The article discusses the complex array of limits, prohibitions, registration and disclosure requirements at the intersection of state lobbying, governmental ethics, and pharmaceutical gift and disclosure laws. For instance, a pharmaceutical representative marketing to a doctor at a Massachusetts state facility can be subject to three different, and differing, limits on gifts and be subject to at least two different registration and/or reporting regimes. Two basic legal issues drive the overlap: first, governmental lobbying registration and disclosure laws can extend to certain sales and procurement related activity directed to government officials and employees, and, second, doctors and other medical professionals are often government employees or officials. Thus, they are subject both to ethics rules governing medical professionals and to those governing public officials and employees. Moreover, because these various ethics regimes do not impose consistent standards, a marketing representative’s employer may be required to disclose the provision of an item of value, such as a meal during a sales presentation, that is permissible under the regime requiring the disclosure but not under another set of equally applicable standards. The article also discusses the laws’ extended impact on health care facilities and other institutions that rely on charitable donations from the pharmaceutical industry. As the article explains, pharmaceutical and medical marketing companies need to be mindful of these laws to help protect themselves and their employees from penalties that can include even potential criminal sanctions. In addition, companies that understand these rules, and their conflicts and nuances, are better positioned to argue for the development and application of consistent standards that promote both compliance and business growth.