LESTER HEALTH LAW PLLC — Lobbying Disclosure | Poliscope

LESTER HEALTH LAW PLLC

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Lobbying Income

$13.3M

Filings

384

Unique Clients

Active Period

2014–2026

Lobbying Income by Year

Registrant-reported income from clients on LDA filings

Year	Lobbying Income	Filings	Clients
2026	$703,500	23	8
2025	$1,020,000	30	8
2024	$1,095,000	31	8
2023	$1,108,000	32	8
2022	$993,000	33	8
2021	$986,125	32	8
2020	$955,000	32	8
2019	$1,308,000	39	10
2018	$1,257,125	38	10
2017	$1,056,750	28	8
2016	$948,000	20	5
2015	$919,500	20	5
2014	$925,500	26	5

Top Clients

Largest clients by registrant-reported income

Client	Reported Income	Filings	Period
KIDNEY CARE PARTNERS	$2,980,000	50	2014–2026
AMERICAN AMBULANCE ASSOCIATION	$2,434,500	52	2014–2026
COUNCIL FOR QUALITY RESPIRATORY CARE	$1,912,500	52	2014–2026
NATIONAL MARROW DONOR PROGRAM	$1,588,500	26	2014–2019
KIDNEY CARE COUNCIL	$1,458,000	50	2014–2026
OMEROS CORPORATION	$1,365,000	32	2017–2025
MAGNOLIA MEDICAL TECHNOLOGIES	$555,000	16	2023–2026
AMERICAN HEALTH CARE ASSOCIATION	$301,250	38	2017–2026
CARA THERAPEUTICS	$236,750	26	2018–2024
U.S. RENAL CARE	$151,000	5	2026
CORVIDIA	$105,000	5	2018–2019
ONE SENIOR CARE	$75,000	3	2026
UNICYCIVE	$40,000	5	2025
CAREPATHRX	$30,000	4	2022
LABORATORIS SANIFIT, SL	$22,000	13	2019–2021
AMERICAN SOCIETY FOR BLOOD AND MARROW TRANSPLANT	$21,000	7	2017–2018

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
Centers For Medicare and Medicaid Services (CMS)	362
HOUSE OF REPRESENTATIVES	255
SENATE	255
Health & Human Services, Dept of (HHS)	121
Medicare Payment Advisory Commission (MedPAC)	91
Health Resources & Services Administration (HRSA)	50
Centers For Disease Control & Prevention (CDC)	36
Office of Management & Budget (OMB)	34
Transportation, Dept of (DOT)	17
Treasury, Dept of	8
Veterans Affairs, Dept of (VA)	7
Natl Economic Council (NEC)	6
White House Office	6
Labor, Dept of (DOL)	3

Top Issues Lobbied

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	377
Health Issues	Health Issues	120
Budget/Appropriations	Budget/Appropriations	48
Veterans	Veterans	7
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	3

Bills Explicitly Cited (25)

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

H.R. 5275119th Congress

Diagnostic Accuracy in Sepsis Act of 2025

2026 · third_quarter · Client: MAGNOLIA MEDICAL TECHNOLOGIES

Open original LDA filing ↗

Cited source text and reported amounts

Hospital inpatient quality programs; IPPS proposed rule; H.R. 5275 The Diagnostic Accuracy in Sepsis Act; Labor-HHS-Education appropriations

Client expense: — · Firm income: $15,000

Matched citations: H.R. 5275

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

Client expense: — · Firm income: $45,000

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Client expense: — · Firm income: $45,000

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

Client expense: — · Firm income: $45,000

Matched citations: S. 1173

Show 21 more cited filings

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Client expense: — · Firm income: $45,000

Matched citations: S. 2730

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

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

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

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

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

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

Matched citations: S. 1173

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · third_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

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

Matched citations: S. 2730

H.R. 5275119th Congress

Diagnostic Accuracy in Sepsis Act of 2025

2026 · third_quarter · Client: MAGNOLIA MEDICAL TECHNOLOGIES

Open original LDA filing ↗

Cited source text and reported amounts

Hospital inpatient quality programs; IPPS proposed rule; H.R. 5275 The Diagnostic Accuracy in Sepsis Act; Labor-HHS-Education appropriations

Client expense: — · Firm income: $20,000

Matched citations: H.R. 5275

H.R. 2902119th Congress

SOAR Act of 2025

2026 · third_quarter · Client: COUNCIL FOR QUALITY RESPIRATORY CARE

Open original LDA filing ↗

Cited source text and reported amounts

The SOAR Act, HR 2902/S. 1406; NIPPV Final NCD Memo; Medicare Advantage rulemaking; Medicare competitive bidding proposed rule; DMEPOS moratorium

Client expense: — · Firm income: $37,500

Matched citations: HR 2902

S. 1406119th Congress

SOAR Act of 2025

2026 · third_quarter · Client: COUNCIL FOR QUALITY RESPIRATORY CARE

Open original LDA filing ↗

Cited source text and reported amounts

The SOAR Act, HR 2902/S. 1406; NIPPV Final NCD Memo; Medicare Advantage rulemaking; Medicare competitive bidding proposed rule; DMEPOS moratorium

Client expense: — · Firm income: $37,500

Matched citations: S. 1406

H.R. 2232119th Congress

Protecting Access to Ground Ambulance Medical Services Act of 2025

2026 · third_quarter · Client: AMERICAN AMBULANCE ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

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

Matched citations: H.R. 2232

S. 1643119th Congress

Protecting Access to Ground Ambulance Medical Services Act of 2025

2026 · third_quarter · Client: AMERICAN AMBULANCE ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

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

Matched citations: S. 1643

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

Client expense: — · Firm income: $23,000

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Client expense: — · Firm income: $23,000

Matched citations: H.R. 6214

S. 1173119th Congress

Restore Protections for Dialysis Patients Act

2026 · second_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

Client expense: — · Firm income: $23,000

Matched citations: S. 1173

S. 2730119th Congress

Kidney Care Access Protection Act

2026 · second_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Client expense: — · Firm income: $23,000

Matched citations: S. 2730

H.R. 5275119th Congress

Diagnostic Accuracy in Sepsis Act of 2025

2026 · second_quarter · Client: MAGNOLIA MEDICAL TECHNOLOGIES

Open original LDA filing ↗

Cited source text and reported amounts

Hospital inpatient quality programs; IPPS proposed rule; H.R. 5275 The Diagnostic Accuracy in Sepsis Act; Labor-HHS-Education appropriations

Client expense: — · Firm income: $40,000

Matched citations: H.R. 5275

H.R. 2902119th Congress

SOAR Act of 2025

2026 · second_quarter · Client: COUNCIL FOR QUALITY RESPIRATORY CARE

Open original LDA filing ↗

Cited source text and reported amounts

The SOAR Act, HR 2902/S. 1406; NIPPV Final NCD Memo; Medicare Advantage rulemaking; Medicare competitive bidding proposed rule; DMEPOS moratorium

Client expense: — · Firm income: $37,500

Matched citations: HR 2902

S. 1406119th Congress

SOAR Act of 2025

2026 · second_quarter · Client: COUNCIL FOR QUALITY RESPIRATORY CARE

Open original LDA filing ↗

Cited source text and reported amounts

The SOAR Act, HR 2902/S. 1406; NIPPV Final NCD Memo; Medicare Advantage rulemaking; Medicare competitive bidding proposed rule; DMEPOS moratorium

Client expense: — · Firm income: $37,500

Matched citations: S. 1406

H.R. 2232119th Congress

Protecting Access to Ground Ambulance Medical Services Act of 2025

2026 · second_quarter · Client: AMERICAN AMBULANCE ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

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

Matched citations: H.R. 2232

S. 1643119th Congress

Protecting Access to Ground Ambulance Medical Services Act of 2025

2026 · second_quarter · Client: AMERICAN AMBULANCE ASSOCIATION

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

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

Matched citations: S. 1643

H.R. 2199119th Congress

Restore Protections for Dialysis Patients Act

2026 · first_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 1173, H.R. 2199, Restore Protections for Dialysis Patients Act

Client expense: — · Firm income: $23,000

Matched citations: H.R. 2199

H.R. 6214119th Congress

Kidney Care Access Protection Act

2026 · first_quarter · Client: U.S. RENAL CARE

Open original LDA filing ↗

Cited source text and reported amounts

S. 2730, H.R. 6214 The Kidney Care Access Protection Act; ESRD PPS and QIP rulemaking; CMMI Kidney Care Choices model

Client expense: — · Firm income: $23,000

Matched citations: H.R. 6214

Source: Senate LDA