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Being reactive in Washington is not a strategy for success, it's a way to guarantee that you will always be following someone. Leadership comes from knowing what's next, what's on the horizon, then developing and executing strategies that will let your organization set the agenda.

We are a full service government affairs consultancy specializing in actionable strategic and tactical advice for navigating the Congressional and regulatory processes. We employ targeted advocacy and utilize traditional and new-media strategies to make your message heard. Our satisfied clients include employers, insurers, patient organizations and health care providers.

HORIZON GOVERNMENT AFFAIRS strategically aligns its clients with the forces of change. We provide the intelligence, create the relationships, and form the alliances that make organizations successful, whether on Capitol Hill, with the Administration, or among their competitors or peers.

Set the Agenda

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Setting Your Horizon

The Horizon business model begins with our mission of improving health outcomes and lowering health costs. Our expert staff combines decades of experience in health, economic, budget and tax policy with an intimate grasp of fast-evolving domains such as biomedicine and information technology. We advise you on emerging opportunities and threats, connect you with key decision-makers, and develop and implement communications, legislative and regulatory strategies and tactics designed to reinforce your presence on the health policy horizon.

Horizon has invested years and substantial resources in building dependable advocacy networks through five broad based coalitions representing more than 200 organizations. Our coalitions offer effective platforms to amplify your message, build alliances across diverse organizations and effectively reach Congress, the Administration and the public.


Principled Advocates

With A Track Record of Success.

Our Clients

Our Team

Our eight person bipartisan team has more than 40 years of combined experience as former Congressional and Agency staff. We possess a diverse skill set, from “big picture” economics to detailed understandings of the laws and regulations governing reimbursement structures, health and Medicare reform, quality measurement and improvement, drug development, pricing and patient access, and health IT standards and delivery.


Nina Andrews
Executive Assistant

Jennifer Bernstein
Executive Vice President

Jonathan Frank
Communications Director

Jeff Lemieux
Chief Economist

Catherine Pugh
Director, Government Affairs

Sloane Salzburg
Vice President

Jennifer Pielsticker Steger
Director, Operations & Government Affairs

Joel White
Founder & President

Joel White

Joel is the Founder and President of Horizon Government Affairs. He is the President of the Council for Affordable Health Coverage and its campaigns on transparency and medication adherence (Clear Choices and Prescriptions for a Healthy America) as well as a service organization called Arlington Bridge Builders. In addition, Joel is the Executive Director of the Health IT Now Coalition, an HGA effort to expand adoption and use of health IT to improve outcomes and lower costs. He is on the Board of Directors of the Newborn Foundation and Samaritan Inns.
Joel spent twelve years on Capitol Hill as professional staff, where he helped enact nine laws, including the 2002 Trade Act, which created health care tax credits, the 2003 law that established the Medicare prescription drug benefit and Health Savings Accounts, the 2005 Deficit Reduction Act, and the 2006 Tax Reform and Health Care Act, which reformed Medicare payment policies.
Joel spent six years as staff on the Committee on Ways and Means, first as Professional Staff and then as Staff Director of the Health Subcommittee. Prior to his work on the Committee on Ways and Means staff, Joel worked for Congressman Jim Greenwood (PA) for two years and Congressman Chris Shays (CT) for four years.
He is also the co-author of the book, Facts and Figures on Government Finance (1992), which brings together data on public finance at all levels of government, with comparisons of taxing and spending levels spanning a half century. He holds a BS in Economics from the American University and is a member of the National Economist’s Club.

Jennifer Bernstein

Jennifer joined Horizon Government Affairs in December 2008 as Vice President, focusing on legislative and regulatory developments within the pharmaceutical, biotechnology and medical device sectors.

Prior to joining Horizon, Jennifer was Vice President of Healthcare Research at a mid-sized healthcare advisory and financial services firm. In this capacity, she managed over 100 clients, including hedge funds, mutual funds, investment advisers and healthcare corporations and was responsible for anticipating and translating legislative and regulatory catalysts within all sectors of the healthcare marketplace.

Jennifer also spent several years on Capitol Hill as a legislative assistant to former Congressman James Greenwood (R-PA). Prior to that, Jennifer served as professional staff on the Judiciary Committee in the Pennsylvania House of Representatives, where she helped to develop Megan’s Law.

Jennifer received her Bachelor of Arts in Political Science and History from Millersville University of Pennsylvania, and Master’s Degrees in both American Government and International Relations from Temple University.

She has held the Series 7 (General Securities Representative), Series 65 (Uniform Investment Advisor) and Series 87 (Registered Research Analyst) securities licenses.

Sloane Salzburg

Sloane has ten years of healthcare and life science experience. She is Executive Director of Prescriptions for a Healthy America and leads client work on policies related to medication adherence, precision medicine, and general health reform. Prior to joining Horizon Government Affairs in 2013, Sloane worked on Capitol Hill as a Health Policy Fellow for Congressman Phil Gingrey (R-GA).

She graduated from Georgetown University with a Masters of Science in Biomedical Science Policy and Advocacy. There, she developed and coordinated a student-run advocacy campaign aimed at speeding up FDA approval for medical diagnostic tests. Prior to Georgetown, Sloane attended the University of Florida, where she graduated with a Bachelors of Science in Zoology and completed a senior research thesis on American alligators. Sloane has been an Adjunct Professor in Biology at Daytona State College and has worked as an Emergency Room Technician.

Jennifer Pielsticker

Jennifer joined Horizon Government Affairs in June 2014. Prior to joining Horizon, Jennifer spent seven years on Capitol Hill handling both operations and policy issues. First, serving as the Scheduler and then Legislative Assistant in the office of Representative Jean Schmidt (OH-02) for five years where her portfolio included Agriculture, Financial Services, and Judiciary issues. She then spent the last two years in the office of Representative Jim Gerlach (PA-06) managing operations as the Executive Assistant as well as the Financial Services legislative portfolio.
Jennifer holds a Bachelor of Arts in both Political Science and American Studies from Miami University.

Catherine Pugh

Catherine joined Horizon Government Affairs in September 2014. Prior to joining Horizon, Catherine spent three and a half years at the Parkinson’s Action Network (PAN), where she managed policy initiatives and formulated legislative and advocacy strategies in federal issue areas including Medicare, telehealth, and federal appropriations. At PAN, Catherine also helped coordinate a national network of volunteer grassroots advocates working towards better treatments and a cure for Parkinson’s.
Catherine holds a BA in International Studies with a focus in US Foreign Policy from American University.

Jonathan Frank

Jonathan joined Horizon Government Affairs as Communications Director in 2017 after more than half a decade of service to Congressman Diane Black (R-TN), Chairman of the House Budget Committee and an active member of the GOP Doctors Caucus. His work with the Congressman included various stints as campaign manager, press secretary, and ultimately as communications director in a dual role with the House Budget Committee. During his time on Capitol Hill, Jonathan messaged key health policy issues including value based insurance design (VBID), advance directives legislation, and Affordable Care Act (ACA) replacement efforts. His work on behalf of the Congressman has been published in Time, Fox News, The Hill, Washington Examiner, Health Insurance Underwriters Magazine, and others.
A native of middle Tennessee, Jonathan holds a bachelor’s degree in Political Science from Tennessee Tech University.

Jeff Lemieux

Jeff joined Horizon Government Affairs in 2017 as Chief Economist. He is an economist specializing in health care and public finance. He has been one of the nation's foremost cost estimators of Medicare and health reform programs, has written proposals for health coverage, Medicare reform, and balanced budgets, and created long-term projections of entitlement spending and federal budgets used by Congress and the policymaking community. Jeff has testified before the House Ways and Means Committee, the Senate Finance Committee, and other committees in Congress on Medicare reform, tax-based proposals to expand access to health coverage, chronic care management, and other topics. Prior positions include research positions at the Medicare Office of the Actuary, the Congressional Budget Office, the National Bipartisan Commission on the Future of Medicare, the Progressive Policy Institute, America's Health Insurance Plans, CAQH, and Inforum/University of Maryland.

Jeff received an M.A. in economics from the University of Maryland.

We pride ourselves on our philosophical commitment to market based solutions.
We promote reforms that strategically support disruptive change in a health system characterized by excessive costs and widespread inefficiencies.
Together, we have helped write, negotiate, enact and implement more than twenty public laws.

Passionate Bipartisan Advocates

See Our Model.

Our Model

Our Coalitions

HORIZON GOVERNMENT AFFAIRS operates six diverse not-for-profit coalitions. Together, these coalitions have more than 200 members, including trade groups, individual companies and charities representing patient, provider, payer and employer interests. More information about each can be found below.


Health IT Now

Health IT Now is a broad based coalition of patient groups, provider organizations, employers and payers that supports incentives to deploy heath IT to improve care, provider performance, and to lower costs.

Our priorities:
  • Interoperability.
  • A Regulatory Framework that Promotes Innovation.
  • Data Sharing and Use for Better Research and Care Delivery.
  • Modern, Technology-Enabled Care Delivery.
Learn More

Council for Affordable Health Coverage

The Council for Affordable Health Coverage is a broad based coalition of insurers, employers, patients, consumers, pharmaceutical manufacturers and providers united in the belief that health costs are too high and must come down so that American living standards can start growing again.

Our Priorities:
  • Payment reforms that reward value over volume;
  • Regulatory reforms that promote flexibility in benefit design and allow policyholders to select or retain the health coverage that best meets their needs;
  • Market reforms that expand competition among providers and insurers;
  • Transparency reforms that give consumers and purchasers comparative information on both provider cost and quality and health plan benefit design;
  • Eliminating taxes and mandates that drive up costs;
  • Strong safety nets for those who need medical help.
Learn More

Rare Disease Legislative Advocates

Rare Disease Legislative Advocates (RDLA) is a collaborative organization designed to support the advocacy of all rare disease groups. Our goal is to empower the individual to become an advocate. By growing the patient advocacy community and working collectively we can amplify our many voices to ensure rare disease patients are heard in State and Federal Government.

RDLA Provides:
  • DC office with workstation & meeting space for organizations to use when working in DC;
  • Consulting on legislative and grassroots strategies;
  • Online advocacy tools to contact Members of Congress;
  • Assistance with coalition building and support for legislation;
  • Coordination of lobby days & congressional caucus briefings;
  • Conference calls & meetings to learn about legislation;
  • Clearinghouse of all legislation that affects rare disease patients.
Learn More

Prescriptions for A Healthy America: A Partnership for Advancing Medication Adherence

Prescriptions for a Healthy America: A Partnership for Advancing Medication Adherence brings together leading patient, physician and health care industry leaders to urge policymakers to implement near-term solutions that will help reduce health care costs and improve the lives of patients across the nation. We are working closely with elected officials and other key stakeholders to develop public policies that engage health care providers, patients and others in improving medication adherence as a critical part of improving health in America.

Our priorities include:
  • Coordinating Medical and Pharmacy Care;
  • Achieving Safe Harbor Protection for Adherence Interventions;
  • Promoting and Improving Medication Management Programs (i.e. MTM, Med Sync, CMM); and
  • Leveraging Health IT Tools.
Learn More

Clear Choices

Clear Choices: A Movement for Informed Healthcare is a new consumer-industry campaign, founded by the Council for Affordable Health Coverage, designed to promote health care transparency. The campaign will advance solutions that empower consumers to make better health choices, leading to a more robust, more competitive and less costly health care system.

What We Believe: We believe health care transparency- on price, quality and safety- can help reduce health costs and improve health outcomes by empowering consumers to make better health choices. Unfortunately, current federal and state efforts are not effectively leveraging the latest technology and available data to achieve these goals. To achieve this, Clear Choices believes there should be:
  • Better tools for consumers and employers to make informed decisions;
  • More data in the hands of more experts to power consumer tools; and
  • More competitive markets where consumers can use comparative tools.
Learn More

Strategic Analysis

Offering clients timely analysis and prospective advice.

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Clients

HORIZON GOVERNMENT AFFAIRS staff posses a breadth and depth of experience that has allowed us to represent almost every sector of the American healthcare system.

We are proud of the depth and breadth of organizations that trust us as their Washington, DC presence.


Diverse clients with a broad vision.

Our Clients

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