Lobbying Spend
—
Filings
25
Firms Hired
1
Active Period
2021–2026
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
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $20,000
Matched citations: H.R. 1
Patients Deserve Price Tags Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $20,000
Matched citations: H.R. 5582
Prices on the Wall Act of 2026
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $20,000
Matched citations: H.R. 9390
Lower Costs, More Transparency Act of 2026
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $20,000
Matched citations: H.R. 9393
Tax Exempt Hospital Transparency Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.
Client expense: — · Firm income: $20,000
Matched citations: H.R. 9504
Patients Deserve Price Tags Act
2026 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $20,000
Matched citations: S. 2355
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1
Patients Deserve Price Tags Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 5582
Prices on the Wall Act of 2026
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 9390
Lower Costs, More Transparency Act of 2026
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 9393
Tax Exempt Hospital Transparency Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 9504
Patients Deserve Price Tags Act
2026 · second_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to Medicare reimbursement for hospitals. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act. H.R. 9393, Lower Costs, More Transparency Act of 2026. H.R. 9390, Prices on the Wall Act of 2026.
Client expense: — · Firm income: $50,000
Matched citations: S. 2355
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1
Save Healthcare Workers Act
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 3178
Hospital Inpatient Services Modernization Act
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 4313
Consolidated Appropriations Act, 2026
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 7148
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Client expense: — · Firm income: $50,000
Matched citations: S. 1600
Hospital Inpatient Services Modernization Act
2026 · first_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: S. 2237
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1
Save Healthcare Workers Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 3178
Hospital Inpatient Services Modernization Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 4313
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 5371
Save Healthcare Workers Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Monitored H.R. 3178 / S. 1600, Save Healthcare Workers Act.
Client expense: — · Firm income: $50,000
Matched citations: S. 1600
Hospital Inpatient Services Modernization Act
2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. Issues related to the implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.
Client expense: — · Firm income: $50,000
Matched citations: S. 2237
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
2025 · third_quarter · Firm: THE NICKLES GROUP, LLC
Issues related to Medicare graduate medical education residency positions. Issues related to Medicaid payments for safety net providers. Issues related to Medicaid disproportionate share hospital payments. Issues related to the Medicaid institutions for mental disease exclusion. Issues related to Medicare reimbursement for hospitals. Issues related to the Acute Hospital Care At Home program. Issues related to telehealth. H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals.
Client expense: — · Firm income: $50,000
Matched citations: H.R. 1
Source: Senate LDA