• Medicare reimbursements; Post-acute payment and reform issues; Medicaid; Skilled Nursing Facility Requirements of Participation; Implementation of the Affordable Care Act, P.L.111-148; Long-term care reform; Medicare and Medicaid funding; Therapy cap extender; Issues related to workforce training, H.R.7744, Nursing Home Workforce Quality Act; Implementation of H.R.5376, Inflation Reduction Act of 2022 (P.L.117-169); H.R.2617, Consolidated Appropriations Act, 2023.

Duration: December 15, 2017 to December 31, 2022

General Issues: Medicare/Medicaid

Spending: about $1,210,000 (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 2017: U.S. Senate, House of Representatives