ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

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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

$14.6M

Filings

Firms Hired

Active Period

2019–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$1,797,552	6	2
2025	$2,735,000	8	2
2024	$2,913,000	9	2
2023	$1,660,000	8	2
2022	$1,580,000	8	2
2021	$1,270,000	10	2
2020	$1,280,000	8	2
2019	$1,380,000	5	2

Hired Firms

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

Firm Name	Reported Spend	Filings
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION	$14,615,552	31
MCDERMOTT+ LLC	—	31

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	60
SENATE	60
Centers For Medicare and Medicaid Services (CMS)	39
Health & Human Services, Dept of (HHS)	39
Health Resources & Services Administration (HRSA)	25
Food & Drug Administration (FDA)	7
Veterans Affairs, Dept of (VA)	6
Drug Enforcement Administration (DEA)	5
Office of Management & Budget (OMB)	5
Vice President of the U.S.	5
Federal Emergency Management Agency (FEMA)	2

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	62
Medicare/Medicaid	Medicare/Medicaid	59
Pharmacy	Pharmacy	31
Immigration	Immigration	14
Budget/Appropriations	Budget/Appropriations	11
Veterans	Veterans	7
Religion	Religion	7
Insurance	Insurance	6
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	4
Accounting	Accounting	2
Labor Issues/Antitrust/Workplace	Labor Issues/Antitrust/Workplace	1

Bills Explicitly Cited (25)

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

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments; Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act; Patients Deserve Price Tags Act

Client expense: $440,752 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1, the One Big Beautiful Bill Act; EAPTC Extension

Client expense: $440,752 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments;Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act;

Client expense: $440,752 · Firm income: —

Matched citations: H.R. 1

H.R. 247119th Congress

Health Care Affordability Act of 2025

2026 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $440,752 · Firm income: —

Matched citations: H.R. 247

Show 21 more cited filings

S. 46119th Congress

Health Care Affordability Act of 2025

2026 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $440,752 · Firm income: —

Matched citations: S. 46

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · second_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments;Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act;

Client expense: $666,800 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · second_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments; Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act; Patients Deserve Price Tags Act

Client expense: $666,800 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · second_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1, the One Big Beautiful Bill Act; EAPTC Extension

Client expense: $666,800 · Firm income: —

Matched citations: H.R. 1

H.R. 247119th Congress

Health Care Affordability Act of 2025

2026 · second_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $666,800 · Firm income: —

Matched citations: H.R. 247

S. 46119th Congress

Health Care Affordability Act of 2025

2026 · second_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $666,800 · Firm income: —

Matched citations: S. 46

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · first_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1, the One Big Beautiful Bill Act; EAPTC Extension

Client expense: $690,000 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · first_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments; Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act;

Client expense: $690,000 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · first_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Labor Health and Human Services Education, Homeland, Commerce, Justice, Science Appropriations; 340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Site-neutral payment policy; Issues related to hospital outpatient department payments; Issues related to DSH; Issues related to Medicaid supplemental payments;Issues related to Medicare payments; Issues related to Medicare Advantage reimbursement and prior authorization; Issues related to childrens medical care; issues related to rural health; Issues related to mental and behavioral health; enhanced Advanced Premium Tax Credits; issues related to the implementation of H.R. 1, the One Big Beautiful Bill Act;

Client expense: $690,000 · Firm income: —

Matched citations: H.R. 1

H.R. 247119th Congress

Health Care Affordability Act of 2025

2026 · first_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $690,000 · Firm income: —

Matched citations: H.R. 247

S. 46119th Congress

Health Care Affordability Act of 2025

2026 · first_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $690,000 · Firm income: —

Matched citations: S. 46

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, Equitable Community Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act; H.R. 1, the One Big Beautiful Bill Act

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1, the One Big Beautiful Bill Act

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 1

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to Medicare and Medicaid payments; Issues related to affordable prescription drugs; Issues related to telehealth authorities; Issues related to health care workforce and staffing; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicaid coverage; issues related to Medicaid supplemental payments; issues related to provider taxes; Issues related to hospital reimbursement; 340B Program; Issues related to hospital price transparency; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; issues related to rural health reimbursement, including the Medicare Dependent Hospital and Low Volume Hospital programs; physician reimbursement rates; issues related to Program for All-Inclusive Care for the Elderly (PACE); issues related to improving coordination of care for dual eligibles; issues related to site neutral payments; issues related to prior authorization, unwarranted claim denials, and payment delays; Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act, H.R. 1, the One Big Beautiful Bill Act; implementation of PL 119-21

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 1

H.R. 2433119th Congress

Reducing Medically Unnecessary Delays in Care Act of 2025

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to Medicare and Medicaid payments; Issues related to affordable prescription drugs; Issues related to telehealth authorities; Issues related to health care workforce and staffing; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicaid coverage; issues related to Medicaid supplemental payments; issues related to provider taxes; Issues related to hospital reimbursement; 340B Program; Issues related to hospital price transparency; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; issues related to rural health reimbursement, including the Medicare Dependent Hospital and Low Volume Hospital programs; physician reimbursement rates; issues related to Program for All-Inclusive Care for the Elderly (PACE); issues related to improving coordination of care for dual eligibles; issues related to site neutral payments; issues related to prior authorization, unwarranted claim denials, and payment delays; Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act, H.R. 1, the One Big Beautiful Bill Act; implementation of PL 119-21

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 2433

H.R. 2433119th Congress

Reducing Medically Unnecessary Delays in Care Act of 2025

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, Equitable Community Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act; H.R. 1, the One Big Beautiful Bill Act

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 2433

H.R. 247119th Congress

Health Care Affordability Act of 2025

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 247

H.R. 8702119th Congress

Secret Service Transfer Act of 2026

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, Equitable Community Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act; H.R. 1, the One Big Beautiful Bill Act

Client expense: $485,000 · Firm income: —

Matched citations: H.R. 8702

S. 4352119th Congress

Fair and Transparent Gas Prices Act of 2026

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, Equitable Community Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act; H.R. 1, the One Big Beautiful Bill Act

Client expense: $485,000 · Firm income: —

Matched citations: S. 4352

S. 46119th Congress

Health Care Affordability Act of 2025

2025 · fourth_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 247/S. 46, the Healthcare Affordability Act; extending advanced premium tax credits (APTCs); issues related to provider taxes.

Client expense: $485,000 · Firm income: —

Matched citations: S. 46

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · third_quarter · Firm: ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Open original LDA filing ↗

Cited source text and reported amounts

340B Program; Issues related to affordable prescription drugs; Issues related to health care workforce and staffing; Issues related to health care privacy; Issues related to telehealth authorities; Issues related to hospital price transparency; Issues related to hospital reimbursement; Issues related to nonprofit hospital practices; Issues related to hospital outpatient department payments; Issues related to hospital outpatient department payments; Medicaid Disproportionate Share Hospital payment adjustment program; Issues related to Medicare payments; Issues related to Medicare Advantage payment and prior authorization; Childrens Hospital Graduate Medical Education Program (CHGME); issues related to childrens medical care; issues related to rural health; S. 4352/H.R. 8702, Equitable Community Access to Pharmacy Services Act; issues related to Program for All-Inclusive Care for the Elderly (PACE); Issues related to mental and behavioral health; issues related to extending programs under the SUPPORT for Patients Communities Act; issues related to cybersecurity; enhanced Advanced Premium Tax Credits; H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act, H.R. 1, the One Big Beautiful Bill Act

Client expense: $550,000 · Firm income: —

Matched citations: H.R. 1

Source: Senate LDA

ASCENSION HEALTH ALLIANCE D/B/A ASCENSION — Lobbying Disclosure | Poliscope