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Lobbying Spend

—

Filings

Firms Hired

Active Period

2021–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	—	3	1
2025	—	4	1
2024	—	4	1
2023	—	4	1
2022	—	6	1
2021	—	5	1

Hired Firms

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

Firm Name	Reported Spend	Filings
SIRONA STRATEGIES LLC	—	26

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
SENATE	24
HOUSE OF REPRESENTATIVES	20
Centers For Medicare and Medicaid Services (CMS)	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	25

Bills Explicitly Cited (25)

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

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2026 · third_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $40,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2026 · third_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $40,000

Matched citations: S. 2237

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2026 · second_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2026 · second_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: S. 2237

Show 21 more cited filings

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2026 · first_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2026 · first_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: S. 2237

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2025 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2025 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: S. 2237

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2025 · third_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2025 · third_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: S. 2237

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2025 · second_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: H.R. 4313

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2025 · second_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Home care; hospital at home; SNF at home; chronic care; Hospital Inpatient Services Modernization Act (H.R. 4313/S. 2237).

Client expense: — · Firm income: $110,000

Matched citations: S. 2237

H.R. 2853118th Congress

Expanding Care in the Home Act

2023 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital at Home; Hospital at Home (H.R. 2853) Expanding Care in the Home

Client expense: — · Firm income: $110,000

Matched citations: H.R. 2853

H.R. 2853118th Congress

Expanding Care in the Home Act

2023 · third_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital at Home; Hospital at Home (H.R. 2853) Expanding Care in the Home

Client expense: — · Firm income: $110,000

Matched citations: H.R. 2853

H.R. 8581117th Congress

Preserving Access to Home Health Act of 2022

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: H.R. 8581

S. 2562117th Congress

Choose Home Care Act of 2021

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 2562

S. 3792117th Congress

Hospital Inpatient Services Modernization Act

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 3792

S. 4605117th Congress

Preserving Access to Home Health Act of 2022

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 4605

H.R. 8581117th Congress

Preserving Access to Home Health Act of 2022

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: H.R. 8581

S. 2562117th Congress

Choose Home Care Act of 2021

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 2562

S. 3792117th Congress

Hospital Inpatient Services Modernization Act

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 3792

S. 4605117th Congress

Preserving Access to Home Health Act of 2022

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 4605

H.R. 8581117th Congress

Preserving Access to Home Health Act of 2022

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: H.R. 8581

S. 2562117th Congress

Choose Home Care Act of 2021

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 2562

S. 3792117th Congress

Hospital Inpatient Services Modernization Act

2022 · fourth_quarter · Firm: SIRONA STRATEGIES LLC

Open original LDA filing ↗

Cited source text and reported amounts

Hospital Inpatient Services Modernization Act (S. 3792); Choose Home Care Act of 2022 (S. 2562); Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581); issues related to expanding care in the home; Consolidated Appropriations Act of 2022.

Client expense: — · Firm income: $110,000

Matched citations: S. 3792

Source: Senate LDA

MOVING HEALTH HOME — Lobbying Disclosure | Poliscope