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Powers Principal Peggy Tighe was named a 2023 Top Lobbyist by the National Institute for Lobbying & Ethics. This distinction spotlights professionals that saw significant legislative success, have been innovative in their field, are held in high regard by their clients or members, and are individuals who give back to their community through charity or pro bono work.

“The joy and challenge of lobbying is ethically and earnestly building real relationships – with a deep understanding of information that must be concisely relayed in the context of established Congressional process and procedure and ever-changing politics,” said Peggy Tighe.

The NILE award was based on Peggy’s work with the Regulatory Relief Coalition (RRC), a group of national physician specialty organizations advocating for regulatory burden reduction in Medicare so that physicians can spend more time treating patients.  RRC’s focus is in creating commonsense reform of Medicare Advantage plans use of prior authorization to ensure that prior authorization is not a barrier to timely access to care for the patients through the enactment of the Improving Seniors’ Timely Access to Care Act (Seniors’ Act). Principal Diane Millman helped orchestrate the regulatory efforts for the RRC.

This year, Peggy harnessed the talents of her team and coalition along with the bipartisan support for the Seniors Act in the 117th into letter campaigns to CMS in the House and Senate led by the eight bipartisan and bicameral champions of the Improving Seniors’ Timely Access to Care Act (Seniors Act).  The massive grassroots campaign through the RRC member organizations and the 500 supporting organizations achieved a majority in both the House (233) and Senate (61) (see RRC PRESS RELEASE). In July, the House Ways and Means Committee passed health legislation out of committee which included provisions from the Seniors Act. In October, the House Energy and Commerce health subcommittee reviewed the Seniors Act. The RRC is eagerly awaiting release of a final rule that would establish important regulations on prior authorization and should propel passage of the legislation.


The Powers government relations and public policy law firm team represents trade associations, nonprofit organizations, coalitions, and businesses in healthcare. Powers has significant expertise working with physicians and other health care professionals, hospitals and hospital systems, health technology providers, and a wide range of post-acute care and ancillary service providers and suppliers. To learn more about the Regulatory Relief Coalition, you may visit the following website page. Peggy Tighe can be reached at Peggy.Tighe@PowersLaw.com or 202-875-6752.

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