• Implementation, Repeal and Replacement of ACA; Changes in Medicare Benefits and Financing; Delay in ACA taxes, including tax on Cadillac Health Plans; CMS initiatives on Part B and Part D drug prices; insulin prices; Drug price negotiation initiatives; drug price transparency amendment;insurance market stabilization legislation; ESRD provisions; Medicaid work requirements; Medicare buy-in legislation; Medicare for All legislation; Warren-Schakowsky drug price bill; CMS waivers on ACA subsidies; NAFTA prescription drug provsisions; surprise medical bills legislation; air ambulance legislation; HHS rule on expanded HRAs; PhRMA balanced budget amendment fix.

Duration: December 1, 2012 to November 30, 2018

General Issues: Health Issues

Spending: about $177,500 (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 2012: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Securities & Exchange Commission (SEC), Health & Human Services - Dept of (HHS), Labor - Dept of (DOL), Treasury - Dept of, White House Office