• Social determinants of health; S. 3018 - Medicare Advantage Prior Authorization; Surprise billing IDR process, access to care for vulnerable Medicare beneficiaries, OWS-ASPR Stakeholder calls, HHS office hours calls, Weekly Healthcare & Hosp Assns Update, MedPAC Public meetings, enhanced FMAP; New residency slots; Medicare sequestration, No Surprise Act Regulation

Duration: January 1, 2008 to June 30, 2023

General Issues: Medicare/Medicaid, Health Issues, Taxation/Internal Revenue Code

Spending: about $2,102,435 (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: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Medicare Payment Advisory Commission (MedPAC), Health & Human Services - Dept of (HHS), Federal Emergency Management Agency (FEMA), Office of Management & Budget (OMB), Homeland Security - Dept of (DHS), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Internal Revenue Service (IRS), House of Representatives, Senate, Health & Human Services, Dept of (HHS)