Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby
LOBBYING REPORT

Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

1. Registrant Name Organization/Lobbying Firm Self Employed Individual
MISSOURI HOSPITAL ASSOCIATION

2. Address

Address1
P.O. BOX 60
 Address2
​4712 COUNTRY CLUB DRIVE
City
JEFFERSON CITY
 State
MO
 Zip Code
65102
 Country
USA

3. Principal place of business (if different than line 2)

City
​
State
​
Zip Code
​
Country
​
4a. Contact Name b. Telephone Number c. E-mail
​Mr.
​DANIEL LANDON
​5738933700
​dlandon@mhanet.com
5. Senate ID#
​25523-12
7. Client Name Self Check if client is a state or local government or instrumentality
​MISSOURI HOSPITAL ASSOCIATION
6. House ID#
​319850000
TYPE OF REPORT 8. Year
​2019
 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) Q3 (7/1 - 9/30) Q4 (10/1 - 12/31)

9. Check if this filing amends a previously filed version of this report

10. Check if this is a Termination Report Termination Date
​
11. No Lobbying Issue Activity
INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13
12. Lobbying 13. Organizations
INCOME relating to lobbying activities for this reporting period was: EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
Less than $5,000
$5,000 or more $
​
$5,000 or more $
​90,000.00
Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options.
Method A. Reporting amounts using LDA definitions only

Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code

Method C. Reporting amounts under section 162(e) of the Internal Revenue Code

Signature
Digitally Signed By: Daniel Landon
 Date
10/18/2019 11:25:17 AM

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code HCR

16. Specific lobbying issues

- Provided the members of the Missouri congressional delegation with advocacy materials regarding current federal laws reductions in states allotments of federal funding to support Medicaid Disproportionate Share hospital payments, including a reference to H.R. 2328.
- Provided the members of the Missouri congressional delegation with advocacy materials regarding potential congressional action on legislation on the topic of surprise billing by physicians or other practitioners who do not participate in a provider network covered by the patients insurer. Supported provisions allowing billing disputes to be resolved by negotiation and/or binding arbitration rather than a governmentally-dictated payment amount.
- Expressed support to the members of the Missouri congressional delegation for H.R. 728 and S. 1399, which would reauthorize the Title VIII Nursing Workforce program.
- Provided the members of the Missouri congressional delegation with advocacy materials expressing support for reauthorization and expansion of the Medicaid demonstration project to deliver mental health services through Certified Community Behavioral Health Clinics.
- Provided the members of the Missouri congressional delegation with advocacy materials regarding obstacles to the use and coverage of services delivered through telemedicine in Missouri.
- Provided the members of the Missouri congressional delegation with updates on federal regulatory issues, including the Medicare wage index component of Medicare hospital payment formulas, changes in Medicare Disproportionate Share Hospital payments to Missouri hospitals, and changes affecting a national budget neutrality adjustment concerning a rural floor for hospital payments made by the Medicare program.
- Provided the members of the Missouri congressional delegation with advocacy materials related to the Missouri Governors state fiscal year recommendations and final budget authorizations for various proposals related to rural health care delivery and financing.
- Provided the members of the Missouri congressional delegation with informational materials regarding the number, type and finances of hospitals that are members of the Missouri Hospital Association.
- Provided the members of the Missouri congressional delegation with informational materials regarding 2017 contributions of Missouri hospitals to the economy of Missouri.
- Provided the members of the Missouri congressional delegation with information about Missouri hospitals that are owned by local governments and which have property or sales tax levies to support their operations.
- Provided a member of the Missouri congressional delegation requested information regarding examples of workplace violence occurring in Missouri hospitals and interactions with regional federal regulators on this topic.
- Responded to a request from a member of the Missouri congressional delegation for an assessment of a 2019 version of H.R. 3224 of the 115th Congress (the Critical Access and Rural Equity Act).
- Provided a member of the Missouri congressional delegation with a draft letter to federal regulators at CMS and OSHA regarding workplace violence occurring in health care settings.
- Corresponded with a member of the Missouri congressional delegation regarding staff changes and contact information within the members office.
- Conversed with a staffer of a member of the Missouri congressional delegation regarding a joint report on workplace violence occurring in health care settings that was prepared by the Centers for Medicare & Medicaid Services of the Dept. of Health and Human Services and the Occupational Safety and Health Administration of the Dept. of Labor.
- Provided a member of the Missouri congressional delegation with written commentary regarding a joint report on workplace violence occurring in health care settings that was prepared by the Centers for Medicare & Medicaid Services of the Dept. of Health and Human Services and the Occupational Safety and Health Administration of the Dept. of Labor.
- Contacted selected members of the Missouri congressional delegation to coordinate logistics of meetings between executives of Missouri hospitals and the legislators and their staffs in Washington, DC.
- Provided a member of the Missouri congressional delegation with a requested review of the Protecting People form Surprise Medical Bills Act.
- Corresponded with a member of the Missouri congressional delegation regarding the No Surprises Act pending in the House of Representatives Energy and Commerce Committee.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

First Name Last Name Suffix Covered Official Position (if applicable) New
Daniel
Landon
​
​

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

Address
​
City
​
State
​
Zip Code
​
Country
​

21. Client new principal place of business (if different than line 20)

City
​
State
​
Zip Code
​
Country
​

22. New General description of client’s business or activities

​

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

First Name
Last Name
Suffix
First Name
Last Name
Suffix
1
​
​
​
3
​
​
​
2
​
​
​
4
​
​
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ISSUE UPDATE

24. General lobbying issue that no longer pertains

​
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​
​
​
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​
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AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

Name Address Principal Place of Business
(city and state or country)
Street Address
City State/Province Zip Country
City
State Country

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

1 2 3

FOREIGN ENTITIES

27. Add the following foreign entities:

Name Address Principal place of business
(city and state or country) 		Amount of contribution for lobbying activities Ownership percentage in client
Street Address
City State/Province Country
City
State Country
%

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

1 3 5
2 4 6

CONVICTIONS DISCLOSURE

29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery, extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?

Lobbyist Name Description of Offense(s)