• Provision pertaining to kidney care, dialysis, Medicare, Medicaid, Centers for Medicare and Medicaid Services reimbursement issues, and health insurance. Implementation of Patient Protection and Affordable Care Act. H.R. 8 American Taxpayer Relief Act; and S.323/H.R. 1428, Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patient Act.

Duration: January 1, 2008 to December 31, 2013

General Issues: Health Issues, Insurance, Medicare/Medicaid, Budget/Appropriations, Pharmacy, Taxation/Internal Revenue Code, Government Issues

Spending: about $1,530,000 (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: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), U.S. Senate,, Congressional Budget Office (CBO)