At Macaulay Jamerson Satterlund & Sessa, our focus on excellence, integrity, and results has resulted in a client list that includes Fortune 100 companies, national trade associations, fast-growing mid-size businesses, small businesses, and leading nonprofit organizations. Most of our clients have been with us for over ten years.

We are a boutique law firm with a nationally recognized government relations and health care practice. In 1998, we began lobbying for health care providers at the Virginia General Assembly. Our health care practice grew out of those relationships, and our expertise has deepened with each referral from our long-standing clients. Today a broad range of sophisticated health care providers, manufacturers, and payers rely on our unique understanding of the interaction of health care policy, politics, and law. We also have particular expertise in pharmacy law, with more than 25 years of experience representing pharmacies and helping draft pharmacy laws and regulations in Virginia.

What We Do

Government Relations

Government relations is a major focus and strength of our firm. We are enthusiastic about working with governors, legislators, agency leadership, and other stakeholders to develop sound public policies in Virginia. With offices located next to the Capitol, we are a constant presence at the General Assembly Building and nearby state agencies. Our diverse mix of clients ensures that we are always building new relationships and deeper expertise. We are true lawyer lobbyists who both advocate for and draft laws that promote our clients’ interests. We are proud of the many uphill battles we have won with our clients and the skills we have gained from those battles.


We assist pharmacies with all aspects of legal and regulatory compliance. This includes developing and implementing compliance policies and procedures, reviewing and preparing contracts, and defending pharmacies in audits, investigations, disciplinary actions, and enforcement matters.

Health Care 

Our health care clients include providers, payers, and manufacturers. We have significant experience in all aspects of legal and regulatory compliance, including representation in transactional matters, audits, and investigations at both the state and federal levels. We are well-known for our experience in this area, and our health care practice has grown quickly through referrals from our past and existing clients. 

We also handle administrative and disciplinary proceedings. This includes representing physicians, pharmacists, and other clients in proceedings involving Virginia’s professional licensing boards and other state and federal agencies.

Government Investigations

We represent health care providers and pharmacies in fraud, waste, and abuse investigations, defending our clients against allegations of violations of the Anti-Kickback Statute, Stark Law, False Claims Act, and Controlled Substance Act.

Contact Macaulay Jamerson Satterlund & Sessa

We encourage you to reach out to us to learn more about our firm’s history in Virginia, our experience, and our areas of practice. To schedule a conversation at Macaulay Jamerson Satterlund & Sessa, please contact one of our attorneys directly using the contact link on this website.