HR 4581 — 340B PATIENTS Act of 2025
Congress 119 · introduced 2025-07-22
Latest action: — Referred to the House Committee on Energy and Commerce.
Sponsors
- Jayapal, Pramila (D, WA-7) — cosponsor
- Frost, Maxwell (D, FL-10) — cosponsor
- Castor, Kathy (D, FL-14) — cosponsor
- Thanedar, Shri (D, MI-13) — cosponsor
- Cleaver, Emanuel (D, MO-5) — cosponsor
Lobbied by (4)
LDA filings that named this bill in their activity descriptions. The lobbying firm (registrant) is paid by the client to lobby on this and related issues.
| Filing | Period | Registrant (lobbying firm) | Client | Income | Matched |
|---|---|---|---|---|---|
| 1st Quarter - Report | 2026 first_quarter | THE UNIVERSITY OF FLORIDA BOARD OF TRUSTEES | THE UNIVERSITY OF FLORIDA BOARD OF TRUSTEES | — | H.R. 4581 |
| 1st Quarter - Report | 2026 first_quarter | LUNDBECK LLC | LUNDBECK LLC | — | H.R.4581 |
| 1st Quarter - Report | 2026 first_quarter | ROCHESTER REGIONAL HEALTH | ROCHESTER REGIONAL HEALTH | — | H.R. 4581 |
| 1st Quarter - Report | 2026 first_quarter | VENABLE LLP | SUTTER HEALTH | $80,000 | H.R.4581 |
Action timeline
- · H11100 — Referred to the House Committee on Energy and Commerce.
- · Intro-H — Introduced in House
- · 1000 — Introduced in House
Text versions
- Introduced in House · 2025-07-22 — open
Connected on the graph
Inbound (9)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Jayapal, Pramila | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Frost, Maxwell | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Castor, Kathy | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Thanedar, Shri | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cleaver, Emanuel | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | LUNDBECK LLC | lobbies_on_bill | — | H.R.4581 | lobbying_bill_mention |
| 2026-01-01 | ROCHESTER REGIONAL HEALTH | lobbies_on_bill | — | H.R. 4581 | lobbying_bill_mention |
| 2026-01-01 | THE UNIVERSITY OF FLORIDA BOARD OF TRUSTEES | lobbies_on_bill | — | H.R. 4581 | lobbying_bill_mention |
| 2026-01-01 | SUTTER HEALTH | lobbies_on_bill | — | H.R.4581 | lobbying_bill_mention |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Jayapal, Pramila (D, house WA-7) | cosponsor | 3 | — | 4 |
| 2 | Castor, Kathy (D, house FL-14) | cosponsor | 1 | — | 2 |
| 3 | Cleaver, Emanuel (D, house MO-5) | cosponsor | 0 | — | 1 |
| 4 | Frost, Maxwell (D, house FL-10) | cosponsor | 0 | — | 1 |
| 5 | Thanedar, Shri (D, house MI-13) | cosponsor | 0 | — | 1 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | SUTTER HEALTH | 1 | $80,000 | 0 | $0 | $80,000 |
| 2 | not employed | 0 | $0 | 441 | $35,911 | $35,911 |
| 3 | self employed | 0 | $0 | 41 | $8,250 | $8,250 |
| 4 | self | 0 | $0 | 4 | $4,775 | $4,775 |
| 5 | thegroup | 0 | $0 | 1 | $3,500 | $3,500 |
| 6 | grassroots analytics | 0 | $0 | 1 | $2,500 | $2,500 |
| 7 | retired | 0 | $0 | 13 | $1,988 | $1,988 |
| 8 | tension corp. | 0 | $0 | 1 | $1,500 | $1,500 |
| 9 | n/a | 0 | $0 | 1 | $1,000 | $1,000 |
| 10 | google inc. | 0 | $0 | 1 | $600 | $600 |
| 11 | mtnw | 0 | $0 | 1 | $500 | $500 |
| 12 | morgan stanley | 0 | $0 | 1 | $500 | $500 |
| 13 | uua | 0 | $0 | 1 | $500 | $500 |
| 14 | joseph l. caballero cpa / eroc advisor | 0 | $0 | 1 | $500 | $500 |
| 15 | starbucks | 0 | $0 | 1 | $500 | $500 |
| 16 | applovin | 0 | $0 | 1 | $500 | $500 |
| 17 | land iq, llc | 0 | $0 | 1 | $350 | $350 |
| 18 | microsoft | 0 | $0 | 3 | $310 | $310 |
| 19 | arnold & porter | 0 | $0 | 1 | $300 | $300 |
| 20 | bgr group | 0 | $0 | 1 | $300 | $300 |
| 21 | university of central florida | 0 | $0 | 1 | $260 | $260 |
| 22 | mcbreen & nowak p.a. | 0 | $0 | 1 | $250 | $250 |
| 23 | ahmg | 0 | $0 | 1 | $250 | $250 |
| 24 | capitol hill consulting group | 0 | $0 | 1 | $250 | $250 |
| 25 | ruchika | 0 | $0 | 1 | $250 | $250 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
5 predicted yes (1%) · 280 predicted no (52%) · 258 unknown (47%)
By party: · R: 0 yes / 277 no · D: 5 yes / 0 no / 258 unknown · I: 0 yes / 3 no
5 high-confidence positions (voted + sponsor + cosponsor)
- Castor, Kathy (D · house · FL-14) · cosponsor
- Cleaver, Emanuel (D · house · MO-5) · cosponsor
- Frost, Maxwell (D · house · FL-10) · cosponsor
- Jayapal, Pramila (D · house · WA-7) · cosponsor
- Thanedar, Shri (D · house · MI-13) · cosponsor
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Frost, Maxwell (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Thanedar, Shri (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cleaver, Emanuel (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Castor, Kathy (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Jayapal, Pramila (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by LUNDBECK LLC (h.r.4581) · lobbying_bill_mention
- 2026-01-01 · lobbied on by SUTTER HEALTH (h.r.4581) · lobbying_bill_mention
- 2026-01-01 · lobbied on by ROCHESTER REGIONAL HEALTH (h.r. 4581) · lobbying_bill_mention
- 2026-01-01 · lobbied on by THE UNIVERSITY OF FLORIDA BOARD OF TRUSTEES (h.r. 4581) · lobbying_bill_mention