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All lobbying filings

ALSTON & BIRD LLP

Lobbying for THE METROHEALTH SYSTEM · Non-Profit, Public Health Care System.

 Filing 1st Quarter - Report
Reporting period
1st Quarter 2026
Jan 1 - Mar 31 · Posted Apr 20, 2026
Income
$50,000.00
What the client paid this registrant for the period.
Client based in
Ohio

Official filing document

 Lobbyists on this filing 1
  • ALEXANDER GRAF New on this filing
    Previously held: Deputy Assistant Secretary for Legislation, Department of Health and Human Services; Senate Finance Health Subcommittee Staff Director, Legislative Assistant, Legislative Aide, Deputy Scheduler, Staff Assistant, Senator Debbie Stabenow.

A "covered position" is a government job the lobbyist held in the 20 years before registering, which the law requires them to name. See the revolving door for former members of Congress across all filings.

 Government bodies contacted 4
  • Centers For Medicare and Medicaid Services (CMS)
  • Health & Human Services, Dept of (HHS)
  • HOUSE OF REPRESENTATIVES
  • SENATE

The chambers, agencies and offices the filer named. It does not say who inside them was contacted, or when.

 Bills named in this filing 3
  • HR 879
    Medicare Patient Access and Practice Stabilization Act of 2025
  • HR 5371
    Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions …
  • HR 4392
    Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025
 Lobbying activity 3
Medicare/Medicaid

Medicaid State-Directed Payments. 340B Modernization. Funding for Disproportionate Share Hospitals (Medicaid DSH). Support for protecting front line multimission hospitals. Support of telehealth policies, including for audio-only telehealth services. Acute hospital care at home waiver flexibility. In general, support provisions to reform Medicare physician fee schedule payment policies and access to physician services. H.R.879, Medicare Patient Access and Practice Stabilization Act of 2025. Support for policies protecting access to Medicaid. Pub. L. No. 119-21, One Big Beautiful Bill Act, provisions regarding Medicaid provider taxes, state directed payments and other policies. H.R.5371, Continuing Appropriations and Extensions Act, 2026, provisions related to Medicaid DSH, telehealth, Hospital at Home program. H.R.4392, Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025. Medicare graduate medical education programs/funding; Medicare funding of trauma centers.

Health Issues

Support for protecting front line multimission hospitals. Sustainability of safety net health systems. Support of telehealth policies, including for audio-only telehealth services. Support for policies to enhance health care workforce programs. Expanding the healthcare workforce. Support for policies to protect access to Medicaid. Protecting the 340B drug discount program. Pub. L. No. 119-21, One Big Beautiful Bill Act, provisions regarding Medicaid and protecting multimission hospitals. H.R.4392, Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025. Trauma center certification, funding, and quality; Market saturation of trauma care and detrimental impact patient outcomes.

Budget/Appropriations

Support for protecting front line multimission hospitals. Congressionally directed spending request in the Labor-HHS Appropriations bill for capital funding for Emergency Department renovation. H.R.5371, the Continuing Appropriations and Extensions Act, 2026.

Source: federal Lobbying Disclosure Act filing, reproduced as filed. Bills are parsed from the activity descriptions.

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