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
$25.2M
Filings
193
Firms Hired
4
Active Period
2001–2026
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
Skin Substitute Access and Payment Reform Act
2026 · third_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician reimbursement for orthopedic procedures. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Act of 2025. Issues related to Medicare coverage for skin substitutes. Issues related to Medicare complexity adjustment in HOPD and ASC settings.
Client expense: $480,000 · Firm income: —
Matched citations: H.R. 5768
Skin Substitute Access and Payment Reform Act of 2025
2026 · third_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician reimbursement for orthopedic procedures. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Act of 2025. Issues related to Medicare coverage for skin substitutes. Issues related to Medicare complexity adjustment in HOPD and ASC settings.
Client expense: $480,000 · Firm income: —
Matched citations: S. 2561
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
Skin Substitute Access and Payment Reform Act
2026 · second_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Act of 2025. Issues related to Medicare local coverage determinations for skin substitutes. Issues related to APNRM on Ensuring Safety Through Domestic Security with Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals. Issues related to Medicare complexity adjustment in HOPD and ASC settings.
Client expense: $490,000 · Firm income: —
Matched citations: H.R. 5768
Skin Substitute Access and Payment Reform Act of 2025
2026 · second_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Act of 2025. Issues related to Medicare local coverage determinations for skin substitutes. Issues related to APNRM on Ensuring Safety Through Domestic Security with Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals. Issues related to Medicare complexity adjustment in HOPD and ASC settings.
Client expense: $490,000 · Firm income: —
Matched citations: S. 2561
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · first_quarter · Firm: SMITH & NEPHEW INC
Issues related to section 899 of the One Big Beautiful Bill Act, H.R.1.
Client expense: $420,000 · Firm income: —
Matched citations: H.R.1
Skin Substitute Access and Payment Reform Act
2026 · first_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Issues related to Medicare local coverage determinations for skin substitutes. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025. H.R. 6852 Advanced Wound Care and Regenerative Medicine Access and Reform Act. Issues related to APNRM on Ensuring Safety Through Domestic Security With Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals.
Client expense: $420,000 · Firm income: —
Matched citations: H.R. 5768
Advanced Wound Care and Regenerative Medicine Access and Reform Act
2026 · first_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Issues related to Medicare local coverage determinations for skin substitutes. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025. H.R. 6852 Advanced Wound Care and Regenerative Medicine Access and Reform Act. Issues related to APNRM on Ensuring Safety Through Domestic Security With Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals.
Client expense: $420,000 · Firm income: —
Matched citations: H.R. 6852
Skin Substitute Access and Payment Reform Act of 2025
2026 · first_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Issues related to Medicare local coverage determinations for skin substitutes. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025. H.R. 6852 Advanced Wound Care and Regenerative Medicine Access and Reform Act. Issues related to APNRM on Ensuring Safety Through Domestic Security With Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals.
Client expense: $420,000 · Firm income: —
Matched citations: S. 2561
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Monitor implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax. H.R. 591, Defending American Jobs and Investment Act, and H.R. 2423, Unfair Tax Prevention Act, as they relate to multinational corporations.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
Access to Pediatric Technologies Act of 2025
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to disposable negative pressure wound therapy. Issues related to payment for skin substitutes wound treatments. Issues related to coding and payment rates for tympanostomy and other procedures involving pediatric medical devices. S. 249/H.R. 1931, Access to Pediatric Technologies Act of 2025. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Monitored issues related to pass-through payments for medical devices. Issues related to Most Favored Nation drug pricing.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1931
Unfair Tax Prevention Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Monitor implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax. H.R. 591, Defending American Jobs and Investment Act, and H.R. 2423, Unfair Tax Prevention Act, as they relate to multinational corporations.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 2423
Defending American Jobs and Investment Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Monitor implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate and international taxes. Monitor OECD negotiations related to Pillar II global minimum tax. H.R. 591, Defending American Jobs and Investment Act, and H.R. 2423, Unfair Tax Prevention Act, as they relate to multinational corporations.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 591
Access to Pediatric Technologies Act of 2025
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to disposable negative pressure wound therapy. Issues related to payment for skin substitutes wound treatments. Issues related to coding and payment rates for tympanostomy and other procedures involving pediatric medical devices. S. 249/H.R. 1931, Access to Pediatric Technologies Act of 2025. Monitored the implementation of P.L. 117-169, the Inflation Reduction Act, as it relates to drug pricing. Monitored issues related to pass-through payments for medical devices. Issues related to Most Favored Nation drug pricing.
Client expense: — · Firm income: $60,000
Matched citations: S. 249
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · fourth_quarter · Firm: SMITH & NEPHEW INC
Issues related to section 899 of the One Big Beautiful Bill Act, H.R.1.
Client expense: $340,000 · Firm income: —
Matched citations: H.R.1
Access to Pediatric Technologies Act of 2025
2025 · fourth_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician fee schedule issues related to pediatric tympanostomies. H.R. 1931 / S. 249, Access to Pediatric Technologies Act of 2025. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $340,000 · Firm income: —
Matched citations: H.R. 1931
Skin Substitute Access and Payment Reform Act
2025 · fourth_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician fee schedule issues related to pediatric tympanostomies. H.R. 1931 / S. 249, Access to Pediatric Technologies Act of 2025. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $340,000 · Firm income: —
Matched citations: H.R. 5768
Access to Pediatric Technologies Act of 2025
2025 · fourth_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician fee schedule issues related to pediatric tympanostomies. H.R. 1931 / S. 249, Access to Pediatric Technologies Act of 2025. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $340,000 · Firm income: —
Matched citations: S. 249
Skin Substitute Access and Payment Reform Act of 2025
2025 · fourth_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule and Medicare hospital outpatient rule, issues related to skin substitutes. Medicare physician fee schedule issues related to pediatric tympanostomies. H.R. 1931 / S. 249, Access to Pediatric Technologies Act of 2025. H.R. 5768 / S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $340,000 · Firm income: —
Matched citations: S. 2561
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · third_quarter · Firm: SMITH & NEPHEW INC
Issues related to the base erosion and anti-abuse tax. Section 899 of the One Big Beautiful Bill Act, H.R.1.
Client expense: $350,000 · Firm income: —
Matched citations: H.R.1
Access to Pediatric Technologies Act of 2025
2025 · third_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule, Medicare hospital outpatient rule, and Medicare Administrative Contractor policies, issues related to skin substitutes. Medicare physician fee schedule and Medicare Administrative Contractor policies, issues related to pediatric tympanostomies. H.R. 1931 / S.249, Access to Pediatric Technologies Act of 2025. S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $350,000 · Firm income: —
Matched citations: H.R. 1931
Access to Pediatric Technologies Act of 2025
2025 · third_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule, Medicare hospital outpatient rule, and Medicare Administrative Contractor policies, issues related to skin substitutes. Medicare physician fee schedule and Medicare Administrative Contractor policies, issues related to pediatric tympanostomies. H.R. 1931 / S.249, Access to Pediatric Technologies Act of 2025. S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $350,000 · Firm income: —
Matched citations: S.249
Skin Substitute Access and Payment Reform Act of 2025
2025 · third_quarter · Firm: SMITH & NEPHEW INC
Medicare physician fee schedule, Medicare hospital outpatient rule, and Medicare Administrative Contractor policies, issues related to skin substitutes. Medicare physician fee schedule and Medicare Administrative Contractor policies, issues related to pediatric tympanostomies. H.R. 1931 / S.249, Access to Pediatric Technologies Act of 2025. S. 2561, Skin Substitute Access and Payment Reform Act of 2025.
Client expense: $350,000 · Firm income: —
Matched citations: S. 2561
Source: Senate LDA