3rd Quarter - Report

THE SMITH-FREE GROUP, LLC for HCA

Firm
Client
HCA
Income
$80,000
Expenses
—

What was lobbied

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

Health Issues HCR

S 2840 Bipartisan Primary Care and Health Workforce Act (all sections of full text) S 468 Hospital Transparency Compliance Enforcement Act (all sections of full text) HR 8113 Transparency into State Directed Payments Act of 2024 HR 4822 Health Care Price Transparency Act of 2023 (all sections of full text) Discussions involving CMS price transparency rule for hospitals Discussions relating to siting of proposed medical facilities Discussions involving the extension of ACA subsidies Discussions involving 340B Drug Pricing Program Discussions pertinent to health care group purchasing organizations (GPOs) Monitored S 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 Monitored S 1636 Protecting Rural Telehealth Access Act Monitored HR 3440 Protecting Rural Telehealth Access Act Monitored S 2016 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 Monitored HR 4189 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 Monitored discussions related to cyber-security threats on healthcare industry providers Monitored discussions pertaining to CMS rulemaking on surprise billing ban Monitored nominations to executive branch agencies and federally authorized commissions

LobbyistCovered position, as disclosed
JEFFREY MAXWELL BECKER —
JOHN CHRISTIE —
JACK S DEUSER —
MICHAEL A. GAFFIN —
ROBERT HICKMOTT —
TREVOR W. KOLEGO —
W. TIMOTHY LOCKE —

Contacted: SENATE; HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS)

Bills named: H.R. 4822 (118th), H.R. 8113 (118th), H.R. 4189 (118th), H.R. 3440 (118th)

Medicare/Medicaid MMM

Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program S 470 Patient Access to Higher Quality Health Care Act of 2023 (all sections of full text)(oppose) HR 977 Patient Access to Higher Quality Health Care Act of 2023 (all sections of full text) (oppose) HR 8246 Second Chances for Rural Hospitals Act (all sections of full text)(oppose) S 1869 Site-based Invoicing and Transparency Enhancement (SITE) Act (all sections of full text) Discussions relating to site neutral payment reform Discussions pertaining to prior authorization Monitored Medicare Advantage reform legislation on CMS action

LobbyistCovered position, as disclosed
JOHN CHRISTIE —
JACK S DEUSER —
MICHAEL A. GAFFIN —
ROBERT HICKMOTT —
TREVOR W. KOLEGO —
W. TIMOTHY LOCKE —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 8246 (118th), H.R. 977 (118th)

Labor Issues/Antitrust/Workplace LBR

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

LobbyistCovered position, as disclosed
JOHN CHRISTIE —
JACK S DEUSER —
MICHAEL A. GAFFIN —
W. TIMOTHY LOCKE —

Bills named: H.R. 20 (118th), H.R. 2530 (118th)

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.