119th Congress · introduced in the House · Jan 16, 2026
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Official title from Congress.gov
Latest action (Jan 16, 2026): Referred to the House Committee on Energy and Commerce.
View on Congress.govPolicy area: Health
No official summary has been published for this bill.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
12 citations.
ADVENTIST HEALTH · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$31,500
Paid to lobbying firm
HR 7145, HR 1 Implemenatation
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ADVENTIST HEALTH · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$31,500
Paid to lobbying firm
HR 7145, HR 1 Implementation
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE OF SAFETY-NET HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
Amount not reported
SDP Comment Letter, HR 7145, OPPS Proposed Rule, SDP
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. View filing
ALLIANCE OF SAFETY-NET HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
Amount not reported
SDP Comment Letter, SDP, HR 7145, OPPS Proposed Rule
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. View filing
SAFETY-NET ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
Amount not reported
HR 7145, HR1 Implementation
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. View filing
SAFETY-NET ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
Amount not reported
HR 7145, HR 1 Implementation
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. View filing
SOUTHCOAST HEALTH SYSTEM · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$45,875
Paid to lobbying firm
HR 7145, SAMHSA grants, 340B reporting requirements from drug makers, 340B
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SOUTHCOAST HEALTH SYSTEM · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$45,875
Paid to lobbying firm
HR 7145, SAMHSA grants, 340B, 340B reporting requirements from drug makers
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ADVENTIST HEALTH · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$31,601
Paid to lobbying firm
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ADVENTIST HEALTH · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$31,601
Paid to lobbying firm
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE OF SAFETY-NET HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$31,000
Paid to lobbying firm
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE OF SAFETY-NET HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$31,000
Paid to lobbying firm
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing