• Healthcare access; brain injury treatment and research; health reform implementation; essential benefits; Medicare and Medicaid issues; quality improvement; evidenced-based medicine; protection for post-acute care services Value Based Purchasing and PAC bundling; access to rehab services under Managed Care; Three Hour Rule legislation under Inpatient Rehabilitation Facilities and pre-authorization for Medicare Advantage; NDAA amendments on brain injury studies; reintroduction of the TBI Act.

Duration: April 1, 2009 to present

General Issues: Health Issues

Spending: about $370,000 (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 2009: U.S. Senate, House of Representatives, Health & Human Services - Dept of (HHS), Health & Human Services - Dept of (HHS),, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)