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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
$118.8M
Filings
630
Firms Hired
9
Active Period
1999–2026
Client-reported lobbying expenses on LDA filings
Lobbying firms retained by this client; amounts are client-reported expenses when available
Government entities explicitly identified as targets in LDA filings
Most frequently reported lobbying issues
Bill numbers found in source-reported LDA specific issue text; broad topic matches are excluded
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 5582
Lower Costs, More Transparency Act of 2026
2026 · third_quarter · Firm: AVENUE SOLUTIONS
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 9393
Tax Exempt Hospital Transparency Act
2026 · third_quarter · Firm: AVENUE SOLUTIONS
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 9504
Issues relating to Medicare Advantage; Issues related to the use of AI and its correlation to prior authorization and utilization management policies; S. 1105, No UPCODE Act; Issues related to Senate Finance Dear Colleague process
Client expense: — · Firm income: $120,000
Matched citations: S. 1105
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: S. 2355
No Surprises Act Enforcement Act
2026 · third_quarter · Firm: FIERCE GOVERNMENT RELATIONS
General business issues; Pharmacy benefit manager issues; Medicare advantage; Issues relating to health insurance; General healthcare competition issues; H.R.4710/S.2420 - No Surprises Enforcement Act; Budget reconciliation.
Client expense: — · Firm income: $120,000
Matched citations: H.R.4710
No Surprises Act Enforcement Act
2026 · third_quarter · Firm: FIERCE GOVERNMENT RELATIONS
General business issues; Pharmacy benefit manager issues; Medicare advantage; Issues relating to health insurance; General healthcare competition issues; H.R.4710/S.2420 - No Surprises Enforcement Act; Budget reconciliation.
Client expense: — · Firm income: $120,000
Matched citations: S.2420
PBM Reform Act of 2025
2026 · third_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: HR 4317
Lower Costs, More Transparency Act of 2026
2026 · third_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: HR 9393
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: S. 4509
Patients Deserve Price Tags Act
2026 · second_quarter · Firm: AVENUE SOLUTIONS
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 5582
Lower Costs, More Transparency Act of 2026
2026 · second_quarter · Firm: AVENUE SOLUTIONS
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 9393
Tax Exempt Hospital Transparency Act
2026 · second_quarter · Firm: AVENUE SOLUTIONS
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: H.R. 9504
Issues relating to Medicare Advantage; Issues related to the use of AI and its correlation to prior authorization and utilization management policies; S. 1105, No UPCODE Act; Issues related to Senate Finance Dear Colleague process
Client expense: — · Firm income: $120,000
Matched citations: S. 1105
H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act; Issues related to surprise medical billing
Client expense: — · Firm income: $120,000
Matched citations: S. 2355
PBM Reform Act of 2025
2026 · second_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: HR 4317
Lower Costs, More Transparency Act of 2026
2026 · second_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: HR 9393
Issues related to pharmacy benefit management, including in HR 9393 (Lower Cost More Transparency Act); S. 4509 (PBM Act); HR 4317 (PBM Reform Act of 2025)
Client expense: — · Firm income: $90,000
Matched citations: S. 4509
Issues relating to Medicare Advantage; Issues related to the use of AI and its correlation to prior authorization and utilization management policies; S. 1105, No UPCODE Act; Issues related to Senate Finance Dear Colleague process
Client expense: — · Firm income: $100,000
Matched citations: S. 1105
Consolidated Appropriations Act, 2026
2026 · first_quarter · Firm: FIERCE GOVERNMENT RELATIONS
General Business Issues; Pharmacy Benefit Manager Issues; Medicare Advantage; Issues Relating to Health Insurance; General Healthcare Competition Issues; H.R.7148 - Consolidated Appropriations Act, 2026.
Client expense: — · Firm income: $100,000
Matched citations: H.R.7148
American Relief Act, 2025
2026 · first_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in H.R. 5378 (Lower Costs, More Transparency Act), S.2973 (Modernizing and Ensuring PBM Accountability Act), S.1339 (Pharmacy Benefit Manager Reform Act), and H.R.10545 (American Relief Act, 2025).
Client expense: — · Firm income: $90,000
Matched citations: H.R.10545
Lower Costs, More Transparency Act
2026 · first_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in H.R. 5378 (Lower Costs, More Transparency Act), S.2973 (Modernizing and Ensuring PBM Accountability Act), S.1339 (Pharmacy Benefit Manager Reform Act), and H.R.10545 (American Relief Act, 2025).
Client expense: — · Firm income: $90,000
Matched citations: H.R. 5378
Pharmacy Benefit Manager Reform Act
2026 · first_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in H.R. 5378 (Lower Costs, More Transparency Act), S.2973 (Modernizing and Ensuring PBM Accountability Act), S.1339 (Pharmacy Benefit Manager Reform Act), and H.R.10545 (American Relief Act, 2025).
Client expense: — · Firm income: $90,000
Matched citations: S.1339
Modernizing and Ensuring PBM Accountability Act
2026 · first_quarter · Firm: AXADVOCACY GOVERNMENT RELATIONS
Issues related to pharmacy benefit management, including in H.R. 5378 (Lower Costs, More Transparency Act), S.2973 (Modernizing and Ensuring PBM Accountability Act), S.1339 (Pharmacy Benefit Manager Reform Act), and H.R.10545 (American Relief Act, 2025).
Client expense: — · Firm income: $90,000
Matched citations: S.2973
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: PENN AVENUE PARTNERS
Pharmacy benefit related issues. H.R.1 - One Big Beautiful Bill Act.
Client expense: — · Firm income: $90,000
Matched citations: H.R.1
Source: Senate LDA