ENVISION HEALTHCARE

• ENVISION HEALTHCARE $1,685,173 In-house, the client's own filings · 7 filings
• MCDERMOTT+ $190,000 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
  4 filings

• 2026 $838,173 6 filings
• 2025 $1,037,000 8 filings

• Health Issues 14
• Medicare/Medicaid 14
• Budget/Appropriations 4
• Immigration 2

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) 12
• HOUSE OF REPRESENTATIVES 7
• SENATE 7
• Labor, Dept of (DOL) 4
• Homeland Security, Dept of (DHS) 2