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

9. Check if this filing amends a previously filed version of this report

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

Support revisions to Medicaid DSH policy to include dual-eligible patients in state DSH cap calculation.
Discuss support for the 340B Drug Pricing Program with Congressional staff and oppose changes.
Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff.
Discuss opposition to site-neutral payment policies with Congressional staff.
Discuss FEMA reimbursement for Employee Support Costs and Hazard Pay with FEMA.
Discuss FEMA reimbursement for Employee Support Costs and Hazard Pay with Congressional staff.
Discuss hospital and health care provisions included in the Consolidated Appropriations Act of 2023 with Congressional staff.
Discuss the following legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities.
Discuss nursing and ancillary health care staff shortages and support reforms: faculty recruitment and retention, additional financial support for supervision and precepting students, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers.
Discuss telehealth issues with Congressional staff and support the permanent extension of PHE telehealth flexibilities: removing Medicare geographic and originating site restrictions, expanding the list of practitioners eligible to furnish telehealth services, extending telehealth services for federally qualified health centers and rural health clinics, delaying in-person Medicare requirements related to behavioral health care, and allowing audio-only services.
Support the permanent extension of the Acute Hospital Care at Home waiver.
Support Medicare Advantage prior authorization reforms and pass Improving Seniors Timely Access to Care Act (support).
Discuss the Resident Physician Shortage Reduction Act with Congressional staff.
Discuss the Pathway to Practice Act of 2021 with Congressional staff.
Discuss commercial insurance issues and health care workforce shortages with Senate Health, Education, Labor, and Pensions (HELP) Committee.
Discuss GME provisions in the Consolidated Appropriations Act of 2023 with HHS staff.
Educate Congressional staff on hospital price transparency federal rule.
Respond to Senate HELP Committee Request for Information (RFI) on workforce shortages and supply legislative recommendations.
Discuss legislative recommendations from Senate HELP Committee RFI response letter on workforce shortages with Senate Finance Committee staff.
Discuss Making Care Primary model with CMMI staff.
Discuss Medicare payment for nursing and allied health with Senate Finance Committee staff.
Discuss end of PHE billing with HHS Health Insurance Administrator.
Discuss PATIENT Act (HR 3561) with Congressional staff, including: price transparency proposal, opposition to site-neutral policies for drug administration, opposition to attestation requirements for hospital billing, opposition to changes to Inpatient Only List, support for Medicare Advantage reporting requirements, opposition to changes to 340B program, support for Community Health Center and health care workforce reauthorizations.
Discuss community benefit standard and tax-exempt status of non-profit hospitals with Congressional staff.
Respond to Senate RFI on 340B Drug Pricing Program.
Discuss 340B remedy proposed rule with Congressional staff.
Discuss opposition to FDA Proposed Rulemaking on Laboratory Developed Tests with Congressional staff.
Discuss HHS Climate Pledge and Inflation Reduction Act funding with HHS staff.
Meet with Senate staff to discuss requests for health care workforce investments in FY 2024 Labor-HHS-Ed appropriations legislation.
Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding.
Oppose Medicare site-neutral cuts, sequester cuts, and national provider identifier proposals in H.R. 4822, the Health Care Price Transparency Act of 2023.
Oppose H.R. 4509 to require a separate unique health identifier for hospital outpatient departments.
Discuss H.R. 3561, the PATIENT Act, with Congressional staff and comment on following proposals within bill: opposition to Medicare site-neutral policies for drug administration services, opposition to attestation requirements for hospital outpatient departments, opposition to changes to 340B drug pricing program, support for delay of Medicaid DSH cuts, support for Medicare Advantage plan reporting requirements, support for Community Health Center Fund and National Health Service Corps reauthorization.
Comment on legislative proposals in S.2840, the Primary Care and Health Workforce Expansion Act: oppose eliminating facility fees, oppose requiring a separate identification number for off-campus hospital outpatient departments.
Discuss S.3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, with Congressional staff.
Discuss Continuing Appropriations Act, 2024 and Other Extensions Act (H.R. 5860) with Congressional staff and express support for funding extensions for: Community Health Centers, Teaching Health Center Graduate Medical Education funding, National Health Service Corps; support delay of Medicaid DSH cut. Discuss Further Continuing Appropriations and Other Extensions Act, 2024 (H.R. 6363) with Congressional staff and express support for funding extensions for: Community Health Centers, Teaching Health Center Graduate Medical Education funding, National Health Service Corps; support delay of Medicaid DSH cut.
Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff.

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), Executive Office of the President (EOP), Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Federal Emergency Management Agency (FEMA), Congressional Budget Office (CBO), Food & Drug Administration (FDA)

18. Name of each individual who acted as a lobbyist in this issue area

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

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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

Meet with Congressional staff and discuss support for Medicare graduate medical education funding, including support for the Resident Physician Shortage Reduction Act, the Opioid Workforce Act, Substance Use Disorder Workforce Act, the Pathway to Practice program proposal, and the Presidents FY 2024 budget request.
Advocate for the inclusion of Medicare GME funding in FY 2024 federal budget.
Meet with HHS Region II to discuss GME legislation - the Resident Physician Shortage Reduction Act.
Discuss Medicare and Medicaid issues with HHS Assistant Secretary for Legislation.
Oppose CMS proposed rule CMS-4332-P to establish minimum nurse staffing in Medicare- and Medicaid-certified long-term care facilities.
Support delay of Medicaid DSH cut and advocate for passage of legislation to delay Medicaid DSH Cut (H.R. 2665, Supporting Safety Net Hospitals Act).
Support revisions to Medicaid DSH policy to include dual-eligible patients in state DSH cap calculation.
Discuss Medicaid waiver proposal with Congressional staff and HHS.
Discuss telehealth issues with Congressional staff and support for the permanent extension of PHE telehealth flexibilities.
Discuss Acute Hospital Care at Home waiver and support for its permanent extension.
Discuss legislation to provide support for safety net hospitals.
Discuss issues concerning DSH hospitals with the Executive Branch.
Meet with CMS Innovation Center to discuss CMMI models of care.
Discuss proposals that stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support), make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities.
Discuss opposition of site-neutral payment policies with Congressional staff.
Discuss telehealth issues with Congressional staff and support the permanent extension of PHE telehealth flexibilities: removing Medicare geographic and originating site restrictions, expanding the list of practitioners eligible to furnish telehealth services, extending telehealth services for federally qualified health centers and rural health clinics, delaying in-person Medicare requirements related to behavioral health care, and allowing audio-only services.
Support Medicare Advantage prior authorization reforms and pass Improving Seniors Timely Access to Care Act (support).
Discuss Making Care Primary model with CMMI staff.
Discuss Medicaid waiver application with CMS staff.
Discuss CMMI initiatives on global budgets and primary care in NYS Medicaid waiver application.
Meet with CMS staff regarding Medicare managed care.
Discuss Medicare payment for nursing and allied health with Senate Finance Committee staff.
Express opposition to Medicaid work requirements in Limit, Save, Grow Act of 2023 to Congressional staff.
Discuss Medicaid IMD exclusion policies with Congressional staff.
Discuss with Congressional staff support for revisions to FY 2024 IPPS proposed rule to increase payment update to hospitals.
Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding.
Oppose Medicare site-neutral cuts, sequester cuts, and national provider identifier proposals in H.R. 4822, the Health Care Price Transparency Act of 2023.
Oppose H.R. 4509 to require a separate unique health identifier for hospital outpatient departments.
Discuss H.R. 3561, the PATIENT Act, with Congressional staff and comment on following proposals within bill: opposition to Medicare site-neutral policies, opposition to attestation requirements for hospital outpatient departments, opposition to changes to 340B drug pricing program, support for delay of Medicaid DSH cuts, support for Medicare Advantage plan reporting requirements, support for Community Health Center Fund and National Health Service Corps reauthorization.
Discussion with congressional staff regarding Medicare Disproportionate Share Hospital (DSH) rulemaking.
Support two-year elimination of Medicaid DSH cut and express support for elimination to Congressional staff.
Discussion with CMS on the interpretation of Sec. 131 in the Consolidated Appropriations Act, 2021, and resetting of GME caps pertaining to Sec. 131 in the Consolidated Appropriations Act, 2021.
Discuss technical amendment to Consolidated Appropriations Act, 2021 Sec. 131 pertaining to Medicare GME with Congressional staff.
Discuss CMS requirement to report telehealth provider home addresses with HHS staff.
Discuss health care workforce and graduate medical education funding with HHS Assistant Secretary for Legislation.
Meet with CMS to discuss Inpatient Prospective Payment Systems (IPPS) policies and Medicare payments.

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

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

Advocate for inclusion of Medicare GME funding in the Presidents FY 2024 Budget Request and FY 2024 appropriations legislation.
Discuss Medicare GME funding in Consolidated Appropriations Act, 2023 with Congressional staff and HHS staff.
Discuss Medicare Nursing and Allied Health Education Payment Policies in Consolidated Appropriations Act, 2023 Section 4143 Implementation with House Ways and Means staff.
Meeting with House Ways and Means Committee staff to discuss safety net hospital funding issues and payments for safety net hospitals.
Meeting with CMS Regional Administration to discuss safety net funding issues.
Meet with Senate staff to discuss requests for health care workforce investments in FY 2024 Labor-HHS-Ed appropriations legislation.

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 Resources & Services Administration (HRSA), Health & Human Services - Dept of (HHS)

18. Name of each individual who acted as a lobbyist in this issue area

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

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

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

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

CONVICTIONS DISCLOSURE

29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery, extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
No Yes