• Medicare Advantage, special needs plans; HR 3590 / PL 111-148/152, Patient Protection and Affordable Care Act Medicare Advantage, Part D, special needs plans, Medicare cost plans, Medicare FFS payment reform; HR 3962, Americas Affordable Health Choices Act Medicare physician payment; HR 4213, Tax Extenders Act Medicare physician payment, Medicaid FMAP, Medicaid and CHIP technical corrections; HR 4691, Temporary Extension Act Medicare physician payment ; HR 4872, Healthcare and Education Reconciliation Act changes to Medicare Advantage funding, Medicare Part D coverage gap

Duration: June 1, 2008 to December 31, 2010

General Issues: Medicare/Medicaid, Taxation/Internal Revenue Code, Health Issues, Insurance, Pharmacy, Trade (Domestic & Foreign), Budget/Appropriations

Spending: about $410,000 (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 2008: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Executive Office of the President (EOP), White House Office