To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.

HR 7145, HR1 Implementation

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7145, HR 1 Implementation

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7145, SAMHSA grants, 340B, 340B reporting requirements from drug makers

Client expense: Not reported · Firm income: $45,875

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7145, SAMHSA grants, 340B reporting requirements from drug makers, 340B

Client expense: Not reported · Firm income: $45,875

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 27 Appropriations, Medicaid SDPs, 340B, H.R. 7145- Reinforcing Essential Health Systems for Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reinforcing Essential Health Systems for Communities Act (H.R. 7145); Medicaid state directed payments; Medicaid provider taxes; implementation of H.R. 1, the One Big Beautiful Bill Act; Monitored CY 2027 Medicare Hospital Outpatient Prospective Payment System proposed rule

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare uncompensated care payments Issues related to Medicaid DSH cuts Issues related to Medicaid financing Issues related to Medicaid eligibility Issues related to Medicaid state directed payments Issues related to Medicaid provider taxes Issues related to Medicaid program integrity Issues related to 1115 waivers and budget neutrality Issues related to essential hospital designation HR 7145, Reinforcing Essential Health Systems for Communities Act Issues related to hospital cybersecurity Issues related to GME Issues related to Medicare Advantage Issues related to Medicare Payment Cuts (Site-neutral) Issues related to OPPS Issues related to Medicare provider payments

Client expense: $470,000 · Firm income: Not reported

FY 27 Appropriations, Medicaid SDPs, 340B, H.R. 7145- Reinforcing Essential Health Systems for Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare uncompensated care payments Issues related to Medicare Advantage Issues related to Medicaid financing Issues related to Medicaid eligibility Issues related to Medicaid state directed payments Issues related to Medicaid provider taxes Issues related to essential hospital designation Issues related to Maternal health equity S.1261 - CONNECT for Health Act of 2025 HR 4150 - Advancing Maternal Health Equity Under Medicaid Act of 2025 S2879/HR5454 - Medicare Advantage Prompt Pay Act Issues related to Medicare Issues related to Medicare Prior Authorization Issues related to Medicare Payment Cuts Issues related to Medicare Bad Debt Issues related to tax-exempt status of non-profit hospitals Issues related to intergovernmental transfers Issues related to price transparency Issues related to children's hospitals GME HR 5064- the Save Our Safety Net Hospitals Act HR 7145 - the Reinforcing Essential Health Systems for Communities Act

Client expense: $440,000 · Firm income: Not reported

Monitored Reinforcing Essential Health Systems for Communities Act (H.R. 7145); Monitored and advised on Medicaid state directed payments; Monitored Medicaid provider taxes; Monitored implementation of H.R. 1, the One Big Beautiful Bill Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals

Client expense: Not reported · Firm income: $31,601

Government targets: HOUSE OF REPRESENTATIVES

HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals

Client expense: Not reported · Firm income: $31,601

Government targets: HOUSE OF REPRESENTATIVES

Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals

Client expense: Not reported · Firm income: $31,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals

Client expense: Not reported · Firm income: $31,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act and similar legislative efforts re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and network adequacy for post-acute care H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Discussions on proposed expansions of site-neutral payment policies H.R. 7145 - Reinforcing Essential Health Systems for Communities Act - re: eligibility

Client expense: $440,000 · Firm income: Not reported

Monitored Reinforcing Essential Health Systems for Communities Act (H.R. 7145); Medicaid provider taxes; implementation of H.R. 1, the One Big Beautiful Bill Act; Monitored and advised on Medicaid state directed payments.

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

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

Issues related to the Medicare/Medicaid dual eligible population Issues related to Medicare uncompensated care payments Issues related to Medicare Advantage Issues related to Medicaid DSH Cuts Issues related to Medicaid financing Issues related to Medicaid eligibility Issues related to Medicaid state directed payments Issues related to Medicaid provider taxes Issues related to essential hospital designation Issues related to Maternal health equity S.1261 - CONNECT for Health Act of 2025 HR 4150 - Advancing Maternal Health Equity Under Medicaid Act of 2025 S2879/HR5454 - Medicare Advantage Prompt Pay Act Issues related to Medicare Issues related to Medicare Prior Authorization Issues related to Medicare Payment Cuts Issues related to telehealth services under the Medicare program HR 7444- amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program HR 5064- the Save Our Safety Net Hospitals Act HR 7145 - the Reinforcing Essential Health Systems for Communities Act

Client expense: $660,000 · Firm income: Not reported