BLUE CROSS BLUE SHIELD ASSOCIATION

• TARPLIN, DOWNS & YOUNG, LLC $770,000 Outside firm · 7 filings
• AVENUE SOLUTIONS $560,000 Outside firm · 7 filings
• NVG, LLC $290,000 Outside firm · 7 filings
• GROOM LAW GROUP, CHARTERED $240,000 Outside firm · 7 filings
• RAAB GOVERNMENT STRATEGIES, LLC $50,000 Outside firm · 2 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.

• S. 1105
  No UPCODE Act
  6 filings
• H.R. 7973
  Momnibus Act
  3 filings
• H.R. 5582
  Patients Deserve Price Tags Act
  2 filings
• H.R. 9393
  Lower Costs, More Transparency Act of 2026
  2 filings
• H.R. 9504
  Tax Exempt Hospital Transparency Act
  2 filings
• S. 2355
  Patients Deserve Price Tags Act
  2 filings
• 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. 1968
  Full-Year Continuing Appropriations and Extensions Act, 2025
  1 filing
• S. 891
  Bipartisan Health Care Act
  1 filing

• 2026 $750,000 14 filings
• 2025 $1,160,000 16 filings

• Health Issues 28
• Medicare/Medicaid 23
• Budget/Appropriations 7
• Taxation/Internal Revenue Code 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.

• SENATE 29
• HOUSE OF REPRESENTATIVES 28
• Health & Human Services, Dept of (HHS) 14
• Centers For Medicare and Medicaid Services (CMS) 7
• Internal Revenue Service (IRS) 7
• Labor, Dept of (DOL) 7
• Treasury, Dept of 7