• Health care reform implementation: policies to expand coverage and improve quality of care; Efforts to preserve and strengthen reimbursement to safety-net hospitals; Efforts to use health information technology to prevent hospital readmissions
• Issues pertaining to Medicaid expansion, maintenance of effort provisions in the health reform law; issues regarding CMS Systems Improvement Agreement; meaningful use requirements for the Medicare/Medicaid electronic health record incentive program; Evaluation and management code proposals

Duration: April 1, 2010 to July 31, 2012

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

Spending: about $380,000 (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 2010: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS),, Health & Human Services - Dept of (HHS), Veterans Affairs - Dept of (VA), Defense - Dept of (DOD), Health Resources & Services Administration (HRSA), Agency for Health Care Policy & Research