P.L. 119-21 One Big Beautiful Bill Act; provisions involving health care Discussions pertaining to transparency into state directed payments Discussions involving enhanced premium tax credit Monitored discussions involving expanding the health care workforce Monitored discussions pertaining to compliance with exisiting hospital transparency requirements Monitored discussions involving improving price transparency in health care services Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Source-reported fields
Filing overview
- Type
- 2nd Quarter - Report
- Posted
- Jul 20, 2026
- Income
- $70,000.00
- Expenses
- Not reported
- Registrant
- THE SMITH-FREE GROUP, LLC
- Client
- HCA
- Filing UUID
- 80d09da0-6c4d-448c-947f-013acc8bb410
- Termination date
- Not reported
Literal source text
Lobbying issues and bill citations
P.L. 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored Medicare Advantage reform legislation on CMS action
Literal federal measure citations: H.R. 2191
Discussions regarding H.R. 5408 / S. 844, the Faster Labor Contracts Act
Relationship and amount limits
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