• General education on Medicaid reimbursement and policy issues for direct support professionals, direct support care providers, and direct support training, support and research issues; General education on the impact of Affordable Care Act law on Medicaid dependent providers and their employees.

Duration: October 1, 2012 to January 1, 2016

General Issues: Health Issues, Medicare/Medicaid, Labor Issues/Antitrust/Workplace, Budget/Appropriations

Spending: about $155,000 (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 2012: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Labor - Dept of (DOL), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Health & Human Services - Dept of (HHS)