• Outreach on patient access to vision care, H.R.605/S.312 Patients Freedom to Choose Act, Physician Payment Reporting Requirements "Sunshine Act", customs and trade issues.

Duration: January 1, 2008 to April 1, 2012

General Issues: Health Issues, Budget/Appropriations, Copyright/Patent/Trademark, Education

Spending: about $570,000 (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, Homeland Security - Dept of (DHS), Health & Human Services - Dept of (HHS), U.S. Trade Representative (USTR), Administration for Children & Families (ACF), Agency for Health Care Policy & Research, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Treasury - Dept of, Trade & Development Agency (TDA), Consumer Product Safety Commission (CPSC), Natl Institute of Standards & Technology (NIST), Executive Office of the President (EOP), Federal Election Commission (FEC), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH),, Defense - Dept of (DOD), Federal Trade Commission (FTC), Patent & Trademark Office (PTO), Commerce - Dept of (DOC), U.S. International Trade Commission (ITC), Occupational Safety & Health Administration (OSHA), Occupational Safety & Health Review Commission, U.S. Immigration & Customs Enforcement (ICE),