AMERICAN COLLEGE OF GASTROENTEROLOGY

• AMERICAN COLLEGE OF GASTROENTEROLOGY $743,936 In-house, the client's own filings · 8 filings
• ALSTON & BIRD LLP $320,000 Outside firm · 7 filings
• CAPITOL COUNSEL LLC $280,000 Outside firm · 7 filings

Spend per registrant: fees an outside firm reported, or the costs the client reported for lobbying in-house. The rows add up to the total above.

• H.R. 879
  Medicare Patient Access and Practice Stabilization Act of 2025
  10 filings
• H.R. 5509
  Safe Step Act
  8 filings
• S. 2903
  Safe Step Act
  7 filings
• H.R. 3514
  Improving Seniors’ Timely Access to Care Act of 2025
  5 filings
• S. 1816
  Improving Seniors’ Timely Access to Care Act of 2025
  5 filings
• H.R. 8163
  Provider Reimbursement Stability Act of 2026
  4 filings
• H.R. 2433
  Reducing Medically Unnecessary Delays in Care Act of 2025
  3 filings
• H.R. 4681
  SPARC Act
  3 filings
• H.R. 6160
  Strengthening Medicare for Patients and Providers Act
  3 filings
• H.R. 7520
  Efficiency Adjustment Delay Act
  3 filings
• S. 1380
  SPARC Act
  3 filings
• S. 2093
  Bicycles for Rural African Transport Act
  3 filings
• H.R. 1
  One Big Beautiful Bill Act
  1 filing
• H.R. 1968
  Full-Year Continuing Appropriations and Extensions Act, 2025
  1 filing
• H.R. 8375
  Medicare Advantage Improvement Act of 2026
  1 filing
• H.R. 9693
  Patients First Act of 2026
  1 filing
• S. 4384
  Medicare Advantage Improvement Act of 2026
  1 filing
• S. 5180
  Provider Reimbursement Stability Act of 2026
  1 filing

• 2026 $616,583 9 filings
• 2025 $727,353 13 filings

• Health Issues 21
• Medicare/Medicaid 20
• Budget/Appropriations 7
• Insurance 6
• Medical/Disease Research/Clinical Labs 6
• Labor Issues/Antitrust/Workplace 3

The count is how many filings named that issue area. A filing reports one lump figure covering every issue on it, so the money above cannot be split between them.

• HOUSE OF REPRESENTATIVES 20
• SENATE 20
• Centers For Medicare and Medicaid Services (CMS) 18
• Labor, Dept of (DOL) 2