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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
Address1 | 1009 Duke Street |
Address2 |
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City | Alexandria |
State | VA |
Zip Code | 22314 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 8101-366
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6. House ID# 308130010
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TYPE OF REPORT | 8. Year | 2018 |
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: William A. Finerfrock, President |
Date | 1/17/2019 3:28:36 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
Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act.
Raising the RHC Medicare cap for those RHC subject to the Cap.
Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010.
Proposed Regulations affecting Rural Health Clinics.
Regulations establishing standards for the meaningful use of electronic health records.
Provider enrollment (PECOS) in Medicare and the ability to order or refer patients.
Possible cuts in Medicare bad debt payments for RHCs.
Proposed Changes in RHC regulations dealing with employment of PAs and NPs.
Changes to the RHC manual by CMS.
Network Adequacy.
Chronic Care Management and payment for RHCs.
Coding on RHC claims. Development of the RHC Qualifying Visit list and clarification of billing requirements.
PQRS application to RHCs.
Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015.
Proposed regulations dealing with ACA Essential Community Providers and network adequacy
Legislation to repeal and replace the Affordable Care Act
Legislation making changes to the Medicaid program, in particular language impacting RHC payments.
Regulations mandating new emergency preparedness requirements for RHCs
Legislative initiatives aimed at reducing regulatory burdens for RHCs
Support for the Connect for Health Act and other legislation improving the telehealth benefit in the Medicare program
Legislation improving coverage of Medicare hospice service provided by Rural Health Clinics, including allow RHC practitioners to be attending providers for hospice patients.
Increasing the cap for RHCs subject to the RHC All-inclusive rate cap.
Establishment of a grant program for state office of rural health for RHC technical assistance.
Changes to RHC Interpretive Guidance/State Operations Manual Appendix G
RHC Survey and certification Regulations
Issues arising from improper payments for services that should have been covered by MA plans
Legislation seeking to modernize the RHC 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), Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB)
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 |
William A. |
Finerfrock |
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Nathan |
Baugh |
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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
2019 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy
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), 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 |
William A. |
Finerfrock |
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Nathan |
Baugh |
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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 HCR
16. Specific lobbying issues
Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act.
Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010.
Adoption of negotiated rulemaking committee recommendations on new methodology for designating areas as underserved.
Consumer ability to change plans when qualified health plan changes network.
QHP network adequacy standards.
Essential Community Provider designation for RHCs under ACA.
Development of Alternative payment models.
Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015.
Language dealing with Medicaid expansion and establishment of a per capita cap and/or block granting of Medicaid.
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 |
William A. |
Finerfrock |
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Nathan |
Baugh |
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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 |