ALSTON & BIRD LLP for THE METROHEALTH SYSTEM
What was lobbied
3 issue areas, each in the filer's own words, with who lobbied on it and where.
Medicare/Medicaid MMM
Medicaid State-Directed Payments. 340B Modernization. Funding for Disproportionate Share Hospitals (Medicaid DSH). Support for protecting front line multimission hospitals. Support of telehealth policies, including for audio-only telehealth services. Acute hospital care at home waiver flexibility. In general, support provisions to reform Medicare physician fee schedule payment policies and access to physician services. H.R.879, Medicare Patient Access and Practice Stabilization Act of 2025. Support for policies protecting access to Medicaid. Pub. L. No. 119-21, One Big Beautiful Bill Act, provisions regarding Medicaid provider taxes, state directed payments and other policies. H.R.5371, Continuing Appropriations and Extensions Act, 2026, provisions related to Medicaid DSH, telehealth, Hospital at Home program. H.R.4392, Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025. Medicare graduate medical education programs/funding; Medicare funding of trauma centers.
| Lobbyist | Covered position, as disclosed |
|---|---|
| ALEXANDER GRAF | — |
| MARK RAYDER | — |
| MARILYN K YAGER | — |
Health Issues HCR
Support for protecting front line multimission hospitals. Sustainability of safety net health systems. Support of telehealth policies, including for audio-only telehealth services. Support for policies to enhance health care workforce programs. Expanding the healthcare workforce. Support for policies to protect access to Medicaid. Protecting the 340B drug discount program. 340b price transparency issues concerning 340B program rebate proposal. Pub. L. No. 119-21, One Big Beautiful Bill Act, provisions regarding Medicaid and protecting multimission hospitals. H.R.4392, Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025. Trauma center certification, funding, and quality; Market saturation of trauma care and detrimental impact patient outcomes.
| Lobbyist | Covered position, as disclosed |
|---|---|
| ALEXANDER GRAF | — |
| MARK RAYDER | — |
| MARILYN K YAGER | — |
Budget/Appropriations BUD
Support for protecting front line multimission hospitals.
| Lobbyist | Covered position, as disclosed |
|---|---|
| MARK RAYDER | — |
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.