NO SURPRISE BILL, LLC

• ELEVATE GOVERNMENT AFFAIRS, LLC $180,000 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.

• H.R. 4710
  No Surprises Act Enforcement Act
  4 filings
• S. 2420
  No Surprises Act Enforcement Act
  4 filings

• 2026 $90,000 3 filings
• 2025 $90,000 4 filings

• Budget/Appropriations 7
• Insurance 7
• Medicare/Medicaid 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.

• Centers For Medicare and Medicaid Services (CMS) 6
• Health & Human Services, Dept of (HHS) 6
• HOUSE OF REPRESENTATIVES 6
• SENATE 6