Peggy Tighe deciphers and interprets highly complex healthcare matters and translates them into action. She teams with health systems, patient groups, and provider organizations to develop persuasive policy arguments and strategies to influence Congress and relevant agencies, creating change to protect and support providers and the patients they serve.

Peggy focuses her practice on lobbying, coalition building, crafting and implementing grass roots campaigns, and coordinating media relations. A dynamic and entertaining speaker, she is well versed on giving congressional and policy updates on subjects such as Affordable Care Act implementation, Medicare provider reimbursement including SGR reform, hospital wage index, nursing payments, Social Security disability, patient safety, medical liability reform, Long Term Acute Care Hospital and clinical laboratory policy, hunger and nutrition, and patient-focused pharmaceutical policy.

Peggy has spent her career understanding the complex policy problems that health systems, patient groups and provider organizations face, and influencing federal policy and decision making on their behalf. Peggy’s prior experience in healthcare lobbying and policy with two highly visible, national healthcare associations, the American Medical Association and the Health Insurance Association of America, as well as with dozens of national coalitions and individual clients, make her unique in this space.

Peggy has built and actively nurtures contacts and relationships on both sides of the political aisle, focusing her efforts on finding the right policy solution. She served as AMA’s lead lobbyist and primary contact with House Republican leadership, the House Energy and Commerce Committee, and some 80 Congressional assignments including the majority of physician members of Congress. She also works closely with the House Ways and Means committee, Senate Finance committee, and other relevant healthcare committees on both sides of the aisle.

Described by clients, Congressional staff, colleagues and contacts as “incredibly responsive” and “a team player”, Peggy devotes enormous effort to ensuring that clients never wonder about her activity and commitment, that members and their staff always have the tools and information they need to support their decision-making, and that her strong relationships on Capitol Hill result in direct benefits to clients. Yet, she’s never too busy to offer assistance, mentoring or guidance to her own team, Hill staffers, or other government relations professionals, as evidenced by her role as past President of Women in Government Relations, a non-partisan government relations association in the Washington metropolitan area and her award as Mentor of the Year from the Public Leadership Education Network.

Additionally, Peggy has:

  • Coordinated the activities of a hospital coalition that obtained more than $3 billion over a five-year period to implement beneficial changes to members’ Medicare area wage index classifications.
  • Led a coalition of five New Orleans area hospitals in the aftermath of Hurricane Katrina, securing hundreds of millions of dollars in federal funding to ensure that the hospitals were able to remain open and serve the community.
  • Effectively lobbied to persuade three U.S. Senators to break with their party on three occasions to vote in support of the AMA-backed Patients Bill of Rights in 1999.
  • Lead lobbyist for House victories on the Medicare Fee Schedule, Medical Liability Reform, Patients’ Bill of Rights, and Antitrust Relief, key issues of great importance to the medical community.
  • Directed and coordinated the activities of six field directors in the Health Insurance Association of America’s priority states during the successful "Harry and Louise" national healthcare reform campaign. Strategized and implemented many of the federal grassroots activities in this campaign, including grasstops (high-level grassroots), coalition‑building, letter‑writing, and database‑building.

Practice Areas


J.D., Delaware Law, 1991

B.A., Wittenberg University, 1988

Washington Semester, American University, 1987

Bar Memberships

District of Columbia

Honors & Awards

Mentor of the Year, Public Leadership Education Network, 2008

Most Distinguished Member, Women In Government Relations, 2008

Memberships & Activities

Public Leadership Education Network Lecturer, 2003 – present

Women in Government Relations President, 2004 – 2006

Board of Directors, 1999 – 2004

Health Care Task Force Co-Chair, 1998 – 1999

Task Force of the Year, 1998

DC Bar Association Active Member, 1997 – present

American Health Lawyers Association