mrs REBECCA HEILIG LIRA

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote patient monitoring services Low Volume Hospitals; Medicare Dependent Hospitals re: rural hospital access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

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

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

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

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

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

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

Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote patient monitoring services Low Volume Hospitals; Medicare Dependent Hospitals re: rural hospital access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote patient monitoring services Low Volume Hospitals; Medicare Dependent Hospitals re: rural hospital access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote patient monitoring services Low Volume Hospitals; Medicare Dependent Hospitals re: rural hospital access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency

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

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

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

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals H.R. 9645 - Health Care Price Certainty for All Americans Act; H.R. 9393 - Lower Costs, More Transparency Act; H.R. 9390 - Prices on the Wall Act; H.R. 5582/S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements and facility fees and ownership reporting requirements Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices 340B Drug Pricing Program re: reporting drug acquisition costs Fair Treatment in Medical Debt Collections Act - re: medical debt collection requirements H.R. 1127/S. 4208 - Rural America Health Corps Act - re: workforce Health plan compliance with the H.R. 4710 No Surprises Act Enforcement Act independent dispute resolution process H.R. 3020 - Addressing Anti-Competitive Health Care Contract Clauses Act re: reform of health care contractual provisions

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act; H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: prior authorization reform H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Prospective Payment System (IPPS) CJR-X re: mandatory episode-based payment models Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies H.R. 8375/S. 4384 - Medicare Advantage Improvement Act re: network adequacy Discussions on proposed expansions of site-neutral payment policies

Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote patient monitoring services Low Volume Hospitals; Medicare Dependent Hospitals re: rural hospital access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency

Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices

S. 2355, Patients Deserve Price Tags Act; H.R. 9645, Health Care Price Certainty for All Americans Act; H.R. 9393, Lower Costs More Transparency Act re: Health Care Price Transparency H.R. 4710/ S. 2420, No Surprises Act Enforcement Act; H.R. 10788, Lower Premiums Faster Payments Act re: No Surprises Act reform Rural Health Transformation Fund re: implementation S.709/HR1585, Conrad State 30 and Physician Access Reauthorization Act re: physician workforce S. 3315, Health Care Cybersecurity and Resiliency Act of 2025 re: cybersecurity requirements

H.R. 1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 - re: Site neutral, hospital price transparency, Medicare rural extenders (LVH/MDH), Medicaid DSH cut delay, telehealth flexibilities Medicare Advantage prior authorization reforms, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Discussions re: post-acute reimbursement and network adequacy Discussions on Medicaid reforms, extension of enhanced premium tax credits, healthcare staffing ratios, and Medicare reimbursements including with respect to H.Con.Res. 14 / S.Con.Res. 7, and H.R. 1968 Discussions on regulatory burdens including CMMI mandatory models Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration Discussions on policies related to Long-Term Care Hospitals

Discussions on corporate tax provisions with respect to H.Con.Res. 14 / S.Con.Res. 7

H.R. 1 - One Big Beautiful Bill Act re: cuts to Medicaid, individual market reforms, enhanced premium tax credits Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  H.R. 247 / S. 46 - Health Care Affordability Act of 2025; re: enhanced premium tax credits  Discussions on Association Health Plans

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1- One Big Beautiful Bill Act re: corporate tax proposals and implications for hospitals and health systems

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

H.R. 1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 - re: Site neutral, hospital price transparency, Medicare rural extenders (LVH/MDH), Medicaid DSH cut delay, telehealth flexibilities Medicare Advantage prior authorization reforms, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Discussions re: post-acute reimbursement and network adequacy Discussions on Medicaid reforms, extension of enhanced premium tax credits, healthcare staffing ratios, and Medicare reimbursements including with respect to H.Con.Res. 14 / S.Con.Res. 7, and H.R. 1968 Discussions on regulatory burdens including CMMI mandatory models Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration Discussions on policies related to Long-Term Care Hospitals

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: rural Medicaid access and implementation Medicaid - re: implementation of state directed payment and provider tax programs and policies

Medicare Advantage - re: prior authorization reform, payment delays and denials, and the prompt payment of claims in MA program  H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH; SNF healthcare staffing ratios Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration  Discussions on 340B H.R. 3108 - RPM Access Act / S. 1535 - Rural Patient Monitoring Access Act re: remote patient monitoring

Medicare Advantage - re: prior authorization reform, payment delays and denials, post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) - re: implementation concerns Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Rural Health Transformation Fund - re: rural Medicaid access and implementation H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Medicaid - re: implementation of state directed payment and provider tax programs and policies Discussions on proposed expansions of site-neutral payment policies

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 - re: Site neutral, hospital price transparency, Medicare rural extenders (LVH/MDH), Medicaid DSH cut delay, telehealth flexibilities Medicare Advantage prior authorization reforms, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Discussions re: post-acute reimbursement and network adequacy Discussions on Medicaid reforms, extension of enhanced premium tax credits, healthcare staffing ratios, and Medicare reimbursements including with respect to H.Con.Res. 14 / S.Con.Res. 7, and H.R. 1968 Discussions on regulatory burdens including CMMI mandatory models Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration Discussions on policies related to Long-Term Care Hospitals

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1 - One Big Beautiful Bill Act re: cuts to Medicaid, individual market reforms, enhanced premium tax credits Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  H.R. 247 / S. 46 - Health Care Affordability Act of 2025; re: enhanced premium tax credits  Discussions on Association Health Plans

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

H.R. 1 - One Big Beautiful Bill Act re: cuts to Medicaid, individual market reforms, enhanced premium tax credits Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  H.R. 247 / S. 46 - Health Care Affordability Act of 2025; re: enhanced premium tax credits  Discussions on Association Health Plans

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1 - One Big Beautiful Bill Act re: cuts to Medicaid, individual market reforms, enhanced premium tax credits Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  H.R. 247 / S. 46 - Health Care Affordability Act of 2025; re: enhanced premium tax credits  Discussions on Association Health Plans

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

Medicare Advantage - re: prior authorization reform, payment delays and denials, and the prompt payment of claims in MA program  H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH; SNF healthcare staffing ratios Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration  Discussions on 340B H.R. 3108 - RPM Access Act / S. 1535 - Rural Patient Monitoring Access Act re: remote patient monitoring

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: rural Medicaid access and implementation Medicaid - re: implementation of state directed payment and provider tax programs and policies

Medicare Advantage - re: prior authorization reform, payment delays and denials, post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) - re: implementation concerns Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Rural Health Transformation Fund - re: rural Medicaid access and implementation H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Medicaid - re: implementation of state directed payment and provider tax programs and policies Discussions on proposed expansions of site-neutral payment policies

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

H.R. 5283 / S. 2759 - Healthcare Workforce Resilience Act re: hospital workforce shortages

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: rural Medicaid access and implementation Medicaid - re: implementation of state directed payment and provider tax programs and policies

Medicare Advantage - re: prior authorization reform, payment delays and denials, post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) - re: implementation concerns Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Rural Health Transformation Fund - re: rural Medicaid access and implementation H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Medicaid - re: implementation of state directed payment and provider tax programs and policies Discussions on proposed expansions of site-neutral payment policies

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

Medicare Advantage - re: prior authorization reform, payment delays and denials, and the prompt payment of claims in MA program  H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH; SNF healthcare staffing ratios Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration  Discussions on 340B H.R. 3108 - RPM Access Act / S. 1535 - Rural Patient Monitoring Access Act re: remote patient monitoring

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: rural Medicaid access and implementation Medicaid - re: implementation of state directed payment and provider tax programs and policies

H.R. 5283 / S. 2759 - Healthcare Workforce Resilience Act re: hospital workforce shortages

Medicare Advantage - re: prior authorization reform, payment delays and denials, post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) - re: implementation concerns Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)  Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Rural Health Transformation Fund - re: rural Medicaid access and implementation H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Medicaid - re: implementation of state directed payment and provider tax programs and policies Discussions on proposed expansions of site-neutral payment policies

Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH)   Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: rural Medicaid access and implementation Medicaid - re: implementation of state directed payment and provider tax programs and policies

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

H.R. 1 - One Big Beautiful Bill Act - re: continued engagement on health care provisions, including reforms to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 3386 Healthcare Freedom for Patients Act - re: HSA reform

H.R. 1 - One Big Beautiful Bill Act re: cuts to Medicaid, individual market reforms, enhanced premium tax credits Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  H.R. 247 / S. 46 - Health Care Affordability Act of 2025; re: enhanced premium tax credits  Discussions on Association Health Plans

H.R. 1 - One Big Beautiful Bill Act re: continued engagement on health care provisions, including cuts to Medicaid and changes to marketplace coverage Enhanced Premium Tax Credits re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025 and H.R. 5145 - Bipartisan Premium Tax Credit Extension Act re: EPTCs Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation  Medicare Advantage coverage and payment policies S. 1600 - Save Healthcare Workers Act - re: penalties for assaulting hospital-based healthcare professionals H.R. 5371 - Continuing Appropriations and Extensions Act, 2026 - re: EPTCs, Medicaid DSH delay, rural extenders

H.R. 1585/S. 709 - "Conrad State 30 and Physician Access Reauthorization Act" Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act - re: physician self-referral to physician owned hospitals including in rural areas and facilities with Rural Emergency Hospital designation H.R. 247 / S. 46 - "Health Care Affordability Act of 2025" - re: ACA enhanced tax credits H.R. 879 - "Medicare Patient Access and Practice Stabilization Act" - re: Physician payment updates Discussions on impact of tariffs on healthcare industry and patient access

Discussions on corporate tax provisions with respect to H.Con.Res. 14 / S.Con.Res. 7

H.R. 1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 - re: Site neutral, hospital price transparency, Medicare rural extenders (LVH/MDH), Medicaid DSH cut delay, telehealth flexibilities Medicare Advantage prior authorization reforms, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Discussions re: post-acute reimbursement and network adequacy Discussions on Medicaid reforms, extension of enhanced premium tax credits, healthcare staffing ratios, and Medicare reimbursements including with respect to H.Con.Res. 14 / S.Con.Res. 7, and H.R. 1968 Discussions on regulatory burdens including CMMI mandatory models Discussions on Inpatient Rehabilitation Facility Review Choice Demonstration Discussions on policies related to Long-Term Care Hospitals

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "The Patient Access to Higher Quality Health Care Act" - re: Physician-Owned Hospitals S. 4322 - Rural Emergency Hospital Designation Improvement Act re: Rural health S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity requirements H.R. 9714 / S. 5194 - Health Care Affordability Act of 2024; re: ACA enhanced tax credits H.R. 10073 - Medicare Patient Access and Practice Stabilization Act re: Physician payment updates H.R. 10515 - American Relief Act - re: Hospital payment and PAYGO Discussions re: disaster relief

H.R. 10515 - American Relief Act - Re: Site Neutral and Hospital Price Transparency H.R. 3173/ S.5044 - "Improving Seniors' Timely Access to Care Act" - Re: Medicare Advantage Prior Authorization provisions H.R. 6430/ S.1110 - "The Assistance for Rural Community Hospitals (ARCH) Act" - Re: Discussions around Medicare rural extenders (LVH/MDH) H.R. 8246 - Second Chances for Rural Hospitals Act; S.4322 "Rural Emergency Hospital Designation Improvement Act" Re: discussions on protecting access to rural hospitals Payment delays and denials - Re: Medicare Advantage coverage requirements Discussions around Medicaid DSH funding - Re: Medicaid DSH cut delay H.R. 7623/ S. 3967 - "Telehealth Modernization Act of 2024"; H.R. 8261 Preserving Telehealth, Hospital, and Ambulance Access Act; H.R. 4189/S. 2016 - "CONNECT for Health Act of 2023"; H.R. 3432/ S. 3651 - "Telemental Health Care Access Act of 2023" - Re: Telehealth flexibilities S. 5026 - SEPSIS Act re: sepsis prevention Discussions re: post-acute reimbursement and network adequacy

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "The Patient Access to Higher Quality Health Care Act" - re: Physician-Owned Hospitals S. 4322 - Rural Emergency Hospital Designation Improvement Act re: Rural health S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity requirements H.R. 9714 / S. 5194 - Health Care Affordability Act of 2024; re: ACA enhanced tax credits H.R. 10073 - Medicare Patient Access and Practice Stabilization Act re: Physician payment updates H.R. 10515 - American Relief Act - re: Hospital payment and PAYGO Discussions re: disaster relief

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "The Patient Access to Higher Quality Health Care Act" - re: Physician-Owned Hospitals S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity requirements H.R. 9714 / S. 5194 - Health Care Affordability Act of 2024; re: ACA enhanced tax credits Discussions re: tariff on Chinese manufactured health care goods Discussions re: drug shortages Physician payment updates Discussions re: Medical debt S. 2840 Bipartisan Primary Care and Health Workforce Act; H.R. 3120 Healthy Competition for Better Care Act; H.R. 9457 - Transparent Telehealth Bills Act - re: Hospital payment and contracting practices Discussions regarding independent dispute resolution process- Re: No Surprises Act Implementation

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "The Patient Access to Higher Quality Health Care Act" - re: Physician-Owned Hospitals S. 4322 - Rural Emergency Hospital Designation Improvement Act re: Rural health S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity requirements H.R. 9714 / S. 5194 - Health Care Affordability Act of 2024; re: ACA enhanced tax credits H.R. 10073 - Medicare Patient Access and Practice Stabilization Act re: Physician payment updates H.R. 10515 - American Relief Act - re: Hospital payment and PAYGO Discussions re: disaster relief

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "ThePatient Access to Higher Quality Health Care Act" - Re: Physician-Owned Hospitals Re: Cyberattack Mitigation S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity Re: Drug Shortages Re: 340B Transparency and eligibility H.R. 7024 - "The Tax Relief for American Families and Workers Act" - Re: Extension of tax provisions for corporations No Surprises Act Implementation - Re: independent dispute resolution process

H.R. 4942/ S.665 - "Conrad State 30 and Physician Access Reauthorization Act"; H.R. 2584/ S. 2768 - "SAVE Act"; H.R. 2255/ S. 1024 - "Healthcare Workforce Resilience Act" - Re: Healthcare Workforce Issues H.R. 977 - "The Patient Access to Higher Quality Health Care Act" - re: Physician-Owned Hospitals S. 4322 - Rural Emergency Hospital Designation Improvement Act re: Rural health S.4054 - "Health Care Cybersecurity Improvement Act of 2024" - Re: Cybersecurity requirements H.R. 9714 / S. 5194 - Health Care Affordability Act of 2024; re: ACA enhanced tax credits H.R. 10073 - Medicare Patient Access and Practice Stabilization Act re: Physician payment updates H.R. 10515 - American Relief Act - re: Hospital payment and PAYGO Discussions re: disaster relief