Alliance of Safety-Net Hospitals

• Debrunner & Associates $127,000 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. 7145
  To amend title XIX of the Social Security Act to establish a definition of essential health system in statute…
  2 filings

• 2026 $31,000 3 filings
• 2025 $96,000 4 filings

• Health Issues 7
• Medicare/Medicaid 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.

• HOUSE OF REPRESENTATIVES 7
• SENATE 6
• Centers For Medicare and Medicaid Services (CMS) 3
• Health Resources & Services Administration (HRSA) 1