• Medicaid Value Based Purchasing

Duration: July 5, 2017 to October 5, 2023

General Issues: Medicare/Medicaid, Taxation/Internal Revenue Code, Pharmacy, Health Issues

Spending: about $1,490,000 (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: House of Representatives, U.S. Senate, White House Office, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Office of the Vice President of the United States, Commerce - Dept of (DOC), Food & Drug Administration (FDA), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Treasury - Dept of, Patent & Trademark Office (PTO), U.S. Trade Representative (USTR)

Related Foreign Entities: Horizon Pharma plc (Dublin, IRL); contribution to lobbying: $0; ownership 100%