Senate Files

Bills

S. 4384 119th Congress

Medicare Advantage Improvement Act of 2026

Latest action, Apr 27, 2026: Read twice and referred to the Committee on Finance.

How the Senate voted

The Senate hasn't taken a roll call on this bill in the Congresses covered.

3 cosponsors

Sponsored by Roger Marshall (Republican). Cosponsors by party, House members included:

  • Democrats
  • Republicans
  • Independents
Cosponsors
2 D · 1 R
  • Democrat
  • Republican
  • Independent
3 senators cosponsoring

Referred to: Senate: Finance Committee

Who lobbied on it

Clients whose quarterly lobbying reports named it, each quarter.

22 clientsQ2 2026Q3 2026

The clients with the most reports naming it. A report's amount covers all of that client's lobbying in the quarter, not just this bill.

ALLIANCE FOR MEDICARE
THE PICARD GROUP, LLC
2 reports
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)
2 reports
AMERICAN ACADEMY OF FAMILY PHYSICIANS
2 reports
AMERICAN HEALTH CARE ASSOCIATION
2 reports
AMERICAN HOSPITAL ASSOCIATION
2 reports
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION
ALSTON & BIRD LLP
2 reports
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION
2 reports
DIRECT SUPPLY, INC.
2 reports
FEDERATION OF AMERICAN HOSPITALS
2 reports
KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC)
RUBIN HEALTH POLICY CONSULTING, LLC
2 reports
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATL ASSN FOR HOME CARE & HOSPICE)
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE)
2 reports
PROVIDENCE ST. JOSEPH HEALTH
2 reports
THE METROHEALTH SYSTEM
2 reports
AMERICAN ACADEMY OF PHYSICAL MEDICINE AND REHABILITATION
1 report
AMERICAN COLLEGE OF GASTROENTEROLOGY
ALSTON & BIRD LLP
1 report
All 25 of 30 clients
ClientLobbying firmReportsReports totalingFromToSenate
ALLIANCE FOR MEDICARETHE PICARD GROUP, LLC2$160KQ2 2026Q3 2026yes
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)2$6.0MQ2 2026Q3 2026yes
AMERICAN ACADEMY OF FAMILY PHYSICIANS2$1.5MQ2 2026Q3 2026yes
AMERICAN HEALTH CARE ASSOCIATION2$1.7MQ2 2026Q3 2026yes
AMERICAN HOSPITAL ASSOCIATION2$8.3MQ2 2026Q3 2026yes
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATIONALSTON & BIRD LLP2$0Q2 2026Q3 2026yes
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION2$400KQ2 2026Q3 2026yes
DIRECT SUPPLY, INC.2$400KQ2 2026Q3 2026yes
FEDERATION OF AMERICAN HOSPITALS2$1.5MQ2 2026Q3 2026yes
KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC)RUBIN HEALTH POLICY CONSULTING, LLC2$91KQ2 2026Q3 2026yes
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATL ASSN FOR HOME CARE & HOSPICE)NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE)2$1.2MQ2 2026Q3 2026yes
PROVIDENCE ST. JOSEPH HEALTH2$360KQ2 2026Q3 2026yes
THE METROHEALTH SYSTEM2$440KQ2 2026Q3 2026yes
AMERICAN ACADEMY OF PHYSICAL MEDICINE AND REHABILITATION1$30KQ2 2026Q2 2026yes
AMERICAN COLLEGE OF GASTROENTEROLOGYALSTON & BIRD LLP1$50KQ3 2026Q3 2026yes
AMERICAN MEDICAL ASSOCIATION1$5.1MQ2 2026Q2 2026yes
ASCENSION HEALTH ALLIANCE D/B/A ASCENSIONTHE SMITH-FREE GROUP, LLC1$0Q3 2026Q3 2026yes
BLOOD CANCER UNITED (FKA THE LEUKEMIA & LYMPHOMA SOCIETY)1$120KQ3 2026Q3 2026yes
BLUE CROSS AND BLUE SHIELD ASSOCIATION1$1.2MQ3 2026Q3 2026yes
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC1$100KQ3 2026Q3 2026yes
BLUE CROSS AND BLUE SHIELD OF KANSAS INC1$10KQ3 2026Q3 2026yes
BLUE CROSS BLUE SHIELD OF MICHIGAN1$276KQ3 2026Q3 2026yes
DISABILITY RIGHTS EDUCATION & DEFENSE INC1$10KQ2 2026Q2 2026yes
GUIDEWELL MUTUAL HOLDING CORPORATION1$0Q3 2026Q3 2026yes
MEDICAL GROUP MANAGEMENT ASSN1$300KQ2 2026Q2 2026yes