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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
Address1 | 717 Putnam Place |
Address2 | |
City | Alexandria |
State | VA |
Zip Code | 22302 |
Country | USA |
3. Principal place of business (if different than line 2)
City | Princeton |
State | NJ |
Zip Code | 08543 |
Country | USA |
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5. Senate ID# 29128-12
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6. House ID# 312210000
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TYPE OF REPORT | 8. Year | 2013 |
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 | |||||||||
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12. Lobbying | 13. Organizations | ||||||||
INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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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: Kimberly Champi Krenik, Director, Federal Relations |
Date | 01/15/2014 |
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 MMM
16. Specific lobbying issues
While Congress continued discussions and debate on how to address our nation's fiscal deadlines and avert a cut to doctor payments (Dec.13, Jan 1, and Jan 15), NJHA strongly urged lawmakers to reject arbitrary cuts to Medicare and Medicaid funding for providers. Since 2010, healthcare providers have been subjected to more than $250 billion in reductions and cannot sustain any additional cuts; NJHA advocated to lawmakers to avoid a 24 percent reduction in physician payments on January 1and to not finance that fix by
cutting acute and post acute provider payments; Express concern on the site neutral payments proposal in President's budget and maintain the 75 rule (oppose to move to 60 percent), rebasing, and home health co-pays; Urge lawmakers to not cut GME funding, bad debt, additional across-the-board cuts to Medicare inpatient hospital rates through the use of coding adjustments; restrictions on Medicaid provider assessments; post acute payments; changes to the 340B program, as well as other important funding to providers.
NJHA remains concerned and supports Congressional efforts to delay enforcement of the two midnight policy. CMS finalized its two-midnight policy whereby the agency will generally consider hospital admissions spanning two midnights as appropriate for payment under the inpatient prospective payment system (PPS). In contrast, hospital stays of less than two midnights will generally be considered outpatient cases, regardless of clinical severity. The policy took effect Oct. 1, but CMS has partially delayed its enforcement through March 31, 2014. NJHA continues to be deeply concerned that this policy to evaluate the medical necessity of hospital inpatient admissions will have significant financial and operational implications for hospitals and reduce protections and benefits for Medicare beneficiaries.
NJHA Supports: H.R. 1920/S. 1555, the DSH Reduction Relief Act, which eliminates the first two years of planned cuts to Medicare and Medicaid disproportionate share hospital payments; H.R. 1250/S. 1012, the Medicare Audit Improvement Act, which reins in overly aggressive Medicare auditors; H.R. 3698, the Two Midnight Rule Delay Act of 2013, a bill to delay enforcement of CMS' two-midnight policy for one year; S. 1557, the Children's Hospital GME Support Reauthorization Act of 2013; H.R. 1180/S.577, the Resident Physician Shortage Reduction Act of 2013, which would create new residency positions to help alleviate physician shortages.
NJHA strongly opposes: S.183/H.R.2053, bills to create a state-specific BNA for rural and imputed wage index floors. In addition, NJHA opposes any effort to include such language in any legislative vehicle.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
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 |
Kimberly |
Krenik |
Mrs. |
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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
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21. Client new principal place of business (if different than line 20)
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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
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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) |
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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 | ||||||||||
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% |
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 |