All lobbying filings

THE ROTUNDA GROUP LLC

Lobbying for EPHRAIM MCDOWELL HEALTH · Not-for-profit health system providing care in central Kentucky

Filing 2nd Quarter - Report

Reporting period

2nd Quarter 2026

Apr 1 - June 30 · Posted Jul 20, 2026

Income

$20,000.00

What the client paid this registrant for the period.

Client based in

Kentucky

Official filing document

Lobbyists on this filing 2

MIKE BIAGI

Previously held: Legislative director, U.S. Congress
SARAH VAN WALLAGHEN

Previously held: Intern, U.S. Congress

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 1

HOUSE OF REPRESENTATIVES

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

Lobbying activity 2

Medicare/Medicaid

application to CMS for Sole Community Hospital (SCH) designation

Health Issues

practitioner participation in National Health Service Corps loan repayment program

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