• Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services.

Duration: November 1, 2007 to January 30, 2015

General Issues: Medicare/Medicaid

Spending: about $8,467,821 (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, Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), Health & Human Services - Dept of (HHS), Congressional Budget Office (CBO), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), White House Office, Congressional Budget Office (CBO),, Agency for Health Care Policy & Research, Health Resources & Services Administration (HRSA), White House Office,, Office of the Vice President of the United States, Veterans Affairs - Dept of (VA), Health & Human Services - Dept of (HHS),, Y Y US House of Representatives US Senate US Department of Health and Human Services