• Support for reauthorization of trauma care programs, including H.R. 647, H.R. 648; support for appropriations for trauma programs in Parts A-D and H of Title XII of Public Health Service Act; development of new reimbursement models for trauma care under Medicare; trauma care issues related to the hospital readmissions program under H.R. 343/S.688; development of legislation to support military and civilian trauma partnerships.

Duration: August 1, 2006 to August 1, 2016

General Issues: Health Issues, Budget/Appropriations, Medicare/Medicaid

Spending: about $2,030,000 (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 2006: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Centers For Medicare and Medicaid Services (CMS), U.S. Senate,, Health & Human Services - Dept of (HHS), Homeland Security - Dept of (DHS), Y Y Department of Homeland Security Department of Health & Human Services