• Health care issues including Medicare's long-term financial health and drivers of health insurance premium changes, and comments on proposed legislation to add a long-term care benefit to the Medicare program.
• Multiemployer pension plans, multiemployer loan programs, and theJoint Select Committee on Solvency of Multiemployer Pension Plans; lifetime income issues; Social Security's long-term financial health.
• Insurance issues including insurance-like federal programs and comments on S. 2155, theEconomic Growth, Regulatory Relief, and Consumer Protection Act.

Duration: November 1, 2007 to June 30, 2018

General Issues: Health Issues, Retirement, Insurance, Medicare/Medicaid, Financial Institutions/Investments/Securities, Banking, Environmental/Superfund, Taxation/Internal Revenue Code

Spending: about $1,410,970 (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: U.S. Senate, House of Representatives, Government Accountability Office (GAO), Labor - Dept of (DOL), Congressional Budget Office (CBO), Health & Human Services - Dept of (HHS), Library of Congress (LOC), Treasury - Dept of, Centers For Medicare and Medicaid Services (CMS), Internal Revenue Service (IRS), Pension Benefit Guaranty Corporation (PBGC), Consumer Financial Protection Bureau (CFPB), Federal Accounting Standards Advisory Board (FASAB), Federal Reserve System, Bureau of the Census, Securities & Exchange Commission (SEC), Defense - Dept of (DOD), Social Security Administration (SSA), Federal Emergency Management Agency (FEMA), White House Office, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Treasury - Dept of,, President of the U.S., Executive Office of the President (EOP), Office of Personnel Management (OPM), Transportation - Dept of (DOT), Federal Deposit Insurance Commission (FDIC), Y Y Various staff members from House and Senate. Staff (including Brian Martin) from Representative Taylor's office. Representatives from the GAO Senate Banking Committee and staff Andrew Olmem. House Finance Services staff and House Ways and Means C'tee staff, Y Y House Ways and Means C'tee, Subcmte., and staff including Mildeen Worrell and Kim Hildred; Senate Finance C'tee and staff Judy Miller and Chris Condelucci, and Subcmte. representatives Steve Robinson and Tom Kluda. Senator Jeff Sessions' office GAO staff and Comptroller General David Walker, Y Y GAO representatives; CMS staff; Congressional Research Service office; and CBO. Senate HELP C'tee; House Edu. and Labor C'tee; Dept of Treasury; Senate Budget C'tee; Senators' Durbin and Lincoln's staffs; Senators' Obama and Smith's staffs; Small Business C'tee. Senate Majority Leader's office and staff; and Representative Paul Ryan's office and staff; and White House staff., Y Y Various staff from the House and Senate. Medicare Payment Commission staff.