Medicare pullouts for 2000 are mounting. Sentara plans to drop the Norfolk, Va., area's only Medicare+Choice plan next year. Harvard Pilgrim will abandon western Massachusetts, and HIP will leave Tampa.... Contraception coverage is a big state-level issue. Georgia, Hawaii, and Vermont passed coverage mandates this year; 28 states and Puerto Rico are considering them.... The AMA lost $5.4 million in 1998, a year in which it spent $16.6 million (fifth in the U.S.) on lobbying. When it pumped $8 million into lobbying in '97, AMA was the biggest spender in the nation.... The Foundation for Accountability is analyzing test results of its children's quality-of-care measures. It will ask National Committee for Quality Assurance to include them in HEDIS in 2001.