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Lobbying Spend
—
Filings
88
Firms Hired
2
Active Period
2015–2026
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
Lower Costs, More Transparency Act
2026 · third_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Surprise billing and implementation of the No Surprises Act (Division BB, Title I of the Consolidated Appropriations Act, 2021, P.L. 116-260) - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 5378
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Surprise billing and implementation of the No Surprises Act (Division BB, Title I of the Consolidated Appropriations Act, 2021, P.L. 116-260) - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 6248
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Surprise billing and implementation of the No Surprises Act (Division BB, Title I of the Consolidated Appropriations Act, 2021, P.L. 116-260) - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: S. 4027
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.1
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.6248
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.6248
Chronic Disease Flexible Coverage Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.919
Chronic Disease Flexible Coverage Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.919
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: S.4027
Healthy Competition for Better Care Act
2026 · third_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: S.4027
Lower Costs, More Transparency Act
2026 · second_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 5378
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 6248
SITE Act
2026 · second_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: S. 1869
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: S. 4027
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.1
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.6248
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.6248
Chronic Disease Flexible Coverage Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.919
Chronic Disease Flexible Coverage Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R.919
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: S.4027
Healthy Competition for Better Care Act
2026 · second_quarter · Firm: SPANGLER STRATEGIES LLC
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: — · Firm income: $50,000
Matched citations: S.4027
Lower Costs, More Transparency Act
2026 · first_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 5378
Healthy Competition for Better Care Act
2026 · first_quarter · Firm: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
- H.R. 6248, S. 4027 - Healthy Competition for Better Care Act - H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments
Client expense: — · Firm income: $160,000
Matched citations: H.R. 6248
Source: Senate LDA