Issues lobbied + lobbyists
HCR — Health Issues
Oppose H.R. 1 limitations on premium tax credit eligibility and support legislatively delaying implementation. Support permanently extending Affordable Care Act enhanced premium tax credits. Support 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act, support PATIENTS Act, oppose HRSA back-end rebate models. Support recommendations to address workforce shortages for nursing and ancillary health care workforce: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training sites, and immigration reforms that expedite entry for foreign health care workers. Support SAVE Healthcare Workers Act (H.R. 3178/S. 1600). Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Discuss FEMA COVID-19 Public Assistance payouts to hospitals with Congressional staff. Support SEPSIS Act (S.1929). Discuss New York State application for Section 1331 Basic Health Plan waiver with Congressional staff and CMS staff. Discuss Section 1332 State Innovation Waiver with Congressional staff. Discuss legislative proposals to regulate the use of artificial intelligence in health care settings with Congressional staff. Discuss non-profit tax-exempt status of hospitals and examples of community benefit for IRS purposes. Discuss 2026 New York City nurses strike with Congressional staff. Discuss commercial insurance reform with Congressional staff.
Lobbyists: LAURA ALFREDO; JONATHAN COOPER; GENNY GLEMBOTZKY; TIM JOHNSON; PUJA KHARE; EMILY LEISH; mr KENNETH E RASKE; ms ELISABETH R WYNN
Government entities lobbied: Centers For Medicare and Medicaid Services (CMS); Executive Office of the President (EOP); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; SENATE; White House Office
MMM — Medicare/Medicaid
Support Medicare graduate medical education (GME) expansion and legislative proposals to expand Medicare GME program: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act, additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act. Discuss technical amendment to CAA, 2021, Sec. 131 to address artificially low GME caps with Congressional staff. Discuss with Congressional staff distribution methodology for Medicare GME slots created in the CAA, 2021. Discuss rural reclassification for Medicare wage index and Medicare GME purposes with Congressional staff. Discuss COVID-19 Public Health Emergency (PHE) Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to permanently extend PHE telehealth flexibilities and two-year extension of Acute Hospital Care at Home Waiver. Oppose Medicare site-neutral payment policies. Oppose unique national provider identifier (NPI) requirement for hospital outpatient departments and discuss implementation - H.R. 7148-Sec. 6225. Discuss CY 2026 OPPS final rule with Congressional staff: 340B drug acquisition survey, opposition to site-neutral cuts for drug administration services. Support Medicare Advantage reforms - Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), MA Prompt Pay Act (H.R. 5454/S.2879). Discuss Medicare wage index issues with CMS. Discuss proposals that stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support), make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Oppose Medicaid program and financing in H.R.1: work requirements as a condition of coverage, changes to state-directed payments, reductions to Federal matching funds, reductions to the safe harbor threshold for provider taxes, sunset of broad-based and uniform provider tax waivers, rescission of Medicaid Eligibility rule and Medicaid/CHIP Access rule, reductions to retroactive coverage. Discuss H.R. 1 phase-out of non-broad-based and uniform Medicaid provider tax waivers and support maximum phase-out period. Support certain changes to Medicaid DSH payments: support two-year elimination of Medicaid DSH cut; support Save Our Safety Net Hospitals Act (H.R. 5064) to restore pre-CAA, 2021 DSH cap calculation methodology and include dual-eligible patients in state DSH cap calculation. Discuss Medicaid Section 1115 waiver with Congressional staff and HHS. Oppose proposed rule - Medicare and Medicaid Conditions of Participation: Limiting Participation Based on the Performance of Sex Trait Modification Procedures on Children with Congressional staff. Discuss nursing and allied health cost report issues. Discuss uncompensated care.
Lobbyists: LAURA ALFREDO; JONATHAN COOPER; GENNY GLEMBOTZKY; TIM JOHNSON; PUJA KHARE; EMILY LEISH; mr KENNETH E RASKE; ms ELISABETH R WYNN
Government entities lobbied: Centers For Medicare and Medicaid Services (CMS); Executive Office of the President (EOP); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; Medicare Payment Advisory Commission (MedPAC); SENATE; White House Office
BUD — Budget/Appropriations
Discuss Medicare GME funding in CAA, 2021 and CAA, 2023 with Congressional staff and HHS staff. Support health extenders in H.R. 7148, Consolidated Appropriations Act of 2026: extend COVID-19 Medicare-covered telehealth flexibilities, Acute Hospital Care at Home waiver, Medicaid DSH cut elimination; Medicaid DSH cap calculation changes; discuss with Congressional staff and HHS staff. Support increased funding for Hospital Preparedness Program.
Lobbyists: LAURA ALFREDO; JONATHAN COOPER; GENNY GLEMBOTZKY; TIM JOHNSON; PUJA KHARE; EMILY LEISH; mr KENNETH E RASKE; ms ELISABETH R WYNN
Government entities lobbied: Centers For Medicare and Medicaid Services (CMS); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; SENATE
IMM — Immigration
Oppose September 19 Presidential Proclamation imposing $100,000 fee on employers petitioning for new H-1B visas; discuss opposition with Congressional staff and DHS; support health care sector exemption - H-1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961).
Lobbyists: JONATHAN COOPER; GENNY GLEMBOTZKY; TIM JOHNSON; mr KENNETH E RASKE
Government entities lobbied: Homeland Security, Dept of (DHS); HOUSE OF REPRESENTATIVES; SENATE