Invariant Ends Work for Federation of American Hospitals

Why It Matters

Invariant LLC ended its representation of the Federation of American Hospitals on July 1, according to a termination filing signed September 10. Invariant had represented the Federation since at least 2022, when Katie Wise, a founding partner at Invariant, worked on the account monitoring federal health care policy, including Medicare and Medicaid payment for hospital care. Invariant continued to represent the Federation through the first quarter of 2025 with Wise on the account, but subsequent quarterly filings for the second, third, and fourth quarters of 2025 and the first quarter of 2026 listed no specific lobbyists.

By The Numbers

The termination represented a modest portion of Invariant's business. The firm reported 184 clients in 2026 and $12,160,000 in total lobbying-related revenue that year. The Federation of American Hospitals spent $6,775,000 on lobbying over the past four quarters and retained five other lobbying firms in addition to its own in-house efforts.

Broader Context

The Federation of American Hospitals focused its lobbying efforts heavily on health care issues over the past five years, with 53 disclosures on health matters, 30 on taxation, and 24 on Medicare and Medicaid. One significant bill that the Federation was tracking was H.R. 5378, the Lower Costs, More Transparency Act, which aimed at promoting price transparency in the health care sector. H.R. 5378 passed the House on December 11, 2023, by a vote of 320 to 71. The bill did not advance in the Senate. The termination filing reported zero lobbying fees or expenses and listed no specific issues lobbied or legislation.