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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 | 50309-1835 |
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 | 2016 |
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. | ||||||||
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: Erika Eckley |
Date | 7/20/2016 4:32:18 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 MMM
16. Specific lobbying issues
Critical Access Hospital (CAH) Relief Act of 2015 (S. 258/H.R. 169)
Protecting Access to Rural Therapy Services (PARTS) Act (S. 257/H.R. 1611)
Rural Hospital Access Act of 2015 (S. 332/H.R. 663)
Community Hospital Demonstration Extension Act of 2015 (S. 607/H.R. 672)
Act to Reform Recover Audit Contractors (RACs) (H.R. 2156)
Rural Emergency Acute Care Hospital (REACH) Act (S. 1648)
Save Rural Hospitals Act (H.R. 3225)
Critical Access and Rural Equity (CARE) Act (H.R. 4553)
Direct Supervision 2016 Extension of Moratorium (S.3129/H.R. 5613)
Rural Hospital Regulatory Relief Act (H.R. 5164)
Critical Access and Rural Equity (CARE) Act (H.R. 4553)
Proposed rule on implementation of MACRA
Proposed FY2017 Hospice Wage Index
Comments regarding the HHS budget proposal to change payment of CAH from 101% to 100% of costs
Significant concerns with Iowa's proposed transition to Medicaid managed care
Medicare reduction proposals in President Obama's budget released 2015
MedPAC recommendations for cuts to hospital payments
avoiding site-neutral cuts
recovery audit contractor (RAC) program and needed transparency and changes
protecting critical access hospital funding and necessary provider status
rural hospitals and access to care in Iowa
encouraging value-based purchasing
hospital acquired conditions and other quality measures
Medicare formula and Iowa's payment compared to payments to other states
Iowa hospital's economic impact to communities and the state
beneficiary access throughout Iowa and threats from regulatory burdens and changes
importance of 340B program to Iowa's hospitals
sustainable growth rate fix and impact on hospitals in Iowa
Meaningful use in EHR
Changes to the definition of patient in the 340B guidance and impact on Iowa hospitals
Extension of sequestration against Medicare and the inclusion of the "site neutral" hospital outpatient department payment change in H.R.1314 - Bipartisan Budget Act of 2015
Clarifying amendment to hospital outpatient department grandfathering provision to include currently planned facilities and acquisitions at time of enactment of H.R.1314 - Bipartisan Budget Act of 2015
Concerns about processing and preauthorization, access to care issues with the Veteran's Choice program.
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 |
Erika |
Eckley |
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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 |