• Invest in hospital infrastructure; Provider Relief Fund flexibilities; Medicare reimbursement cuts; Medicare sequester; 4% PAYGO cut; physician pay.
• Area wage index - Save Rural Hospitals Act (S.803); behavioral health; Workforce - Resident Physician Shortage Reduction Act of 2023 (H.R.2389); legislation pertaining to health care workforce resilience; legislation pertaining to academic nursing; legislation pertaining to mental and behavioral health access for health providers; rural hospital medical residency and health workforce programs - Rural America Health Corps Act (S.940/H.R.1711); post-acute care/inpatient rehabilitation facilities - legislation related to a Medicare post-acute care prospective payment system, IRF CMS Review Choice Demonstration; 340b Eligibility requirements waiver - related legislation; Disproportionate Share Hospital and Uncompensated Care funding; relief to repay payments received through the Medicare Accelerated and Advance Payments program.

Duration: November 1, 2007 to May 30, 2009

General Issues: Budget/Appropriations, Medicare/Medicaid, Health Issues, Economics/Economic Development, Education, Foreign Relations, Natural Resources, Transportation, Trade (Domestic & Foreign), Urban Development/Municipalities

Spending: about $320,000 (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, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Y Y CMS, IRS