ALSTON & BIRD LLP

• HOLOGIC, INC. $1,040,000 7 filings
• AMERICAN CLINICAL LABORATORY ASSOCIATION $960,000 7 filings
• FUTURE OF PHARMACY COALITION LLC $710,000 7 filings
• BALSAM BRANDS, INC. $650,000 7 filings
• REDWOOD HOLDINGS, LLC FKA REDWOOD CAPITAL INVESTMENTS $640,000 7 filings
• DIABETES TECHNOLOGY ACCESS COALITION (INFORMAL COALITION) $630,000 7 filings
• AMERICA'S HEALTH INSURANCE PLANS (AHIP) $560,000 7 filings
• BOSTON SCIENTIFIC CORPORATION $560,000 8 filings
• HCA HEALTHCARE $560,000 8 filings
• UNITEDHEALTH GROUP, INC. $560,000 8 filings
• ATLANTA BRAVES HOLDINGS, INC. $530,000 7 filings
• PRIMARY CARE ASSOCIATION (INFORMAL COALITION) $510,000 8 filings
• TRAVERE THERAPEUTICS $500,000 7 filings
• AMERICAN AMBULANCE ASSOCIATION $490,000 7 filings
• HEALTHTRACKRX $480,000 7 filings
• MEDICA $480,000 7 filings
• FEDERATION OF STATE MEDICAL BOARDS (FSMB) $460,000 7 filings
• NATIONAL COUNCIL FOR MENTAL WELLBEING $450,000 8 filings
• AFLAC, INC. $420,000 7 filings
• DEVOTED HEALTH $420,000 7 filings
• KERECIS $420,000 7 filings
• CONSUMER HEALTHCARE PRODUCTS ASSOCIATION $410,000 8 filings
• DATAVANT INC. $410,000 7 filings
• EQUIFAX INC. $400,000 8 filings
• MOHAWK INDUSTRIES, INC. $400,000 6 filings
• BIOMERIEUX, INC. $380,000 7 filings
• AUTOLIV, INC. $370,000 6 filings
• INTERPUBLIC GROUP $360,000 6 filings
• NATIONAL BRAIN TUMOR SOCIETY $350,000 7 filings
• NEXTERA ENERGY, INC. $350,000 7 filings
• REGIONAL ONE HEALTH $350,000 7 filings
• WELLSPAN HEALTH $350,000 7 filings
• AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION $340,000 7 filings
• AMERICAN COLLEGE OF GASTROENTEROLOGY $320,000 7 filings
• THE METROHEALTH SYSTEM $320,000 7 filings
• DEXCOM, INC. $310,000 7 filings
• USAGAINSTALZHEIMER'S ACTION $310,000 7 filings
• CLARITEV $300,000 7 filings
• ACADEMY OF GENERAL DENTISTRY $280,000 7 filings
• CARESOURCE MISSION $280,000 6 filings
• CURIE BIO OPERATIONS, LLC $280,000 3 filings
• OSSIUM HEALTH, INC. $280,000 5 filings
• PERFORMANCE HEALTH $280,000 7 filings
• CONFLUENT HEALTH $270,000 8 filings
• BLUE SHIELD OF CALIFORNIA $250,000 7 filings
• AMERICAN COLLEGE OF RADIOLOGY $230,000 7 filings
• OREGON HEALTH & SCIENCE UNIVERSITY $230,000 7 filings
• TRIDENT USA HEALTH SERVICES $230,000 7 filings
• AVERA HEALTH $210,000 7 filings
• LEWIS & CLARK RURAL WATER SYSTEM $210,000 7 filings

Ranked by reported money. 112 clients in total.

• ALEXANDER GRAF 36 filings · through 2026 Deputy Assistant Secretary for Legislation, Department of Health andHuman Services; Senate Finance Health Subcommittee Staff Director,Legislative Assistant, Le…
• LAURA FRIEDEL 29 filings · through 2026 Senate Appropriations Committee - Staff Director, Subcommittee on Labor, Health and Human Services, Education and Related Agencies; Legislative Director/Legisl…
• JANE LUCAS 28 filings · through 2026 Special Assistant to the President, White House Office of Legislative Affairs; Principal Deputy Director, IOS-Office of Health Reform, HHS; Legislative Directo…
• JAMES PATRICK PALUSKIEWICZ 13 filings · through 2026 Chief Counsel, House Health Subcommittee; Professional Staff, House Energy & Commerce Committee; Legislative Dir./Deputy Chief of Staff, Rep. MichaelBurgess; L…
• JOSEPH BODDICKER 10 filings · through 2026 Tax Counsel, Senate Finance Cmte; Tax & Trade Counsel, Sen. Thune; Staff Dir., Senate Finance Subcmte on Tax; Tax Counsel/LA, Sen. Heller; Staff Dir., Senate F…
• ROBERT SIGGINS 10 filings · through 2026 Chief of Staff, U.S. Rep. Earl Pomeroy.
• KRISTI J. BOSWELL MILLER 9 filings · through 2026 Senior Advisor to the Secretary, USDA; Policy Advisor, White House Office of American Innovation.
• ELINOR HILLER 8 filings · through 2026 Senior Advisor, Office of the Administrator, CMS; Director, MedicareParts C and D Analysis Group, Office of Legislation, CMS.
• MICHAEL PARK 7 filings · through 2026 Health Policy Counsel, Senate Finance Committee.
• MATTHEW PEZZELLA 6 filings · through 2026 Legislative Intern, Rep. Mike McIntyre; Special Assistant, Senator Claire McCaskill; Legislative Correspondent, Senator Claire McCaskill.
• MARK RAYDER 5 filings · through 2025 LA, Rep. Tom Latham; LA, Rep. Rodney Frelinghuysen; District Rep., Rep. Dean Gallo.
• Y. BRIAN LEE 5 filings · through 2026 Legislative Intern, Rep. Doug Lamborn.
• EVAN COLLIER 4 filings · through 2025 Legislative Correspondent and Staff Assistant, Rep. Jeff Denham.
• ADAM NAVARA 3 filings · through 2025 Legislative Fellow, Rep. Jan Schakowsky.
• ANDERSON DREW FERGUSON 3 filings · through 2025 Congressman, U.S. House of Representatives.
• MARILYN K YAGER 1 filing · through 2025 Deputy Assistant to the President, White House Office of Public Liaison.
• SAMUEL JOCKEL 1 filing · through 2026 Trial attorney, Office of the General Counsel, USDA; ORISE Fellow, FDA.
• TIMOTHY P TRYSLA 1 filing · through 2025 Senior Policy Advisor, CMS.

A lobbyist who previously held a covered government position must disclose it. We flag the ones whose name resolves to a member of Congress and link the ones still in our roster. The revolving door collects them across every firm.

• 2026 $12,410,000 290 filings
• 2025 $14,010,000 354 filings

• Health Issues 424
• Medicare/Medicaid 310
• Taxation/Internal Revenue Code 78
• Budget/Appropriations 67
• Trade (domestic/foreign) 48
• Medical/Disease Research/Clinical Labs 39
• Agriculture 35
• Immigration 28
• Labor Issues/Antitrust/Workplace 23
• Welfare 20
• Transportation 10
• Pharmacy 9
• Education 7
• Consumer Issues/Safety/Products 6
• Veterans 5
• Advertising 4
• Copyright/Patent/Trademark 4
• Government Issues 4
• Sports/Athletics 4
• Food Industry (safety, labeling, etc.) 3
• Banking 2
• Defense 2
• Disaster Planning/Emergencies 2
• Financial Institutions/Investments/Securities 2
• Manufacturing 1
• Real Estate/Land Use/Conservation 1
• Travel/Tourism 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 479
• SENATE 470
• Centers For Medicare and Medicaid Services (CMS) 153
• Health & Human Services, Dept of (HHS) 143
• Labor, Dept of (DOL) 37
• White House Office 37
• Agriculture, Dept of (USDA) 30
• Office of Management & Budget (OMB) 28
• U.S. Trade Representative (USTR) 22
• Executive Office of the President (EOP) 21
• Food & Drug Administration (FDA) 19
• Natl Institutes of Health (NIH) 16
• Treasury, Dept of 12
• Commerce, Dept of (DOC) 11
• Interior, Dept of (DOI) 7
• Transportation, Dept of (DOT) 7
• Federal Aviation Administration (FAA) 6
• Health Resources & Services Administration (HRSA) 4
• Office of Natl Drug Control Policy (NDCP) 4
• Natl Economic Council (NEC) 2
• State, Dept of (DOS) 2
• Centers For Disease Control & Prevention (CDC) 1
• Energy, Dept of 1
• Small Business Administration (SBA) 1