Lobbying Relationship


Accountable for Health

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Lobbying firm

Tiber Creek Group

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  • Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.

Duration: to

General Issues: Health Issues, Medicare/Medicaid

Spending: about $200,000 (But it's complicated. Here's why.)

Agencies lobbied since 2023: House of Representatives, U.S. Senate

Bills mentioned

H.R.5013: Value in Health Care Act of 2023

Sponsor: Darin M. LaHood (R-Ill.)

H.R.5378: Lower Costs, More Transparency Act

Sponsor: Cathy McMorris Rodgers (R-Wash.)

S.3503: Value in Health Care Act of 2023

Sponsor: Sheldon Whitehouse (D-R.I.)

H.R.4366: Consolidated Appropriations Act, 2024

Sponsor: John Carter (R-Texas)

Show All Mentioned Bills


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?
Andrew McKechnie Health Policy Adviser, Sen. Finance Cmte. (2009-2010); Legislative Assistant, Sen. Norm Coleman (2007-2008); Legislative Assistant, Rep. Jim Ramstad (2005-2007); Staff Assistant, Rep. Jim Ramstad (2005)
Sean Richardson Chief of Staff, Sen. Amy Klobuchar (2006-2007); Chief of Staff, Rep. Patrick Kennedy (2002-2007); Deputy Staff Dir., Senate Democratic Conference Committee (1999-2002)
John Twomey Chief of Staff, HHS Office of the Asst. Sec. for Legislation (2019-2021); Policy Adviser, HHS (2017-2019); Special Asst., Office of the Secretary, HHS (2017); Staff Assistant, Rep. Tom Price (2015-2017); Intern, Rep. Doug Collins (2015)
Dan Zawitoski Chief of Staff, Rep. Scott Peters (2018-2023); Legislative Director, Rep. Scott Peters (2015-2018); Legislative Assistant, Rep. Scott Peters (2014-2015); Legislative Correspondent, Rep. Scott Peters (2013-2014).
Corey Malmgren Sen. Bill Nelson, Deputy Legislative Director & Health Counsel (2015-2018); Rep. Sandy Levin, Legislative Counsel (2013-2015), Legislative Correspondent, Staff Assistant (2008-2009); House Committee on Ways and Means, Legal Clerk/Intern (2010)

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.

Q1 Report
Q4 Report
Q3 Report
Q2 Report
Q1 Report

Source: Clerk of the U.S. House of Representatives and Secretary of the Senate

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