• Reversal of CMS decision to subject "complex rehab" devices to competitive bidding processes HR 2231/S 2931 Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 HR 6331/S 3101 Medicare Improvements for Patients and Providers Act of 2008 HR 6252/S 3144 Medicare DMEPOS Competitive Acquisition Reform Act of 2008

Duration: July 12, 2007 to July 31, 2008

General Issues: Medicare/Medicaid

Spending: about $140,000 (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, Centers For Medicare and Medicaid Services (CMS)