LARGE UROLOGY GROUP PRACTICE ASSOCIATION (LUGPA)

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Lobbying Spend

—

Filings

Firms Hired

Active Period

2010–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	—	3	1
2025	—	4	1
2024	—	4	1
2023	—	4	1
2022	—	4	1
2021	—	4	1
2020	—	4	1
2019	—	4	1
2018	—	4	1
2017	—	4	1
2016	—	4	1
2015	—	4	1
2014	—	4	1
2013	—	4	1
2012	—	4	1
2010	—	3	1

Hired Firms

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

Firm Name	Reported Spend	Filings
AVENUE SOLUTIONS	—	59
MEHLMAN CONSULTING, INC.	—	3

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
SENATE	59
HOUSE OF REPRESENTATIVES	58
Centers For Medicare and Medicaid Services (CMS)	3
Executive Office of the President (EOP)	3
Government Accountability Office (GAO)	1
Office of the Vice President of the United States	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	61
Health Issues	Health Issues	40
Small Business	Small Business	1
Budget/Appropriations	Budget/Appropriations	1

Bills Explicitly Cited (25)

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

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations; H.R. 8163/S. 5180, Provider Reimbursement Stability Act

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations; H.R. 8163/S. 5180, Provider Reimbursement Stability Act

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

Matched citations: H.R. 4299

H.R. 5582119th Congress

Patients Deserve Price Tags Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 5582

H.R. 8163119th Congress

Provider Reimbursement Stability Act of 2026

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations; H.R. 8163/S. 5180, Provider Reimbursement Stability Act

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

Matched citations: H.R. 8163

Show 21 more cited filings

H.R. 9393119th Congress

Lower Costs, More Transparency Act of 2026

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 9393

H.R. 9504119th Congress

Tax Exempt Hospital Transparency Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 9504

S. 2355119th Congress

Patients Deserve Price Tags Act

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: S. 2355

S. 5180119th Congress

Provider Reimbursement Stability Act of 2026

2026 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations; H.R. 8163/S. 5180, Provider Reimbursement Stability Act

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

Matched citations: S. 5180

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations

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

Matched citations: H.R. 4299

H.R. 5582119th Congress

Patients Deserve Price Tags Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 5582

H.R. 9393119th Congress

Lower Costs, More Transparency Act of 2026

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 9393

H.R. 9504119th Congress

Tax Exempt Hospital Transparency Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: H.R. 9504

S. 2355119th Congress

Patients Deserve Price Tags Act

2026 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; H.R. 9393, Lower Costs, More Transparency Act; H.R. 5582 / S. 2355, Patients Deserve Price Tags Act; H.R. 9504, Tax Exempt Hospital Transparency Act

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

Matched citations: S. 2355

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2026 · first_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2026 · first_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to in-office dispensing of medication regulations

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

Matched citations: H.R. 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · fourth_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2025 · fourth_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 4299

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2025 · third_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 4299

HCONRES 14119th Congress

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 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; Health care issues in H.R. 1, To provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law No: 119-21)

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

Matched citations: H. Con. Res. 14

H.R. 1119th Congress

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

2025 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; Health care issues in H.R. 1, To provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law No: 119-21)

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

Matched citations: H.R. 1

H.R. 2484119th Congress

Seniors’ Access to Critical Medications Act of 2025

2025 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 2484

H.R. 4299119th Congress

Protecting Patient Access to Cancer and Complex Therapies Act

2025 · second_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2484, Seniors Access to Critical Medications Act; Protecting Patient Access to Cancer and Complex Therapies Act; Issues related to the extension of telehealth services; Issues related to site neutral payments; Issues related to 2024 Physician Fee Schedule and physician payment reform; H.R. 4299, Protecting Patient Access to Cancer and Complex Therapies Act

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

Matched citations: H.R. 4299

H.R. 1968119th Congress

Full-Year Continuing Appropriations and Extensions Act, 2025

2025 · first_quarter · Firm: AVENUE SOLUTIONS

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to 340b; S. 891, Bipartisan Health Care Act; H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025 (PL 119-4)

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

Matched citations: H.R. 1968

Source: Senate LDA

LARGE UROLOGY GROUP PRACTICE ASSOCIATION (LUGPA) — Lobbying Disclosure | Poliscope