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
​Ms.
​Jane Drummond
​5738933700
​jdrummond@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
​2023
 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 $
​50,000.00
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: Jane Drummond
 Date
10/18/2023 12:02:02 PM

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

- Convened in person visits with members of the Missouri Congressional delegation to discuss Missouri Hospital issues.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospital Associations congressional visit to discuss health care issues.
- Corresponded with members of the Missouri Congressional delegation health staffer regarding follow up on outstanding questions from Missouri Hospital Associations visit.
- Convened a call with a member of the Missouri Congressional delegation health staffer regarding review of the top RTA issues, Medicaid DSH, 340B, site neutrality, physician workforce, Medicaid pooling arrangements and Medicare Advantage.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding follow up on various Missouri issues.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Missouri maternal mortality issues.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding CMS - MO Medicaid IMD waiver.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding the topics of discussion at Missouri Hospital Associations annual rural advocacy trip.
- Disbursed to a member of the Missouri Congressional delegation health staffer documents regarding CMS Sepsis 3 Definition, Medicare Advantage Sepsis Downcoding and Prior Authorization Reform, and 2023 MHA Advocacy Briefs Finance Papers.
- Corresponded with members of the Missouri Congressional delegation health staffer regarding upcoming Washington, DC meeting participants from Missouri Hospital member hospitals.
- Corresponded with members of the Missouri Congressional delegation staff to schedule in person visits during Rural Advocacy trip to Washington, DC.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Long-term Acute Care and Nursing home roundtable.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Congressman Smiths roundtables on behalf of the Ways and Means Committee regarding rural health care.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding questions on Geographic Disparities in Medicare Part B Reimbursement.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospitals response to the Senate 340B RFI and the Ways and Means section by section summary of the Health Care Price Transparency Act (H.R. 4822).
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding 340B RFI response.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Site Neutrality, providing a fact sheet as well.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a meeting to discuss the 340B program.
- Corresponded with a member of the Missouri Congressional delegation health staffers to coordinate several virtual meetings to discuss a variety of issues.
- Distributed to members of the Missouri Congressional delegation health staffers a sign on letter and thank you.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospital Associations response to Senate RFI about 340B.
- Corresponded with a member of the Missouri Congressional delegation requesting signing a Dear Colleague Letter regarding Medicaid DSH payments.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding requested information about 340B from the U.S. Senate.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a FEMA letter.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a request for information about 340B from the U.S. Senate Thune-Stabenow et al 340B RFI.
- Corresponded with a member of the Missouri Congressional delegation health staffers regarding PROTECT 340B Act (HR 2534

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
Andrew
Wheeler
​
​
Jane
Drummond
​
​

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
​
​
​

ISSUE UPDATE

24. General lobbying issue that no longer pertains

​
​
​
​
​
​
​
​
​

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)