• Issues related to Medicare, Medicaid, Health Care and the Budget - including health care reform, fraud and abuse prevention, and information technology. Specific bills include the Patient Protection and Affordable Care Act (HR 3590) and the America's Affordable Health Choices Act (HR 3200).

Duration: March 1, 2009 to January 1, 2011

General Issues: Health Issues

Spending: about $120,000 (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), Government Accountability Office (GAO)