AMERICAN HOSPITAL ASSOCIATION

• AMERICAN HOSPITAL ASSOCIATION $39,860,000 In-house, the client's own filings · 7 filings
• BOCKORNY GROUP, INC. $770,000 Outside firm · 7 filings
• THE NICKLES GROUP, LLC $630,000 Outside firm · 7 filings
• RED+BLUE STRATEGIES $560,000 Outside firm · 8 filings
• THE SMITH-FREE GROUP, LLC $350,000 Outside firm · 7 filings
• O'NEILL, ATHY & CASEY, P.C. $200,000 Outside firm · 4 filings
• MORRISON PUBLIC AFFAIRS GROUP $140,000 Outside firm · 7 filings
• PLURUS STRATEGIES, LLC $80,000 Outside firm · 2 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
  17 filings
• H.R. 3178
  Save Healthcare Workers Act
  12 filings
• S. 1600
  Save Healthcare Workers Act
  12 filings
• S. 1261
  CONNECT for Health Act of 2025
  11 filings
• H.R. 5371
  Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and E…
  9 filings
• H.R. 4822
  Health Care Price Transparency Act of 2023
  7 filings
• H.R. 1585
  Conrad State 30 and Physician Access Reauthorization Act
  7 filings
• H.R. 1805
  ARCH Act
  7 filings
• H.R. 2191
  Physician Led and Rural Access to Quality Care Act
  7 filings
• H.R. 929
  Dr. Lorna Breen Health Care Provider Protection Reauthorization Act
  7 filings
• S. 2355
  Patients Deserve Price Tags Act
  7 filings
• S. 266
  Dr. Lorna Breen Health Care Provider Protection Reauthorization Act
  7 filings
• S. 335
  Rural Hospital Support Act
  7 filings
• S. 502
  Rural Hospital Closure Relief Act of 2025
  7 filings
• S. 709
  Conrad State 30 and Physician Access Reauthorization Act
  7 filings
• H.R. 3514
  Improving Seniors’ Timely Access to Care Act of 2025
  6 filings
• H.R. 4206
  CONNECT for Health Act of 2025
  6 filings
• H.R. 5582
  Patients Deserve Price Tags Act
  6 filings
• S. 1816
  Improving Seniors’ Timely Access to Care Act of 2025
  6 filings
• H.R. 4002
  Patient Access to Higher Quality Health Care Act of 2025
  5 filings
• H.R. 4313
  Hospital Inpatient Services Modernization Act
  5 filings
• H.R. 4581
  340B PATIENTS Act of 2025
  5 filings
• H.R. 4731
  Resident Physician Shortage Reduction Act of 2025
  5 filings
• H.R. 5283
  Healthcare Workforce Resilience Act
  5 filings
• H.R. 5454
  Medicare Advantage Prompt Pay Act
  5 filings
• H.R. 9504
  Tax Exempt Hospital Transparency Act
  5 filings
• S. 2237
  Hospital Inpatient Services Modernization Act
  5 filings
• S. 2372
  340B PATIENTS Act of 2025
  5 filings
• S. 2439
  Resident Physician Shortage Reduction Act of 2025
  5 filings
• S. 2759
  Healthcare Workforce Resilience Act
  5 filings

• 2026 $15,440,000 18 filings
• 2025 $27,150,000 31 filings

• Medicare/Medicaid 42
• Health Issues 35
• Budget/Appropriations 20
• Immigration 19
• Taxation/Internal Revenue Code 14
• Labor Issues/Antitrust/Workplace 7
• Law Enforcement/Crime/Criminal Justice 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 47
• SENATE 47
• Centers For Medicare and Medicaid Services (CMS) 12
• Homeland Security, Dept of (DHS) 11
• Office of Management & Budget (OMB) 7
• State, Dept of (DOS) 7
• Health & Human Services, Dept of (HHS) 6
• Executive Office of the President (EOP) 5
• Federal Trade Commission (FTC) 4
• Health Resources & Services Administration (HRSA) 4
• Medicare Payment Advisory Commission (MedPAC) 4
• Bureau of Citizenship & Immigration Services (BCIS) 3
• Education, Dept of 3
• Commerce, Dept of (DOC) 2
• Federal Emergency Management Agency (FEMA) 2
• Food & Drug Administration (FDA) 2
• Justice, Dept of (DOJ) 2
• White House Office 2
• Consumer Product Safety Commission (CPSC) 1
• Drug Enforcement Administration (DEA) 1
• Office of Science & Technology Policy (OSTP) 1
• U.S. Trade Representative (USTR) 1