• Section 340B of the public Health Services Act, Section 1927 of the Social Security Act and issues related to (1) administration and Congressional oversight of the 340B Drug Discount Program, (2) implementation of 340B-related provisions in the Patient Protection and Affordable Care Act of 2010, and (3) finding of the Health Resources and Services Administration (HRSA) under the Labor Health & Human Services & education appropriations bills.

Duration: January 1, 2008 to July 1, 2019

General Issues: Pharmacy

Spending: about $1,440,000 (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, U.S. Senate,, Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Health Resources & Services Administration (HRSA),, Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Veterans Affairs - Dept of (VA)