Living Donor Protection Act of 2025

Living Donor Protection Act (S. 1552 / H.R. 4582 / H.R. 4583).

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Living Donor Protection Act (S. 1552 / H.R. 4582 / H.R. 4583).

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1552/H.R. 4583 Living Donor Protection Act HR 4582 Living Donor FMLA Protection Act

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. Res 1519 - Supporting the Designation of September 17, 2026 as National Physician Suicide Awareness Day to Raise Awareness of, and promote a national discussion about, physician suicide and to reduce the stigma of mental health conditions, and for other purposes. H. Res. 1528 - Recognizing Suicide as a serious public health problem and expressing support for the designation of September 2026 as National Physician Suicide Prevention Month, as well as September 10, 2026 as World Suicide Prevention Day. H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI), provisions related to changes in medicaid regarding "Release the Pressure" hypertension control campaign H.R. 1254 - Rural Obstetrics Readiness Act, all provisions H.R. 2314 - Fair Access In Residency (FAIR) Act, all provisions H.R. 3492 - Protect Children's Innocence Act, all provisions H.R. 9390 - Prices on the Wall Act, all provisions H.R. 9395 - Transparency in Medicare Advantage Steering Act, all provisions H.R. 9645 - Health Care Price Certainty for All Americans Act, all provisions H.R. 9693 - The Patients First Act of 2026 - all provisions H.R.10444 - The Stop Corporate Takeovers of Physicians Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2332 - SHARE Act of 2025, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions S. 380 - Rural Obstetrics Readiness Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions S.1419 - Youth Sports Facilities Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.2355 - Patients Deserve Price Tags Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3097 - Health Information Privacy Reform Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions S.3907 - Health Information Privacy Reform Act, all provisions S.5419 - The Stop Corporate Takeovers of Physicians Act, all provisions S.5496 - Health for the Commonwealth through Affordability Reform and Expansion Health Care (CARE) Act, all provisions "Legitimate Medical Purpose" definition under the Controlled Substance Act "Still at Risk" wristband initiative Jeanette Acosta Invest in Women's Health Act Comment Letter: [ACF-2026-0595] Reducing Federal Burden for Head Start Programs Comment Letter: [CMS-2026-1255-0001] Medicare and Medicaid Programs: Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, etc. Comment Letter: [REG-118484-25; CMS-9879-P; RIN 0938-AV94; RIN 1210-AC40; RIN 1545-BS02] Excepted Fertility Benefits Comment Letter: Request for Information (RFI) on Health Coverage that Works for Everyone Comment Letter: [2120-AM18] Improving Emergency Medical Kit Efficacy and Flexibility in Commercial Airline Operations Draft: Health Infrastructure Security and Accountability Act Draft: Noncompete clauses in physician contracts Matters related to AI use in prior authorization Matters related to Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Matters related to Data privacy, cybersecurity, and AI Matters related to Health care consolidation Matters related to the Health Insurance Portability and Accountability Act (HIPAA) and electronic records Matters related to Maternal health and hypertensive disorder during pregnancy Matters related to Medical devices Matters related to Nutrition Matters related to the Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Matters related to Payment for AI services within health care Matters related to the Public Health effects of opioid medications Matters related to Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Matters related to the United States Preventive Services Task Force (USPSTF) Matters related to Vaccines/ACIP Matters related to ACA benefits and payments Matters related to high-resolution anoscopy services Matters related to peptides Matters related to physician prescribing of antibiotics Matters related to reproductive health Matters related to the Authorization of ENDS Products Age Verification

Client expense: $4,540,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

The Living Donor Protection Act (HR 4583/S 1552), The Living Donor FMLA Protection Act (HR 4582)

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Affordability Act of 2025 (H.R. 247/S.46) Telehealth Expansion Act (S.763) Easy Enrollment in Healthcare Act (H.R. 3947/S. 2057) ENROLL Act (H.R. 3907/S. 2024) Stroke Act (S.5260) Association Health Plans Act (H.R. 2528/S. 1847) Self-Insurance Protection Act (H.R. 2571) Palliative Care and Hospice Education and Training Act (S.2287/H.R.4425) Living Donor Protection Act (H.R. 4583/H.R. 4582/S.1552) FAMILY Act (H.R. 5390/S. 2823) Protecting Healthcare and Lowering Costs Act H.R. (S. 4849/S.2556) Providing for consideration of the bill (H.R. 1834) to advance policy priorities that will break the gridlock (H.Res. 780) Breaking the Gridlock Act (H.R. 1834) Womens Heart Health Expansion Act (H.R. 7417/S. 3944) Blood Pressure MATTERS Act (H.R. 8716) South Asian Heart Health Awareness and Research Act (H.R. 10520/S. 5430) Lauren Shields Organ Donation Act (no bill number yet) Stand by NICU Babies and Families Act (no bill number yet) National Strategy to Close the Womens Health Gap (no bill number yet) Response to Senate Finance Health Coverage RFI

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act H.R. 9693/S. 5672 - Patients First Act of 2026 H.R. 4583/S. 1552 - Living Donor Protection Act of 2026 H.R. 8271 - ICU Bed Act of 2026 H.R. 5265 - SAFE Ride Act (E-bike Safety) Military Readiness Office of Management and Budget (OMB) Rule Womens Health and Cancer Rights Act (WHCRA) reform Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) Regional Medical Operations Coordination Center (RMOCC) development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act H.R. 9693/S. 5672 - Patients First Act of 2026 H.R. 4583/S. 1552 - Living Donor Protection Act of 2026 H.R. 8271 - ICU Bed Act of 2026 H.R. 5265 - SAFE Ride Act (E-bike Safety) Military Readiness Office of Management and Budget (OMB) Rule Womens Health and Cancer Rights Act (WHCRA) reform Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) Regional Medical Operations Coordination Center (RMOCC) development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act H.R. 9693/S. 5672 - Patients First Act of 2026 H.R. 4583/S. 1552 - Living Donor Protection Act of 2026 H.R. 8271 - ICU Bed Act of 2026 H.R. 5265 - SAFE Ride Act (E-bike Safety) Military Readiness Office of Management and Budget (OMB) Rule Womens Health and Cancer Rights Act (WHCRA) reform Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) Regional Medical Operations Coordination Center (RMOCC) development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda

Client expense: $230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 S. 266/H.R. 929 - Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act S. 942/H.R. 2028 - Resident Education Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuring Access to General Surgery Act H.R. 7520 - Efficiency Adjustment Delay Act H.R. 5509/S. 2903 - Safe Step Act H.R. 8358/S. 4318 - Breast Cancer Stamp Reauthorization Act H.R. 9693/S. 5672 - Patients First Act of 2026 H.R. 4583/S. 1552 - Living Donor Protection Act of 2026 H.R. 8271 - ICU Bed Act of 2026 H.R. 5265 - SAFE Ride Act (E-bike Safety) Military Readiness Office of Management and Budget (OMB) Rule Womens Health and Cancer Rights Act (WHCRA) reform Merit based Incentive Payment System (MIPS) Reform Value-Based Care (VBC) healthcare model CMS TEAM Model National Trauma and Emergency Preparedness System (NTEPS) Regional Medical Operations Coordination Center (RMOCC) development Pre-hospital blood Medicare Economic Index (MEI) Indirect practice expense Medicare physician fee schedule CPT/Work Relative Value Units (RVUs) Tariffs on medical supplies Congressionally Directed Medical Research Programs Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Rule CollaboRATE Quality Measure WISeR Model Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization National Institutes of Health Funding Global health funding Access to care issues Congressionally Directed Medical Research Program (CDMRP) Veteran Healthcare Administration Confirmations Physician consolidation Medicare coding/payment for lower extremity revascularization services Medicare Physician Payment Cuts Neglected Surgical Conditions Administrative Burden/Prior Authorization Legislation MISSION Zero Reauthorization Bilateral Exchange Visa Issues/J-1 Visas for physician educational and cultural exchange Cancer Research Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda

Client expense: $230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

-Expanding Support for Living Donors Act (H.R. 7868) Legislation to expand how much living donors can be reimbursed and to increase the threshold for income-based qualification -Living Donor Protection Act (H.R. 4583) and related FMLA bill (H.R. 4582 and S. 1552). Clarifies and strengthens protections for Americans who donate an organ. -Concurrent Care for Comfort Act (HR 8367) and related policy concepts regarding helping patients on dialysis nearing end of life also access hospice care -Home Dialysis Improvement Act (HR 8875) and related policy concepts helping more patients consider electing home dialysis -Kidney Disease Education Expansion Act of 2026 (H.R. 9509) and related policy concepts to increase earlier upstream intervention to slow the progression of kidney disease, including screening and diagnosis -KIDNEY Remote Monitoring Act (HR 8319) -Living Organ Volunteer Engagement (LOVE) Act (H.R. 7581) and related concepts that could be clarified administratively -Called for continued focus on modernizing the U.S. transplant system, including implementing the 2023 Securing the U.S. OPTN Act -Called for the creation of an Officer of Kidney Health and Transplantation within the immediate office of the secretary of HHS (to coordinate kidney health care, research, and data-related efforts across the numerous HHS agencies with a role in kidney health) -Urged HHS to ensure kidney health data remains accessible and complete, as well as advancing data-sharing, data standards, and interoperability -Encouraged CMMI to develop a subsequent kidney care focused model, building on the successes and lessons of the CKCC model, including a focus on upstream kidney care and earlier intervention -Asked questions about the adequacy of kidney patient access to specialized kidney and transplant care in MA plans -Discussed importance of greater emphasis on kidney health, prevention, and earlier disease detection and intervention -Encouraged support for KidneyX

Client expense: $70,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Living Donor Protection Act (H.R. 4583 / S. 1552); FY 2027 appropriations funding for nursing workforce development programs and National Institute of Nursing Research; FY 2027 funding kidney disease research at NIDDK at NIH; Funding for AHRQ at HHS in FY 2027; Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2531 / S. 1232); Restore Protections for Dialysis Patients Act (H.R. 2199 / S. 1173); Organ Donation Referral Improvement Act (H.R. 330); The Improving Care & Access to Nurses Act (H.R. 1316 / S. 575); Providing Real-world Education and Clinical Experience by Precepting Tomorrow's Nurses Act (H.R. 392 / S. 131); Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R.929 / S.266); Living Donor FMLA Protection Act (H.R. 4582); Improving Access to Home Dialysis Act; Future Advancement of Academic Nursing Act (H.R. 6607 / S. 3435); Title VIII Reauthorization Act (H.R. 3593 / S. 1874); Kidney Care Protection Act (H.R. 6214 / S. 2730); Nursing is a Professional Degree Act (H.R. 8691 / S. 4568); Share Act (H.R. 2332); Promoting Access to Diabetic Shoes Act (H.R. 1616).

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Living Donor Protection Act (LDPA) S1522, HR4582,HR4583

Client expense: $30,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Affordability Act of 2025 (H.R. 247/S.46) Telehealth Expansion Act (S.763) Easy Enrollment in Healthcare Act (H.R. 3947/S. 2057) ENROLL Act (H.R. 3907/S. 2024) Stroke Act (no bill number) Association Health Plans Act (H.R. 2528/S. 1847) Self-Insurance Protection Act (H.R. 2571) Palliative Care and Hospice Education and Training Act (S.2287/H.R.4425) Living Donor Protection Act (H.R. 4583/H.R. 4582/S.1552) FAMILY Act (H.R. 5390/S. 2823) Protecting Healthcare and Lowering Costs Act H.R. (S. 4849/S.2556) Providing for consideration of the bill (H.R. 1834) to advance policy priorities that will break the gridlock (H.Res. 780) Breaking the Gridlock Act (H.R. 1834) Womens Heart Health Expansion Act (H.R. 7417/S. 3944) Blood Pressure MATTERS Act (no bill number yet) Marketplace Integrity Rule CRAS.J. Res.84

Client expense: $400,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4735/S. 2419 - Business of Insurance Regulatory Reform Act (To amend the Consumer Financial Protection Act of 2010 to clarify the authority of the Bureau of Consumer Financial Protection with respect to persons regulated by a State insurance regulator. Issue: Business of Insurance.) H.R. 643 FIO Elimination Act (This bill eliminates the Federal Insurance Office (FIO) within the Department of the Treasury. The bill also removes the FIO director as a nonvoting member of the Financial Stability Oversight Council.) S. 1544/H.R. 3437 - Insurance Data Protection Act. To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. Issue: FIO Reform H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 3383 - Incentivizing New Ventures and Economic Strength Through Capital Formation (INVEST) Act of 2025. This bill allows a closed-end fund-a portfolio of pooled assets with a limited number of shares traded on an exchange-to increase its investment in private investment funds. Specifically, the Securities and Exchange Commission is prohibited from limiting the sale or listing of securities of a closed-end fund that invests in private investment funds. This bill also apples to a closed-end company treated as a business development company. Issue: Capital formation H.R. 7130 - McCarran-Ferguson Restoration Act. The bill would eliminate the Federal Insurance Office of the Department of the Treasury and establish a United States Insurance Representative within the Department of the Treasury. Issue: FIO Reform.

Client expense: $480,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Access to Genetic Counselor Services Act: H.R. 6280, S. 3607 Living Donor Protection Act: H.R. 4582, H.R 4583, S. 1552 Appropriations-NIH, NIDDK, Kidney Research The New Era for Preventing End-Stage Kidney Disease Act of 2025: H.R. 1518. Restore Protections for Dialysis Patients Act: H.R. 2199; S. 1173. Permanent OPTN Fee Authority Act: H.R.5259; S. 2751. Kidney Care Access Protection Act: S.2730. H.R. 6214 Expanding Support for Living Donors Act: H.R. 7868 Improving Home Dialysis Act: H.R. 8875 Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program (CMS-4212-P) Request for Information: Opportunities, Challenges, and Emerging Areas in Statistical Data, Analysis, and Research

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to improvements for organ donors' referrals from hospitals to organ procurement organizations (generally); (HR330 the Organ Donation Referral Improvement Act) Organ Transplant for individuals with disabilities (H.R.1520 and S. 1782 Charlotte Woodward Act) Issues related to supporting Living Donors (H.R. 4583/H.R.4582, S.1552 - Living  Donor Protection  Act of 2025)

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Living Donor Protection Act (LDPA) S1522, HR4582,HR4583

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - To amend Public Health Service Act to require community health centers to provide behavioral and mental health and substance use disorder services, and for other purposes, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3097 - Health Information Privacy Reform Act, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions S.1419 - Youth Sports Facilities Act of 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition

Client expense: $5,130,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - To amend Public Health Service Act to require community health centers to provide behavioral and mental health and substance use disorder services, and for other purposes, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3097 - Health Information Privacy Reform Act, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions S.1419 - Youth Sports Facilities Act of 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition

Client expense: $513,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Living Donor Protection Act (S. 1552 / H.R. 4582 / H.R. 4583).

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Living Donor Protection Act (S. 1552 / H.R. 4582 / H.R. 4583).

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

INS - Quarter 2 2026 H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 3503 - Kidney Donation Anti-Discrimination Act. The bill would prohibit life insurance providers from discriminating based on a persons status as a living kidney donor. Issue: underwriting. Issus: FSOC nonbank guidance rule. Issue: private equitys growing role in the insurance industry. Issue: Housing Finance Reform. No bill number assigned.

Client expense: $1,260,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and Regulation relating to Medicare policies and kidney care Living Donor Protection Act - H.R. 4583 and S. 1552 Amend the Family and Medical Leave Act - H.R. 4582 Kidney Care Access Protection Act - H.R. 6214 and S. 2730 Restore Protections for Dialysis Patients Act - H.R. 2199 and S. 1173

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

INS - Quarter 1 2026 H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 3503 - Kidney Donation Anti-Discrimination Act. The bill would prohibit life insurance providers from discriminating based on a persons status as a living kidney donor. Issue: underwriting. Issus: FSOC nonbank guidance rule. Issue: private equitys growing role in the insurance industry. Issue: Housing Finance Reform. No bill number assigned.

Client expense: $1,130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-Expanding Support for Living Donors Act (H.R. 7868) Legislation to expand how much living donors can be reimbursed and to increase the threshold for income-based qualification -Living Donor Protection Act (H.R. 4583) and related FMLA bill (H.R. 4582 and S. 1552). Clarifies and strengthens protections for Americans who donate an organ. -Concurrent Care for Comfort Act (HR 8367) and related policy concepts regarding helping patients on dialysis nearing end of life also access hospice care -Home Dialysis Improvement Act (HR 8875) and related policy concepts helping more patients consider electing home dialysis -Kidney Disease Education Expansion Act of 2026 (H.R. 9509) and related policy concepts to increase earlier upstream intervention to slow the progression of kidney disease, including screening and diagnosis -$77M in appropriations for HRSA Organ Transplant work in FY27 (funding to modernize the US transplant system and support living donors through reimbursement for living kidney donation-related costs) -$25M in appropriations for HHS in FY27 to support KidneyX (public-private partnership to catalyze innovation in kidney disease prevention, diagnosis, and treatment through a series of prize competitions) -Called for continued focus on modernizing the U.S. transplant system, including implementing the 2023 Securing the U.S. OPTN Act -Called for the creation of an Officer of Kidney Health and Transplantation within the immediate office of the secretary of HHS (to coordinate kidney health care, research, and data-related efforts across the numerous HHS agencies with a role in kidney health) -Urged HHS to ensure kidney health data remains accessible and complete, including advancing data-sharing, data standards, and interoperability -Encouraged CMMI to develop a subsequent kidney care focused model, building on the successes and lessons of the CKCC model -Asked questions about the adequacy of kidney patient access to specialized kidney and transplant care in MA plans -Endorsed the following bills: -Keeping Individuals with Dialysis Needs Equipped through Year-round (KIDNEY) Remote Monitoring Act (HR 8319) Provider Reimbursement Stability Act (HR 8163) -The Diabetes Foot Health Access and Modernization Act of 2026 (HR 7905/S 4070) -H-1Bs for Physicians and Healthcare Workforce Act (HR 7961) Living Organ Volunteer Engagement (LOVE) Act (HR 7581) -New Era of Preventing ESRD Act (HR 1518) -PKD Cures Act (HR 9169)

Client expense: $60,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

S. 1552/H.R. 4583 Living Donor Protection Act HR 4582 Living Donor FMLA Protection Act

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Living Donor Protection Act (HR 4583/S 1552), The Living Donor FMLA Protection Act (HR 4582)

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Living Donor Protection Act (H.R. 4583 / S. 1552); FY 2027 appropriations funding for nursing workforce development programs and National Institute of Nursing Research; FY 2027 funding kidney disease research at NIDDK at NIH; Funding for AHRQ at HHS in FY 2026; Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2531 / S. 1232); Restore Protections for Dialysis Patients Act (H.R. 2199 / S. 1173); Organ Donation Referral Improvement Act (H.R. 330); The Improving Care & Access to Nurses Act (H.R. 1316 / S. 575); Providing Real-world Education and Clinical Experience by Precepting Tomorrow's Nurses Act (H.R. 392 / S. 131); Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R.929 / S.266); Living Donor FMLA Protection Act (H.R. 4582); Improving Access to Home Dialysis Act; Future Advancement of Academic Nursing Act (H.R. 6607 / S. 3435); Title VIII Reauthorization Act (H.R. 3593 / S. 1874); Kidney Care Protection Act (H.R. 6214 / S. 2730); Nursing is a Professional Degree Act (H.R. 8691 / S. 4568).

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Activities to facilitate organ donation and transplantation, including the Honor our Living Donors Act (H.R. 628, S. 957); the Living Donor Protection Act (S.1552 and H.R. 4583); and legislation to clarify that organ donation surgery qualifies as a serious health condition for FMLA coverage (S. 1552, H.R. 4582). Implementation of P.L. 118-14, "Securing the U.S. Organ Procurement and Transplantation Network Act." Comments to FDA re: Proposal to Withdraw Approval of New Drug Application for TAVNEOS (Avacopan). Support for xenotransplantation. Initiatives to improve chronic kidney disease early detection and management. Implementation of the Advancing American Kidney Health Initiative. Support for telemedicine and telehealth access. The New Era of Preventing End-Stage Kidney Disease Act (H.R. 1518). Support for access to affordable, accessible health care, including Affordable Care Act enhanced premium tax credits.

Client expense: $80,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Living Donor Protection Act (LDPA) S1522, HR4582,HR4583

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Affordability Act of 2025 (H.R. 247/S.46) Telehealth Expansion Act (S.763) Easy Enrollment in Healthcare Act (H.R. 3947/S. 2057) ENROLL Act (H.R. 3907/S. 2024) Stroke Act (no bill number) Association Health Plans Act (H.R. 2528/S. 1847) Self-Insurance Protection Act (H.R. 2571) Palliative Care and Hospice Education and Training Act (S.2287/H.R.4425) Living Donor Protection Act (H.R. 4583/H.R. 4582/S.1552) FAMILY Act (H.R. 5390/S. 2823) PREEMIE Reauthorization Act (H.R. 1197/S. 1562) Preventing Maternal Deaths Reauthorization Act (H.R. 1909/S. 2621) Protecting Healthcare and Lowering Costs Act H.R. (S. 4849/S.2556) Providing for consideration of the bill (H.R. 1834) to advance policy priorities that will break the gridlock (H.Res. 780) Breaking the Gridlock Act (H.R. 1834) Womens Heart Health Expansion Act (H.R. 7417/S. 3944) Blood Pressure MATTERS Act (no bill number yet) Marketplace Integrity Rule CRAS.J. Res.84

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4735/S. 2419 - Business of Insurance Regulatory Reform Act (To amend the Consumer Financial Protection Act of 2010 to clarify the authority of the Bureau of Consumer Financial Protection with respect to persons regulated by a State insurance regulator. Issue: Business of Insurance.) H.R. 643 FIO Elimination Act (This bill eliminates the Federal Insurance Office (FIO) within the Department of the Treasury. The bill also removes the FIO director as a nonvoting member of the Financial Stability Oversight Council.) S. 1544/H.R. 3437 - Insurance Data Protection Act. To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. Issue: FIO Reform H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 3383 - Incentivizing New Ventures and Economic Strength Through Capital Formation (INVEST) Act of 2025. This bill allows a closed-end fund-a portfolio of pooled assets with a limited number of shares traded on an exchange-to increase its investment in private investment funds. Specifically, the Securities and Exchange Commission is prohibited from limiting the sale or listing of securities of a closed-end fund that invests in private investment funds. This bill also apples to a closed-end company treated as a business development company. Issue: Capital formation H.R. 7130 - McCarran-Ferguson Restoration Act. The bill would eliminate the Federal Insurance Office of the Department of the Treasury and establish a United States Insurance Representative within the Department of the Treasury. Issue: FIO Reform.

Client expense: $420,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Access to Genetic Counselor Services Act Living Donor Protection Act: H.R. 4582; H.R 4583; S. 1552 Appropriations-NIH, NIDDK, Kidney Research The New Era for Preventing End-Stage Kidney Disease Act of 2025: H.R. 1518. Restore Protections for Dialysis Patients Act: H.R. 2199; S. 1173. Enhanced Advance Premium Tax Credits (eAPTCs) Permanent OPTN Fee Authority Act: H.R.5259; S. 2751. Kidney Care Access Protection Act: S.2730. H.R. 1 CMS-1830-P: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model Proposed Local Coverage Determination (LCD) MolDX: Molecular Testing for Solid Organ Allograft Rejection Proposed LCD ID: DL40060 Proposed Local Coverage Determination (LCD) MolDX: Molecular Testing for Solid Organ Allograft Rejection Proposed LCD ID: DL40058

Client expense: $230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Living Donor Protection Act (S. 1552 / H.R. 4583).

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Living Donor Protection Act (S. 1552 / H.R. 4583).

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, White House Office

INS Quarter 1 2026 H.R. 4583 and H.R. 4582/S.1552 - Living Donor Protection Act. The bill would promote and protect from discrimination living organ donors. Issue: underwriting. H.R. 3503 - Kidney Donation Anti-Discrimination Act. The bill would prohibit life insurance providers from discriminating based on a persons status as a living kidney donor. Issue: underwriting. Issus: FSOC nonbank guidance rule. Issue: private equitys growing role in the insurance industry. Issue: Housing Finance Reform. No bill number assigned.

Client expense: $1,130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, White House Office

The Advisory Committee on Immunization Practices: The Living Donor Protection Act (HR 4583/S 1552), The Living Donor FMLA Protection Act (HR 4582)

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Advisory Committee on Immunization Practices: The Living Donor Protection Act (HR 4583/S 1552), The Living Donor FMLA Protection Act (HR 4582)

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to improvements for organ donors' referrals from hospitals to organ procurement organizations (generally); (HR330 the Organ Donation Referral Improvement Act) Organ Transplant for individuals with disabilities (H.R.1520 and S. 1782 Charlotte Woodward Act) Issues related to supporting Living Donors (H.R. 4583 S.1552 - Living  Donor Protection Act of 2025)

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Legislation and Regulation relating to Medicare policies and kidney care Living Donor Protection Act - H.R. 4583 and S. 1552 Amend the Family and Medical Leave Act - H.R. 4582 Kidney Care Access Protection Act - H.R. 6214 and S. 2730 Restore Protections for Dialysis Patients Act - H.R. 2199 and S. 1173

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE