• H.R.3354, Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018 H.R. 601, Continuing Appropriations Act, 2018 Medicare reimbursement related to the Protecting Access to Medicare Act of 2014

Duration: February 1, 2016 to June 29, 2018

General Issues: Health Issues

Spending: about $405,000 (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 2016: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Centers For Disease Control & Prevention (CDC)