3rd Quarter - Report

THE NICKLES GROUP, LLC for THE NATIONAL ALLIANCE FOR CARE AT HOME

Firm
Client
Income
$50,000
Expenses
—

What was lobbied

3 issue areas, each in the filer's own words, with who lobbied on it and where.

Medicare/Medicaid MMM

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.

LobbyistCovered position, as disclosed
BRETT BAKER —
JEFF CHOUDHRY —
MARY BETH SAVARY TAYLOR —

Contacted: Centers For Medicare and Medicaid Services (CMS); SENATE; HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB)

Bills named: H.R. 7148 (119th), S. 4118 (119th), H.R. 8883 (119th), H.R. 7966 (119th), S. 2709 (119th), H.R. 1720 (119th), H.R. 3467 (119th), S. 1261 (119th), S. 1935 (119th), S. 5250 (119th), H.R. 5081 (119th)

Health Issues HCR

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).

LobbyistCovered position, as disclosed
BRETT BAKER —
MARY BETH SAVARY TAYLOR —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: S. 2287 (119th), H.R. 4425 (119th)

Veterans VET

Monitored implementation of the Dole Act as it relates to access for veteran use of hospice services and VA burial benefits.

LobbyistCovered position, as disclosed
JEFF CHOUDHRY —
MARY BETH SAVARY TAYLOR —

Contacted: HOUSE OF REPRESENTATIVES

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.