Medicaid waivers
Safety Net Financing Issues
Duration: April 11, 2008
to
October 31, 2011
General Issues: Medicare/Medicaid , Health Issues , Budget/Appropriations , Pharmacy
Spending: about $460,000 (But it's complicated. Here's why.)
It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.
Agencies lobbied since 2008: White House Office, House of Representatives, U.S. Senate, Natl Economic Council (NEC), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB), Housing & Urban Development - Dept of (HUD)
Lobbyists
Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.
Lobbyist
Covered positions?
Sandra George June 1999 - July 2001: Legislative Aide, Office
of Representative Bernie Sanders (I-VT).
July 2001-January 2006: Senior Legislative Assistant, Office
of Senator Jon S. Corzine (D-NJ).
06/99-07/01: Leg. Aide, Rep. Bernie Sanders (VT)
07/01-01/06: Senior Leg. Assistant,
Sen. Jon Corzine (NJ)
06/99-07/01: Leg. Aide, Rep. Bernie Sanders(VT)
Sen. Jon Corzine (D-NJ)
07/01-01/66: Senior Leg. Assistant,
Peter Holman, Jr. 09/07-12/07: Intern, Sen. Patrick Leahy (VT)
07/07-12/07: Intern, Sen. Patrick Leahy (VT)
Larry Gage n/a
David Gross n/a
Charles Luband n/a
Barbara Eyman n/a
Peter Holman Jr. n/a
Sarah Mutinsky n/a
Eva Johnson n/a
Sarah Mutinky n/a
Disclosures Filed
Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.
4th Quarter, 2011
ROPES & GRAY LLP terminated an engagement in which they represented NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS on April 2, 2012.
Original Filing: 300457292.xml
Lobbying Issues
Safety Net Financing Issues
4th Quarter, 2011
ROPES & GRAY LLP terminated an engagement in which they represented NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS on Jan. 20, 2012.
Original Filing: 300448013.xml
Lobbying Issues
Safety Net Financing Issues
4th Quarter, 2011
In Q4, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS . The report was filed on Jan. 20, 2012.
Original Filing: 300447405.xml
Lobbying Issues
Safety Net Financing Issues
3rd Quarter, 2011
In Q3, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $10,000. The report was filed on Oct. 19, 2011.
Original Filing: 300419698.xml
Lobbying Issues
S. 365, Budget Control Act of 2011
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
HR 2674, 340B Program Improvement Act
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2011
In Q2, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $10,000. The report was filed on July 20, 2011.
Original Filing: 300399785.xml
Lobbying Issues
Proposed alternatives to the Sustainable Growth Rate.
Medicaid financing initiatives, including intergovernmental transfers.
Medicaid maintenance of effort under the Affordable Care Act.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Support for Florida Provider Service Networks.
340B drugs for inpatient use.
HR5, the HEALTH Act of 2011, medical malpractice reform.
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Deficit reduction proposals and impact on Medicaid funding.
Agencies Lobbied
U.S. House of Representatives
1st Quarter, 2011
In Q1, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $20,000. The report was filed on April 20, 2011.
Original Filing: 300377722.xml
Lobbying Issues
Maintenance of Medicaid Eligibility Levels; Safety Net Accountable Care Demonstration; Safety Net Advanced Primary Care Practice Demonstration
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Request that stakeholders be permitted to review and comment on (i) Notice Regarding Section 602 of the Veterans Health Care Act of 1992 Definition of "Patient" (RIN: 0906-ZA08) and (ii) Notice Regarding Section 602 of Veterans Health Care Act of 1992 Definition of "Patient" -- Withdrawal of Previous Notice (RIN: 0906-ZA09)
Agencies Lobbied
Office of Management & Budget (OMB)
Lobbying Issues
Funding for Collaborative Care Networks
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2010
In Q4, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $20,000. The report was filed on Jan. 20, 2011.
Original Filing: 300351732.xml
Lobbying Issues
Center for Medicare and Medicaid Innovation on Safety Net ACOs
Agencies Lobbied
Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2010
In Q3, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $10,000. The report was filed on Oct. 20, 2010.
Original Filing: 300325014.xml
Lobbying Issues
H.R. 4250, S. 2984, Medicaid DSH Integrity Act (DSH Reporting Rule)
H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (Extension of enhanced FMAP and 340B program expansion)
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 444, S. 1239, 340B Program Improvement and Integrity Act (all provisions)
H.R. 5040, Health Information Technology Extension for Behavioral Health Services Act of 2010 (meaningful use amendment)
75 F.R. 36610, Hospital visitation regulations
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
FY 2011 Labor, Health and Human Services, and Education Appropriations (Funding for Collaborative Care Networks and overall discretionary funding for health programs)
Improvements to the FHA Section 242 hospital financing program
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2010
In Q2, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $20,000. The report was filed on July 20, 2010.
Original Filing: 300296769.xml
Lobbying Issues
H.R. 4250, S. 2984, Medicaid DSH Integrity Act (DSH Reporting Rule)
H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (Extension of enhanced FMAP and 340B program expansion)
H.R. 3430, DSH Collaborative Care Network Pilot Program Act of 2009 (all provisions)
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 4851, Continuing Extension Act of 2010 (Clarification of "hospital-based" physician definition; Medicaid local funding provision)
H.R. 444, S. 1239, 340B Program Improvement and Integrity Act (all provisions)
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
FY 2011 Labor, Health and Human Services, and Education Appropriations (Funding for Collaborative Care Networks and overall discretionary funding for health programs)
Improvements to the FHA Section 242 hospital financing program
Agencies Lobbied
U.S. House of Representatives
1st Quarter, 2010
In Q1, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $50,000. The report was filed on April 20, 2010.
Original Filing: 300268084.xml
Lobbying Issues
H.R. 3430, DSH Collaborative Care Network Pilot Program Act of 2009
H.R. 3962, Affordable Health Care for America Act (Medicare and Medicaid DSH, Medicaid expansion, Medicare and Medicaid delivery system reform)
H.R. 3590, Patient Protection and Affordable Care Act (Medicare and Medicaid DSH, Medicaid expansion, Medicare and Medicaiddelivery system reform)
H.R. 4872, Health Care and Education Reconciliation Act (Medicare and Medicaid DSH, Medicaid expansion)
H.R. 4213, American Workers, State and Business Relief Act (Extension of enhanced FMAP)
H.R. 4250, S. 2984, Medicaid DSH Integrity Act (DSH Reporting Rule)
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 3962, Affordable Health Care for America Act (340B program, Collaborative Care Networks, general health reform issues)
H.R. 3590, Patient Protection and Affordable Care Act (340B program, Collaborative Care Networks, general health reform issues)
H.R. 4872, Health Care and Education Reconciliation Act (340B program, general health reform issues)
H.R. 4213, American Workers, State and Business Relief Act (Clarification of "hospital-based" physician definition)Improvements to the FHA Section 242 hospital financing program
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
FY2011 Labor, Health and Human Services, and Education Appropriations (Funding for Collaborative Care Networks)
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2009
In Q4, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $40,000. The report was filed on Jan. 15, 2010.
Original Filing: 300233241.xml
Lobbying Issues
H.R. 4250, Medicaid DSH Integrity Act
H.R. 3430, DSH Collaborative Care Network Pilot Program Act of 2009
Medicaid DSH Reporting Rule
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Health Reform
H.R. 3200 America's Affordable Health Choices Act
H.R. 3962, Affordable Health Care for America Act
S. 1679, Affordable Health Choices ActH.R. 3590, Patient Protection and Affordable Care Act
S. 1796, America's Healthy Future Act
Expansion of 340B drug discount program
Reauthorization of the Section 1011 Program, Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2009
In Q3, Ropes & Gray, LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $40,000. The report was filed on Oct. 19, 2009.
Original Filing: 300210176.xml
Lobbying Issues
H.R. 3430, DSH Collaborative Care Network Pilot Program Act of 2009
H.R. 1386, PAY UP! Act of 2009
H.R 1639, Border Health Care Relief Act of 2009
Medicaid DSH Reporting Rule
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 3200 America's Affordable Health Choices Act
S. 1679, Affordable Health Choices Act
Senate Finance Committee Chairman's Mark, America's Healthy Futures Act of 2009
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2009
In Q2, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $50,000. The report was filed on July 20, 2009.
Original Filing: 300186325.xml
Lobbying Issues
S.973, H.R. 2251, Resident Physician Shortage Reduction Act of 2009
H.R. 444, S. 1239, 340B Program Improvement and Integrity Act of 2009
Medicaid Public Provider Cost Limit Rule
Medicaid Disproportionate Share Hospital Reporting RuleMedicaid Graduate Medical Education Rule
Medicaid Hospital Outpatient Services Rule
Elimination of Medicare Indirect Medical Education Adjustment
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Health Reform Issues
Senate Finance Committee Health Reform Policy Options Papers
House of Representatives Tri-Committee Health Reform Bill
Senate HELP Committee Health Reform BillH.R. 3090, Health Equity and Accountability Act of 2009
S. 790, Health Access and Health Professions Supply Act of 2009
Agencies Lobbied
U.S. House of Representatives
1st Quarter, 2009
In Q1, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $40,000. The report was filed on April 17, 2009.
Original Filing: 300154636.xml
Lobbying Issues
H.R. 1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009
H.R. 444, 340B Program Improvement and Integrity Act of 2009
Baucus/Grassley Value-Based Purchasing Draft Bill
Medicaid Public Provider Cost Limit RuleMedicaid Hospital Outpatient Services Rule
Medicaid Disproportionate Share Hospital Reporting Rule
Medicaid Graduate Medical Education Rule
Elimination of Medicare Indirect Medical Education Adjustment
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Health Care Reform
H.R. 1, American Recovery and Reinvestment Act
H.R. 2, Children's Health Insurance Program Reauthorization Act
H.R. 1321 and S. 391, Healthy Americans ActS. 790, Health Access and Health Professions Supply Act of 2009
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H. Con. Res. 85, S. Con. Res. 13, 2010 House and Senate Budget Resolutions
Agencies Lobbied
U.S. House of Representatives
4th Quarter, 2008
In Q4, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $40,000. The report was filed on Jan. 15, 2009.
Original Filing: 300120575.xml
Lobbying Issues
H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008;
H.R. 7110, Job Creation and Unemployment Relief Act of 2008;
S. 3604, S. 3688, S. 3689, Economic Recovery Act of 2008;
H.R. 7067, Quality First Act Administration of the Section 1011 Program;
H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008;
H.R. 5268, Enhanced Health Care Value for All Act of 2007;
H.R. 676, United States Health Insurance Act;
H.R. 6898, Health-e Information Technology Act of 2008;
Baucus/Grassley Value-Based Purchasing Draft Bill
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 6444 and S. 334, Healthy Americans Act;
H.R. 3333, S. 1576, Minority Health Improvement and Health Disparity Elimination
Agencies Lobbied
U.S. House of Representatives
3rd Quarter, 2008
In Q3, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $30,000. The report was filed on Oct. 20, 2008.
Original Filing: 300105154.xml
Lobbying Issues
H.R. 5721, Strengthening the Safety Net Act of 2008;
H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008;
H.R. 1781 and S. 739, Children's Dental Health Improvement Act of 2007;H.R. 7110 and S. 3604, A bill making emergency supplemental appropriations for economic recovery for the fiscal year ending September 30, 2008, and for other purposes;
H.R. 7067, the Quality FIRST Act;
H.R. 6394, Border Health Care Relief Act of 2008;
H.R. 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009;
H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008;
H.R. 5268;
H.R. 6444, Enhanced Health Care Value for All Act of 2007;
H.R. 676, United States National Health Insurance Act;
H.R. 6898, Health-e Information Technology Act of 2008
Agencies Lobbied
U.S. Senate
Lobbying Issues
H.R. 6444 and S. 334, Healthy Americans Act;
S. 3586, Green Hospitals, Healthy Hospitals Act of 2008;
S. 3587, Greening the Healthcare Workforce Act of 2008;S. 3588, Healthy Food for Healthy Lives Act of 2008;
H.R. 3333 and S. 1576, Minority Health Improvement and Health Disparity Elimination;
H.R. 3014, Health Equity and Accountability Act of 2007
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 6898, Health-e Information Technology Act of 2008;
H.R. 2060 and S. 1376, 340B Program Improvement and Intergrity Act of 2007
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2008
In Q2, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $20,000. The report was filed on July 18, 2008.
Original Filing: 300073933.xml
Lobbying Issues
H.R. 2642, Military Construction and Veterans Affairs Appropriations Act, 2008;
H.R. 3533, Public and Teaching Hospital Preservation Act;
H.R. 5613, Protecting the Medicaid Safety Net Act of 2008;
H.R. 5721, Strengthening the Safety Net Act of 2008; H.R. 6331, Medicare Improvements for Patients & Providers Act of 2008; S. 2819, Economic Recovery in Health Care Act of 2008;
S. 3118, Preserving Access to Medicare Act of 2008;
S. 2460, A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
S. 325, Healthy Americans Act;
H.R. 3014, Health Equity and Accountability Act of 2007;
H.R. 3333 and S. 1576, Minority Health Improvement and Health Disparity Elimination Act
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
H.R. 2606 and S. 1376, 340B Program Improvement and Integrity Act of 2007
Agencies Lobbied
U.S. House of Representatives
2nd Quarter, 2008
Ropes & Gray LLP filed a lobbying registration on April 10, 2008 to represent NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS, effective April 11, 2008.
Original Filing: 300035091.xml
Issue(s) they said they’d lobby about: Medicare and Medicaid Issues (H.R. 3533, S. 2460, H.R. 5613, S. 2819, S. 1376, H.R. 2606, H.R. 3014, S. 1576, H.R. 3333)
Racial and Ethnic Minorities in Health/Language Access/Cultural Competence
Health professionals workforce legislation
President's FY 2009 budget proposal -- Medicaid provisions .
1st Quarter, 2008
In Q1, ROPES & GRAY LLP lobbied for NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS , earning $60,000. The report was filed on April 17, 2008.
Original Filing: 300041732.xml
Lobbying Issues
Medicare and Medicaid Issues (H.R. 3533, S. 2460, H.R. 5613, S. 2819, S. 1376, H.R. 2606, H.R. 3014, S. 1576, H.R. 3333)
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
Racial and Ethnic Minorities in Health/Language Access/Cultural Competence
Health professionals workforce legislation
Agencies Lobbied
U.S. House of Representatives
Lobbying Issues
President's FY 2009 budget proposal -- Medicaid provisions
Agencies Lobbied
U.S. House of Representatives
Source: Clerk of the U.S. House of Representatives and Secretary of the Senate
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