3rd Quarter - Report

FEDERATION OF AMERICAN HOSPITALS for FEDERATION OF AMERICAN HOSPITALS

Firm
Client
Income
—
Expenses
$725,000
Expense method
C: businesses, Internal Revenue Code section 162(e)

What was lobbied

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

Health Issues HCR

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

LobbyistCovered position, as disclosed
REBECCA HEILIG LIRA —
CHARLES N KAHN —
CHARLENE MACDONALD —
GEOFFREY WERTH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 5371 (119th), S. 1600 (119th), H.R. 1 (119th), H.R. 2191 (119th), S. 46 (119th), H.R. 5145 (119th), H.R. 247 (119th), H.R. 3022 (119th)

Medicare/Medicaid MMM

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

LobbyistCovered position, as disclosed
REBECCA HEILIG LIRA —
CHARLES N KAHN —
CHARLENE MACDONALD —
GEOFFREY WERTH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 1805 (119th), H.R. 3890 (119th), H.R. 5454 (119th), S. 2879 (119th)

Immigration IMM

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

LobbyistCovered position, as disclosed
REBECCA HEILIG LIRA —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: S. 2759 (119th), H.R. 5283 (119th)

Welfare WEL

SSDI - re: delays in Social Security Disability Insurance determinations

LobbyistCovered position, as disclosed
REBECCA HEILIG LIRA —
CHARLES N KAHN —
CHARLENE MACDONALD —
GEOFFREY WERTH —

Contacted: SENATE; 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.