AMERICAN PROFICIENCY INSTITUTE

Lobbying Spend

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Filings

Firms Hired

Active Period

2020–2026

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	—	5	1
2021	—	4	1
2020	—	3	1

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

Firm Name	Reported Spend	Filings
AUBURN HEALTH STRATEGIES, LLC	—	27

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
Health & Human Services, Dept of (HHS)	12
SENATE	8
Centers For Medicare and Medicaid Services (CMS)	4
HOUSE OF REPRESENTATIVES	4
Office of Management & Budget (OMB)	3
Centers For Disease Control & Prevention (CDC)	2
Food & Drug Administration (FDA)	2

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	23

AMERICAN PROFICIENCY INSTITUTE — Lobbying Disclosure | Poliscope