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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 5115 Roma St. |
Address2 |
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| City | Ave Maria |
State | FL |
Zip Code | 34142 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 401104304-12
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6. House ID# 434910001
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| TYPE OF REPORT | 8. Year | 2024 |
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 | |||||||||
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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. | ||||||||
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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 |
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| Signature | Digitally Signed By: Landon Fulmer |
Date | 11/17/2024 1:50:19 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
-To oppose provisions in bills related to site neutral Medicare payments to hospitals at their hospital outpatient departments.
-To oppose provisions in bills that would require hospital outpatient departments to bill insurance carriers at the same rate as primary care physician offices and health clinics despite the fact that these providers are not subject to EMTALA.
-To return 340b to the program that it was before pharmaceutical companies began l limiting the scope of the program for hospitals.
-To keep sequestration from being extended beyond its current end date of 2032.
-To push for BSN (nursing) to be made a DHS STEM certified degree so that graduates can stay in the country for practical training.
-To push for workplace safety measures in hospitals that are similar to those enjoyed by flight attendants.
-To push for increased reimbursement in CMS' 2024 IPPS rule.
-To push for an extension of the LVH and MDH programs.
-To push for an extension of DSH payments for states without expanded Medicaid.
-To push for hospitals in non-Medicaid expansion states to not be subject to HHS' new Sec. 1115 waiver program 340b eligibility calculations.
-To oppose bills and provisions that would require that hospital outpatient departments be paid at the same rate as health clinics and doctors offices whether by Medicare or private insurers.
-To support the President's budget request for grant funding for cybersecurity upgrades at hospitals.
-To support the SAVE Act (HR2584/S2768) which would make it a federal crime for someone to assault a healthcare worker, similar to how it works for flight attendants.
-To support the Healthcare Workforce Resiliency Act (HR6205/S2311) which would allow for unused visas during a year to be transferred over to the visa category for bringing in nurses.
-To support increased funding for the Department of Homeland Security and the Department of State for visa review and interview staff in order to address current nurse EB3 visa backlogs and retrogression.
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), Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA)
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 |
Landon |
Fulmer |
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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 MMM
16. Specific lobbying issues
-To keep sequestration from being extended beyond its current end date of 2032.
-To oppose provisions in bills related to site neutral Medicare payments to hospitals at their hospital outpatient departments.
-To push for an extension of the LVH and MDH programs.
-To push for an extension of DSH payments for states without expanded Medicaid.
-To push for legislation to make changes to the REH program, paritulcarly to allow CAH hospitals that become REHs to return to CAH status regardless as to whether or not they originally entered the CAH program by state government election.
-To oppose bills and provisions that would require that hospital outpatient departments be paid at the same rate as health clinics and doctors offices by Medicare.
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), Centers For Medicare and Medicaid Services (CMS), Homeland Security - Dept of (DHS)
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 |
Landon |
Fulmer |
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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 |
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) |