Photo of Keith J. Fontenot

Keith J. Fontenot

Managing Director of Government Relations and Public Policy


Old Dominion University, B.A.

Duke University, M.A.

Presentations & Speaking Engagements

Keith J. Fontenot is the Managing Director of the Government Relations & Public Policy department of Hooper, Lundy & Bookman, PC.  Mr. Fontenot brings to the firm a wealth of experience in health policy at the highest levels of government, in both the Executive and Legislative branches.  Most recently, as the top health care budget official at OMB  he was heavily involved in the development and implementation of the Affordable Care Act.  In his four years in that role, he advised the most senior levels of the White House, the top leadership of key federal health agencies, and members of Congress, on budget, legislative, and regulatory issues in major health programs.

In addition to his four plus years as Associate Director for Health at OMB, Mr. Fontenot served as Deputy Assistant Director for Health and Human Resources  at the Congressional Budget Office (CBO), and as Chief of the Health Financing Branch at OMB. In these positions Mr. Fontenot was closely involved in virtually every  aspect of health policy, including:  the creation of new payment systems in post acute care, major reforms to other payment systems in Medicare, negotiation of Medicaid waivers, and development and implementation of the Medicare prescription drug program. He oversaw cost estimates and related analysis for health, education and income security programs at CBO, and was deeply involved in helping the agency prepare for health reform legislation, including CBO’s development of options such as Accountable Care Organizations.

Mr. Fontenot was also a nonresident Fellow in the Center for Health Policy and the Hutchins Center for Fiscal and Monetary Policy in the Brookings Institution. Mr. Fontenot began his federal career as a budget examiner at OMB for Social Security and other retirement programs in 1982. He holds a M.A. in public policy from Duke University, and a B.A. from the Old Dominion University.

Presentations & Speaking Engagements


Health Care Reform

Health Law Perspectives

Other Publications

For media inquiries, please contact Barrett McBride at or 916.456.5855.