MISSOURI HOSPITAL ASSOCATION

See Next Page for Narrative.Promote a resolution between The Higher Learning Commissions accreditation standards and Medicare nursing school payment requirements; The criteria used to designate critical access hospitals under the Medicare program; Extension of 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; Potential implementation of recommendations of the DHHS Office of Inspector General regarding changes to the designation of critical access hospitals; H.R.1250/S. 1012, The Medicare Audit Improvement Act of 2013, all sections; CMS' continuation of quarterly meetings with representatives of state hospital associations; Medicaid disproportionate share hospital payments to Missouri hospitals; Support for the Senate Finance Committee amendment (Enzi) adding S. 183 (Hospital Fairness Act) to S. Con. Res. 8 (Budget Resolution) and opposed Senate Finance Committee Amendment 0651 to S. Con. Res. 8 (Menendez); The requirements of the federal EMTALA law on hospital emergency departments; Support for The Hospital Payment Fairness Act (S. 183/H.R. 2053);

Client expense: — · Firm income: $20,000

Matched citations: S. Con. Res. 8

See Next Page for Narrative.CMS design and implementation of Missouris federally-facilitated health insurance exchange (Marketplace); Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013; "Dear Colleague" letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services Regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans; EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act; Hospital financial performance metrics and trends; Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program; Promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other program integrity initiatives; Ooppose 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 and 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; Letter to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals; Missouri Hospital Association reports entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People

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Matched citations: H.R. 2053

See Next Page for Narrative.CMS design and implementation of Missouris federally-facilitated health insurance exchange (Marketplace); Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013; "Dear Colleague" letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services Regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans; EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act; Hospital financial performance metrics and trends; Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program; Promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other program integrity initiatives; Ooppose 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 and 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; Letter to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals; Missouri Hospital Association reports entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People

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Matched citations: H.R. 1250

See Next Page for Narrative.CMS design and implementation of Missouris federally-facilitated health insurance exchange (Marketplace); Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013; "Dear Colleague" letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services Regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans; EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act; Hospital financial performance metrics and trends; Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program; Promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other program integrity initiatives; Ooppose 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 and 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; Letter to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals; Missouri Hospital Association reports entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People

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Matched citations: H.R. 986

See Next Page for Narrative.CMS design and implementation of Missouris federally-facilitated health insurance exchange (Marketplace); Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013; "Dear Colleague" letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services Regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans; EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act; Hospital financial performance metrics and trends; Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program; Promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other program integrity initiatives; Ooppose 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 and 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; Letter to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals; Missouri Hospital Association reports entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People

Client expense: — · Firm income: $20,000

Matched citations: S. 183

See Next Page for Narrative.CMS design and implementation of Missouris federally-facilitated health insurance exchange (Marketplace); Preventing and Reducing Improper Medicare and Medicaid Expenditures act of 2013; "Dear Colleague" letter by Congresswoman Jenkins (R-KS) regarding Medicare payments for inpatient rehabilitation services Regulatory standards to create a grace period for the payment of premiums for coverage in a federally-facilitated exchange or qualified health plans; EHR incentives for Rural Health Clinics regarding H.R. 986, the Rural Clinic Fairness Act; Hospital financial performance metrics and trends; Medicare sustainable growth rate formula for determining payments for physician services under the Medicare program; Promote H.R. 1250 and S. 1012, regarding accountability standards for Medicare Recovery Audit Contractors and other program integrity initiatives; Ooppose 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 and 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; Letter to oppose the DHHS OIGs recommendations for changes in standards for designating critical access hospitals; Missouri Hospital Association reports entitled A View of Two Missouris How Insurance Coverage Affects the Health and Productivity of Its People

Client expense: — · Firm income: $20,000

Matched citations: S. 1012

See Next Page for Narrative.Support for H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013; 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 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; CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010; Efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053); CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors; Medicare hospital payment restrictions based on preventable hospital readmissions; HR 1787, The Rural Hospital Access Act, all provisions; Congressional request re: Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment; Congressional inquiry re: 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; Oppose 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; Congressional request regarding federally qualified health centers in Missouri; Request for CMS to update its list of skilled nursing facilities to include swing-bed providers.

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Matched citations: H.R. 1250

See Next Page for Narrative.Support for H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013; 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 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; CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010; Efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053); CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors; Medicare hospital payment restrictions based on preventable hospital readmissions; HR 1787, The Rural Hospital Access Act, all provisions; Congressional request re: Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment; Congressional inquiry re: 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; Oppose 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; Congressional request regarding federally qualified health centers in Missouri; Request for CMS to update its list of skilled nursing facilities to include swing-bed providers.

Client expense: — · Firm income: $20,000

Matched citations: HR 1787

See Next Page for Narrative.Support for H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013; 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 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; CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010; Efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053); CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors; Medicare hospital payment restrictions based on preventable hospital readmissions; HR 1787, The Rural Hospital Access Act, all provisions; Congressional request re: Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment; Congressional inquiry re: 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; Oppose 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; Congressional request regarding federally qualified health centers in Missouri; Request for CMS to update its list of skilled nursing facilities to include swing-bed providers.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 2053

See Next Page for Narrative.Support for H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013; 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 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; CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010; Efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053); CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors; Medicare hospital payment restrictions based on preventable hospital readmissions; HR 1787, The Rural Hospital Access Act, all provisions; Congressional request re: Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment; Congressional inquiry re: 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; Oppose 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; Congressional request regarding federally qualified health centers in Missouri; Request for CMS to update its list of skilled nursing facilities to include swing-bed providers.

Client expense: — · Firm income: $20,000

Matched citations: S. 1012

See Next Page for Narrative.Support for H.R. 1250, and S. 1012, the Medicare Audit Improvement Act of 2013; 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 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; CMS proposed regulations to implement the Medicare DSH reductions authorized by the Patient Protection and Affordable Care Act of 2010; Efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care of 2010 (S. 183, H.R. 2053); CMS standards for awarding vendor contracts to Medicare Recovery Audit Contractors; Medicare hospital payment restrictions based on preventable hospital readmissions; HR 1787, The Rural Hospital Access Act, all provisions; Congressional request re: Missouri Hospital Associations stance on the Patient Protection and Affordable Care Act of 2010 at the time of its enactment; Congressional inquiry re: 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; Oppose 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; Congressional request regarding federally qualified health centers in Missouri; Request for CMS to update its list of skilled nursing facilities to include swing-bed providers.

Client expense: — · Firm income: $20,000

Matched citations: S. 183

See Next Page for Narrative.Proposals to restrict states use of provider taxes -Promoted H.R. 1250, the Medicare Audit Improvement Act of 2013, and encouraged cosponsors of the legislation; -Discussed 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 information regarding hospitals within the congressional districts as revised by the congressional redistricting process; -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 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; Discussed arrangements for a potential 2013 trip by CMS officials to tour rural hospitals in Missouri; 340B pharmaceutical purchasing program; States reliance on federal funding and its effect on ratings of their bonding capacity by bond ratings organizations; CMS report on the agencys implementation of the Medicare Recovery Audit Contractor program in FY 2011; Nomination of a member of the Missouri Hospital Association staff to the National Advisory Council of the National Health Services Corps; Implications of a federally-authorized expansion of Medicaid eligibility on private health insurance premiums.

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Matched citations: H.R. 1250

See Next Page for Narrative.Proposals to restrict states use of provider taxes -Promoted H.R. 1250, the Medicare Audit Improvement Act of 2013, and encouraged cosponsors of the legislation; -Discussed 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 information regarding hospitals within the congressional districts as revised by the congressional redistricting process; -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 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; Discussed arrangements for a potential 2013 trip by CMS officials to tour rural hospitals in Missouri; 340B pharmaceutical purchasing program; States reliance on federal funding and its effect on ratings of their bonding capacity by bond ratings organizations; CMS report on the agencys implementation of the Medicare Recovery Audit Contractor program in FY 2011; Nomination of a member of the Missouri Hospital Association staff to the National Advisory Council of the National Health Services Corps; Implications of a federally-authorized expansion of Medicaid eligibility on private health insurance premiums.

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Matched citations: S. 183

See Next Page for Narrative. Congressional efforts to restrict states use of provider taxes to fund their Medicaid programs; Hospitals need for stability and predictability in making their spending and policy decisions; support expected legislative efforts to repeal or revamp section 3141 of the Patient Protection and Affordable Care Act of 2010; 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; Reauthorize the Medicare Dependent Hospital Payment program for one year effective October 1, 2012, through H.R. 5943 or S. 2620; Oppose congressional proposals to curtail states capacity to use provider taxes to generate federal matching funds for their Medicaid programs; 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; Reject future congressional proposals to terminate the designation of critical access hospitals which qualify for separate payment and regulatory standards; Medicare Dependent Hospital provisions in H.R. 5943, Rural Hospital Access Act of 2012; 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; 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/ S. 2620, Rural Hospital Access Act of 2012; Proposed draft legislation to assess and limit the administrative burdens imposed by demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives;

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Matched citations: H.R. 5943

See Next Page for Narrative. Congressional efforts to restrict states use of provider taxes to fund their Medicaid programs; Advocated the consideration for 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; Additional support for H.R. 5943, provisions relateed to Medicare Dependent Hospital programs; Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; Promoted 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; Regulatory standards governing the use of tasers and weapons by hospital security staff; Worked on 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; H.R. 5943 or S. 2620, with respect to payments received by Missouri hospitals under the Medicare Low-Volume Hospital program; Expected legislation to assess and limit the administrative burdens imposed by demands for records by Medicare Recovery Audit Contractors and other program integrity initiatives; Discussed the effect the RAC program is having on Missouri hospitals.

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Matched citations: H.R. 5943

See Next Page for Narrative. Medicare payments to certified registered nurse anesthetists for pain management services and Support for Associations related letter; Opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs; 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; Support for H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals; 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; Missouri Hospitals and their placement in congressional districts redrawn in the redistricting process. Oppose 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; Development and sponsorship of legislation 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; H.R. 5707 (Physician Payment Innovation Act of 2012); Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; S. 2620/H.R. 5943, to reauthorize the Medicare Dependent Hospital program. Regulatory and payment topics, generally; Support 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.

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Matched citations: H.R. 2245

See Next Page for Narrative. Medicare payments to certified registered nurse anesthetists for pain management services and Support for Associations related letter; Opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs; 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; Support for H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals; 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; Missouri Hospitals and their placement in congressional districts redrawn in the redistricting process. Oppose 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; Development and sponsorship of legislation 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; H.R. 5707 (Physician Payment Innovation Act of 2012); Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; S. 2620/H.R. 5943, to reauthorize the Medicare Dependent Hospital program. Regulatory and payment topics, generally; Support 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.

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Matched citations: H.R. 3839

See Next Page for Narrative. Medicare payments to certified registered nurse anesthetists for pain management services and Support for Associations related letter; Opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs; 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; Support for H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals; 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; Missouri Hospitals and their placement in congressional districts redrawn in the redistricting process. Oppose 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; Development and sponsorship of legislation 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; H.R. 5707 (Physician Payment Innovation Act of 2012); Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; S. 2620/H.R. 5943, to reauthorize the Medicare Dependent Hospital program. Regulatory and payment topics, generally; Support 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.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 5651

See Next Page for Narrative. Medicare payments to certified registered nurse anesthetists for pain management services and Support for Associations related letter; Opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs; 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; Support for H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals; 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; Missouri Hospitals and their placement in congressional districts redrawn in the redistricting process. Oppose 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; Development and sponsorship of legislation 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; H.R. 5707 (Physician Payment Innovation Act of 2012); Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; S. 2620/H.R. 5943, to reauthorize the Medicare Dependent Hospital program. Regulatory and payment topics, generally; Support 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.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 5707

See Next Page for Narrative. Medicare payments to certified registered nurse anesthetists for pain management services and Support for Associations related letter; Opposing budget reconciliation proposals that would reduce states capacity to use provider taxes to fund their Medicaid programs; 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; Support for H.R. 5651 based on its provisions to reduce the incidence and severity of shortages of drugs and other pharmaceuticals; 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; Missouri Hospitals and their placement in congressional districts redrawn in the redistricting process. Oppose 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; Development and sponsorship of legislation 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; H.R. 5707 (Physician Payment Innovation Act of 2012); Medicare Payment Advisory Commissions report regarding the delivery and financing of hospitals and other health care services in rural regions; S. 2620/H.R. 5943, to reauthorize the Medicare Dependent Hospital program. Regulatory and payment topics, generally; Support 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.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 5943

Federal challenges and opportunities for Missouri hospitals, generally; Oppose legislative and executive branch proposals to restrict states' use of provider taxes to fund their Medicaid programs; Provider tax restrictions included in the Obama Administration's 10-year deficit reduction proposal; 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; 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; Deficit reduction legislation, generally; Missouri hospitals' economic contributions, including actual and projected Medicare margins for Missouri hospitals; Support for access to physician services in rural Missouri; and Support for maintaining hospital payments for critical access, sole community and Medicare-dependent hospitals. CMS' survey and certification issues. HRSA's Office of Rural Health Programs AHRQ's MONAHRQ program for presenting health care quality data. Use of provider taxes to fund Medicaid programs. Proposed cuts in payments for graduate medical education. Oppose restrictions on states' use of provider taxes. Promote the elimination or restrictions on Medicare payments for bad debt expenses, cuts in graduate medical education payments and the consolidation of Medicaid matching fund rates. Coding offset included in the agency's proposed regulatory changes to the Medicare prospective payment system. Legislative provisions that were codified in the Budget Control Act of 2011. The repeal of 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. National Labor Relations Board's regulations on the posting of notices of workers' rights to engage in collective bargaining Issues related to Missouri's reliance on provider taxes to fund its Medicaid program.

Client expense: — · Firm income: $20,000

Matched citations: s 10