FRESENIUS MEDICAL CARE NORTH AMERICA

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This entity appears on both sides of lobbying disclosures. The firm tab shows registrant-reported income; the client tab shows client-reported lobbying spend. Contract awards are separate and are not included here.

Lobbying Spend

$99.3M

Filings

526

Firms Hired

Active Period

1999–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$3,950,000	17	6
2025	$4,630,000	28	7
2024	$6,510,000	30	9
2023	$6,700,000	36	9
2022	$7,330,000	38	9
2021	$7,430,000	38	10
2020	$5,940,000	32	10
2019	$4,651,326	30	7
2018	$2,669,000	29	7
2017	$3,005,000	23	6
2016	$2,335,600	13	3
2015	$4,189,000	10	2
2014	$7,150,426	17	3
2013	$4,677,457	12	3
2012	$4,448,991	26	6
2011	$6,642,000	30	6
2010	$10,413,000	32	8
2009	$3,774,640	20	6
2008	$2,320,000	12	3
2007	$100,000	7	3
2006	$150,000	6	3
2005	$100,000	6	3
2004	$96,000	4	3
2003	$42,000	6	3
2002	$40,000	9	3
2001	—	7	3
2000	$0	4	3
1999	—	4	2

Hired Firms

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

Firm Name	Reported Spend	Filings
FRESENIUS MEDICAL CARE NORTH AMERICA	$99,294,440	113
AVENUE SOLUTIONS	—	44
MILLER STRATEGIES, LLC	—	35
TIBER CREEK HEALTH STRATEGIES, INC.	—	26
POWERS PYLES SUTTER & VERVILLE, P.C.	—	66
FEDERAL HEALTH POLICY STRATEGIES	—	22
CAPITOL COUNSEL LLC	—	20
PENN AVENUE PARTNERS	—	22
LINCOLN POLICY GROUP	—	20
WILEY REIN LLP	—	14
THE GIBSON GROUP, LLC	—	38
EAST END GROUP, LLC	—	15
BLOOM STRATEGIC COUNSEL	—	28
DENTONS US LLP	—	14
KING & SPALDING LLP	—	11

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	408
SENATE	386
Centers For Medicare and Medicaid Services (CMS)	155
Health & Human Services, Dept of (HHS)	86
Medicare Payment Advisory Commission (MedPAC)	59
Executive Office of the President (EOP)	26
White House Office	17
Government Accountability Office (GAO)	13
Social Security Administration (SSA)	11
Office of the Vice President of the United States	8
Office of Management & Budget (OMB)	4
Centers For Disease Control & Prevention (CDC)	3
Health Resources & Services Administration (HRSA)	3
Veterans Affairs, Dept of (VA)	3
Vice President of the U.S.	2
Administration on Aging	1
Congressional Budget Office (CBO)	1
Food & Drug Administration (FDA)	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	301
Health Issues	Health Issues	253
Labor Issues/Antitrust/Workplace	Labor Issues/Antitrust/Workplace	35
Immigration	Immigration	26
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	13
Government Issues	Government Issues	7
Tariff (miscellaneous tariff bills)	Tariff (miscellaneous tariff bills)	6
Veterans	Veterans	5
Bankruptcy	Bankruptcy	5
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	2

Bills Explicitly Cited (25)

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

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Proposed Rule - CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program; Market Basket Update in CY 2027 ESRD PPS; Low Volume Payment Adjustment eligibility in CY 2027 ESRD PPS; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Proposed Rule - CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program; Market Basket Update in CY 2027 ESRD PPS; Low Volume Payment Adjustment eligibility in CY 2027 ESRD PPS; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Proposed Rule - CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program; Market Basket Update in CY 2027 ESRD PPS; Low Volume Payment Adjustment eligibility in CY 2027 ESRD PPS; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: S. 1173

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Proposed Rule - CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program; Market Basket Update in CY 2027 ESRD PPS; Low Volume Payment Adjustment eligibility in CY 2027 ESRD PPS; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: S. 2730

Show 21 more cited filings

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: H.R. 2199

H.R. 4582119th Congress

To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: H.R. 4582

H.R. 4583119th Congress

Living Donor Protection Act of 2025

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: H.R. 4583

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: H.R. 6214

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: H.R. 8319

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: S. 1173

S. 1552119th Congress

Living Donor Protection Act of 2025

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: S.1552

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 8319 - KIDNEY Remote Monitoring Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,000,000 · Firm income: —

Matched citations: S. 2730

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Firm: THE GIBSON GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitor competition in the kidney dialysis market Monitor telehealth issues Restore Act - HR 2199 ESRD PPS rule for 2027

Client expense: — · Firm income: $20,000

Matched citations: HR 2199

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: S. 1173

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to End Stage Renal Disease (ESRD) and Chronic Kidney Disease; H.R. 2199/S. 1173, Restore Protections for Dialysis Patients Act; Barriers to innovation in the ESRD PPS and Medicare Advantage programs; S. 2730/H.R. 6214, Kidney Care Access Protection Act; Medicare forecast error adjustment in ESRD PPS

Client expense: — · Firm income: $60,000

Matched citations: S. 2730

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: H.R. 2199

H.R. 4582119th Congress

To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: H.R. 4582

H.R. 4583119th Congress

Living Donor Protection Act of 2025

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: H.R. 4583

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: S. 1173

S. 1552119th Congress

Living Donor Protection Act of 2025

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: S.1552

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Firm: FRESENIUS MEDICAL CARE NORTH AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act U.S. Tariffs H.R. 6214/S. 2730 - The Kidney Care Access Protection Act H.R. 4582 H.R. 4583/ S.1552 - Living Donor Protection Act

Client expense: $1,190,000 · Firm income: —

Matched citations: S. 2730

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Firm: THE GIBSON GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitor competition in the kidney dialysis market Monitor telehealth issues Restore Act - HR 2199

Client expense: — · Firm income: $20,000

Matched citations: HR 2199

Source: Senate LDA

FRESENIUS MEDICAL CARE NORTH AMERICA — Lobbying Disclosure | Poliscope