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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.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
AMGEN via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to pharmacy benefit management reforms. Issues related to cardiovascular care. Issues related to drug pricing. Issues related to the drug supply chain. S. 3788, Clear Labels Act. S. 3014, Ensuring Timely Access to Generics Act of 2025; S. 1954, Biosimilar Red Tape Elimination Act; S. 2658, Medication Affordability and Patent Integrity Act.
Monitored implementation of P.L. 117-169, the Inflation Reduction Act as it relates to drug pricing. Issues related to biosimilars. Monitored issues related to cardiovascular health. Issues related to pharmacy benefit management reforms. Monitored issues related to dialysis services. Issues related to the Most Favored Nation drug pricing.
Source: Senate LDA
| OMEROS CORPORATION |
| 40 |
| 2017–2026 |
| CSL BEHRING LLC | 35 | 2019–2026 |
| JOHNSON & JOHNSON SERVICES, INC. | 27 | 2020–2026 |
| FLORIDA HOSPITAL ASSOCIATION | 25 | 2021–2026 |
| AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) | 22 | 2021–2026 |
| UCB, INC. | 22 | 2021–2026 |
| AMGEN | 20 | 2022–2026 |
| ALCON LABORATORIES, INC. | 19 | 2006–2011 |
| VITAS HEALTHCARE | 19 | 2022–2026 |
| ASCEND LEARNING, LLC | 18 | 2022–2025 |
| CUBIST PHARMACEUTICALS, INC. | 16 | 2010–2014 |
| ACCENTCARE, INC. | 15 | 2022–2025 |
| GUARDANT HEALTH | 15 | 2016–2020 |
| GILEAD SCIENCES, INC. | 14 | 2019–2022 |
| NOVARTIS CORPORATION | 14 | 2011–2014 |
| SHIRE PHARMACEUTICALS LLC | 14 | 2016–2018 |
| EMERGENT BIOSOLUTIONS | 13 | 2023–2026 |
| ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) | 10 | 2024–2026 |
| MERCK & CO., INC. | 9 | 2015–2026 |
| MYRIAD GENETICS INC | 9 | 2019–2021 |
| GLOBAL MEDICAL RESPONSE | 8 | 2025–2026 |
| NOVO NORDISK, INC. | 8 | 2025–2026 |
| TANDEM DIABETES CARE | 8 | 2024–2026 |
| THE NATIONAL ALLIANCE FOR CARE AT HOME | 8 | 2025–2026 |
| VANTIVE US HEALTHCARE LLC | 8 | 2025–2026 |
| THERANOS, INC. | 7 | 2015–2016 |
| ACIST MEDICAL SYSTEMS | 6 | 2024–2025 |
| BIONX MEDICAL TECHNOLOGIES, INC. | 6 | 2016–2017 |
| ORTHO-CLINICAL DIAGNOSTICS, INC. | 6 | 2020–2021 |
| BAXALTA INC. | 5 | 2015–2016 |
| CONNECTED DMV | 5 | 2021–2022 |
| UNITEDHEALTH GROUP, INC. | 5 | 2015 |
| ACCENTURE FEDERAL SERVICES LLC | 4 | 2019–2021 |
| BIOTECHNOLOGY INNOVATION ORGANIZATION (BIO) | 4 | 2026 |
| BLUEBIRD BIO | 4 | 2016–2021 |
| ACCENTURE LLP | 3 | 2018–2020 |
| HOFFMAN-LA ROCHE INC | 3 | 2009 |
| JAZZ PHARMACEUTICALS INC. | 3 | 2025–2026 |
| PERSIVIA | 3 | 2021 |
| PFIZER, INC. | 3 | 2006–2007 |
| SEND RELIEF, INC. | 3 | 2020 |
| TOBACCO FREE KIDS ACTION FUND | 3 | 2022 |
| BRISTOL-MYERS SQUIBB COMPANY | 2 | 2007 |
| GENWORTH FINANCIAL, INC. | 2 | 2017 |
| MISSION HEALTH | 2 | 2014 |
| NATIONAL MARROW DONOR PROGRAM | 2 | 2007 |
| WALMART INC | 2 | 2018 |
| CIGNA CORPORATION | 1 | 2018 |
| ELI LILLY AND COMPANY | 1 | 2007 |
| MEDTRONIC | 1 | 2012 |
| ORACLE CORPORATION | 1 | 2017 |
| SMITH & NEPHEW INC | 1 | 2022 |
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355, Patients Deserve Price Tags Act. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Issues related to rare pediatric disease and Priority Review Vouchers (PRVs). H.R. 10359, Priority for Pediatric Cures Act.
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management reforms. Issues regarding plasma-based therapies. Issues related to Most Favored Nation drug pricing.
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: MERCK & CO. INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: NOVO NORDISK, INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: NOVO NORDISK, INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: NOVO NORDISK, INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: MERCK & CO. INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and biologic candidates under the Drug Price Negotiation Program.
Client: MERCK & CO. INC. · Firm: THE NICKLES GROUP, LLC
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Accelerating Kids’ Access to Care Act of 2025
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
Choices for Increased Mobility Act of 2026
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Choices for Increased Mobility Act of 2026
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Choices for Increased Mobility Act of 2026
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Hospice Recertification Flexibility Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Hospice Recertification Flexibility Act
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI).
Hospice Recertification Flexibility Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Hospice Recertification Flexibility Act
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
Hospice Recertification Flexibility Act
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Hospice Recertification Flexibility Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Action for Dental Health Act
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues concerning workforce shortages. Issues regarding access to dental services. S. 1677, Ensuring Lasting Smiles Act. H.R. 2001, the Action for Dental Health Act of 2025. Issues concerning community water fluoridation. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform.
Action for Dental Health Act
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues concerning workforce shortages. Issues regarding access to dental services. Issues concerning community water fluoridation. H.R. 2001, the Action for Dental Health Act of 2025. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform.
Action for Dental Health Act
Client: AMERICAN DENTAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues concerning workforce shortages. Issues regarding access to dental services. S. 1677, Ensuring Lasting Smiles Act. H.R. 2001, the Action for Dental Health Act of 2025. S. 5099, to amend the Public Health Service Act to reauthorize a grant program for addressing dental workforce needs. Issues concerning community water fluoridation. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform. Issues concerning military dental research funding.
DMEPOS Relief Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
DMEPOS Relief Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
DMEPOS Relief Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Destruction of Hazardous Imports Act
Client: NOVO NORDISK, INC. · Firm: THE NICKLES GROUP, LLC
Issues related to compounding and counterfeit drugs. H.R. 2715, Destruction of Hazardous Imports Act.
Destruction of Hazardous Imports Act
Client: NOVO NORDISK, INC. · Firm: THE NICKLES GROUP, LLC
Issues related to compounding and counterfeit drugs. H.R. 2715, Destruction of Hazardous Imports Act.
SOAR Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
SOAR Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
SOAR Act of 2025
Client: AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Save Healthcare Workers Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Save Healthcare Workers Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
To amend title XVIII to reform the Medicare Advantage program.
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
To amend title XVIII to reform the Medicare Advantage program.
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI).
To amend title XVIII to reform the Medicare Advantage program.
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
To amend title XVIII to reform the Medicare Advantage program.
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
To amend title XVIII to reform the Medicare Advantage program.
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
To amend title XVIII to reform the Medicare Advantage program.
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Hospital Inpatient Services Modernization Act
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Hospital Inpatient Services Modernization Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
Hospital Inpatient Services Modernization Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355, Patients Deserve Price Tags Act. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
Palliative Care and Hospice Education and Training Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Palliative Care and Hospice Education and Training Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Palliative Care and Hospice Education and Training Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Patient Access to Innovative New Technologies Act of 2025
Client: VANTIVE US HEALTHCARE LLC · Firm: THE NICKLES GROUP, LLC
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.
Patient Access to Innovative New Technologies Act of 2025
Client: VANTIVE US HEALTHCARE LLC · Firm: THE NICKLES GROUP, LLC
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.
Patient Access to Innovative New Technologies Act of 2025
Client: VANTIVE US HEALTHCARE LLC · Firm: THE NICKLES GROUP, LLC
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. Issues concerning dialysis.
Telehealth Modernization Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Telehealth Modernization Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI).
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
Telehealth Modernization Act
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Ensuring Patient Access to Critical Breakthrough Products Act
Client: ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) · Firm: THE NICKLES GROUP, LLC
Issues relates to Medicare coverage of breakthrough technologies. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding.
Ensuring Patient Access to Critical Breakthrough Products Act
Client: ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare coverage of breakthrough technologies. Issues related to the RAPID coverage pathway. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding and coverage of diabetes technologies. The FY2027 IPPS final rule and issues related to new technology add-on payments.
Ensuring Patient Access to Critical Breakthrough Products Act
Client: ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare coverage of breakthrough technologies. Issues related to the RAPID coverage pathway. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding and coverage of diabetes technologies. The FY2027 IPPS proposed rule and issues related to new technology add-on payments.
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Impacts and Outcomes for Health Career Training Act
Client: BAXTER HEALTHCARE CORPORATION · Firm: THE NICKLES GROUP, LLC
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages.
Impacts and Outcomes for Health Career Training Act
Client: BAXTER HEALTHCARE CORPORATION · Firm: THE NICKLES GROUP, LLC
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages. Issues related to extension of the hospital at home program and H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026. Issues related to the Medicare Advantage star rating eye exam quality measure.
Impacts and Outcomes for Health Career Training Act
Client: BAXTER HEALTHCARE CORPORATION · Firm: THE NICKLES GROUP, LLC
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages.
Patients Deserve Price Tags Act
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Patients Deserve Price Tags Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
Patients Deserve Price Tags Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
Patients Deserve Price Tags Act
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
Patients Deserve Price Tags Act
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Patients Deserve Price Tags Act
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
Consolidated Appropriations Act, 2026
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI).
Consolidated Appropriations Act, 2026
Client: FLORIDA HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Consolidated Appropriations Act, 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Consolidated Appropriations Act, 2026
Client: BAXTER HEALTHCARE CORPORATION · Firm: THE NICKLES GROUP, LLC
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages. Issues related to extension of the hospital at home program and H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026. Issues related to the Medicare Advantage star rating eye exam quality measure.
Consolidated Appropriations Act, 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Consolidated Appropriations Act, 2026
Client: CLEVELAND CLINIC FOUNDATION · Firm: THE NICKLES GROUP, LLC
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to access to home infusion, including H.R. 993, Joe Fiandra Access to Home infusion Act of 2025. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to access to home infusion services and pharmacy benefit management reforms.
Consolidated Appropriations Act, 2026
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
Consolidated Appropriations Act, 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Consolidated Appropriations Act, 2026
Client: VITAS HEALTHCARE · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Consolidated Appropriations Act, 2026
Client: AMERICAN HOSPITAL ASSOCIATION · Firm: THE NICKLES GROUP, LLC
Issues regarding reimbursement for hospital services. S. 2355, Patients Deserve Price Tags Act. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
Hospice CARE Act of 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Hospice CARE Act of 2026
Client: THE NATIONAL ALLIANCE FOR CARE AT HOME · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
BAXTER HEALTHCARE CORPORATION via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages.
Monitored issues related to pharmaceutical prices. Issues regarding the pharmaceutical and medical device supply chain. Monitored issues concerning drug shortages. Issues concerning the reauthorization of Pandemic and All-Hazards Preparedness and Response Act (PAHPA). Monitored AI issues. Cybersecurity issues and S. 4939, Countering CCP Act. Issues concerning emergency preparedness and essential medical supplies. Issues concerning regulatory reforms.
Issues related to tariffs. S. 4994, the ONSHORE Manufacturing Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
VITAS HEALTHCARE via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Monitored implementation of the Dole Act and access to hospice services for Veterans.
Issues related to health care workforce shortages.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI).
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
VANTIVE US HEALTHCARE LLC via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.
Issues concerning tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
GLOBAL MEDICAL RESPONSE via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to payment for Medicare ambulance services and modernizing the payment system. Issues related to access to ambulance services in Medicaid.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
NOVO NORDISK, INC. via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to compounding and counterfeit drugs. H.R. 2715, Destruction of Hazardous Imports Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
THE NATIONAL ALLIANCE FOR CARE AT HOME via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Monitored implementation of the Dole Act as it relates to access for veteran use of hospice services and VA burial benefits.
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
JOHNSON & JOHNSON SERVICES, INC. via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to mental health. Monitored Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization. Issues related to pharmacy benefit management reforms, including alternative funding programs. Monitored issues related to healthcare workforce shortages. Issues related to drug pricing. Issues related to ingredient safety.
Implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to pharmacy benefit management reforms. Monitored issues related to Medicare physician payment. Issues related to Most Favored Nation drug pricing. Issues related to access of medical devices. Issues related to payments for medical devices, including complexity adjustment criteria.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
CSL BEHRING LLC via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management reforms. Issues regarding plasma-based therapies. Issues related to Most Favored Nation drug pricing.
Monitored issues related to medical supply chain and pharmacy benefit management reforms. Monitored issues related to drug pricing. Issues regarding plasma-based therapies.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of
CLEVELAND CLINIC FOUNDATION via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Issues concerning hospitals and the healthcare workforce. Issues involving drug shortages. Issues concerning quantum research. Monitored issues regarding NIH reform. Issues concerning health insurance coverage.
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
AMERICAN DENTAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues concerning workforce shortages. Issues regarding access to dental services. S. 1677, Ensuring Lasting Smiles Act. H.R. 2001, the Action for Dental Health Act of 2025. S. 5099, to amend the Public Health Service Act to reauthorize a grant program for addressing dental workforce needs. Issues concerning community water fluoridation. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform. Issues concerning military dental research funding.
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
FLORIDA HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · third_quarter · 3T
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.
TANDEM DIABETES CARE via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to Medicare coverage of insulin pumps.
Issues related to Medicare coverage of insulin pumps. Issues related to Medicare durable medical equipment competitive bidding.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
MERCK & CO. INC. via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to supply chain and domestic manufacturing capacity.
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office
JAZZ PHARMACEUTICALS, INC. via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to Most Favored Nation drug pricing. Issues related to orphan drugs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)
BIOTECHNOLOGY INNOVATION ORGANIZATION (BIO) via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to the medical countermeasures.
Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)
ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to tariffs. Issues related to the United States Mexico Canada Trade Agreement (USMCA).
Issues related to Medicare coverage of breakthrough technologies. Issues related to the RAPID coverage pathway. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding and coverage of diabetes technologies. The FY2027 IPPS final rule and issues related to new technology add-on payments.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
OMEROS CORPORATION via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues involving rare disease therapies.
Issues related to rare pediatric disease and Priority Review Vouchers (PRVs). H.R. 10359, Priority for Pediatric Cures Act.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
EMERGENT BIOSOLUTIONS via THE NICKLES GROUP, LLC
2026 · third_quarter · 3T
Reauthorization of Pandemic and All-Hazards Preparedness and Advancing Innovation Act, Funding for medical countermeasure enterprise including Strategic National Stockpile (SNS), Biomedical Advanced Research and Development Authority (BARDA), and Project BioShield, Opioid crisis legislation, naloxone access and awareness, H.R. 8800 / S. 4784, the FY27 National Defense Authorization Act provisions related to biological and chemical defense and access to naloxone.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
AMERICAN HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
H.R. 9504, the Tax Exempt Hospital Transparency Act, and isues related to tax exempt hospitals.
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Issues related to workplace safety. Issues related to health insurance coverage.
UCB, INC. via THE NICKLES GROUP, LLC
2026 · third_quarter · Q3
Issues related to medication step therapy. S.864, HELP Copays Act, as it relates to out-of-pocket costs for prescription drugs. Issues related to pharmacy benefit management reforms.
Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to access to home infusion. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
AMGEN via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Monitored implementation of P.L. 117-169, the Inflation Reduction Act as it relates to drug pricing. Issues related to biosimilars. Monitored issues related to cardiovascular health. Issues related to pharmacy benefit management. Monitored issues related to dialysis services. Issues related to the Most Favored Nation drug pricing.
Issues related to pharmacy benefit management. Issues related to cardiovascular care. Issues related to drug pricing. Issues related to the drug supply chain. S. 3788, Clear Labels Act. S. 3014, Ensuring Timely Access to Generics Act of 2025; S. 1954, Biosimilar Red Tape Elimination Act; S. 2658, Medication Affordability and Patent Integrity Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
BIOTECHNOLOGY INNOVATION ORGANIZATION (BIO) via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to the medical countermeasures.
Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)
VANTIVE US HEALTHCARE LLC via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues concerning tariffs.
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
CLEVELAND CLINIC FOUNDATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals. Issues related to OECD Pillar 2 definitions.
Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Issues concerning hospitals and the healthcare workforce. Issues involving drug shortages. Issues concerning quantum research. Monitored issues regarding NIH reform. Issues concerning health insurance coverage.
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.
BAXTER HEALTHCARE CORPORATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Monitored issues related to pharmaceutical prices. Issues regarding the pharmaceutical and medical device supply chain. Monitored issues concerning drug shortages. Issues concerning the reauthorization of Pandemic and All-Hazards Preparedness and Response Act (PAHPA). Monitored AI issues. Cybersecurity issues and S. 4939, Countering CCP Act. Issues concerning emergency preparedness and essential medical supplies. Issues concerning regulatory reforms.
Issues related to tariffs.
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages.
FLORIDA HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to hospitals and the health care workforce. Issues related to health insurance coverage.
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
CSL BEHRING LLC via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
Monitored issues related to medical supply chain and pharmacy benefit management. Monitored issues related to drug pricing. Issues regarding plasma-based therapies.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of
JOHNSON & JOHNSON SERVICES, INC. via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to pharmacy benefit management. Monitored issues related to Medicare physician payment. Issues related to Most Favored Nation drug pricing. Issues related to access of medical devices.
Issues related to mental health. Monitored Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization. Issues related to pharmacy benefit management, including alternative funding programs. Monitored issues related to healthcare workforce shortages. Issues related to drug pricing. Issues related to ingredient safety.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
MERCK & CO. INC. via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to supply chain and domestic manufacturing capacity.
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office
NOVO NORDISK, INC. via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to compounding and counterfeit drugs. H.R. 2715, Destruction of Hazardous Imports Act.
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
JAZZ PHARMACEUTICALS, INC. via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to Most Favored Nation drug pricing. Issues related to orphan drugs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)
AMERICAN DENTAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Monitored issues related to Visas for healthcare.
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
Issues regarding access to Medicare dental services, including in Medicare Advantage. Monitored issues concerning community water fluoridation. Issues involving workforce shortages. Issues concerning Medicaid dental services. Issues related to plan benefit transparency.
VITAS HEALTHCARE via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
Issues related to health care workforce shortages.
THE NATIONAL ALLIANCE FOR CARE AT HOME via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Monitored implementation of the Dole Act as it relates to access for veteran use of hospice services and VA burial benefits.
UCB, INC. via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to access to home infusion. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to medication step therapy. S.864, HELP Copays Act, as it relates to out-of-pocket costs for prescription drugs. Issues related to pharmacy benefit management reforms.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
GLOBAL MEDICAL RESPONSE via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to payment for Medicare ambulance services and modernizing the payment system. Issues related to access to ambulance services in Medicaid.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
TANDEM DIABETES CARE via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to Medicare coverage of insulin pumps.
Issues related to Medicare coverage of insulin pumps. Issues related to Medicare durable medical equipment competitive bidding.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Issues related to tariffs.
Issues related to Medicare coverage of breakthrough technologies. Issues related to the RAPID coverage pathway. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding and coverage of diabetes technologies. The FY2027 IPPS proposed rule and issues related to new technology add-on payments.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
EMERGENT BIOSOLUTIONS via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Reauthorization of Pandemic and All-Hazards Preparedness and Advancing Innovation Act, Funding for medical countermeasure enterprise including Strategic National Stockpile (SNS), Biomedical Advanced Research and Development Authority (BARDA), and Project BioShield, Opioid crisis legislation, naloxone access and awareness, H.R. 8800 / S. 4784, the FY27 National Defense Authorization Act provisions related to biological and chemical defense and access to naloxone.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
AMERICAN HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
H.R. 9504, the Tax Exempt Hospital Transparency Act, and isues related to tax exempt hospitals.
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
OMEROS CORPORATION via THE NICKLES GROUP, LLC
2026 · second_quarter · Q2
Monitored issues related to rare pediatric disease and Priority Review Vouchers (PRVs).
Monitored separate payment policy for nonopioid alternatives. Monitored issues involving rare disease therapies.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
AMGEN via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to pharmacy benefit management. Issues related to cardiovascular care. Issues related to drug pricing. Issues related to the drug supply chain. S. 3788, Clear Labels Act.
Monitored implementation of P.L. 117-169, the Inflation Reduction Act as it relates to drug pricing. Issues related to biosimilars. Monitored issues related to cardiovascular health. Issues related to pharmacy benefit management. Monitored issues related to dialysis services. Issues related to the Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
JOHNSON & JOHNSON SERVICES, INC. via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to mental health. Monitored Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization. Issues related to pharmacy benefit management, including alternative funding programs. Monitored issues related to healthcare workforce shortages. Issues related to drug pricing. Issues related to ingredient safety.
Implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to pharmacy benefit management. Monitored issues related to Medicare physician payment. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
THE NATIONAL ALLIANCE FOR CARE AT HOME via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
MERCK & CO. INC. via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to supply chain and domestic manufacturing capacity.
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
VANTIVE US HEALTHCARE LLC via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. Issues concerning dialysis.
Issues concerning tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
NOVO NORDISK, INC. via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to compounding and counterfeit drugs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
FLORIDA HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to hospitals and the health care workforce. Issues related to health insurance coverage.
Issues related to tax-exempt hospitals.
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
BIOTECHNOLOGY INNOVATION ORGANIZATION (BIO) via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to Most Favored Nation drug pricing.
Issues related to pharmacy benefit management reforms.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)
VITAS HEALTHCARE via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.
Issues related to health care workforce shortages.
CSL BEHRING LLC via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
Monitored issues related to medical supply chain and pharmacy benefit management. Monitored issues related to drug pricing. Issues regarding plasma-based therapies.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of
AMERICAN DENTAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses. Issues related to FSA/HSA coverage for oral health products.
Issues concerning workforce shortages. Issues regarding access to dental services. Issues concerning community water fluoridation. H.R. 2001, the Action for Dental Health Act of 2025. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform.
CLEVELAND CLINIC FOUNDATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to tax-exempt hospitals. Issues related to OECD Pillar 2 definitions.
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
AMERICAN HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Issues related to workplace safety. Issues related to health insurance coverage.
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Issues regarding reimbursement for hospital services. S. 2355, Patients Deserve Price Tags Act. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.
UCB, INC. via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to medication step therapy. S.864, HELP Copays Act, as it relates to out-of-pocket costs for prescription drugs. Issues related to pharmacy benefit management reforms.
Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to access to home infusion, including H.R. 993, Joe Fiandra Access to Home infusion Act of 2025. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to access to home infusion services and pharmacy benefit management reforms.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to tariffs.
Issues relates to Medicare coverage of breakthrough technologies. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to Medicare durable medical equipment competitive bidding.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
BAXTER HEALTHCARE CORPORATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Monitored issues related to pharmaceutical prices. Issues regarding the pharmaceutical and medical device supply chain. Monitored issues concerning drug shortages. Issues concerning the reauthorization of Pandemic and All-Hazards Preparedness and Response Act (PAHPA). Monitored AI issues. Monitored cybersecurity issues. Issues concerning emergency preparedness and critical medical supplies. Issues concerning regulatory reforms.
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to payment for prescription drugs. Issues concerning drug shortages. Issues related to extension of the hospital at home program and H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026. Issues related to the Medicare Advantage star rating eye exam quality measure.
TANDEM DIABETES CARE via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to Medicare coverage of insulin pumps. Issues related to Medicare durable medical equipment competitive bidding.
Issues related to Medicare coverage of insulin pumps.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
GLOBAL MEDICAL RESPONSE via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to payment for Medicare ambulance services and modernizing the payment system. Issues related to access to ambulance services in Medicaid.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
EMERGENT BIOSOLUTIONS via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Reauthorization of Pandemic and All-Hazards Preparedness and Advancing Innovation Act, Funding for medical countermeasure enterprise including Strategic National Stockpile (SNS), Biomedical Advanced Research and Development Authority (BARDA), and Project BioShield, Opioid crisis legislation, naloxone access and awareness, FY2027 NDAA provisions related to biological and chemical defense and access to naloxone.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding, including S. 4037, the DIABETES Act. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247 / H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services, including H.R. 2902 / S. 1406, the SOAR Act. Issues related to regulatory relief and program integrity.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
OMEROS CORPORATION via THE NICKLES GROUP, LLC
2026 · first_quarter · Q1
Monitored separate payment policy for nonopioid alternatives. Monitored issues involving rare disease therapies.
Monitored issues related to rare pediatric disease and Priority Review Vouchers (PRVs).
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BIOTECHNOLOGY INNOVATION ORGANIZATION (BIO) via THE NICKLES GROUP, LLC
2026 · first_quarter · RR
Issues related to prescription drugs. Issues related to tax and trade.
Issues related to prescription drugs. Issues related to tax and trade.
Issues related to prescription drugs. Issues related to tax and trade.
AMGEN via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored implementation of P.L. 117-169, the Inflation Reduction Act as it relates to drug pricing. Issues related to biosimilars. Monitored issues related to cardiovascular health. Issues related to pharmacy benefit management. Monitored issues related to dialysis services. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pharmacy benefit management and drug pricing policies. Issues related to the Most Favored Nation drug pricing.
Issues related to pharmacy benefit management. Issues related to cardiovascular care. Issues related to drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
VANTIVE US HEALTHCARE LLC via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues concerning tariffs.
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Issues concerning remote patient monitoring for dialysis patients. Issues concerning dialysis.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CSL BEHRING LLC via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
Monitored issues related to medical supply chain and pharmacy benefit management. Monitored issues related to drug pricing. Issue regarding plasma-based therapies.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of
MERCK & CO. INC. via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to pharmacy benefit management reforms. Issues related to vaccine policy. Issues related to supply chain and domestic manufacturing capacity.
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 946/S. 1862, ORPHAN Cures Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
FLORIDA HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to hospitals and the health care workforce. Issues related to health insurance coverage.
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
UCB, INC. via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Issues related to access to home infusion, including H.R. 993, Joe Fiandra Access to Home infusion Act of 2025. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Issues related to medication step therapy. S.864, HELP Copays Act, as it relates to out-of-pocket costs for prescription drugs. Issues related to pharmacy benefit management reforms.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
TANDEM DIABETES CARE via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to Medicare coverage of insulin pumps. Issues related to Medicare durable medical equipment competitive bidding.
Issues related to Medicare coverage of insulin pumps.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ASCEND LEARNING, LLC via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues regarding nursing and allied health care shortages, pipeline, and career perception. Issues involving reauthorization of health professions education and nursing workforce development programs. Issues related to improving workforce development programs through innovation and opportunity. S. 547, Train More Nurses Act. S. 131 / H.R. 392, PRECEPT Nurses Act. H.R. 3593 / S. 1874, Title VIII Nursing Workforce Reauthorization Act. H.R. 4407 / S. 1482, National Nursing Workforce Center Act of 2025.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
EMERGENT BIOSOLUTIONS via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Reauthorization of Pandemic and All-Hazards Preparedness and Advancing Innovation Act, Funding for medical countermeasure enterprise including, Strategic National Stockpile (SNS), Biomedical Advanced Research and Development Authority (BARDA), and Project BioShield for FY2026, Opioid crisis legislation, naloxone access and awareness, FY2026 NDAA provisions related to biological and chemical defense and access to naloxone.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
VITAS HEALTHCARE via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored implementation of the Dole Act and access to hospice services for Veterans.
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
JOHNSON & JOHNSON SERVICES, INC. via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to mental health. Issues related to SUPPORT Act Reauthorization. Monitored Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization. Issues related to pharmacy benefit management, including alternative funding programs. Monitored issues related to healthcare workforce shortages. Issues related to drug pricing. Issues related to ingredient safety.
Implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Monitored issues related to Ambulatory Surgical Centers. Issues related to pharmacy benefit management. Monitored issues related to Medicare physician payment. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
NOVO NORDISK, INC. via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to compounding and counterfeit drugs.
Issues related to drug pricing and implementation of the Inflation Reduction Act. H.R. 1492, the Ensuring Pathways to Innovative Cures Act. Issues related to coverage of anti-obesity medications. Issues related to pharmacy benefit management reforms. Issues related to Most Favored Nation drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
CLEVELAND CLINIC FOUNDATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Issues concerning hospitals and the healthcare workforce. Issues involving drug shortages. Issues concerning quantum research. Monitored issues regarding NIH reform. Issues concerning health insurance coverage.
ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues relates to Medicare coverage of breakthrough technologies. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025. Issues related to the CY 2026 Medicare Home Health Rule.
Issues related to tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
AMERICAN HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues regarding reimbursement for hospital services. Issues related to transparency. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Issues concerning the extension of Acute Care Hospital at Home program and telehealth flexibilities. S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. SUPPORT Act Reauthorization. Issues related to workplace safety. Issues related to health insurance coverage.
AMERICAN DENTAL ASSOCIATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pass through businesses, Sect 179 expensing, and tax-exempt organizations. Issues related to FSA/HSA coverage for oral health products.
Issues concerning workforce shortages. Issues regarding access to dental services. Issues concerning community water fluoridation. H.R. 2001, the Action for Dental Health Act of 2025. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization.
THE NATIONAL ALLIANCE FOR CARE AT HOME via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. S.1935, Expanding Access to Palliative Care Act. Issues related to Home & Community-Based Services (HCBS).
BAXTER HEALTHCARE CORPORATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to reimbursement for breakthrough devices. Issues related to payment for prescription drugs. Issues concerning drug shortages. Issues related to extension of the hospital at home program.
Monitored issues related to pharmaceutical prices. Issues regarding the pharmaceutical and medical device supply chain. Monitored issues concerning drug shortages. Issues concerning the reauthorization of Pandemic and All-Hazards Preparedness and Response Act (PAHPA). Monitored AI issues. Monitored cybersecurity issues. Issues concerning emergency preparedness and critical medical supplies. Issues concerning regulatory reforms.
GLOBAL MEDICAL RESPONSE via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to payment for Medicare ambulance services and modernizing the payment system. Issues related to access to ambulance services in Medicaid.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
OMEROS CORPORATION via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Monitored separate payment policy for nonopioid alternatives. Monitored issues involving rare disease therapies.
Monitored issues related to rare pediatric disease and Priority Review Vouchers (PRVs).
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
AMERICAN ASSOCIATION FOR HOMECARE (AAHOMECARE) via THE NICKLES GROUP, LLC
2025 · fourth_quarter · Q4
Issues related to Medicare durable medical equipment competitive bidding. Issues related to competitive bidding and payment rates in non-competitive bidding areas, including H.R. 2005 / S. 2951, the Competitive Bidding Relief Act of 2025. Issues related to titanium/carbon wheelchair upgrades, including S. 247/H.R. 1703, the Choices for Increased Mobility Act of 2025. Issues related to Medicare oxygen therapy services. Issues related to regulatory relief and program integrity.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
ACIST MEDICAL SYSTEMS via THE NICKLES GROUP, LLC
2025 · fourth_quarter · 4T
Issues related to payment for innovative devices.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
JAZZ PHARMACEUTICALS, INC. via THE NICKLES GROUP, LLC
2025 · fourth_quarter · RR
Issues related to prescription drugs. Most Favored Nation drug pricing. Regulation of cannabinoids.
Issues related to prescription drugs. Most Favored Nation drug pricing. Regulation of cannabinoids.
ASCEND LEARNING, LLC via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues regarding nursing and allied health care shortages, pipeline, and career perception. Issues involving nursing faculty shortage and use of artificial intelligence in education. Issues involving reauthorization of health professions education and nursing workforce development programs. Issues related to improving workforce development programs through innovation and opportunity. S. 547, Train More Nurses Act. S. 131 / H.R. 392, PRECEPT Nurses Act. H.R. 3593 / S. 1874, Title VIII Nursing Workforce Reauthorization Act. H.R. 4262, The Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act (EMPOWER). H.R. 4407 / S. 1482, National Nursing Workforce Center Act of 2025.
H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and workforce.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
AMGEN via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Monitored implementation of P.L. 117-169, the Inflation Reduction Act as it relates to drug pricing. Issues related to biosimilars. Monitored issues related to cardiovascular health. Issues related to pharmacy benefit management. Monitored issues related to dialysis services. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to pharmacy benefit management and drug pricing policies. H.R. 946 / S. 1862, ORPHAN Cures Act. Issues related to the Most Favored Nation drug pricing.
Issues related to pharmacy benefit management. Issues related to cardiovascular care. Issues related to drug pricing.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
CSL BEHRING LLC via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues related to plasma based therapies. H.R. 1476 / S. 694, Preserving Life-saving Access to Specialty Medicines in America (PLASMA) Act. Issues related to gene therapies. Issues related to value-based payments. Issues related to drug shortages. Monitored implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to plasma derived products and drug pricing. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act. Issues related to pharmacy benefit management. Issues related to Most Favored Nation drug pricing.
Monitored issues related to medical supply chain and pharmacy benefit management. Monitored issues related to drug pricing. Issue regarding plasma-based therapies.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
FLORIDA HOSPITAL ASSOCIATION via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues related to hospitals and the health care workforce. Issues related to health insurance coverage.
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program. Issues related to telehealth. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
JOHNSON & JOHNSON SERVICES, INC. via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act and pharmacy benefit management. Issues related to mental health. Issues related to SUPPORT Act Reauthorization. Monitored Pandemic and All-Hazards Preparedness and Response Act (PAHPA) reauthorization. Issues related to pharmacy benefit management, including alternative funding programs. Monitored issues related to healthcare workforce shortages. Issues related to drug pricing. Issues related to ingredient safety.
Implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Monitored issues related to Ambulatory Surgical Centers. Issues related to pharmacy benefit management. Monitored issues related to Medicare physician payment. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act and issues related to drug pricing. Issues related to Most Favored Nation drug pricing. H.R. 946 / S. 1862, ORPHAN Cures Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
BAXTER HEALTHCARE CORPORATION via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Implementation of drug pricing provisions related to H.R. 5376 (P.L. 117-169), The Inflation Reduction Act. Issues related to safe mobility. Issues related to reimbursement for breakthrough devices. Issues related to payment for prescription drugs. Issues concerning drug shortages. Issues related to extension of the hospital at home program. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act.
Monitored issues related to pharmaceutical prices. Issues regarding the pharmaceutical supply chain. Monitored issues concerning drug shortages. Issues concerning the reauthorization of Pandemic and All-Hazards Preparedness and Response Act (PAHPA). Monitored AI issues. Monitored cybersecurity issues. Issues concerning emergency preparedness and critical medical supplies. Issues concerning regulatory reforms.
EMERGENT BIOSOLUTIONS via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Reauthorization of Pandemic and All-Hazards Preparedness and Advancing Innovation Act, Funding for medical countermeasure enterprise including, Strategic National Stockpile (SNS), Biomedical Advanced Research and Development Authority (BARDA), and Project BioShield for FY2026, Opioid crisis legislation, naloxone access and awareness, FY2026 NDAA provisions related to biological and chemical defense and access to naloxone.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
VANTIVE US HEALTHCARE LLC via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Issues concerning remote patient monitoring for dialysis patients. Issues concerning dialysis.
Issues concerning tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CLEVELAND CLINIC FOUNDATION via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Issues concerning hospitals and the healthcare workforce. Issues involving drug shortages. Issues concerning quantum research. Monitored issues regarding NIH reform. Issues concerning health insurance coverage.
VITAS HEALTHCARE via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool.
Issues related to health care workforce shortages.
ADVANCED MEDICAL TECHNOLOGY ASSOCIATION (ADVAMED) via THE NICKLES GROUP, LLC
2025 · third_quarter · Q3
Issues relates to Medicare coverage of breakthrough technologies. S. 1717 / H.R. 5343, Ensuring Patient Access to Critical Breakthrough Products Act of 2025.
Issues related to tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of
Monitored issues related to Visas for healthcare.
Issues regarding access to Medicare dental services, including in Medicare Advantage. Monitored issues concerning community water fluoridation. Issues involving workforce shortages. Issues concerning Medicaid dental services. Issues related to plan benefit transparency.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, White House Office
Issues related to hospitals and the health care workforce. Issues related to health insurance coverage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
Issues regarding reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026. Issues concerning Medicaid services. Issues regarding health care sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
Issues concerning workforce shortages. Issues regarding access to dental services. S. 1677, Ensuring Lasting Smiles Act. H.R. 2001, the Action for Dental Health Act of 2025. Issues concerning community water fluoridation. Monitored Community Health Center Reauthorization, National Health Service Corp Reauthorization, and Teaching Health Center GME Reauthorization. Health information technology. Monitored NIH Reauthorization. Issues regarding Health Savings Accounts and dental services. Issues concerning dental insurance reform.
Filing targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, White House Office
Monitored implementation of the Dole Act and access to hospice services for Veterans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Issues involving workforce shortages. Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to hospitals. Issues related to workplace safety. Issues related to health insurance coverage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
Monitored implementation of the Dole Act as it relates to access for veteran use of hospice services and VA burial benefits.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Monitored implementation of the Dole Act and access to hospice services for Veterans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Issues related to Visas for healthcare.
Issues regarding access to Medicare dental services. Monitored issues concerning community water fluoridation. Issues involving workforce shortages. Issues concerning Medicaid dental services.
Filing targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, White House Office
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Monitored Pandemic and All-Hazards Preparedness and Response Act reauthorization. Issues concerning hospitals and the healthcare workforce. Issues involving drug shortages. Issues concerning quantum research. Monitored issues regarding NIH reform. Issues concerning health insurance coverage.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
Issues related to tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
Issues related to prescription drugs. Issues related to tax and trade.
Issues related to tax-exempt hospitals.
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Issues related to health care workforce shortages.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Issues involving violence against healthcare employees. H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
Issues regarding access to dental services. Issues concerning community water fluoridation. Issues involving workforce shortages. Issues concerning Medicaid and dental services.
H.R. 3838, the National Defense Authorization Act for FY2026, as it relates to accreditation of dental facilities.
Issues related to Visas for healthcare.
Filing targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, White House Office
Implementation of the Dole Act as it relates to access for veteran use of hospice services and VA burial benefits.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
Issues related to tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to tax-exempt hospitals.
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Issues related to tariffs.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Monitored implementation of the Dole Act and access to hospice services for Veterans.
Filing targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE