2nd Quarter - Report

UPSTREAM USA for UPSTREAM USA

Firm
Client
Income
—
Expenses
$23,866
Expense method
B: tax-exempt organisations, Internal Revenue Code section 6033(b)(8)

What was lobbied

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

Health Issues HCR

In Q2 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. Separately, Upstream drafted Outside Witness Testimony for the upcoming appropriations process which advocated for funding for Community Health Centers and Title X.

LobbyistCovered position, as disclosed
REBEKAH FRIES —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 1 (119th)

Medicare/Medicaid MMM

In Q2 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts (provider taxes, work requirements, etc) in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses.

LobbyistCovered position, as disclosed
REBEKAH FRIES —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 1 (119th)

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.