A bill to amend title XVIII of the Social Security Act to permit review of certain Medicare payment determinations for disproportionate share hospitals, and for other purposes.

Outreach and monitoring related to health, Medicaid and Medicare issues. Monitor legislative activity on issues related to the Presidents Budget FY 2019. H.R. 3325, ACE Kids Act. H.R. 5598, 340B Optimization Act. H.R. 5985, To amend title XVIII of the Social Security Act to permit review of certain Medicare payment determinations for disproportionate share hospitals and for other purposes. H.R. 6071, SERV Communities Act. S. 2690, To amend title XVIII of the Social Security Act to permit review of certain Medicare payment determinations for disproportionate share hospitals and for other purposes.

Client expense: Not reported · Firm income: $10,000

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

- 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.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE