VANTIVE US HEALTHCARE LLC

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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

$3.4M

Filings

Firms Hired

Active Period

2025–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$1,380,000	15	5
2025	$2,030,000	24	5

Hired Firms

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

Firm Name	Reported Spend	Filings
VANTIVE US HEALTHCARE LLC	$3,410,000	8
AKIN GUMP STRAUSS HAUER FELD	—	8
THE NICKLES GROUP, LLC	—	8
PORTERFIELD, FETTIG & SEARS, LLC	—	7
TODD STRATEGY GROUP	—	8

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	34
SENATE	27
Health & Human Services, Dept of (HHS)	14
Centers For Medicare and Medicaid Services (CMS)	13
Executive Office of the President (EOP)	8
State, Dept of (DOS)	7
Commerce, Dept of (DOC)	6
Intl Trade Administration (ITA)	4
U.S. Trade Representative (USTR)	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	25
Medicare/Medicaid	Medicare/Medicaid	24
Foreign Relations	Foreign Relations	15
Trade (domestic/foreign)	Trade (domestic/foreign)	13
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	4
Budget/Appropriations	Budget/Appropriations	1

Bills Explicitly Cited (22)

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

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · third_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring. H.R. 4441 - Patient Access to Innovative New Technologies Act, Issues related to sepsis device breakthrough designation.

Client expense: $440,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · third_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring

Client expense: $440,000 · Firm income: —

Matched citations: H.R. 8319

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · third_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring. H.R. 4441 - Patient Access to Innovative New Technologies Act, Issues related to sepsis device breakthrough designation.

Client expense: $440,000 · Firm income: —

Matched citations: H.R. 8319

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 4441

Show 18 more cited filings

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8319

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · third_quarter · Firm: PORTERFIELD, FETTIG & SEARS, LLC

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to home dialysis and other elements of quality kidney care, including remote patient monitoring; H.R. 8319, Keeping Individuals with Dialysis Needs Equipped through Year-round (KIDNEY) Remote Monitoring Act

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8319

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · second_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring. H.R. 4441 - Patient Access to Innovative New Technologies Act, Issues related to sepsis device breakthrough designation.

Client expense: $390,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · second_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring

Client expense: $390,000 · Firm income: —

Matched citations: H.R. 8319

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · second_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement H.R. 8319 - KIDNEY Remote Monitoring Act, Issues related to physician reimbursement for remote patient monitoring. H.R. 4441 - Patient Access to Innovative New Technologies Act, Issues related to sepsis device breakthrough designation.

Client expense: $390,000 · Firm income: —

Matched citations: H.R. 8319

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · second_quarter · Firm: PORTERFIELD, FETTIG & SEARS, LLC

Open original LDA filing ↗

Cited source text and reported amounts

General issues related to home dialysis and other elements of quality kidney care, including remote patient monitoring; H.R. 8319, Keeping Individuals with Dialysis Needs Equipped through Year-round (KIDNEY) Remote Monitoring Act

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8319

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 4441

H.R. 8319119th Congress

KIDNEY Remote Monitoring Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. H.R. 8319, KIDNEY Remote Monitoring Act. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 8319

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Home dialysis payment issues, including remote patient monitoring. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 4441

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2026 · first_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement Issues related to physician reimbursement for remote patient monitoring Issues related to sepsis device breakthrough designation, including H.R. 4441 - Patient Access to Innovative New Technologies Act

Client expense: $550,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate taxes.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 1

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Issues concerning remote patient monitoring for dialysis patients. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 4441

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2025 · fourth_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement Issues related to physician reimbursement for remote patient monitoring Issues related to sepsis device breakthrough designation, including H.R. 4441 - Patient Access to Innovative New Technologies Act

Client expense: $730,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2025 · third_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement Issues related to telehealth reimbursement for remote patient monitoring Issues related to sepsis device breakthrough designation, including H.R. 4441 - Patient Access to Innovative New Technologies Act

Client expense: $590,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to corporate taxes.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 1

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2025 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues involving NTAP payment for breakthrough technologies, including H.R. 4441, Patient Access to Innovative New Technologies Act of 2025. Issues concerning remote patient monitoring for dialysis patients. Issues concerning dialysis.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 4441

H.R. 4441119th Congress

Patient Access to Innovative New Technologies Act of 2025

2025 · second_quarter · Firm: VANTIVE US HEALTHCARE LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to ESRD reimbursement Issues related to telehealth reimbursement for remote patient monitoring Issues related to sepsis device breakthrough designation, including H.R. 4441 - Patient Access to Innovative New Technologies Act

Client expense: $450,000 · Firm income: —

Matched citations: H.R. 4441

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1, One Big Beautiful Bill Act, as it relates to corporate taxes.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 1

Source: Senate LDA

VANTIVE US HEALTHCARE LLC — Lobbying Disclosure | Poliscope