A non-profit 501(c)(3) premium and copayment foundation
Director of Government Relations and Advocacy
James Romano is currently the Director of Government Relations and Advocacy at Patient Services Incorporated (PSI). He has served in this capacity since 2005. James began his career in patient advocacy at the age of 19. As a freshman in college, he lobbied for the passage of the Ricky Ray Hemophilia Relief Fund Act (Public Law 105-369) on behalf of the Hemophilia Community. James has five members of his family with hemophilia and is the fourth generation to advocate on behalf of the plasma community. James scheduled appointments with various Congressional staff. He successfully expanded the cosponsor list on this important legislation that eventually became law in1998. His experience with the Ricky Ray bill changed the course of his career.
After college, James obtained a position on Capitol Hill as a legislative assistant/executive assistant to a Member of Congress, where he served for four years. In the capacity, James developed the initial legislation calling attention to Woman and Bleeding Disorders (House Concurrent Resolution 380) and awarding the Congressional Gold Medal to Rev. Doctor Martin Luther King and Mrs. Coretta Scott King (H.R. 2723).
In 2002, James joined the Washington, DC lobbying firm, the Health and Medicine Counsel of Washington (HMCW), as a contract lobbyist where he represented groups such as the Hemophilia Federation of America, The Dystonia Medical Research Foundation, the Sudden Infant Death Syndrome Alliance, and other patient advocacy organizations and professional societies.
In 2004, James brought on PSI as a client at HMCW and then transitioned on to the staff the next year. Since starting at PSI, James has worked to advance the cause of access for patients with expensive rare conditions to the therapies and treatments. The department has expanded to build relationships with our donors and other patient advocacy groups. PSI is always looking to partner to expand access to other disease groups.
James earned a BA from Marymount University, an MPA from George Mason University, and currently is working to obtain his MBA. James resides in Fredericksburg, Virginia with his wife Carolee and his daughters Rachael, Erica, and Ashley whom he is training to be the fifth generation in the family to advocate for the Hemophilia Community.
Associate Director of Donor and Government Relations
Kelly Fitzgerald has been a member of the PSI Team since October of 2004. She joined the non-profit organization as a part of the Operations Department, overseeing the Rheumatoid Arthritis and Oncology Programs. Hoping to marry her passion for helping people with her background in political science, Kelly transitioned to the Government Relations Department as its first Associate Director in 2007. Since then she has worked with the Director to develop and implement PSI’s Policy Agenda on both the state and federal level ensuring the voice of the patient is heard!
Focusing on state issues in recent years, Kelly has become one of the nation’s leading experts on Prescription Drug Specialty-Tier legislation and works in multiple states to further this important patient access issue. Most recently, Kelly was named Co-Chair of the Virginia Alliance for Medication Affordability and Access (VAMAA) and led the Fair Copay VA Campaign (faircopayva.org). In addition to her policy work, Kelly oversees PSI’s social media advocacy, staff training regarding health policy issues and alliance development.
She holds a B.A. in Political Science and calls Richmond, VA’s Church Hill Neighborhood home. She is a member of the Church Hill Association, the Board of the Virginia Quality Health Care Network (VQHN), the Cancer Action Coalition of Virginia (CACV) and the United Way’s Women’s Leadership Initiative. When not working, you can find Kelly travelling, taking photos for her photography blog Austen Hill and singing in a local bluegrass band.
Government Relations Associate
Mark Hobraczk has spent over two decades expanding access to care for those with high-cost medical conditions. He started out as the Institutional Reimbursement Manager for Wyoming Medicaid, supervised the reimbursement program for the world's largest manufacturer of cochlear implant devices that help the deaf restore hearing, and directed the health care financing and advocacy efforts for the American Speech Language Hearing Association and Health Industry Distributors Association.
Mark returned to law school mid-career, where he represented low-income clients in the University of Denver's Disability Law clinic. He filled a similar role for the ACCESS Program before it was gifted to PSI and has since served as their Government Relations Associate.
Mark also earned a Master of Public Administration from the George Washington University and a Bachelor in Economics from Rutgers University.