Why It Matters

Scott & White Healthcare Systems, a Texas-based healthcare organization, ended its engagement with Lucas Compton LLC effective July 1, 2026. The termination filing was signed Aug. 14, 2026, with a filing amount of $30,000.

By The Numbers

The termination represents a departure for both parties. Lucas Compton LLC represented Scott & White Healthcare Systems as a lobbying firm since at least 2011. The firm charged $30,000 or less per quarter for the engagement period from 2012-2026.

Scott & White had maintained active lobbying presence through periods of intense congressional activity on healthcare reform, focusing on the Lower Health Care Costs Act and Preserving our Commitment to Homeless Veterans Act.

Broader Context

From 2017 through 2022, Scott & White's lobbying focused on the 340B Drug Pricing Program, Disproportionate Share Hospital (DSH) payment extensions, modifications to the Medicare Hospital Outpatient Prospective Payment System, and opposition to the Medicaid Fiscal Accountability Regulation.

In 2023, Scott & White pivoted toward telehealth policy, advocating for permanent extension of telehealth waivers through the period ending in 2026. The firm also worked on surprise medical billing as that issue moved from monitoring status to eventual legislative resolution. The No Surprises Act became effective Jan. 1, 2022, establishing protections for consumers facing unexpected out-of-network charges.

On the 340B program, Scott & White advocated for reform even as the Centers for Medicare and Medicaid Services (CMS) moved to cut reimbursements. CMS finalized 340B payment cuts that reduced payments from ASP+6 percent to ASP-22.5 percent, a significant compression that would have affected the economics of the program for participating health systems like Scott & White.

The Bottom Line

The organization's shift away from the long-standing relationship comes as healthcare policy debate continues on multiple fronts, from appropriations battles to ongoing questions about payment models for safety net providers.

Spot something wrong? Report an issue with this article