• Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare hospice certification requirements Medicare skilled nursing facility conditions of participation Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 574 - Medicare Physician Payment Innovation Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2524/S. 1228 - Medicare Better Health Rewards Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1758 - Quality Data, Quality Healthcare Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act
• Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (ACA) (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Health care coverage and payment options in tax reform discussions Policies affecting nurse practitioner education and workforce Definition of essential health benefits Health information technology and electronic health records Mental health services and violence prevention Draft legislation on reauthorization of the National Quality Forum H.R. 1427 - Truth in Healthcare Marketing Act H.R. 1947/H.R. 2642 - Federal Agriculture Reform and Risk Management (FARRM) Act H.R. 2575 - Save American Workers Act H.R. 2663/S. 1422 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 3102 - Nutrition Reform and Work Opportunity Act H.R. 3304/S. 1197 - National Defense Authorization Act (Section 1725) H.R. 3306 - Telehealth Enhancement Act H.R. 3717 - Helping Families in Mental Health Crisis Act S. 689 - Mental Health Awareness and Improvement Act S. 264/H.R. 1263 - Excellence in Mental Health Act S. 744/H.R. 15 - Border Security, Economic Opportunity, and Immigration Modernization Act S. 954 - Agriculture Reform, Food, and Jobs Act S. 1152 - Building a Health Care Workforce for the Future Act S. 1562 - Older Americans Act Reauthorization Act
• Legislation and policies relating to: Authorization and appropriations of Title VIII funding for nurse education and nurse workforce development programs in fiscal years 2014 and 2015 Title III funding for Nurse Managed Health Clinics Appropriation of Title IV funding for the National Health Care Workforce Commission Simpson-Bowles deficit reduction proposals Impact of sequestration on the Health Resources and Services Administration (HRSA) and other non-defense discretionary spending H.R. 933 - Consolidated and Further Continuing Appropriations Act, 2013 H.R. 3273 - Deficit Reduction and Economic Growth Working Group Act H. Con. Res. 25 - Establishing the budget for fiscal year 2014 S. Con. Res. 8 - Setting forth the congressional budget for fiscal year 2014 S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 H.J. Res. 59 - Continuing Appropriations Resolution, 2014 H.R. 2775 - Continuing Appropriations Act, 2014
• Legislation and policies relating to: FDA Drug Safety and Risk Management Advisory Committee recommendation to reschedule hydrocodone as a Schedule II controlled substance H.R. 1285 - To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug H.R. 1919 - Safeguarding America's Pharmaceuticals Act S. 621 - Safe Prescribing Act S. 959 - Pharmaceutical Compounding Quality and Accountability Act H.R. 3089 - Compounding Clarity Act H.R. 3204 - Drug Quality and Security Act (Public Law 113-54)

Duration: January 1, 2013 to November 30, 2013

General Issues: Medicare/Medicaid, Health Issues, Budget/Appropriations, Pharmacy

Spending: about $85,975 (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 2013: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Health Resources & Services Administration (HRSA), White House Office, Office of Management & Budget (OMB), Food & Drug Administration (FDA)