• Seek corrections to the Medicare Advantage payment rates for Puerto Rico. H.R. 4015 / S. 2000 / S. 2110 / S. 2122 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Legislation to replace the sustainable growth rate (SGR) formula and reform the Medicare Physician Payment.

Duration: March 4, 2011 to September 1, 2014

General Issues: Medicare/Medicaid

Spending: about $160,000 (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 2011: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS),, Centers For Medicare and Medicaid Services (CMS), Natl Economic Council (NEC), Executive Office of the President (EOP)