• Health care affordability and coverage, health care delivery reform, chronic care, MACRA, Medicare Advantage reform and Medicaid. Specifically HR 4212, The Community Based Care for Seniors Act of 2016 and HR 4275, the Medicare Advantage Quality Payment Relief Act.
• MACRA, Chronic Care, Medicaid expansion

Duration: April 19, 2016 to December 20, 2016

General Issues: Health Issues, Medicare/Medicaid

Spending: about $36,000 (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