• Issues related to hospitals, healthcare systems and Medicare/Medicaid payments ACA Implementation Issues H.R. 297, Children's Hospital GME Support Reauthorization Act of 2013/S. 1557 H.R. 2810, Medicare Patient Access and Quality Improvment Act of 2013 Proposals related to the Sustainable Growth Rate Issues Related to the 340B Program Telehealth Issues UNOS Liver Transplant Process Reform H.R.4930, Latest Title: ACE Kids Act of 2014
• Issues related to Medicaid Reform H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4302, Protecting Access to Medicare Act of 2014
• Medicaid and Children's Hospital Related funding S. 1284, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 CHGME Funding Levels in Labor HHS Ed Appropriation Bill Issues Related to Delayed Language on Liver Transplants in Labor HHS Ed Appropriation BillNIH/Research Funding

Duration: February 1, 2013 to December 25, 2014

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

Spending: about $310,000 (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 2013: House of Representatives, U.S. Senate, Health & Human Services - Dept of (HHS), U.S. Senate,