USA MANAGED CARE ORGANIZATION

• PENN AVENUE PARTNERS $350,000 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 $150,000 3 filings
• 2025 $200,000 4 filings

• Health Issues 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 6
• SENATE 6
• Defense, Dept of (DOD) 5
• Centers For Medicare and Medicaid Services (CMS) 2
• Office of Management & Budget (OMB) 2