• General healthcare issues, Medicare enrollment of free standing EDs, Medicare DSH, Medicaid DSH, physician-owned hospital federal policy, health equity, CMS payment rules including, but not limited to IRF, PPF, and IPPS, CMS Bulletin Healthcare Related Taxes, Texas v. Brooks LaSure, CMS proposed Managed Medicaid Directed Payment rule, and general Medicare and Medicaid policy, federal appropriations for GME and research, healthcare workforce shortages including nursing and physician shortages, graduate medical education, NIH and ARPA-H research programs and funding, HRSA rural residency grants and teaching health center GME programs.

Duration: July 15, 2009 to present

General Issues: Health Issues, Medicare/Medicaid, Budget/Appropriations, Government Issues, Veterans, Insurance, Medical/Disease Research/Clinical Labs, Torts

Spending: about $4,070,000 (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 2009: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB), White House Office, Veterans Affairs - Dept of (VA), Administration for Children & Families (ACF), Executive Office of the President (EOP), Food & Drug Administration (FDA), Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Veterans Affairs - Dept of (VA),, Economic Development Administration, Office of the Vice President of the United States