NATIONAL ASSOCIATION OF ACOS

Lobbying Spend

—

Filings

Firms Hired

Active Period

2018–2025

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2025	—	1	1
2024	—	4	1
2023	—	4	1
2022	—	4	1
2021	—	6	2
2020	—	4	1
2019	—	4	1
2018	—	4	1

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

Firm Name	Reported Spend	Filings
HOGAN LOVELLS US LLP	—	18
Polsinelli PC	—	13

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	28
SENATE	28
Centers For Medicare and Medicaid Services (CMS)	12
Health & Human Services, Dept of (HHS)	12

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	30
Medicare/Medicaid	Medicare/Medicaid	1

NATIONAL ASSOCIATION OF ACOS — Lobbying Disclosure | Poliscope