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
American Association of Nurse Anesthetists

2. Address

Address1
25 Massachusetts Avenue, NW
 Address2
​Suite 320
City
Washington
 State
DC
 Zip Code
20001
 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.
​Catharine Harris
​2024848400
​charris@aana.com
5. Senate ID#
​1650-12
7. Client Name Self Check if client is a state or local government or instrumentality
​American Association of Nurse Anesthetists
6. House ID#
​317150000
TYPE OF REPORT 8. Year
​2022
 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 $
​279,000.00
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: Lorraine Jordan
 Date
10/20/2022 10:51:37 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

Black Maternal Health Momnibus Act of 2021 (H.R. 959/S.346) - Issues pertaining to CRNA practice in maternal health care

Bipartisan Safer Communities Act (S. 2938) - Issues pertaining to CRNA scope of practice

Expanding Access to Mental Health Training Act (S. 4461) - Issues pertaining to CRNA scope of practice

Advancing Telehealth Beyond COVID-19 Act of 2021 (H.R. 4040) - Issues pertaining to CRNA scope of practice

CONNECT Act of 2022 (H.R. 8391) - Issues pertaining to CRNA scope of practice

Improving Access to Workers Compensation for Injured Federal Workers Act of 2022 (H.R. 6087) - Issues pertaining to nurse practitioner and PA certification of federal worker disability claims

Future Advancement of Academic Nursing Act (H.R. 851/S. 246) - Issues pertaining to nursing education

Nominations to HHS agency councils: AHRQ National Advisory Council for Healthcare Research and Quality; HRSA National Advisory Council on Nurse Education and Practice

HHS Initiative to Strengthen Primary Health Care - Issues pertaining to removing regulatory barriers that limit access to care


Surprise Billing
CRNA Scope of Practice
CRNA Reimbursement
Rural Healthcare
Extension of CMS waivers beyond public health emergency
Nursing Workforce
Opioid Epidemic/Opioid-sparing treatments/MATs
Provider nondiscrimination

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

U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Agency for Healthcare Research & Quality (AHRQ)

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
Ralph
Kohl
​
​
Randi
Gold
​
​
Romy
Gelb-Zimmer
​
​
Matt
Thackston
​
​
JP
Mason
​
​
Catharine
Harris
​
​

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

​

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 VET

16. Specific lobbying issues

Nomination to VA Veterans Rural Health Advisory Committee

Reimbursement for VA CRNAs
Full Practice Authority for VA CRNAs


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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)

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
Ralph
Kohl
​
​
Randi
Gold
​
​
Romy
Gelb-Zimmer
​
​
Matt
Thackston
​
​
JP
Mason
​
​
Catharine
Harris
​
​

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

​

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

Improving Care and Access to Nurses Act of 2022 (H.R. 8812) - Issues pertaining to regulatory relief for advanced practice registered nurses


CMS Behavioral Health Strategy - Issues pertaining to CRNA Scope of Practice, reimbursement, and innovative models to decrease opioid use

Medicare Advantage Request for Information - Issues pertaining to provider nondiscrimination, network adequacy, reducing regulatory barriers, and health information technology

Hospital Outpatient and ASC Prospective Payment Rule (87 Fed. Reg. 44502) - Issues pertaining to reimbursement for non-opioid treatments for pain, CRNA practice, and reducing regulatory burdens

Clinical Laboratory Improvement Amendments of 1998 rule - Issues pertaining to the definition of mid-level practitioners in labs

Physician Fee Schedule Proposed Rule (87 Fed. Reg. 45860) - Issues pertaining to CRNA practice and reimbursement

Conditions of Participation (CoPs) for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP (87 Fed. Reg. 40350) - Issues pertaining to CRNA & APRN practice

Nomination to MACRA Wave 1 Comprehensive Reevaluation Clinician Expert Workgroup on Routine Cataract Removal with Intraocular Lens (IOL) Implantation


Extending/Making permanent certain temporary waivers put in place during the Public Health Emergency
Medicare Reimbursement
CRNA Scope of Practice
Support for the Medicare Advantage Program
Rural Healthcare issues
Medicare teaching rules
Provider nondiscrimination
Medicare Local Coverage Determination process

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), 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
Ralph
Kohl
​
​
Romy
Gelb-Zimmer
​
​
Randi
Gold
​
​
Matt
Thackston
​
​
JP
Mason
​
​
Catharine
Harris
​
​

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

​

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 BUD

16. Specific lobbying issues

Labor, Health and Human Services, Education, and Related Agencies Appropriations Act of 2023 (H.R. 8295/S. 4659) - Issues pertaining to increased funding for Title VIII Nursing Workforce Development Programs

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS)

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
Ralph
Kohl
​
​
JP
Mason
​
​
Matthew
Thackston
​
​
Romy
Gelb Zimmer
​
​
Randi
Gold
​
​

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

​

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 TAX

16. Specific lobbying issues

Nurse Corp Tax Parity Act of 2022 (S. 3505)

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
Ralph
Kohl
​
​
JP
Mason
​
​
Matthew
Thackston
​
​

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
​Ralph
​Kohl
​
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)