• House/Senate/CMS/MedPAC/FDA-appropriateness criteria, accreditation, HR2962, HR3962, HR3950, HR4872, HR4851, SGR Fix, 2010 Interim MPFS, PECOS, CMS Tranmittals 642,694; anti-physician self-referral, home state/district imaging site facility visits; GAO-self-referral study

Duration: May 1, 2008 to June 30, 2010

General Issues: Health Issues, Medicare/Medicaid

Spending: about $737,000 (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: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Medicare Payment Advisory Commission (MedPAC), Food & Drug Administration (FDA), Government Accountability Office (GAO), White House Office, Health & Human Services - Dept of (HHS), White House Office,, House of Representatives, Senate