• Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles

Duration: November 1, 2007 to March 31, 2009

General Issues: Health Issues, Medicare/Medicaid

Spending: about $50,000 (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 2007: House of Representatives, U.S. Senate, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Agency for Health Care Policy & Research, Congressional Budget Office (CBO), Government Accountability Office (GAO), Medicare Payment Advisory Commission (MedPAC), Executive Office of the President (EOP), Office of Management & Budget (OMB), Y Y Department of Health & Human Services Executive Office of the President House of Representatives Senate