• Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions; H.R. 6079 - Repeal of Obamacare Act; H.R. 6684 - Spending Reduction Act; H.R. 8 - American Taxpayer Relief Act.
• Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; Draft legislation on reauthorization of the National Quality Forum; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act; S. 1560 - Nursing Home Resident Pain Relief Act.
• Legislation and issues related to: Authorization and appropriations of Title VIII funding for nurse education and nurse workforce development programs in fiscal years 2012, 2013, and 2014; Title III funding for Nurse Managed Health Clinics; Appropriation of Title IV funding for the National Health Care Workforce Commission; Simpson-Bowles deficit reduction proposals; Impact of sequestration on non-defense discretionary spending; H.J.RES. 2/S.J.RES. 10/S.J.RES. 24 - Proposing a balanced budget amendment to the Constitution of the United States; H.CON.RES. 34 - Establishing the budget for the United States Government for fiscal year 2012; H.R. 1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011; H.CON.RES .35; H.R. 1 - Full-Year Continuing Appropriations Act, 2011, and S.AMDT. 149; H.J. RES. 44 - Further Continuing Appropriations Amendments, 2011; H.J. RES. 48 - Additional Continuing Appropriations Amendments, 2011; H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011; S. 365 - Budget Control Act; H.R. 2560/S. 1340 - Cut, Cap, and Balance Act; H.R. 2017 - Continuing Appropriations Act, 2012; H.R. 2608 - Continuing Appropriations Act, 2012; H.J.RES. 79 - Continuing Appropriations Resolution, 2012; S. 1290 - Spending Cap Act; S. 1599/ H.R. 3070, Labor-HHS-Education Appropriations Act, 2012; H.J.RES 94 - Continuing Appropriations Resolution, 2012; H.J.RES 95 - Continuing Appropriations Resolution, 2012; H.R. 2055 - Consolidated Appropriations Act, 2012; H.R. 3671 - Consolidated Appropriations Act, 2012; H.R. 3521 - Expedited Legislative Line-Item Veto and Rescissions Act; H.CON.RES. 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022; H.R. 5652 - Sequester Replacement Reconciliation Act; S. 3295 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, fiscal year 2013 and House Labor-HHS Subcommittee proposal; H.R. 5872/S. 3228 - Sequestration Transparency Act; H.J. Res. 117 - Continuing Appropriations Resolution, 2013; H.R. 1 - Disaster Relief Appropriations Act, 2013.

Duration: September 1, 2010 to December 31, 2012

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

Spending: about $219,235 (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: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Federal Trade Commission (FTC), Health Resources & Services Administration (HRSA), Justice - Dept of (DOJ), White House Office, Office of Management & Budget (OMB), Housing & Urban Development - Dept of (HUD), House of Representatives, Senate, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC),