AMERICAN OSTEOPATHIC ASSOCIATION

• AMERICAN OSTEOPATHIC ASSOCIATION $926,831 In-house, the client's own filings · 7 filings
• TARPLIN, DOWNS & YOUNG, LLC $560,000 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.

• 2026 $672,356 6 filings
• 2025 $814,475 8 filings

• Budget/Appropriations 14
• Health Issues 14
• Medicare/Medicaid 14
• Education 7
• Insurance 7
• Medical/Disease Research/Clinical Labs 7
• Taxation/Internal Revenue Code 7
• Torts 7

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.

• Centers For Medicare and Medicaid Services (CMS) 14
• Health & Human Services, Dept of (HHS) 14
• HOUSE OF REPRESENTATIVES 14
• SENATE 14
• Agency for Healthcare Research & Quality (AHRQ) 7
• Executive Office of the President (EOP) 7
• Health Resources & Services Administration (HRSA) 7
• White House Office 7