Why it Matters
Andes Medical Care’s first-time entry into federal lobbying comes as healthcare providers face over $1 trillion in Medicare and Medicaid cuts from Trump’s "One Big Beautiful Bill Act." The organization hired veteran healthcare lobbyist Jon Brooks Rawlson, signaling urgent defensive action amid an industry-wide mobilization to reverse devastating 2028 funding reductions.
By the Numbers
- Lobbying Team: Andes Medical Care engaged Armory Hill Advocates on July 22, 2025.
- Lead Lobbyist: Rawlson brings 20+ years specializing in Medicare/Medicaid regulations. His track record includes 26 disclosures with Interim HealthCare of West Texas and 25 with SkinCure Oncology.
- Spending History: No prior lobbying expenditures reported. Focus exclusively on Medicare/Medicaid issues.
Broader Context
The “One Big Beautiful Bill Act” threatens healthcare organizations with massive funding cuts. Provider tax limits drop from 6% to 3.5% starting 2028. State-directed payment caps could eliminate billions in hospital revenue. Work requirements for Medicaid expansion could cause 5.3 million people to lose coverage.
The healthcare industry’s lobbying campaign failed to stop the legislation. Now organizations face a 2.5-year window to reverse cuts before implementation.
The Agenda
Andes Medical Care registered to lobby specifically on Medicare and Medicaid policy matters. No specific legislation identified, but the broad focus suggests defensive positioning against the sweeping healthcare cuts scheduled for 2028.
Competitive Landscape
Healthcare organizations are rapidly expanding lobbying operations after the industry’s rare political defeat. K Street firms report surging healthcare client revenue. Rural hospitals face particular vulnerability, with some potentially closing due to funding cuts.
Rawlson’s client portfolio shows extensive work with home health providers like LHC Group and Almost Family, suggesting specialized expertise in Medicare-dependent services.
Between The Lines
Congress faces mounting pressure on Medicare reimbursement issues. Medicare physician payments declined 33% since 2001 when adjusted for inflation. A 2.83% cut took effect January 1, 2025.
Representatives Murphy and Panetta’s Medicare Patient Access and Practice Stabilization Act gained bipartisan physician-legislator support. The Reducing Medically Unnecessary Delays in Care Act addresses prior authorization burdens.
Multiple bills target Medicare Advantage reform and healthcare price transparency requirements.
The Bottom Line
Andes Medical Care joins a wave of healthcare organizations seeking lobbying representation to combat existential funding threats. With experienced counsel and a narrow window for reversal, the organization positions itself for defensive advocacy in an increasingly challenging policy environment.
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