• Request Congressional Representatives to co-sponsor the "Lincoln-Crapo Amendment" as a part of health reform and to send a letter to CMS requesting them to rollback criteria for geographic reclassification to the historical level.

Duration: July 2, 2009 to July 31, 2015

General Issues: Medicare/Medicaid

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: House of Representatives, U.S. Senate