• Issues relating to Third Party Marketing Organizations Issues relating to The Patient Protection and Affordable Care Act Issues relating to Healthcare.gov and Medicare.gov under the Labor/HHS Appropriations Act Issues related to efficient online and telephonic enrollment into Medicare Advantage and Medicare Prescription Drug Plans Issues related to Medicare Advantage and Part D Plan broker compensation Issues related to lead generation policies Issues relating to the Telephone Consumer Protection Act regarding lead generation for health plan coverage Issues related to the CHOICE Arrangement Act - HR 3799 Issues pertaining to short-term limited duration plans

Duration: November 3, 2008 to present

General Issues: Health Issues, Trade (Domestic & Foreign), Insurance, Taxation/Internal Revenue Code

Spending: about $22,596,289 (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, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), White House Office, Office of Management & Budget (OMB), Federal Communications Commission (FCC), Office of the Vice President of the United States, White House Office,, Commerce - Dept of (DOC), U.S. Trade Representative (USTR), Small Business Adminstration (SBA), Labor - Dept of (DOL)