VYTALIZE HEALTH

• VYTALIZE HEALTH $590,000 In-house, the client's own filings · 4 filings
• ANKURA ADVOCACY LLC $260,000 Outside firm · 6 filings
• MASON STREET CONSULTING, LLC $80,000 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.

• H.R. 1
  One Big Beautiful Bill Act
  5 filings

• 2026 $790,000 10 filings
• 2025 $140,000 4 filings

• Health Issues 11
• Medicare/Medicaid 7
• Trade (domestic/foreign) 5

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 Medicare and Medicaid Services (CMS) 8
• HOUSE OF REPRESENTATIVES 8
• SENATE 8
• Health & Human Services, Dept of (HHS) 3
• White House Office 3