• Patient Protection and Affordable Care Act (PPACA) implementation issues; Budget Control Act of 2011; Sustainable Growth Rate reform; Medicare reimbursement and beneficiary cost-sharing for Clinical Lab Fee Schedule; President Obama's FY2014 Medicare Budget proposals; Implementation of the Protecting Access to Medicare Act of 2014; 21st Century Cures Initiative.
• Patient Protection and Affordable Care Act (PPACA) implementation issues; Medicare reimbursement and beneficiary cost-sharing for Clinical Lab Fee Schedule; President Obama's FY2014 Medicare Budget proposals; Implementation of the Protecting Access to Medicare Act of 2014; 21st Century Cures Initiative.
• Patient Protection and Affordable Care Act (PPACA) implementation issues; Coverage and pricing policies for molecular diagnostic cancer tests; Implementation of the Protecting Access to Medicare Act of 2014; 21st Century Cures Initiative.
• Sustainable Growth Rate reform; Clinical lab and physician fee schedule reforms and beneficiary cost sharing proposals; President Obama's FY2014 Medicare Budget proposals; Implementation of the Protecting Access to Medicare Act of 2014; 21st Century Cures Initiative.

Duration: March 21, 2011 to June 20, 2014

General Issues: Medical/Disease Research/Clinical Labs, Health Issues, Insurance, Medicare/Medicaid

Spending: about $994,448 (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 2011: House of Representatives, U.S. Senate, Food & Drug Administration (FDA), Health & Human Services - Dept of (HHS), Executive Office of the President (EOP), Centers For Medicare and Medicaid Services (CMS)