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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
Address1 | 100 East Grand |
Address2 | Suite 100 |
City | Des Moines |
State | IA |
Zip Code | 50309 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 400484391-12
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6. House ID# 409780000
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TYPE OF REPORT | 8. Year | 2011 |
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: Abigail Stork--Director, Federal Relations |
Date | 04/20/2011 |
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
H.R. 4872, the Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 1106: physician-owned hospitals and self-referral; Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States; Section 1202: Payments to primary care physicians.
H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice, and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 6001: physician-owned hospital and self-referral; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3403: Independent Payment Advisory Board; Section 3128: Method II billing; Section 3025: hospital readmissions provision; Section 3124: extension of Medicare Dependent Hospital program; Section 3137: Section 508 reclassification; Section 9007: non profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: primary care provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: accountable care organizations; Section 3023: hospital bundling provision; Section 6401-6402, Program Integrity Provisions; Section 6501-6503, 6505, 6508, Medicaid Program Integrity Provisions.
H.R. 531, Access to Frontline Health Care Act of 2011, entire bill.
H.R. 2, the Job-Killing Health Care Law Act, entire bill.
CRNA Payment Issues, including S. 1585 and H.R. 3151, involving payment to Critical Access Hospitals for Certified Registered Nurse Anesthetist services, entire bills from 111th Congress.
S. 1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009, entire bill.
H.R. 5, the Help Efficient, Accessible, Low-cost, Timely Healthcare Act of 2011, entire bill.
2011 Outpatient Prospective Payment System proposed and final rule, focusing on provisions affecting physicians and hospitals including: physician supervision of outpatient therapeutic service; Graduate Medical Education provisions; and physician self-referral prohibition.
2011 Inpatient prospective payment system proposed and final rules (including supplemental rule): entire rules.
2011 Physician Fee Schedule proposed and final rule, provisions relating to physician and hospital payment, including the temporary delay in the Medicare physician payment cut and the primary care incentive payments and the HPSA bonus payments for surgeons.
2011 Home Health PPS proposed and final rule, provisions relating to hospitals, hospice and physicians including the face-to-face encounter requirement.
2011 Medicaid Health Care Acquired Conditions proposed rule, entire rule.
2012 Inpatient Psychiatric Facility PPS Proposed Rule, policies that affect hospitals, including the change to the resident cap used for the teaching adjustment.
Other issues:
The Deficit Commission Report and President's budget proposals, including proposals that involve Medicaid provider taxes.
2011 CBO recommendation to eliminate the CAH, SCH, MDH programs.
Medicare and Medicaid Recovery Audit Contractor programs.
Telemedicine and radiology issues affecting hospitals and physicians.
Hospitals and GPOs.
Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters.
2011 Medicare Graduate Medical Education Affiliation Agreements final rule, entire rule.
2011 HHS National Patient Safety Initiative.
Medical Liability Reform.
Medicare and Medicaid Electronic Health Record Payment Incentive Programs (Meaningful Use).
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), 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 |
Abigail |
Stork |
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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
The Deficit Commission Report and President's 2012 budget proposals, including proposals that involve Medicaid provider taxes.
Continuing Resolutions, including: H.J. Res. 48, the Additional Continuing Appropriations Act, 2011, entire bill.
H.R. 1, Full-Year Continuing Appropriations Act, 2011, entire bill.
H.J. Res. 44, Further Continuing Appropriations Amendments, 2011, entire bill.
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 |
Abigail |
Stork |
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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 |