• -To oppose provisions in bills related to site neutral Medicare payments to hospitals at their hospital outpatient departments. -To oppose provisions in bills that would require hospital outpatient departments to bill insurance carriers at the same rate as primary care physician offices and health clinics despite the fact that these providers are not subject to EMTALA. -To return 340b to the program that it was before pharmaceutical companies began l limiting the scope of the program for hospitals. -To keep sequestration from being extended beyond its current end date of 2032. -To help hospitals navigate congressionally directed spending applications. -To push for BSN (nursing) to be made a DHS STEM certified degree so that graduates can stay in the country for practical training. -To push for workplace safety measures in hospitals that are similar to those enjoyed by flight attendants. -To push for increased reimbursement in CMS' 2024 IPPS rule. -To push for an extension of the LVH and MDH programs. -To push for an extension of DSH payments for states without expanded Medicaid. -To oppose bills and provisions that would require that hospital outpatient departments be paid at the same rate as health clinics and doctors offices whether by Medicare or private insurers. -To support the President's budget request for grant funding for cybersecurity upgrades at hospitals. -To support the SAVE Act (HR2584/S2768) which would make it a federal crime for someone to assault a healthcare worker, similar to how it works for flight attendants. -To support the Healthcare Workforce Resiliency Act (HR6205/S2311) which would allow for unused visas during a year to be transferred over to the visa category for bringing in nurses.
• -To keep sequestration from being extended beyond its current end date of 2032. -To oppose provisions in bills related to site neutral Medicare payments to hospitals at their hospital outpatient departments. -To push for increased reimbursement in CMS' 2024 IPPS rule. -To push for an extension of the LVH and MDH programs. -To push for an extension of DSH payments for states without expanded Medicaid. -To push for legislation to make changes to the REH program, paritulcarly to allow CAH hospitals that become REHs to return to CAH status regardless as to whether or not they originally entered the CAH program by state government election. -To oppose bills and provisions that would require that hospital outpatient departments be paid at the same rate as health clinics and doctors offices by Medicare.

Duration: January 15, 2017 to present

General Issues: Health Issues, Medicare/Medicaid, Telecommunications, Economics/Economic Development, Labor Issues/Antitrust/Workplace, Taxation/Internal Revenue Code, Insurance, Budget/Appropriations

Spending: about $444,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2017: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security - Dept of (DHS), Federal Communications Commission (FCC), Small Business Administration (SBA)