Polsinelli has established itself as a major influential law and public policy firm in the nation’s capital since opening its Washington, D.C., office in 2005. Our bipartisan team is comprised of former executive branch officials and senior congressional staff. We advise clients on appropriations, budget, health care, education, immigration and tax policy, as well as First Amendment advertising and media law. The Federal Public Policy practice represents a diverse range of clients that include Fortune 500 corporations, national broadcast and cable networks, food manufacturers, pharmaceutical companies, medical device manufacturers, national construction firms, along with businesses and executives who need our guidance in antitrust, white-collar crime and regulatory litigation.

Our Federal Public Policy practice has directed multiple efforts to defeat federal government proposals to tax or regulate the content of commercial advertising. They have secured government approval of new and innovative medicines and medical devices, and they have stopped a national tax on the sale of broadcast stations.

Our State Public Policy professionals are located in a number of Polsinelli offices, including the capital city of Jefferson City, Missouri. Together, they bring decades of experience in state and local regulatory and administrative law matters, regulation of corporate and business and utility activities in insurance, energy, transportation, health care, construction, telecommunications, pharmaceuticals, consumer product regulation, economic development and gaming businesses.

Our range of services include: 

Publications
Budget Reconciliation and Health Policy: Understanding the Legislative Process and Where Congress May Go Next
Key Takeaways The FY 2027 budget process is underway, with the president submitting his proposal April 3 and committees beginning hearings the week of April 13. Senate leadership is expected to move a budget resolution the week of April 20 with reconciliation instructions. Budget reconciliation allows Congress to advance spending and policy changes with a simple majority in the Senate, creating a viable path for targeted health policy reforms. Lawmakers are weighing whether to revisit health care provisions dropped from prior legislation, which could reshape Medicaid, Medicare and related programs. Stakeholders should monitor upcoming budget resolutions and reconciliation developments for potential inclusion of health policy changes. Early engagement with congressional committees may help shape priorities and prepare for potential shifts. The President submitted his
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The Politics of AI Regulation: Federal Government v. the States
Key Takeaways On December 11, 2025, President Trump signed Executive Order 14365, “Ensuring a National Policy Framework for Artificial Intelligence.” The EO addressed key elements including: 1) Targeting State Regulations; 2) Federal Funding Pressure; 3) Preemption Strategy; 4) National Framework; 5) Targeted Exemptions; and 6) AI Policy Shift. On March 20th, the White House released its anticipated draft framework as required by the EO. Congress and the states have also been highly active in advancing AI legislation and policy frameworks and are showing no signs of slowing down; in 2025, over 40 states introduced about 250 bills related to government use of AI.  Technology companies are seeking a balance between regulatory certainty and avoiding “heavy handed” rules that could stifle innovation or favor competitors, however,
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