• health care reimbursement and operations; health and human services issues; medication and drug costs; 340B Drug Pricing Program; rural health; accountable care organizations and value-based care; Medicare Advantage; telehealth; COVID-19 pandemic response
• Health care reimbursement and operations; health and human services issues; medication and drug costs; 340B Drug Pricing Program; rural health; accountable care organizations and value-based care; Medicare Advantage; telehealth; COVID-19 pandemic response

Duration: November 1, 2007 to present

General Issues: Health Issues, Medicare/Medicaid

Spending: about $3,247,531 (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 2007: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB), Drug Enforcement Administration (DEA), Substance Abuse & Mental Health Services Administration (SAMHSA), Health Resources & Services Administration (HRSA), Federal Trade Commission (FTC), Justice - Dept of (DOJ), Centers For Medicare and Medicaid Services (CMS), Justice - Dept of (DOJ), Health & Human Services - Dept of (HHS), Internal Revenue Service (IRS), Natl Telecommunications & Information Administration (NTIA), Y Y