Entity DossierOrganization

PHYSICIANS ADVOCACY INSTITUTE

NC · US

Advocacy Organization

fara

Tracked direct giving

Tracked donations to candidate

LDA reported lobbying spend

$480,000

Connections

Lobbying Activity Detail

Disclosed lobbying expenditures from LDA filings where this entity is the client. Dollar amounts represent what was reported to the Senate Office of Public Records.

Top Lobbying Issues

MMMMedicare/Medicaid

$850K

DISDisaster/Emergency Planning

$490K

HCRHealth Issues

$360K

Lobbying Firms Retained

STATE FEDERAL STRATEGIES$490K

CAPITOL COUNSEL LLC$320K

Capitol Counsel, LLC$40K

Bills Referenced in Lobbying Filings

prior authorization

Lobbying data from Senate LDA filings and the LobbyView dataset (MIT/NSF, CC-BY-4.0). Dollar figures represent disclosed expenditures only and may not capture all influence activity. Issue codes follow the LDA general issue classification.

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Relationships

Type	Connected To	Details	Source
Employed by	Capitol Counsel, LLC	Hired CAPITOL COUNSEL LLC to lobby on Prior Authorization Reform	Source
commented_on	Centers for Medicare & Medicaid Services	Public comment on CMS-2023-0176: Federal Independent Dispute Resolution Process	Source
commented_on	Department of Health and Human Services	Public comment on HHS-ONC-2019-0002: 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program	Source
Lobbied for	Security Zone; Electric Boat Shipyard, Narragansett Bay, Quonset Point, North Kingstown, RI	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Prior Authorization Reform (Improving Seniors Timely Access to Care Act)	LDA filing: lobbied on Prior Authorization Reform, period 1st Quarter (Jan 1 - Mar 31), reported amount $40,000	Source
Lobbied for	Prior Authorization Reform (Improving Seniors Timely Access to Care Act)	LDA filing: lobbied on Prior Authorization Reform, period 1st Quarter (Jan 1 - Mar 31), reported amount $40,000	Source
Lobbied for	Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally- Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program; Correcting Amendment	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare Program; Updates to the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior To Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face and Written Order Prior To Delivery List; and Updates to the Required Prior Authorization List	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Expediting Initial Processing of Satellite and Earth Station Applications	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Lobbied for	Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly	Lobbied on prior authorization — matched LDA filing topic to Federal Register rule.	Source
Employed by	CAPITOL COUNSEL LLC	Hired CAPITOL COUNSEL LLC to lobby (1st Quarter (Jan 1 - Mar 31) 2023)	Source
Employed by	STATE FEDERAL STRATEGIES	Hired STATE FEDERAL STRATEGIES to lobby (1st Quarter (Jan 1 - Mar 31) 2023)	Source