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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
Address1 | 325 7TH STREET, NW |
Address2 | |
City | WASHINGTON |
State | DC |
Zip Code | 20004 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 2571-12
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6. House ID# 306350000
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TYPE OF REPORT | 8. Year | 2014 |
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: Thomas P. Nickels, Senior Vice President, Federal Relations |
Date | 04/21/2014 |
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
Submitted comments on the Hatch Entitlement Reform in support of the several key reforms proposed for the Medicare program as alternative reductions to provider payments; Support S 351 Protecting Seniors Access to Medicare Act, a bill to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board; Support HR 297 and S1557, Children's Hospital GME Support Reauthorization Act of 2013, the bill would reauthorize the CHGME program for
an additional five years through fiscal year (FY) 2017; Support HR 1250 and S 1012 Medicare Audit Improvement Act of 2013, a bill to amend title XVIII of the Social Security Act to improve operations of recovery auditors under the Medicare integrity program, to increase transparency and accuracy in audits conducted by contractors; Support S. 596 Fostering Independence Through Technology Act of 2014, a bill to establish pilot projects under the Medicare program to provide incentives for home health agencies to furnish remote patient monitoring services that reduce expenditures under such program; Requested the Health Resource and Service Admin (HRSA) to delay the compliance date by at least six months to allow sufficient time for affected hospitals to make the necessary modifications to their existing inventory management practices as required by the new GPO guidance and recommend that HRSA continue to work with affected 340B hospitals to provide guidance and education on the GPO compliance issues.; Discussion of the Medicaid ACA implementation --DSH, expansion, eligibility at CMS; Discussion of the implementation of the American Taxpayer Relief Act (ATRA) specifically, the outpatient therapy provision and extension of the MDH program and enhanced low-volume adjustment at CMS; Urged CMS to to extend the timeline for meaningful use in 2014 and provide greater flexibility in Stage 2; Support HR 1787 and S 842 Rural Hospital Access Act of 2013, a bill to amend title XVIII of the Social Security Act to provide for an extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; Support HR 1920 and S 1555 DSH Reduction Relief Act of 2013, a bill to amend titles XVIII and XIX of the Social Security Act to provide for a delay in the implementation schedule of the reductions in disproportionate share hospital payments; AHA submitted a statement to the Presidents and Other Bipartisan Proposals to Reform Medicare Post-Acute Care Payments hearing to provide input on proposals to reform Medicares post-acute care payment systems; AHA submitted a statement to the Program Integrity: Oversight of Recovery Audit Contractors hearing supporting increased oversight of Recovery Audit Contractors (RACs); Support HR 2578 Rural Hospital Fairness Act of 2013, a bill to amend title XVIII of the Social Security Act to extend for one year the hold harmless provision for small rural hospitals and sole community hospitals under the Medicare prospective payment system for hospital outpatient department services related to enhanced physician supervision requirements; AHA submitted a statement to the Health Care Quality: The Path Forward hearing in support of improving transparency for the public, continuing and enhancing support of efforts to improve the safety and quality of the care delivered, and reduce unnecessary hospital expenditures; Support HR 2931 Fairness in Health Care Claims, Guidance and Investigations Act, a bill to amend the false claims provisions of title 31, United States Code, with respect to health care programs; Request additional guidance on and delay of two-midnight rule from CMS; Request issue corrected data on OPPS proposed rule and delay comment period from CMS; Discussion of ACAs patient safety evaluation system with CMS; Discussed the improvements to the National Practitioner Data Bank and new compliance efforts at HRSA; Discussions of Medicaid presumptive eligibility; Medicaid DSH; and request release of DSH audit rule with CMS; Follow up on GPO exclusion related to 340(b) entities; discussions to help shape upcoming proposed rule on 340B with HRSA; Discussed the Qualified Health Plans (QHP) 90day grace period with HHS and its implications for hospitals; Support HJ Res 59, a continuing Appropriations Resolution for 2014, which includes a provision that averts Medicare physician payment cuts as Congress continues to work on a replacement of the flawed SGR formula; Support HR 3444 Critical Access Hospital Flexibility Act of 2013, to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program; Support H.R.3698 and S. 2037 Two-Midnight Rule Delay Act of 2013, to delay the enforcement of the Medicare two-midnight rule for short inpatient hospital stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays; Requested CMS and ONC to extend the EHR Incentive program regulatory timelines for 2014 and allow all providers greater flexibility in Stage 2 by giving all hospitals the option to make the transition to the 2014 Edition Certified EHR and the Stage 2 requirements (or the revised Stage 1 requirements, as applicable) over the course of 2014 or 2015; Requested CMS to expedite its ICD-10 testing plans to ensure that testing begins no later than January 2014, be made available to all hospitals and include extensive end-to-end testing by Medicare contractors and state Medicaid agencies of both the electronic transaction and the adjudication of the claim; Support HR 3991 and S 2037 Critical Access Hospital Relief Act of 2014, amends title XVIII (Medicare) of the Social Security Act to repeal the 96-hour physician certification requirement for inpatient critical access hospital services under which a physician must certify that a patient may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the critical access hospital; Support HR 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act, to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support H.R. 2801 and S 1143 Protecting Access to Rural Therapy Services (PARTS) Act of 2013, a bill to adopt a default standard of general supervision for outpatient therapeutic services, develop a reasonable exceptions process with provider input to identify
specific procedures that require direct supervision, ensure that, for CAHs, the definition of direct supervision is consistent
with the CAH conditions of participation that allow a physician or NPP to present within 30 minutes of being called and
prohibit enforcement of CMSs retroactive reinterpretation that the direct supervision requirements applied to services
furnished since January 1, 2001; S. 1932/H.R. 3890 Better Care, Lower Cost Act , AHA has not taken position on the bill, but did establish an AHA working group to analyze the legislation to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions.
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 Resources & Services Administration (HRSA), 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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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 HCR
16. Specific lobbying issues
Support The Importance of Rural Health Access for American Communities and the need for rural hospitals and their value to rural areas; Support of HR 1326 Health Care Price Transparency Promotion Act of 2013, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; Support CMS proposed rule aimed at reducing burden and promoting efficiency for hospitals,
critical access hospitals and other providers. The rule addresses stakeholder concerns about governance-related provisions in the most recent changes to the Medicare Conditions of Participation; Support S 689 Mental Health Awareness and Improvement Act of 2013, a bill to reauthorize and improve programs related to mental health and substance use disorders; Support S 961Health Care Safety Net Enhancement Act of 2013, a bill to improve access to emergency medical services; Oppose HR 2027 Expanding Patients' Access to Quality Care Act of 2013, a bill to amend section 1877 of the Social Security Act to modify the requirements for hospitals to qualify for the rural provider and hospital exception to physician ownership or investment prohibition in order to take into account hospitals that were under construction or development at the time of imposing such requirements, hospital expansions, and hospitals in financial distress; Support 340B Drug Program; Support for Rep. Lynn Jenkins (R-KS) H. Res 356 in support of rural hospitals and rural health care providers. The resolution calls access to rural hospitals and other health care providers essential to the survival and success of communities; Support for the current October 1, 2014 implementation date for adoption of the International Classification of Diseases, Tenth Revision, Clinical Modifications (ICD-10-CM) for all health care providers, as well as the adoption of the Procedure Coding System of ICD-10 for hospital reporting of inpatient procedures; Encourage HHS to speed up processing of CAC applications and discussed questions about the new Marketplaces; Participated in the White House National Mental Health Conference and had several discussions on how hospitals can help raise awareness about mental health in their communities with ACA; Discussions with the Senate Finance Committee in response to the Committees outreach to behavioral health stakeholders seeking input to help improve the behavioral health care system; Helping to shape agencys forthcoming compliance initiative related to hospitals reporting obligations to the National Practitioner Data Bank.
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 Resources & Services Administration (HRSA)
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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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 LBR
16. Specific lobbying issues
Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century.
Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;
Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Statndards Act.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Internal Revenue Service (IRS)
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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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 LAW
16. Specific lobbying issues
Supporting framework for revising Stark/anti-kickback to permitting gainsharing arrangements; Monitoring the hospitals concerns about the impact of FTCs strategy related to retrospective review of hospital mergers.
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), Federal Trade Commission (FTC)
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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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
Opposing cuts to hospital payments in the Senate and House FY 2014 budget resolutions as savings to pay for replacement of sequester reductions. Monitoring develpoments related to HR 933 The Consolidated and Further Continuing Appropriations Act of 2013, a bill making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013.
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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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 TAX
16. Specific lobbying issues
Supporting the importance and continuation of the tax codes charitable contribution provisions for Americas nonprofit hospitals.
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 |
Robyn |
Bash |
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Megan |
Cundari |
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Patti |
Goldman |
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Aimee |
Hartlage |
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Carlos |
Jackson |
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Lisa |
Kidder |
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Carla |
Luggiero |
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Sarah Berk |
Macchiarola |
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Thomas |
Nickels |
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Richard |
Pollack |
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Erik |
Rasmussen |
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Mike |
Rock |
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Mark |
Seklecki |
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Lawrence |
Hughes |
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Maureen |
Mudron |
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Rochelle |
Archuleta |
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Linda |
Fishman |
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Nancy |
Foster |
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Joanna |
Kim |
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Molly Collins |
Offner |
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Ellen |
Pryga |
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Roslyne |
Schulman |
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Caroline |
Steinberg |
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Chantal |
Worzala |
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Priya |
Bathija |
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Melissa |
Jackson |
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Michael |
Ward |
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Ashley |
Thompson |
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Diane |
Jones |
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Jeff |
Goldman |
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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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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:
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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:
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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
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2 | 4 | 6 |