Why It Matters
Post-acute care providers face a perfect storm of financial threats: Medicaid cuts threaten facility closures, telehealth flexibilities expire in weeks without congressional action, and clinical lab reimbursements face 15% cuts starting January 2026. ADVION’s lobbying targets these converging crises by pushing Congress to make telehealth permanent, secure IT modernization grants for nursing homes, stabilize Medicare payments, and prevent lab reimbursement cuts.
The strategy is surgical: ADVION is aligning with active legislation like the Telehealth Modernization Act and supporting specific bills like Rep. Van Duyne’s PURE Act. A House Ways and Means hearing specifically addressed post-acute care access, and bipartisan Senate concern over Medicaid cuts has reached the highest levels. ADVION is betting that financial desperation will drive legislative action on provider relief.
By the Numbers
ADVION, the national trade association for post-acute care suppliers, spent $81,111 on in-house lobbying in the final quarter of 2025. The organization has filed 146 disclosures since 2003, totaling approximately $5.7 million in lobbying expenditures.
Cynthia Klisz Morton, the sole registered lobbyist, has represented ADVION since April 2013 across 50 prior disclosures totaling over $2.23 million. Morton brings two decades of healthcare lobbying experience from the American Health Care Association.
Since 2009, in-house lobbying has dominated ADVION’s strategy, accounting for $2.9 million across 64 disclosures. The last quarter spending reflects a stable, specialized operation targeting a narrowly defined legislative agenda.
The Agenda
ADVION is pushing a focused four-part agenda: extending Medicare telehealth authorities, securing IT grants for nursing homes, obtaining Medicare payment adjustments, and preventing clinical lab reimbursement cuts under PAMA.
Specific legislative targets include the Telehealth Modernization Act and Expanding Remote Monitoring Access Act, which would make pandemic-era flexibilities permanent. ADVION also backs HR 879 (Medicare Patient Access and Practice Stabilization Act).
The advocacy reflects sector-wide pressures: nursing homes face Medicaid cuts and federal staffing mandates, while clinical labs confront payment cuts exceeding 15 percent beginning in 2026. ADVION capitalizes on a $50 billion federal rural health modernization initiative prioritizing technology upgrades.
Broader Context
The post-acute care sector faces converging financial and policy pressures. The American Health Care Association reported 58% of nursing homes anticipate staff reductions due to Medicaid cuts, while states including North Carolina and Idaho have announced payment reductions.
Medicare telehealth flexibilities expire January 30, 2026, creating urgency around the Telehealth Modernization Act. Meanwhile, clinical lab cuts of up to 15% begin January 31, 2026, affecting nearly 800 tests. The RESULTS Act represents the latest bipartisan push for reform.
The Trump administration rescinded Biden-era nursing home staffing rules while CMS announced a $50 billion Rural Health Transformation Program prioritizing technology modernization.
Between The Lines
Congress is actively shaping post-acute care policy. Key lawmakers champion ADVION’s priorities: Rep. Beth Van Duyne introduced the PURE Act with ADVION support, while Rep. Michelle Fischbach and Senators James Lankford and Deb Fischer oppose federal staffing mandates.
Senators Bernie Sanders, Ron Wyden, Mark Warner, and Jeff Merkley have warned that Medicaid cuts could force facility closures, creating bipartisan pressure for relief.
Competitive Landscape
ADVION faces competition from organizations lobbying on overlapping issues. Direct Supply Inc. engages Broydrick & Associates on nursing home reimbursement and the Post Acute Care Purchasing Act. The Post-Acute and Long-Term Care Medical Association advocates for medical professionals.
ADVION’s focus on technology, ancillary services, and payment policy distinguishes its strategy from broader facility operator advocacy.
The Bottom Line
ADVION spent $81,111 lobbying Congress in the final quarter of 2025 on extending telehealth flexibilities, securing IT grants, obtaining payment relief, and preventing lab cuts. With Congress actively debating post-acute care funding amid a $50 billion rural health program, ADVION’s targeted approach addresses urgent sector needs—though success remains uncertain amid broader healthcare cost debates.
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