• Monitored issues related to the implementation of Public Law No: 111-148, the Patient Protection and Affordable Care Act. Medicare Advantage and dual eligible issues, health care delivery system reforms, Health Information Technology. Issues affecting Medicare reimbursement and deficit reduction.

Duration: September 1, 2009 to December 31, 2021

General Issues: Health Issues, Medicare/Medicaid

Spending: about $990,000 (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, U.S. Senate,, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS)