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
$28.3M
Filings
230
Firms Hired
4
Active Period
1999–2026
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
Educating Future Nurses Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining to Medicare's Rural Pass Through Program Educating Future Nurses Act (H.R. 10410) - Issues pertaining to the establishment of a permanent National Graduate Nurse Education Program to provide clinical training to advanced practice registered nurses (APRNs) Medicare Hospital Inpatient Prospective Payment System Proposed Rule (91 FR 19312) - Issues pertaining to CJR-X, Hospital IQR Program Medicare Hospital Outpatient Prospective Payment System Proposed Rule RIN 0938-AV83 Medicare Advantage Provider Directory (Section 6220 of Public Law 119-75) - Issues pertaining to Sources of truth, verification approaches, update cadence, and removal of non-participating providers Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (91 FR 43842) Rural Health Transformation Program (Section 71401 of Public Law 119-21) - Issues pertaining to CRNA Medicare Supervision Medicare and Medicaid Programs; Conditions of Participation for Hospitals (51 FR 22010 and 66 Fed Reg 4674) Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Medicare Teaching Rules Funding for Title VIII Nursing Workforce Programs Removing Conditions of Participation and Conditions for Coverage requiring physician supervision for CRNAs Issues pertaining to Barriers in Medicare for CRNAs and APRNs
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 10410
I CAN Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining to Medicare's Rural Pass Through Program Educating Future Nurses Act (H.R. 10410) - Issues pertaining to the establishment of a permanent National Graduate Nurse Education Program to provide clinical training to advanced practice registered nurses (APRNs) Medicare Hospital Inpatient Prospective Payment System Proposed Rule (91 FR 19312) - Issues pertaining to CJR-X, Hospital IQR Program Medicare Hospital Outpatient Prospective Payment System Proposed Rule RIN 0938-AV83 Medicare Advantage Provider Directory (Section 6220 of Public Law 119-75) - Issues pertaining to Sources of truth, verification approaches, update cadence, and removal of non-participating providers Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (91 FR 43842) Rural Health Transformation Program (Section 71401 of Public Law 119-21) - Issues pertaining to CRNA Medicare Supervision Medicare and Medicaid Programs; Conditions of Participation for Hospitals (51 FR 22010 and 66 Fed Reg 4674) Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Medicare Teaching Rules Funding for Title VIII Nursing Workforce Programs Removing Conditions of Participation and Conditions for Coverage requiring physician supervision for CRNAs Issues pertaining to Barriers in Medicare for CRNAs and APRNs
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 1317
I CAN Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 1317
Ensuring Veterans Timely Access to Anesthesia Care Act of 2025
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Ensuring Veterans Timely Access to Anesthesia Care Act (H.R. 2234) - Issues pertaining to aligning VA policy with Defense Health Agency guidelines for CRNAs in VA facilities Full practice authority for advanced practice registered nurses (38 CFR 17.415) Full Practice Authority for VA CRNAs VA National Standards of Practice
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 2234
SHARE Act of 2026
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
States Handling Access to Reciprocity for Employment (SHARE) Act (H.R.2332) - Issues related to technical corrections to current law to ensure states belonging to interstate occupational licensure compacts receive federal criminal background check information through a smooth and efficient process
Client expense: $240,000 · Firm income: —
Matched citations: H.R.2332
Title VIII Nursing Workforce Reauthorization Act of 2025
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program Title VIII Funding for Fiscal Year 2026 and Fiscal Year 2027 Nursing is a Professional Degree Act (S.4568/H.R.8691) - Issues pertaining to graduate student loan limits for APRNs. Professional Student Degree Act (H.R. 6718) - Issues pertaining to graduate student loan limits for APRNs.
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 3593
Title VIII Nursing Workforce Reauthorization Act of 2025
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 3593
PRECEPT Nurses Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
PRECEPT Nurse Act (H.R. 392/S. 131) - Issues pertaining to tax credits for clinicians who serve as preceptors for nursing students
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 392
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 5304
Professional Student Degree Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program Title VIII Funding for Fiscal Year 2026 and Fiscal Year 2027 Nursing is a Professional Degree Act (S.4568/H.R.8691) - Issues pertaining to graduate student loan limits for APRNs. Professional Student Degree Act (H.R. 6718) - Issues pertaining to graduate student loan limits for APRNs.
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 6718
Nursing is a Professional Degree Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program Title VIII Funding for Fiscal Year 2026 and Fiscal Year 2027 Nursing is a Professional Degree Act (S.4568/H.R.8691) - Issues pertaining to graduate student loan limits for APRNs. Professional Student Degree Act (H.R. 6718) - Issues pertaining to graduate student loan limits for APRNs.
Client expense: $240,000 · Firm income: —
Matched citations: H.R.8691
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Departments of Labor, Health and Human Services, Education, and related agencies appropriations for the fiscal year 2027 (H.R. 9260) - Issues pertaining to increased funding for Title VIII Nursing Workforce Programs Title VIII Nursing Workforce Development Program funding VHA anesthesia access Medicare supervision requirements Access to clinical training sites Provider non-discrimination and related anesthesia access and payer reimbursement issues
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 9260
Medicare Access to Rural Anesthesiology Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining to Medicare's Rural Pass Through Program Educating Future Nurses Act (H.R. 10410) - Issues pertaining to the establishment of a permanent National Graduate Nurse Education Program to provide clinical training to advanced practice registered nurses (APRNs) Medicare Hospital Inpatient Prospective Payment System Proposed Rule (91 FR 19312) - Issues pertaining to CJR-X, Hospital IQR Program Medicare Hospital Outpatient Prospective Payment System Proposed Rule RIN 0938-AV83 Medicare Advantage Provider Directory (Section 6220 of Public Law 119-75) - Issues pertaining to Sources of truth, verification approaches, update cadence, and removal of non-participating providers Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (91 FR 43842) Rural Health Transformation Program (Section 71401 of Public Law 119-21) - Issues pertaining to CRNA Medicare Supervision Medicare and Medicaid Programs; Conditions of Participation for Hospitals (51 FR 22010 and 66 Fed Reg 4674) Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Medicare Teaching Rules Funding for Title VIII Nursing Workforce Programs Removing Conditions of Participation and Conditions for Coverage requiring physician supervision for CRNAs Issues pertaining to Barriers in Medicare for CRNAs and APRNs
Client expense: $240,000 · Firm income: —
Matched citations: H.R. 9642
PRECEPT Nurses Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
PRECEPT Nurse Act (H.R. 392/S. 131) - Issues pertaining to tax credits for clinicians who serve as preceptors for nursing students
Client expense: $240,000 · Firm income: —
Matched citations: S. 131
Association Health Plans Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program Title VIII Funding for Fiscal Year 2026 and Fiscal Year 2027 Nursing is a Professional Degree Act (S.4568/H.R.8691) - Issues pertaining to graduate student loan limits for APRNs. Professional Student Degree Act (H.R. 6718) - Issues pertaining to graduate student loan limits for APRNs.
Client expense: $240,000 · Firm income: —
Matched citations: S. 1847
Title VIII Nursing Workforce Reauthorization Act of 2026
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: S.1874
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: S. 2587
Nursing is a Professional Degree Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/ S. 1847) - Issues pertaining to the reauthorization of the Title VIII program Title VIII Funding for Fiscal Year 2026 and Fiscal Year 2027 Nursing is a Professional Degree Act (S.4568/H.R.8691) - Issues pertaining to graduate student loan limits for APRNs. Professional Student Degree Act (H.R. 6718) - Issues pertaining to graduate student loan limits for APRNs.
Client expense: $240,000 · Firm income: —
Matched citations: S.4568
I CAN Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining to Medicare's Rural Pass Through Program Educating Future Nurses Act (H.R. 10410) - Issues pertaining to the establishment of a permanent National Graduate Nurse Education Program to provide clinical training to advanced practice registered nurses (APRNs) Medicare Hospital Inpatient Prospective Payment System Proposed Rule (91 FR 19312) - Issues pertaining to CJR-X, Hospital IQR Program Medicare Hospital Outpatient Prospective Payment System Proposed Rule RIN 0938-AV83 Medicare Advantage Provider Directory (Section 6220 of Public Law 119-75) - Issues pertaining to Sources of truth, verification approaches, update cadence, and removal of non-participating providers Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (91 FR 43842) Rural Health Transformation Program (Section 71401 of Public Law 119-21) - Issues pertaining to CRNA Medicare Supervision Medicare and Medicaid Programs; Conditions of Participation for Hospitals (51 FR 22010 and 66 Fed Reg 4674) Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Medicare Teaching Rules Funding for Title VIII Nursing Workforce Programs Removing Conditions of Participation and Conditions for Coverage requiring physician supervision for CRNAs Issues pertaining to Barriers in Medicare for CRNAs and APRNs
Client expense: $240,000 · Firm income: —
Matched citations: S. 575
I CAN Act
2026 · third_quarter · Firm: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
Department of Labor, Health & Human Services, Education and related agencies appropriations for Fiscal Year 2026. (H.R. 5304/S. 2587) - Issues pertaining to funding for Title VIII Nursing Workforce Development Programs Improving Care and Access to Nurses Act (H.R. 1317/S. 575) - Issues pertaining to Barriers in Medicare for CRNAs and APRNs Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) - Issues pertaining to Title VIII Nursing Workforce Development Programs Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care [RIN 0955-AA13] - Issues pertaining to adoption and use of AI in clinical care - follow up with ONC clinical team Provider Nondiscrimination and related anesthesia access and payor reimbursement NUCC Taxonomy issues Anti-competitive practices CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse Education
Client expense: $240,000 · Firm income: —
Matched citations: S. 575
Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations".
2026 · third_quarter · Firm: WHEAT SHROYER GOVERNMENT RELATIONS LLC
(H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits (S.4568/H.R.8691) Nursing is a Professional Degree Act (H.R. 6718) Professional Student Degree Act (H.J. Res. 189 / S.J. Res. 196) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations"
Client expense: — · Firm income: $60,000
Matched citations: H.J. Res. 189
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: WHEAT SHROYER GOVERNMENT RELATIONS LLC
Title VIII Nursing Workforce Development Program funding (H.R.8469) Fiscal Year 2027 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act (/H.R.9260) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027 (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits Supporting nursing as a professional degree Issues surrounding VHA anesthesia access, Medicare supervision requirements, access to clinical training sites, and provider non-discrimination and related anesthesia access and payer reimbursement issues
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: WHEAT SHROYER GOVERNMENT RELATIONS LLC
(H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] implementation and federal student loan limits (S.4568/H.R.8691) Nursing is a Professional Degree Act (H.R. 6718) Professional Student Degree Act (H.J. Res. 189 / S.J. Res. 196) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations"
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: WHEAT SHROYER GOVERNMENT RELATIONS LLC
(H.R.1317/S.575) I CAN Act Issues surrounding Medicare Conditions of Participation (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] Issues surrounding Medicare supervision requirements (H.R.9642) Medicare Access to Rural Anesthesiology Act (H.R. 10731) the Rural Surgery Sustainability Act of 2026
Client expense: — · Firm income: $60,000
Matched citations: H.R. 1
Rural Surgery Sustainability Act of 2026
2026 · third_quarter · Firm: WHEAT SHROYER GOVERNMENT RELATIONS LLC
(H.R.1317/S.575) I CAN Act Issues surrounding Medicare Conditions of Participation (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] Issues surrounding Medicare supervision requirements (H.R.9642) Medicare Access to Rural Anesthesiology Act (H.R. 10731) the Rural Surgery Sustainability Act of 2026
Client expense: — · Firm income: $60,000
Matched citations: H.R. 10731
Source: Senate LDA