SELF-INSURANCE INSTITUTE OF AMERICA, INC.

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Lobbying Spend

—

Filings

189

Firms Hired

Active Period

1999–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	—	5	2
2025	—	8	2
2024	—	8	2
2023	—	9	2
2022	—	13	3
2021	—	8	2
2020	—	8	2
2019	—	8	2
2018	—	12	3
2017	—	12	3
2016	—	12	3
2015	—	13	3
2014	—	9	2
2013	—	9	2
2012	—	9	3
2011	—	8	2
2010	—	6	1
2009	—	6	1
2008	—	10	1
2007	—	4	1
2006	—	2	1
2005	—	3	1
2004	—	2	1
2003	—	1	1
2002	—	1	1
2001	—	1	1
2000	—	1	1
1999	—	1	1

Hired Firms

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

Firm Name	Reported Spend	Filings
CALMETTO MANAGEMENT GROUP	—	102
CC LAW & POLICY	—	50
FEROX STRATEGIES	—	4
VENABLE LLP	—	27
ALSTON & BIRD LLP	—	6

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	160
SENATE	151
Health & Human Services, Dept of (HHS)	38
Labor, Dept of (DOL)	37
Centers For Medicare and Medicaid Services (CMS)	26
Internal Revenue Service (IRS)	10
Treasury, Dept of	9
Natl Economic Council (NEC)	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	172
Insurance	Insurance	57
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	48
Financial Institutions/Investments/Securities	Financial Institutions/Investments/Securities	19
Small Business	Small Business	10
Banking	Banking	1

Bills Explicitly Cited (25)

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

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $60,000

Matched citations: S. 4750

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $60,000

Matched citations: S. 4750

Show 21 more cited filings

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions Issues related to dialysis treatment ( H.R. 8594/S. 4750)

Client expense: — · Firm income: $270,000

Matched citations: H.R. 8594

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions General issues related to dialysis treatment and the Restore Protections for Dialysis Patients Act (HR 8594/S 4750)

Client expense: — · Firm income: $270,000

Matched citations: HR 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions Issues related to dialysis treatment ( H.R. 8594/S. 4750)

Client expense: — · Firm income: $270,000

Matched citations: S. 4750

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions General issues related to dialysis treatment and the Restore Protections for Dialysis Patients Act (HR 8594/S 4750)

Client expense: — · Firm income: $270,000

Matched citations: S 4750

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $20,000

Matched citations: H.R. 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: $20,000

Matched citations: S. 4750

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: —

Matched citations: H.R. 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: FEROX STRATEGIES

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to the Restore Protections for Dialysis Patients Act (H.R. 8594/S. 4750).

Client expense: — · Firm income: —

Matched citations: S. 4750

H.R. 133117th Congress

David’s Law

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Issues related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Matters related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Matters related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: H.R. 8594

H.R. 8594117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Issues related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: H.R. 8594

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Issues related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: S. 4750

S. 4750117th Congress

Restore Protections for Dialysis Patients Act

2022 · third_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Matters related to dialysis treatment and the Medicare Secondary Payer Act, H.R. 8594 and S. 4750

Client expense: — · Firm income: $200,000

Matched citations: S. 4750

H.R. 133117th Congress

David’s Law

2022 · second_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th)

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2022 · second_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th)

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2022 · first_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th)

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2022 · first_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th)

Client expense: — · Firm income: $200,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2021 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Matters related to self-insurance, stop-loss insurance, and captive insurance. Issues related to surprise billing and price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th)

Client expense: — · Firm income: $100,000

Matched citations: HR 133

H.R. 133117th Congress

David’s Law

2021 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to surprise medical billing and health care price transparency Implementation of surprise billing and health transparency provisions in Consolidated Appropriations Act of 2021 (HR 133 - 116th) Healthcare issues contained in H.R. 5376

Client expense: — · Firm income: $100,000

Matched citations: HR 133

H.R. 5376117th Congress

Inflation Reduction Act of 2022

2021 · fourth_quarter · Firm: CALMETTO MANAGEMENT GROUP

Open original LDA filing ↗

Cited source text and reported amounts

Issues pertaining to captive insurance, IRC Section 831(b) and health care related taxes. Tax issues contained in H.R. 5376

Client expense: — · Firm income: $100,000

Matched citations: H.R. 5376

Source: Senate LDA

SELF-INSURANCE INSTITUTE OF AMERICA, INC. — Lobbying Disclosure | Poliscope