3rd Quarter - Report

DIRECT SUPPLY, INC. for DIRECT SUPPLY, INC.

Firm
Client
Income
—
Expenses
$170,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

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

Medicare/Medicaid MMM

Centers for Medicare and Medicaid Services Staffing Regulations for Nursing Homes (CMS)

LobbyistCovered position, as disclosed
GENEVIEVE ELIZABETH HILLIS —
RYAN MCNAMARA —
BRIAN WILLIAM PERRY —

Contacted: Centers For Medicare and Medicaid Services (CMS)

Health Issues HCR

Care Across Generations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS and Secretary of Labor to conduct a study and issue a report on grant programs to support the nursing workforce. One Big Beautiful Bill Act (H.R. 1) - Medicaid reductions impact on Senior Care. The Medicare Advantage Prompt Pay Act (S. 2879/H.R. 5454) Entire Legislation. Improving Seniors' Timely Access to Care Act (S. 1816/H.R. 3514) - transparency requirements for MA plans. General discussions on legislative proposals related to tariffs. Health Tech Investment Act (H.R. 6197) - technology investment in senior care communities (USHR). Protecting Medicare Choice Act (H.R. 6114) - automatic enrollment prohibition for beneficiaries in Medicare Advantage Plans (USHR). Geriatrics Workforce Improvement Act (S. 2699) - training and workforce support for caregivers (USS). Medicare Advantage Improvement Act of 2026 (H.R. 8375/S. 4384) - prior authorization normalization and prompt pay. Improving Access to Medicare Coverage Act (H.R. 3954/S. 4641) - 3 day stay requirement updates.

LobbyistCovered position, as disclosed
GENEVIEVE ELIZABETH HILLIS —
RYAN MCNAMARA —
BRIAN WILLIAM PERRY —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 6114 (119th), H.R. 2151 (119th), H.R. 6197 (119th), H.R. 8375 (119th), S. 4384 (119th), H.R. 1 (119th), S. 4641 (119th), S. 547 (119th), H.R. 3954 (119th), H.R. 1812 (119th), S. 2699 (119th), H.R. 5454 (119th), S. 1816 (119th), S. 2879 (119th), H.R. 1683 (119th), H.R. 3514 (119th), S. 750 (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.