DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION

• AVENUE SOLUTIONS $220,000 Outside firm · 8 filings
• RAAB GOVERNMENT STRATEGIES, LLC $220,000 Outside firm · 8 filings
• VENABLE LLP $140,000 Outside firm · 4 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 $180,000 6 filings
• 2025 $400,000 14 filings

• Medicare/Medicaid 19
• Taxation/Internal Revenue Code 3

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 11
• SENATE 8
• Centers For Medicare and Medicaid Services (CMS) 2