• Implementation of H.R. 3590 - Patient Protection and Affordable Care Act, H.R. 4872 - Health Care and Education Reconciliation Act of 2010, and related legislation, provisions related to Medicare durable medical equipment competitive bidding program; reintroduction of legislation to amend title XVIII of the Social Security Act to preserve integrated care for durable medical equipment under competitive bidding program for qualified hospital-related DME entities, all provisions.

Duration: August 25, 2009 to June 30, 2011

General Issues: Medicare/Medicaid

Spending: about $160,000 (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,, U.S. Senate, Centers For Medicare and Medicaid Services (CMS)

Affiliated organizations: Dow Lohnes PLLC; Henry Ford Health System; Advanced Home Care; Advocate Health Care; Oakwood Home Medical Equipment; UPMC Home Medical Equipment