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CONGRESS OF NEUROLOGICAL SURGEONS

Lobbying for CONGRESS OF NEUROLOGICAL SURGEONS

 Filing 4th Quarter - Report
Reporting period
4th Quarter 2025
Oct 1 - Dec 31 · Posted Jan 20, 2026
Expenses
$35,000.00
What this organization spent lobbying with its own staff. Reported using B: the three LDA methods count different costs, so an expenses figure is not comparable across filers that used different ones.
Client based in
District of Columbia

Official filing document

 Lobbyists on this filing 1
  • CHARLOTTE ESTELA PINEDA
    Previously held: US Senate Health, Education, Labor & Pensions (HELP) Committee US Senator Roger Marshall, MD (KS) US Representative Roger Marshall, MD (KS-01) US Representative Chris Collins (NY-27) US Representative Brian Fitzpatrick (PA-08)

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 14
  • S 1105
    No UPCODE Act
  • S 1390
    Physician Led and Rural Access to Quality Care Act
  • HR 2191
    Physician Led and Rural Access to Quality Care Act
  • S 1816
    Improving Seniors’ Timely Access to Care Act of 2025
  • HR 2514
    Trucker Bathroom Access Act
  • S 2439
    Resident Physician Shortage Reduction Act of 2025
  • HR 3890
    Resident Physician Shortage Reduction Act of 2025
  • S 2903
    Safe Step Act
  • HR 5509
    Safe Step Act
  • HR 6160
    Strengthening Medicare for Patients and Providers Act
  • HR 2443
    NPR and PBS Act
  • HR 4002
    Patient Access to Higher Quality Health Care Act of 2025
  • S 2587
    Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
  • HR 5304
    Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
 Lobbying activity 2
Medicare/Medicaid

S. 1105, No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act: Medicare Advantage payment reform S. 1390/H.R.2191, Physician Led and Rural Access to Quality Care Act, to revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1816/H.R.2514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training. S. 2903/H.R.5509, Safe Step Act, To amend ERISA to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. H.R.6160, Strengthening Medicare for Patients and Providers Act, to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 2443, Reducing Medically Unnecessary Delays in Care Act: To ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R.4002, Patient Access to Higher Quality Health Care Act of 2025, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expands prior authorization to traditional Medicare. No Bill: Urging Congress to take action to prevent the efficiency adjustment in the 2026 Medicare Physician Fee Schedule

Budget/Appropriations

S. 2587/ H.R. 5304, Labor-HHS-Education Appropriations: HHS programs funding, including NIH; preventing funding of WISeR prior authorization model

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

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