• advance care planning

Duration: July 31, 2012 to March 26, 2021

General Issues: Medicare/Medicaid, Health Issues

Spending: about $470,333 (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, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

Related Foreign Entities: Bhupendra Kansagra c/o Purebond Limited (Wembley Middlesex, GBR); contribution to lobbying: $0; ownership 30%; Bhupendra Kansagra c/o Purebond Limited (Wembley Middlesex, GBR); contribution to lobbying: $0; ownership 30%