ACCENTCARE

• ACCENTCARE, INC. $1,410,000 In-house, the client's own filings · 6 filings
• FOLEY & LARDNER LLP $540,000 Outside firm · 8 filings
• LIBERTY PARTNERS GROUP, LLC $280,000 Outside firm · 6 filings
• THE NICKLES GROUP, LLC $180,000 Outside firm · 3 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. 1
  One Big Beautiful Bill Act
  2 filings

• 2026 $930,000 8 filings
• 2025 $1,480,000 15 filings

• Health Issues 20
• Medicare/Medicaid 15

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 21
• SENATE 21
• Centers For Medicare and Medicaid Services (CMS) 14
• Health & Human Services, Dept of (HHS) 14
• White House Office 12