National Association of Freestanding Emergency Centers (Nafec)

Represent the spectrum of FECs, including independent, hospital-owned, and hybrid models.

Based in TX

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AI Overview

With $1.9M in lobbying spend across 32 quarterly filings, National Association of Freestanding Emergency Centers (Nafec) is a significant lobbying presence.

$1.9M
Total Lobbying Spend
32
Quarterly Filings
1
Lobbying Firms Used
8
Individual Lobbyists

Spending by Year

YearLobbying Spend
2018$200K
2019$100K
2020$420K
2021$240K
2022$180K
2023$240K
2024$240K
2025$240K

Lobbying Firms

THE MCMANUS GROUP

What They Lobby For

  • Including funding for freestanding emergency centers in H.R. 1625 - Consolidated Appropriations Act, 2018.
  • Education and advocacy regarding emergency services and Medicare reimbursement of freestanding emergency centers.
  • Education and advocacy regarding emergency services and Medicare reimbursement of freestanding emergency centers. Support for S. 3531 - Emergency Care Improvement Act.
  • Support for surprise billing reform.
  • Support for surprise billing reform, including H.R. 3502, to amend the Public Health Service Act and title XI of the Social Security Act to protect health care consumers from surprise billing practices, and for other purposes; H.R 3630, the No Surprises Act; S. 1895, the Lower Health Care Costs Act; and S. 1531, the Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019.
  • Education and advocacy regarding emergency services and Medicare reimbursement of freestanding emergency centers. Support H.R. 2282/S. 966, the Medicare Care Coordination Improvement Act.
  • Surprise billing reform, including H.R 3630, the No Surprises Act, and S. 1895, the Lower Health Care Costs Act.
  • Surprise billing reform, including S. 1895, the Lower Health Care Costs Act, H.R. 3630, the No Surprises Act, H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act, and H.R. 5800, the Ban Surprise Bills Act.
  • Education and advocacy regarding emergency services and Medicare reimbursement of freestanding emergency centers, including H.R. 748, the CARES Act, and CMS-1744-IFC.
  • Education and advocacy regarding emergency services and Medicare reimbursement of freestanding emergency centers, including CMS-1744-IFC, and CMS-5531-IFC.

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Data Sources: Senate LDA Filings

Last updated: February 2026

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