• Kidney care reimbursement; ESRD PPS; Medicare Advantage Rate Announcement; Medicare Advantage 2025 Proposed Rule; ESRD quality programs; transplant issues; home dialysis; H.R. 5027 "Chronic Kidney Disease Improvement in Research and Treatment Act of 2023"; ESRD Treatment Choices model; CKCC models
• Payment innovation models; transplan issues; H.R. 6860, "Restore Protections for Dialysis Patients Act"

Duration: January 6, 2014 to present

General Issues: Medicare/Medicaid, Health Issues

Spending: about $2,490,000 (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 2014: Centers For Medicare and Medicaid Services (CMS), Medicare Payment Advisory Commission (MedPAC), U.S. Senate, House of Representatives, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Health Resources & Services Administration (HRSA), Centers For Disease Control & Prevention (CDC), Office of Management & Budget (OMB), White House Office