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
​2016
 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
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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 $
​20,000.00
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
4/14/2016 2:47:45 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

- Contacted the members of the Missouri congressional delegation to express opposition to a section of the Common Sense Savings Act of 2016 (H.R. 4725) that would reduce the federal cap on states; use of provider taxes to fund their Medicaid programs.
- Encouraged selected Missouri hospitals to contact their congressman to express opposition to Section 4 of H.R. 4725 as considered by the House Energy and Commerce Committee.
- Corresponded with the staff of a member of the Missouri congressional delegation regarding advocacy contacts from Missouri hospitals regarding H.R. 4725.
- Responded to a query from a member of the Missouri congressional delegation regarding a potential nominee for appointment to the Medicare Payment Advisory Committee.
- Responded to a query from a member of the Missouri congressional delegation regarding the number of Missouri hospitals participating in the Federal Housing Administrations mortgage insurance program for hospitals.
- Responded to a query from a member hospital for advocacy documents used in briefing members of Missouris congressional delegation in October 2015. The documents were for potential use in the hospitals discussions with its congressional representative.
- Provided the members of the Missouri congressional delegation with a copy of the Missouri Hospital Associations comments regarding site-neutral Medicare payments to off-campus hospital outpatient departments. Such comments were solicited by the chairs of the House of Representatives Ways & Means Committee and its Subcommittee on Health.
- Furnished the members of the Missouri congressional delegation with the Missouri Hospital Associations 2016 annual report of community benefit activities by Missouri hospitals.
- Discussed legislation with a member of the Missouri congressional delegation to promote changes in federal statutes regarding eligibility of federally-designated Medicare sole community hospitals to receive payments for services delivered through telemedicine. The discussion referenced H.R. 2066, the Telehealth Enhancement Act of 2015.
- Correspondence regarding a staffing change in the office of a member of the Missouri congressional delegation.
- Corresponded with members of the Missouri congressional delegation regarding logistics for an advocacy briefing session in May 2016.
- Invited staff of the Missouri congressional delegation to participate in a Missouri Hospital Association telephone conference regarding an MHA hospital price and quality transparency initiative and its use of socio-demographic adjustments to the quality data.
- Met with selected members of the Missouri congressional delegation to discuss advocacy topics, including: general prospects for legislative action on health care topics in 2016, recommendations for MHA engagement in advocacy briefing sessions, and H.R. 3288 regarding the use of worksheet S-10 in calculating Medicare Disproportionate Share Hospital payments.
- Worked with committee staff and the staff of a member of the Missouri congressional delegation to coordinate logistics and witnesses for a field hearing of the U.S. Senate Special Committee on Aging on the topic of opioid use and abuse by the elderly.
- Met with Region 7 and WPS to discuss the problems recent rural health clinic billing will bring to clinics.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS)

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

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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
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​
​
3
​
​
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2
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4
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ISSUE UPDATE

24. General lobbying issue that no longer pertains

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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