• Prepared comments on the Centers for Medicare and Medicaid Services data request and access policy changes; Prepared comments on the Food and Drug Administrations Draft Guidance for Industry and Food and Drug Administration Staff-Use of Real-World Evidence to Support Regulatory Decision-Making for Medical Devices.
• Prepared advocacy paper on clinical data registries.
• Prepared comments on the Office of the National Coordinator for Health Information Technologys and the Centers for Medicare and Medicaid Services proposed rule to enforce the information blocking provisions of the 21st Century Cures Act.

Duration: October 2, 2013 to present

General Issues: Medical/Disease Research/Clinical Labs, Medicare/Medicaid, Health Issues

Spending: about $900,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2013: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), U.S. Senate, House of Representatives, Health & Human Services - Dept of (HHS), Federal Trade Commission (FTC), Medicare Payment Advisory Commission (MedPAC), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Social Security Administration (SSA)

Affiliated organizations: Am. Asso. of Neurological Surgeons; Am. Academy of Ophthalmology; Am. Joint Replacement Registry; American College of Cardiology; Am. College of Gastroenterology; American College of Surgeons; Am. Gastroenterological Asso.; Am. Society of Anesthesiologists; Am. Society of Clinical Oncology; Am. Society of Nuclear Cardiology; Am. Society of Plastic Surgeons; Am. Soc. for Radiation Oncology; American Urological Association Inc.; CA Joint Replacement Registry; North American Spine Society; Society of Interventional Radiology; Society of Thoracic Surgeons; Society for Vascular Surgery; Am. Coll. of Emergency Physicians