Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including S. 1294, the Competitive Bidding Relief Act of 2023, S. 3430, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 and H.R. 5555, the DMEPOS Relief Act of 2023. Issues related to durable medical equipment ordering, payment, telehealth, home oxygen, non invasive ventilator, wound care, diabetes supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades, including H.R. 5371, the Choices for Increased Mobility Act of 2023. H.R.2872, Further Additional Continuing Appropriations and Other Extensions Act, 2024, H.R.4366, Consolidated Appropriations Act, 2024, and H.R.2882, Further Consolidated Appropriations Act, 2024, as they relate to durable medical equipment payment rates.
Duration: August 1, 2021
to
present
General Issues: Medicare/Medicaid , Health Issues , Government Issues
Spending: about $640,000 (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 2021: House of Representatives, U.S. Senate, Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB)
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?
Brett Baker U.S. Senate Committee on Finance (Senators Crapo, Grassley, and Hatch)-Deputy Health Policy Director; Health Policy Dir.; Senior Policy Advsr; Policy Advisor. U.S. House of Representatives Committee on Ways and Means (Reps. Camp and Ryan) Prof. Staff
Mary Beth Savary Taylor Joint Economic Committee, General Counsel; U.S. Senator Connie Mack, Legislative Assistant
Greg D'Angelo White House Office of Management and Budget, Associate Director of Health Programs;
Senate Committee on the Budget (Sen. Gregg, Sen. Sessions, and Sen. Enzi), Professional Staff Member
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, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on April 17.
Original Filing: 301552399.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including S. 1294, the Competitive Bidding Relief Act of 2023, S. 3430, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 and H.R. 5555, the DMEPOS Relief Act of 2023. Issues related to durable medical equipment ordering, payment, telehealth, home oxygen, non invasive ventilator, wound care, diabetes supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades, including H.R. 5371, the Choices for Increased Mobility Act of 2023. H.R.2872, Further Additional Continuing Appropriations and Other Extensions Act, 2024, H.R.4366, Consolidated Appropriations Act, 2024, and H.R.2882, Further Consolidated Appropriations Act, 2024, as they relate to durable medical equipment payment rates.
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2023
In Q4, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on Jan. 19.
Original Filing: 301529777.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including S. 1294, the Competitive Bidding Relief Act of 2023, S. 3430, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 and H.R. 5555, the DMEPOS Relief Act of 2023. Issues related to durable medical equipment ordering, payment, telehealth, home oxygen, non invasive ventilator, wound care, diabetes supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades, including H.R. 5371, the Choices for Increased Mobility Act of 2023.
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2023
In Q3, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on Oct. 18, 2023.
Original Filing: 301505389.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including S. 1294, the Competitive Bidding Relief Act of 2023, and H.R. 5555, the DMEPOS Relief Act of 2023. Issues related to durable medical equipment ordering, payment, telehealth, home oxygen, wound care, diabetes supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades, including H.R. 5371, the Choices for Increased Mobility Act of 2023.
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2023
In Q2, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on July 19, 2023.
Original Filing: 301481371.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including S. 1294, the Competitive Bidding Relief Act of 2023. Issues related to durable medical equipment payment, telehealth, home oxygen, wound care, diabetic supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades.
Agencies Lobbied
U.S. House of Representatives
1st Quarter, 2023
In Q1, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on April 20, 2023.
Original Filing: 301460168.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. Issues related to durable medical equipment payment, telehealth, home oxygen, wound care, diabetic supplies, and program integrity. Issues related to titanium/carbon wheelchair upgrades.
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2022
In Q4, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on Jan. 17, 2023.
Original Filing: 301429743.xml
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. H.R. 6641, DME Relief Act of 2022. H.R. 2356, Better Wound Care at Home Act of 2021. H.R. 2617 (P.L. 117-328), the Consolidated Appropriations Act of 2023, including issues related to durable medical equipment payment, telehealth and sequestration. Issues related to titanium/carbon wheelchair upgrades.
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2022
In Q3, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on Oct. 18, 2022.
Original Filing: 301407610.xml
Lobbying Issues
Monitored issues related to H.R. 5376 (P.L. 117-169), the Inflation Reduction Act.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. H.R. 6641, DME Relief Act of 2022. H.R. 2356, Better Wound Care at Home Act of 2021. Issues related to durable medical equipment and telehealth. Issues related to titanium/carbon wheelchair upgrades. Issues related to home oxygen medical necessity documentation. Monitored issues related to H.R. 3173, the Improving Seniors' Timely Access to Care Act.
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2022
In Q2, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on July 19, 2022.
Original Filing: 301385687.xml
Lobbying Issues
Issues related to medical device supply chain and shortages. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored issues related to provider relief fund distributions.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. H.R. 6641, DME Relief Act pf 2022. H.R. 2356, Better Wound Care at Home Act of 2021. Issues related to durable medical equipment and telehealth. Issues related to titanium/carbon wheelchair upgrades.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to improving Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. Monitored issues related to H.R. 5376, The Build Back Better Act.
Agencies Lobbied
U.S. House of Representatives
1st Quarter, 2022
In Q1, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on April 14, 2022.
Original Filing: 301356377.xml
Lobbying Issues
Issues related to medical device supply chain and shortages. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored issues related to provider relief fund distributions.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to improving Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including the Centers for Medicare and Medicaid Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Final Rule. H.R. 6641, DME Relief Act of 2022. H.R. 2471, Consolidated Appropriations Act of 2022, as it relates to telehealth. Issues related to scope of competitive bidding program.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to improving Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. Monitored issues related to H.R. 5376, The Build Back Better Act.
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2021
In Q4, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $60,000. The report was filed on Jan. 17, 2022.
Original Filing: 301324171.xml
Lobbying Issues
Monitored issues related to FY 2022 Budget Resolution. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored H.R. 3684 (P.L. 117-58), the Infrastructure Investment and Jobs Act, as it relates to health care. Monitored issues related to provider relief fund distributions.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to improving Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas, including the Centers for Medicare and Medicaid Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Final Rule. S. 610 (P.L. 117-71), the Protecting Medicare and American Farmers from Sequester Cuts Act, as it relates to Medicare sequestration.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Monitored issues related to FY 2022 Budget Resolution. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored H.R. 3684 (P.L. 117-58), the Infrastructure Investment and Jobs Act, as it relates to health care.
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2021
In Q3, THE NICKLES GROUP, LLC lobbied for American Association for Homecare (AAHomecare) , earning $40,000. The report was filed on Oct. 20, 2021.
Original Filing: 301307535.xml
Lobbying Issues
Monitored issues related to FY 2022 Budget Resolution. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored issues related to provider relief fund distributions.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Issues related to improving Medicare durable medical equipment payment rates in competitive bidding and non-competitive bidding areas. Issues related to scheduled Medicare sequester payment reductions.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Monitored issues related to S.Con.Res 14, FY 2022 Budget Resolution. Monitored issues related to H.R. 5376, The Build Back Better Act. Monitored H.R. 3684, the Infrastructure Investment and Jobs Act, as it relates to health care.
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2021
The Nickles Group, LLC filed a lobbying registration on Aug. 9, 2021 to represent American Association for Homecare (AAHomecare), effective Aug. 1, 2021.
Original Filing: 301294012.xml
Issue(s) they said they’d lobby about: Payment and other issues related to durable medical equipment. .
Source: Clerk of the U.S. House of Representatives and Secretary of the Senate
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