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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
$3.5M
Filings
42
Firms Hired
3
Active Period
2022–2026
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 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to home health payments under the Medicare program. Issues related to Medicaid home and community-based services. Monitored issues related to the hospice special focus program. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to home health payments under the Medicare program. Issues related to Medicaid home and community-based services. Monitored issues related to the hospice special focus program. Monitored H.R. 1, One Big Beautiful Bill Act, as it relates to Medicaid.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 5159 / S.2137, the Preserving Access to Home Health Care Act of 2023 and issues related to home health payments under the Medicare program. Monitored issues related to Medicaid home and community-based services. Issues related to the CY 2025 Home Health Prospective Payment System final rule. Issues related to the hospice special focus program.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 5159
Preserving Access to Home Health Act of 2023
2024 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 5159 / S.2137, the Preserving Access to Home Health Care Act of 2023 and issues related to home health payments under the Medicare program. Monitored issues related to Medicaid home and community-based services. Issues related to the CY 2025 Home Health Prospective Payment System final rule. Issues related to the hospice special focus program.
Client expense: — · Firm income: $60,000
Matched citations: S.2137
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 5159 / S.2137, the Preserving Access to Home Health Care Act of 2023 and issues related to home health payments under the Medicare program. Monitored issues related to Medicaid home and community-based services. Issues related to the CY 2025 Home Health Prospective Payment System proposed rule.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 5159
Preserving Access to Home Health Act of 2023
2024 · third_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 5159 / S.2137, the Preserving Access to Home Health Care Act of 2023 and issues related to home health payments under the Medicare program. Monitored issues related to Medicaid home and community-based services. Issues related to the CY 2025 Home Health Prospective Payment System proposed rule.
Client expense: — · Firm income: $60,000
Matched citations: S.2137
Preserving Access to Home Health Act of 2023
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
Preserving Access to Home Health Act of 2023
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: H.R.8114
Preserving Access to Home Health Act of 2023
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · second_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.
Client expense: $185,000 · Firm income: —
Matched citations: S. 2137
Preserving Access to Home Health Act of 2023
2024 · first_quarter · Firm: ACCENTCARE, INC.
Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule.
Client expense: $185,000 · Firm income: —
Matched citations: H.R 5159
Source: Senate LDA