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@mail.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
​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
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 $
​110,000.00
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, Senior Vice President of Governmental Relations
 Date
10/11/2012

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 HCR

16. Specific lobbying issues

- Participated in a conference call with Majority staff of the Health subcommittee of the House Energy and Commerce Committee regarding congressional efforts to restrict states use of provider taxes to fund their Medicaid programs


- Urged the Missouri congressional delegation to: 1) consider hospitals need for stability and predictability in making their spending and policy decisions; 2) support expected legislative efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care Act of 2010; 3) support expected legislative efforts to assess and limit the administrative burdens imposed by demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives; 4) reauthorize the Medicare Dependent Hospital Payment program for one year effective October 1, 2012, through H.R. 5943 or S. 2620; 5) oppose congressional proposals to curtail states capacity to use provider taxes to generate federal matching funds for their Medicaid programs; 6) repeal or revise the Medicare sustainable growth rate formula used to determine Medicare physician payments and do so without reducing payments to non-physician providers to offset the cost of doing so; 7) reject future congressional proposals to terminate the designation of critical access hospitals that qualify for separate payment and regulatory standards

- Provided background information and data on the Medicare Dependent Hospital program to support H.R. 5943

- Responded to congressional staff queries about the Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions

- Promoted congressional awareness of and support for the Center for Medicare and Medicaid Services promulgation of regulations to clarify the authority of certified registered nurse anesthetists to be paid to provide pain management services to Medicare enrollees

- Provided background information to congressional staff to respond to a query regarding regulatory standards governing the use of tasers and weapons by hospital security staff

- Consulted with congressional staff regarding the wording and content of draft legislation to assess and limit the administrative burdens imposed by demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives

- Conducted and conveyed the results of research needed to respond to a query regarding the number of Missouri hospitals receiving payments under the Medicare Low-Volume Hospital program, in response to H.R. 5943 or S. 2620

- Coordinated arrangements for a briefing of congressional staff of Missouri legislators regarding expected legislation to assess and limit the administrative burdens imposed by demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives

- Participated in conference calls with staff of the CMS regional office in Kansas City to discuss arrangements for a potential 2013 trip by CMS officials to tour rural hospitals in Missouri

- Participated in meeting with staff of the CMS regional Kansas City office and the WPS office to discuss the effect the RAC program is having on Missouri hospitals

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

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

​

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
​
​
​
2
​
​
​
4
​
​
​

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