CHAPTER

• RED+BLUE STRATEGIES $150,000 Outside firm · 4 filings
• TARPLIN, DOWNS & YOUNG, LLC $100,000 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 $250,000 8 filings

• Medicare/Medicaid 7
• Health Issues 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.

• HOUSE OF REPRESENTATIVES 6
• SENATE 6
• Centers For Medicare and Medicaid Services (CMS) 4
• White House Office 3
• Office of Management & Budget (OMB) 1