• Medicare payment policies for skilled nursing facilities, monitoring regulatory impacts on nursing homes, and Part B therapy cap fix or extension of the exceptions process. Analysis of MPPR payment proposal for physical therapy. Ongoing work related to reimbursement policies for Long Term Acute Care Hospitals.

Duration: April 20, 2008 to December 31, 2012

General Issues: Medicare/Medicaid, Health Issues

Spending: about $1,365,000 (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 2008: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), House of Representatives, Senate