3rd Quarter - Report

TRINITY HEALTH for TRINITY HEALTH

Firm
Client
Income
—
Expenses
$240,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

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

Medicare/Medicaid MMM

Oppose Medicaid cuts. Oppose Medicare site neutral cuts. S. 1261 CONNECT for Health Act S. 1460/HR 786 Preserving Patient Access to Accountable Care Act (incentive payments for APMs) HR 1683 Protecting Rural Seniors Access to Care Act (SNF minimum staffing standards reg) S 1935 Expanding Access to Palliative Care Act S 1816 Improving Seniors' Timely Access to Care Act S. 1031 Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 1087 Rebuild Americas Health Care Schools Act HR 3890 Resident Physician Shortage Reduction Act HR 538 Critical Access Hospital Relief Act of 2025 HR 3222 SMART Health Care Act HR 4559 Prompt and Fair Pay Act

LobbyistCovered position, as disclosed
JENNIFER NADING New —
MARGARET RANDOLPH New 2010-2013: Senior Legislative Assistant, Rep. Dale Kildee; 2007-2008: Staff Assistant, Senator Carl Levin

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

Bills named: S. 1460 (119th), H.R. 538 (119th), S. 1087 (119th), H.R. 786 (119th), H.R. 4559 (119th), S. 1031 (119th), H.R. 3890 (119th), H.R. 1683 (119th), H.R. 3222 (119th), S. 1261 (119th)

Health Issues HCR

S. 266 Lorna Breen Healthcare Provider Protection Reauthorization S. 998 Medical Supply Chain Resiliency Act HR 2213 tariffs on medical goods

LobbyistCovered position, as disclosed
JENNIFER NADING New —
MARGARET RANDOLPH New 2010-2013: Senior Legislative Assistant, Rep. Dale Kildee; 2007-2008: Staff Assistant, Senator Carl Levin

Contacted: Agency for Healthcare Research & Quality (AHRQ); SENATE; Centers For Disease Control & Prevention (CDC); HOUSE OF REPRESENTATIVES; Health Resources & Services Administration (HRSA)

Bills named: H.R. 2213 (119th), S. 998 (119th), S. 266 (119th)

Budget/Appropriations BUD

Funding for gun violence prevention research, CDC Office on Smoking and Health, public health workforce loan repayment Oppose HR 1

LobbyistCovered position, as disclosed
JENNIFER NADING New —
MARGARET RANDOLPH New 2010-2013: Senior Legislative Assistant, Rep. Dale Kildee; 2007-2008: Staff Assistant, Senator Carl Levin

Contacted: SENATE; HOUSE OF REPRESENTATIVES

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

Education EDU

S. 383 JOBS Act

LobbyistCovered position, as disclosed
MARGARET RANDOLPH 2010-2013: Senior Legislative Assistant, Rep. Dale Kildee; 2007-2008: Staff Assistant, Senator Carl Levin

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: S. 383 (119th)

Pharmacy PHA

Oppose 340B cuts. HR 4581 340B Patients Act

LobbyistCovered position, as disclosed
MARGARET RANDOLPH 2010-2013: Senior Legislative Assistant, Rep. Dale Kildee; 2007-2008: Staff Assistant, Senator Carl Levin

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 4581 (119th)

Housing HOU

HR 2725/S. 1515 Affordable Housing Credit Improvement Act

LobbyistCovered position, as disclosed
MARGARET RANDOLPH Senator Levin 2007-8, Rep. Kildee 2010-13

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: S. 1515 (119th), H.R. 2725 (119th)

Law Enforcement/Crime/Criminal Justice LAW

HR 2332 SHARE Act HR 3178/S 1600 SAVE Healthcare Workers Act

LobbyistCovered position, as disclosed
MARGARET RANDOLPH Senator Carl Levin, Staff Assistant, 2007-2008; Rep. Dale Kildee, Senior Legislative Assistant, 2010-2013

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 2332 (119th), H.R. 3178 (119th)

Immigration IMM

HR 1585 Conrad State 30 and Physician Access Reauthorization Act

LobbyistCovered position, as disclosed
MARGARET RANDOLPH Senator Levin, Staff Assistant, (2007-08); Rep. Kildee, Senior Legislative Assistant, (2010-2013)

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 1585 (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.