As a strong believer in the intersection of community, politics, and the law, I am proud to offer my clients a well-rounded approach to their legal needs.  Clients' goals do not take a 'one-size-fits-all' form, and while one client may require complex litigation assistance, another may be best helped through a series of phone calls to state regulators in Frankfort.  As an experienced attorney and state policymaker, I am uniquely situated to advocate for clients in whichever forum is suited to their circumstances and provides the most effective and efficient solution to their concerns.  My active involvement in the healthcare industry, state government circles, and Kentucky business community will ensure you the experience of your own in-house counsel and the best possible return on investment for your legal budget.  Give me a call today - I would be honored to work with you.

BEFORE MCBRAYER

Before beginning private practice in 2013, I led the compliance department of a Fortune 500 managed care organization, where I served as a liaison between the corporation's statewide health plan and the Kentucky Cabinet for Health and Family Services; led the preparation of materials for internal and external audits; researched legal and contractual issues that arose in the course of health plan operations; and facilitated the compilation, submission, and approval of statutory reports and communication materials. My experience in the corporate environment has provided me with a uniquely operational perspective and allows me to provide you with advice that is not only legally compliant, but is financially feasible for your company. I have spent a great deal of time ‘at the table’ with our Commonwealth’s lawmakers and regulatory leaders and know who to call to ensure your company’s success in compliance with applicable requirements.

From 2017-2018, I served the Commonwealth of Kentucky in a number of leadership roles, including as Senior Policy Advisor, Deputy General Counsel, and healthcare lead for the Kentucky House of Representatives; Deputy Commissioner for the Kentucky Department for Medicaid Services; and finally as Senior Advisor to the Secretary of the Kentucky Cabinet for Health and Family Services.  My experience and relationships within the Commonwealth’s primary healthcare agencies are vital to my clients’ success in navigating the often complex regulatory framework within which they operate.

Practice Areas

News

Seminars & Speaking Engagements

Articles

Blog Posts

Much of my legal practice focuses on the healthcare community, from individual providers looking to expand their small businesses to larger hospitals, insurance companies, and non-profit organizations. Healthcare is a dynamic industry, and part of my job is to keep you up-to-date on any changes that may affect your particular business or organization. After all, your job is to practice medicine or run a business, not to spend your days reading legal journals or complex regulations! Allow me to ensure your compliance with the ever-growing legal and regulatory requirements to which your entity is subject. Whether you would like to grow your practice, develop policies and procedures for your company, respond to a subpoena or an audit request, defend an action in court, or anything in between – I possess the skill set, experience, and relationships in Kentucky’s healthcare community to get the job done.

Kentucky’s healthcare outcomes are dependent upon the provision of innovative quality healthcare solutions.  The pressing concern of Kentucky’s opioid crisis will only be solved through effective healthcare community connections and teamwork, and my extensive experience working with stakeholders from local pharmacies to rehabilitation centers for pregnant women to the state’s own Justice Cabinet ensures that I can provide the insight and form the relationships necessary for my clients to effectively transform our state from a sick one to a thriving one.

I have served at the front line of many of Kentucky’s emerging healthcare issues and practices, including those pertaining to independent pharmacies and pharmacy benefit managers, Supports for Community Living providers, child care facilities, and managed care organizations.  I welcome the opportunity to keep you abreast of upcoming changes to the systems that affect you most and to assist in your path forward.

Having grown up in a family of small business owners and having started my career in house for a Fortune 500 corporation, I know the struggles facing businesses of all sizes in our current regulatory environment. I consider it my job as your attorney to not only inform you about the legalities of the issues that you face, but also how to effectively comply with the law in a manner that is functional for your particular company or organization. Businesses and organizations do not come in ‘one size fits all’, and having served as a decision-maker for both, I know the detailed cost and benefit analysis that goes into each and every choice that you make throughout the daily life of your entity. I look forward to working with you to ensure that the law provides opportunity, rather than burden, for your company or organization.

In our current regulatory landscape, employee benefits are increasingly complex. I work frequently with various benefit managers and insurance providers to ensure that your business’ benefit decisions comply with applicable law. The cost-effective combination of a benefit manager, whether internal or external, and an attorney experienced in the field of healthcare and employment benefits provides you and your entity with the highest level of legal protection and the lowest risk of costly reviews, penalties, and litigation. I look forward to answering your questions regarding the Affordable Care Act, healthcare benefits, wellness programs, 401(k) and defined benefit plans, employee stock ownership plans, HIPAA compliance, COBRA notices, risk management and ERISA litigation, and any other employee benefit matters which may affect you and your company. Benefit administration is often time-sensitive, and I am only a phone call away!

Non-profit organizations are the heartbeat of our community, and I am proud to work with a variety of non-profit entities – some as a legal advocate, and some as a volunteer Board member. Non-profit entities face a variety of unique organizational, operational, and financial challenges. Each and every legal need of a non-profit entity must be carefully analyzed with the organization’s mission, vision, and values in mind. I am committed to helping your organization overcome any obstacles to the fulfillment of its mission, whether by answering a simple operational question, drafting an agreement, developing policies and procedures, working with your Board of Directors, or representing you in court. I look forward to ensuring that your non-profit entity continues to serve its beneficiaries and our community.

As the point counsel for and experienced agency leader within a number of statewide regulatory agencies, I work daily with our state’s lawmakers to ensure that the rules that govern our Commonwealth are clear and consistent. Regulatory agencies encounter a myriad of legal issues in the course of a day, from the approval of licensure applications, to the development of new policies, to administrative hearings and litigation. I work on ‘speed dial’ with my agency clients to ensure that no question goes unanswered, and our frequent communication lends to a strong familiarity with each agency’s policy goals and positions, Board members and staff, and current statutory and regulatory scheme. I attend Board and committee meetings, draft and implement administrative regulations, and speak personally with regulated individuals and entities to ensure that our Commonwealth’s regulatory agencies act in a manner consistent with existing law and implement policies that will benefit our state as a whole.  For clients transacting with regulatory agencies, whether through an administrative hearing or through a routine regulatory application or decision, my relationships and extensive knowledge of Kentucky’s legal and regulatory scheme proves invaluable.

As a lead policy maker for the 2017-2018 House of Representatives Adoption Work Group, I have been closely involved in the drafting and implementation of 2018’s “HB 1”, considered a monumental transformation of Kentucky’s foster care and adoption systems. Both my head and my heart are dedicated to ensuring stakeholders - be they foster and/or adoptive parents, foster care agencies, social workers, or foster youth - the ability to navigate the current legal and regulatory landscape in the Cabinet for Health and Family Services and in the courtroom in a way that ensures both efficiency and dignity.  Additionally, I maintain a close working knowledge of foster care and adoption trends nationwide and ensure clients the appropriate seat at the table as changes continue to be made to Kentucky’s foster care and adoption framework.

The ever-evolving world of campaign finance and election law provides both opportunities and challenges to associations wishing to establish and grow Political Action Committees, candidates and party organizations facing an upcoming campaign season, and institutional stakeholders requiring additional ethical and procedural guidance.  I maintain up-to-date knowledge and hands-on experience with the legal issues affecting the political system and will ensure that your i’s are dotted and your t’s are crossed.  I welcome the opportunity to work directly with and/or serve on the boards of Political Action Committees and similar fundraising organizations in order to provide immediate solutions to your organization.