PHRMA

• TIBER CREEK GROUP $770,000 Outside firm · 7 filings
• RUBIN, TURNBULL & ASSOCIATES $570,000 Outside firm · 8 filings
• FORBES-TATE $560,000 Outside firm · 7 filings
• TARPLIN, DOWNS & YOUNG, LLC $560,000 Outside firm · 7 filings
• MONUMENT ADVOCACY $470,000 Outside firm · 7 filings
• NVG, LLC $350,000 Outside firm · 7 filings
• WILLIAMS AND JENSEN, PLLC $350,000 Outside firm · 7 filings
• HILLNORTH LLC $315,000 Outside firm · 8 filings
• NELSON MULLINS RILEY & SCARBOROUGH $210,000 Outside firm · 7 filings
• HORIZON GOVERNMENT AFFAIRS $200,000 Outside firm · 4 filings
• ALPINE GROUP PARTNERS, LLC. $130,000 Outside firm · 4 filings
• CONVERGENCE PUBLIC AFFAIRS LLC $46,300 Outside firm · 7 filings
• THE DUBERSTEIN GROUP INC. $25,000 Outside firm · 1 filing
• ADAMS AND REESE, LLP $20,000 Outside firm · 1 filing
• DENTONS US LLP $0 Outside firm · 6 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. 1492
  To amend title XI of the Social Security Act to equalize the negotiation period between small-molecule and bi…
  13 filings
• S. 832
  EPIC Act of 2025
  13 filings
• H.R. 1
  One Big Beautiful Bill Act
  11 filings
• H.R. 7194
  Nicholas Dockery Medal of Honor Act
  3 filings
• S. 2658
  Medication Affordability and Patent Integrity Act
  2 filings
• H.R. 7174
  Full Cost of War Act
  1 filing

• 2026 $2,023,750 36 filings
• 2025 $2,552,550 52 filings

• Health Issues 70
• Medicare/Medicaid 42
• Trade (domestic/foreign) 28
• Pharmacy 18
• Budget/Appropriations 14
• Copyright/Patent/Trademark 13
• Consumer Issues/Safety/Products 7
• Defense 7
• Foreign Relations 7
• Science/Technology 7
• Government Issues 4
• Medical/Disease Research/Clinical Labs 4

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 72
• SENATE 71
• Centers For Medicare and Medicaid Services (CMS) 13
• Health & Human Services, Dept of (HHS) 13
• White House Office 9
• Office of Management & Budget (OMB) 6
• Executive Office of the President (EOP) 1