S. 2107, the POST Act of 2025 S. 2145, the GUARD Veterans Health Care Act S. 2171 S. 2220, the Fighting for the Overlooked Recognition of Groups Operating in Toxic Test Environments in Nevada (FORGOTTEN) Veterans Act of 2025 S. 2264, the Advancing VAs Emergency Response to (AVERT) Crises Act of 2025 S. 2309, the Veteran Burial Timeliness and Death Certificate Accountability Act S. 2328, the Military Learning for Credit Act of 2025 S. 2333, the Health Records Enhancement Act S. 2392, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 S. 2397, the Caring for our Veterans Health Act of 2025 S. 2534, the Veteran Families Health Services Act of 2025 S. 2623, the HONOR Act S. 2683, the VSAFE Act of 2025 S. 2737, the Veterans National Traumatic Brain Injury Treatment Act S. 2807, the Restoring Eligibility Standards for Placement in Eligible Cemeteries and Tombs (RESPECT) Act S. 2988, the VITAL Act S. 3000, the FRAUD in VA Disability Exams Act of 2025 S. 3033, the Improving Access to Care for Rural Veterans Act S. 3098, the Presumptive CLARITY Act of 2025 S. 3119, the Fisher House Availability Act S. 3170, the Stuck On Hold Act S. 3253, Servicemember Student Loan Affordability Act S. 3286, the Veterans Appeals Improvement and Modernization Act 2.0 S. 3303, the Leveraging Integrated Networks in Communities for Veterans Act S. 3311, the Veterans Affairs Peer Review Neutrality Act of 2025 S. 3388, the Sharing Essential Resources for Veterans Everywhere (SERVE) Act S. 3395, the Mammography Access for Veterans Act S. 3591, the Thomas M. Conway Veterans Access to Resources in the Workplace Act S. 3647, the Disabled Veterans Dignity Act 2026 S. 3653, the Veterans Bill of Rights Act of 2026 S. 3691, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 3706, the Produce Prescriptions for Veterans Act S. 3726, the National Veterans Strategy Act S. 3818, the Ensuring Benefits for Disabled Veterans Act S. 3988, the Veterans STAND Act S. 3992, the Joint Medical Facilities Fund Act S. 3993, the Reducing Arbitrary Barriers to Apprenticeships Act of 2026 S. 3999, the Women Veterans Specialty Care Access Act S. 4043, the Health Care for Homeless Veterans Act S. 4108, the Veteran Burial Benefit Correction Act S. 4197, the Veterans Outdoor Rehabilitation Act S. 4220, the VHA Novel Therapeutics Preparedness Act Senate Draft, the Veterans Claims Act of 2025 Senate Draft, the Copay Fairness for Veterans Act Senate Draft, the Building Readiness and Integration for Dependents Going to Civilian Environments or BRIDGE Act Senate Draft, the Veterans Education Assistance Adjustment Act Senate Draft, the Get Justice Involved Veterans BACK HOME Act Senate Draft bill, the Veteran Acquired Brain Injury Caregiving Act Senate Draft, the Optimizing the VA Workforce for Veterans Act Senate Draft, to increase burial and funeral expenses paid by the VA Secretary in the case of death from a service-connected disability, and for other purposes Senate Draft, to improve the VA schedule for rating disabilities Senate Draft, the Maternal Health for Veterans Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, P.L. 117-333, and P.L. 118-210 Discussions: Availability of VA home care and long-term care facilities for veterans with SCI/D Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: Increasing access to VA dental care Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement and other transportation options Discussions: Adequacy of VA Special Monthly Compensation Discussions: Increasing VA health care and benefits staffing Discussions: Improving VA hiring processes Discussions: Access to wheelchair repair Discussions: VA research funding Discussions: Improving VAs VR&E program Discussions: Reforming the Transition Assistance Program for disabled veterans Discussions: Increasing access to care and benefits for women veterans Discussions: Alternative health therapies Discussions: Adequacy of survivor benefits Discussions: Rehabilitation facility accreditation
Client expense: $108,181 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service
2025 · third_quarter · Veterans
Staffing: Lobbied against use of contractors to replace VA workers. Lobbied against proposed 80,000 and subsequent 32,000 worker Reduction in Force at VA. Lobbied against President Trumps Presidential Memorandum, Return to In-Person Work. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Privatization: Lobbied against H.R. 1972, the Standardizing Treatment and Referral Times Act of 2025, which would establish that the period during which the referral of a veteran to a private provider remains valid begins on the day of the first appointment. This provision allows private providers to skirt timeliness requirements altogether by giving them an indefinite period in which they can provide services. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Program Efficiency: Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Quality: Lobbied against H.R.9438, the "No Wrong Door for Veterans Act," which eliminates the requirement that previous recipients of grants reapplying to the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program show evidence of efficacy. Scheduling: Lobbied to improve H.R. 3482, the Veterans Community Care Scheduling Improvement Act, which would require VA to create a scheduling program that would allow a scheduler to schedule appointments either within the VA or with a private provider in the Veterans Community CareProgram. VA Collective Bargaining Rights: Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied Members of Congress to urge Secretary Collins to exempt as many VA employees as possible from President Trumps Exclusions from Federal Labor-Management Relations Programs Executive Order 14251. VA Compensation: Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Veterans Benefits Administration and Board of Veterans Appeals: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 1578, the Veterans Claims Education Act. Lobbied in support of parts of H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Provided commentary on H.R. 1741, the Veterans Appeals Transparency Act. Lobbied in support of H.R. 2701, the Fallen Servicemembers Religious Heritage Restoration Act. Lobbied in opposition to H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act. Lobbied in opposition to H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbed in support of Ramirez Amendment #1 (amendment in the nature of a substitute) to H.R. 3951, to affirm the right of VA Employees to collectively bargain. On July 22, 2025, AFGE testified before the House Veterans Affairs Committee Subcommittee on Oversights and investigations at a hearing titled Counting the Money: Preventing Fraud and Abuse in VAs Bonus Payment Practices for VA Employees.
Client expense: $360,191 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2025 · third_quarter · Veterans
Staffing: Lobbied against use of contractors to replace VA workers. Lobbied against proposed 80,000 and subsequent 32,000 worker Reduction in Force at VA. Lobbied against President Trumps Presidential Memorandum, Return to In-Person Work. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Privatization: Lobbied against H.R. 1972, the Standardizing Treatment and Referral Times Act of 2025, which would establish that the period during which the referral of a veteran to a private provider remains valid begins on the day of the first appointment. This provision allows private providers to skirt timeliness requirements altogether by giving them an indefinite period in which they can provide services. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Program Efficiency: Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Quality: Lobbied against H.R.9438, the "No Wrong Door for Veterans Act," which eliminates the requirement that previous recipients of grants reapplying to the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program show evidence of efficacy. Scheduling: Lobbied to improve H.R. 3482, the Veterans Community Care Scheduling Improvement Act, which would require VA to create a scheduling program that would allow a scheduler to schedule appointments either within the VA or with a private provider in the Veterans Community CareProgram. VA Collective Bargaining Rights: Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied Members of Congress to urge Secretary Collins to exempt as many VA employees as possible from President Trumps Exclusions from Federal Labor-Management Relations Programs Executive Order 14251. VA Compensation: Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Veterans Benefits Administration and Board of Veterans Appeals: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 1578, the Veterans Claims Education Act. Lobbied in support of parts of H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Provided commentary on H.R. 1741, the Veterans Appeals Transparency Act. Lobbied in support of H.R. 2701, the Fallen Servicemembers Religious Heritage Restoration Act. Lobbied in opposition to H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act. Lobbied in opposition to H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbed in support of Ramirez Amendment #1 (amendment in the nature of a substitute) to H.R. 3951, to affirm the right of VA Employees to collectively bargain. On July 22, 2025, AFGE testified before the House Veterans Affairs Committee Subcommittee on Oversights and investigations at a hearing titled Counting the Money: Preventing Fraud and Abuse in VAs Bonus Payment Practices for VA Employees.
Client expense: $360,191 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2025 · third_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Prior Authorization, Site Neutral Payments, Medicaid Funding 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. S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Client expense: $190,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Prior Authorization, Site Neutral Payments S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Client expense: $170,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Veterans
H.R. 210: Dental Care for Veterans Act H.R. 219: Improving Menopause Care for Veterans Act of 2025 H.R. 438: PFC Joseph P. Dwyer Peer Support Program Act H.R. 1404: CHAMPVA Childrens Care Protection Act of 2025 H.R. 1732: GUARD VA Benefits Act H.R. 2102: Major Richard Star Act H.R. 2148: Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2605: Service Dogs Assisting Veterans (SAVES) Act H.R. 2717: Servicewomen and Veterans Menopause Research Act H.R. 3132: CHOICE for Veterans Act of 2025 H.R. 3726: Fisher House Availability Act of 2025 H.R. 3812: STRIVE Act of 2025 H.R. 4077: GUARD Veterans Health Care Act H.R. 6024: BRAVE Act of 2025 H.R. 6038: Improving Veteran Access to Care Act H.R. 6047: Sharri Briley and Eric Edmundson Veterans Benefit Expansion Act S. 609: BRAVE Act of 2025 S. 879: Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 1032: Major Richard Star Act S. 1245: Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1308: VETS Opportunity Act of 2025 S. 1320: Servicewomen and Veterans Menopause Research Act S. 1441: Service Dogs Assisting Veterans (SAVES) Act S. 2309: Veteran Burial Timeliness and Death Certificate Accountability Act S. 2623: HONOR Act of 2025 S. 3119: Fisher House Availability Act of 2025 Forever GI Bill VHA Restructuring Transition Assistance Program Honor Our Promise to Veterans Act of 2025 Mammography Access for Veterans Act GI Bill Definitions Home for the Brave Act Infertility presumption under the PACT Act NOPAIN For Veterans Act
Client expense: $446,040 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Commissary Agency, Defense Department Field Activities, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Reserve System, Government Accountability Office (GAO), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, Office of the Vice President of the United States, President of the U.S., SENATE, Treasury, Dept of, U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service, Vice President of the U.S., White House Office
2025 · fourth_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; Medicaid Provider Taxes; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]
Client expense: $265,983 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; Medicaid Provider Taxes; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.141 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4977 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Rep. Frankel, Lois [D-FL-22] S.2289 - Healthy Moms and Babies Act To amend titles XIX and XXI of the Social Security Act to improve maternal health coverage under Medicaid and CHIP, and for other purposes. Sponsor: Sen. Grassley, Chuck [R-IA]
Client expense: $90,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2025 · fourth_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; Medicaid Provider Taxes; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.141 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4977 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Rep. Frankel, Lois [D-FL-22] S.2289 - Healthy Moms and Babies Act To amend titles XIX and XXI of the Social Security Act to improve maternal health coverage under Medicaid and CHIP, and for other purposes. Sponsor: Sen. Grassley, Chuck [R-IA]
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2025 · fourth_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; Medicaid Provider Taxes; MA Reform H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] H.R.668 - Coordinating Care for Senior Veterans and Wounded Warriors Act To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs. Sponsor: Rep. Ciscomani, Juan [R-AZ-6] S.506 - Coordinating Care for Senior Veterans and Wounded Warriors Act This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program to coordinate, navigate, and manage care and benefits for veterans who are enrolled in both the Medicare program and the VA health care system. Sponsor: Sen. Moran, Jerry [R-KS] H.R.842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.141 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4977 - Connected MOM Act To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women. Sponsor: Rep. Frankel, Lois [D-FL-22] S.2289 - Healthy Moms and Babies Act To amend titles XIX and XXI of the Social Security Act to improve maternal health coverage under Medicaid and CHIP, and for other purposes. Sponsor: Sen. Grassley, Chuck [R-IA]
Client expense: $1,440,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
2025 · fourth_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Prior Authorization, Site Neutral Payments S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Client expense: $150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Veterans
H.R. 210, the Dental Care for Veterans Act H.R. 217, the CHIP IN for Veterans Act H.R. 219, the Improving Menopause Care for Veterans Act of 2025 H.R. 220, the Veterans Infertility Treatment Act of 2025 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 H.R. 472, Restore VA Accountability Act H.R. 530, the ACES Act H.R. 553, the BRAVE Act H.R. 647, the Ensuring Veterans' Final Resting Place Act of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National Traumatic Brain Injury Treatment Act H.R. 1344, the Dennis and Lois Krisfalusy Act H.R. 1364, the ASSIST Act of 2025 H.R. 1391, the Student Veteran Benefit Restoration Act of 2025 H.R. 1404, the CHAMPVA Childrens Care Protection Act of 2025 H.R. 1423, the Guard and Reserve GI Bill Parity Act of 2025 H.R. 1458, the VETS Opportunity Act of 2025 H.R. 1578, the Veterans Claims Education Act of 2025 H.R. 1663, the VSAFE Act of 2025 H.R. 1644, the Copay Fairness for Veterans Act H.R. 1685, the Justice for ALS Veterans Act H.R. 1732, the GUARD VA Benefits Act H.R. 1733, the Rural Veterans Transportation to Care Act H.R. 1741, the Veteran Appeals Transparency Act of 2025 H.R. 1793, the Veteran Readiness and Employment Transparency Act of 2025 H.R. 1803, the Fair Access to Co-ops for Veterans Act of 2025 H.R. 1814, the Restoring the VA Home Loan Program in Perpetuity Act of 2025 H.R. 1815, the VA Home Loan Program Reform Act H.R. 1823 H.R. 1860, the Women Veterans Cancer Care Coordination Act H.R. 1872, the Fairness in Veterans' Education Act of 2025 H.R. 1912, the Veteran Fraud Reimbursement Act of 2025 H.R. 1957, the End Veteran Homelessness Act of 2025 H.R. 1965, the Veteran Education Assistance Adjustment Act H.R. 1970, the Providing Veterans Essential Medications Act H.R. 1971, the SPORT Act H.R. 1972, the Standardizing Treatment and Referral Times (START ACT) H.R. 1987, the Saving Our Veterans Lives Act H.R. 2034, the Edith Nourse Rogers STEM Scholarship Opportunity Act H.R. 2055, the Caring for Survivors Act H.R. 2068, the Veterans Patient Advocacy Act H.R. 2077, the Helping Heroes Act H.R. 2137, the Review Every Veterans Claim Act of 2025 H.R. 2138, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 H.R. 2148, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2195, the Feed Hungry Veterans Act of 2025 H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 2245, the Autonomy for Disabled Veterans Act H.R. 2264, the Service-Connected Suicide Compensation Act H.R. 2576, the Servicemembers and Veterans Empowerment and Support Act of 2025 H.R. 2605, the SAVES Act H.R. 2625, the VERY Act H.R. 2720, the Gold Star Family Education Parity Act H.R. 2721, the Honoring our Heroes Act H.R. 2791 H.R. 2954, the Veterans Transition to Trucking Act of 2025 H.R. 3031, the Gold Star and Surviving Spouse Career Services Act H.R. 3123, the Ernest Peltz Accrued Veterans Benefits Act H.R. 3309, the Autonomy for All Disabled Veterans Act H.R. 3386, the Streamlining the Solid Start Communications Act H.R. 3400, the Territorial Response and Access to Veterans Essential Lifecare Act of 2025 H.R. 3481, the Delivering Digitally to Our Veterans Act of 2025 H.R. 3579, the Veterans Readiness and Employment Program Integrity Act H.R. 3627, the Justice for Americas Veterans and Survivors Act of 2025 H.R. 3643, the VA Data Transparency and Trust Act H.R. 3710, the Loved Ones Interment Act H.R. 3720, the HOME Act of 2025 H.R. 3726, the Fisher House Availability Act of 2025 H.R. 3752, the Specialist Fourth Class Keith Smith Glioblastoma Parity Act of 2025 H.R. 3753, the Expanding Access for Online Veteran Students Act H.R. 3767, the Health Professionals Scholarship Program Improvement Act of 2025 H.R. 3833, the Veterans Caregivers Appeals Modernization Act H.R. 3834, the Protecting Veterans Claim Options Act H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act H.R. 3855 H.R. 3863, the VA Mental Health Outreach and Engagement Act H.R. 3869, the Every Veteran Housed Act H.R. 3886, the Veterans PTSD Screening Act H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025 H.R. 4026, the POST Act of 2025 H.R. 4077, the Guarantee Utilization of All Reimbursements for Delivery of Veterans Health Care Act H.R. 4105, the VET Act of 2025 H.R. 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act H.R. 4637, the Veterans Surviving Spouse Equity Act H.R. 4855, the Veteran Families Health Services Act of 2025 H.R. 4509, the NO PAIN for Veterans Act H.R. 5261, the Veterans Emergency Care Reimbursement Act of 2025 H.R. 6001, the Veterans With ALS Reporting Act H.R. 6032, the Headstones for Honor Act H.R. 6033, the Strengthening Transparent Reporting to Improve Veteran Equality (STRIVE) Act H.R. 6047, the Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2025 H.R.6224, the Servicemember Student Loan Affordability Act of 2025 H.R. 6376, the Supporting Military Families Exposed to Toxic Substances Act H.R. 6377, the Gold Star Siblings Educational Benefits Act H.R. 6835, the STAND Act H. RES. 222 House Draft, Innovate Act House Draft, the CRUISE Act House Draft, to include infertility as a condition presumed to be incurred or aggravated by toxic exposure in the course of active military, naval, air, or space service House Draft, the Veteran Readiness and Employment Success Act House Draft, to require the VA Secretary to provide guidance to applicants for grants and comprehensive service program for homeless veterans House Draft, to provide for the use of the Consumer Price Increase to increase certain limitations on specially adapted housing assistance for disabled veterans provided by the Department of Veterans Affairs House Draft, to direct the Secretary of Veterans Affairs to publish information about payment for providing automobiles and adaptive equipment when the processing of such payments takes longer than 30 days House Draft, the Youth Caregiver of Veterans Community Grant Program Act House Draft, the National Task Force on Youth Caregivers of Veterans Act House Draft, the Post-9/11 GI Bill Modernization Act of 2025 S. 124, the Restore VA Accountability Act S. 201, the Aviator Cancers Examination Study (ACES) Act S. 214, the MEDAL Act of 2025 S. 275, the Veterans ACCESS Act S. 342, the Purple Heart Veterans Education Act S. 410, the Love Lives On Act S. 478, the Veterans 2nd Amendment Protection Act of 2025 S. 506, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 585, the Servicemember to Veteran Health Care Connection Act S. 599 the DRIVE Act S. 605, the CHAMPVA Children's Care Protection Act of 2025 S. 607, the Improving Veteran Access to Care Act S. 609, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 S. 610, Ensuring VetSuccess On Campus Act of 2025 S. 611, the Caring for Survivors Act S. 635, the Veterans Homecare Choice Act of 2025 S. 649, the Guard and Reserve GI Bill Parity Act S. 654 S. 668, the SAFE STEPS for Veterans Act of 2025 S. 701, the Helping Heroes Act S. 702, the Veterans Mental Health and Addiction Therapy Quality of Care Act S. 749, the Justice for ALS Veterans Act S. 778, the Lactation Spaces for Veteran Moms Act S. 784, the Rural Veterans Transportation to Care Act S. 787, the VetPAC Act of 2025 S. 800, the Precision Brain Health Research Act of 2025 S. 827, the Supporting Rural Veterans Access to Healthcare Services Act S. 831, the Representing VA with Accuracy (REP VA) Act S. 862, the HBOT Access Act of 2025 S. 879, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 892, the Veterans Fraud Reimbursement Act S. 926, the Saving Our Veterans Lives Act of 2025 S. 972, the Fairness in Veterans' Education Act of 2025 S. 1116, the Ensuring Veterans Final Resting Place Act of 2025 S. 1245, the Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1320, the Servicewomen and Veterans Menopause Research Act S. 1383, the Veterans Accessibility Act S. 1441, the Service Dogs Assisting Veterans (SAVES) Act S. 1533, the VA License Portability Act S. 1543, the Veterans Education, Transition and Opportunity Prioritization Plan Act S. 1591, the Acquisition Reform and Cost Assessment Act of 2025 S. 1644, the Autonomy for Disabled Veterans Act S. 1657, the Review Every Veterans Claim Act (Previous Draft: the Veterans Claims Act of 2025) S. 1665, the Obligations to Aberdeens Trusted Heroes (OATH) S. 1726, the ASSIST Act S. 1868, the Critical Access for Veterans Care Act S. 1992, the Veterans Appeals Efficiency Act of 2025 S. 2055, the Veterans Caregiver Appeals Modernization Act of 2025 S. 2061, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act of 2025 S. 2107, the POST Act of 2025 S. 2145, the GUARD Veterans Health Care Act S. 2171 S. 2220, the Fighting for the Overlooked Recognition of Groups Operating in Toxic Test Environments in Nevada (FORGOTTEN) Veterans Act of 2025 S. 2264, the Advancing VAs Emergency Response to (AVERT) Crises Act of 2025 S. 2309, the Veteran Burial Timeliness and Death Certificate Accountability Act S. 2328, the Military Learning for Credit Act of 2025 S. 2333, the Health Records Enhancement Act S. 2392, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 S. 2397, the Caring for our Veterans Health Act of 2025 S. 2534, the Veteran Families Health Services Act of 2025 S. 2683, the VSAFE Act of 2025 S. 2737, the Veterans National Traumatic Brain Injury Treatment Act S. 2807, the Restoring Eligibility Standards for Placement in Eligible Cemeteries and Tombs (RESPECT) Act S. 3033, the Improving Access to Care for Rural Veterans Act S. 3119, the Fisher House Availability Act S. 3303, the Leveraging Integrated Networks in Communities for Veterans Act S. 3253, Servicemember Student Loan Affordability Act S. 3395, the Mammography Access for Veterans Act Senate Draft, the National Veterans Strategy Act of 2025 Senate Draft, the Disabled Veterans Dignity Act of 2025 Senate Draft, the Veterans Claims Act of 2025 Senate Draft, the Copay Fairness for Veterans Act Senate Draft, the HONOR Act Senate Draft, the Building Readiness and Integration for Dependents Going to Civilian Environments or BRIDGE Act Senate Draft, the VITAL Act Senate Draft, the Veterans Education Assistance Adjustment Act Senate Draft, the Sharing Essential Resources for Veterans Everywhere (SERVE) Act Senate Draft, the Commission on Equity and Reconciliation in the Uniformed Services Act Senate Draft, the Get Justice Involved Veterans BACK HOME Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, P.L. 117-333, and P.L. 118-210 Discussions: Availability of VA home care and long-term care facilities for veterans with SCI/D Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: Increasing access to VA dental care Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement and other transportation options Discussions: Adequacy of VA Special Monthly Compensation Discussions: Increasing VA health care and benefits staffing Discussions: Improving VA hiring processes Discussions: Access to wheelchair repair Discussions: VA research funding Discussions: Improving VAs VR&E program Discussions: Reforming the Transition Assistance Program for disabled veterans Discussions: Increasing access to care and benefits for women veterans Discussions: Alternative health therapies Discussions: Adequacy of survivor benefits Discussions: Rehabilitation facility accreditation
Client expense: $87,212 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service
2025 · third_quarter · Medicare/Medicaid
Issues: Medicare Advantage & MA Rate Notice; Medicare/Transparency; Mental Health Care, Youth Mental Health; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.2199 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Rep. Kelly, Mike [R-PA-16] S.1173 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] S.683 - More Behavioral Health Providers Act of 2025 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Sen. Peters, Gary C. [D-MI]
Client expense: $80,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2025 · third_quarter · Medicare/Medicaid
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform; Medicaid Provider Taxes H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.2199 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Rep. Kelly, Mike [R-PA-16] S.1173 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] S.683 - More Behavioral Health Providers Act of 2025 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Sen. Peters, Gary C. [D-MI]
Client expense: $1,150,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
2025 · third_quarter · Medicare/Medicaid
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; MA Reform; Medicaid Provider Taxes Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.2199 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Rep. Kelly, Mike [R-PA-16] S.1173 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] S.683 - More Behavioral Health Providers Act of 2025 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Sen. Peters, Gary C. [D-MI]
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform; Medicaid Provider Taxes Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] S.683 - More Behavioral Health Providers Act of 2025 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Sen. Peters, Gary C. [D-MI]
Client expense: $265,983 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Veterans
Staffing: Lobbied against use of contractors to replace VA workers. Lobbied against proposed 80,000 and subsequent 32,000 worker Reduction in Force at VA. Lobbied against President Trumps Presidential Memorandum, Return to In-Person Work. Lobbied the Trump Administration to exempt the VA from the Trump Administration Executive Order, Exclusions from Federal Labor-Management Relations Programs. Lobbied for oversight of VA worker exemptions from the federal employee hiring freeze ordered by President Trump. Lobbied in support of S.1068, the Putting Veterans First Act of 2025, which reinstates fired veteran employees, puts limitations on hiring freezes, and creates civil service protections for federal employees. Privatization: Lobbied against H.R. 1972, the Standardizing Treatment and Referral Times Act of 2025, which would establish that the period during which the referral of a veteran to a private provider remains valid begins on the day of the first appointment. This provision allows private providers to skirt timeliness requirements altogether by giving them an indefinite period in which they can provide services. Lobbied against H.R. 740/S. 275, the Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025. AFGE specifically opposes the provisions codifying the access standards, making veteran preference to go to a private provider a criterion for what constitutes best medical interest, and creating a three-year pilot program where veterans could access outpatient mental health and substance use services without referral or preauthorization. Lobbied against provisions in H.R. 3944, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026, that would have increased funding for community care by 50%, thereby diverting funding from direct care. Program Efficiency: Lobbied in support of the H.R.4077 Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans' Health Care Act, which closes a loophole that allows private Medicare Advantage (MA) plans to collect premiums for health care while veterans receive free or low-cost care through the Veterans Health Administration (VHA), with taxpayers footing the bill twice. Quality: Lobbied against H.R.9438, the "No Wrong Door for Veterans Act," which eliminates the requirement that previous recipients of grants reapplying to the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program show evidence of efficacy. Scheduling: Lobbied to improve H.R. 3482, the Veterans Community Care Scheduling Improvement Act, which would require VA to create a scheduling program that would allow a scheduler to schedule appointments either within the VA or with a private provider in the Veterans Community CareProgram. VA Collective Bargaining Rights: Lobbied in opposition to H.R. 472/S. 124, the Restore VA Accountability Act of 2025. Lobbied in support of H.R. 932, the Protecting VA Employees Act. Lobbied in support of H.R. 2550/S. 2837, the Protect Americas Workforce Act as it relates to VA employees. Lobbied in support of H.R. 3261, the VA Employee Fairness Act. Lobbied in support of draft legislation, the VA Correct Compensation Act. Lobbied Members of Congress to urge Secretary Collins to exempt as many VA employees as possible from President Trumps Exclusions from Federal Labor-Management Relations Programs Executive Order 14251. VA Compensation: Lobbied in support of H.R. 493/S. 126, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 491/S. 624, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 657, the "VA CPE Modernization Act." Lobbied in support draft legislation, the "Law Enforcement Officers Equity Act" and draft legislation, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Veterans Benefits Administration and Board of Veterans Appeals: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied against contracting out of VA Disability Exams (C&P Exams) Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Lobbied in support of H.R. 2303, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied in support of H.R. 659, the Veterans Law Judge Experience Act. Lobbied in support of H.R. 1578, the Veterans Claims Education Act. Lobbied in support of parts of H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act. Lobbied in support of H.R. 2137, the Review Every Veterans Claims Act. Provided commentary on H.R. 1741, the Veterans Appeals Transparency Act. Lobbied in support of H.R. 2701, the Fallen Servicemembers Religious Heritage Restoration Act. Lobbied in opposition to H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act. Lobbied in opposition to H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025. Lobbied for changes to draft legislation related to the use of Artificial Intelligence in the VBA claims process. Lobbed in support of Ramirez Amendment #1 (amendment in the nature of a substitute) to H.R. 3951, to affirm the right of VA Employees to collectively bargain. On July 22, 2025, AFGE testified before the House Veterans Affairs Committee Subcommittee on Oversights and investigations at a hearing titled Counting the Money: Preventing Fraud and Abuse in VAs Bonus Payment Practices for VA Employees.
Client expense: $360,191 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2025 · third_quarter · Medicare/Medicaid
Issues: Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform; Medicaid Provider Taxes Bills: H.R.5746 - Addressing Whole Health in Medicare Advantage Act (118th) To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] H.R. 7996, Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Rep. Dunn, Neal P. [R-FL-2] S.2556 - Improving CARE for Youth Act (118th) To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.2199 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Rep. Kelly, Mike [R-PA-16] S.1173 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Sen. Cassidy, Bill [R-LA] H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.2145 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Sen. Warren, Elizabeth [D-MA] S.683 - More Behavioral Health Providers Act of 2025 To amend title XVIII of the Social Security Act to expand eligibility for incentives under the Medicare health professional shortage area bonus program to practitioners furnishing mental health and substance use disorder services. Sponsor: Sen. Peters, Gary C. [D-MI]
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2025 · third_quarter · Medicare/Medicaid
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Prior Authorization, Site Neutral Payments, Medicaid Funding 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. S. 1105 - No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act (No UPCODE) Act - This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. H.R. 4077/S. 2145 - GUARD Veterans Health Care Act - To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Client expense: $150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Veterans
H.R. 210, the Dental Care for Veterans Act H.R. 217, the CHIP IN for Veterans Act H.R. 219, the Improving Menopause Care for Veterans Act of 2025 H.R. 220, the Veterans Infertility Treatment Act of 2025 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 H.R. 472, Restore VA Accountability Act H.R. 530, the ACES Act H.R. 553, the BRAVE Act H.R. 647, the Ensuring Veterans' Final Resting Place Act of 2025 H.R. 658 H.R. 659, the Veterans Law Judge Experience Act H.R. 668, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 680, the Caring for Survivors Act H.R. 740, the Veterans ACCESS Act of 2025 H.R. 785, the Representing Our Seniors at VA Act of 2025 H.R. 965, the Housing Unhoused Disabled Veterans Act H.R. 980, the Modernizing the Veterans On-Campus Experience Act of 2025 H.R. 1004, the Love Lives On Act H.R. 1039, the Clear Communication for Veterans Claims Act H.R. 1041, the Veterans 2nd Amendment Protection Act of 2025 H.R. 1147, the Veterans Accessibility Advisory Committee Act of 2025 H.R. 1107, the Protecting Veteran Access to Telemedicine Services Act of 2025 H.R. 1228, the Prioritizing Veterans Survivors Act H.R. 1286, the Simplifying Forms for Veterans Claims Act H.R. 1288, the DRIVE Act of 2025 H.R. 1290, the Veterans Mental Health Crisis Referral Enhancement Act of 2025 H.R. 1336, the Veterans National Traumatic Brain Injury Treatment Act H.R. 1344, the Dennis and Lois Krisfalusy Act H.R. 1364, the ASSIST Act of 2025 H.R. 1391, the Student Veteran Benefit Restoration Act of 2025 H.R. 1404, the CHAMPVA Childrens Care Protection Act of 2025 H.R. 1423, the Guard and Reserve GI Bill Parity Act of 2025 H.R. 1458, the VETS Opportunity Act of 2025 H.R. 1578, the Veterans Claims Education Act of 2025 H.R. 1663, the VSAFE Act of 2025 H.R. 1644, the Copay Fairness for Veterans Act H.R. 1685, the Justice for ALS Veterans Act H.R. 1732, the GUARD VA Benefits Act H.R. 1733, the Rural Veterans Transportation to Care Act H.R. 1741, the Veteran Appeals Transparency Act of 2025 H.R. 1793, the Veteran Readiness and Employment Transparency Act of 2025 H.R. 1803, the Fair Access to Co-ops for Veterans Act of 2025 H.R. 1814, the Restoring the VA Home Loan Program in Perpetuity Act of 2025 H.R. 1815, the VA Home Loan Program Reform Act H.R. 1823 H.R. 1860, the Women Veterans Cancer Care Coordination Act H.R. 1872, the Fairness in Veterans' Education Act of 2025 H.R. 1912, the Veteran Fraud Reimbursement Act of 2025 H.R. 1957, the End Veteran Homelessness Act of 2025 H.R. 1965, the Veteran Education Adjustment Act H.R. 1970, the Providing Veterans Essential Medications Act H.R. 1971, the SPORT Act H.R. 1972, the Standardizing Treatment and Referral Times (START ACT) H.R. 1987, the Saving Our Veterans Lives Act H.R. 2034, the Edith Nourse Rogers STEM Scholarship Opportunity Act H.R. 2055, the Caring for Survivors Act H.R. 2068, the Veterans Patient Advocacy Act H.R. 2077, the Helping Heroes Act H.R. 2102, the Major Richard Star Act H.R. 2137, the Review Every Veterans Claim Act of 2025 H.R. 2138, the Veterans Compensation Cost-of-Living Adjustment Act of 2025 H.R. 2148, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act H.R. 2195, the Feed Hungry Veterans Act of 2025 H.R. 2201, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 2245, the Autonomy for Disabled Veterans Act H.R. 2264, the Service-Connected Suicide Compensation Act H.R. 2576, the Servicemembers and Veterans Empowerment and Support Act of 2025 H.R. 2605, the SAVES Act H.R. 2625, the VERY Act H.R. 2720, the Gold Star Family Education Parity Act H.R. 2721, the Honoring our Heroes Act H.R. 2791 H.R. 2954, the Veterans Transition to Trucking Act of 2025 H.R. 3031, the Gold Star and Surviving Spouse Career Services Act H.R. 3123, the Ernest Peltz Accrued Veterans Benefits Act H.R. 3309, the Autonomy for All Disabled Veterans Act H.R. 3386, the Streamlining the Solid Start Communications Act H.R. 3400, the Territorial Response and Access to Veterans Essential Lifecare Act of 2025 H.R. 3481, the Delivering Digitally to Our Veterans Act of 2025 H.R. 3579, the Veterans Readiness and Employment Program Integrity Act H.R. 3627, the Justice for Americas Veterans and Survivors Act of 2025 H.R. 3643, the VA Data Transparency and Trust Act H.R. 3710, the Loved Ones Interment Act H.R. 3720, the HOME Act of 2025 H.R. 3726, the Fisher House Availability Act of 2025 H.R. 3752, the Specialist Fourth Class Keith Smith Glioblastoma Parity Act of 2025 H.R. 3753, the Expanding Access for Online Veteran Students Act H.R. 3767, the Health Professionals Scholarship Program Improvement Act of 2025 H.R. 3833, the Veterans Caregivers Appeals Modernization Act H.R. 3834, the Protecting Veterans Claim Options Act H.R. 3854, the Modernizing All Veterans and Survivors Claims Processing Act H.R. 3855 H.R. 3863, the VA Mental Health Outreach and Engagement Act H.R. 3869, the Every Veteran Housed Act H.R. 3886, the Veterans PTSD Screening Act H.R. 3951, the Rural Veterans Improved Access to Benefits Act of 2025 H.R. 4026, the POST Act of 2025 H.R. 4077, the Guarantee Utilization of All Reimbursements for Delivery of Veterans Health Care Act H.R. 4105, the VET Act of 2025 H.R. 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act H.R. 4637, the Veterans Surviving Spouse Equity Act H.R. 4855, the Veteran Families Health Services Act of 2025 H.R. 5261, the Veterans Emergency Care Reimbursement Act of 2025 H. RES. 222 House Draft, to require the VA Secretary to provide guidance to applicants for grants and comprehensive service program for homeless veterans House Draft, the Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2025 House Draft, to make certain improvements in the process of the Department of Veterans Affairs for making payments to automobile sellers for automobiles purchased for certain disabled veterans House Draft, to provide for the use of the Consumer Price Increase to increase certain limitations on specially adapted housing assistance for disabled veterans provided by the Department of Veterans Affairs House Draft, to direct the Secretary of Veterans Affairs to publish information about payment for providing automobiles and adaptive equipment when the processing of such payments takes longer than 30 days House Draft, the Veteran Readiness and Employment Counselor Promotion, Retention, and Recruitment House Draft, the Youth Caregiver of Veterans Community Grant Program Act House Draft, the National Task Force on Youth Caregivers of Veterans Act House Draft, the Post-9/11 GI Bill Modernization Act of 2025 S. 124, the Restore VA Accountability Act S. 201, the Aviator Cancers Examination Study (ACES) Act S. 214, the MEDAL Act of 2025 S. 275, the Veterans ACCESS Act S. 410, the Love Lives On Act S. 478, the Veterans 2nd Amendment Protection Act of 2025 S. 506, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 585, the Servicemember to Veteran Health Care Connection Act S. 599 the DRIVE Act S. 605, the CHAMPVA Children's Care Protection Act of 2025 S. 607, the Improving Veteran Access to Care Act S. 609, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2025 S. 610, Ensuring VetSuccess On Campus Act of 2025 S. 611, the Caring for Survivors Act S. 635, the Veterans Homecare Choice Act of 2025 S. 649, the Guard and Reserve GI Bill Parity Act S. 654 S. 668, the SAFE STEPS for Veterans Act of 2025 S. 701, the Helping Heroes Act S. 702, the Veterans Mental Health and Addiction Therapy Quality of Care Act S. 749, the Justice for ALS Veterans Act S. 778, the Lactation Spaces for Veteran Moms Act S. 784, the Rural Veterans Transportation to Care Act S. 787, the VetPAC Act of 2025 S. 800, the Precision Brain Health Research Act of 2025 S. 827, the Supporting Rural Veterans Access to Healthcare Services Act S. 831, the Representing VA with Accuracy (REP VA) Act S. 862, the HBOT Access Act of 2025 S. 879, the Veteran Caregiver Reeducation, Reemployment, and Retirement Act S. 892, the Veterans Fraud Reimbursement Act S. 972, the Fairness in Veterans' Education Act of 2025 S. 1032, the Major Richard Star Act S. 1245, the Servicemembers and Veterans Empowerment and Support Act of 2025 S. 1320, the Servicewomen and Veterans Menopause Research Act S. 1383, the Veterans Accessibility Act S. 1441, the Service Dogs Assisting Veterans (SAVES) Act S. 1533, the VA License Portability Act S. 1543, the Veterans Education, Transition and Opportunity Prioritization Plan Act S. 1591, the Acquisition Reform and Cost Assessment Act of 2025 S. 1644, the Autonomy for Disabled Veterans Act S. 1726, the ASSIST Act S. 2055, the Veterans Caregiver Appeals Modernization Act of 2025 S. 2107, the POST Act of 2025 S. 2145, the GUARD Veterans Health Care Act S. 2171 S. 2309, the Veteran Burial Timeliness and Death Certificate Accountability Act S. 2534, the Veteran Families Health Services Act of 2025 Senate Draft, the Veterans Claims Act of 2025 Senate Draft, the Copay Fairness for Veterans Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, P.L. 117-333, and P.L. 118-210 Discussions: Availability of VA home care and long-term care facilities for veterans with SCI/D Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: Increasing access to VA dental care Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement and other transportation options Discussions: Adequacy of VA Special Monthly Compensation Discussions: Increasing VA health care and benefits staffing Discussions: Improving VA hiring processes Discussions: Access to wheelchair repair Discussions: VA research funding Discussions: Improving VAs VR&E program Discussions: Reforming the Transition Assistance Program for disabled veterans Discussions: Increasing access to care and benefits for women veterans Discussions: Alternative health therapies Discussions: Adequacy of survivor benefits Discussions: Rehabilitation facility accreditation
Client expense: $87,212 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service