How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
Government involvement in healthcare administration, specifically CMS.
Medicare marketing rules, and ACA administration and tax policy.
Source: Senate LDA
| LIFE LINK III |
| 5 |
| 2025–2026 |
| NEXUS FAMILY HEALING | 5 | 2025–2026 |
| CITY OF MOORHEAD | 4 | 2025–2026 |
| Twin City Fan Companies, Ltd. | 2 | 2026 |
| MINNESOTA SOCIETY OF ANESTHESIOLOGISTS | 1 | 2025 |
340b Policy Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Increased radar funding Policies that ensure air ambulance care providers get adequate reimbursements Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
To amend the Internal Revenue Code of 1986 to establish an exception for multiemployer plan participants to the requirements for automatic enrollment.
Client: HEALTH&PENSIONWORKS · Firm: PRIMACY STRATEGY GROUP
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
To amend the Internal Revenue Code of 1986 to establish an exception for multiemployer plan participants to the requirements for automatic enrollment.
Client: HEALTH&PENSIONWORKS · Firm: PRIMACY STRATEGY GROUP
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2026
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2026
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
340b Policy Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Increased radar funding Policies that ensure air ambulance care providers get adequate reimbursements Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
SEC Data Protection Act
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
To amend the Internal Revenue Code of 1986 to establish an exception for multiemployer plan participants to the requirements for automatic enrollment.
Client: HEALTH&PENSIONWORKS · Firm: PRIMACY STRATEGY GROUP
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Supporting Apprenticeship Colleges Act of 2025
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Strengthening Medicare for Patients and Providers Act
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Protect Lifesaving Anesthesia Care for Veterans Act of 2023
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Congress is asked to contact VA leadership to urge a halt to this risky VA initiative and to support the inclusion of provisions from H.R. 3347/S.2070, the Protect Lifesaving Anesthesia Care for Veterans Act, in any Veterans' legislation considered this year. Congress should use its authority to curtail the harmful behavior of insurance companies including: Holding United Health Group (UHG) and Change Healthcare (CHC) accountable for fully repairing the harm to physicians and for ensuring future protections from unexpected delays in claims processing and payment. Scrutinizing insurance companies that divert premium dollars away from patient care for the sake of corporate profits. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Passing legislation to address insurers' prior authorization abuse.
Workplace Overdose Reversal Kits to Save Lives Act
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Provider Reimbursement Stability Act of 2023
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Stop Institutional Child Abuse Act
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Stop Institutional Child Abuse Act
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Stop Institutional Child Abuse Act
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Stop Institutional Child Abuse Act
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Protect Lifesaving Anesthesia Care for Veterans Act of 2023
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Congress is asked to contact VA leadership to urge a halt to this risky VA initiative and to support the inclusion of provisions from H.R. 3347/S.2070, the Protect Lifesaving Anesthesia Care for Veterans Act, in any Veterans' legislation considered this year. Congress should use its authority to curtail the harmful behavior of insurance companies including: Holding United Health Group (UHG) and Change Healthcare (CHC) accountable for fully repairing the harm to physicians and for ensuring future protections from unexpected delays in claims processing and payment. Scrutinizing insurance companies that divert premium dollars away from patient care for the sake of corporate profits. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Passing legislation to address insurers' prior authorization abuse.
WORK to Save Lives Act
Client: MINNESOTA SOCIETY OF ANESTHESIOLOGISTS · Firm: PRIMACY STRATEGY GROUP
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Improving Seniors’ Timely Access to Care Act of 2024
Client: ESSENTIA HEALTH · Firm: PRIMACY STRATEGY GROUP
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Supporting Apprenticeship Colleges Act of 2021
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
H.R.2303 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Supporting Apprenticeship Colleges Act of 2021
Client: FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST · Firm: PRIMACY STRATEGY GROUP
H.R.2303 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Ensuring Medicaid Continuity for Children in Foster Care Act of 2021
Client: NEXUS FAMILY HEALING · Firm: PRIMACY STRATEGY GROUP
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Pending tax credits expiration for ACA. Medicare reimbursement policy changes.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
TWIN CITY FAN COMPANIES, LTD via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
Policy issues regarding Dept. of Energy initiatives that impact supply chain.
Policy issues regarding Dept. of Energy initiatives that impact supply chain.
Filing targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE
ESSENTIA HEALTH via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
FY27 Appropriations
340b Policy Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
KANDIYOHI COUNTY via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
FY27 Appropriations
FY27 Appropriations Surface Transportation Reauthorization
FY27 Appropriations Funding request for project that will replace Kandiyohi's deteriorating drinking water and sanitary sewer infrastructure, much of which is more than 60 years old. The project will specifically provide a new water tower and approximately 5,000 feet of new watermain and sewer main.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
LIFE LINK III via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
FY27 Appropriations
Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Increased radar funding Policies that ensure air ambulance care providers get adequate reimbursements Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDIAN HEALTH BOARD via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
FY26 & FY27 Authorizations, Appropriations, and Budget Policy
Medicare & Medicaid Reimbursement Rates for Urban Indian Health Boards
Medicare & Medicaid Reimbursement Rates for Urban Indian Health Boards
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
NEXUS FAMILY HEALING via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
FY26 Authorizations, Appropriations, and Budget Policy
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Filing targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
HEALTH&PENSIONWORKS via PRIMACY STRATEGY GROUP
2026 · second_quarter · Q2
Multiemployer Pension, Health & Welfare Reform
FY2027 Authorizations, Appropriations, and Budget Policy High and Rising Cost of Specialty Drugs
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
No specific bill number. Discussed Medicare marketing rules, and ACA administration and tax policy.
No specific bill number. Discussed the pending tax credits expiration for ACA.
No specific bill number. Discussed government involvement in healthcare administration, specifically CMS.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
TWIN CITY FAN COMPANIES, LTD via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
Policy issues regarding Dept. of Energy initiatives that impact supply chain. Local impact of previous legislation regarding the CHIPS act.
Policy issues regarding Dept. of Energy initiatives that impact supply chain. Local impact of previous legislation regarding the CHIPS act.
Filing targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE
ESSENTIA HEALTH via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
FY26 & FY27 Appropriations
KANDIYOHI COUNTY via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
FY26 & FY27 Appropriations
FY26 & FY27 Appropriations Funding request for project that will replace Kandiyohi's deteriorating drinking water and sanitary sewer infrastructure, much of which is more than 60 years old. The project will specifically provide a new water tower and approximately 5,000 feet of new watermain and sewer main.
FY26 & FY27 Appropriations
LIFE LINK III via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
FY26 & FY27 Appropriations
Air medical services
Air medical services
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDIAN HEALTH BOARD via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
FY26 & FY27 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
NEXUS FAMILY HEALING via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
CITY OF MOORHEAD via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
FY2026 & FY2027 Authorizations, Appropriations, and Budget Policy R.A.I.S.E. Grant Mega/Infra Grant Surface Transportation Reauthorization
FY2026 & FY2027 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
FY26 Authorizations, Appropriations, and Budget Policy
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Filing targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
HEALTH&PENSIONWORKS via PRIMACY STRATEGY GROUP
2026 · first_quarter · Q1
Multiemployer Pension, Health & Welfare Reform
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
HEALTH&PENSIONWORKS via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act FY2025 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
No specific bill number. Discussed the pending tax credits expiration for ACA.
No specific bill number. Discussed Medicare marketing rules, and ACA administration and tax policy.
No specific bill number. Discussed government involvement in healthcare administration, specifically CMS.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
ESSENTIA HEALTH via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
KANDIYOHI COUNTY via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
FY26 Appropriations Funding request for project that will replace Kandiyohi's deteriorating drinking water and sanitary sewer infrastructure, much of which is more than 60 years old. The project will specifically provide a new water tower and approximately 5,000 feet of new watermain and sewer main.
FY26 Appropriations
FY26 Appropriations Surface Transportation Reauthorization
LIFE LINK III via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
Air medical services
Air medical services
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDIAN HEALTH BOARD via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
FY26 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
NEXUS FAMILY HEALING via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.
CITY OF MOORHEAD via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
FY2026 Authorizations, Appropriations, and Budget Policy
FY2026 Authorizations, Appropriations, and Budget Policy R.A.I.S.E. Grant Mega/Infra Grant Surface Transportation Reauthorization
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST via PRIMACY STRATEGY GROUP
2025 · fourth_quarter · Q4
S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
FY26 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
HEALTH&PENSIONWORKS via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
Multiemployer Pension Reform FY2026 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
No specific bill number. Discussed the pending tax credits expiration for ACA.
No specific bill number. Discussed Medicare marketing rules, and ACA administration and tax policy.
No specific bill number. Discussed government involvement in healthcare administration, specifically CMS.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
ESSENTIA HEALTH via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
KANDIYOHI COUNTY via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
FY26 Appropriations Funding request for project that will replace Kandiyohi's deteriorating drinking water and sanitary sewer infrastructure, much of which is more than 60 years old. The project will specifically provide a new water tower and approximately 5,000 feet of new watermain and sewer main.
FY26 Appropriations
FY26 Appropriations
LIFE LINK III via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
Air medical services
Air medical services
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDIAN HEALTH BOARD via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
FY26 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
NEXUS FAMILY HEALING via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
FY26 Congressional Directed Spending
CITY OF MOORHEAD via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
FY2026 Authorizations, Appropriations, and Budget Policy
FY2026 Authorizations, Appropriations, and Budget Policy R.A.I.S.E. Grant Mega/Infra Grant
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST via PRIMACY STRATEGY GROUP
2025 · third_quarter · Q3
FY26 Authorizations, Appropriations, and Budget Policy
H.R.2303 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Filing targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
No specific bill number. Discussed the pending tax credits expiration for ACA.
No specific bill number. Discussed Medicare marketing rules, and ACA administration and tax policy.
No specific bill number. Discussed government involvement in healthcare administration, specifically CMS.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2025 · second_quarter · RA
Medicare marketing rules; ACA administration and tax policy; government involvement in healthcare administration
Medicare marketing rules; ACA administration and tax policy; government involvement in healthcare administration
Medicare marketing rules; ACA administration and tax policy; government involvement in healthcare administration
ESSENTIA HEALTH via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
KANDIYOHI COUNTY via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
FY26 Appropriations Funding request for project that will replace Kandiyohi's deteriorating drinking water and sanitary sewer infrastructure, much of which is more than 60 years old. The project will specifically provide a new water tower and approximately 5,000 feet of new watermain and sewer main.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
LIFE LINK III via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
Air medical services
Air medical services
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDIAN HEALTH BOARD via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
FY26 Authorizations, Appropriations, and Budget Policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
MINNESOTA SOCIETY OF ANESTHESIOLOGISTS via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
Congress is asked to contact VA leadership to urge a halt to this risky VA initiative and to support the inclusion of provisions from H.R. 3347/S.2070, the Protect Lifesaving Anesthesia Care for Veterans Act, in any Veterans' legislation considered this year. Congress should use its authority to curtail the harmful behavior of insurance companies including: Holding United Health Group (UHG) and Change Healthcare (CHC) accountable for fully repairing the harm to physicians and for ensuring future protections from unexpected delays in claims processing and payment. Scrutinizing insurance companies that divert premium dollars away from patient care for the sake of corporate profits. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Ensuring the enforcement of the mechanisms of the No Surprises Act requiring timely insurers' payments to prevailing parties in the IDR process. Passing legislation to address insurers' prior authorization abuse.
NEXUS FAMILY HEALING via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
FY26 Congressional Directed Spending
FINISHING TRADES INSTITUTE OF THE UPPER MIDWEST via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
FY26 Authorizations, Appropriations, and Budget Policy
H.R.2303 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.
Filing targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
HEALTH&PENSIONWORKS via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
Multiemployer Pension Reform FY2026 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
ALLIANT INSURANCE SERVICES, INC. via PRIMACY STRATEGY GROUP
2025 · second_quarter · RR
Medicare marketing rules; ACA administration and tax policy; Government involvement in healthcare administration
Medicare marketing rules; ACA administration and tax policy; Government involvement in healthcare administration
Medicare marketing rules; ACA administration and tax policy; Government involvement in healthcare administration
CITY OF MOORHEAD via PRIMACY STRATEGY GROUP
2025 · second_quarter · Q2
FY2026 Authorizations, Appropriations, and Budget Policy
FY2026 Authorizations, Appropriations, and Budget Policy R.A.I.S.E. Grant Mega/Infra Grant
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)
FY26 & FY27 Congressionally Directed Spending
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 & FY27 Appropriations Surface Transportation Reauthorization
FY26 & FY27 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 & FY27 Congressional Directed Spending
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Multiemployer Pension Reform FY2026 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Multiemployer Pension Reform FY2026 Authorizations, Appropriations, and Budget Policy Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Multiemployer Pension, Health & Welfare Reform
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Appropriations
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Congressional Directed Spending
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Multiemployer Pension Reform
Multiemployer Pension Reform FY2025 Authorizations, Appropriations, and Budget Policy ection 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Appropriations
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
FY26 Appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Asking Congress to cosponsor H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would align Medicare physician payments with other sectors of Medicare by adding a mandatory annual inflation update. To also cosponsor H.R. 6371, the Provider Reimbursement Stability Act, which would increase the budget-neutrality threshold, set limits on conversion factor variance, and allow CMS to enhance accountability and stability within the physician payment system. Support H.R. 5625, the Fentanyl Awareness for Children and Teens in Schools (FACTS) Act, which would help to address the opioid crisis by making naloxone available in school settings. Support H.R. 5420 / S. 2948, the Workplace Overdose Reversal Kits (WORK) to Save Lives Act which would require opioid overdose reversal medications to be in federal buildings and create non-mandatory guidance for private employers on how to obtain these medications; both important measures to reduce opioid overdose fatalities. Support H.R. 6161, the Supporting Access to Vital and Affordable Care for Everyone (SAVE) Act, which would make access to over-the-counter naloxone more affordable by ensuring it qualifies as a deductible medical expense.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Multiemployer Pension Reform
Multiemployer Pension Reform FY2025 Authorizations, Appropriations, and Budget Policy ection 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE