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This entity appears on both sides of lobbying disclosures. The firm tab shows registrant-reported income; the client tab shows client-reported lobbying spend. Contract awards are separate and are not included here.
Lobbying Spend
$86K
Filings
16
Firms Hired
1
Active Period
2023–2026
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
Closing the Contraception Coverage Gap Act
2025 · fourth_quarter · Firm: UPSTREAM USA
In Q4 of 2025, Upstream USA worked with Senator Maggie Hassan's office on S.3560 - Closing the Contraception Coverage Gap Act. This bill would require Medicare to cover contraception at no cost to the patient, aligning coverage standards with Medicaid and the Affordable Care Act and closing a known gap in contraception coverage for young and middle-aged women who experience long-term disabilities. Upstream USA has supported the office by articulating the need for the legislation, conceptualizing various elements of the legislation, providing edits on the bill text, elevating the issue and the bill as a solution to relevant committee leaders, and helping to secure co-sponsors.
Client expense: — · Firm income: —
Matched citations: S.3560
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · third_quarter · Firm: UPSTREAM USA
In Q3 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access leading up to the reconciliation vote. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. Following the passage of the reconciliation bill, Upstream engaged in meetings with Congressional offices to share more about Upstream's free training and technical assistance and our policy priorities (such as funding for Community Health Centers and Title X programs) and the reintroduction of the Medicare bill. We also worked with Rep. Nydia Velazquez's office to provide feedback/edits to the World Contraception Day resolution text and ultimately endorsed it. Finally, we did outreach to Senate appropriations committee members to advocate for CHC and Title X funding prior to the appropriations process.
Client expense: $15,327 · Firm income: —
Matched citations: HR 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · third_quarter · Firm: UPSTREAM USA
At the very beginning of Q3 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts (provider taxes, work requirements, etc) in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. This lobbying ultimately stopped after the reconciliation bill was passed.
Client expense: $15,327 · Firm income: —
Matched citations: HR 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: UPSTREAM USA
In Q2 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. Separately, Upstream drafted Outside Witness Testimony for the upcoming appropriations process which advocated for funding for Community Health Centers and Title X.
Client expense: $23,866 · Firm income: —
Matched citations: HR 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · second_quarter · Firm: UPSTREAM USA
In Q2 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts (provider taxes, work requirements, etc) in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses.
Client expense: $23,866 · Firm income: —
Matched citations: HR 1
To amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to permit enrollees to obtain a 365-day supply of contraceptives.
2023 · third_quarter · Firm: UPSTREAM USA
In Q3 2023, Upstream USA lobbied in support of increased Title X funding to various Congressional offices. We also conducted outreach to Sen. Fetterman's office to offer a note of support of the Convenient Contraception Act (H.R. 4816/S. 2427). Additionally, Upstream met with Sen. Schumer in person to discuss various topics including increasing FY24 funding for Title X, discussing the timeline for a floor vote on the Right to Contraception Act, and generally about Upstream's programmatic work with health care organizations.
Client expense: $10,000 · Firm income: —
Matched citations: H.R. 4816
A bill to amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to permit enrollees to obtain a 365-day supply of contraceptives.
2023 · third_quarter · Firm: UPSTREAM USA
In Q3 2023, Upstream USA lobbied in support of increased Title X funding to various Congressional offices. We also conducted outreach to Sen. Fetterman's office to offer a note of support of the Convenient Contraception Act (H.R. 4816/S. 2427). Additionally, Upstream met with Sen. Schumer in person to discuss various topics including increasing FY24 funding for Title X, discussing the timeline for a floor vote on the Right to Contraception Act, and generally about Upstream's programmatic work with health care organizations.
Client expense: $10,000 · Firm income: —
Matched citations: S. 2427
Source: Senate LDA