• Healthcare regulatory issues, with a focus on issues specific to the medical device industry; issues related to implementation of the PACT Act and treatment of burn pit injuries.

Duration: November 10, 2010 to present

General Issues: Health Issues, Medical/Disease Research/Clinical Labs, Medicare/Medicaid, Science/Technology, Manufacturing

Spending: about $4,380,000 (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: U.S. Senate, House of Representatives, Food & Drug Administration (FDA), Commerce - Dept of (DOC), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), U.S. Senate,, White House Office, Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB),