Spina Bifida Association

• Powers Pyles Sutter & Verville, P.C. $150,000 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 $60,000 3 filings
• 2025 $90,000 4 filings

• Health Issues 7
• Medicare/Medicaid 1

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.

• Centers For Disease Control & Prevention (CDC) 7
• HOUSE OF REPRESENTATIVES 7
• SENATE 7
• Centers For Medicare and Medicaid Services (CMS) 5