MDVIP

• MEHLMAN CONSULTING, INC. $210,000 Outside firm · 7 filings
• MCDERMOTT+ $190,000 Outside firm · 7 filings
• HOLLAND & KNIGHT LLP $10,000 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.

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

• 2026 $170,000 8 filings
• 2025 $240,000 8 filings

• Health Issues 16
• Medicare/Medicaid 16
• 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.

• HOUSE OF REPRESENTATIVES 15
• SENATE 15
• Centers For Medicare and Medicaid Services (CMS) 7
• Health & Human Services, Dept of (HHS) 7
• Treasury, Dept of 1