Hospital Payment Fairness Act of 2017

- 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.

Client expense: $50,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 1301/H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act H.R. 1 - Tax Cuts and Jobs Act H.R. 4392 - bill that would block cuts for hospitals that participate in the 340B Drug Pricing Program S. 2156 - Hospital Payment Fairness Act H.J. Res. 124 - portion of the bill: CHAMPIONING HEALTHY KIDS Act H.R. 1370 - Department of Homeland Security Blue Campaign Authorization Act of 2017 (portion of the bill: CHIP and Public Health Funding Extension Act) SUBJECT: CY 2018 Clinical Laboratory Fee Schedule Preliminary Payment Rates SUBJECT: Durable Medical Equipment/Medicare Competitive Bidding Program SUBJECT: CMS Request for Information on Innovation Center New Direction SUBJECT: Shortage of Small-Volume Intravenous

Client expense: $265,622 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

H.R 6528; H. Res 347; H.R. 2358; S. 3085; H.R. 2647; H.R. 695; H.R.2178; S. 2156; H.R.849;.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- 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.

H.R 6528; H. Res 347; H.R. 2358; S. 3085; H.R. 2647; H.R. 695; H.R.2178; S. 2156; H.R.849;Trinity Collaborative Shaded Fuel Break Pilot Project; Trinity Lake Houseboat Permit [FSM Policy 2347.3 (1) and (4)]; S. 879;

Client expense: Not reported · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Land Management (BLM), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, U.S. Forest Service