-Corresponded with a member of the Missouri Congressional delegation health stafffer regarding receipt of grant from FEMA.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA Funding and payments from Medicare.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding Potential 340B Eligibility Waiver.
-Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding rural advocacy briefing papers from 2023 hill visits.
-Corresponded with members of the Missouri Congressional delegation regarding Change Healthcare cyberattack.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding chemotherapy and pharmaceutical supply chain resources.
Duration: November 1, 2007
to
present
General Issues: Health Issues
Spending: about $4,010,660 (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 2007: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Agriculture - Dept of (USDA), Labor - Dept of (DOL), Health Resources & Services Administration (HRSA), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Occupational Safety & Health Administration (OSHA), Securities & Exchange Commission (SEC), U.S. Senate,, Defense - Dept of (DOD), Y
Y
Centers for Medicare & Medicaid Services
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.
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.
1st Quarter, 2024
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 19.
Original Filing: 301564853.xml
Lobbying Issues
-Corresponded with a member of the Missouri Congressional delegation health stafffer regarding receipt of grant from FEMA.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA Funding and payments from Medicare.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding Potential 340B Eligibility Waiver.
-Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding rural advocacy briefing papers from 2023 hill visits.
-Corresponded with members of the Missouri Congressional delegation regarding Change Healthcare cyberattack.
-Corresponded with a member of the Missouri Congressional delegation health staffer regarding chemotherapy and pharmaceutical supply chain resources.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2023
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 17.
Original Filing: 301527042.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation regarding a letter opposing CMs LTC Minimum Staffing Proposed Rule.
- Corresponded with a member of the Missouri congressional delegation regarding Medicaid DSH payment reductions.
- Corresponded with a member of the Missouri congressional delegation regarding an opportunity to cosign a letter on Medicare reimbursement cuts.
- Corresponded with a member of the Missouri congressional delegation regarding requested information on a local hospital in their district.
- Corresponded with members of the Missouri congressional delegation regarding Nevada Regional Medical Center FEMA issue.
- Corresponded with a member of the Missouri congressional delegation regarding the AHA Survey and response from Citizens Memorial Hospital.
- Corresponded with members of the Missouri congressional delegation regarding U.S. House of Representatives Committee on Ways and Means request for information on Improving Access to Health Care in Rural and Underserved Areas.
- Convened a virtual meeting with members of the Missouri congressional delegation regarding fourth quarter hospital issues.
- Corresponded with a member of the Missouri congressional delegation regarding the cosponsoring of HR 4942 - Conrad State and Physician Access Reauthorization Act.
- Corresponded with a member of the Missouri congressional delegation regarding FEMA Advisory: FEMA Hosts Webinar on Duplication of Benefits to Inform Public Assistance Applicants Who Receive COVID-10 Patient Care Revenue.
- Corresponded with members of the Missouri congressional delegation regarding Margin Information and the impact of PPS and urban hospitals over the years.
- Corresponded with members of the congressional delegation regarding hospital fiscal and profile FFY 2023 vs. FFY 2024.
- Convened a virtual meeting with a member of the Missouri congressional delegation to discuss the Lower Costs, More Transparency Act.
- Corresponded with members of the Missouri congressional delegation regarding the Lower Costs, More Transparency Act and AHA response to HR 5378.
- Convened a telephone conversation with a member of the Missouri congressional delegation to discuss the Community Paramedicine Act.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
3rd Quarter, 2023
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 18, 2023.
Original Filing: 301503998.xml
Lobbying Issues
- Convened in person visits with members of the Missouri Congressional delegation to discuss Missouri Hospital issues.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospital Associations congressional visit to discuss health care issues.
- Corresponded with members of the Missouri Congressional delegation health staffer regarding follow up on outstanding questions from Missouri Hospital Associations visit.
- Convened a call with a member of the Missouri Congressional delegation health staffer regarding review of the top RTA issues, Medicaid DSH, 340B, site neutrality, physician workforce, Medicaid pooling arrangements and Medicare Advantage.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding follow up on various Missouri issues.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Missouri maternal mortality issues.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding CMS - MO Medicaid IMD waiver.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding the topics of discussion at Missouri Hospital Associations annual rural advocacy trip.
- Disbursed to a member of the Missouri Congressional delegation health staffer documents regarding CMS Sepsis 3 Definition, Medicare Advantage Sepsis Downcoding and Prior Authorization Reform, and 2023 MHA Advocacy Briefs Finance Papers.
- Corresponded with members of the Missouri Congressional delegation health staffer regarding upcoming Washington, DC meeting participants from Missouri Hospital member hospitals.
- Corresponded with members of the Missouri Congressional delegation staff to schedule in person visits during Rural Advocacy trip to Washington, DC.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Long-term Acute Care and Nursing home roundtable.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Congressman Smiths roundtables on behalf of the Ways and Means Committee regarding rural health care.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding questions on Geographic Disparities in Medicare Part B Reimbursement.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospitals response to the Senate 340B RFI and the Ways and Means section by section summary of the Health Care Price Transparency Act (H.R. 4822).
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding 340B RFI response.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding Site Neutrality, providing a fact sheet as well.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a meeting to discuss the 340B program.
- Corresponded with a member of the Missouri Congressional delegation health staffers to coordinate several virtual meetings to discuss a variety of issues.
- Distributed to members of the Missouri Congressional delegation health staffers a sign on letter and thank you.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding Missouri Hospital Associations response to Senate RFI about 340B.
- Corresponded with a member of the Missouri Congressional delegation requesting signing a Dear Colleague Letter regarding Medicaid DSH payments.
- Corresponded with members of the Missouri Congressional delegation health staffers regarding requested information about 340B from the U.S. Senate.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a FEMA letter.
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding a request for information about 340B from the U.S. Senate Thune-Stabenow et al 340B RFI.
- Corresponded with a member of the Missouri Congressional delegation health staffers regarding PROTECT 340B Act (HR 2534
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2023
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 18, 2023.
Original Filing: 301480054.xml
Lobbying Issues
- Corresponded with a member of the Missouri Congressional delegation health staffer regarding information on Representative Biggs bills.
- Distributed to a member of the Missouri Congressional delegation a copy of the briefing papers on workplace issues for an upcoming hill visit.
- Convened in person visits with members of the Missouri Congressional delegation to discuss Missouri hospital issues.
- Corresponded with a member of the Missouri Congressional delegation to discuss FEMA/SEMA concerns.
- Distributed to members of the Missouri Congressional delegation Thank You Letter for in person meetings.
- Distributed to members of the Missouri Congressional delegation Medicaid DSH Letter signers and requested support for the Supporting Safety Net Hospitals Act and Dear Colleague letter.
- Corresponded with a member of the Missouri Congressional delegation regarding the sign on as cosponsor to HR 2665.
- Corresponded with a member of the Missouri Congressional delegation regarding requested FEMA/SEMA information.
- Corresponded with a member of the Missouri Congressional delegation regarding Medicaid DSH payments and letter sign on.
- Corresponded with members of the Missouri Congressional delegation regarding signing Dear Colleague letters about Proposed Federal FY Medicaid Market Basket updates.
- Distributed to a member of the Missouri Congressional delegation hospital demographic information requested by delegate.
- Corresponded with a member of the Missouri Congressional delegation regarding 340B exclusion of contract pharmacies.
- Corresponded with a member of the Missouri Congressional delegation regarding 340B program questions.
- Corresponded with a member of the Missouri Congressional delegation regarding proposed FFY 2024 Medicare Inpatient PPS Payment Rate Impact by State.
- Convened a virtual meeting with members of the Missouri Congressional delegation to provide a quarterly update.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
1st Quarter, 2023
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 19, 2023.
Original Filing: 301458557.xml
Lobbying Issues
- Corresponded with a member of the Missouri Congressional delegation regarding the Savings Americas Rural Hospitals Act proposed legislation.
- Corresponded with a member of the Missouri Congressional delegation regarding the Workplace Safety Bill and discussion at our advocacy meetings in April.
- Corresponded with a member of the Missouri Congressional delegation regarding CMS Comment Letter on proposed rules for the Medicare Program that would affect the 2024 contract year.
- Corresponded with members of the Missouri Congressional delegation to request meetings for our annual advocacy meetings in Washington, DC.
- Corresponded with a member of the Missouri Congressional delegation regarding 2021 hospital landscape data.
- Corresponded with a member of the Missouri Congressional delegation regarding the proposed SHARE Act legislation.
- Corresponded with a member of the Missouri Congressional delegation regarding a letter requesting support for Medicare Long-term care hospitals.
- Corresponded with members of the Missouri Congressional delegation regarding CMS Enforcement Activity.
- Corresponded with a member of the Missouri Congressional delegation regarding the proposed Health Care Safety and Nurse Protection Act.
- Corresponded with members of the Missouri Congressional delegation regarding FEMA Covid-19 Pandemic Assistance Funding support.
- Corresponded with members of the Missouri Congressional delegation regarding the upcoming advocacy trip to DC.
- Convened a virtual meeting with members of the Missouri Congressional delegation to discuss Health Care Safety and Nurses Protection Act.
- Convened a virtual meeting with health staffers of the Missouri Congressional delegation to discuss Fiscal and Inflationary pressures, workforce, OSHA covid-19 infection control proposed regulations, FEMA/SEMA support.
- Convened a virtual meeting with new members of the Missouri Congressional delegation to introduce Missouri Hospital Association lobbyists and briefly discuss hospital issues.
- Convened a virtual meeting with members of the Missouri Congressional delegation to discuss CMS inquiries regarding our pooling arrangement.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2022
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 17, 2023.
Original Filing: 301428876.xml
Lobbying Issues
- Corresponded with a member of the Missouri Congressional delegation regarding a possible visit to hospitals in their district.
- Corresponded with a member of the Missouri Congressional delegation regarding H.R. 8800 and their visit with hospitals in their district.
- Corresponded with a member of the Missouri Congressional delegation regarding CY2023 physician fee schedule and The Keckley Report.
- Corresponded with a member of the Missouri Congressional delegation regarding H.R. 8817, the National Nursing Workforce Center Act.
- Corresponded with a member of the Missouri Congressional delegation regarding final draft of Health Care Safety and Nurses Protection Act.
- Corresponded with the members of the Missouri Congressional delegation regarding the government funding deadline and the Improving Seniors Timely Access to Care Act.
- Corresponded with the members of the Missouri Congressional delegation regarding the Dear Colleague sign on letter opposing cuts to Medicare.
- Corresponded with a member of the Missouri Congressional delegation regarding the Omnibus text and the two-year extension of MLV, MDH, ground ambulance rates and telehealth.
- Corresponded with a member of the Missouri Congressional delegation regarding the upcoming vacancy of their position.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
3rd Quarter, 2022
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 17, 2022.
Original Filing: 301405742.xml
Lobbying Issues
- Corresponded with members of the Missouri Congressional delegation thanking them for meeting with MHA and colleagues regarding rural hospital struggles with increased costs and declining revenues.
- Convened in-person meetings with members of the Missouri Congressional delegation in Washington, DC regarding rural hospital issues.
- Corresponded with members of the Missouri Congressional delegation regarding draft legislation including language that would extend the Medicare Dependent Hospitals and the enhanced Medicare Low-Volume payment programs.
- Corresponded with members of the Missouri Congressional delegation regarding Critical Access Hospitals Medicare Advantage Cost Settlement Example.
- Corresponded with a member of the Missouri Congressional delegation regarding Cardiac Rehab Physician Supervision H.R. 1956.
- Corresponded with a member of the Missouri Congressional delegation regarding hospitals in their district that are eligible to become a rural emergency hospital.
- Corresponded with a member of the Missouri Congressional delegation regarding Missouri hospital and long-term care facility employees mask mandate.
- Corresponded with a member of Missouri Congressional delegation regarding Medicare Low Volume eligibility and payment.
- Corresponded with a member of the Missouri Congressional delegation regarding the Rural HELP Act.
- Distributed to a member of the Missouri Congressional Delegation a link to the MEDPAC report to Congress from March 2022 and a link to CAH eligibility overview.
- Corresponded with a member of the Missouri Congressional delegation regarding a Dear Colleague letter circulating in the House asking for CMS to reevaluate the Medicare market basket proposals to include the effects of inflation.
- Corresponded with a member of the Missouri Congressional delegation regarding Federal Allowance Reimbursement program and H.R. 8565.
- Distributed to a member of the Missouri Congressional delegation a list of Missouri hospital closures over the past 10 years.
- Corresponded with members of the Missouri Congressional delegation regarding the Dear Colleague letter urging CMS to further evaluate proposed market basket increases.
- Distributed to a member of the Missouri Congressional delegation a Medicare Advantage issue paper.
- Corresponded with a member of the Missouri Congressional delegation regarding MHAs weekly update regarding wage and cost increases and challenges faced by Missouri hospitals.
- Corresponded with a member of the Missouri Congressional delegation regarding CMS approval of Missouri Medicaid State Directed Payments and letter issued relating to the Federal Reimbursement Allowance Tax Program.
- Convened a virtual meeting with a member of the Missouri Congressional delegation regarding Missouri Medicaid program changes.
- Corresponded with a member of the Missouri congressional delegation regarding the introduction of a new health staffer and distributed the 2022 Missouri Congressional Update.
- Convened a virtual meeting with members of the Missouri Congressional delegation to provide an overview of FFY 2023 Medicare Payment and Policy updates.
- Corresponded with members of the Missouri Congressional delegation regarding 340B Dear Colleague letter to HHS about 340B Discount restrictions.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2022
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 12, 2022.
Original Filing: 301379237.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation regarding their transition to another position and their replacement.
- Corresponded with members of the Missouri congressional delegation regarding request for Support of the Safety from Violence for Healthcare Employees (SAVE) Act of 2022.
- Corresponded with a member of the Missouri congressional delegation regarding Medicare Low Wage Index Impact.
- Corresponded with a member of the Missouri congressional delegation regarding Medical CT contrast dye shortage due to shutdown of production facility in China.
- Corresponded with a member of the Missouri congressional delegation regarding the support of the Nursing and Hospital Safety Bill.
- Corresponded with a member of the Missouri congressional delegation regarding HRSA Provider Relief Fund (PRF) reporting extensions for periods 1 & 2 for providers in extenuating circumstances.
- Corresponded with a member of the Missouri congressional delegation regarding the No Surprises Act.
- Corresponded with members of the Missouri congressional delegation regarding article summarizing the concerns of many hospitals about cap nurse wages and agency price gouging to build high profit margins.
- Corresponded with a member of the Missouri congressional delegation regarding the CMS acronym link.
- Corresponded with a member of the Missouri congressional delegation regarding the review of the dear colleague letter containing initiatives to promote, support and ensure patients in rural communities have access to care.
- Corresponded with a member of the Missouri congressional delegation regarding a letter from a member hospital to thank Congress for enacting the CAA that contained some 340B eligibility flexibility and concern about losing eligibility for a short period of time beyond the flexibilities provided within the CAA.
- Convened a virtual meetings with the members of the congressional delegation for a pre-meeting discussion of topics to be formally presented on MHAs DC legislative visits.
- Convened in person meetings with Missouri congressional delegation with hospitals executives to discuss Missouri hospital issues.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
1st Quarter, 2022
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 12, 2022.
Original Filing: 301345154.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation regarding non-covid related concerns testing positive during admissions process in Missouri.
- Corresponded with a member of the Missouri congressional delegation regarding a draft of the Health Care Safety and Nurses Protection Act.
- Corresponded with a member of the Missouri congressional delegation regarding support of HR 3203.
- Corresponded with a members of the Missouri congressional delegation regarding support of the Federal agency investigation of anticompetitive behavior from nurse-staffing agencies.
- Corresponded with a member of the Missouri congressional delegation regarding support of letter to HHS and CMS about Alzheimers Disease treatment restrictions.
- Responded to a member of the Missouri congressional delegation regarding the potentially ending the PHE when it expires in April and the affect it will have on hospitals and concerns regarding telehealth.
- Corresponded with a members of the Missouri congressional delegation requesting support the extension of Medicare sequester moratorium until 12/31/22, quickly distribute unused provider relief funds (HR 5963), extend provider relief fund expenditure dates (HR 5963), and provide additional $25 billion in provider relief payments.
- Convened a virtual meeting with a member of the Missouri congressional delegation regarding COVID-19, the return of provider relief payments and funding language for nursing support bill.
- Provided to a member of the Missouri congressional delegation a listing of Missouri hospitals with provider type in their district.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2021
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 18, 2022.
Original Filing: 301325599.xml
Lobbying Issues
- Distributed to the Centers for Medicare and Medicaid Services a copy of the talking points from the September 9 virtual meeting regarding Medicare Advantage Sepsis Down coding and Prior Authorization.
- Corresponded with a member of the Missouri congressional delegation on questions regarding HHS distribution of CARES Act General Distribution Phase 4 funds.
- Corresponded with Senate members of the Missouri congressional delegation regarding the pending House Amendment to S. 610.
- Responded to a member of the Missouri congressional delegations questions regarding American Rescue Plan Act rural health funding and Medicare Accelerated and Advance Payments.
- Corresponded with a member of the Missouri congressional delegation regarding HHS and HRSAs distribution of American Rescue Plan Act payments to providers and suppliers who serve rural Medicaid, Childrens Health Insurance Program (CHIP) and Medicare beneficiaries.
- Corresponded with a member of the Missouri congressional delegation regarding the findings of the CMS survey on regulations mandating COVID-19 vaccination of employees and others in CMS-regulated settings.
- Distributed to the House members of the Missouri congressional delegation a memorandum of support for H.R. 5963, the Provider Relief Fund Improvement Act.
- Conversation via telephone with a member of Missouri congressional delegation regarding the expected effects of the vaccine mandate.
- Distributed to the members of the Missouri congressional delegation a document concerning ARPA pandemic financial relief for hospitals in Missouri.
- Distributed to the members of the Missouri congressional delegation a fact sheet prepared by the Missouri Hospital Association outlining the issues being faced by health care providers regarding the disruption caused using temporary staffing agencies and the inability of nursing schools to enroll all interested students.
- Corresponded with a member of the Missouri congressional delegation regarding HRSA Resiliency Grants and related testimony from a House Energy and Commerce Committee hearing on health workforce shortages.
- Convened a virtual meeting with a member of the Missouri congressional delegation regarding the potential legislation to relieve pandemic stresses on nurses.
- Responded to a member of the Missouri congressional delegation regarding Missouri Hospital Associations position on HR 3165, the Nurse Staffing Standards for Hospital Patient Safety & Quality Care Act.
- Corresponded with a member of the Missouri congressional delegation regarding an upcoming HRSA deadline to apply for funding from the Provider Relief Fund Phase 4 and ARPA rural distribution.
- Corresponded with a member of the Missouri congressional delegation regarding legislative language regarding Medicare reimbursement reductions on services furnished by Physical Therapy Assistants and Occupational Therapy Assistants.
- Corresponded with a member of the Missouri congressional delegation regarding issues from hospitals concerning workforce, provider relief funding expenditure deadlines and reporting concerns, 340B concerns and vaccination mandates. Also, discussed the impending Medicare cut from PAYGO and the expiration of the moratorium on the Medicare sequestration and support of H.R. 4735/S.2493.
- Corresponded with a member of the Missouri congressional delegation regarding Medicare Sequestration Relief and prevention of the PAYGO cut.
- Corresponded with members of the Missouri congressional delegation regarding Missouri Hospital Associations staff transitions at the end of 2021.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2021
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 14, 2021.
Original Filing: 301298975.xml
Lobbying Issues
- Distributed to the members of the Missouri congressional delegation a summary of hospital issues that may be discussed during the August recess.
- Corresponded with a member of the Missouri congressional delegation regarding a request for MHA review of a draft letter to Dept. of Health and Human Services officials. The draft letter asks for expedited action against certain pharmaceutical manufacturers which were referred to the HHS Office of Inspector General by the Health Resources and Services Administration for alleged violation of federal standards governing the 340B drug discount program.
- Corresponded with a member of the Missouri congressional delegation regarding a requested review by the Missouri Hospital Association of proposed legislation concerning Medicare payment and supervision standards for physical therapy assistants.
- Corresponded with a member of the Missouri congressional delegation regarding his co-sponsorship of the Senate version of the Provider Relief Fund Deadline Extension Act.
- Corresponded with a member of the Missouri congressional delegation to provide requested information regarding Dept. of Health and Human Services spending and reporting deadlines for federal Provider Relief Funds.
- Corresponded with a member of the Missouri congressional delegation regarding the availability of hospital beds and ventilator in each county in the of the 8th congressional district.
- Corresponded with a member of the Missouri congressional delegation regarding participation in the Missouri Hospital Associations September 22 advocacy briefing in Washington, DC.
- Distributed to the Missouri congressional delegation the Missouri Hospital Associations update on the COVID-19 pandemic that was distributed to the Missouri General Assembly for its annual veto session.
- Corresponded with a member of the Missouri congressional delegation to respond to a request for sources of funding and other resources to help hospitals respond to the COVID-19 pandemic and association hospital staffing challenges.
- Convened a conference call with a new staffer in the office of a member of the Missouri congressional delegation to discuss the Missouri Hospital Association.
- Corresponded with a member of the Missouri congressional delegation to respond to a request regarding likely state legislative and gubernatorial actions to implement Medicaid expansion.
- Corresponded with members of the Missouri congressional delegation regarding opportunities for them to meet with Missouri hospital executives and others during their September 21-22 trip to Washington, DC.
- Corresponded with a member of the Missouri congressional delegation regarding an agencys withdrawal of a proposal to change the population standard used to define a metropolitan area for purposes of various federal programs.
- Corresponded with a member of the Missouri congressional delegation regarding a transition of staffing responsibilities within the members office.
- Corresponded with members of the Missouri congressional delegation regarding a Human Trafficking Toolkit jointly produced by the Missouri Hospital Association and the Missouri Attorney Generals office.
- Convened a virtual briefing session for the Missouri congressional delegation regarding the resurgence of COVID-19 in Missouri.
- Corresponded with a member of the Missouri congressional delegation regarding documentation given out as a release by a Missouri hospital that was being used to discourage COVID-19 vaccination.
- Interacted with a member of the Missouri congressional delegation to discuss draft legislation on rural hospital infrastructure needs that is being developed by Senator Bennett of Colorado.
- Corresponded with members of the Missouri congressional delegation to promote H.R. 3173, H.R. 3203/S. 773.
- Corresponded with a member of the Missouri congressional delegation regarding a campaign twitter account tweet asserting federal officials were going door-to-door doing forced vaccinations for COVID-19 and the message being counterproductive to efforts to promote vaccination to offset the Delta variant surge in Missouri.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2021
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 19, 2021.
Original Filing: 301280003.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation to respond to questions regarding Missouris use of state provider taxes to fund its Medicaid program.
- Corresponded with a member of the Missouri congressional delegation regarding updated guidance on the reporting and repayment standards of the Provider Relief Fund.
- Corresponded with a member of the Missouri congressional delegation regarding the availability of data on the presence in Missouri of the Delta variant of the COVID-19 virus.
- Corresponded with a member of the Missouri congressional delegation regarding advocacy to the Biden Administration regarding regulatory implementation of the No Surprises Act governing billing and payment for out-of-network health care services.
- Corresponded with a member of the Missouri congressional delegation regarding an assessment of the legislative prognosis of the Comprehensive Debt Collection Improvement Act component of H.R. 2547
- Corresponded with a member of the Missouri congressional delegation regarding the cessation of MHAs regularly scheduled calls to update the delegation on the COVID-19 pandemic and Missouri hospitals role in responding to it.
- Corresponded with a member of the congressional delegation by summarizing a briefing for the delegation regarding the COVID-19 pandemic and provided additional information regarding the State and Local Fiscal Recovery Funds authorized by the American Rescue Plan Act enactment.
- Corresponded with the Missouri congressional delegation informing them of National Nurses Week and National Hospital Week and suggesting ways for them to recognize and thank nurses and hospitals.
- Distributed to the Missouri congressional delegation several Missouri Hospital Associations COVID-19 snapshot documents providing information on metrics on the virus spread and effects, data on the administration of COVID-19 vaccine and links to recent media articles.
- Corresponded with some members of Missouri congressional delegation urging support and sponsorship of S. 773, which revises eligibility criteria for participation in the 340B drug discount program in response to the COVID-19 pandemic.
- Distributed to the Missouri congressional delegation Missouri Hospital Associations infographic on COVID-19 and Adolescent Mental Health.
- Distributed to the members of the Missouri congressional delegation a Missouri Hospital Association media release regarding the results of a public opinion poll on attitudes regarding COVID-19 vaccination.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
1st Quarter, 2021
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 15, 2021.
Original Filing: 301253353.xml
Lobbying Issues
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding the analysis of Covid-19 vaccination and hospitalization trends.
- Corresponded with a member of the Missouri congressional delegation regarding the comparison of current pandemic metrics with those of previous months and issues surrounding the vaccine.
- Corresponded with a member of the Missouri congressional delegation regarding the introduction of a bill to fix the reimbursement issue for mid-build rural health clinics and the filing of H.R. 1838 and support provided by Missouri Hospital Association.
- Distributed Missouri Hospital Association News Bulletin to the members of the Missouri congressional delegation regarding ongoing challenges facing rural hospital as the COVID-19 pandemic lessens.
- Corresponded with members of the Missouri congressional delegation regarding Governor Parsons announcement for the expansion of COVID-19 vaccination to Phase 2 and 3 of the state vaccine plan.
- Forwarded to the members of the Missouri congressional delegation the new Congressional Research Service In Focus document on COVID-19 Variants: Vaccines Diagnostics and Therapeutics.
- Distributed to the members of the Missouri congressional delegation a Missouri Hospital Association memo promoting legislation to extend the duration of the Medicare sequestration waiver and correct an inadvertent error in the Consolidated Appropriations Act of 2020 concerning payment of provider-sponsored rural health clinics.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for March 16, 2021.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding COVID-19 Workforce Report.
- Corresponded with members of the Missouri congressional delegation regarding follow up to briefing call on COVID-19.
- Corresponded with a member of the Missouri congressional delegation regarding updated language for the Conscience Protection Act.
- Corresponded with a member of the Missouri congressional delegation regarding the virtual meeting with Congressional health staff.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for March 1, 2021.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding Missouri surpassing 1 million COVID-19 vaccinations.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding the incidence and effects of delayed treatment for substance use disorders during COVID-19.
- Corresponded with a member of the Missouri congressional delegation regarding Missouri Hospital Associations proposal on extension of federal funding of expanded Admission-Discharge-Transfer technology in the Medicaid program.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding Missouri hospitals providing in 2019 $1.7 billion in uncompensated care and $3.4 billion in total community benefit.
- Corresponded with a member of the Missouri congressional delegation regarding the distribution of COVID-19 vaccine in Missouri counties.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for February 16, 2021.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations campaign reminding Missourians of the importance of well-child visits.
- Forwarded to a member of the Missouri congressional delegation Missouri Hospital Association comments on accreditation standards governing health care workplace violence.
- Corresponded with a member of the Missouri congressional delegation regarding the effect of COVID-19 enhanced FMAP on Missouri Medicaid DSH payments.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding the incidence and effects of COVID-19 in delaying screenings and health care.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for February 2, 2021.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding polling results on Missourians support for Medicaid expansion.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for January 19, 2021.
- Corresponded with a member of the Missouri congressional delegation regarding Phase 1A allocations of vaccine.
- Distributed Missouri Hospital Association news bulletin to the members of the Missouri congressional delegation regarding Missouri businesses and hospitals partnering to help increase awareness of COVID-19 vaccination opportunities.
- Distributed to the members of the Missouri congressional delegation Missouri Hospital Associations COVID-19 Snapshot for January 5, 2021.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2020
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 18, 2021.
Original Filing: 301232947.xml
Lobbying Issues
-Corresponded with members of the Missouri congressional delegation regarding a new advisory opinion from HHS legal counsel on 340B discounts for contract pharmacies.
-Corresponded with a member of the Missouri congressional delegation regarding H.R. 133s extension of state governments deadline to spend their federal Coronavirus Relief Funds.
-Responded to a query from a member of the Missouri congressional delegation regarding an MHA-member hospitals concerns with the COVID-19 vaccine distribution process.
-Corresponded with members of the Missouri congressional delegation regarding the Centers for Medicare & Medicaid Services Medicare payment rates for administering COVID-19 vaccinations.
-Corresponded with members of the Missouri congressional delegation regarding a change in Missouri state governments policy for allocating the Moderna vaccine.
-Responded to a request by a member of the Missouri congressional delegation for data on federally designated critical access hospitals in Missouri.
-Responded to a member of the Missouri congressional delegation for an assessment of a letter to HHS Secretary Azar regarding repayment and reporting standards for the Provider Relief Fund.
-Corresponded with several members of the Missouri congressional delegation regarding the effect of the enhanced Federal Medicaid Assistance Percentage enacted in the Families First Coronavirus Relief Act on Missouri Medicaid Disproportionate Share Hospital payments.
-Distributed to the members of the Missouri congressional delegation the Missouri Hospital Associations COVID-19 Snapshot document for Dec. 15, 2020.
-Distributed to the members of the Missouri congressional delegation a document listing the Missouri Hospital Associations congressional advocacy requests for December 2020. These focused on potential components of H.R. 133.
-Corresponded with a member of the Missouri congressional delegation regarding sponsorship of legislation to extend the deadline for state governments to spend their Coronavirus Relief Funds.
-Corresponded with a member of the Missouri congressional delegation regarding a legislative amendment proposed by Kentucky hospitals regarding repayment standards for the Provider Relief Fund.
-Responded to a member of the Missouri congressional delegation regarding an updated version of a 2016 MHA document on Critical Access Hospitals.
-Responded to a member of the Missouri congressional delegation regarding legislation to extend the deadline for state governments to spend their Coronavirus Relief Funds.
-Responded to a member of the Missouri congressional delegation regarding the Missouri Dept. of Health and Senior Services tabletop exercise on distribution of the Pfizer vaccine.
-Corresponded with a member of the Missouri congressional delegation regarding legislation to extend the deadline for state governments to spend their Coronavirus Relief Funds.
-Forwarded to members of the Missouri congressional delegation information about a state COVID-19 prevention campaign implemented by a coalition of organizations.
-Responded to a member of the Missouri congressional delegation regarding a request to join a congressional conference call with constituent hospitals on COVID-19 issues.
-Corresponded and conversed with several members of the Missouri congressional delegation regarding legislation to extend the deadline for state governments to spend their Coronavirus Relief Funds.
-Responded to a query of a member of the Missouri congressional delegation regarding updated Provider Relief Funds reporting and repayment requirements.
-Distributed to the members of the Missouri congressional delegation the Missouri Hospital Associations Covid-19 Snapshot for November 18, 2020.
-Corresponded with the members of the Missouri congressional delegation regarding Provider Relief Fund repayment and reporting standards.
-Forwarded to the members of the Missouri congressional delegation the Missouri Hospital Associations COVID-19 Data Dashboard, with the addition of data on influenza and related illnesses.
-Responded to a query from a member of the Missouri congressional delegation regarding a federal court ruling in Missouri on the regulatory closure of a COVID-19 laboratory serving many long-term care facilities.
-Forwarded to the members of the Missouri congressional delegation MHAs letter to HHS Deputy Secretary Eric Hargan on Multiplex COVID-19 testing.
-Corresponded with members of the Missouri congressional delegation regarding a joint letter on CARES Act Provider Relief Fund Repayment.
-Corresponded with a member of the Missouri congressional delegation regarding a GAO survey on COVID-19 data collection processes and concerns.
-Expressed support to members of the Missouri congressional delegation for legislation to extend the waiver of Medicare sequestration for the duration of the federally-declared public health emergency.
-Corresponded regarding a letter from a member of the Missouri congressional delegation to HHS Secretary Azar on the distribution of COVID-19 funding to high-impact providers.
-Sent an MHA letter to Secretary Azar regarding Provider Relief Fund repayment standards and distributed it to the Missouri congressional delegation.
-Corresponded with a member of the Missouri congressional delegation regarding MHAs assessment of price transparency legislation.
-Corresponded with a member of the Missouri congressional delegation regarding Sen. Blackburns joint letter to Secretary Azar on CARES Act Provider Relief fund repayment standards.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS)
3rd Quarter, 2020
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 13, 2020.
Original Filing: 301209328.xml
Lobbying Issues
- Corresponded with members of the Missouri congressional delegation regarding letters to Secretary of Health and Human Services Azar on the topic of Provider Relief Fund repayment standards.
- Convened a series of biweekly conference calls to discuss issues related to COVID-19 and Missouri. Health and district staff of the Missouri congressional delegation were invited to participate.
- Provided members of the Missouri congressional delegation with a summary of advocacy issues that may be brought up by Missouri hospitals during the October district work period.
- Briefed a staffer of a member of the Missouri congressional delegation regarding COVID-19 and Missouri hospitals.
- Sent a letter to CMS Administrator Seema Verma regarding COVID-19 data reporting requirements for hospitals as established by a CMS interim final rule.
- Corresponded with a member of the Missouri congressional delegation regarding co sponsorship of H.R. 7759.
- Arranged for virtual meetings or conference calls between 8 of the 10 members of the Missouri congressional delegation and Missouri hospital executives to discuss advocacy issues, including: the 340B drug discount program, additional COVID-19 (CARES Act) federal financial assistance to health care providers, terms of repayment for Medicare Accelerated Payments provided under the Corona virus, Aid, Relief and Economic Security Act, delay of pending reductions of federal funding allotments for states to support Medicaid Disproportionate Share Hospital payments, continuation of expanded telemedicine use in the Medicare program, and COVID-19 liability protection.
- Corresponded with members of the Missouri congressional delegation regarding joint legislative letters to Secretary of Health and Human Services Azar regarding efforts by pharmaceutical manufacturers to unilaterally restrict the scope of the 340B drug discount program.
- Forwarded to the Missouri congressional delegation a letter from the Missouri Hospital Association and the Missouri Primary Care Association to Secretary of Health and Human Services Azar regarding efforts by pharmaceutical manufacturers to unilaterally restrict the scope of the 340B drug discount program.
- Forwarded to members of the Missouri congressional delegation links to a Missouri Hospital Association interactive data dashboard regarding COVID-19 in Missouri.
- Participated in a conference call briefing by the Office of Intergovernmental and External Affairs of the Dept. of Health and Human Services regarding efforts to expand access to affordable health care for all Americans.
- Corresponded with a member of the Missouri congressional delegation regarding compliance with COVID-19 data reporting requirements by hospitals in the legislators district.
- Sent a letter to the members of the Missouri congressional delegation asking them to contact Secretary of Health and Human Services Azar to delay implementation of an interim final rule establishing and immediately implementing new requirements for reporting COVID-19 data to federal officials.
- Corresponded with members of the Missouri congressional delegation regarding noncompliance with new COVID-19 data reporting requirements established by an interim final rule of HHS.
- Distributed to the members of the Missouri congressional delegation information regarding a public relations campaign by MHA and education officials and organizations to promote the wearing of masks by school children to reduce the spread of COVID-19.
- Responded to a query from the member of the Missouri congressional delegation regarding the number of hospitals that are not critical access hospitals and have more than 10 psychiatric hospital beds.
- Responded to a request for information from a member of the Missouri congressional delegation regarding COVID-19 advocacy issues that may be raised in conversations with Missouri hospital executives.
- Queried the members of the Missouri congressional delegation regarding their preferences as to technology to use in organizing virtual meetings between legislators/staff and Missouri hospital executives.
- Responded to a member of the Missouri congressional delegation regarding legislative district-specific data on the distribution of federal CARES Act funding to Missouri hospitals.
- Corresponded with selected members of the Missouri congressional delegation regarding CMS policies on adjusting Medicare cost reports to offset COVID-19 federal financial assistance payments.
- Wrote a letter to Secretary of Health and Human Services Azar regarding recommendations for incorporating federal COVID-19 financial assistance in Medicare cost reports.
- Invited several members of the Missouri congressional delegation to participate in separate or joint conference calls with Missouri hospital executives to discuss letters from Congress to the Dept. of Health and Human Services regarding the role of federal COVID-19 assistance payment in Medicare cost reports.
- Provided a summary of COVID-19 data and activities to the members of the Missouri congressional delegation for use during the August district work period.
- Forwarded to the members of the Missouri congressional delegation a letter from three U.S. Senators to CMS Administrator Seema Verma regarding CMS standards for accounting for Paycheck Protection Program funds in Medicare cost reports.
- Corresponded with a member of the Missouri congressional delegation regarding H.R. 7759.
- Arranged and implemented a conference call in response to a request from a member of the Missouri congressional delegation for a briefing on COVID-19 advocacy issues affecting Missouri hospitals.
- Corresponded with the members of the Missouri congressional delegation regarding the Missouri Hospital Associations recommendations regarding COVID-19 funding needs.
- Responded to a query by a member of the Missouri congressional delegation for contact information for executives at a Missouri childrens hospital.
- Responded to correspondence from a member of the Missouri congressional delegation regarding pending action by the Senate Finance Committee regarding repayment standards for Medicare Accelerated Payments, authority to extend current regulatory waivers and additional COVID-19 federal financial assistance.
- Corresponded with a member of the Missouri congressional delegation regarding a potential letter of support for H.R. 7759.
- Responded to a query from a member of the Missouri congressional delegation regarding COVID-19 data reporting requirements.
- Organized and implemented a conference call with selected members of the Missouri congressional delegation to discuss changes in COVID-19 data reporting requirements.
- Provided follow-up written information regarding an abrupt change in COVID-19 data reporting requirements.
- Provided information to the members of the Missouri congressional delegation regarding a promotional campaign by the Missouri Hospital Association and other Missouri provider associations to encourage the wearing of masks to curtail the spread of COVID-19.
- Organized a virtual conference between representatives of Missouris childrens hospitals and selected members of the Missouri congressional delegation.
- Distributed to the members of the Missouri congressional delegation the Missouri Hospital Associations comments regarding CMS proposed regulatory changes to the Medicare Inpatient Prospective Payment System for federal fiscal year 2021.
- Responded to a query from a member of the Missouri congressional delegation regarding the status of rapid testing technology in Missouri.
- Corresponded with a member of the Missouri congressional delegation regarding potential endorsement of a joint legislative letter to Secretary of Health and Human Services Azar regarding the distribution of COVID-19 federal financial relief to childrens hospitals.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
2nd Quarter, 2020
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 14, 2020.
Original Filing: 301187528.xml
Lobbying Issues
- Responded to request from a member of the Missouri congressional delegation for information regarding the financial status and prognosis of hospitals in the members district.
- Distributed a report by the Hospital Industry Data Institute regarding trends in COVID-19 infections in Missouri classified by the ages of the infected persons.
- Corresponded with members of the Missouri congressional delegation asking them to relay to Secretary of Health and Human Services Alex Azar the urgency of extending the current declaration of a public health emergency and its accompanying regulatory relief authorities.
- Responded to a request from a member of the Missouri congressional delegation to review pending legislation regarding eligibility of rural hospitals for the Paycheck Protection Program
- Organized and implemented a series of periodic telephone conferences for staff of the Missouri congressional delegation to provide updates on and respond to questions about the effect of the COVID-19 emergency on Missouri hospitals.
- Distributed to the members of the Missouri congressional delegation an infographic regarding the financial implications of the COVID-19 emergency on the finances of Missouri hospitals.
- Distributed to the members of the Missouri congressional delegation a set of regional dashboards with metrics showing the extent and expected trends of COVID-19 infection in Missouri and the implications for disease control and response.
- Corresponded with a member of the Missouri congressional delegation regarding assertions by a hospital accreditation agency that the federal COVID-19 emergency declaration is expected to lapse by the end of July 2020.
- Corresponded and spoke with members of the staff of the Missouri congressional delegation regarding the Department of Health and Human Services standards for accepting the terms and conditions of federal funds distributed from the Public Health and Social Services Emergency Funds to address the COVID-19 emergency.
- Corresponded with members of the Missouri congressional delegation to promote legislative action to provide forgiveness of all repayment obligations associated with the CARES Acts expanded authority of the Medicare Accelerated Payments program.
- Corresponded with a member of the Missouri congressional delegation regarding the denial of the state of Missouris request for eight 50-bed Federal Medical Stations, which are administered as part of the Division of Strategic National Stockpile in the Centers for Disease Control and Prevention of the Department of Health and Human Services.
- Corresponded with members of the Missouri congressional delegation regarding a letter to Secretary of Health and Human Services Alex Azar to reiterate the ongoing need for COVID-19 testing to manage the public health emergency and the imperative that private insurance coverage of that testing be maintained.
- Corresponded with a member of the Missouri congressional delegation regarding a federal shipment to Missouri of 50,000 swabs for use in COVID-19 testing, of which 21,000 of the swabs were missing.
- Responded to a request from a member of the Missouri congressional delegation for information about the effect of the COVID-19 emergency on rural hospital finances and operations.
- Corresponded with the members of the Missouri congressional delegation to distribute a Missouri Hospital Association report on the effect of COVID-19 on hospital finances and governmental financial relief programs to benefit hospitals in response to COVID-19.
- Corresponded with a member of the Missouri congressional delegation regarding the distribution of federal financial assistance to hospitals from the Public Health and Social Services Emergency Fund.
- Distributed to the members of the Missouri congressional delegation a report asserting a disproportionate effect of COVID-19 on African-Americans in the St. Louis region.
- Corresponded with several members of the Missouri congressional delegation regarding interest in organizing telephone conferences between the legislators and staff and hospital executives within their legislative districts.
- Corresponded with a member of the Missouri congressional delegation regarding interest in coordinating signatures of the Missouri congressional delegation on a joint letter to Secretary Azar and CMS Administrator Verma regarding the distribution and potential recoupment of funds from the Public Health and Social Services Emergency Fund.
- Corresponded with selected staff of the Missouri congressional delegation regarding state-specific data on the distribution of funds from the Public Health and Social Services Emergency Fund.
- Corresponded with members of the Missouri congressional delegation regarding the distribution and potential recoupment of funds from the Public Health and Social Services Emergency Fund.
- Corresponded with a member of the Missouri congressional delegation regarding a response to the members letter asking for information from the Federal Emergency Management Agency.
- Corresponded with the members of the Missouri congressional delegation regarding the effect of the Families First Coronavirus Response Act on governmental hospitals in Missouri.
- Responded to a request from a member of the Missouri congressional delegation regarding the distribution of federal funds to Missouri hospitals from the Public Health and Social Services Emergency Fund.
- Responded to a request from a member of the Missouri congressional delegation regarding the type and number of governmental hospitals in Missouri.
- Responded to a request from a member of the Missouri congressional delegation as to whether employees of county hospitals in Missouri are considered to be employees of their respective counties.
- Corresponded with the members of the Missouri congressional delegation to provide an update on and discuss ongoing concerns with the federal response to the COVID-19 emergency.
- Corresponded with the members of the Missouri congressional delegation regarding inclusion of governmental hospitals in the Paycheck Protection Program.
- Reviewed and endorsed a letter drafted by a member of the Missouri hospital association regarding federal financial relief for rural hospitals affected by the COVID-19 emergency.
- Corresponded with members of the Missouri congressional delegation expressing thanks for their development and support of changes within the Coronavirus Aid, Relief, and Economic Security Act concerning expanded authority to implement the Medicare Accelerated and Advance Payment program.
- Corresponded with a member of the Missouri congressional delegation regarding a letter from the member to FEMA regarding its response to the COVID-19 emergency.
- Corresponded with a member of the Missouri congressional delegation regarding guidance from the Small Business Administration regarding governmental hospital eligibility for the Paycheck Protection Program.
- Corresponded with the members of the Missouri congressional delegation regarding hospital eligibility for the Paycheck Protection Program.
- Corresponded with a member of the Missouri congressional delegation regarding data on the distribution of federal financial assistance to hospitals in response to the COVID-19 emergency.
- Participated in a briefing call in advance of a telephone conference between a member of the Missouri congressional delegation and executives of hospitals within the legislative district.
- Corresponded with a member of the Missouri congressional delegation regarding distribution of new information regarding federal funding to hospitals in response to the COVID-19 emergency.
- Corresponded with a member of the Missouri congressional delegation regarding a letter from the member regarding support for financial assistance to rural hospitals in response to the COVID-19 emergency.
- Conducted telephone conferences with selected members of the Missouri congressional delegation regarding COVID-19 and its effect on Missouri hospitals.
- Corresponded and spoke with staff of the U.S. Department of Agriculture regarding eligibility for payment deferrals of USDA loans to hospitals under the Community Facilities Direct Loan program.
- Corresponded with a member of the Missouri congressional delegation regarding hospital participation in a telephone conference with the member and staff to discuss the federal response to the COVID-19 emergency.
- Forwarded to the members of the Missouri congressional delegation an email from the President and CEO of the Missouri Hospital Association regarding Missouri hospitals role in responding to the COVID-19 emergency.
- Corresponded with a member of the Missouri congressional delegation regarding the effects of the COVID-19 emergency on the need for and delivery of mental health services and a comparison of influenza cases between the last report of the 2019 influenza season and the most recent report of the 2020 influenza season.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Agriculture - Dept of (USDA)
1st Quarter, 2020
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 20, 2020.
Original Filing: 301174510.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation to respond to a request for review of materials relating to the diversion of health care intellectual property to foreign governments.
- Corresponded with the members of the Missouri congressional delegation to distribute a letter from the MHA Board of Trustees to Governor Parson regarding the Centers for Medicare & Medicaid Services proposed Medicaid Fiscal Accountability Rule.
- Organized a conference call with a member of the Missouri congressional delegation and MHA, the Missouri Health Care Association and the Missouri Pharmacy Association regarding the Centers for Medicare & Medicaid Services proposed Medicaid Fiscal Accountability Rule.
- Distributed to the members of the Missouri congressional delegation an infographic and report from a coalition of organizations regarding behavioral health services in rural Missouri.
- Corresponded with a member of the Missouri congressional delegation regarding a request for information regarding Missouri hospitals employment of nurses requiring immigration visas.
- Corresponded with the members of the Missouri congressional delegation regarding Centers for Medicare & Medicaid Services proposed Medicaid Fiscal Accountability Rule and its implications for state provider taxes paid by hospitals, pharmacies, long-term care facilities, and emergency medical services providers.
- Corresponded with the members of the Missouri congressional delegation regarding opposition to Centers for Medicare & Medicaid Services proposed Medicaid Fiscal Accountability Rule by the U.S. Chamber of Commerce, the National Governors Association and the National Association of Medicaid Directors.
- Corresponded with a member of the Missouri congressional delegation regarding a change in staffing assignments within the congressional office.
- Corresponded and conversed with a member of the Missouri congressional delegation regarding the Missouri Partnership Agreement between Missouri state government and the Department of Health and Human Services regarding Medicaid provider taxes and regarding a comment letter on behalf of two Missouri state agencies regarding the Medicaid Fiscal Accountability Rule.
- Corresponded with members of the Missouri congressional delegation regarding legislative proposals to regulate surprise billing by providers who are not part of an insurers provider network.
- Corresponded with members of the Missouri congressional delegation regarding a letter to a Missouri state insurance regulatory regarding insurer copayment and cost-sharing obligations for COVID-19 testing.
- Corresponded with the members of the Missouri Hospital Association to express opposition to section 101 of the Families First Coronavirus Response Act that would establish temporary and permanent standards for worker protection that would be explicitly tied to severe acute respiratory syndrome (SARS).
- Corresponded with members of the Missouri congressional delegation regarding pending requests of the Centers for Medicare & Medicaid Services regarding the management of COVID-19, as well as recommended Missouri state waivers of standards for hospital and health practitioner licensure and child care facilities to help address COVID-19.
- Corresponded with a member of the Missouri congressional delegation regarding priorities of Missouri hospitals for future COVID-19 legislation.
- Conversed with a member of the Missouri congressional delegation regarding priorities of Missouri hospitals for future COVID-19 legislation.
- Convened a series of weekly conference calls with the members of the Missouri congressional delegation regarding the COVID-19 pandemic and the federal governments response to it.
- Corresponded with several members of the Missouri congressional delegation regarding issues regarding Missouri hospitals role in managing the COVID-19 pandemic.
- Corresponded with two of the Missouri congressional delegation regarding periodic interim payments in the Medicare program
Agencies Lobbied
U.S. Senate U.S. House of Representatives Agriculture - Dept of (USDA)
4th Quarter, 2019
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 14, 2020.
Original Filing: 301105460.xml
Lobbying Issues
- Corresponded with staff of a member of the Missouri congressional delegation regarding incidents of workplace violence occurring in Missouri hospitals, the Missouri Hospital Associations collection of data on such incidents and a 2019 joint report by CMS and OSHA regarding workplace violence.
- Forwarded to a member of the Missouri congressional delegation a publication by the Missouri Hospital Association on this topic. MHA noted that it opposes H.R. 1309 and S. 851, which were summarized in the publication.
- Conveyed to several members of the Missouri congressional delegation briefing materials regarding rural hospitals in Missouri.
- Provided information to respond to a request from a member of the Missouri congressional delegation regarding drug shortage in rural Missouri hospitals.
- Corresponded with a member of the Missouri congressional delegation to arrange for conversations between the Missouri Hospital Association and staff of the Dept. of Health and Human Services regarding workplace violence in Missouri hospitals.
- Corresponded with a member of the Missouri congressional delegation regarding further incidents of workplace violence in Missouri hospitals and the reaction of CMS hospital compliance surveyors to those incidents.
- Conveyed an infographic on workplace violence in Missouri hospitals to a member of the Missouri congressional delegation.
- Corresponded with a member of the Missouri congressional delegation regarding discussions between the Missouri Hospital Association and staff of the Dept. of Health and Human Services.
- Responded to a request from a member of the Missouri congressional delegation for comments regarding H.R. 3654.
- Corresponded with staff of the Dept. of Health and Human Services to coordinate the logistics of a telephone call regarding workplace violence in Missouri hospitals.
- Engaged in a telephone conversation with a staff member of the Dept. of Health and Human Services to discuss workplace violence in Missouri hospitals and regulatory standards for such incidents.
- Corresponded with the members of the Missouri congressional delegation to promote legislation to block or delay implementation of a reduction in states allotments of federal funding to support Medicaid Disproportionate Share Hospital payments.
- Conveyed to the members of the Missouri congressional delegation a new report by the Missouri Hospital Association on the topic of maternal mortality, as well as policy recommendations made in conjunction with a Missouri state Reimagine Rural Health initiative.
- Responded to a request from a member of the Missouri congressional delegation to comment on the Missouri Hospital Associations position on surprise billing legislation developed by U.S. Sen. Lamar Alexander and other members of the Senate Health, Education, Labor and Pensions committee.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS)
3rd Quarter, 2019
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 18, 2019.
Original Filing: 301069756.xml
Lobbying Issues
- Provided the members of the Missouri congressional delegation with advocacy materials regarding current federal laws reductions in states allotments of federal funding to support Medicaid Disproportionate Share hospital payments, including a reference to H.R. 2328.
- Provided the members of the Missouri congressional delegation with advocacy materials regarding potential congressional action on legislation on the topic of surprise billing by physicians or other practitioners who do not participate in a provider network covered by the patients insurer. Supported provisions allowing billing disputes to be resolved by negotiation and/or binding arbitration rather than a governmentally-dictated payment amount.
- Expressed support to the members of the Missouri congressional delegation for H.R. 728 and S. 1399, which would reauthorize the Title VIII Nursing Workforce program.
- Provided the members of the Missouri congressional delegation with advocacy materials expressing support for reauthorization and expansion of the Medicaid demonstration project to deliver mental health services through Certified Community Behavioral Health Clinics.
- Provided the members of the Missouri congressional delegation with advocacy materials regarding obstacles to the use and coverage of services delivered through telemedicine in Missouri.
- Provided the members of the Missouri congressional delegation with updates on federal regulatory issues, including the Medicare wage index component of Medicare hospital payment formulas, changes in Medicare Disproportionate Share Hospital payments to Missouri hospitals, and changes affecting a national budget neutrality adjustment concerning a rural floor for hospital payments made by the Medicare program.
- Provided the members of the Missouri congressional delegation with advocacy materials related to the Missouri Governors state fiscal year recommendations and final budget authorizations for various proposals related to rural health care delivery and financing.
- Provided the members of the Missouri congressional delegation with informational materials regarding the number, type and finances of hospitals that are members of the Missouri Hospital Association.
- Provided the members of the Missouri congressional delegation with informational materials regarding 2017 contributions of Missouri hospitals to the economy of Missouri.
- Provided the members of the Missouri congressional delegation with information about Missouri hospitals that are owned by local governments and which have property or sales tax levies to support their operations.
- Provided a member of the Missouri congressional delegation requested information regarding examples of workplace violence occurring in Missouri hospitals and interactions with regional federal regulators on this topic.
- Responded to a request from a member of the Missouri congressional delegation for an assessment of a 2019 version of H.R. 3224 of the 115th Congress (the Critical Access and Rural Equity Act).
- Provided a member of the Missouri congressional delegation with a draft letter to federal regulators at CMS and OSHA regarding workplace violence occurring in health care settings.
- Corresponded with a member of the Missouri congressional delegation regarding staff changes and contact information within the members office.
- Conversed with a staffer of a member of the Missouri congressional delegation regarding a joint report on workplace violence occurring in health care settings that was prepared by the Centers for Medicare & Medicaid Services of the Dept. of Health and Human Services and the Occupational Safety and Health Administration of the Dept. of Labor.
- Provided a member of the Missouri congressional delegation with written commentary regarding a joint report on workplace violence occurring in health care settings that was prepared by the Centers for Medicare & Medicaid Services of the Dept. of Health and Human Services and the Occupational Safety and Health Administration of the Dept. of Labor.
- Contacted selected members of the Missouri congressional delegation to coordinate logistics of meetings between executives of Missouri hospitals and the legislators and their staffs in Washington, DC.
- Provided a member of the Missouri congressional delegation with a requested review of the Protecting People form Surprise Medical Bills Act.
- Corresponded with a member of the Missouri congressional delegation regarding the No Surprises Act pending in the House of Representatives Energy and Commerce Committee.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2019
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 17, 2019.
Original Filing: 301047057.xml
Lobbying Issues
- Responded to a request from the staff of a member of the Missouri congressional delegation to review the proposed Protecting Life and Taxpayers Act of 2019 and the Patient Rights Act.
- Sent the members of the Missouri congressional delegation a document describing the Missouri Hospital Associations principles and past actions regarding transparency of hospital price and quality data.
- Corresponded with members of the Missouri congressional delegation regarding a Dear Colleague letter to the Centers for Medicare & Medicaid Services regarding proposed regulatory changes affecting the Medicare hospital wage index for federal fiscal year 2020.
- Invited selected members of the Missouri congressional delegation to attend a briefing in Washington DC done by a coalition of state and regional hospital associations regarding the Medicare wage index used in calculating Medicare hospital payments.
- Responded to a query from the staff of a member of the Missouri congressional delegation regarding the care provided by Missouri hospitals to a relative of the congressional staffer.
- Corresponded with a member of the Missouri congressional delegation regarding H.R. 3022, which would repeal the pending reductions in state allotments of federal funding for Medicaid Disproportionate Share Hospital payments.
- Responded to a query from a member of the Missouri congressional delegation regarding the legislators potential endorsement of a Missouri hospitals proposal for expedited review of an application for Medicare Sole Community Provider status.
- Corresponded with six members of the Missouri congressional delegation to thank them for endorsing a Dear Colleague letter to support a delay in the statutory reduction of state allotments of federal funding for Medicaid Disproportionate Share Hospital payments.
- Corresponded with two members of the Missouri congressional delegation regarding the adoption by the Missouri House of Representatives of a resolution supporting those legislators work to oppose regulatory changes in policy governing the allocation of donated livers for transplantation.
- Conversed with a staffer of a member of the Missouri congressional delegation regarding the delivery of a joint report by the Departments of Health and Human Services and Labor on the topic of regulatory standards governing workplace violence in health care settings.
- Corresponded with a member of the Missouri congressional delegation regarding a joint letter from the Missouri and Kansas state hospital associations regarding comments by the Department of Health and Human Services regarding workplace violence in health care settings.
- Provided data and explanation to the staff of a member of the Missouri congressional delegation regarding proposed regulatory changes to the Medicare wage index used to calculate Medicare hospital payments.
- Corresponded with a member of the Missouri congressional delegation regarding the legislators work to oppose regulatory changes to policies governing the allocation of donated livers for transplantation.
- Corresponded with a member of the Missouri congressional delegation regarding media comments by the Department of Health and Human Services regarding workplace violence in health care settings.
- Corresponded with a member of the Missouri congressional delegation regarding proposed questions of Secretary Azar regarding a joint report to congressional committees to be prepared by the Departments of Health and Human Services and Labor regarding regulatory standards governing workplace violence in health care settings.
- Corresponded with a member of the Missouri congressional delegation regarding a letter to the editor in the Modern Healthcare publication regarding the legislators work on regulatory standards governing workplace violence in health care settings.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
1st Quarter, 2019
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 22, 2019.
Original Filing: 301033927.xml
Lobbying Issues
- Corresponded with the office of a member of the Missouri congressional delegation regarding potential content for the legislators remarks to a national hospital conference.
- Corresponded with the office of a member of the Missouri congressional delegation regarding a letter to the editor regarding workplace violence in health care settings that references the legislators engagement on that issue.
- Sent the members of the Missouri congressional delegation new research from the Missouri Hospital Association regarding the economic cost of opioid abuse and its treatment in Missouri.
- Corresponded with a Missouri hospital executive regarding potential advocacy topics for discussion with a member of the Missouri congressional delegation.
- Corresponded with and implement a meeting in Washington DC between staff of a member of the Missouri congressional delegation to discuss hospital-related advocacy topics.
- Corresponded with a member of the Missouri congressional delegation regarding a statement of CMS policy regarding new regulatory standards for issuing immediate jeopardy citations to hospitals participating in the Medicare program.
- Corresponded with the members of the Missouri congressional delegation regarding an interactive mapping tool developed by the Hospital Industry Data Institute to evaluate the effects of a proposed regulation from the Dept. of Veterans Affairs.
- Extended an invitation to the members of the Missouri congressional delegation to participate in meetings with Missouri hospital executives, medical staff and governing board members in Washington, DC.
- Corresponded with members of the Missouri congressional delegation regarding MHA research on the effect of Medicare payment updates on Missouri hospitals in 2019.
- Corresponded with a member of the Missouri congressional delegation regarding policy papers on rural health issues and CMS actions in response to immediate jeopardy citations of Missouri hospitals.
- Conversed with staff of a member of the Missouri congressional delegation regarding the legislators engagement with HHS and CMS officials regarding immediate jeopardy citations of Missouri hospitals by CMS regulators.
- Responded to a request from a member of the Missouri congressional delegation regarding the amount of federal funding Missouri hospitals receive in comparison to what hospitals in other states and the nation as a whole receive.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2018
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 16, 2019.
Original Filing: 301005134.xml
Lobbying Issues
- Responded to a request from a member of the Missouri congressional delegation for information about hospitals in the legislators district.
- Provided information to a member of the Missouri congressional delegation regarding the comparative incidence among the states of immediate jeopardy citations against hospitals by the Centers for Medicare & Medicaid Services.
- Provided information to a member of the Missouri congressional delegation regarding the Department of Health and Human Services process for issuing immediate jeopardy citations against hospitals through the Centers for Medicare & Medicaid Services.
- Corresponded and discussed with a member of the Missouri congressional delegation regarding completion of a joint report on workplace safety in hospitals to be completed by the Centers for Medicare & Medicaid Services of the Dept. of Health and Human Services and the Occupational Safety and Health Administration of the Dept. of Labor. The report is mandated by 2018 enactment of appropriations legislation for the Departments of Labor and Health and Human Services.
- Provided follow-up information to a member of the Missouri congressional delegation regarding a visit with officials of the Centers for Medicare & Medicaid Services regarding immediate jeopardy citations against hospitals based on alleged violations of Medicare Conditions of Participation.
- Met with an official of the Centers for Medicare & Medicaid Services in the Dept. of Health and Human Services regarding immediate jeopardy citations against hospitals based on alleged violations of Medicare Conditions of Participation.
- Met in person with a member of the Missouri congressional delegation regarding immediate jeopardy citations against hospitals based on alleged violations of Medicare Conditions of Participation, as well as completion of a report on workplace safety in hospitals by the Centers for Medicare & Medicaid Services and the Occupational Health and Safety Administration of the Dept. of Labor.
- Provided information to a member of the Missouri congressional delegation regarding the incidence in Region 7 of the Department of Health and Human Services of immediate jeopardy citations of hospitals based on alleged violations of the Medicare Conditions of Participation.
- Corresponded with members of the Missouri congressional delegation regarding endorsement of a Dear Colleague letter urging the Centers for Medicare & Medicaid Services to reconsider payment cuts for evaluation and management services and expansion of certain site-neutral payment policies grandfathered off-campus hospital provider-based departments.
- Corresponded with a member of the Missouri congressional delegation regarding the purchaser of a hospital in the legislators district.
- Responded to an inquiry from a member of the Missouri congressional delegation regarding the purchase and intended use of a hospital in the legislators district.
- Corresponded with a member of the Missouri congressional delegation regarding the legislative offices interest in an initiative by the Society to Improve Diagnosis in Medicine.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS)
3rd Quarter, 2018
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 15, 2018.
Original Filing: 300985592.xml
Lobbying Issues
- Corresponded with selected members of the Missouri congressional delegation regarding the health insurer Anthems discontinuation of participation in the sale of policies of individual health insurance coverage in the federally-subsidized exchange/Marketplace program in 2019 in 14 Missouri counties.
- Corresponded with selected members of the Missouri congressional delegation regarding endorsement of a Dear Colleague letter regarding site-neutral payments for Medicare services delivered in certain outpatient hospital settings.
- Corresponded with members of the Missouri congressional delegation regarding participation by health staffers in a joint discussion/briefing session on health policy issues with members of the Missouri Hospital Association.
- Corresponded with members of the Missouri congressional delegation to invite them to attend a dinner with representatives of members of the Missouri Hospital Association
- Received a draft of federal legislation from a member of the Missouri congressional delegation regarding regulation of surprise billing.
- Corresponded with a member of the Missouri congressional delegation regarding the status of language in the Conference Report 115-952 for the minibus H.R. 6157 regarding regulatory standards for workplace safety in hospitals.
- Corresponded with a member of the Missouri congressional delegation regarding the possibility of scheduling a meeting of the legislator and several members of the Missouri Hospital Association to discuss CMS regulatory standards and processes for hospitals.
- Corresponded with the members of the Missouri congressional delegation to transmit a Missouri Hospital Association Trajectories publication regarding opioid use disorder and the use of a medication first treatment model.
- Corresponded with the members of the Missouri congressional delegation to transmit a Missouri Hospital Association assessment of the shortage of primary care providers in Missouri.
- Responded to a query from staff of a Senate committee regarding trends in the use of emergency departments in Missouri hospitals.
- Respond to a query from a member of the Missouri congressional delegation regarding data on insurer participation and enrollment in health insurance plans offered through the federally-subsidized marketplace in 2018.
- Corresponded with a new health staffer in the office of a member of the Missouri congressional delegation regarding the Missouri Hospital Association.
- Corresponded with a member of the Missouri congressional staff to respond to a request regarding S. 2690 and the calculation of Medicare Disproportionate Share Hospital payments.
- Corresponded with a member of the Missouri congressional delegation regarding participation in an event and press conference regarding the prevention and treatment of opioid abuse.
- Corresponded with the members of the Missouri congressional delegation to express opposition to legislative efforts to limit the scope of the 340B drug discount program.
- Corresponded with a member of the Missouri congressional delegation to convey the Missouri Hospital Associations appreciation for work done to include legislative language on workplace safety standards in hospitals in a version of the Labor/HHS appropriations bill.
- Participated in a public event involving a member of the Missouri congressional delegation at a clinic owned by a Missouri hospital.
- Communicated with staff of the Centers for Medicare & Medicaid Services and the Department of Labor regarding hospital regulatory standards and practices.
- Communicated with staff in the Dept. of Health and Human Services regarding implementation of emergency preparedness and response programs.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Labor - Dept of (DOL)
2nd Quarter, 2018
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 19, 2018.
Original Filing: 300969648.xml
Lobbying Issues
- Corresponded with a member of the Missouri congressional delegation to promote the inclusion of language in the Senate Appropriations legislation for the Departments of Labor and the Health and Human Services regarding an interagency initiative on workplace violence in hospitals.
- Responded to an inquiry from a member of the Missouri congressional delegation regarding a Dear Colleague letter to the Secretary of Health and Human Services and the CMS Administrator regarding changes to the wage index component of the Medicare hospital payment system.
- Asked the members of the Missouri congressional delegation in the House of Representatives to consider endorsing a Dear Colleague letter to the Secretary of Health and Human Services and the CMS Administrator regarding changes to the wage index component of the Medicare hospital payment system.
- Engaged with the staff of a member of the Missouri congressional delegation to discuss problems experienced by Missouri hospitals with the Centers for Medicare & Medicaid Services system of establishing and enforcing hospital regulatory standards.
- Asked the members of the Missouri congressional delegation in the House of Representatives to support H.R. 6082 and H.R. 5797, relating to the prevention and treatment of opioid abuse.
- Forwarded a Missouri Hospital Association report on neonatal abstinence syndrome to the offices of two U.S. Senators and two members of the House of Representatives who were the sponsors of legislation to reauthorize and revise the PREEMIE Act.
- Corresponded with a member of the Missouri congressional delegation regarding medical treatment for opioid dependence and federally-funded opioid initiatives being implemented in Missouri.
- Responded to an inquiry from a member of the Missouri congressional delegation regarding problems experienced by Missouri hospitals in the congressional district caused by the billing and claims payment system of the U.S. Veterans Administration.
- Corresponded with a member of the Missouri congressional delegation regarding cosponsorship of H.R. 4392.
- Corresponded with a member of the Missouri congressional delegation regarding the Missouri Hospital Associations stance on H.R. 5223.
- Corresponded with a member of the Missouri congressional delegation regarding price transparency and profitability among Missouri hospitals.
- Corresponded with a member of the Missouri congressional delegation regarding publication of a statement of the legislators health policy priorities.
- Corresponded with a member of the Missouri congressional delegation regarding a letter to Secretary of Health and Human Services Azar and Secretary of Labor Acosta on the topic of coverage of hospital emergency department services by the health insurer Anthem.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Labor - Dept of (DOL)
1st Quarter, 2018
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 16, 2018.
Original Filing: 300944862.xml
Lobbying Issues
- Forwarded to a member of the Missouri congressional delegation responses to a series of questions posted about transparency of price and quality data in health care
- Invited the members of the Missouri congressional delegation to submit commentaries on health policy topics of their choice, to be published in the Missouri Hospital Associations electronic newsletter
- Relayed comments to a member of the Missouri congressional delegation about audience reaction to his remarks at a Missouri event sponsored by the Missouri Hospital Association
- Responded to a query from a member of the Missouri congressional delegation regarding accreditation changes imposed by the Higher Learning Commission for hospital-based nursing programs and their effect on Medicare pass-through payments for nursing education
- Provided comments to a member of the Missouri congressional delegation regarding seven bills regarding opioid policy that were being reviewed by a House committee. They included H.R. 2851, H.R. 5041, H.R. 4275, and four draft proposals.
- Forwarded to the members of the Missouri congressional delegation a copy of a memorandum to the Missouri General Assembly regarding policies of the health insurer Anthem to limit coverage of hospital emergency department services. Signatories to the memorandum were the Missouri Hospital Association, the Missouri State Medical Association, the Missouri Association of Osteopathic Physicians and Surgeons, the Missouri College of Emergency Physicians and the American Heart Association/American Stroke Association
- Responded to a query for lists of hospitals in Missouri that are critical access hospitals, Medicare Dependent hospitals, Low-Volume hospitals, or receive Medicaid DSH or Medicare DSH payments, as well as a list of federally qualified health centers and their satellite clinics in Missouri.
- Conversed with staff of a member of the Missouri congressional delegation regarding policies of the health insurer Anthem to restrict coverage of hospital emergency department services
- Forwarded to a member of the Missouri congressional delegation a copy of an op-ed on the opioid crisis that was authored by the President/CEO of the Missouri Hospital Association and published in The Hill.
- Forwarded to the members of the Missouri congressional delegation an infographic published by the Missouri Hospital Association regarding payments cuts for drugs acquired by hospitals under the federal 340B drug discount program
- Responded to a query from a member of the Missouri congressional delegation regarding the members hospital-specific reductions in Medicaid DSH payments that took effect on October 1, 2017
- Forwarded to a member of the Missouri congressional delegation a Modern Healthcare article in which the member was quoted regarding opioid policy
- Responded to a query from a member of the Missouri congressional delegation
- Responded to a query from a member of the Missouri congressional delegation regarding payments to hospitals in the members district based on Low-Volume and Medicare Dependent status.
- Conversed with a staffer of a member of the Missouri congressional delegation regarding H.R. 365, concerning payments to hospitals
- Responded to two separate queries from members of the Missouri congressional delegation regarding federal and state legislation and law regarding direct primary care arrangements and H.R. 365
- Responded to a query from a member of the Missouri congressional delegation regarding the methodology of Medicare payments designated to low-volume hospitals
- Forwarded to the members of the Missouri congressional delegation a copy of a statement from the Missouri Hospital Association regarding opioid abuse treatment and prevention initiatives expected to be mentioned in the State of the Union address
- Corresponded with the office of a member of the Missouri congressional delegation regarding staffing changes in the office
- Corresponded with a member of the Missouri congressional delegation regarding the release of information solicited by the member regarding restrictions on coverage of hospital emergency department services by the health insurer Anthem
- Corresponded with two members of the Missouri congressional delegation regarding restrictions on coverage of hospital emergency department services by the health insurer Anthem
- Forwarded to the members of the Missouri congressional delegation a letter from national physician specialty organizations regarding restrictions on coverage of hospital emergency department services by the health insurer Anthem
- Forwarded to the members of the Missouri congressional delegation a report and news release by the Missouri Hospital Association regarding the economic cost of opioid abuse in Missouri.
- Sent a letter to a member of the Missouri congressional delegation regarding the appointment of Alex Azar to be the Secretary of Health and Human Services
- Forwarded to the members of the Missouri congressional delegation a Missouri Hospital Association report comparing deaths from opioid abuse and motor vehicle accidents, both in Missouri and nationally.
- Corresponded with a member of the Missouri congressional delegation regarding the ongoing effect of section 31411 of the Patient Protection and Affordable Care Act of 2010 on Medicare payments to hospitals across the nation.
- Corresponded with members of the Missouri congressional delegation regarding pending legislative issues affecting Missouri hospitals, including reauthorization of the Childrens Health Insurance Program and various Medicare extender payments to hospitals, addressing the 340B drug discount program, and delaying reductions to states Medicaid DSH allotments.
- Corresponded with a member of the Missouri congressional delegation regarding the members letter of inquiry to the health insurer Anthem regarding its policies to restrict coverage of hospital emergency department services
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2017
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q42017 on April 11, 2018
Original Filing: 300943782.xml
Lobbying Issues
- Discussed S. 2156 with a member of the Missouri congressional delegation.
- Corresponded with the members of the Missouri congressional delegation regarding components of H.R. 1 regarding the ability of hospitals to use private activity bonds and advance refunding bonds, the deductibility of medical expenses, an excise tax on compensation of employees of 501(c)(3) tax-exempt organizations, and repeal of the individual mandate for those above certain income thresholds to have health insurance coverage.
- Corresponded with the members of the Missouri congressional delegation regarding the health insurer Anthems implementation of coverage restrictions for hospital emergency and imaging services.
- Corresponded with several members of the Missouri congressional delegation regarding proposed questions to ask Alex Azar in considering his nomination to be Secretary of Health and Human Services.
- Responded to queries from a member of the Missouri congressional delegation regarding proposed revisions to S. 2156.
- Corresponded with the members of the Missouri congressional delegation regarding the potential for legislation to reverse a final regulation of the Center for Medicare & Medicaid Services implementing a three-year transition to the use of Worksheet S-10 for distributing Medicare Disproportionate Share Hospital payments.
- Responded to a query from a member of the Missouri congressional delegation regarding a constituent query regarding mental health and housing for veterans.
- Responded to a query from a member of the Missouri congressional delegation regarding the implications of the lapsing of Medicare Low-Volume Hospital payments as of October 1, 2017.
- Responded to a query from a member of the Missouri congressional delegation to discuss the cost implications to Missouri hospitals of section 3141 of the Patient Protection and Affordable Care Act of 2010.
- Responded to a query from a member of the Missouri congressional delegation regarding a list of Missouri hospitals designated as rural referral centers.
- Prepared materials for use by those who are not federal lobbyists in discussing issues regarding hospital survey and certification regulatory activities of the Centers for Medicare & Medicaid Services.
- Corresponded with the chairman of the U.S. House of Representatives Energy and Commerce Committee to express support for H.R. 3922.
- Responded to a query from a member of the Missouri congressional delegation regarding coverage restrictions on hospital emergency and imaging services by the health insurer Anthem.
- Corresponded with and discussed with a member of the Missouri congressional delegation a draft of legislation by the Senate Finance Committee regarding Medicare Low-Volume Hospital payments to hospitals.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
4th Quarter, 2017
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 15, 2018.
Original Filing: 300923664.xml
Lobbying Issues
- Discussed S. 2156 with a member of the Missouri congressional delegation.
- Corresponded with the members of the Missouri congressional delegation regarding components of H.R. 1 regarding the ability of hospitals to use private activity bonds and advance refunding bonds, the deductibility of medical expenses, an excise tax on compensation of employees of 501(c)(3) tax-exempt organizations, and repeal of the individual mandate for those above certain income thresholds to have health insurance coverage.
- Corresponded with the members of the Missouri congressional delegation regarding the health insurer Anthems implementation of coverage restrictions for hospital emergency and imaging services.
- Corresponded with several members of the Missouri congressional delegation regarding proposed questions to ask Alex Azar in considering his nomination to be Secretary of Health and Human Services.
- Responded to queries from a member of the Missouri congressional delegation regarding proposed revisions to S. 2156.
- Corresponded with the members of the Missouri congressional delegation regarding the potential for legislation to reverse a final regulation of the Center for Medicare & Medicaid Services implementing a three-year transition to the use of Worksheet S-10 for distributing Medicare Disproportionate Share Hospital payments.
- Responded to a query from a member of the Missouri congressional delegation regarding a constituent query regarding mental health and housing for veterans.
- Responded to a query from a member of the Missouri congressional delegation regarding the implications of the lapsing of Medicare Low-Volume Hospital payments as of October 1, 2017.
- Responded to a query from a member of the Missouri congressional delegation to discuss the cost implications to Missouri hospitals of section 3141 of the Patient Protection and Affordable Care Act of 2010.
- Responded to a query from a member of the Missouri congressional delegation regarding a list of Missouri hospitals designated as rural referral centers.
- Prepared materials for use by those who are not federal lobbyists in discussing issues regarding hospital survey and certification regulatory activities of the Centers for Medicare & Medicaid Services.
- Corresponded with the chairman of the U.S. House of Representatives Energy and Commerce Committee to express support for H.R. 3922.
- Responded to a query from a member of the Missouri congressional delegation regarding coverage restrictions on hospital emergency and imaging services by the health insurer Anthem.
- Corresponded with and discussed with a member of the Missouri congressional delegation a draft of legislation by the Senate Finance Committee regarding Medicare Low-Volume Hospital payments to hospitals.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2017
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 10, 2017.
Original Filing: 300902389.xml
Lobbying Issues
- Corresponded with selected members of the Missouri congressional delegation to encourage endorsement of a "Dear Colleague" letter to delay federal statutory reductions in states' Medicaid Disproportionate Share Hospital allocations.
- Corresponded with the members of the Missouri congressional delegation to forward a copy of a letter from the Missouri Hospital Association and the Kansas Hospital Association to Department of Health and Human Services officials regarding workplace violence in hospitals and other health care settings.
- Sent the members of the Missouri congressional delegation the Missouri Hospital Associations assessment of the fiscal implications to Missouri of the pending Graham-Cassidy health reform legislation.
- Corresponded with a member of the Missouri congressional delegation regarding activities to promote a delay in the federal statutory reductions in states Medicaid Disproportionate Share Hospital allocations.
- Corresponded with selected members of the Missouri congressional delegation to encourage endorsement of a joint House letter to CMS Administrator Verma to rescind a proposed rule to reduce Medicare Part B payment for drugs acquired through the 340B drug pricing program.
- Responded to a query from a member of the Missouri congressional delegation regarding the Missouri Hospital Associations assessment of the implications of the Graham-Cassidy health reform legislation.
- Corresponded with a member of the Missouri congressional delegation regarding the use of responses to Hospital Consumer Assessment of Health Plans Survey questions about pain management to modify payments to hospitals under the Medicare Value-Based Purchasing initiative.
- During in-person visits to Washington DC, distributed and discussed information with selected members of the Missouri congressional delegation regarding: 1) preserving hospitals continued capacity to participate in the 340B drug discount program; 2) reauthorizations of the Childrens Health Insurance Program, Medicare payment programs for Medicare Dependent and Low-Volume Hospitals; 3) delay in the federal statutory reductions in states Medicaid Disproportionate Share Hospital allocations; 4) advocacy principles of the Missouri Hospital Association regarding block grants and other capped funding models for Medicaid; 5) repeal and replacement of the Patient Protection and Affordable Care Act of 2010; and 6) an update on regulatory advocacy initiatives regarding the use of Worksheet S-10 in determining Medicare Disproportionate Share Hospital payments and to discontinue mandatory participation in Medicare bundled payment models
- Distributed to the members of the Missouri congressional delegation a new Missouri Hospital Association document regarding the Childrens Health Insurance Program in Missouri.
- Distributed to the members of the Missouri congressional delegation a joint report by the Missouri Hospital Association, the Kansas Hospital Association and the Full Employment Council, Inc. of Kansas City. It assesses the relationship between opioid use and abuse and unemployment in Missouri and Kansas counties.
- Distributed to the members of the Missouri congressional delegation a copy of the Missouri Hospital Associations comment letter to CMS regarding its proposed rule to implement the states Medicaid Disproportionate Share Hospital allotment reductions slated to take effect October 1, 2017.
- Responding to a query from a member of the Missouri congressional delegation, MHA sent a media article on a new payment policy by Anthem, Inc. regarding payment for medical imaging services.
- Corresponded with a member of the Missouri congressional delegation regarding a proposed appeal by a Missouri physician of his exclusion from the Medicare and Medicaid programs due to a criminal conviction.
- Responding to a request from a member of the Missouri congressional delegation, MHA provided a list of hospitals in Missouri that participate in the 340B drug discount program.
- Corresponded with the members of the Missouri congressional delegation regarding a final rule by the Centers for Medicare & Medicaid Services regarding the use of Worksheet S-10 in determining Medicare Disproportionate Share Hospital payments and a potential legislative effort to reverse that agency rule.
- Distributed to the members of the Missouri congressional delegation a copy of the Centers for Medicare & Medicaid Services proposed rule specifying how Medicaid Disproportionate Share Hospital allotments will be reduced beginning October 1, 2017.
- Corresponded with a member of the Missouri congressional delegation regarding in response to a query about changes to the ownership of a Missouri hospital.
- Corresponded with a member of the Missouri congressional delegation regarding to express support for language included in the House Appropriations Committee report for the Labor-HHS Appropriations bill regarding the CMS Star Rating system for hospitals.
- Distributed to selected members of the Missouri congressional delegation a letter from the Missouri Hospital Association to Missouri Governor Eric Greitens regarding the pending version of the Better Care Reconciliation Act.
- Distributed to the members of the Missouri congressional delegation information from the Missouri Hospital Association regarding the implications of the U.S. Senates Better Care Reconciliation Act.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2017
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 13, 2017.
Original Filing: 300884212.xml
Lobbying Issues
-Responded to a request from a member of the Missouri congressional delegation regarding states use of provider taxes to fund the state share of their Medicaid programs. The request related to the Better Care Reconciliation Act.
-Corresponded with members of the Missouri congressional delegation regarding Missouris use of provider taxes to fund the state share of its Medicaid spending and the implications for Missouri of the Better Care Reconciliation Acts proposed restrictions on states capacity to use provider taxes.
-Corresponded with the Senate members of the Missouri congressional delegation regarding the Missouri Hospital Associations assessment of and stance on the pending Better Care Reconciliation Act legislation.
-Distributed to the Missouri congressional delegation a policy brief prepared by the Missouri Hospital Association regarding the potential implications of the American Health Care Act as passed by the House of Representatives on coverage of Missourians with preexisting conditions.
-Corresponded with members of the Missouri congressional delegation regarding the potential implications of the American Health Care Act as passed by the House of Representatives.
-Distributed to the Missouri congressional delegation a new publication of the Missouri Hospital Association on the incidence, prevention and treatment of opioid use disorder to support congressional consideration of expected legislation on this topic.
-Invited a member of the Missouri congressional delegation to discuss Missouri hospital priorities for Senate revisions to the American Health Care Act.
-Distributed to the Missouri congressional delegation an infographic prepared by the Missouri Hospital Association regarding the legislations inequitable distribution of federal Medicaid funds to states that expanded eligibility for Medicaid under the Patient Protection and Affordable Care Act of 2010 and states that did not. The infographic reflects the version of the American Health Care Act passed by the House of Representatives.
-Provided information to support discussions with selected members of the Missouri congressional delegation regarding financial challenges confronting a Missouri hospital.
-Distributed to the Missouri congressional delegation a policy brief prepared by the Missouri Hospital Association regarding the legislations inequitable distribution of federal Medicaid funds to states that expanded eligibility for Medicaid under the Patient Protection and Affordable Care Act of 2010 and states that did not.
-Responded to a request from a new staffer for a member from the Missouri congressional delegation for a list of Missouri hospitals in the congressional district.
-Corresponded with a staffer for a member of the Missouri congressional delegation who was leaving congressional employment.
-Sent a letter to a member of the Missouri congressional delegation regarding potential changes to the federal H1-B skilled worker visa program.
-Responded to a solicitation of comments and recommendations regarding the American Health Care Act by U.S. Senator Orrin Hatch in his role as chair of the Senate Finance committee. The Missouri Hospital Associations response was distributed to the Senate members of the Missouri congressional delegation.
-Joined other Missouri provider organizations in sending a letter to a member of the Missouri congressional delegation regarding the need for a coalition of states that did not expand eligibility for Medicaid under the Patient Protection and Affordable Care Act of 2018, and the legislators who represent them, to promote equity in the funding provided to states under the American Health Care Act
-Responded to a query from the member of the Missouri congressional delegation regarding county data on enrollment in the Center for Medicare & Medicaid Services health insurance marketplace program created by the Patient Protection and Affordable Care Act of 2010.
-In response to a request, provided a member of the Missouri congressional delegation information comparing Missouris urban and rural hospitals on various metrics.
-Provided information to a member of the Missouri congressional delegation regarding the efforts of the Missouri Hospital Association and other state hospital associations to respond to new requirements of the Center for Medicare & Medicaid Services and its Medicare fiscal intermediaries for the accreditation of sleep disorder treatment services.
-Discussed materials for upcoming congressional advocacy visits by the Missouri Hospital Association with staff of members of the Missouri congressional delegation.
-Coordinated the logistics of congressional advocacy visits and a consolidated staff briefing on May 9, 2017 in Washington, DC.
-During Washington, DC advocacy visits and a consolidated staff briefing, provided the Missouri congressional delegation with information regarding Medicare uncompensated care payments and the proposed use of Worksheet S-10 in distributing Medicare Disproportionate Share Hospital payments, Medicare sleep disorder treatment accreditation standards, repeal of section 3141 of the Patient Protection and Affordable Care Act of 2010, the need for interstate equity in distributing funds under the pending American Health Care Act, Missouri enrollment in and premiums of the Center for Medicare & Medicaid Services marketplace coverage program created by the Patient Protection and Affordable Care Act of 2010, behavioral health issues in Missouri, Missouri rural hospital characteristics and trends, and trends regarding Missouris health practitioner workforce.
-Distributed comments to the members of the Missouri congressional delegation regarding the American Health Care Act and the proposed MacArthur amendment to that legislation.
-Provided information to and discussed several pending advocacy issues with selected members of the Missouri congressional delegation. The issues included adoption of Worksheet S-10 in the formula for distributing Medicare Disproportionate Share Hospital payments, regulatory standards for accreditation of sleep disorder treatment services in the Medicare program, repeal of section 3141 of the Patient Protection and Affordable Care Act of 2010 and litigation filed by the Missouri Hospital Association challenging the Center for Medicare & Medicaid Services implementation of audits of Medicaid Disproportionate Share Hospital payments.
-Responded to a query from a member of the Missouri congressional delegation regarding the implications for Missouri hospitals of reauthorizing the Medicare Dependent Hospital and low-volume hospital payment adjustments that are slated to lapse under current federal statute.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
1st Quarter, 2017
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 19, 2017.
Original Filing: 300869523.xml
Lobbying Issues
- Corresponded with members of the Missouri congressional delegation regarding a Missouri Hospital Association initiative to promote regulatory reform. Topics included the formula used to calculate Medicare DSH payments, accreditation of sleep laboratories under the Medicare program, Medicaid DSH audit litigation, and changes to the Medicare wage index formula.
- Corresponded with members of the Missouri congressional delegation regarding the American Health Care Act, with focus on components of the legislation that provide direct benefits to states that expanded Medicaid eligibility under the Affordable Care Act in comparison to direct benefits to states that did not expand Medicaid eligibility.
- Corresponded with members of the Missouri congressional delegation regarding the American Health Care Act, with focus on the state and district-specific effects on coverage of repealing the health care "marketplace" authorized by the Affordable Care Act.
- Conversed with an intern in the office of a member of the Missouri congressional delegation regarding health policy.
- Corresponded with the Missouri congressional delegation regarding the state and district-specific implications of repealing the payment components of Title III of the Affordable Care Act.
- Conversed with staff of selected members of the Missouri congressional delegation regarding a regulatory reform initiative of the Missouri Hospital Association.
- Corresponded with members of the Missouri congressional delegation regarding a joint letter with the Missouri Chamber of Commerce and Industry regarding legislation to repeal/replace components of the Affordable Care Act.
- Corresponded with members of the Missouri congressional delegation regarding research done by an MHA subsidiary regarding the effects of opioid addiction.
- Responded to a request for comment from a member of the Missouri congressional delegation regarding the Save Rural Hospitals Act (H.R. 3225).
- Corresponded with a member of the Missouri congressional delegation regarding logistics of visits with representatives of Missouri hospitals.
- Corresponded with a staffer for a Missouri congressman who is leaving federal employment.
- Corresponded with a member of the Missouri congressional delegation regarding repeal and replacement of the Affordable Care Act and its implications for hospitals.
- Responded to a request from a congressional office to send a list of rural hospitals.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2016
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 16, 2017.
Original Filing: 300846618.xml
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.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
3rd Quarter, 2016
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 18, 2016.
Original Filing: 300830528.xml
Lobbying Issues
- provided information regarding the geographic distribution of behavioral healthcare providers in Missouri
- discussed performance improvement initiatives of Missouris small rural hospitals
- promoted legislation to curb unnecessary data reporting to the CMS Hospital Compare website
- promoted the passage of legislation concerning behavioral healthcare (H. R. 2646, S. 1945)
- promoted Missouris participation in phase 2 of the Excellence In Mental Health Act
- discussed the implications of fewer marketplace insurers serving the Missouri market in 2017
- promoted changes to the Medicare area wage index formula provided by S. 1135 and H. R. 1479
- expressed concerns regarding the role of CMS controlling the health care market through mandated participation in delivery model reform initiatives
- expressed support for protecting the 340B drug discount program
- promoted accountability for health information technology vendors as provided by sections of S. 2511
- provided information regarding Missouri hospital utilization and finances, in aggregate and by congressional district
- provided information to a member of the Missouri congressional delegation regarding Medicare coverage of telemedicine services
- at the request of a member of the Missouri congressional delegation , provided information regarding contact information for selected Missouri chief executive officers`
- provided information to members of the Missouri delegation regarding CMS denial of an extension of the institutions for mental disease demonstration project
- provided information to members of the congressional delegation regarding the need to adjust data used in CMSs star rating system to account for differences in patients sociodemographic status
- provided information to a member of the Missouri congressional delegation regarding critical access hospitals in Missouri
- provided information to members of the Missouri congressional delegation regarding CMSs basis for its recent actions to terminate a Missouri hospital from the Medicare program for failing to be primarily engaged in providing inpatient services
- contacted a member the Missouri congressional delegation regarding a letter to CMS expressing concern about the Medicare wage index data submission appeal of Nantucket Cottage Hospital of Nantucket, Massachusetts
- provided information to a member of the Missouri congressional delegation regarding advocacy on social media on the topic of abuse of opioids
- contacted selected members of the Missouri delegation asking them to make contacts with legislative leaders and selected committee leaders regarding the Medicare wage index data submission appeal of Nantucket Cottage Hospital of Nantucket, Massachusetts
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health Resources & Services Administration (HRSA)
2nd Quarter, 2016
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q22016 on Oct. 18, 2016
Original Filing: 300830463.xml
Lobbying Issues
- Corresponded with members of the Missouri congressional delegation about a pending appeal to the Centers for Medicare & Medicaid Services by Nantucket Cottage Hospital of Nantucket, Massachusetts regarding the submission of Medicare wage index data
- Corresponded with regional CMS officials regarding a regulatory change (CR #9658) regarding billing of nontherapy hospital outpatient procedures that are adjunct to Medicare outpatient services
- Contacted members of the Missouri congressional delegation to express support for and request cosponsorship of H.R. 3199/S. 2748, the Palliative Care and Hospice Education and Training Act
- Responded to Missouri congressional office requests for contact information with Missouri-based hospital organizations
- Responded to a Missouri congressional office request for the Missouri Hospital Associations review and comment regarding a draft of the Helping Hospitals Improve Patient Care Act of 2016
- Corresponded with members of the Missouri congressional delegation regarding a potential Dear Colleague letter regarding a proposed demonstration project of the Centers for Medicare & Medicaid Services to require prior authorization of home health services in the Medicare program
- Corresponded with members of the Missouri congressional delegation regarding the Centers for Medicare & Medicaid Services Star Rating system for assessing and publicizing the quality of care in hospitals
- Corresponded with a member of the Missouri congressional delegation regarding the potential for legislative activity to repeal current restrictions on physician self-referral to hospitals in which the physicians have an ownership or other financial interest
- Responded to a request from a member of the Missouri congressional delegation for assistance in compiling information about innovative cancer treatment and/or research in Missouri hospitals
- Corresponded with members of the Missouri congressional delegation regarding a proposal by the Centers for Medicare & Medicaid Services to create a demonstration project to revise how Medicare will pay hospitals, physicians and others for drugs paid through the Medicare Part B program.
- Corresponded with members of the Missouri congressional delegation regarding a Missouri Hospital Association advocacy briefing session for staff of the Missouri congressional delegation. The briefing session included a review of the Missouri congressional delegations engagement in hospital advocacy issues, emerging trends in health care delivery and financing, data regarding insurance coverage and hospital financial indicators in Missouri, ongoing advocacy concerns regarding Medicare wage index policy, equity in the distribution of reductions in Medicare Disproportionate Share Hospital payments, congressional changes in states use of provider taxes to finance their Medicaid programs, and the use of subregulatory guidance by the Centers for Medicare & Medicaid Services,
- Corresponded with the Missouri congressional delegation regarding a letter from congressional signatories to the Centers for Medicare & Medicaid Services to delay the April 21 release of a Medicare Star Rating system regarding quality of care in hospitals
- Corresponded with members of the Missouri congressional delegation regarding changes in the Centers for Medicare & Medicaid Services procedures for providers to bill Medicare for services delivered in federally-designated rural health clinics
- Participated on a telephone conference with officials of the Centers for Medicare & Medicaid Services regarding changes in the Centers for Medicare & Medicaid Services procedures for providers to bill Medicare for services delivered in federally-designated rural health clinics
- Corresponded with members of the Missouri congressional delegation regarding the Missouri Hospital Associations engagement with a collaborative effort to improve the detection and treatment of diabetes
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
2nd Quarter, 2016
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 18, 2016.
Original Filing: 300811562.xml
Lobbying Issues
- Corresponded with members of the Missouri congressional delegation about a pending appeal to the Centers for Medicare & Medicaid Services by Nantucket Cottage Hospital of Nantucket, Massachusetts regarding the submission of Medicare wage index data
- Corresponded with regional CMS officials regarding a regulatory change (CR #9658) regarding billing of nontherapy hospital outpatient procedures that are adjunct to Medicare outpatient services
- Contacted members of the Missouri congressional delegation to express support for and request cosponsorship of H.R. 3199/S. 2748, the Palliative Care and Hospice Education and Training Act
- Responded to Missouri congressional office requests for contact information with Missouri-based hospital organizations
- Responded to a Missouri congressional office request for the Missouri Hospital Associations review and comment regarding a draft of the Helping Hospitals Improve Patient Care Act of 2016
- Corresponded with members of the Missouri congressional delegation regarding a potential Dear Colleague letter regarding a proposed demonstration project of the Centers for Medicare & Medicaid Services to require prior authorization of home health services in the Medicare program
- Corresponded with members of the Missouri congressional delegation regarding the Centers for Medicare & Medicaid Services Star Rating system for assessing and publicizing the quality of care in hospitals
- Corresponded with a member of the Missouri congressional delegation regarding the potential for legislative activity to repeal current restrictions on physician self-referral to hospitals in which the physicians have an ownership or other financial interest
- Responded to a request from a member of the Missouri congressional delegation for assistance in compiling information about innovative cancer treatment and/or research in Missouri hospitals
- Corresponded with members of the Missouri congressional delegation regarding a proposal by the Centers for Medicare & Medicaid Services to create a demonstration project to revise how Medicare will pay hospitals, physicians and others for drugs paid through the Medicare Part B program.
- Corresponded with members of the Missouri congressional delegation regarding a Missouri Hospital Association advocacy briefing session for staff of the Missouri congressional delegation. The briefing session included a review of the Missouri congressional delegations engagement in hospital advocacy issues, emerging trends in health care delivery and financing, data regarding insurance coverage and hospital financial indicators in Missouri, ongoing advocacy concerns regarding Medicare wage index policy, equity in the distribution of reductions in Medicare Disproportionate Share Hospital payments, congressional changes in states use of provider taxes to finance their Medicaid programs, and the use of subregulatory guidance by the Centers for Medicare & Medicaid Services,
- Corresponded with the Missouri congressional delegation regarding a letter from congressional signatories to the Centers for Medicare & Medicaid Services to delay the April 21 release of a Medicare Star Rating system regarding quality of care in hospitals
- Corresponded with members of the Missouri congressional delegation regarding changes in the Centers for Medicare & Medicaid Services procedures for providers to bill Medicare for services delivered in federally-designated rural health clinics
- Participated on a telephone conference with officials of the Centers for Medicare & Medicaid Services regarding changes in the Centers for Medicare & Medicaid Services procedures for providers to bill Medicare for services delivered in federally-designated rural health clinics
- Corresponded with members of the Missouri congressional delegation regarding the Missouri Hospital Associations engagement with a collaborative effort to improve the detection and treatment of diabetes
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
1st Quarter, 2016
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 14, 2016.
Original Filing: 300791384.xml
Lobbying Issues
- Contacted the members of the Missouri congressional delegation to express opposition to a section of the Common Sense Savings Act of 2016 (H.R. 4725) that would reduce the federal cap on states; use of provider taxes to fund their Medicaid programs.
- Encouraged selected Missouri hospitals to contact their congressman to express opposition to Section 4 of H.R. 4725 as considered by the House Energy and Commerce Committee.
- Corresponded with the staff of a member of the Missouri congressional delegation regarding advocacy contacts from Missouri hospitals regarding H.R. 4725.
- Responded to a query from a member of the Missouri congressional delegation regarding a potential nominee for appointment to the Medicare Payment Advisory Committee.
- Responded to a query from a member of the Missouri congressional delegation regarding the number of Missouri hospitals participating in the Federal Housing Administrations mortgage insurance program for hospitals.
- Responded to a query from a member hospital for advocacy documents used in briefing members of Missouris congressional delegation in October 2015. The documents were for potential use in the hospitals discussions with its congressional representative.
- Provided the members of the Missouri congressional delegation with a copy of the Missouri Hospital Associations comments regarding site-neutral Medicare payments to off-campus hospital outpatient departments. Such comments were solicited by the chairs of the House of Representatives Ways & Means Committee and its Subcommittee on Health.
- Furnished the members of the Missouri congressional delegation with the Missouri Hospital Associations 2016 annual report of community benefit activities by Missouri hospitals.
- Discussed legislation with a member of the Missouri congressional delegation to promote changes in federal statutes regarding eligibility of federally-designated Medicare sole community hospitals to receive payments for services delivered through telemedicine. The discussion referenced H.R. 2066, the Telehealth Enhancement Act of 2015.
- Correspondence regarding a staffing change in the office of a member of the Missouri congressional delegation.
- Corresponded with members of the Missouri congressional delegation regarding logistics for an advocacy briefing session in May 2016.
- Invited staff of the Missouri congressional delegation to participate in a Missouri Hospital Association telephone conference regarding an MHA hospital price and quality transparency initiative and its use of socio-demographic adjustments to the quality data.
- Met with selected members of the Missouri congressional delegation to discuss advocacy topics, including: general prospects for legislative action on health care topics in 2016, recommendations for MHA engagement in advocacy briefing sessions, and H.R. 3288 regarding the use of worksheet S-10 in calculating Medicare Disproportionate Share Hospital payments.
- Worked with committee staff and the staff of a member of the Missouri congressional delegation to coordinate logistics and witnesses for a field hearing of the U.S. Senate Special Committee on Aging on the topic of opioid use and abuse by the elderly.
- Met with Region 7 and WPS to discuss the problems recent rural health clinic billing will bring to clinics.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
4th Quarter, 2015
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 19, 2016.
Original Filing: 300775165.xml
Lobbying Issues
- Sent documents and data describing and presenting the impetus for a Missouri initiative on standards for the prescribing of opioids to health staff of the Missouri congressional delegation
- Received a query from a Missouri congressional office regarding hospitals reactions to the quality of care components of a discussion draft of legislation (the Hospital Improvements for Payment Act of 2014.)
- Coordinated a response to a query from staffers for the Permanent Subcommittee on Investigations of the U.S. Senate Homeland Security and Governmental Affairs Committee. The query concerned price increases for two pharmaceutical products, Isuprel and Nitropress.
- Discussed the potential sponsorship by a member of the Missouri congressional delegation of legislation regarding Medicare Recovery Audit Contractors.
- Researched S. 2107, the Building a Health Care Workforce for the Future Act, which is co-sponsored by a member of the Missouri congressional delegation.
- Responded to a query from the staff of a member of the Missouri congressional delegation for a list of issues to be discussed during upcoming congressional visits.
- Met with selected members of the Missouri congressional delegation. Briefing papers addressed the following topics: 1) a profile of Missouris hospitals; 2) legislation to reform the Medicare Recovery Audit Contractor program (H.R. 2156); 3) Medicare DSH payment reform (H.R. 3288); 4) changes to the Medicare wage index system (H.R. 1479, S. 1135); 5) legislative proposals affecting rural hospitals (H.R. 3225, H.R. 2948, H.R. 2066, H.R. 169, S. 258, H.R. 1611, S. 257, section 3021 of H.R. 6); 6) protection of the 340B drug discount program administered by the Health Resources and Services Administration of the Department of Health and Human Services; 7) legislation affecting behavioral health (S. 599, H.R. 2646, S. 1945, S. 1893, S. 2166); 8) regulatory standards of the Centers for Medicare & Medicaid Services Comprehensive Care for Joint Replacement Initiative; 9) the need for risk-adjustment of data used in the Medicare hospital readmissions program (S. 688 and H.R. 1343).
- Corresponded with staff of the Missouri congressional delegation regarding the logistics of meetings of hospital executives and selected members of the Missouri congressional delegation
- Responded to a query from a member of the Missouri congressional delegation regarding legislation to change the payment formulas used by the Medicare Disproportionate Share Hospital program.
- Responded to a query from a member of the Missouri congressional delegation regarding legislation to revise payment formulas used by the Medicare Disproportionate Share Hospital program.
- Requested that members of the U.S. Senate representing Missouri contact Senate leaders to express support for inclusion of legislation to revise the Medicare wage index (H.R. 1479) in legislation to enact a continuing resolution to authorize federal budgetary expenditures.
- Collaborated with staff of the U.S. Senate Special Committee on Aging regarding a January 2016 committee hearing to be held in Jefferson City, Missouri. The agenda of the hearing is the abuse and misuse of opioids used for pain control in the elderly.
- Corresponded with the staff of a member of the Missouri congressional delegation regarding a change in staffing responsibilities in that congressional office.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
3rd Quarter, 2015
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 14, 2015.
Original Filing: 300753424.xml
Lobbying Issues
- Responded to a request from U.S. Senate committee staff for the Missouri Hospital Associations assessment of a proposed CMS regulation
- Responded to a request from U.S House of Representatives staff for the Missouri Hospital Associations analysis of H.R. 1201 of the 113th Congress and its implications for Missouri hospitals
- Sent information to a staff of the U.S. House of Representatives regarding projections of the future supply of and demand for physicians
- Sent a letter of endorsement of H.R 1784, the Making Education for Nurses Dependable for Schools Act, to the bills sponsor and the members of the Missouri congressional delegation
- Responded to a request from U.S. House of Representatives staff for an analysis of H.R. 3288, the Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015
- Provided information to member hospitals for use in congressional advocacy on medical education projections, H.R. 876 of the 114th Congress, H.R. 1479 of the 114th Congress, H.R. 169/S.258 of the 114th Congress, H.R. 1611/S. 257 of the 114th Congress, H.R. 688/H.R. 1343 of the 114th Congress
- Responded to a request from U.S. Senate staff for data and analysis regarding the implications for Missouri hospitals of increases in the price of specific drugs used in medical treatment procedures.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
2nd Quarter, 2015
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 16, 2015.
Original Filing: 300735921.xml
Lobbying Issues
- Contacted members of the Missouri congressional delegation asking them to consider endorsing a letter to CMS regarding deadlines for state Medicaid programs to make upper payment limit payments to eligible hospitals
- Contacted a member of the Missouri congressional delegation regarding the use and implications of hospital outpatient services on Medicare beneficiaries and hospitals
- Responded to a request from a member of the Missouri congressional delegation to review and comment on a draft of legislation regarding rural hospitals and the Medicare Recovery Audit Contractor program
- Contacted members of the Missouri congressional delegation to coordinate logistics for visits to congressional offices to discuss federal policy issues affecting hospitals
- Responded to a request from a member of the Missouri congressional delegation for information about a DHHS Office of Inspector General audit of the Missouri Medicaid program regarding collection of National Drug Code data
- Provided a letter of endorsement to a member of the Missouri congressional delegation regarding the version of the Hospital Payment Fairness Act to be introduced in the 114th Congress. Verified MHAs willingness to be quoted in a press release from the members office.
- Responded to a request from a member of the Missouri congressional delegation regarding Missouri Hospital Association support for proposed legislation regarding rural hospitals and the Medicare Recovery Audit Contractor program
- Provided and discussed advocacy materials on the following topics: (1) replacement of the sustainable growth rate formula used in calculating Medicare payments to physicians; (2) support for H.R. 1479 regarding the Medicare average wage index component of Medicare hospital payments; (3) support for legislation to promote and advance comprehensive reform of the Medicare Recovery Audit Contractor program (4) description of the potential effect of the U.S. Supreme Courts decision in King v. Burwell on health insurance coverage of Missourians (5) H.R. 876, relating to notification requirements for hospitals regarding outpatient observation services delivered to Medicare patients (6) oppose legislative efforts to curtail the scope of the Medicaid 340B prescription drug discount initiative (7) support for H.R. 1343 and S. 688, concerning adjustment of readmissions penalties to reflect the socio-economic status of Medicare patients (8) Support for H.R. 169/S. 258 and H.R. 1611 and S. 257, relating to critical access hospitals (9) a profile of the characteristics of Missouri hospitals
- Discussed with several members of the Missouri congressional delegation the wording and implications of H.R. 876 for Missouri hospitals
- Provided information to a member of the Missouri congressional delegation regarding Medicare payments to hospitals in the members congressional district
- Provided information regarding H.R. 2156 in response to a request from a member of the Missouri congressional delegation
- Provided information to a member of the Missouri congressional delegation regarding H.R. 1343
- Contacted the Centers for Medicare & Medicaid Services regarding the potential for extending the duration of the Medicaid Emergency Psychiatric Demonstration
- Contacted selected members of the Missouri congressional delegation to express opposition to a proposed amendment to the 21st Century Cures Act regarding the 340B drug discount program
- Provided the members of the Missouri congressional delegation a summary of state legislative action in the 2015 session of the Missouri General Assembly regarding health care and hospital-related issues
- Responded to requests for information regarding the deadline for Missouris Medicaid program to make Upper Payment Limit payments to Missouri hospitals
- Responded to a request from a member of the Missouri congressional delegation regarding a possible suspension of the Medicare Recovery Audit Contractor program pending the awarding of new contracts to vendors to administer the program
- Expressed opposition to a member of the Missouri congressional delegation regarding pending legislative amendments that would loosen federal statutory restrictions on physician self-referral to hospitals involving Medicare and Medicaid patients
- Contacted a member of the Missouri congressional delegation to express thanks for the members responsiveness to the Missouri Hospital Associations concerns about pending legislative proposals to loosen restrictions on physician self-referral to hospitals
- Contacted a member of the Missouri congressional delegation about the possibility of pressing for a CMS response to a written query regarding the deadline for state Medicaid programs to make Upper Payment Limit payments to eligible hospitals
- Invited members of the Missouri congressional delegation to join a telephone conference to monitor a Missouri summit on the potential effects of the U.S. Supreme Courts decision in King v. Burwell
- Responded to a query from a member of the Missouri congressional delegation regarding enrollment in Missouris federally-subsidized health insurance exchange
- Asked a member of the Missouri congressional delegation to co-sponsor S. 1135
- Provided information to a member of the Missouri congressional delegation regarding the performance of the Medicare Recovery Audit Contractor program
- Provided and discussed documents with staff of a Senate committee regarding the use of hospital outpatient observations services and the role of the Medicare Recovery Audit Contractors in promoting the use of those services
- Provided comments to a member of the Missouri congressional delegation regarding the use of hospital outpatient observations services and the role of the Medicare Recovery Audit Contractors in promoting the use of those services
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
1st Quarter, 2015
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 14, 2015.
Original Filing: 300715295.xml
Lobbying Issues
- Upon request of a member of the Missouri congressional delegation, discussed the implications of potential legislative proposal to reduce the federal cap on state provider taxes used to fund the Medicaid program.
- Worked with the Missouri congressional delegation to produce and promote a letter from the delegation regarding proposed payment reductions for critical access hospitals.
- Contacted selected members of the Missouri congressional delegation regarding the reauthorization or extension and expansion of the Medicaid Emergency Demonstration project initially authorized by section 2707 of the Patient Protection and Affordable Care Act of 2010.
- Asked members of the Missouri congressional delegation to endorse a Dear Colleague letter regarding the implementation of the Improving Medicare Post-Acute Care Transformation Act of 2014 and potential legislative changes to the data collection requirements under that law.
- Contacted selected members of the Missouri congressional delegation to promote repeal of the section 3141 of the Patient Protection and Affordable Care Act of 2010.
- Provided information upon request regarding the number of Missouri hospitals receiving Medicare Dependent Hospital payments and that amount of those payments, in regards to legislation (H.R. 2) to provide statutory reauthorization for those payments.
- Advocated regarding Medicare and Medicaid aspects of H.R. 2.
- Promoted the inclusion of H.R. 1479 of the current Congress and S. 183 of the previous Congress in H.R. 2.
- Provided information upon request to selected members of the Missouri congressional delegation regarding payment modifications to hospitals in other states under section 3141 of the Patient Protection and Affordable Care Act of 2010.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
4th Quarter, 2014
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 19, 2015.
Original Filing: 300700128.xml
Lobbying Issues
- Distributed to the Missouri congressional delegation copies of fact sheets regarding the potential role of Medicaid in providing coverage of mammograms to uninsured women in each state Senate district.
- Distributed to the Missouri congressional delegation a CMS report on the Medicare Recovery Audit Contractor program
- Interacted with a Missouri congressional office regarding topics for a congressional newsletter
- Distributed to the Missouri congressional delegation a joint statement from the Missouri State Medical Association, the Missouri Nurses Association, the Missouri Department of Health and Senior Services, and the Missouri Hospital Association regarding preparedness for treatment Ebola patients in Missouri.
- Distributed information to the Missouri congressional delegation regarding the projected effect of the Veterans Choice program as authorized by the Veterans Access, Choice and Accountability Act of 2014 (P.L. 113-146)
- Responded to a Missouri congressional query regarding unionization of nurses in Missouris hospitals
- Responded to a query from a member of the Missouri congressional delegation regarding the number of Missouri hospitals that are likely to accept settlement agreements of Recovery Audit Contractor claims offered by the Office of Medicare Appeals.
- Corresponded with a member of the Missouri congressional delegation regarding a letter to President Obama regarding payment cuts for and restrictions on federally-designated critical access hospitals.
- Contacted selected members of the Missouri congressional delegation regarding treatment by a Missouri hospital of a patient under observation for potential infection with the Ebola virus.
- Contacted the Missouri congressional delegation to promote funding of Ebola preparedness activities in hospitals in the emergency supplemental funding component of the 2015 Omnibus Appropriations bill.
- Distributed to the Missouri congressional delegation a Missouri Hospital Association report regarding community investment data for Missouri hospitals.
Agencies Lobbied
U.S. Senate U.S. House of Representatives
3rd Quarter, 2014
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 16, 2014.
Original Filing: 300677427.xml
Lobbying Issues
Promoted H.R. 5227
Provided information on rural health care issues in Missouri in response to a congressional staff query
Participated in a briefing for congressional staff regarding the Medicare wage index formulas used in computing Medicare payments to prospective payment system hospitals and discussed the potential for future legislation
Queried Missouri congressional staff for topics of interest in upcoming visits to congressional offices
Invited a CMS staffer to speak to hospital officials in advance of congressional advocacy visits
Promoted enactment of H.R. 1250 and S. 1012
Promoted enactment of S. 183 and H.R. 2053
Provided advocacy information to the Missouri congressional delegation regarding:
- a profile of the characteristics of Missouri hospitals
- federal payment reductions for Missouri hospitals by Medicare, including Medicare sequestration and Medicaid disproportionate share hospital payments
- a pending settlement offer by CMS to address a backlog in appeals of Medicare payment denials
- concerns raised by the current Medicare wage index formulas used to calculate Medicare payments to hospitals under the prospective payment system
- the role and benefits of the 340B prescription drug purchasing discount program for participating Missouri hospitals
- the expected effect of recently-enacted legislation regarding the Veterans Affairs health care system in providing access to private-sector providers
- legislation regarding Medicare payment and standards for post-acute health care providers, pursuant to Improving Medicare Post-Acute Care Transformation Act of 2014.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Centers For Medicare and Medicaid Services (CMS)
2nd Quarter, 2014
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q22014 on Jan. 16, 2015
Original Filing: 300698732.xml
Lobbying Issues
Promoted Missouri congressional delegation discussion of a backlog in processing of Administrative Law Judge review of appeals of Medicare payment and benefit decision, as well as Recovery Audit Contractor reform legislation (H.R. 1250 and S. 1012) with Secretary of Health and Human Services nominee Sylvia BurwellPromoted enactment of H.R. 1250 and S. 1012
Responded to a congressional office request for information about Missouri hospitals which may be applying for a grant under CMS Medicare Care Choices Model project
Responded to a congressional office request for information about litigation challenging the backlog in Administrative Law Judge review of Medicaid payment and benefit decision
Provided information to selected members of the Missouri congressional delegation regarding another states actions regarding the decision of CMS to extend the imputed wage index floor for that state
Distributed information to the Missouri congressional delegation regarding Missouri hospitals participation in the federal Partnership for Patients/Hospital Engagement Network initiative.
Promoted enactment of S. 183 and H.R. 2053
Provided advocacy information to the Missouri congressional delegation regarding:
- a profile of the characteristics of Missouri hospitals
- changes in the schedule of implementation of federal statutory reductions in Medicaid disproportionate share hospital payments
- federal payment reductions for Missouri hospitals by Medicare, including Medicare sequestration and Medicaid disproportionate share hospital payments
- Missouri state and district-specific analyses of the characteristics and health care utilization of the uninsured
- the role and benefits of the 340B prescription drug purchasing discount program for participating Missouri hospitals
- expected debate of legislation regarding Medicare payment and standards for post-acute health care providers, reflected in a bicameral draft of the Improving Medicare Post-Acute Care Transformation Act of 2014.
Promoted enactment of H.R. 4188 or expected companion Senate legislation
Provided to the Missouri congressional delegation the Missouri Hospital Associations comments regarding CMS proposed regulation governing the payment of premiums on behalf of health insurance exchange enrollees
Discussed potential topics for future health policy briefings with the Missouri congressional delegation
Agencies Lobbied
U.S. House of Representatives U.S. Senate
2nd Quarter, 2014
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 15, 2014.
Original Filing: 300657044.xml
Lobbying Issues
Promoted Missouri congressional delegation discussion of a backlog in processing of Administrative Law Judge review of appeals of Medicare payment and benefit decision, as well as Recovery Audit Contractor reform legislation (H.R. 1250 and S. 1012) with Secretary of Health and Human Services nominee Sylvia BurwellPromoted enactment of H.R. 1250 and S. 1012
Responded to a congressional office request for information about Missouri hospitals which may be applying for a grant under CMS Medicare Care Choices Model project
Responded to a congressional office request for information about litigation challenging the backlog in Administrative Law Judge review of Medicaid payment and benefit decision
Provided information to selected members of the Missouri congressional delegation regarding another states actions regarding the decision of CMS to extend the imputed wage index floor for that state
Distributed information to the Missouri congressional delegation regarding Missouri hospitals participation in the federal Partnership for Patients/Hospital Engagement Network initiative.
Promoted enactment of S. 183 and H.R. 2053
Provided advocacy information to the Missouri congressional delegation regarding:
- a profile of the characteristics of Missouri hospitals
- changes in the schedule of implementation of federal statutory reductions in Medicaid disproportionate share hospital payments
- federal payment reductions for Missouri hospitals by Medicare, including Medicare sequestration and Medicaid disproportionate share hospital payments
- Missouri state and district-specific analyses of the characteristics and health care utilization of the uninsured
- the role and benefits of the 340B prescription drug purchasing discount program for participating Missouri hospitals
- expected debate of legislation regarding Medicare payment and standards for post-acute health care providers, reflected in a bicameral draft of the Improving Medicare Post-Acute Care Transformation Act of 2014.
Promoted enactment of H.R. 4188 or expected companion Senate legislation
Provided to the Missouri congressional delegation the Missouri Hospital Associations comments regarding CMS proposed regulation governing the payment of premiums on behalf of health insurance exchange enrollees
Discussed potential topics for future health policy briefings with the Missouri congressional delegation
Agencies Lobbied
U.S. House of Representatives U.S. Senate
1st Quarter, 2014
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 16, 2014.
Original Filing: 300637946.xml
Lobbying Issues
- Communicated with the Missouri congressional delegation regarding the Department of Health and Human Services decision to suspend most new requests for Administrative Law Judge hearings of appeals of Medicare payment denials because of a backlog of cases. The issue was linked to H.R. 1250 and S. 1012. - Met with Missouri congressional offices to discuss trends in Medicare and Medicaid hospital finance, H.R. 1250 and S. 1012, and the need for equity and predictability in applying therapy caps and an associated exception process to different care settings.
- Provided requested information to a congressional office regarding Medicare and Medicaid payment reductions.
- Provided requested information regarding the amount of federal revenue foregone in 2014 by virtue of the Missouri General Assemblys failure to enact in 2013 the expansion of Medicaid eligibility standards authorized by the Patient Protection and Affordable Care Act of 2010.
- Discussed the potential involvement of a Missouri federal legislator in news conferences to promote H.R. 1250 and S. 1012.
- Encouraged members of the Missouri congressional delegation in the House of Representatives to endorse a joint letter to Secretary of Health and Human Services regarding the Medicare Recovery Audit Contractor program and H.R. 1250 and S. 1012.
- Contacted the Missouri congressional delegation in support of S. 183 and H. R. 2053.
- Contacted offices of Missouri Senators asking them to consider discussing endorsement of a joint letter to CMS Director Marilyn Tavenner regarding reimbursement of inpatient rehabilitation hospitals and hospital units.
- Voiced support for the Establishing Beneficiary Equity in the Hospital Readmission Program Act of Rep. Renacci.
- Responded to a legislators request for MHAs stance regarding emerging legislation to postpone payment reductions to Medicare physicians as required by the Sustainable Growth Rate Formula.
- Urged the Missouri congressional delegation to oppose legislative efforts to reduce hospital Medicare or Medicaid payments as an offset to the cost of a temporary delay of payment cuts for physician services under the Medicare program.
Agencies Lobbied
U.S. House of Representatives U.S. Senate
4th Quarter, 2013
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 28, 2014.
Original Filing: 300629305.xml
Lobbying Issues
- Communicated with several legislators about a collaborative engagement to promote a resolution between The Higher Learning Commissions accreditation standards and Medicare nursing school payment requirements.
- Responded to a congressional query regarding the criteria used to designate critical access hospitals under the Medicare program. - Asked CMS officials to extend temporary restrictions of the authority of Recovery Audit Contractors and Medicare Audit Contractors to conduct reviews of Part A inpatient admissions based on the two midnight standard.
- Responded to a congressional query regarding the potential implementation of recommendations of the DHHS Office of Inspector General regarding changes to the designation of critical access hospitals.
- Made congressional queries to discuss H.R. 1250 and S. 1012 and provided information regarding those bills.
- Expressed support to regional CMS officials for the continuation of quarterly meetings with representatives of state hospital associations.
- Responded to a congressional query regarding Medicaid disproportionate share hospital payments to Missouri hospitals.
- Promoted adoption of a Senate Finance Committee amendment (Enzi) adding S. 183 to S. Con. Res. 8 and opposed Senate Finance Committee Amendment 0651 to S. Con. Res. 8 (Menendez)
- Responded to a congressional query regarding the requirements of the federal EMTALA law on hospital emergency departments.
- Promoted a congressional briefing by The Alliance for Americas Hospitals to generate support for The Hospital Payment Fairness Act (S. 183/H.R. 2053)
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
4th Quarter, 2013
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q42013 on Jan. 28, 2014
Original Filing: 300629342.xml
Lobbying Issues
- Communicated with several legislators about a collaborative engagement to promote a resolution between The Higher Learning Commissions accreditation standards and Medicare nursing school payment requirements.
- Responded to a congressional query regarding the criteria used to designate critical access hospitals under the Medicare program. - Asked CMS officials to extend temporary restrictions of the authority of Recovery Audit Contractors and Medicare Audit Contractors to conduct reviews of Part A inpatient admissions based on the two midnight standard.
- Responded to a congressional query regarding the potential implementation of recommendations of the DHHS Office of Inspector General regarding changes to the designation of critical access hospitals.
- Made congressional queries to discuss H.R. 1250 and S. 1012 and provided information regarding those bills.
- Expressed support to regional CMS officials for the continuation of quarterly meetings with representatives of state hospital associations.
- Responded to a congressional query regarding Medicaid disproportionate share hospital payments to Missouri hospitals.
- Promoted adoption of a Senate Finance Committee amendment (Enzi) adding S. 183 to S. Con. Res. 8 and opposed Senate Finance Committee Amendment 0651 to S. Con. Res. 8 (Menendez)
- Responded to a congressional query regarding the requirements of the federal EMTALA law on hospital emergency departments.
- Promoted a congressional briefing by The Alliance for Americas Hospitals to generate support for The Hospital Payment Fairness Act (S. 183/H.R. 2053)
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
4th Quarter, 2013
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 14, 2014.
Original Filing: 300613954.xml
Lobbying Issues
- Communicated with several legislators about a collaborative engagement to promote a resolution between The Higher Learning Commissions accreditation standards and Medicare nursing school payment requirements.
- Responded to a congressional query regarding the criteria used to designate critical access hospitals under the Medicare program. - Asked CMS officials to extend temporary restrictions of the authority of Recovery Audit Contractors and Medicare Audit Contractors to conduct reviews of Part A inpatient admissions based on the two midnight standard.
- Responded to a congressional query regarding the potential implementation of recommendations of the DHHS Office of Inspector General regarding changes to the designation of critical access hospitals.
- Made congressional queries to discuss H.R. 1250 and S. 1012 and provided information regarding those bills.
- Expressed support to regional CMS officials for the continuation of quarterly meetings with representatives of state hospital associations.
- Responded to a congressional query regarding Medicaid disproportionate share hospital payments to Missouri hospitals.
- Promoted adoption of a Senate Finance Committee amendment (Enzi) adding S. 183 to S. Con. Res. 8 and opposed Senate Finance Committee Amendment 0651 to S. Con. Res. 8 (Menendez)
- Responded to a congressional query regarding the requirements of the federal EMTALA law on hospital emergency departments.
- Promoted a congressional briefing by The Alliance for Americas Hospitals to generate support for The Hospital Payment Fairness Act (S. 183/H.R. 2053)
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2013
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q32013 on Jan. 28, 2014
Original Filing: 300629327.xml
Lobbying Issues
- Discussed with CMS staff the design and implementation of Missouri's federally-facilitated health insurance exchange ("Marketplace")
- Responded to congressional request for review of the "Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013"- Asked members of Missouris congressional delegation in the U.S. House of Representatives to consider endorsing a Dear Colleague letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services
- Provided the Missouri congressional delegation with a letter to CMS from the Missouri Hospital Association and the Missouri State Medical Association regarding regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans
- Invited staff of the Missouri congressional delegation to attend a briefing on EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act
- Met with staff of Missouris congressional delegation to discuss statewide and district-specific information compiled by the Missouri Hospital Association regarding hospital financial performance metrics and trends
- Discussed legislation to revamp the Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program
- Met with and/or provided information to Missouris congressional delegation to:
* promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other
program integrity initiatives
* ask for endorsement of a delegation letter to congressional committee leaders to oppose the DHHS OIGs
recommendations for changes in standards for designating critical access hospitals
* promote S. 183 and H.R. 2053, concerning repeal of section 3141 of the Patient Protection and Affordable Care Act of
2010
* oppose legislative proposals to restrict states ability to use provider taxes to fund their Medicaid programs
* promote reauthorization for an additional year of the Medicare Dependent Hospital program
* oppose legislative efforts to limit the scope of the 340B program, which authorizes price discounts on the purchase of
pharmaceuticals by designated safety net providers
* make them aware of CMS regulatory actions regarding a grace period for the payment of premiums for coverage in a
federally-facilitated exchange or qualified health
- Responded to a request from a Missouri congressional office to clarify the number of critical access hospitals in Missouri
- Communicated with various Missouri congressional staff regarding a joint delegation letter congressional committee leaders to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals
- Distributed to the Missouri congressional delegation a report by the Missouri Hospital Association entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2013
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 15, 2013.
Original Filing: 300593734.xml
Lobbying Issues
- Discussed with CMS staff the design and implementation of Missouri's federally-facilitated health insurance exchange ("Marketplace")
- Responded to congressional request for review of the "Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013"- Asked members of Missouris congressional delegation in the U.S. House of Representatives to consider endorsing a Dear Colleague letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services
- Provided the Missouri congressional delegation with a letter to CMS from the Missouri Hospital Association and the Missouri State Medical Association regarding regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans
- Invited staff of the Missouri congressional delegation to attend a briefing on EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act
- Met with staff of Missouris congressional delegation to discuss statewide and district-specific information compiled by the Missouri Hospital Association regarding hospital financial performance metrics and trends
- Discussed legislation to revamp the Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program
- Met with and/or provided information to Missouris congressional delegation to:
* promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other
program integrity initiatives
* ask for endorsement of a delegation letter to congressional committee leaders to oppose the DHHS OIGs
recommendations for changes in standards for designating critical access hospitals
* promote S. 183 and H.R. 2053, concerning repeal of section 3141 of the Patient Protection and Affordable Care Act of
2010
* oppose legislative proposals to restrict states ability to use provider taxes to fund their Medicaid programs
* promote reauthorization for an additional year of the Medicare Dependent Hospital program
* oppose legislative efforts to limit the scope of the 340B program, which authorizes price discounts on the purchase of
pharmaceuticals by designated safety net providers
* make them aware of CMS regulatory actions regarding a grace period for the payment of premiums for coverage in a
federally-facilitated exchange or qualified health
- Responded to a request from a Missouri congressional office to clarify the number of critical access hospitals in Missouri
- Communicated with various Missouri congressional staff regarding a joint delegation letter congressional committee leaders to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals
- Distributed to the Missouri congressional delegation a report by the Missouri Hospital Association entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
2nd Quarter, 2013
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 18, 2013.
Original Filing: 300575050.xml
Lobbying Issues
- Promoted H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013, and encouraged members of the Missouri congressional delegation to be a cosponsor of the legislation - Met with staff of Missouris congressional delegation to promote the Medicare Audit Improvement Act of 2013, review the amount by congressional district of enacted reductions in hospital Medicare and Medicaid disproportionate share hospitals payments for 2013-2019 and discuss the implications for cost-shifting of the Missouri General Assemblys decision not to expand Medicaid eligibility as authorized by the Patient Protection and Affordable Care Act of 2010
- Met with staff of Missouris congressional delegation and corresponded with regional CMS staff to discuss CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010
- Promoted efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053)
- Provided information to the offices of selected members of Missouris congressional delegation regarding CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors
- Invited staffers from selected members of Missouris congressional delegation to attend a presentation regarding Medicare hospital payment restrictions based on preventable hospital readmissions
- Promoted the Rural Hospital Access Act
- Responded to a congressional inquiry regarding the Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment
- Responded to a congressional inquiry regarding the amount of Medicare bad debt incurred by Missouris hospitals and the effect of the Obama Administrations proposal in its proposed FFY 2014 budget to restrict Medicares payments to partly offset Medicare bad debt costs
- Expressed opposition to a proposal included in the Obama Administrations proposed budget for FFY 2014 that would preclude designation as a critical access hospital for any hospital facility located within 10 miles of another hospital
- Responded to a request from a Missouri congressional office regarding federally qualified health centers in Missouri
- Participated through MHA staff in a quarterly CMS regional office meeting with state hospital association officials addressing topics such as health insurance exchanges, Medicare Part B inpatient billing by hospitals, survey and certification issues and Medicare Recovery Audit Contractor issues
- originated multi-state letter requesting CMS update its list of skilled nursing facilities to include swing-bed providers
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
1st Quarter, 2013
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q12013 on April 18, 2013
Original Filing: 300553032.xml
Lobbying Issues
-Sent to a regional DHSS official information distributed previously to Secretary of Health and Human Services Kathleen Sebelius and the Missouri congressional delegation regarding the implications of proposals to restrict states' use of provider taxes
-Promoted H.R. 1250, the Medicare Audit Improvement Act of 2013, and encouraged members of the Missouri congressional delegation to be a cosponsor of the legislation -Discussed with health staff of the Missouri congressional delegation ways that the Missouri Hospital Association might be of assistance in doing modeling of the financial implications on Missouri hospitals of future deficit reduction proposals
-Provided health staff of the Missouri congressional delegation information regarding hospitals within the congressional districts as revised by the congressional redistricting process
-Met with staff of the Medicaid Payment Advisory Committee to discuss issues concerning states use of provider taxes to fund their Medicaid programs and reductions in state disproportionate share hospital payments enacted in the Patient Protection and Affordable Care Act of 2010. Provided written material on those topics.
-Promoted efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, Senate amendment to the U.S. Senates Budget Resolution for FY 2014)
-Provided information to health staff of Missouris congressional delegation regarding the implementation of Medicare Accountable Care Organizations authorized by the Patient Protection and Affordable Care Act of 2010
-Responded to a request from a Missouri congressional office to review and comment upon proposed legislation to create new federal qualifications and payment changes for community mental health centers
-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
-Discussed the 340B pharmaceutical purchasing program at the request of a legislative staffer for a member of the Missouri congressional delegation
-Responded to a request for information from a legislative staffer for a member of the Missouri congressional delegation regarding a report on states reliance on federal funding and its effect on ratings of their bonding capacity by bond ratings organizations
-Provided information to a member of the Missouri congressional delegation regarding a CMS report on the agencys implementation of the Medicare Recovery Audit Contractor program in FY 2011
-Submitted a letter nominating a member of the Missouri Hospital Association staff to the National Advisory Council of the National Health Services Corps
-Distributed to members of Missouris congressional delegation a report by the Missouri Hospital Association on implications of a federally-authorized expansion of Medicaid eligibility on private health insurance premiums
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS) Medicare Payment Advisory Commission (MedPAC) Health Resources & Services Administration (HRSA)
1st Quarter, 2013
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 18, 2013.
Original Filing: 300552903.xml
Lobbying Issues
-Sent to a regional DHSS official information distributed previously to Secretary of Health and Human Services Kathleen Sebelius and the Missouri congressional delegation regarding the implications of proposals to restrict states' use of provider taxes
-Promoted H.R. 1250, the Medicare Audit Improvement Act of 2013, and encouraged members of the Missouri congressional delegation to be a cosponsor of the legislation -Discussed with health staff of the Missouri congressional delegation ways that the Missouri Hospital Association might be of assistance in doing modeling of the financial implications on Missouri hospitals of future deficit reduction proposals
-Provided health staff of the Missouri congressional delegation information regarding hospitals within the congressional districts as revised by the congressional redistricting process
-Met with staff of the Medicaid Payment Advisory Committee to discuss issues concerning states use of provider taxes to fund their Medicaid programs and reductions in state disproportionate share hospital payments enacted in the Patient Protection and Affordable Care Act of 2010. Provided written material on those topics.
-Promoted efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, Senate amendment to the U.S. Senates Budget Resolution for FY 2014)
-Provided information to health staff of Missouris congressional delegation regarding the implementation of Medicare Accountable Care Organizations authorized by the Patient Protection and Affordable Care Act of 2010
-Responded to a request from a Missouri congressional office to review and comment upon proposed legislation to create new federal qualifications and payment changes for community mental health centers
-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
-Discussed the 340B pharmaceutical purchasing program at the request of a legislative staffer for a member of the Missouri congressional delegation
-Responded to a request for information from a legislative staffer for a member of the Missouri congressional delegation regarding a report on states reliance on federal funding and its effect on ratings of their bonding capacity by bond ratings organizations
-Provided information to a member of the Missouri congressional delegation regarding a CMS report on the agencys implementation of the Medicare Recovery Audit Contractor program in FY 2011
-Submitted a letter nominating a member of the Missouri Hospital Association staff to the National Advisory Council of the National Health Services Corps
-Distributed to members of Missouris congressional delegation a report by the Missouri Hospital Association on implications of a federally-authorized expansion of Medicaid eligibility on private health insurance premiums
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS) Medicare Payment Advisory Commission (MedPAC)
4th Quarter, 2012
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 18, 2013.
Original Filing: 300534383.xml
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 which 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 & 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
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
3rd Quarter, 2012
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 11, 2012.
Original Filing: 300505043.xml
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
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
2nd Quarter, 2012
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 10, 2012.
Original Filing: 300481715.xml
Lobbying Issues
-Developed and endorsed a joint letter from four state hospital associations to Secretary Sebelius regarding Medicare payments to certified registered nurse anesthetists for pain management services. Distributed a copy of the letter to the Missouri congressional delegation and requested that the legislators support the associations stance outlined in the letter. -Contacted the Republican members of the U.S. House of Representatives representing Missouri to express appreciation for their endorsement of a letter to the House Energy and Commerce Committee opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs.
-Communicated with Missouri congressional health staff regarding proposals to restrict states use of provider taxes to fund their Medicaid programs in budget reconciliation legislation pending in the House Energy and Commerce Committee.
-Contacted the Missouri members of the U.S. House of Representatives to promote enactment of H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals.
-Sent a letter to the CMS acting administrator regarding the revision in a final rule of 42 C.F.R. 482.12 to require selected hospitals, including governmental hospitals, to have a physician as a member of the hospital governing board.
-Contacted offices of the Missouri members of the U.S. House of Representatives regarding hospitals and their placement in congressional districts redrawn in the redistricting process.
-Contacted the Missouri congressional delegation to express opposition to restrictions on states use of provider taxes to fund their Medicaid programs as a funding mechanism for extending subsidized interest rates on federal Stafford student loans.
-Discussed the development and sponsorship of legislation by a Missouri legislator that would set new standards governing the ability of Medicare program integrity contractors to require health care providers to submit medical records and supporting documentation for review.
-Reviewed and commented on the provisions of H.R. 5707 (Physician Payment Innovation Act of 2012) at the request of a Missouri federal legislator.
-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.
-Discussed with selected congressional health staff legislation (S. 2620, H.R. 5943) to reauthorize the Medicare Dependent Hospital program.
-Participated in a meeting of state hospital associations convened by the CMS regional office as a forum to present and discuss selected regulatory and payment topics.
-Urged the Missouri congressional delegation to: 1) consider hospitals need for stability and predictability in making their spending and policy decisions; 2) support provisions of H.R. 2245/S. 296/H.R. 3839 to respond to concerns about shortages of drugs and other pharmaceutical products; 3) reauthorize the Medicare Dependent Hospital program before it lapses on October 1, 2012; 4) repeal section 3141 of the Patient Protection and Affordable Care Act of 2010; 5) examine the administrative burdens associated with the demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives; and 6) consider the Missouri Hospital Associations written observations regarding the budget proposal adopted by the U.S. House of Representatives regarding health care financing.
Agencies Lobbied
U.S. House of Representatives U.S. Senate Health & Human Services - Dept of (HHS) Centers For Medicare and Medicaid Services (CMS)
1st Quarter, 2012
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 16, 2012.
Original Filing: 300461429.xml
Lobbying Issues
-H.R. 3630, provisions concerning the reduction of Medicare bad debt payments
-H.R. 3630, provisions concerning the extension of expiring Medicare payment streams to hospitals
-H.R. 3630, provisions concerning the reduction of Medicare physician fees due to the application of the sustainable growth rate formula -The executive branchs proposed Budget of the United States Government, Fiscal Year 2013, provisions related to restrictions on state governments use of provider taxes to fund their Medicaid programs
-H.R. 3630, overview of congressional enactments imposing reductions in Medicare payments to hospitals
-Responded to query by Kansas City regional office of the Occupational Safety and Health Administration regarding the reporting of complaints regarding hospital staffing
-Conveyed appreciation to Missouri congressional staff for their work on matters relating to the Joint Select Committee on Deficit Reduction
-Discussed opportunities for hospitals to receive books from the Library of Congress through their congressional representatives
-Provided updates to the staff of the congressional representative of a hospital that provided notice that it planned to cease its operations in the subsequent two weeks
-Responded to a congressional query for a listing of critical access hospitals in that congressional representatives district
Agencies Lobbied
U.S. House of Representatives U.S. Senate Occupational Safety & Health Administration (OSHA)
4th Quarter, 2011
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 19, 2012.
Original Filing: 300442627.xml
Lobbying Issues
- Arranged and participated in a briefing of the House and Senate health staffers from Missouri districts regarding the use of state provider taxes to fund state Medicaid programs
- Participated in a telephone conference convened by regional CMS officials to discuss CMS issues pertaining to state hospital associations- Responded to two requests from congressional staffers regarding attendance at the 2011 Missouri Hospital Association Annual Convention and Trade Show
- Responded to a congressional request to discuss potential committee assignments
- Distributed information to the Missouri congressional delegation regarding proposed and enacted Medicare and Medicaid payment cuts affecting hospitals in response to the Special Committee on Deficit Reduction created by the Budget Control Act of 2011
- Discussed with regional CMS staff the number and distribution of critical access hospitals within the CMS region
- Encouraged CMS to work with the Agency for Health Care Research and Quality to promote clear standards governing the confidentiality of data disclosed to a federally-designated patient safety center under the Patient Safety and Quality Improvement Act of 2005
- Promoted the endorsement by Missouris congressional delegation of a joint letter to the Special Committee on Deficit Reduction created by the Budget Control Act of 2011 regarding states use of provider taxes to fund their Medicaid programs
- Discussed with regional CMS officials their strategies for promoting participation in a Medicare demonstration project to create Accountable Care Organizations, as authorized by the Patient Protection and Accountable Care Act of 2010
- Responded to queries from Missouri congressional staff regarding states use of provider taxes to fund their Medicare programs, as was being discussed by the Special Committee on Deficit Reduction created by the Budget Control Act of 2011
- Promoted endorsement by selected members of the Missouri congressional delegation of a Dear Colleague letter being circulated in the House of Representatives regarding potential cuts to Medicare payment of critical access hospitals by the Special Committee on Deficit Reduction created by the Budget Control Act of 2011
- Contacted the Missouri congressional delegation regarding a Dear Colleague letter being circulated in the House of Representatives regarding potential cuts to Medicare payment of rehabilitation hospitals by the Special Committee on Deficit Reduction created by the Budget Control Act of 2011
- Corresponded with CMS regional office staff in response to their query regarding distribution of new information about the process for hospitals and other providers to submit complaints to the CMS regional office
- Distributed information to the Missouri congressional delegation regarding an economic analysis of the effects of pending federal legislative proposals to restrict states use of provider taxes to fund their Medicaid programs
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2011
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 11, 2011.
Original Filing: 300411936.xml
Lobbying Issues
-Distributed a letter to the Missouri congressional delegation expressing opposition to legislative and executive branch proposals to restrict states' use of provider taxes to fund their Medicaid programs.
-Contacted each office of the Missouri congressional delegation regarding endorsement of a letter to President Obama expressing opposition to executive branch proposals to restrict states' use of provider taxes to fund their Medicaid programs. -Contacted various offices of the Missouri congressional delegation to provide information regarding the use of provider taxes to fund Medicaid programs.
-The Missouri Hospital Association, the Missouri Health Care Association and the Leading Age Missouri sent a joint letter to the Missouri congressional delegation on restrictions on states' use of provider taxes.
-The Missouri Hospital Association and the Missouri State Medical Association sent a joint letter to the Missouri congressional delegation regarding proposed cuts in payments for graduate medical education.
-Met with staff members and legislators from each office of the Missouri congressional delegation to discuss restrictions on states' use of provider taxes. Other topics included elimination or restrictions on Medicare payments for bad debt expenses, cuts in graduate medical education payments and the consolidation of Medicaid matching fund rates.
-Contacted the Missouri congressional delegation to encourage them to sign a House or Senate "Dear Colleague" letter to CMS regarding the coding offset included in the agency's proposed regulatory changes to the Medicare prospective payment system.
-Contacted selected members of the Missouri congressional delegation regarding the legislation that was codified in the Budget Control Act of 2011.
-Expressed support for repealing a section of the Patient Protection and Affordable Care Act of 2010 that changed the budget neutrality test for the changes in the "rural floor" component of the Medicare Average Wage Index calculations.
-Responded to a House committee staff query regarding a potential witness to testify at a hearing regarding the National Labor Relations Board's regulations on the posting of notices of workers' rights to engage in collective bargaining.
-Contacted congressional staff regarding a Washington, D.C., briefing on the topic of Missouri's reliance on provider taxes to fund its Medicaid program.
-Responded to a congressional staff member query about attending the Missouri Hospital Association's annual convention and trade show.
-Expressed concern about the provider tax restrictions included in the Obama Administration's 10-year deficit reduction proposal.
-Met with the Missouri congressional delegation to discuss the following topics: 1) a listing of federal challenges and opportunities for Missouri hospitals; 2) opposition to restrictions on states' use of provider taxes; 3) support for eliminating the current "sustainable growth rate" formula used to set Medicare physician fees and replacing it without reducing hospital payments to offset the cost of doing so; 4) support for repealing a section of the Patient Protection and Affordable Care Act of 2010 that changed the budget neutrality test for the changes in the "rural floor" component of the Medicare Average Wage Index calculations; support for legislation that prevents federal Medicare contractors form recalculating lower Medicare payments to critical access hospitals; (5) deficit reduction legislation; (6) Missouri hospitals' economic contributions; (7) actual and projected Medicare margins for Missouri hospitals; (8) access to physician services in rural Missouri; and 9) support for maintaining hospital payments for critical access, sole community and Medicare-dependent hospitals.
-Met with regional CMS officials to discuss survey and certification issues.
-Discussed the programs of HRSA's Office of Rural Health with its staff.
-Discussed with AHRQ staff the agency's MONAHRQ program for presenting health care quality data.
Agencies Lobbied
U.S. House of Representatives U.S. Senate Health Resources & Services Administration (HRSA) Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
2nd Quarter, 2011
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 14, 2011.
Original Filing: 300389632.xml
Lobbying Issues
-Discussed the implications of the Commitment to American Prosperity Act of 2011" for Missouri.
-Supported grant funding by the Agency for Healthcare Research and Quality of a Health Research and Education Trust on "Development and Demonstrations of a Surgical United-based Safety Program (SUSP) to Reduce Surgical Site Infections and Other Surgical Complications." -Met with CMS staff to discuss concerns with CMS' certification and survey process.
-Expressed support to the congressional delegation for H.R. 1398 as it relates to the calculation of provider taxes in Medicare cost reports.
-Expressed concern to the Missouri congressional delegation about proposed funding reductions in H.R. 1363 for hospital disaster preparedness programs.
-Discussed with CMS its actions taken against a member hospital for alleged violation of Medicare Conditions of Participation.
-Met with the Missouri congressional delegation to discuss the following topics: 1) a profile of Missouri's hospitals; 2) financial projections of Medicare margins through 2019; 3) reductions in the use of state provider tax as proposed in the President's first budget proposal of 2011; 4) CMS standards for disproportionate share hospital payments 5); CMS treatment of provider taxes in Medicare cost reports and the benefits of H.R. 1398; 6) preservation of Medicare critical access hospitals, Medicare-dependent hospital and sole community hospital payments; 7) federal funding of poison control centers; and 8) the implications of the FY 2012 budget proposal advanced by Rep. Paul Ryan.
-Encouraged the Health Resources and Services Administration to implement funding reductions of the final continuing resolution for FY 2011 by avoiding disproportionate cuts to children's graduate medical education payments and funding for poison control centers.
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS) Health Resources & Services Administration (HRSA)
1st Quarter, 2011
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 19, 2011.
Original Filing: 300371702.xml
Lobbying Issues
-Discussion of legislator support for changes in CMS regulatory standards governing the states administration of disproportionate share hospital payments under the Medicaid program
- Discussion of implications of budgetary proposal to restrict states use of provider taxes to generate federal matching funds -Discussion with CMS of the hospital survey and certification process as implemented by the Missouri Department of Health and Senior Services and CMS
-Security and Exchange Commission: Submitted comment letter on proposed regulatory requirement to register hospital executives and governing board members as municipal bond advisors
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Securities & Exchange Commission (SEC)
4th Quarter, 2010
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 17, 2011.
Original Filing: 300339842.xml
Lobbying Issues
-Discussion with CMS of the hospital survey and certification process as implemented by the Missouri Department of Health and Senior Services and CMS. Discussion topics included CMS standards for medication administration and the use of patient identifiers, interstate comparison of survey implementation and training opportunities.
-Discussed CMS enforcement of CLIA standards governing hospital laboratories.-Discussed legislator support for changes in CMS regulatory standards governing physician supervision requirements for outpatient therapies.
-Discussion of legislator support for changes in CMS regulatory standards governing the states administration of disproportionate share hospital payments under the Medicaid program.
-Provided proposed talking points for use in remarks at a ceremony recognizing legislative achievements.
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2010
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 18, 2010.
Original Filing: 300316266.xml
Lobbying Issues
- Responded to a member hospital regarding a congressional query on identification of cost-effective treatments for Medicare patients
- Promoted funding in the FY2011 Senate Labor-HHS appropriations bill of hospital trauma care programs authorized by P.L. 111-148- Promoted a six-month extension of a lapsing increase in states Medicaid Federal Medicaid Assistance Percentage as an amendment to H.R. 1586
- Notification of November 2010 legislative recognition award for a retiring legislator
- CMS -- regulatory standards for standards of treatment supervision standards applicable to Medicare physicians
- CMS -- standards regarding the inspection and enforcement functions of CMS hospital survey and certification branch
- Extension of implementation deadline of and standards of Medicaid disproportionate share hospital audits
- CMS treatment of state Medicaid provider taxes in Medicare cost reports of Critical Access Hospitals
- CMS -- CMS standards for treatment of insurance coverage in determining which costs are compensable by Medicaid disproportionate share hospital payments
- DHHS -- regulatory definition of medical loss ratios of health insurers pursuant to the Affordable Care Act
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
2nd Quarter, 2010
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 20, 2010.
Original Filing: 300296796.xml
Lobbying Issues
-prepared a letter to CMS to promote a one-year delay in implementing the findings of pending DSH audits and to express concern about the imposition of potential DSH payment reductions in advance of expanded coverage associated with federal health reform legislation.
-promoted legislator endorsement of a letter to CMS expressing concern about a proposed CMS regulation on the ability of critical access hospitals to include state provider taxes in their cost reports.
-promoted legislator endorsement of a letter to DHHS promoting a one-year delay in implementing the findings of pending DSH audits.
-responded to a legislative staff query regarding the Missouri Hospital Associations stance on H.R. 2381, the Nurse and Health Care Worker Protection Act of 2009.
-forwarded to congressional staff a letter to Secretary of Health and Human Services from an MHA-member hospital regarding concerns about policies concerning the definition of DSH-allowable costs and the application of pending DSH audits.
-distributed information on hospitals financial performance, with an emphasis on Medicare margins.
-promoted congressional action to delay applying the findings of pending DSH audits until state fiscal year 2012.
-supported legislation to revamp the Medicare physician payment system and permanently eliminate the sustainable growth rate component of the payment formula.
-expressed thanks to the members of the congressional delegation for past assistance to hospitals.
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS) Health & Human Services - Dept of (HHS)
1st Quarter, 2010
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 16, 2010.
Original Filing: 300260061.xml
Lobbying Issues
- Specify lobbying issues: responded to a legislative staff query regarding efforts to modify proposed regulations of the Centers for Medicare and Medicaid Services relating to health information technology. Responded to a legislative staff query regarding hospitals receiving section 508 area wage reclassifications.
- Initiated a query regarding a legislator's availability to receive a service award. H.R. 3590 sections related to productivity adjustments, the creation of an independent Medicare payment board, federal funding of Medicaid costs associated with expansions of eligibility, reporting by states of Medicaid payment methodologies and rates, reduction of Medicaid and Medicare disproportionate share hospital payments, payment reductions associated with preventable readmissions, Medicare value-based purchasing arrangements, payment changes associated with geographic variation in per-capita spending, demonstration projects for new payment and delivery models, the 340B pharmaceutical discount program, payment adjustments for certain rural hospitals, payment for rural health clinics, credentialing of medical staff involved in telemedicine, and revision of the sustainable growth rate formula for setting physician fee schedules. Also, promoted amendments to ensure protection of safety net financing arrangements in St. Louis.
H.R. 4213 and others. Promoted revision of the sustainable growth rate formula for setting physician fee schedules, enactment of a six-month extension of financial assistance to states using the FMAP, renewal of various expiring provisions related to hospital and ambulance reimbursement, clarification of the ability of certain physicians to receive federal payment to offset the cost of health information technology.
Agencies Lobbied
U.S. House of Representatives U.S. Senate
4th Quarter, 2009
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 18, 2010.
Original Filing: 300234847.xml
Lobbying Issues
-Responded to a legislative staff inquiry regarding Missouri hospitals access to financing for capital improvements through the bond market. H.R. 3590/H.R. 3962 -- sections relating to expansions of coverage through Medicaid or a health insurance exchange; the financing of the legislation through reductions in Medicare and Medicaid payments to hospitals; the imposition of Medicare hospital payment reductions based on comparisons of actual and expected rates of readmissions; equity among states in their responsibility to fund the cost of expanding Medicaid under the legislation; and the proposed authorization of Medicare coverage for persons age 55-64.
Agencies Lobbied
U.S. House of Representatives U.S. Senate
3rd Quarter, 2009
MISSOURI HOSPITAL ASSOCIATION amended a lobbying report for in-house lobbying in Q32009 on Jan. 15, 2010
Original Filing: 300233225.xml
Lobbying Issues
-Rural Health Issues: H.R. 362, Rural Hospital Assistance Act; S. 318, Medicare Rural Health Access Improvement Act; S.307 and H.R. 668, Critical Access Flexibility Act; S. 628, Conrad State 30 Improvement Act; S. 1279/H.R. 3256, Rural Community Hospital Demonstration Extension Act; S.1157, Craig Thomas Rural Hospital and Provider Equity Act.
-H.R. 444, 340B Program Improvement and Integrity Act. -Health Reform Legislation H.R. 3200 and Americas Healthy Future Act of 2009 (not yet numbered) and S. 1679, cost analysis of the effect of pending legislation on Missouri hospitals; implications of proposed Medicaid expansions; payments to hospitals under a public plan of coverage; the use of disproportionate share hospital payments to fund health reform; the creation of an autonomous payment council to set Medicare payment rates, and an agreement by several national hospital organizations to support payment reductions to provide funding for health reform. H.R. 3200, inclusion of expanded 340B pharmaceutical purchasing discount program, Medicare payment reductions to physicians imposed by the use of a sustainable growth rate formula in calculating physician payments and restrictions on the ability of physicians to refer their patients to hospitals in which the physicians have an ownership interest.
-Legislation to prevent the implementation of a 21% reduction in Medicare payments to physicians scheduled under current law to take effect January 1, 2010.
-Legislative or regulatory action to resolve inconsistent coverage determinations among various Medicare contractors, including Medicare Administrative Contractors, Home Health/Hospice Medicare Administrative Contractors, Recovery Audit Contractors, Quality Improvement Organizations and Durable Medical Equipment Regional Contractors.
-Provided requested information on the distribution by category of public and private insurance coverage in Missouri.
Agencies Lobbied
U.S. House of Representatives U.S. Senate,
3rd Quarter, 2009
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 19, 2009.
Original Filing: 300210259.xml
Lobbying Issues
-Rural Health Issues: H.R. 362, Rural Hospital Assistance Act; S. 318, Medicare Rural Health Access Improvement Act; S.307 and H.R. 668, Critical Access Flexibility Act; S. 628, Conrad State 30 Improvement Act; S. 1279/H.R. 3256, Rural Community Hospital Demonstration Extension Act; S.1157, Craig Thomas Rural Hospital and Provider Equity Act.
-H.R. 444, 340B Program Improvement and Integrity Act. -Health Reform Legislation H.R. 3200 and Americas Healthy Future Act of 2009 (not yet numbered) and S. 1679, cost analysis of the effect of pending legislation on Missouri hospitals; implications of proposed Medicaid expansions; payments to hospitals under a public plan of coverage; the use of disproportionate share hospital payments to fund health reform; the creation of an autonomous payment council to set Medicare payment rates, and an agreement by several national hospital organizations to support payment reductions to provide funding for health reform. H.R. 3200, inclusion of expanded 340B pharmaceutical purchasing discount program, Medicare payment reductions to physicians imposed by the use of a sustainable growth rate formula in calculating physician payments and restrictions on the ability of physicians to refer their patients to hospitals in which the physicians have an ownership interest.
-Legislation to prevent the implementation of a 21% reduction in Medicare payments to physicians scheduled under current law to take effect January 1, 2010.
-Legislative or regulatory action to resolve inconsistent coverage determinations among various Medicare contractors, including Medicare Administrative Contractors, Home Health/Hospice Medicare Administrative Contractors, Recovery Audit Contractors, Quality Improvement Organizations and Durable Medical Equipment Regional Contractors.
-Provided requested information on the distribution by category of public and private insurance coverage in Missouri.
Agencies Lobbied
U.S. House of Representatives U.S. Senate,
2nd Quarter, 2009
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 16, 2009.
Original Filing: 300179782.xml
Lobbying Issues
- Health Reform: Reduction of DSH payments as a funding source for health reform; and the importance of DSH payments to Missouri hospitals
- MCO provider tax
- S. 1099 - Patients' Choice Act (Burr/Coburn Health Plan)- H.R. 444 - 340B Program Improvement and Integrity Act
- possible amendment on reauthorizing Section 1011 of the Medicare Modernization Act
- reviewed hospital financial performance under Medicares payment system
- discussed principals for health care reform legislation
- Medicare Physician Payment Fix
- H.R. 1409 & S. 560, Employee Free Choice Act Card Check
- Physician Self-Referral to Specialty Hospitals
- Rural Health Care Issues: H.R. 362 - Rural Hospital Assistance Act of 2009; S. 318 - Medicare Rural Health Access Improvement Act of 2009; S. 307/H.R. 668 - Critical Access Hospital Flexibility Act of 2009; and S. 628/H.R. 1127 - J1-Visa Waiver Program
- H.R. 444 - 340B Program Improvement and Integrity Act of 2009
- Consistency of Regulatory Standards Application
- requested action to protect Medicare capital indirect medical education payments
Agencies Lobbied
U.S. House of Representatives U.S. Senate,
1st Quarter, 2009
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 14, 2009.
Original Filing: 300147970.xml
Lobbying Issues
-H.R. 1 - American Recovery and Reinvestment Act of 2009. Specific topics included section 5002 (Temporary Increase in Disproportionate Share Hospital Allotments), section 5003 (Extension of Moratoria on Certain Medicaid Regulations), section 4102 (funding of health information technology as it applies to critical access hospitals), section 4301 (Medicare indirect medical education payments), appropriations to the Agency for Healthcare Quality and Research (comparative effectiveness research)-Childrens Health Insurance Reauthorization Act of 2009. Specific topics included (1) the role of SCHIP in the Missouri Medicaid program and (2) restrictions on physician self-referral in the Medicare program included in the version of the legislation adopted by the House of Representatives.
-Criteria for designation of hospital facilities as critical access hospitals for purposes of Medicare and Medicaid payment
-Funding for the programs of the Office of Insured Health Care Facilities in the Department of Housing and Urban Development
-Comment letter on TriCare payments to hospitals as revised by a proposed regulation
Agencies Lobbied
U.S. House of Representatives U.S. Senate Defense - Dept of (DOD)
4th Quarter, 2008
In Q4, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Jan. 15, 2009.
Original Filing: 300120544.xml
Lobbying Issues
- Promoted legislation to restrict the ability of physicians to refer patients to hospitals in which they have an investment interest
- Provided requested information to a congressional office relating to practices regarding the membership fees charged by air ambulance services
- Invited several federal legislators to participate in a health reform seminar held in Kansas City- Promoted reversal or revision of a Department of Defense regulation relating to TriCare payments for hospital outpatient services
- Discussed potential support for an applicant for appointment to a federal executive post
- H.R. 1424 (Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008)
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
3rd Quarter, 2008
In Q3, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on Oct. 16, 2008.
Original Filing: 300095083.xml
Lobbying Issues
H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007
H.R. 6331/S. 3101/S. 3118 - Medicare Improvements for Patients and Providers Act of 2008
H.R. 2642 - Supplemental Appropriations Act, 2008
Repeal of the "Whole Hospital" Exception Under the Stark Anti-Fraud LawH.R. 1424 The Paul Wellstone Mental Health Equity Act
H.R. 3162 Childrens Health and Medicare Protection (CHAMP) Act of 2007
S. 1376/H.R. 2606 340B Program Improvement and Integrity Act
S. 543/H.R. 1459 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007
S. 2773/H.R. 6089 The National Pediatric Research Consortia Act of 2008
H.R. 5574 To amend the Public Health Service Act to reauthorize support for graduate medical education programs in childrens hospitals
Support Continuing Budget Resolution Childrens Hospitals Graduate Medical Education
Principals for Childrens Coverage in Health Care Reform
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
2nd Quarter, 2008
In Q2, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 16, 2008.
Original Filing: 300067124.xml
Lobbying Issues
S. 543/H.R. 1459 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007
S. 630/H.R. 1563/H.R. 2159 - Rural Health Services Preservation Act of 2007
H.R. 1177/S.2381 - Sole Community Hospital Preservation Act of 2007
S. 2499 - The Medicare, Medicaid and SCHIP Extension Act of 2007Repeal of the Whole Hospital Exception Under the Stark Anti-Fraud Law
Renewal of the Missouri Medicaid Partnership Agreement Between the State of Missouri and CMS
H.R. 3533/S. 2460 Extend the Moratorium on Medicaid Payment Restrictions
H.R. 5613 Extend the Moratorium on Medicaid Payment Restrictions
H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007
H.R. 1424 The Paul Wellstone Mental Health Equity Act
S. 2786 The Medicare Rural Health Access Improvement Act of 2008
H.R. 3963 Childrens Health Insurance Program Reauthorization Act
S. 2221 The Transparency in Medical Device Pricing Act of 2007
H.R. 5480/S. 2662 Medicare Trigger Legislation
S. 2819 Economic Recovery in Health Care Act of 2008
H.R. 5613 Protecting the Medicaid Safety Net Act of 2008
S. 3101 Medicare Improvements for Patients and Providers Act of 2008
S. 3118 Preserving Access to Medicare Act
H.R. 2642 Supplemental Appropriations Act, 2008
H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
1st Quarter, 2008
In Q1, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on April 17, 2008.
Original Filing: 300041519.xml
Lobbying Issues
S. 543/H.R. 1459 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007
S. 630/H.R. 1563/H.R. 2159 - Rural Health Services Preservation Act of 2007
H.R. 1177/S.2381 - Sole Community Hospital Preservation Act of 2007
S. 2499 The Medicare, Medicaid and SCHIP Extension Act of 2007Repeal of the Whole Hospital Exception Under the Stark Anti-Fraud Law
Renewal of the Missouri Medicaid Partnership Agreement Between the State of Missouri and CMS
H.R. 3533/S. 2460 Extend the Moratorium on Medicaid Payment Restrictions
H.R. 5613 Extend the Moratorium on Medicaid Payment Restrictions
H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007
H.R. 1424 The Paul Wellstone Mental Health Equity Act
S. 2786 The Medicare Rural Health Access Improvement Act of 2008
H.R. 3963 Childrens Health Insurance Program Reauthorization Act
S. 2221 The Transparency in Medical Device Pricing Act of 2007
H.R. 5480/S. 2662 Medicare Trigger Legislation
The Protecting the Medicaid Safety Net Act of 2008
S. 2819 Economic Recovery in Health Care Act of 2008
Opposition to the Administrations FY 2009 Proposed Budget
Agencies Lobbied
U.S. House of Representatives U.S. Senate Centers For Medicare and Medicaid Services (CMS)
0th Quarter, 2007
In MM, MISSOURI HOSPITAL ASSOCIATION had in-house lobbyists. The report was filed on July 19, 2007.
Original Filing: 200040266.xml
Lobbying Issues
FFY 2008 Administration Budget Proposal and Its Effect on Hospitals
S. 1595 - Critical Access Hospital Flexibility Act of 2007
S. 1277 - Critical Access to Clinical Lab Services Act of 2007
S. 630/H.R. 1563/H.R. 2159 Rural Health Services Preservation Act of 2007S. 458/H.R. 1105 Physician Pathology Services Continuity Act of 2007
H.R. 1899 Enhanced Options for Rural Health Care Act of 2007
S. 629 Loans and Grants for Construction and Rehabilitation of CAHs
S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007
S. 1376/H.R. 2606 340B Program Improvement and Integrity Act of 2007
H.R. 1177 Sole Community Hospital Preservation Act of 2007
H.R. 1730 MedPAC Rural Representation Act
S. 1604 Nursing Education and Quality of Health Care Act of 2007
H.R. 1866 Medicare Access to Rural Anesthesiology Act of 2007
S. 543/H.R. 1459 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act
Reauthorization and Funding of the State Childrens Health Insurance Program
Medicare and Medicaid Spending Reductions for Hospitals
Medicaid State Plan Amendments and Waivers
Renewal of the Missouri Medicaid Partnership Agreement with CMS
Agencies Lobbied
Y
Y
Centers for Medicare & Medicaid Services
Source: Clerk of the U.S. House of Representatives and Secretary of the Senate