NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALISTS

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Lobbying Spend

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Filings

Firms Hired

Active Period

2013–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	—	2	1
2025	—	3	1
2018	—	3	1
2017	—	4	1
2016	—	4	1
2015	—	4	1
2014	—	4	1
2013	—	3	1

Hired Firms

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

Firm Name	Reported Spend	Filings
THE FEDERAL GROUP, INC.	—	5
KAR ASSOCIATES, LLC	—	22

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	25
SENATE	23
Health & Human Services, Dept of (HHS)	5
Veterans Affairs, Dept of (VA)	5
Centers For Medicare and Medicaid Services (CMS)	1
Education, Dept of	1
Office of Management & Budget (OMB)	1
White House Office	1

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Budget/Appropriations	Budget/Appropriations	20
Health Issues	Health Issues	19
Medicare/Medicaid	Medicare/Medicaid	15
Veterans	Veterans	10
Education	Education	3

Bills Explicitly Cited (25)

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

H.R. 1168115th Congress

United States Cadet Nurse Corps Equity Act

2018 · second_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

United States Nurse Corps Equity Act (H.R. 1168)

Client expense: — · Firm income: —

Matched citations: H.R. 1168

H.R. 5272115th Congress

To provide additional guidance to grantees seeking funding to treat or prevent mental health or substance use disorders.

2018 · second_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

RESULTS Act of 2018 (HR 5272) House Opioid Package (HR 6)

Client expense: — · Firm income: —

Matched citations: HR 5272

H.R. 6115th Congress

SUPPORT for Patients and Communities Act

2018 · second_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

RESULTS Act of 2018 (HR 5272) House Opioid Package (HR 6)

Client expense: — · Firm income: —

Matched citations: HR 6

S. 2524115th Congress

Substance Use Disorder Workforce Loan Repayment Act of 2018

2018 · second_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

S. 2524, Substance Use Disorder Workforce Loan Repayment Act of 2018

Client expense: — · Firm income: —

Matched citations: S. 2524

Show 21 more cited filings

H.R. 1478115th Congress

Gun Violence Research Act

2018 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 5002/S. 2406, ACE Research Act H.R. 1478, Gun Violence Research Act

Client expense: — · Firm income: —

Matched citations: H.R. 1478

H.R. 5002115th Congress

Advancing Cutting Edge Research Act

2018 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 5002/S. 2406, ACE Research Act H.R. 1478, Gun Violence Research Act

Client expense: — · Firm income: —

Matched citations: H.R. 5002

H.R. 5102115th Congress

Substance Use Disorder Workforce Loan Repayment Act of 2018

2018 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 5102, Substance Use Disorder Workforce Loan Repayment Act of 2018

Client expense: — · Firm income: —

Matched citations: H.R. 5102

S. 2406115th Congress

ACE Research Act

2018 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 5002/S. 2406, ACE Research Act H.R. 1478, Gun Violence Research Act

Client expense: — · Firm income: —

Matched citations: S. 2406

H.R. 3692115th Congress

Addiction Treatment Access Improvement Act of 2017

2017 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

Combating the Opioid Epidemic Act H.R. 3692, Addiction Treatment Access Improvement Act H.Res. 495, PCOS Resolution

Client expense: — · Firm income: —

Matched citations: H.R. 3692

H.R. 795115th Congress

Employer Participation in Student Loan Assistance Act

2017 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 795, Employer Participation in Student Loan Assistance Act

Client expense: — · Firm income: —

Matched citations: H.R. 795

HRES 495115th Congress

Recognizing the seriousness of Polycystic Ovary Syndrome (PCOS) and expressing support for the designation of the month of September 2017 as "PCOS Awareness Month".

2017 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

Combating the Opioid Epidemic Act H.R. 3692, Addiction Treatment Access Improvement Act H.Res. 495, PCOS Resolution

Client expense: — · Firm income: —

Matched citations: H.Res. 495

H.R. 3382115th Congress

YOUTH Act

2017 · third_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 3382 - YOUTH Act Medication Assisted Treatment Act Graham/Cassidy Healthcare Bill Better Care Reconciliation Act

Client expense: — · Firm income: —

Matched citations: H.R. 3382

H.R. 5164114th Congress

Rural Hospital Regulatory Relief Act of 2016

2016 · second_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

The Rural Hospital Regulatory Relief Act (H. R. 5164) Opioid Legislation Home Health

Client expense: — · Firm income: —

Matched citations: H. R. 5164

H.R. 1247114th Congress

Improving Veterans Access to Quality Care Act of 2015

2015 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Improving Veterans Access to Quality Care Act of 2015 (H.R. 1247)

Client expense: — · Firm income: —

Matched citations: H.R. 1247

H.R. 2208114th Congress

Hospice CARE

2015 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 2208, the Hospice Commitment to Accurate and Relevant Encounters Act (Hospice CARE)

Client expense: — · Firm income: —

Matched citations: H.R. 2208

H.R. 1209114th Congress

Improving Access to Maternity Care Act

2015 · second_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 1741, Truth in Health Care Marketing Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act

Client expense: — · Firm income: —

Matched citations: H.R. 1209

H.R. 1741114th Congress

Truth in Healthcare Marketing Act of 2015

2015 · second_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

H.R. 1741, Truth in Health Care Marketing Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act

Client expense: — · Firm income: —

Matched citations: H.R. 1741

S. 628114th Congress

Improving Access to Maternity Care Act

2015 · second_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 1741, Truth in Health Care Marketing Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act

Client expense: — · Firm income: —

Matched citations: S. 628

H.R. 5380113th Congress

Medicare Telehealth Parity Act of 2014

2015 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

Medicare Telehealth Parity Act of 2014 (H.R 5380) SGR Reform Hospital Improvements for Payment(HIP)Act Protecting Access to Rural Therapy Services(PARTS)Act Home Health Planning and Improvement Act

Client expense: — · Firm income: —

Matched citations: H.R 5380

H.R. 1247114th Congress

Improving Veterans Access to Quality Care Act of 2015

2015 · first_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Improving Veterans Access to Quality Care Act of 2015, HR 1247

Client expense: — · Firm income: —

Matched citations: HR 1247

S. 30114th Congress

Forty Hours Is Full Time Act of 2015

2015 · first_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

S. 30, the Save American Workers Act of 2015

Client expense: — · Firm income: —

Matched citations: S. 30

H.R. 5380113th Congress

Medicare Telehealth Parity Act of 2014

2014 · fourth_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

SGR Reform Home Health Care Planning Improvement Act H.R. 5380 - Medicare Telehealth Parity Act of 2014

Client expense: — · Firm income: —

Matched citations: H.R. 5380

H.R. 3890113th Congress

Better Care, Lower Cost Act

2014 · third_quarter · Firm: KAR ASSOCIATES, LLC

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Cited source text and reported amounts

S. 1932/H.R. 3890 - Better Care, Lower Cost Act

Client expense: — · Firm income: —

Matched citations: H.R. 3890

S. 1932113th Congress

Better Care, Lower Cost Act

2014 · third_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

S. 1932/H.R. 3890 - Better Care, Lower Cost Act

Client expense: — · Firm income: —

Matched citations: S. 1932

H.R. 2986113th Congress

Protecting Access to Primary Care Act

2014 · second_quarter · Firm: KAR ASSOCIATES, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 2986, the Protecting Access to Primary Care Act Certification for Inpatient Hospital Services Non-Discrimination Provisions of the ACA S. 1932/H.R. 3890 - Better Care, Lower Cost Act H.R. 4663, the Protect Patient Access and Promote Hospital Efficiency Act

Client expense: — · Firm income: —

Matched citations: H.R. 2986

Source: Senate LDA

NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALISTS — Lobbying Disclosure | Poliscope