• Federal healthcare regulatory issues; Medicaid reimbursement and transparency; Federal appropriations; HR 3590
• Provide strategic counsel related to appropriations, including FY 2011 Department of Defense Appropriations Act, FY 2011 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, and FY 2011 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act.

Duration: January 1, 2008 to January 31, 2010

General Issues: Health Issues, Budget/Appropriations

Spending: about $420,000 (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: House of Representatives, U.S. Senate, Defense - Dept of (DOD), Health & Human Services - Dept of (HHS), Defense - Dept of (DOD),, Executive Office of the President (EOP)