• Medicare inpatient rehabilitation hospital legislative and regulatory proposals; health care and entitlement reform; access to rehabiltiaon services; essential health benefits under the Affordable Care Act; Medicare post-acute bundling legislation; IRF Proposed Rule; IRF Review Choice Demonstration Proposal; three hour rule bill legislation.

Duration: January 1, 2008 to present

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

Spending: about $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, Medicare Payment Advisory Commission (MedPAC), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)