• Medicare payment issues. Health reform issues. Public Law 111-148, Patient Protection and Affordable Care Act, Implementation issues. Public Law 113-76, Consolidated Appropriations Act, FY2014, Medicare and Medicaid related issues.
• Medicare and Medicaid issues.. Payment issues. Health reform issues. H.R.1250, medicare Audit Improvement Act of 2013, Recovery Audit Contractors H.R.1201, Training Tomorrow's Doctors Today Act, Sustainable Growth Rate formula (SGR) H.R.1180, Resident Physician Shortage Reduction Act of 2013, Sustainable Growth Rate Formula (SGR) H.R.1920, DSH Reduction Relief Act of 2013, Disproportionate share hospital payment issues. Workforce issues. Public Law 113-76, Consolidated Appropriations Act, FY2014, Medicare and Medicaid related issues. H.R.4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, SGR related issues. S.2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, SGR related issues.

Duration: January 1, 2009 to March 31, 2014

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

Spending: about $470,000 (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 2009: House of Representatives, U.S. Senate