3rd Quarter - Report

WHEAT SHROYER GOVERNMENT RELATIONS LLC for AMERICAN ASSOCIATION OF NURSE ANESTHETISTS

Firm
Client
Income
$60,000
Expenses
—

What was lobbied

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

Health Issues HCR

Provider non-discrimination and related anesthesia access and payer reimbursement issues (H.R.1317/S.575) I CAN Act (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R.6545) Anesthesia for All Act Anesthesia access in rural areas

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of Congress

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

Bills named: S. 575 (119th), H.R. 3593 (119th), H.R. 1317 (119th), H.R. 6545 (119th), S. 1874 (119th)

Veterans VET

Veterans Affairs National Standards of Practice CRNA full practice authority (H.R.2234) Ensuring Veterans Timely Access to Anesthesia Care Act

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of COngress

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 2234 (119th)

Medicare/Medicaid MMM

(H.R.1317/S.575) I CAN Act Issues surrounding Medicare Conditions of Participation (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] Issues surrounding Medicare supervision requirements (H.R.9642) Medicare Access to Rural Anesthesiology Act (H.R. 10731) the Rural Surgery Sustainability Act of 2026

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of Congress

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

Bills named: S. 575 (119th), H.R. 10731 (119th), H.R. 1317 (119th), H.R. 9642 (119th), H.R. 1 (119th)

Taxation/Internal Revenue Code TAX

(S.131/H.R.392) PRECEPT Nurses Act

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of Congress

Contacted: HOUSE OF REPRESENTATIVES

Bills named: S. 131 (119th), H.R. 392 (119th)

Budget/Appropriations BUD

Title VIII Nursing Workforce Development Program funding (H.R.8469) Fiscal Year 2027 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act (/H.R.9260) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027 (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits Supporting nursing as a professional degree Issues surrounding VHA anesthesia access, Medicare supervision requirements, access to clinical training sites, and provider non-discrimination and related anesthesia access and payer reimbursement issues

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of Congress

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 9260 (119th), H.R. 8469 (119th), H.R. 1 (119th)

Education EDU

(H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits (S.4568/H.R.8691) Nursing is a Professional Degree Act (H.R. 6718) Professional Student Degree Act (H.J. Res. 189 / S.J. Res. 196) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations"

LobbyistCovered position, as disclosed
JAMES FOSTER FLEISCHMANN —
JULIE SHROYER Former U.S. House Committee staff
ALAN DUPREE WHEAT Former Member of Congress

Contacted: HOUSE OF REPRESENTATIVES; White House Office; SENATE

Bills named: S. 4568 (119th), S.J.Res. 196 (119th), H.R. 8691 (119th), H.R. 1 (119th), H.J.Res. 189 (119th), H.R. 6718 (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.