NATIONAL ALLIANCE FOR CARE AT HOME

• BGR GOVERNMENT AFFAIRS $600,000 Outside firm · 8 filings
• MILLER STRATEGIES, LLC $460,000 Outside firm · 6 filings
• FEDERAL HEALTH POLICY STRATEGIES $400,000 Outside firm · 8 filings
• AVENUE SOLUTIONS $380,000 Outside firm · 8 filings
• THE NICKLES GROUP, LLC $350,000 Outside firm · 8 filings
• LIBERTY PARTNERS GROUP, LLC $160,000 Outside firm · 3 filings
• I STREET ADVOCATES $140,000 Outside firm · 8 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. 3467
  To amend title XVIII to reform the Medicare Advantage program.
  18 filings
• S. 1261
  CONNECT for Health Act of 2025
  11 filings
• H.R. 1720
  Hospice Recertification Flexibility Act
  7 filings
• H.R. 5142
  Home Health Stabilization Act of 2025
  7 filings
• H.R. 8883
  Protecting Seniors and Stopping Fraudsters Act
  6 filings
• S. 1935
  Expanding Access to Palliative Care Act
  6 filings
• H.R. 4206
  CONNECT for Health Act of 2025
  5 filings
• H.R. 4425
  Palliative Care and Hospice Education and Training Act
  5 filings
• H.R. 5081
  Telehealth Modernization Act
  5 filings
• S. 2287
  Palliative Care and Hospice Education and Training Act
  5 filings
• S. 2709
  Telehealth Modernization Act
  5 filings
• H.R. 7966
  Hospice CARE Act of 2026
  4 filings
• S. 4118
  Hospice CARE Act of 2026
  4 filings
• H.R. 7148
  Consolidated Appropriations Act, 2026
  3 filings
• H.R. 7199
  Gerald’s Law Act
  3 filings
• S. 3898
  Gerald’s Law Reauthorization Act of 2026
  3 filings
• H.R. 1968
  Full-Year Continuing Appropriations and Extensions Act, 2025
  2 filings
• H.R. 5371
  Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and E…
  2 filings
• S. 5250
  Medicare Home Health Payment Integrity and Protection Act of 2026
  2 filings
• H.R. 234
  Gerald’s Law Act
  1 filing
• S. 1330
  Gerald’s Law Act
  1 filing
• H. Con. Res. 14
  Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth…
  1 filing
• H.R. 1
  One Big Beautiful Bill Act
  1 filing
• H.R. 8375
  Medicare Advantage Improvement Act of 2026
  1 filing
• S. 4384
  Medicare Advantage Improvement Act of 2026
  1 filing
• S. 891
  Bipartisan Health Care Act
  1 filing

• 2026 $1,340,000 21 filings
• 2025 $1,150,000 28 filings

• Medicare/Medicaid 34
• Health Issues 29
• Veterans 14

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 38
• SENATE 38
• Health & Human Services, Dept of (HHS) 18
• Centers For Medicare and Medicaid Services (CMS) 16
• Office of Management & Budget (OMB) 12
• White House Office 7
• Executive Office of the President (EOP) 5