2025 fourth_quarter Filing

Reconciliation Bill - Medicare, Medicaid, Physician Payments, 340(b) Discount Drug Program, ACA Premium Tax Credits; HHS, CMS H.R. 9351, Save Our Safety-Net Hospitals Act of 2024 H.R. 4581, 340B PATIENTS Act of 2025 H.R. 4731, Resident Physician Shortage Reduction Act of 2025 EDUCATE Act (House/Senate) Lower Costs, More Transparency Act (House/Senate) Reinforcing Essential Health Systems for Communities Act (House/Senate) Supplemental Guidance to the 2024 NIH (National Institutes of Health) Grants Policy Statement: Indirect Cost Rates (NOT-OD-25-068, February 7, 2025); Facilities and Administrative costs (F&A) related issues 340B Drug Discount Program; Application Process for the 340B Rebate Model Pilot Program and Request for Public Comment (HRSA-2025-14619, (90 FR 36163)); issues related to proposed 340B rebate model Medicaid Disproportionate Share Hospital (DSH) funding related issues Medicare telehealth waiver related issues Mental Health Impact of Cannabis Usage

H.R. 1, The One Big Beautiful Bill Act (P.L. 119-21); Student Financial Aid, Graduate Student Loans, Agriculture Research Facilities, Medicaid related issues; healthcare related provisions FY26 Appropriations and Funding for Basic Science, NSF, NIH, Student Financial Aid, Agriculture, NASA, Energy, Transportation, and HR 4121 and S. 2256 Agriculture-FDA Appropriations bill; HR 5342 and S.2354 Commerce-Justice-Science Appropriations bill; HR 4016 and S. 2572 Defense Appropriations bill; HR 4553 Energy & Water Appropriations bill; HR 4754 Interior-Environment Appropriations bill; HR 5304 and S. 2587 Labor-HHS-Education Appropriations bill; HR 4779 National Security-State-Foreign Operations Appropriations bill; and HR 4552 Transportation-HUD Appropriations bill