COMMUNITY ONCOLOGY ALLIANCE

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Lobbying Spend

$13.0M

Filings

Firms Hired

Active Period

2012–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$866,800	3	1
2025	$4,001,500	5	1
2024	$1,087,800	4	1
2023	$1,000,500	4	1
2022	$673,600	4	1
2021	$982,640	5	1
2020	$330,400	4	1
2019	$566,000	4	1
2018	$565,200	4	1
2017	$542,600	4	1
2016	$565,700	4	1
2015	$366,750	4	1
2014	$328,850	4	1
2013	$508,800	4	1
2012	$590,275	5	1

Hired Firms

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

Firm Name	Reported Spend	Filings
COMMUNITY ONCOLOGY ALLIANCE	$12,977,415	62

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	61
SENATE	61
Centers For Medicare and Medicaid Services (CMS)	35
Health & Human Services, Dept of (HHS)	17
Office of Management & Budget (OMB)	5
White House Office	4
Federal Trade Commission (FTC)	3
Veterans Affairs, Dept of (VA)	2

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	62
Veterans	Veterans	3
Health Issues	Health Issues	1

Bills Explicitly Cited (25)

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

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $265,800 · Firm income: —

Matched citations: HR 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $265,800 · Firm income: —

Matched citations: HR 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $315,500 · Firm income: —

Matched citations: HR 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $315,500 · Firm income: —

Matched citations: HR 4299

Show 21 more cited filings

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · first_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $285,500 · Firm income: —

Matched citations: HR 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · first_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues Medicare physician fee schedule payment cuts to radiation therapy

Client expense: $285,500 · Firm income: —

Matched citations: HR 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues.

Client expense: $218,800 · Firm income: —

Matched citations: HR 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2025 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Prior authorization and step therapy issues.

Client expense: $218,800 · Firm income: —

Matched citations: HR 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Enhancing Oncology Model issues/problems (CMS/CMMI)

Client expense: $221,500 · Firm income: —

Matched citations: HR 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2025 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation (HR 4299) Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement Enhancing Oncology Model issues/problems (CMS/CMMI)

Client expense: $221,500 · Firm income: —

Matched citations: HR 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

Legislation to stop restrictions to practices mailing oral drugs (HR 2484) Technical fix to the Inflation Reduction Act regarding drug negotiation Increase in Medicare payments to physicians and an inflation update Legislative fixes to the 340B Drug Purchasing Program Site neutral payments to hospitals Misc legislation to stop pharmacy benefit manager patient abuses and low-ball reimbursement

Client expense: $308,500 · Firm income: —

Matched citations: HR 2484

H.R. 5376118th Congress

Share the Savings with Seniors Act

2024 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Continuing Resolution Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $285,800 · Firm income: —

Matched citations: H.R. 5376

H.R. 5526118th Congress

Seniors’ Access to Critical Medications Act of 2024

2024 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Continuing Resolution Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $285,800 · Firm income: —

Matched citations: H.R. 5526

S. 127118th Congress

Pharmacy Benefit Manager Transparency Act of 2023

2024 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Continuing Resolution Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $285,800 · Firm income: —

Matched citations: S. 127

S. 3458118th Congress

Seniors’ Access to Critical Medications Act of 2023

2024 · fourth_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Continuing Resolution Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $285,800 · Firm income: —

Matched citations: S. 3458

H.R. 5376118th Congress

Share the Savings with Seniors Act

2024 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $246,500 · Firm income: —

Matched citations: H.R. 5376

H.R. 5526118th Congress

Seniors’ Access to Critical Medications Act of 2024

2024 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $246,500 · Firm income: —

Matched citations: H.R. 5526

S. 127118th Congress

Pharmacy Benefit Manager Transparency Act of 2023

2024 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $246,500 · Firm income: —

Matched citations: S. 127

S. 3458118th Congress

Seniors’ Access to Critical Medications Act of 2023

2024 · third_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments (no specific bill number) Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Enhancing Oncology Model (CMMI)

Client expense: $246,500 · Firm income: —

Matched citations: S. 3458

H.R. 5376118th Congress

Share the Savings with Seniors Act

2024 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number) Enhancing Oncology Model (CMMI)

Client expense: $288,000 · Firm income: —

Matched citations: H.R. 5376

H.R. 5526118th Congress

Seniors’ Access to Critical Medications Act of 2024

2024 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number) Enhancing Oncology Model (CMMI)

Client expense: $288,000 · Firm income: —

Matched citations: H.R. 5526

S. 127118th Congress

Pharmacy Benefit Manager Transparency Act of 2023

2024 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number) Enhancing Oncology Model (CMMI)

Client expense: $288,000 · Firm income: —

Matched citations: S. 127

S. 3458118th Congress

Seniors’ Access to Critical Medications Act of 2023

2024 · second_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Multiple pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number) Enhancing Oncology Model (CMMI)

Client expense: $288,000 · Firm income: —

Matched citations: S. 3458

H.R. 5376118th Congress

Share the Savings with Seniors Act

2024 · first_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Misc pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number)

Client expense: $267,500 · Firm income: —

Matched citations: H.R. 5376

H.R. 5526118th Congress

Seniors’ Access to Critical Medications Act of 2024

2024 · first_quarter · Firm: COMMUNITY ONCOLOGY ALLIANCE

Open original LDA filing ↗

Cited source text and reported amounts

CMS FAQ on Stark mailing drugs violation (H.R. 5526) (S. 3458) Misc pharmacy benefit managers (PBMs) issues relating to cancer care (general issues and multiple bills supporting) Change Healthcare cyber attack Pharmacy Benefit Manager Transparency Act (S. 127) Misc. 340B Drug Discount Program issues (no specific bill number) Hospital site-neutral payments Medicare physician payment issues (no specific bill number) Inflation Reduction Act (H.R. 5376) Cancer drug shortages (no specific bill number)

Client expense: $267,500 · Firm income: —

Matched citations: H.R. 5526

Source: Senate LDA

COMMUNITY ONCOLOGY ALLIANCE — Lobbying Disclosure | Poliscope