Joel is the Founder and President of Horizon Government Affairs, a health care consultancy that represents several dozen clients and runs four coalitions comprised of 200 organizations dedicated to reforms that improve our health system. Since Horizon’s founding in 2007, his team has helped enact more than 50 laws and helped shape countless regulations governing all aspects of the U.S. health care system. Previously, Joel spent twelve years on Capitol Hill including as Staff Director of the Ways and Means Health Subcommittee. While on the Hill he helped enact nine laws, including the 2002 Trade Act, which created health care tax credits for private coverage, and the 2003 law that established the Medicare prescription drug benefit and created Health Savings Accounts. He also helped enact the 2005 Deficit Reduction Act and the 2006 Tax Reform and Health Care Act, which reformed Medicare payment policies. Joel is dedicated to community service that helps the poor and those with mental illness. He is on the Board of Directors of Samaritan Inns, one of the largest private homeless and treatment centers in DC. He runs Arlington Bridge Builders, which develops and operates anti-poverty strategies in VA. He is also on the boards of the Schizophrenia and Psychosis Action Alliance, SafeNetRx, and Chaddock Behavioral Health.