VITAL DECISIONS, LLC

Lobbying Spend

—

Filings

Firms Hired

Active Period

2015–2016

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2016	—	2	1
2015	—	3	1

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

Firm Name	Reported Spend	Filings
CHAMBER HILL STRATEGIES	—	5

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
Centers For Medicare and Medicaid Services (CMS)	2
HOUSE OF REPRESENTATIVES	2
SENATE	2

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	3

VITAL DECISIONS, LLC — Lobbying Disclosure | Poliscope