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Lobbying Spend
—
Filings
16
Firms Hired
2
Active Period
2025–2026
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
Hospice Recertification Flexibility Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1720
To amend title XVIII to reform the Medicare Advantage program.
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 3467
Palliative Care and Hospice Education and Training Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Client expense: — · Firm income: $50,000
Matched citations: H.R. 4425
Telehealth Modernization Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 5081
Consolidated Appropriations Act, 2026
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 7148
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 7966
Protecting Seniors and Stopping Fraudsters Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 8883
CONNECT for Health Act of 2025
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 1261
Expanding Access to Palliative Care Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 1935
Palliative Care and Hospice Education and Training Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Client expense: — · Firm income: $50,000
Matched citations: S. 2287
Telehealth Modernization Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 2709
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 4118
Medicare Home Health Payment Integrity and Protection Act of 2026
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI). FY'27 Home Health Proposed Rule and S. 5250, Medicare Home Health Payment Integrity and Protection Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 5250
To amend title XVIII to reform the Medicare Advantage program.
2026 · third_quarter · Firm: I STREET ADVOCATES
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: H.R. 3467
CONNECT for Health Act of 2025
2026 · third_quarter · Firm: I STREET ADVOCATES
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: H.R.4206
Support for H.R.7199, Geralds Law Act, and S. 3898, Gerald's Law Reauthorization Act and the inclusion of a Geralds law extender in any Veterans package.
Client expense: — · Firm income: $20,000
Matched citations: H.R.7199
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: H.R.7966
Protecting Seniors and Stopping Fraudsters Act
2026 · third_quarter · Firm: I STREET ADVOCATES
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: H.R. 8883
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: S. 1261
Gerald’s Law Reauthorization Act of 2026
2026 · third_quarter · Firm: I STREET ADVOCATES
Support for H.R.7199, Geralds Law Act, and S. 3898, Gerald's Law Reauthorization Act and the inclusion of a Geralds law extender in any Veterans package.
Client expense: — · Firm income: $20,000
Matched citations: S. 3898
Support for extending the telehealth flexibility for the face-to-face (F2F) encounter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
Client expense: — · Firm income: $20,000
Matched citations: S. 4118
Hospice Recertification Flexibility Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1720
To amend title XVIII to reform the Medicare Advantage program.
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 3467
Palliative Care and Hospice Education and Training Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to health care workforce shortages. H.R. 4425 / S. 2287, Palliative Care and Hospice Education and Training Act and issues regarding palliative care and hospice education and training. Issues related to Home & Community-Based Services (HCBS).
Client expense: — · Firm income: $50,000
Matched citations: H.R. 4425
Telehealth Modernization Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 5081
Source: Senate LDA