• FY2013 appropriations, including FY2013 budget proposals: program funding levels impacting health care facilities and service delivery, patient safety/prevention, and telemedicine/Health IT initatives, Medicare/Medicaid cuts; DSH payments; and other reforms. Tax cut proposals and hospital physician payment rate adjustments. FY2012 omnibus bill grant implementation. FY2010 digital mammography grant.
• Health care reform implementation impacting hospital financing and operations. Disproportionate Share Hospital rules and funding. Health promotion, workforce, healthcare quality, transitional care, innovation, preparedness, accountable care organizations and medical home model, and Medicaid program funding options. Medicare hospital payment rates and physician payments. Health IT standards and program implementation. Patient safety initiatives.

Duration: November 1, 2007 to March 31, 2012

General Issues: Budget/Appropriations, Health Issues

Spending: about $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, Health Resources & Services Administration (HRSA), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Defense - Dept of (DOD), Centers For Disease Control & Prevention (CDC)