Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby
LOBBYING REPORT

Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

1. Registrant Name Organization/Lobbying Firm Self Employed Individual
MISSOURI HOSPITAL ASSOCIATION

2. Address

Address1
P.O. BOX 60
 Address2
​4712 COUNTRY CLUB DRIVE
City
JEFFERSON CITY
 State
MO
 Zip Code
65102
 Country
USA

3. Principal place of business (if different than line 2)

City
​
State
​
Zip Code
​
Country
​
4a. Contact Name b. Telephone Number c. E-mail
​Mr.
​DANIEL LANDON
​5738933700
​dlandon@mhanet.com
5. Senate ID#
​25523-12
7. Client Name Self Check if client is a state or local government or instrumentality
​MISSOURI HOSPITAL ASSOCIATION
6. House ID#
​319850000
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
​
11. No Lobbying Issue Activity
INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13
12. Lobbying 13. Organizations
INCOME relating to lobbying activities for this reporting period was: EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
Less than $5,000
$5,000 or more $
​
$5,000 or more $
​40,000.00
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: Daniel Landon
 Date
1/16/2017 11:41:14 AM

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

-Forwarded to the members of the Missouri congressional delegation a letter from the Alliance for Americas Hospitals, to which the Missouri Hospital Association was a signatory, urging repeal of section 3141 of the Patient Protection and Affordable Care Act of 2010.
-Responded to a request from a member of the Missouri congressional delegation regarding the performance of Missouris critical access hospitals if they were included in the Medicare value-based purchasing initiative applicable to Medicare inpatient prospective payment system hospitals.
-Responded to a request from a member of the Missouri congressional delegation as to how many Missouri counties have only one insurer offering coverage through the CMS health care marketplace.
-Responded to a request from a member of the Missouri congressional delegation to provide comments regarding potential nominees for appointment to leadership positions in the Department of Health and Senior Services or the Centers for Medicare & Medicaid.
-Expressed support for enactment of H.R. 34, the 21st Century Cures Act.
-In response to a query from a member of the Missouri congressional delegation, expressed opposition to H.R. 2513.
-Corresponded with a member of the Missouri congressional delegation regarding potential legislation to repeal section 3141 of the Patient Protection and Affordable Care Act of 2010.
-Corresponded with a member of the Missouri congressional delegation regarding his receipt of the Missouri Hospital Associations 2016 Health Policy Leadership award and the logistics of the award presentation to the 2016 Annual Convention and Trade Show of the Missouri Hospital Association.
-Responded to a query from a member of the Missouri congressional delegation regarding data from the Centers for Disease Control regarding the incidence of neonatal abstinence syndrome in Missouri
-Upon the request of a member of the Missouri congressional delegation, provided an analysis of premiums and tax credits in the CMS health care marketplace in Missouri in 2017.
-Sent the members of the Missouri congressional delegation a MHA Issue Brief on CMS final rules to implement the Medicare physician payment system created by the federal MACRA law.
-Sent the members of the Missouri congressional delegation a HIDI HealthStats document regarding the incidence of adverse childhood experiences in Missouri and Kansas. HIDI is the Hospital Industry Data Institute, a subsidiary of the Missouri Hospital Association.
-Responded to a query from a member of the Missouri congressional delegation regarding an Open Door Forum of the Centers for Medicare & Medicaid Services regarding a proposal in President Obamas FY 2017 Proposed Budget to reduce Medicare reimbursement to federally-designated critical access hospitals by 1%.
-Responded to a query from a member of the Missouri congressional delegation regarding the names and/or number of insurers that will be designated to serve Missouri in CMSs health care marketplace in 2017 and their distribution by county.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES

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
Daniel
Landon
​
​

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

Address
​
City
​
State
​
Zip Code
​
Country
​

21. Client new principal place of business (if different than line 20)

City
​
State
​
Zip Code
​
Country
​

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

First Name
Last Name
Suffix
First Name
Last Name
Suffix
1
​
​
​
3
​
​
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2
​
​
​
4
​
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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)
Street Address
City State/Province Zip Country
City
State Country

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
Street Address
City State/Province Country
City
State Country
%

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