• Federal hospice finance and payment issues; health care reform and its impact on hospices, including H.R. 3590 the Patient Protection and Affordable Care Act, provisions relating to hospice and H.R. 3962 the Affordable Health Care for America Act, provisions relating to hospice; hospice regulatory issues including the budget neutrality adjustment factor regulatory moratorium;

Duration: December 22, 2009 to December 31, 2009

General Issues: Medicare/Medicaid, Budget/Appropriations

Spending: about $0 (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: