SOCIETY OF GENERAL INTERNAL MEDICINE

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Lobbying Spend

—

Filings

Firms Hired

Active Period

1999–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	—	4	1
2025	—	4	1
2024	—	4	1
2023	—	4	1
2022	—	6	1
2021	—	4	1
2020	—	4	1
2019	—	5	1
2018	—	4	1
2017	—	4	1
2016	—	4	1
2015	—	4	1
2014	—	4	1
2013	—	4	1
2012	—	4	1
2011	—	4	1
2010	—	4	1
2009	—	4	1
2008	—	5	1
2007	—	2	1
2006	—	2	1
2005	—	4	2
2004	—	2	1
2003	—	1	1
2002	—	1	1
2000	—	2	1
1999	—	1	1

Hired Firms

Lobbying firms retained by this client; amounts are client-reported expenses when available

Firm Name	Reported Spend	Filings
CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.	—	87
MEDICAL ADVOCACY SERVICES	—	7
WASHINGTON HEALTH ADVOCATES	—	1

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	91
SENATE	91
Centers For Medicare and Medicaid Services (CMS)	69
Agency for Healthcare Research & Quality (AHRQ)	59
Health Resources & Services Administration (HRSA)	59
Natl Institutes of Health (NIH)	59
Health & Human Services, Dept of (HHS)	5

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	93
Budget/Appropriations	Budget/Appropriations	76
Health Issues	Health Issues	70

Bills Explicitly Cited (25)

Bill numbers found in source-reported LDA specific issue text; broad topic matches are excluded

H.R. 9260119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

2026 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

FY 2027 Labor-HHS Appropriations Bill (H.R. 9260); funding for AHRQ; Office of Management and Budget proposed rule on the Uniform Guidance

Client expense: — · Firm income: $30,000

Matched citations: H.R. 9260

H.R. 9693119th Congress

Patients First Act of 2026

2026 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues; Medicare graduate medical education; Provisions of the Pay PCPs Act (S. 5269) ; Patients First Act (H.R. 9693)

Client expense: — · Firm income: $30,000

Matched citations: H.R. 9693

S. 5269119th Congress

Pay PCPs Act of 2026

2026 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues; Medicare graduate medical education; Provisions of the Pay PCPs Act (S. 5269) ; Patients First Act (H.R. 9693)

Client expense: — · Firm income: $30,000

Matched citations: S. 5269

H.R. 9260119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

2026 · second_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

FY 2027 Labor-HHS Appropriations Bill (H.R. 9260); funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: H.R. 9260

Show 21 more cited filings

H.R. 5304119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2026 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 & FY27 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: HR 5304

S. 2587119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2026 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 & FY27 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: S 2587

H.R. 5304119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2026 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY27 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: HR 5304

S. 2587119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2026 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY27 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: S 2587

H.R. 5304119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2025 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: HR 5304

S. 2587119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2025 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: S 2587

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare phyisican reimbursement issues; Medicare graduate medical education; One Big Beautiful Bill Act, HR 1

Client expense: — · Firm income: $30,000

Matched citations: HR 1

H.R. 5304119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2025 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: HR 5304

S. 2587119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

2025 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

HR 5304/S 2587, FY26 Labor HHS Appropriations Bill, Funding for AHRQ

Client expense: — · Firm income: $30,000

Matched citations: S 2587

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · second_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare phyisican reimbursement issues; Medicare graduate medical education; One Big Beautiful Bill Act, HR 1

Client expense: — · Firm income: $30,000

Matched citations: HR 1

S. 4338118th Congress

Pay PCPs Act of 2024

2024 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues; Medicare graduate medical education; S. 4338, Pay PCP's Act

Client expense: — · Firm income: $30,000

Matched citations: S. 4338

S. 4338118th Congress

Pay PCPs Act of 2024

2024 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues; Medicare graduate medical education; S. 4338, Pay PCP's Act

Client expense: — · Firm income: $30,000

Matched citations: S. 4338

S. 4338118th Congress

Pay PCPs Act of 2024

2024 · second_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues; Medicare graduate medical education; S. 4338, Pay PCP's Act

Client expense: — · Firm income: $30,000

Matched citations: S. 4338

H.R. 5721117th Congress

VIPER Act of 2021

2022 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues Medicare graduate medical education VA Infrastructure Powers Exceptional Research Act of 2021 (HR 5721)

Client expense: — · Firm income: $30,000

Matched citations: HR 5721

H.R. 5721117th Congress

VIPER Act of 2021

2022 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

Medicare physician reimbursement issues Medicare graduate medical education VA Infrastructure Powers Exceptional Research Act of 2021 (HR 5721)

Client expense: — · Firm income: $30,000

Matched citations: HR 5721

H.R. 3030117th Congress

Lead by Example Act of 2021

2021 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/P.L. 111-151, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3030

H.R. 3439117th Congress

Fair Credit Reporting for Servicemembers Act

2021 · first_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/P.L. 111-151, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3439

H.R. 3030116th Congress

Patient-Centered Outcomes Research Extension Act of 2019

2020 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/ P.L. 111-152, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3030

H.R. 3439116th Congress

PATIENTS Act

2020 · fourth_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/ P.L. 111-152, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3439

H.R. 3030116th Congress

Patient-Centered Outcomes Research Extension Act of 2019

2020 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/ P.L. 111-152, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3030

H.R. 3439116th Congress

PATIENTS Act

2020 · third_quarter · Firm: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.

Open original LDA filing ↗

Cited source text and reported amounts

PCORI reauthorization bill, HR 3030; HR 3439 P.L. 111-148/ P.L. 111-152, Affordable Care Act, Title VII Reauthorization/Implementation

Client expense: — · Firm income: $30,000

Matched citations: HR 3439

Source: Senate LDA

SOCIETY OF GENERAL INTERNAL MEDICINE — Lobbying Disclosure | Poliscope