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The Lobbying Ledger

July 27 – August 2, 2026

59
New registrations: 27
Termination filings: 59
Unique clients: 46
Unique registrants

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Top disclosed issue areas: Energy/Nuclear · Agriculture · Budget/Appropriations · Computer Industry

Healthcare · 1:03 a.m. ET

Medicare Proposes 2027 Physician Pay Cut as Temporary Increase Expires

Federal Policy Monitor chart: CMS proposes lower 2027 Medicare physician conversion factors — the qualifying-APM factor falls from $33.59 to $33.17 (down 1.19%) and the nonqualifying-APM factor from $33.40 to $32.84 (down 1.68%), chiefly because a one-year 2.5% increase for 2026 expires.

The Centers for Medicare & Medicaid Services has proposed the calendar-year 2027 Medicare Physician Fee Schedule, and under it physician payment rates would fall relative to 2026. Both of the two conversion factors set in current law would drop — the qualifying-APM factor from $33.59 to $33.17 (−1.19%) and the nonqualifying-APM factor from $33.40 to $32.84 (−1.68%) — chiefly because a one-year 2.5% increase provided for 2026 expires, outweighing smaller statutory updates. The rule is proposed, not final, and is open for public comment through September 14, 2026.

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Defense & National Security Section →

Defense & National Security · Aug 16The Defense Industrial Base, Explained

The defense industrial base is the network of companies, facilities, and workers — from a handful of large prime contractors down through hundreds of thousands of lower-tier suppliers — that designs, builds, and sustains U.S. military equipment. It is guided by the Pentagon’s National Defense Industrial Strategy, authorized through the annual defense bill, funded by appropriations, and, in targeted cases, shaped by the Defense Production Act.

Healthcare Section →

Healthcare · Aug 23CMS Proposes 340B Payment Cut in 2027 Outpatient Rule — Comments Close August 31

The Centers for Medicare & Medicaid Services has proposed paying hospitals ASP minus 33.4 percent for 340B-acquired drugs in calendar year 2027, redistributing the difference to other outpatient services under Medicare's budget-neutral formula. The proposal is open for public comment through August 31, 2026, and is not final.

Agriculture & Food Section →

Agriculture & Food · Aug 25FDA Proposes Mandatory GRAS Safety Notices for Food Ingredients

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Original LDA data · July 27 – August 2, 2026

UAP Policy & Oversight

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