RED+BLUE STRATEGIES

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Lobbying Income

$47.9M

Filings

897

Unique Clients

Active Period

2011–2026

Lobbying Income by Year

Registrant-reported income from clients on LDA filings

Year	Lobbying Income	Filings	Clients
2026	$4,560,000	71	24
2025	$5,080,000	85	19
2024	$3,120,000	48	12
2023	$3,280,000	52	13
2022	$3,290,000	52	13
2021	$3,400,000	55	14
2020	$3,490,000	58	15
2019	$3,360,000	69	18
2018	$3,050,000	60	15
2017	$2,955,000	55	14
2016	$2,635,000	55	14
2015	$2,250,000	48	13
2014	$1,990,000	47	15
2013	$2,230,000	58	14
2012	$1,830,000	39	9
2011	$1,384,600	45	9

Top Clients

Largest clients by registrant-reported income

Client	Reported Income	Filings	Period
CHILDREN'S HOSPITAL ASSOCIATION F/K/A NAT'L ASSOCIATION OF CHILDREN'S HOSPITALS	$4,884,000	65	2011–2026
CAMBIA HEALTH SOLUTIONS (FORMERLY KNOWN AS THE REGENCE GROUP)	$4,475,000	67	2011–2026
DAVITA INC.	$4,150,000	64	2011–2026
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION (PCMA)	$3,910,000	64	2011–2026
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS	$3,100,000	54	2013–2026
CAREFIRST BLUECROSS BLUESHIELD	$2,840,000	49	2015–2026
GE HEALTHCARE	$2,350,600	45	2011–2026
BOSTON MEDICAL CENTER	$2,310,000	40	2017–2026
QUEST DIAGNOSTICS INCORPORATED	$2,300,000	33	2018–2026
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	$2,040,000	35	2018–2026
BAYCARE HEALTH SYSTEM	$1,940,000	34	2019–2026
EXPRESS SCRIPTS INC	$1,850,000	35	2011–2019
COHERUS BIOSCIENCES	$1,820,000	35	2015–2023
PEW CHARITABLE TRUSTS	$1,490,000	44	2011–2021
COMMUNITY CATALYST	$1,120,000	62	2011–2025
MONTEFIORE MEDICAL CENTER	$1,060,000	19	2013–2017
AMERICAN SOCIETY FROM RADIATION ONCOLOGY (ASTRO)	$880,000	16	2016–2020
AMERICAN HOSPITAL ASSOCIATION	$560,000	8	2025–2026
GREATER NEW YORK HOSPITAL ASSOCIATION	$560,000	8	2025–2026
GENEDX, LLC	$510,000	8	2025–2026
HPA MANAGEMENT GROUP INC.	$480,000	7	2025–2026
MOUNT SINAI HOSPITALS GROUP, INC	$450,000	7	2025–2026
ARCHER AVIATION	$380,000	8	2025–2026
COMMONWEALTH CARE ALLIANCE	$295,000	9	2016–2017
FREELANCERS UNION	$270,000	14	2011–2014

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
SENATE	831
HOUSE OF REPRESENTATIVES	811
Centers For Medicare and Medicaid Services (CMS)	235
Health & Human Services, Dept of (HHS)	207
Executive Office of the President (EOP)	87
Office of Management & Budget (OMB)	28
Health Resources & Services Administration (HRSA)	25
Food & Drug Administration (FDA)	14
Centers For Disease Control & Prevention (CDC)	6
Labor, Dept of (DOL)	4
Office of Science & Technology Policy (OSTP)	3
Substance Abuse & Mental Health Services Administration (SAMHSA)	3
Commerce, Dept of (DOC)	2
Treasury, Dept of	2
White House Office	2
Agency for Healthcare Research & Quality (AHRQ)	1
Agriculture, Dept of (USDA)	1
Congressional Budget Office (CBO)	1
Homeland Security, Dept of (DHS)	1
Natl Economic Council (NEC)	1

Top Issues Lobbied

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	822
Medicare/Medicaid	Medicare/Medicaid	651
Pharmacy	Pharmacy	198
Insurance	Insurance	20
Labor Issues/Antitrust/Workplace	Labor Issues/Antitrust/Workplace	15
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	13
Aviation/Airlines/Airports	Aviation/Airlines/Airports	8
Immigration	Immigration	6
Veterans	Veterans	5
Disaster Planning/Emergencies	Disaster Planning/Emergencies	4
Budget/Appropriations	Budget/Appropriations	3
Agriculture	Agriculture	2
Defense	Defense	1
Economics/Economic Development	Economics/Economic Development	1
Consumer Issues/Safety/Products	Consumer Issues/Safety/Products	1

Bills Explicitly Cited (25)

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

H.R. 5269119th Congress

RESULTS Act

2026 · third_quarter · Client: QUEST DIAGNOSTICS INCORPORATED

Open original LDA filing ↗

Cited source text and reported amounts

Policies, rules, and regulations related to clinical laboratories and Medicare coverage policies. H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act - Issues related to Medicare payments for lab tests. S.2761 - RESULTS Act - Issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: H.R.5269

S. 2761119th Congress

RESULTS Act

2026 · third_quarter · Client: QUEST DIAGNOSTICS INCORPORATED

Open original LDA filing ↗

Cited source text and reported amounts

Policies, rules, and regulations related to clinical laboratories and Medicare coverage policies. H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act - Issues related to Medicare payments for lab tests. S.2761 - RESULTS Act - Issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: S.2761

H.R. 7961119th Congress

H–1Bs for Physicians and the Healthcare Workforce Act

2026 · third_quarter · Client: MOUNT SINAI HOSPITALS GROUP, INC

Open original LDA filing ↗

Cited source text and reported amounts

HR 7961 - Issues related to waiving the application fee for H-1B visas for foreign health care professionals seeking to work in the United States.

Client expense: — · Firm income: $80,000

Matched citations: HR 7961

H.R. 1397118th Congress

Future in Logging Careers Act

2026 · third_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: H.R. 1397

Show 21 more cited filings

H.R. 1521118th Congress

Servicemember Credit Monitoring Enhancement Act

2026 · third_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: H.R. 1521

S. 1164118th Congress

Seedlings for Sustainable Habitat Restoration Act of 2023

2026 · third_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: S.1164

S. 1424118th Congress

DOC Access Act of 2023

2026 · third_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: S. 1424

H.R. 7961119th Congress

H–1Bs for Physicians and the Healthcare Workforce Act

2026 · third_quarter · Client: GREATER NEW YORK HOSPITAL ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

HR 7961 - Issues related to waiving the application fee for H-1B visas for foreign health care professionals seeking to work in the United States.

Client expense: — · Firm income: $80,000

Matched citations: HR 7961

H.R. 4709119th Congress

Newborn Screening Saves Lives Reauthorization Act of 2025

2026 · third_quarter · Client: GENEDX, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H. R. 4709 - Newborn Screening Saves Lives Act of 2025 - Support for advancing 21st century genetic screenings protocols for newborns and their families. Issues related to access and affordability for pediatric genetic tests for children and families nationwide. H.R. 5269 - RESULTS Act - issues related to Medicare payments for lab tests. S. 2761 - RESULTS Act - issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: H. R. 4709

H.R. 5269119th Congress

RESULTS Act

2026 · third_quarter · Client: GENEDX, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H. R. 4709 - Newborn Screening Saves Lives Act of 2025 - Support for advancing 21st century genetic screenings protocols for newborns and their families. Issues related to access and affordability for pediatric genetic tests for children and families nationwide. H.R. 5269 - RESULTS Act - issues related to Medicare payments for lab tests. S. 2761 - RESULTS Act - issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: H.R. 5269

H.R. 7118119th Congress

Genomic Answers for Children’s Health Act of 2026

2026 · third_quarter · Client: GENEDX, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to access and affordability for pediatric genetic tests for families with Medicaid and Marketplace coverage. Issues related to the FY27 Labor-HHS appropriations process - highlighting Genetic Testing Guidance for State Medicaid Programs report language. H.R. 7118 - Genomic Answers for Children's Health Act of 2026 - support for clarifying access to genomic sequencing for children enrolled in Medicaid who have a suspected rare disease or genetic disorder.

Client expense: — · Firm income: $80,000

Matched citations: H.R. 7118

S. 2761119th Congress

RESULTS Act

2026 · third_quarter · Client: GENEDX, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H. R. 4709 - Newborn Screening Saves Lives Act of 2025 - Support for advancing 21st century genetic screenings protocols for newborns and their families. Issues related to access and affordability for pediatric genetic tests for children and families nationwide. H.R. 5269 - RESULTS Act - issues related to Medicare payments for lab tests. S. 2761 - RESULTS Act - issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: S. 2761

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: DAVITA INC.

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act - Issues related to Medicare Secondary Payer policies related to people with ESRD. Issues related to innovation-centered kidney care choices model. Issues related to hospice and dialysis.

Client expense: — · Firm income: $70,000

Matched citations: H.R. 2199

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: DAVITA INC.

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act - Issues related to Medicare Secondary Payer policies related to people with ESRD. Issues related to innovation-centered kidney care choices model. Issues related to hospice and dialysis.

Client expense: — · Firm income: $70,000

Matched citations: S. 1173

H.R. 9260119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

2026 · third_quarter · Client: BOSTON MEDICAL CENTER

Open original LDA filing ↗

Cited source text and reported amounts

Regulatory issues related to ACA Marketplaces, Medicaid and CHIP. Regulatory issues related to health care research. H.R. 9260 - FY27 Depts. of Labor, HHS, Education Appropriations - and Senate FY27 Labor-HHS appropriations process - highlighting Hospital at Home report language.

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

Matched citations: H.R. 9260

H.R. 9599119th Congress

SECURE 340B Act

2026 · third_quarter · Client: BOSTON MEDICAL CENTER

Open original LDA filing ↗

Cited source text and reported amounts

Regulatory issues related to Medicaid and CHIP. Monitor issues related to 340B, including H.R.9599 - SECURE 340B Act.

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

Matched citations: H.R.9599

H.R. 8923119th Congress

At HOME Services Act

2026 · third_quarter · Client: BAYCARE HEALTH SYSTEM

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to the Medicare Hospital at Home program H.R.8923 - At HOME Services Act - issues related to hospital care at home Monitor issues and proposals related to health care price transparency Issues related to organ transplantation

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

Matched citations: H.R.8923

H.R. 9260119th Congress

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

2026 · third_quarter · Client: BAYCARE HEALTH SYSTEM

Open original LDA filing ↗

Cited source text and reported amounts

Issues related to the Medicare Hospital at Home program. H.R. 9260 - FY27 Depts. of Labor, HHS, Education Appropriations - and Senate FY27 Labor-HHS appropriations process - highlighting Hospital at Home report language.

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

Matched citations: H.R. 9260

H.R. 5269119th Congress

RESULTS Act

2026 · second_quarter · Client: QUEST DIAGNOSTICS INCORPORATED

Open original LDA filing ↗

Cited source text and reported amounts

Policies, rules, and regulations related to clinical laboratories and Medicare coverage policies. H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act - Issues related to Medicare payments for lab tests. S.2761 - RESULTS Act - Issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: H.R.5269

S. 2761119th Congress

RESULTS Act

2026 · second_quarter · Client: QUEST DIAGNOSTICS INCORPORATED

Open original LDA filing ↗

Cited source text and reported amounts

Policies, rules, and regulations related to clinical laboratories and Medicare coverage policies. H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act - Issues related to Medicare payments for lab tests. S.2761 - RESULTS Act - Issues related to Medicare payments for lab tests.

Client expense: — · Firm income: $80,000

Matched citations: S.2761

H.R. 7961119th Congress

H–1Bs for Physicians and the Healthcare Workforce Act

2026 · second_quarter · Client: GREATER NEW YORK HOSPITAL ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

HR 7961 - Issues related to waiving the application fee for H-1B visas for foreign health care professionals seeking to work in the United States

Client expense: — · Firm income: $80,000

Matched citations: HR 7961

H.R. 9504119th Congress

Tax Exempt Hospital Transparency Act

2026 · second_quarter · Client: GREATER NEW YORK HOSPITAL ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

Policies, rules, and regulations related to Medicaid, Medicare, Essential and Marketplace coverage. Issues related to the Essential Plan. Issues related to graduate medical education (GME) slots. Monitoring H.R. 9504 - Tax Exempt Hospital Transparency Act - issues related to hospital reporting requirements.

Client expense: — · Firm income: $80,000

Matched citations: H.R. 9504

H.R. 1397118th Congress

Future in Logging Careers Act

2026 · second_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: H.R. 1397

H.R. 1521118th Congress

Servicemember Credit Monitoring Enhancement Act

2026 · second_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: H.R. 1521

S. 1164118th Congress

Seedlings for Sustainable Habitat Restoration Act of 2023

2026 · second_quarter · Client: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1397/S.1164 - Increasing Access to Dental Insurance Act of 2025 - Issues related to expanding access to quality dental care coverage to populations that require care. Regulatory issues impacting dental coverage issues in Medicare, Medicaid and Marketplace. H.R. 1521/S. 1424 (in 118th Congress - Senate reintroduction pending) - DOC Access Act - issues related to dental coverage.

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

Matched citations: S.1164

Source: Senate LDA

RED+BLUE STRATEGIES — Lobbying Disclosure | Poliscope