• General Education on the nurse home visitation program and the impact on the Medicaid program/population, societal cost/benefit analysis, discussion of evidentiary research; and social impact bonds and pay for performance issues. General education on implementation issues related to HHS Home Visitation Program and FQHC program.

Duration: November 1, 2010 to December 31, 2018

General Issues: Health Issues, Medicare/Medicaid

Spending: about $613,000 (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, Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Centers For Medicare and Medicaid Services (CMS), White House Office, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS),