• P.L. 110-275, Medicare Improvements for Patients and Providers Act of 2008, issues relating to the implementation of bundle payments for dialysis. P.L. 112-240, American Taxpayer Relief Act of 2012, issues relating to the Medicare ESRD bundled payment system.
• General issues relating to dialysis and kidney disease. No specific bill.

Duration: December 1, 2006 to December 31, 2013

General Issues: Medicare/Medicaid, Health Issues, Taxation/Internal Revenue Code, Budget/Appropriations, Veterans, Disaster Planning/Emergencies, Homeland Security, Medical/Disease Research/Clinical Labs

Spending: about $270,000 (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 2006: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), House of Representatives,, Commerce - Dept of (DOC), Executive Office of the President (EOP), Health & Human Services - Dept of (HHS), Homeland Security - Dept of (DHS), Defense - Dept of (DOD), Y Y, Y Y Deparment of Homeland Security, Department of Health and Human Services.