• Kidney Care reimbursement issues; End Stage Renal Disease Prospective Payment System; Medicare Secondary Payer; ESRD quality programs; workforce and labor, ESRD PPS forecast error, Medicare Physician Fee Schedule Provider Enrollment Issues, closures of dialysis facilities and concerns regarding access to care for Americans living with kidney failure

Duration: January 1, 2008 to present

General Issues: Health Issues, Medicare/Medicaid, Budget/Appropriations, Medical/Disease Research/Clinical Labs

Spending: about $13,230,000 (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), Medicare Payment Advisory Commission (MedPAC), White House Office, Office of Management & Budget (OMB), Centers For Medicare and Medicaid Services (CMS), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Centers For Medicare and Medicaid Services (CMS),, Veterans Affairs - Dept of (VA), Health & Human Services - Dept of (HHS), Treasury - Dept of