THE PERMANENTE FEDERATION

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Lobbying Spend

$1.3M

Filings

Firms Hired

Active Period

1999–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$110,000	5	2
2025	—	5	1
2024	—	4	1
2023	—	4	1
2022	—	4	1
2021	$32,486	6	2
2020	—	8	1
2019	—	2	1
2017	$20,000	5	1
2016	—	3	1
2015	$10,000	5	1
2014	$60,000	4	1
2013	$115,000	4	1
2012	$50,000	2	1
2011	$135,000	4	1
2010	$45,000	3	1
2006	$87,500	1	1
2005	$167,500	3	1
2004	$80,000	1	1
2003	$90,000	2	1
2002	$40,000	1	1
2001	$160,000	2	1
1999	$80,000	1	1

Hired Firms

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

Firm Name	Reported Spend	Filings
PERMANENTE FEDERATION	$1,282,486	55
SPLITOAK STRATEGIES LLC	—	8
MCDERMOTT+ LLC	—	16

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	45
SENATE	44
Centers For Medicare and Medicaid Services (CMS)	5
Health & Human Services, Dept of (HHS)	3
Executive Office of the President (EOP)	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	43
Medicare/Medicaid	Medicare/Medicaid	39
Budget/Appropriations	Budget/Appropriations	5
Retirement	Retirement	4
Insurance	Insurance	3
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	3
Pharmacy	Pharmacy	2
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	1
Labor Issues/Antitrust/Workplace	Labor Issues/Antitrust/Workplace	1

Bills Explicitly Cited (13)

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

H.R. 6248119th Congress

Healthy Competition for Better Care Act

2026 · third_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

H.R.6248 - Healthy Competition for Better Care Act S.4027 - Healthy Competition for Better Care Act H.R.9393 - Lower Costs, More Transparency Act H.R.9693 - Patients First Act S.2355 - Patients Deserve Price Tags Act

Client expense: $110,000 · Firm income: —

Matched citations: H.R.6248

H.R. 9393119th Congress

Lower Costs, More Transparency Act of 2026

2026 · third_quarter · Firm: PERMANENTE FEDERATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R.6248 - Healthy Competition for Better Care Act S.4027 - Healthy Competition for Better Care Act H.R.9393 - Lower Costs, More Transparency Act H.R.9693 - Patients First Act S.2355 - Patients Deserve Price Tags Act

Client expense: $110,000 · Firm income: —

Matched citations: H.R.9393

H.R. 9693119th Congress

Patients First Act of 2026

2026 · third_quarter · Firm: PERMANENTE FEDERATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R.6248 - Healthy Competition for Better Care Act S.4027 - Healthy Competition for Better Care Act H.R.9393 - Lower Costs, More Transparency Act H.R.9693 - Patients First Act S.2355 - Patients Deserve Price Tags Act

Client expense: $110,000 · Firm income: —

Matched citations: H.R.9693

S. 1954119th Congress

Biosimilar Red Tape Elimination Act

2026 · third_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

S.1954 - Biosimilar Red Tape Elimination Act

Client expense: $110,000 · Firm income: —

Matched citations: S.1954

Show 9 more cited filings

S. 2355119th Congress

Patients Deserve Price Tags Act

2026 · third_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

H.R.6248 - Healthy Competition for Better Care Act S.4027 - Healthy Competition for Better Care Act H.R.9393 - Lower Costs, More Transparency Act H.R.9693 - Patients First Act S.2355 - Patients Deserve Price Tags Act

Client expense: $110,000 · Firm income: —

Matched citations: S.2355

S. 4027119th Congress

Healthy Competition for Better Care Act

2026 · third_quarter · Firm: PERMANENTE FEDERATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R.6248 - Healthy Competition for Better Care Act S.4027 - Healthy Competition for Better Care Act H.R.9393 - Lower Costs, More Transparency Act H.R.9693 - Patients First Act S.2355 - Patients Deserve Price Tags Act

Client expense: $110,000 · Firm income: —

Matched citations: S.4027

H.R. 1628115th Congress

American Health Care Act of 2017

2017 · second_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

HR 1628 American Health Care Act S 870 CHRONIC Care Act

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

Matched citations: HR 1628

S. 870115th Congress

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

2017 · second_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

HR 1628 American Health Care Act S 870 CHRONIC Care Act

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

Matched citations: S 870

S. 2484114th Congress

CONNECT for Health Act

2016 · third_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

CONNECT for Health Act (S.2484)

Client expense: — · Firm income: —

Matched citations: S.2484

H.R. 4442114th Congress

CONNECT for Health Act

2016 · second_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

Medicare Advantage, S2484/HR4442

Client expense: — · Firm income: —

Matched citations: HR4442

S. 2484114th Congress

CONNECT for Health Act

2016 · second_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

Medicare Advantage, S2484/HR4442

Client expense: — · Firm income: —

Matched citations: S2484

H.R. 6114th Congress

21st Century Cures Act

2015 · second_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

HR 6, The 21st Century Cures Act

Client expense: — · Firm income: —

Matched citations: HR 6

H.R. 4015113th Congress

SGR Repeal and Medicare Provider Payment Modernization Act of 2014

2014 · third_quarter · Firm: PERMANENTE FEDERATION

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Cited source text and reported amounts

HR 4015

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

Matched citations: HR 4015

Source: Senate LDA

THE PERMANENTE FEDERATION — Lobbying Disclosure | Poliscope