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Lobbying Spend
—
Filings
101
Firms Hired
2
Active Period
1999–2026
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
Physician Led and Rural Access to Quality Care Act
2026 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
P.L. 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored Medicare Advantage reform legislation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: H.R. 2191
Faster Labor Contracts Act
2026 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
Monitored discussions regarding H.R. 5408 / S. 844, the Faster Labor Contracts Act
Client expense: — · Firm income: $70,000
Matched citations: H.R. 5408
Stop Corporate Takeovers of Physicians Act of 2026
2026 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions regarding S. 5419, the Stop Corporate Takeovers of Physicians Act P.L. 119-21 One Big Beautiful Bill Act; provisions involving health care Discussions pertaining to transparency into state directed payments Discussions involving enhanced premium tax credit Monitored discussions involving expanding the health care workforce Monitored discussions pertaining to compliance with exisiting hospital transparency requirements Monitored discussions involving improving price transparency in health care services Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: S. 5419
Faster Labor Contracts Act
2026 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
Monitored discussions regarding H.R. 5408 / S. 844, the Faster Labor Contracts Act
Client expense: — · Firm income: $70,000
Matched citations: S. 844
Physician Led and Rural Access to Quality Care Act
2026 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
P.L. 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored Medicare Advantage reform legislation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: H.R. 2191
Faster Labor Contracts Act
2026 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions regarding H.R. 5408 / S. 844, the Faster Labor Contracts Act
Client expense: — · Firm income: $70,000
Matched citations: H.R. 5408
Faster Labor Contracts Act
2026 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions regarding H.R. 5408 / S. 844, the Faster Labor Contracts Act
Client expense: — · Firm income: $70,000
Matched citations: S. 844
Physician Led and Rural Access to Quality Care Act
2026 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
P.L. 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored H.R. 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legislation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: H.R. 2191
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2026 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
P.L. 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored H.R. 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legislation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: H.R. 5371
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2026 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
P.L. 119-21 One Big Beautiful Bill Act; provisions involving health care Discussions pertaining to transparency into state directed payments Discussions involving enhanced premium tax credit Monitored H.R. 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored discussions involving expanding the health care workforce Monitored discussions pertaining to compliance with exisiting hospital transparency requirements Monitored discussions involving improving price transparency in health care services Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: H.R. 5371
Physician Led and Rural Access to Quality Care Act
2025 · fourth_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 2191
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · fourth_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 5371
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · fourth_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; provisions involving health care Discussions pertaining to transparency into state directed payments Discussions involving enhanced premium tax credit Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored discussions involving expanding the health care workforce Monitored discussions pertaining to compliance with exisiting hospital transparency requirements Monitored discussions involving improving price transparency in health care services Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: HR 5371
Physician Led and Rural Access to Quality Care Act
2025 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization Discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 2191
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; provisions involving health care Discussions pertaining to transparency into state directed payments Discussions involving enhanced premium tax credit Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored discussions involving expanding the health care workforce Monitored discussions pertaining to compliance with exisiting hospital transparency requirements Monitored discussions involving improving price transparency in health care services Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: HR 5371
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · third_quarter · Firm: THE SMITH-FREE GROUP, LLC
PL 119-21 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization Discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored HR 5371 Continuing Appropriations and Extensions Act, 2026; provisions relating to health care Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 5371
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
HR 1 One Big Beautiful Bill Act; provisions involving health care Discussions involving improving access to primary health care Discussion involving expanding the health care workforce Discussions pertaining to compliance with exisiting hospital transparency requirements Discussions pertaining to transparency into state directed payments Discussions involving improving price transparency in health care services Discussions involving CMS price transparency rule for hospitals Discussions involving enhanced premium tax credit Discussions pertinent to health care group purchasing organizations (GPOs) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored discussions related to cyber-security threats on healthcare industry providers Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: HR 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
HR 1 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization Discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 1
Richard L. Trumka Protecting the Right to Organize Act of 2025
2025 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored discussions involving nurse-to-patient staffing ratios in hospitals Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2025
Client expense: — · Firm income: $70,000
Matched citations: HR 20
Physician Led and Rural Access to Quality Care Act
2025 · second_quarter · Firm: THE SMITH-FREE GROUP, LLC
HR 1 One Big Beautiful Bill Act; discussions involving Medicare and Medicaid Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization Discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 2191
Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
2025 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions involving H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034 Discussions involving improving access to primary health care Discussion involving expanding the health care workforce Discussions pertaining to compliance with exisiting hospital transparency requirements Discussions pertaining to transparency into state directed payments Discussions involving improving price transparency in health care services Discussions involving CMS price transparency rule for hospitals Discussions involving enhanced premium tax credit Discussions pertinent to health care group purchasing organizations (GPOs) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored discussions related to cyber-security threats on healthcare industry providers Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $70,000
Matched citations: H.Con.Res.14
Richard L. Trumka Protecting the Right to Organize Act of 2023
2025 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored discussions involving nurse-to-patient staffing ratios in hospitals Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023
Client expense: — · Firm income: $70,000
Matched citations: HR 20
Physician Led and Rural Access to Quality Care Act
2025 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions involving proposed legislation requiring new National Provider Identifier (NPI) policies Discussions pertaining to CMS hospital directed payment program Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Discussions involving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization HR 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored discussions involving GME reform proposals impacting Medicare reimbursement to teaching hospitals Monitored Medicare Advantage reform legisation on CMS action
Client expense: — · Firm income: $70,000
Matched citations: HR 2191
Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
2025 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
Discussions involving H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034 Discussions involving improving access to primary health care Discussion involving expanding the health care workforce Discussions pertaining to compliance with exisiting hospital transparency requirements Discussions pertaining to transparency into state directed payments Discussions involving improving price transparency in health care services Discussions involving CMS price transparency rule for hospitals Discussions involving enhanced premium tax credit Discussions pertinent to health care group purchasing organizations (GPOs) PL 118-158 American Relief Act, 2025 (Division C - Health) Monitored discussions related to cyber-security threats on healthcare industry providers Monitored discussions pertaining to CMS rulemaking on surpise billing ban Monitored nominations to executive branch agencies and federally authorized commissions
Client expense: — · Firm income: $80,000
Matched citations: H.Con.Res.14
Richard L. Trumka Protecting the Right to Organize Act of 2023
2025 · first_quarter · Firm: THE SMITH-FREE GROUP, LLC
Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored discussions involving nurse-to-patient staffing ratios in hospitals Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023
Client expense: — · Firm income: $80,000
Matched citations: HR 20
Source: Senate LDA