• H.R.2761/S.705 - Specialty Physicians Advancing Rural Care Act or the SPARC Act (program for certain specialty medicine physicians who provide care in rural communities with shortages of such physicians).
• Medicare physician payment reductions. H.R.6545, Physician Fee Schedule Update and Improvements Act. S.3430, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act (provisions related to Medicare physician payment). H.R.2474, Strengthening Medicare for Patients and Providers Act. H.R.2389/S.1302, Resident Physician Shortage Reduction Act of 2023.

Duration: April 23, 2009 to April 1, 2019

General Issues: Health Issues, Medicare/Medicaid, Budget/Appropriations, Medical/Disease Research/Clinical Labs, Pharmacy

Spending: about $540,000 (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: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), U.S. Senate,, Health & Human Services - Dept of (HHS)