• Medicare competitive bidding issues [Patient Protection and Affordable Care Act (H.R. 3590); Affordable Health Care for America Act (H.R. 3962)]; Medicare policies regarding enteral nutrition and long-term care [Patient Protection and Affordable Care Act (H.R. 3590); Affordable Health Care for America Act (H.R. 3962)]; con't.Health reform issues that may affect enteral nutrition manufacturers, including fee schedule provisions and inflation updates [Patient Protection and Affordable Care Act (H.R. 3590); Affordable Health Care for America Act (H.R. 3962)]; HR 4872: Health Care and Education Reconciliation Act.

Duration: January 1, 2009 to March 29, 2010

General Issues: Medicare/Medicaid

Spending: about $90,000 (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 2009: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

Affiliated organizations: Abbott Laboratories; Nestle Healthcare Nutrition