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This entity appears on both sides of lobbying disclosures. The firm tab shows registrant-reported income; the client tab shows client-reported lobbying spend. Contract awards are separate and are not included here.
Lobbying Spend
$610K
Filings
54
Firms Hired
2
Active Period
2005–2026
Client-reported lobbying expenses on LDA filings
Lobbying firms retained by this client; amounts are client-reported expenses when available
Government entities explicitly identified as targets in LDA filings
Most frequently reported lobbying issues
Bill numbers found in source-reported LDA specific issue text; broad topic matches are excluded
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: ALSTON & BIRD LLP
Area wage index; Workforce -- legislation related to a Medicare post-acute care prospective payment system; Disproportionate Share Hospital (DSH) and Uncompensated Care funding; Medicare reimbursement cuts; Medicare sequester; Medicaid DSH Payments; physician pay. Issues related to Medicaid changes under reconciliation. Issues related to H.R.1, One Big Beautiful Bill Act. Issues relating to provider payments and supplemental directed Medicaid Funding.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: ALSTON & BIRD LLP
Invest in hospital infrastructure; workforce, behavioral health; legislation pertaining to health care workforce resilience; rural hospital medical residency and health workforce programs - 340B related legislation. Issues related to H.R.1, One Big Beautiful Bill Act. Issues relating to provider payments and supplemental directed Medicaid Funding.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1
Rural America Health Corps Act
2024 · fourth_quarter · Firm: ALSTON & BIRD LLP
Invest in hospital infrastructure; workforce, behavioral health; legislation pertaining to health care workforce resilience; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); 340B Eligibility Requirements Waiver - related legislation.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2024 · fourth_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system Disproportionate Share Hospital (DSH) and Uncompensated Care funding; Medicare reimbursement cuts; Medicare sequester; Medicaid DSH Payments; physician pay.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system Disproportionate Share Hospital (DSH) and Uncompensated Care funding; Medicare reimbursement cuts; Medicare sequester; Medicaid DSH Payments; physician pay.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Invest in hospital infrastructure; workforce, behavioral health; legislation pertaining to health care workforce resilience; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); 340B Eligibility Requirements Waiver - related legislation.
Client expense: — · Firm income: $20,000
Matched citations: S.940
Invest in hospital infrastructure; workforce, behavioral health; legislation pertaining to health care workforce resilience; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); 340B Eligibility Requirements Waiver - related legislation.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2024 · third_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system Disproportionate Share Hospital and Uncompensated Care funding; Medicare reimbursement cuts; Medicare sequester; physician pay.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system Disproportionate Share Hospital and Uncompensated Care funding; Medicare reimbursement cuts; Medicare sequester; physician pay.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Invest in hospital infrastructure; workforce, behavioral health; legislation pertaining to health care workforce resilience; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); 340B Eligibility Requirements Waiver - related legislation.
Client expense: — · Firm income: $20,000
Matched citations: S.940
Rural America Health Corps Act
2024 · second_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2024 · second_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.940
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2024 · first_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.940
Rural America Health Corps Act
2023 · fourth_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2023 · fourth_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.940
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.1711
Resident Physician Shortage Reduction Act of 2023
2023 · third_quarter · Firm: ALSTON & BIRD LLP
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: H.R.2389
Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.
Client expense: — · Firm income: $20,000
Matched citations: S.803
Source: Senate LDA