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
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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
​2017
 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 $
​30,000.00
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
1/15/2018 10:53:58 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

- Discussed S. 2156 with a member of the Missouri congressional delegation.
- Corresponded with the members of the Missouri congressional delegation regarding components of H.R. 1 regarding the ability of hospitals to use private activity bonds and advance refunding bonds, the deductibility of medical expenses, an excise tax on compensation of employees of 501(c)(3) tax-exempt organizations, and repeal of the individual mandate for those above certain income thresholds to have health insurance coverage.
- Corresponded with the members of the Missouri congressional delegation regarding the health insurer Anthems implementation of coverage restrictions for hospital emergency and imaging services.
- Corresponded with several members of the Missouri congressional delegation regarding proposed questions to ask Alex Azar in considering his nomination to be Secretary of Health and Human Services.
- Responded to queries from a member of the Missouri congressional delegation regarding proposed revisions to S. 2156.
- Corresponded with the members of the Missouri congressional delegation regarding the potential for legislation to reverse a final regulation of the Center for Medicare & Medicaid Services implementing a three-year transition to the use of Worksheet S-10 for distributing Medicare Disproportionate Share Hospital payments.
- Responded to a query from a member of the Missouri congressional delegation regarding a constituent query regarding mental health and housing for veterans.
- Responded to a query from a member of the Missouri congressional delegation regarding the implications of the lapsing of Medicare Low-Volume Hospital payments as of October 1, 2017.
- Responded to a query from a member of the Missouri congressional delegation to discuss the cost implications to Missouri hospitals of section 3141 of the Patient Protection and Affordable Care Act of 2010.
- Responded to a query from a member of the Missouri congressional delegation regarding a list of Missouri hospitals designated as rural referral centers.
- Prepared materials for use by those who are not federal lobbyists in discussing issues regarding hospital survey and certification regulatory activities of the Centers for Medicare & Medicaid Services.
- Corresponded with the chairman of the U.S. House of Representatives Energy and Commerce Committee to express support for H.R. 3922.
- Responded to a query from a member of the Missouri congressional delegation regarding coverage restrictions on hospital emergency and imaging services by the health insurer Anthem.
- Corresponded with and discussed with a member of the Missouri congressional delegation a draft of legislation by the Senate Finance Committee regarding Medicare Low-Volume Hospital payments to hospitals.

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
​
​
​
3
​
​
​
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