H.R. 4994 · 111th Congress · enacted
Medicare and Medicaid Extenders Act of 2010
Became Public Law No: 111-309.
Latest official action 2010-12-15 · Enacted
The bill, briefly
(This measure has not been amended since it was passed by the Senate on December 8, 2010. The summary of that version is repeated here.) Medicare and Medicaid Extenders Act of 2010 - Title I: Extensions - (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSA) to set the 2011 update to the single conversion factor in the formula for the physicians' fee schedule at zero (thus freezing the physician payment update for 2011). Requires the conversion factor for 2012 and subsequent years to be computed as if the zero update for 2011 had never applied. (Sec. 102) Amends the Tax Relief and Health Care Act of 2006, as modified by other federal law, to extend section 508 hospital reclassifications through FY2011. ("Section 508" refers to Section 508 of the Medicare Modernization Act of 2003 [MMA], which allows the temporary reclassification of a hospital with a low Medicare area wage index, for reimbursement purposes, to a nearby location with a higher Medicare area wage index, so that the "Section 508 hospital" will receive the higher Medicare reimbursement rate.) (Sec. 103) Extends through calendar 2011 the 1.0 floor on geographic indexing adjustments to the work portion of the physician fee schedule. (Sec. 104) Extends through December 31, 2011, the process allowing exceptions to limitations on medically necessary therapy caps. (Sec. 105) Amends the Medicare, Medica…
Congressional Research Service · 2010-12-15
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Cosponsor
Richard E. Neal
House · MA District 1 · Democratic
$1,689,757PAC receipts · 2025–2026
Cosponsor
John B. Larson
House · CT District 1 · Democratic
$1,283,090PAC receipts · 2025–2026
Cosponsor
Chris Van Hollen
Senate · MD · Democratic
$78,750PAC receipts · 2025–2026
Cosponsor
Danny K. Davis
House · IL District 7 · Democratic
$25,001PAC receipts · 2025–2026
Cosponsor
Linda T. Sánchez
House · CA District 38 · Democratic
$1,226,899PAC receipts · 2025–2026
20 of 20 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
INTERNATIONAL ASSOCIATION OF SHEET METAL, AIR, RAIL AND TRANSPORTATION WORKERS POLITICAL ACTION LEAGUE$35,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $15,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordAMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$30,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordELEVANCE HEALTH, INC. POLITICAL ACTION COMMITTEE (ELEVANCE HEALTH PAC)$30,000
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $12,500
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordMASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$30,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordNATIONAL ASSOCIATION OF INSURANCE AND FINANCIAL ADVISORS POLITICAL ACTION COMM$30,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$30,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $15,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordAMERICAN COUNCIL OF LIFE INSURERS POLITICAL ACTION COMMITTEE$28,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $11,000
Linda T. Sánchez · Cosponsor · $7,500
Official PAC recordEMPLOYEES OF RTX CORPORATION POLITICAL ACTION COMMITTEE$28,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Chris Van Hollen · Cosponsor · $2,000
Linda T. Sánchez · Cosponsor · $6,000
Official PAC recordAMERICA'S CREDIT UNIONS PAC$27,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $7,500
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordINSURED RETIREMENT INSTITUTE POLITICAL ACTION COMMITTEE (IRI PAC)$27,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $7,500
Official PAC recordMORGAN STANLEY POLITICAL ACTION COMMITTEE$27,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordNATIONAL ASSOCIATION OF REAL ESTATE INVESTMENT TRUSTS, INC. POLITICAL ACTION COMMITTEE$27,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Danny K. Davis · Cosponsor · $2,500
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordTHE COUNCIL OF INSURANCE AGENTS & BROKERS POLITICAL ACTION COMMITTEE$27,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordUBS AMERICAS INC. POLITICAL ACTION COMMITTEE (UBS PAC)$27,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordAMERICAN COUNCIL OF ENGINEERING COMPANIES (ACEC/PAC)$27,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $10,000
Chris Van Hollen · Cosponsor · $2,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordNEW YORK LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$26,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $6,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordLABORERS' INTERNATIONAL UNION OF NORTH AMERICA (LIUNA) PAC$25,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $5,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordMACHINISTS NON PARTISAN POLITICAL LEAGUE OF THE INTERNATIONAL ASSOCIATION OF MACHINISTS & AEROSPACE WORKERS$25,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $5,000
Danny K. Davis · Cosponsor · $5,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordPRICEWATERHOUSECOOPERS POLITICAL ACTION COMMITTEE I$25,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordTEACHERS INSURANCE ANNUITY ASSOCIATION OF AMERICA PAC (TIAA PAC)$25,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $7,500
Linda T. Sánchez · Cosponsor · $7,500
Official PAC recordUNITED PARCEL SERVICE, INC. PAC (UPSPAC)$25,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordNATIONAL ELECTRICAL CONTRACTORS ASSOCIATION POLITICAL ACTION COMMITTEE$22,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $2,500
Linda T. Sánchez · Cosponsor · $10,000
Official PAC recordTHE CIGNA GROUP EMPLOYEE POLITICAL ACTION COMMITTEE$22,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordTHE HOME DEPOT INC. POLITICAL ACTION COMMITTEE$22,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $5,000
Linda T. Sánchez · Cosponsor · $7,500
Official PAC recordHONEYWELL INTERNATIONAL INC. TECHNOLOGIES PUBLIC AFFAIRS COUNCIL (HONPAC)$21,500
Richard E. Neal · Cosponsor · $9,000
John B. Larson · Cosponsor · $7,500
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$21,500
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Chris Van Hollen · Cosponsor · $500
Danny K. Davis · Cosponsor · $1,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordCOX ENTERPRISES PAC (COXPAC) INC.$21,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $6,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordLPL FINANCIAL LLC POLITICAL ACTION COMMITTEE (LPL PAC)$21,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $7,500
Chris Van Hollen · Cosponsor · $5,000
Linda T. Sánchez · Cosponsor · $3,500
Official PAC recordCVS HEALTH PAC$20,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $3,000
Official PAC recordFINSECA PAC$20,500
Richard E. Neal · Cosponsor · $6,000
John B. Larson · Cosponsor · $7,000
Linda T. Sánchez · Cosponsor · $7,500
Official PAC recordFMR LLC POLITICAL ACTION COMMITTEE - FEDERAL (FIDELITY PAC)$20,500
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $6,000
Linda T. Sánchez · Cosponsor · $4,500
Official PAC recordWALMART INC. PAC FOR RESPONSIBLE GOVERNMENT$20,500
Richard E. Neal · Cosponsor · $7,500
John B. Larson · Cosponsor · $4,000
Linda T. Sánchez · Cosponsor · $9,000
Official PAC recordAMERICAN CRYSTAL SUGAR COMPANY POLITICAL ACTION COMMITTEE$20,000
AMERICAN FEDERATION OF TEACHERS, AFL-CIO COMMITTEE ON POLITICAL EDUCATION$20,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordAVANGRID POLITICAL ACTION COMMITTEE$20,000
DELOITTE POLITICAL ACTION COMMITTEE$20,000
Richard E. Neal · Cosponsor · $10,000
John B. Larson · Cosponsor · $7,500
Linda T. Sánchez · Cosponsor · $2,500
Official PAC recordEMPLOYEES OF NORTHROP GRUMMAN CORPORATION PAC$20,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordENGINEERS POLITICAL EDUCATION COMMITTEE (EPEC)/INTERNATIONAL UNION OF OPERATING ENGINEERS$20,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordHUMANA INC. POLITICAL ACTION COMMITTEE$20,000
NATIONAL MULTIFAMILY HOUSING COUNCIL AND REAL ESTATE TECHNOLOGY AND TRANSFORMATION CENTER POLITICAL ACTION COMMITTEE (NMHC PAC)$20,000
Richard E. Neal · Cosponsor · $5,000
John B. Larson · Cosponsor · $10,000
Linda T. Sánchez · Cosponsor · $5,000
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
Dated agency-reported implementation and uptake measures are shown with their scope. They do not by themselves establish causal success. If no evidence is listed, the outcome is not established.
Measured outcome: not established
Enactment alone does not show whether a law improved its intended outcome. We need a dated evaluation, observed result or verified implementation record before claiming success or failure.