TARPLIN, DOWNS & YOUNG, LLC

• BLUE CROSS BLUE SHIELD ASSOCIATION $770,000 7 filings
• NEUROCRINE BIOSCIENCES, INC. $620,000 7 filings
• SAREPTA THERAPEUTICS $600,000 7 filings
• HEALTHCARE DISTRIBUTION ALLIANCE (HEALTHCARE DISTRIBUTION MANAGMENT ASSN.) $590,000 7 filings
• ALZHEIMER'S ASSOCIATION $580,000 7 filings
• GAINWELL TECHNOLOGIES (FKA HEALTH MANAGEMENT SYSTEMS) $570,000 7 filings
• ABBOTT (FORMERLY KNOWN AS ALERE INC.) $560,000 7 filings
• ADVAMED $560,000 7 filings
• AMAZON.COM SERVICES LLC $560,000 7 filings
• AMERICAN CANCER SOCIETY CANCER ACTION NETWORK (ACSCAN) $560,000 7 filings
• AMERICAN INVESTMENT COUNCIL $560,000 7 filings
• AMERICAN OSTEOPATHIC ASSOCIATION $560,000 7 filings
• ASTELLAS PHARMA US, INC $560,000 7 filings
• ASTRAZENECA $560,000 7 filings
• AVAILITY $560,000 7 filings
• BIOTECHNOLOGY INDUSTRY ORGANIZATION $560,000 7 filings
• EXCELLUS HEALTH PLAN, INC. $560,000 7 filings
• FLAGSHIP PIONEERING $560,000 7 filings
• FOUNDATION MEDICINE $560,000 7 filings
• GILEAD SCIENCES, INC. $560,000 7 filings
• JAZZ PHARMACEUTICALS INC. $560,000 7 filings
• LINCARE $560,000 7 filings
• LONGEVITY HEALTH PLAN $560,000 7 filings
• NATIONAL SEATING & MOBILITY $560,000 7 filings
• NOVOCURE INC. $560,000 7 filings
• OPTION CARE HEALTH $560,000 7 filings
• PHRMA $560,000 7 filings
• VERTEX PHARMACEUTICALS INCORPORATED $560,000 7 filings
• COTIVITI, INC. $530,000 8 filings
• BREAKTHROUGH T1D (FKA JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL) $520,000 7 filings
• BRISTOL MYERS SQUIBB $500,000 7 filings
• ELEVANCE HEALTH, INC (F.K.A. ANTHEM, INC. & WELLPOINT, INC.) $500,000 7 filings
• BOEHRINGER INGELHEIM $490,000 7 filings
• TRIPLE-S MANAGEMENT CORPORATION $490,000 7 filings
• AMERICAN COLLEGE OF PHYSICIANS $480,000 7 filings
• LOCAL HEALTH PLANS OF CALIFORNIA $480,000 7 filings
• SAS $480,000 7 filings
• WHOOP $480,000 7 filings
• MATHEMATICA, INC $440,000 7 filings
• CARDINAL HEALTH (F.K.A. THE GLOVER PARK GROUP) $436,000 7 filings
• ABBVIE INC. $420,000 7 filings
• AMGEN INC $420,000 7 filings
• AMNEAL PHARMACEUTICALS, INC. $420,000 7 filings
• CRINETICS PHARMACEUTICALS $420,000 7 filings
• ELI LILLY AND COMPANY $420,000 7 filings
• GENTIVA (FORMERLY REPORTED AS HUMANA & KINDRED AT HOME) $420,000 7 filings
• HANSA BIOPHARMA $420,000 7 filings
• LANTHEUS $420,000 7 filings
• QUEST DIAGNOSTICS $420,000 7 filings
• SANOFI US SERVICES INC (FORMERLY KNOWN AS GENZYME CORPORATION) $420,000 7 filings

Ranked by reported money. 90 clients in total.

• JENNIFER B YOUNG 421 filings · through 2026 sst. Sec. for Leg. - HHS; Dep. Asst. Sec. for Leg. - HHS; Cmte. Staff, House Cmte. on Ways and Means; Cmte. Staff, Sen. Cmte. on Finance
• CHARLOTTE SPEARS IVANCIC 419 filings · through 2026 Legislative Counsel, Senator Jim DeMint; Health Counsel, Majority Leader Bill Frist; Counsel and Budget Analyst, House Budget Committee; Asst. to the Speaker f…
• PETER FISE 391 filings · through 2026 Health Counsel for Sen. Cmte on Finance, Health Counsel for Sen. Jeanne Shaheen, Staff Assistant for House Cmte on Oversight & Government Reform
• EMILY H MURRY 388 filings · through 2026 Staff Dir., Sub. Cmte. on Helath, Ways and Means Cmte; Sr. Policy Adivsor, Maj. Leader McCarthy; Policy Advisor, Maj. Whip McCarthy; Prof. Staff, Republicans S…
• ELIZABETH T MURRAY 335 filings · through 2026 Senior Policy Advisor, Democratic Whip Steny Hoyer; Legislative Asst. for Rep. Mike Thompson, Rep. Bob Matsui, and Senator Bob Graham
• RAISSA H DOWNS 330 filings · through 2026 Prin. Dep. Asst. Sec for Leg.-HHS; Dep. Asst. Sec. for Leg.-HSS; Staff Dir., Sub Cmte. on Employment, Sen. HELP Cmte.
• PARICK BRAERTON CARROLL 323 filings · through 2026 Leg Asst. Rep. Ray LaHood, Leg Dir. Rep. Kevin Yoder, PSM Senate Appropriations Cmte.
• PAMELA SMITH 321 filings · through 2026 Leg. Dir., Sen. Tom Harkin; Dep. Staff Dir., Sen. HELP Cmte.; Staff Dir., Sen. HELP Cmte.; Counsel to Asst. AG, Civil Div., Dept. of Justice; Spec. Counsel, Of…
• MARGARET JOSEPH 295 filings · through 2026 CoS for Sen. Kyrsten Sinema, CoS for Rep. Kyrsten Sinema, CoS for Rep. Bobby Bright, CoS for Rep. Jim Matheson, Clerk for House Rules Cmte.
• LAURA FRIEDEL 155 filings · through 2025 Leg. Asst., Sen. Zell Miller, Leg. Dir., Sen. Richard Shelby, Clerk, Staff Dir., Sen. Appropriations Committee
• JEFF RECZEK 49 filings · through 2026 Dir. CDC Washington, Professional Staff Sen. Appropriations Cmte, Program Examiner OMB, Program Analyst Dept. of Transportation
• KELSI WILSON 21 filings · through 2026 Leg. Aide and Leg. Asst. Rep. Brady, Leg. Asst. and Health policy advisor Rep. Wenstrup, Health Policy Analyst Sen. Republican Policy cmte

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 $16,266,000 250 filings
• 2025 $19,490,000 313 filings

• Health Issues 467
• Medicare/Medicaid 423
• Budget/Appropriations 275
• Taxation/Internal Revenue Code 43
• Trade (domestic/foreign) 25
• Veterans 14
• Pharmacy 7
• Environment/Superfund 3
• Copyright/Patent/Trademark 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 511
• SENATE 511
• Centers For Medicare and Medicaid Services (CMS) 346
• Health & Human Services, Dept of (HHS) 233
• Food & Drug Administration (FDA) 51
• White House Office 50
• Drug Enforcement Administration (DEA) 7
• Office of Management & Budget (OMB) 6
• Commerce, Dept of (DOC) 5
• Homeland Security, Dept of (DHS) 5
• Veterans Affairs, Dept of (VA) 5
• Agriculture, Dept of (USDA) 2
• Centers For Disease Control & Prevention (CDC) 2
• Health Resources & Services Administration (HRSA) 1