• Issues related to ESRD reimbursement.

Duration: February 1, 2019 to January 31, 2020

General Issues: Medicare/Medicaid, Health Issues

Spending: about $185,000 (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 2019: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), White House Office, Centers For Disease Control & Prevention (CDC), Health Resources & Services Administration (HRSA), Government Accountability Office (GAO), Food & Drug Administration (FDA), Medicare Payment Advisory Commission (MedPAC), Administration on Aging, Congressional Budget Office (CBO)

Related Foreign Entities: Fresenius Medical Care AG &Co. KGaA (Bad Homburg, GER); contribution to lobbying: $0; ownership 100%