• -General end-stage renal disease payment and reimbursement -Implementation of 21st Century Cures Legislation: Sec. 4013 - Telehealth Services in Medicare -Implementation of 21st Century Cures Legislation: Sec. 17006 - Allowing ESRD Beneficiaries to Choose A Medicare Advantage Plan -Implementation of Sec. 50302 of the Bipartisan Budget Act of 2018: Expanding Access To Home Dialysis Therapy

Duration: February 1, 2014 to October 1, 2018

General Issues: Medicare/Medicaid

Spending: about $590,000 (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: U.S. Senate, House of Representatives