That Said

Is anyone even working in D.C. in August? 

If you’ve ever tried to schedule a meeting in Washington during August, you’d be forgiven for thinking the entire federal government evaporates into thin air. Lawmakers vanish. Hearing rooms go dark. Suits are replaced by polos. Surely nothing important is happening, right? 

Wrong. 

While Congress heads home for its traditional District Work Period—hosting town halls and visiting local businesses—federal agencies are deep in the weeds drafting, publishing, and collecting comments on major regulatory proposals. In fact, some of the most consequential Medicare rules of the year drop precisely when Capitol Hill is empty. 

Congressional District Work Period: A Historical Snapshot 

The August break dates back to the mid-20th century, when longer sessions, heavier legislative workloads, and a sweltering, pre-air-conditioned Washington led lawmakers to seek respite during the hottest part of the year. But it wasn’t until the 1970s—amid government reforms and rising constituent demands—that Congress institutionalized this district-focused period in the 1970 Legislative Reorganization Act. 

What Congress Is Doing 

During August, Members of Congress actively: 

• Hold town halls and community events 

• Visit schools, businesses, and local organizations 

• Engage with civic and media stakeholders 

• Address constituent concerns and casework 

This time back home isn’t a vacation—it’s a political imperative. (Especially in an election year.) 

What Agencies Are Doing 

Back in Washington, regulatory agencies like CMS, HHS, and FDA are hard at work. The August calendar often includes: 

• Release of Medicare payment rules for the next calendar year 

• Opening of public comment periods for providers, associations, and advocates 

• Data and policy development for final rules due in the fall 

• Stakeholder meetings, technical briefings, and internal regulatory review 

Currently Open Medicare Rules 

Here’s what’s live now on Regulations.gov and requires action in the very near-term: 

• CY 2026 ESRD Prospective Payment System (CMS20250240) – Comments due August 29 

• Provider Enrollment Changes (CMS20250242) – Comments due August 29 

• CY 2026 Home Health Prospective Payment System – (CMS202512347) – Comments due September 5 

• CY 2026 Medicare Physician Fee Schedule & QPP (CMS1832P) – Comments due September 12 

• CY 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Proposed Rule – (CMS202513360) – Comments due September 15 

 These comment windows are crucial—and they don’t wait for Congress to return. 

 Why August Matters 

For health care advocates, it’s one of the busiest months of the year.  Here’s what we are doing: 

• Meeting with lawmakers in-district to shape fall legislative priorities 

• Hosting site visits 

• Catching up Congressional staff who have a bit more time to talk 

• Analyzing proposed rules and draft formal comments 

August does mean a break but it doesn’t mean sitting back. 

Coalition meetings with policymakers are powerful opportunities—but only if they’re well-prepared. A successful meeting requires more than showing up with shared goals; it demands coordination, clarity, and a thoughtful approach to who delivers which message. When each coalition partner knows their role and contributes strategically, the group can present a united, persuasive front that leaves a lasting impression on decision-makers. 

Maximizing Policy Meetings Through Strategic Coalition Preparation 

Coalition meetings with policymakers are high-stakes opportunities to drive your message forward. When done right, they show unity, strength, and shared purpose. But these meetings don’t just happen—they require thoughtful planning, coordination, and a smart use of resources. Here’s how to make the most of your coalition’s next policy meeting. 

Assign Roles and Play to Strengths 

Before the meeting, identify which coalition members are best positioned to speak on specific policy points. For example, if one organization has deep expertise in how a policy impacts a particular population, let them lead that part of the conversation. If a coalition partner can bring a constituent voice to the table—someone directly affected by the issue—consider starting the meeting with their story to set a compelling tone. Map out the speaking order, assign key messages to each speaker, and make sure everyone keeps their remarks focused and impactful. 

Make the Case for Why You Matter 

Every policymaker meeting should begin by establishing credibility. Why should this office pay attention to your group? Use your coalition’s collective reach to your advantage—highlight your members’ expertise, geographic footprint, and community presence. Whether it’s a strong presence in the policymaker’s district or a specialized industry perspective, demonstrate clearly why your coalition’s voice matters. 

Leverage Coalition Resources for Greater Impact 

One of the greatest benefits of working in a coalition is having access to a range of tools and resources. Tap into these assets to strengthen your message. A policy organization within your coalition might provide compelling data, while a corporate partner might offer powerful visuals or localized insights. Sharing these materials during or after the meeting can reinforce your points and leave a lasting impression. 

Use Principals for High-Level Engagement 

When engaging at a higher level—such as with senior congressional staff or members themselves—consider bringing in principals from your coalition organizations. Having CEOs, executive directors, or other high-profile leaders speak to shared goals can signal just how serious and unified your coalition is about the issue. Their participation underscores commitment and can help build momentum toward your desired policy outcome. 

Keep in Mind 

Coalition meetings are most effective when they’re carefully orchestrated. By assigning clear roles, using your members’ unique strengths, and delivering a polished, unified message, you’ll be better positioned to influence policy and build long-term relationships with decision-makers. With the right preparation, your coalition can become a force that policymakers not only hear—but remember. 

Chamber Hill Strategies 

When it comes to coalition building, Chamber Hill Strategies stands out among lobbying firms in DC. Our comprehensive approach helps clients achieve their advocacy goals. With strong relationships on Capitol Hill and a track record of shaping health policy, we turn complex challenges into real-world wins. 

Let our expertise in Washington, DC, guide your efforts towards successful and meaningful stakeholder engagement. Look for our next blog about successfully identifying the right partners.