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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 | 2010 |
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 | 04/16/2010 |
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
Health Care Reform Legislation, see next page.
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: Medicare Commission; 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.
H.R. 3962, Affordable Health Care for America Act: provisions relating to hospitals, hospice, and physicians, including Sections 1157-1160: geographic variation and IOM studies provisions; Division B, Title I, Subtitle A, Part I: market basket updates; Section 1102: inpatient rehab facility payment; Section 1301: accountable care organizations; Section 1156: physician-owned hospital and self-referral; Section 1192: hospital OPD hold-harmless for small and rural and sole-community hospitals; Sections 2501-2503: 340B program; Section 1151: hospital readmissions policy; Section 1191: telehealth and credentialing by proxy; Section 1193: Section 508 reclassification; Section 1196: ambulance services; Section 1461: infections; Section 1112: Medicare DSH; Section 1704: Medicaid DSH; Section 1721, 1303: primary care physicians; Section 1501: Graduate Medical Education; Sections 1701-1790: Medicaid; Section 321-331: public option; Section 1152: hospital bundling payments; Section 310: health insurance cooperatives; health insurance exchange.
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.
S. 1585 and H.R. 3151, involving payment to Critical Access Hospitals for Certified Registered Nurse Anesthetist services, entire bills.
Jobs bills:
H.R. 4691, Temporary Extension Act of 2010, provisions involving hospitals and physicians, including: Section 5, Increase in the Medicare Physician Payment Update; Section 6, Extension of Medicare Therapy Caps Exceptions Process.
H.R. 4213, the American Workers, State, and Business Relief Act of 2010, provisions involving hospitals, including: Section 212, Extension of therapy caps exceptions process; Section 214, Enhanced payment for mental health services; Section 215, Extension of ambulance add-ons; Section 216, Extension of geographic floor for work; Section 217, Extension of payment for technical component of certain physician pathology services; Section 218, Extension of outpatient hold harmless provision; Section 219, the EHR Clarification; Section 221, Extension of certain payment rules for long-term care hospital services and of moratorium on the establishment of certain hospitals and facilities; Section 222, Extension of the Medicare rural hospital flexibility program; Section 223, Extension of section 508 hospital reclassifications; Section 224, Technical correction related to critical access services; Section 232, FMAP extension, and Section 601 involving Medicare physician payment update.
H.R. 4851, Continuing Extension Act of 2010, provisions relating to hospitals and physicians, including: Section 4, Increase in the Medicare Physician Payment Update; Section 5, Extension of Medicare Therapy Caps Exceptions Process; Section 6, EHR Clarification.
Other Issues:
CMS Inpatient/Outpatient Proposed and Final Rules, including OPPS physician supervision rules.
Medicare Recovery Audit Contractor program.
CMS Meaningful Use Proposed Rule involving HIT incentive payments; ONC proposed rules involving interaction with CMS' Meaningful Use Proposed Rule for HIT incentive payments: issues relating to hospitals and doctors.
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 |