Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program; adequate physician reimbursement, Medicare and Medicaid Programs, CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies, Medicare Shared Savings Program Requirements (CMS-1784-P/CMS-1784-F); H.R.4366 - Consolidated Appropriations Act, 2024; S.3430, Better Mental Health Care, Lower Cost Drugs and Extenders Act; HR 5378, Lower Costs, More Transparency Act
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC) --including H.R.3561 - PATIENT Act of 2023, H.R.5378 - Lower Costs, More Transparency Act, and S.2840 -- Bipartisan Primary Care and Health Workforce Act; implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023) and as amended in Suspension Print of H.R. 4531 -- The Support for Patients and Communities Reauthorization Act of 2023 and S.3393; S.3550, MATE Improvement Act; H.R.4366 - Consolidated Appropriations Act, 2024
Duration: December 1, 2020
to
present
General Issues: Medicare/Medicaid , Health Issues
Spending: about $800,000 (But it's complicated. Here's why.)
It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.
Agencies lobbied since 2020: U.S. Senate, House of Representatives, Drug Enforcement Administration (DEA), Substance Abuse & Mental Health Services Administration (SAMHSA), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), White House Office
Lobbyists
Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.
Lobbyist
Covered positions?
Sarah Egge 1998-2000 Legislative Assistant to Senator Bob Kerrey; 2001-2012 Senior Budget Analyst for Democratic Staff of the Senate Budget Committee (Senator Kent Conrad); Fall 2011, Deputy Staff Director, Joint Select Committee on Deficit Reduction
Amy Jensen Cunniffe 1999-2001 Assistant to the Speaker for Policy; 2003-2005 Special Assistant to the President for Special Affairs
1999-2001 Assistant to the Speaker for Policy; 2003-2005 Special Assistant to the President for Special Affairs
Kristen Shatynski Professional Staff, House E&C Committee to Cathy McMorris Rodgers (2021-22) & Greg Walden (2017-21); Leg. Asst., Rep. Greg Walden, 4/2015-1/2017; Leg. Asst., Rep. Jackie Walorski, 10/2013-4/2015; Leg. Asst., Rep. Devin Nunes, 10/2012-10/2013
Amy Jensen 1999-2001 Assistant to the Speaker for Policy; 2003-2005 Special Assistant to the President for Special Affairs
Disclosures Filed
Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.
1st Quarter, 2024
In Q1, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on April 22.
Original Filing: 301573747.xml
Lobbying Issues
Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program; adequate physician reimbursement, Medicare and Medicaid Programs, CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies, Medicare Shared Savings Program Requirements (CMS-1784-P/CMS-1784-F); H.R.4366 - Consolidated Appropriations Act, 2024; S.3430, Better Mental Health Care, Lower Cost Drugs and Extenders Act; HR 5378, Lower Costs, More Transparency Act
Agencies Lobbied
U.S. Senate
Lobbying Issues
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC) --including H.R.3561 - PATIENT Act of 2023, H.R.5378 - Lower Costs, More Transparency Act, and S.2840 -- Bipartisan Primary Care and Health Workforce Act; implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023) and as amended in Suspension Print of H.R. 4531 -- The Support for Patients and Communities Reauthorization Act of 2023 and S.3393; S.3550, MATE Improvement Act; H.R.4366 - Consolidated Appropriations Act, 2024
Agencies Lobbied
U.S. Senate
4th Quarter, 2023
In Q4, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Jan. 22.
Original Filing: 301537921.xml
Lobbying Issues
Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program; adequate physician reimbursement, Medicare and Medicaid Programs, CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies, Medicare Shared Savings Program Requirements (CMS-1784-P/CMS-1784-F); HR6363, Further Continuing Appropriations and Other Extensions Act of 2024; S.3430, Better Mental Health Care, Lower Cost Drugs and Extenders Act; HR 5378, Lower Costs, More Transparency Act
Agencies Lobbied
U.S. Senate
Lobbying Issues
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC) --including H.R.3561 - PATIENT Act of 2023, H.R.5378 - Lower Costs, More Transparency Act, and S.2840 -- Bipartisan Primary Care and Health Workforce Act; implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023) and as amended in Suspension Print of H.R. 4531 -- The Support for Patients and Communities Reauthorization Act of 2023 and S.3393; S.3550, MATE Improvement Act; H.R. 6363 Further Continuing Appropriation and Other Extensions Act of 2024
Agencies Lobbied
U.S. Senate
3rd Quarter, 2023
In Q3, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Oct. 20, 2023.
Original Filing: 301513509.xml
Lobbying Issues
Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program; adequate physician reimbursement; Medicare and Medicaid Programs, CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies, Medicare Shared Savings Program Requirements (CMS-1784-P);
Agencies Lobbied
U.S. Senate
Lobbying Issues
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC) --including H.R.3561 - PATIENT Act of 2023, H.R.5378 - Lower Costs, More Transparency Act, and S.2840 -- Bipartisan Primary Care and Health Workforce Act; implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023) and as amended in Suspension Print of H.R. 4531 -- The Support for Patients and Communities Reauthorization Act of 2023
Agencies Lobbied
U.S. Senate
2nd Quarter, 2023
In Q2, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on July 20, 2023.
Original Filing: 301491252.xml
Lobbying Issues
Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program; adequate physician reimbursement
Agencies Lobbied
U.S. Senate
Lobbying Issues
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC) --including H.R.3561 - PATIENT Act of 2023; implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023); Proposed rules from DEA on telehealth prescribing of controlled substances and buprenorphine.
Agencies Lobbied
U.S. Senate
1st Quarter, 2023
In Q1, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on April 20, 2023.
Original Filing: 301465695.xml
Lobbying Issues
Improve integration of behavioral health and primary care; advance value-based care; address workforce shortages and improve data collection under Graduate Medical Education program
Agencies Lobbied
U.S. Senate
Lobbying Issues
Value of primary care and family medicine; reauthorization of expiring public health provisions, including the Teaching Health Center Graduate Medical Education (THCGME) program and National Health Service Corps (NHSC); implementation of the Medication Access and Training Expansion (MATE) Act (as included in H.R. 2617, Consolidated Appropriations Act, 2023); Proposed rules from DEA on telehealth prescribing of controlled substances and buprenorphine.
Agencies Lobbied
U.S. Senate
4th Quarter, 2022
In Q4, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Jan. 20, 2023.
Original Filing: 301438839.xml
Lobbying Issues
Expand telehealth flexibilities in Medicare beyond the PHE, improve integration of behavioral health and primary care by enhancing reimbursement for providing integrated behavioral health services during a routine primary care office visit, advance value-based care models, provide adequate reimbursement under Medicare Physician Fee Schedule -- H.R. 2617 Consolidated Appropriations Act, 2023; addressing administrative burden on physicians;
Agencies Lobbied
U.S. Senate
Lobbying Issues
Ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine; reauthorizing expiring mental health and substance use disorder provisions and expanding and strengthening the Collaborative Care Model, H.R. 5128, Collaborate in an Orderly and Cohesive Manner Act -- H.R. 2617, Consolidated Appropriations Act, 2023
Agencies Lobbied
U.S. Senate
3rd Quarter, 2022
In Q3, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Oct. 20, 2022.
Original Filing: 301413803.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; Expanding telehealth flexibilities in Medicare beyond the PHE; Advance value-based care models; improve integration of behavioral health and primary care by enhancing reimbursement for providing integrated behavioral health services during a routine primary care office visit; adequate reimbursement under Medicare Physician Fee Schedule; addressing administrative burden on physicians
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine; reauthorizing expiring mental health and substance use disorder provisions and expanding and strengthening the Collaborative Care Model, H.R. 5128, Collaborate in an Orderly and Cohesive Manner Act
Agencies Lobbied
U.S. Senate
2nd Quarter, 2022
In Q2, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on July 20, 2022.
Original Filing: 301396018.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; Expanding telehealth flexibilities in Medicare beyond the PHE; Advance value-based care models; improve integration of behavioral health and primary care by enhancing reimbursement for providing integrated behavioral health services during a routine primary care office visit.
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine; reauthorizing expiring mental health and substance use disorder provisions and expanding and strengthening the Collaborative Care Model, H.R. 5128, Collaborate in an Orderly and Cohesive Manner Act
Agencies Lobbied
U.S. Senate
1st Quarter, 2022
In Q1, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on April 19, 2022.
Original Filing: 301364054.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; Expanding telehealth flexibilities in Medicare beyond the PHE, including S. 368: Telehealth Modernization Act and H.R.2471 - Consolidated Appropriations Act, 2022; Advance value-based care models; improve integration of behavioral health and primary care by enhancing reimbursement for providing integrated behavioral health services during a routine primary care office visit.
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine; H.R. 5376, Build Back Better Act - provisions strengthening primary care workforce investments, expanding access to affordable coverage, advancing health equity, and improving public health; reauthorizing expiring mental health and substance use disorder provisions and expanding and strengthening the Collaborative Care Model, H.R. 5128, Collaborate in an Orderly and Cohesive Manner Act; Healthy Futures Task Force
Agencies Lobbied
U.S. Senate
4th Quarter, 2021
In Q4, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Jan. 20, 2022.
Original Filing: 301338152.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; telehealth flexibilities, including S. 368: Telehealth Modernization Act- Expanding telehealth flexibilities in Medicare beyond the PHE; sequester relief and sustainable reimbursement policies in S.610 - Protecting Medicare and American Farmers from Sequester Cuts Act; support for practice expense provisions in CMS' CY22 Physician Fee Schedule
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; H.R. 1848, LIFT America Act; ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine; H.R. 5376, Build Back Better Act - provisions strengthening primary care workforce investments, expanding access to affordable coverage, advancing health equity, and improving public health
Agencies Lobbied
U.S. Senate
3rd Quarter, 2021
In Q3, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on Oct. 20, 2021.
Original Filing: 301309102.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; telehealth flexibilities, including S. 368: Telehealth Modernization Act- Expanding telehealth flexibilities in Medicare beyond the PHE
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; H.R. 1848, LIFT America Act; ensuring access to primary care visits for families enrolled in high deductible health plans, H.R.5541 - Primary and Virtual Care Affordability Act; value of primary care and family medicine
Agencies Lobbied
U.S. Senate
2nd Quarter, 2021
In Q2, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on July 20, 2021.
Original Filing: 301289212.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; S. 1833, Ensuring Access to Primary Care for Women & Children Act; telehealth flexibilities, including S. 368: Telehealth Modernization Act- Expanding telehealth flexibilities in Medicare beyond the PHE
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 3671/S. 1958 DOC Act; H.R. 1848, LIFT America Act; ensuring access to primary care visits for families enrolled in high deductible health plans
Agencies Lobbied
U.S. Senate
1st Quarter, 2021
In Q1, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $60,000. The report was filed on April 20, 2021.
Original Filing: 301267186.xml
Lobbying Issues
H.R. 1025, Kids Access to Primary Care Act of 2021, Medicaid Pay Parity; H.R. 1868, to prevent across the board direct spending cuts (2% Medicare sequester); H.R. 1319, American Rescue Plan, Modifications to certain coverage under Medicaid for pregnant and postpartum women, expansion of ACA coverage, investments in public health workforce, funding for COVID-19 response; S. 368: Telehealth Modernization Act- Expands telehealth flexibilities in Medicare beyond the PHE
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 1319, American Rescue Plan, investments in public health workforce, funding for COVID-19 response; HR 1848: LIFT America Act - Enhancing public health infrastructure, improve laboratory infrastructure, update care facilities, improve broadband infrastructure, and address social determinants of health
Agencies Lobbied
U.S. Senate
4th Quarter, 2020
In Q4, SPLITOAK STRATEGIES LLC lobbied for American Academy of Family Physicians , earning $20,000. The report was filed on Jan. 20, 2021.
Original Filing: 301240532.xml
Lobbying Issues
National Health Service Corps, Teaching Health Center GME reauthorization; Physician reimbursement issues; H.R. 133 Consolidated Appropriations Act, 2021
Agencies Lobbied
U.S. Senate
4th Quarter, 2020
SPLITOAK STRATEGIES LLC filed a lobbying registration on Jan. 15, 2021 to represent American Academy of Family Physicians, effective Dec. 1, 2020.
Original Filing: 301232259.xml
Issue(s) they said they’d lobby about: Policy issues related to physician reimbursement, delivery system reform, and alternative payment models; telehealth; COVID-19; family physician workforce issues and teaching health center GME .
Source: Clerk of the U.S. House of Representatives and Secretary of the Senate
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