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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 605 Upland Place |
Address2 | |
| City | Alexandria |
State | VA |
Zip Code | 22301 |
Country | USA |
3. Principal place of business (if different than line 2)
| City | Princeton |
State | NJ |
Zip Code | 08543 |
Country | USA |
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5. Senate ID# 29128-12
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6. House ID# 312210000
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| TYPE OF REPORT | 8. Year | 2012 |
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. | ||||||||
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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: Kimberly Champi Krenik, Director, Federal Relations |
Date | 04/13/2012 |
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
Medicare: Urged lawmakers to extend key hospital provisions and reject cuts to Medicare and Medicaid payments for provider services as part of any final agreement to extend the Social Security tax holiday, unemployment insurance benefits, and physician fix. Opposed reductions to Medicare bad debt for hospitals, nursing homes, clinical lab payments, and rebasing Medicaid DSH.
Strong support for eliminating planned Medicare cuts to physicians and opposition to doing that by reducing payments to providers. Support for extension of other healthcare policies, including: MMA section 508 reclassifications, exceptions process for Medicare therapy caps, and outpatient hold harmless payments.
Strongly oppose proposals included in the Administrations FY2013 budget blueprint that included $320 billion in reductions to Medicare and Medicaid as part of their $3.8 trillion budget plan. Specifically, oppose reductions to bad debt, IME, reductions to post acute providers, and strengthening the IPAB. As well as opposed proposed reductions to Medicaid provider taxes, Medicaid DSH, and changes to Medicaid payment formulas.
Strongly oppose Medicare and Medicaid reductions included in the Houses FY2013 Budget Resolution, which proposed to cut more than $5.3 trillion in government spending over the next 10 years, approximately half of which would come from health care. The proposal called for a budget reconciliation process, directing six House committees, to produce legislation reducing the deficit by at least $18 billion in the first year and $261 billion over 10 years. The proposal called for eliminating the sequester cuts for defense and non-mandatory discretionary spending, Medicare sequester cuts, approximately $6 billion over 10 years, remain in place. Among other proposals, the budget plan would rescind the individual subsidies and Medicaid expansions included in the ACA, while keeping the $500 billion in Medicare cuts included in the law. The budget also would convert Medicaid into a block grant program, reducing federal Medicaid spending by $5 billion in 2013 and $810 billion over 10 years.
Support efforts to urge HHS to extend current relief from full implementation of the 25% rule affecting long-term care hospitals (LTCHs) for an additional hospital cost reporting period and/or at least until the end of 2012 in order to give Congress an opportunity to resolve many of the issues affecting LTCHs.
Urge support for application submitted to CMS to convene an expansive Medicare physician/hospital gainsharing pilot in New Jersey. The application was submitted in response to a request for applications (RFA) by CMMI for organizations interested in conducting a Bundled Payments for Care Improvement Initiative.
Support adequate funding for freestanding childrens hospitals to train medical residents (CHGME); Support H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011; Support H.R. 452, the Medicare Decisions Accountability Act, which repeals the Independent Payment Advisory Board, or IPAB; and Support S. 1855, the Pandemic and All-Hazards Preparedness Act Reauthorization of 2011.
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 |
Kimberly |
Krenik |
Mrs. |
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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 |