• General healthcare issues implementation of Patient Protection and Affordable Care Act. HR 2575 Save American Workers Act, ACA definition of full-time employee; S 2176 (Common Sense Reporting Act), and HR 5557 (Streamlining Verification for Americans Act), SSN privacy, Reporting streamlining under Code sections 6055/6056.
• General Medicare/ Medicaid issues. Delivery system and payment reform in Medicare.
• General health insurance issues. Expat health insurance/Exchange Risk corridor payments-HR 83.

Duration: November 1, 2007 to December 31, 2014

General Issues: Health Issues, Medicare/Medicaid, Insurance, Budget/Appropriations, Financial Institutions/Investments/Securities, Taxation/Internal Revenue Code, Retirement

Spending: about $1,680,000 (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 2007: House of Representatives, U.S. Senate, Labor - Dept of (DOL), Treasury - Dept of, Health & Human Services - Dept of (HHS), Internal Revenue Service (IRS), White House Office, U.S. Senate,, Health & Human Services - Dept of (HHS),, Executive Office of the President (EOP), Y Y Executive Office of the President, Y Y Exec. Office of the President, Dept. of Labor, HHS, Treasury