ANDREW WHEELER

- Convened a call with members of the Missouri congressional delegation health staffers to discuss CON laws in Missouri. - Corresponded with members of the Missouri congressional delegation health staffers regarding Missouris RHTP application - Corresponded with members of the Missouri congressional delegation health staffers regarding Missouri hospital closure map. - Responded to members of the Missouri congressional delegation health staffers regarding RHTP application questions. - Distributed Missouri Hospital Association letter to Aetna regarding the level of severity inpatient payment policy which MHA believes goes against CMS regulations. - Attended an in-person meeting in St Louis with a member of the Missouri congressional delegation health staff. - Corresponded with a member of the Missouri congressional delegation health staffer regarding questions on drone delivery of medications. - Corresponded with a member of the Missouri congressional delegation health staffer regarding thoughts on a draft RHTP letter. - Corresponded with a member of the Missouri congressional delegation health staffer regarding Anthem BCBS Elevance Health Policy. - Corresponded with a member of the Missouri congressional delegation health staffer regarding calendar year 2026 Medicare Physician Fee Schedule final rule. - Corresponded to convene a call to discuss various healthcare issues with a member of the Missouri congressional delegation health staffer. - Corresponded with a member of the Missouri congressional delegation health staffer regarding RHTP, ToRCH and rural hospitals support. - Corresponded with a member of the Missouri congressional delegation health staffer regarding cosponsoring of the Improving Seniors Timely Access to Care Act. - Corresponded with a member of the Missouri congressional delegation health staffer regarding FY26 CPF Funding for Golden Valley Memorial Hospital. - Corresponded with a member of the Missouri congressional delegation health staffer regarding cosponsoring H.R. 3514 Improving Seniors Timely Access to Care Act. - Convened a call with a member of the Missouri congressional delegation to discuss rural health transformation. - Corresponded with a member of the Missouri congressional delegation chief of staff regarding rural health transformation.

- Distributed Medicaid advocacy briefs to members of the Missouri congressional delegation health staffers. - Distributed Medicaid FRA Assessment and MHA advocacy brief to members of the Missouri congressional delegation. - Corresponded with a member of the Missouri congressional delegation health staffer regarding new health legislative assistant. - Corresponded with the members of the Missouri congressional delegation health staffers regarding request for in-person meeting. - Distributed Legislator profile, Medicaid Marketplace profiles, MHA briefing papers to members of the Missouri congressional delegation health staffers. - Corresponded with a member of the Missouri congressional delegation health staffer regarding RHTP and OBBB listening sessions. - Distributed a list of hospitals in Missouri district 4 to a member of the Missouri congressional delegation health staffer as requested. - Corresponded with members of the Missouri congressional delegation health staffers regarding upcoming Rural Fly-In and materials provided. - Corresponded with a member of the Missouri congressional delegation health staffer regarding responses to his questions on rural emergency hospital. - Distributed a Dear Colleague Letter-Prevent Medicaid DSH Funding Reductions to a member of the Missouri congressional delegation health staffer. - Corresponded with a member of the Missouri congressional delegation health staffer following up on a meeting. - Convened in-person meetings with members of the Missouri congressional delegation health staffers to discuss hospital issues. - Corresponded with a member of the Missouri congressional delegation health staffer regarding signing on as cosponsor of S. 1816. - Corresponded with a member of the Missouri congressional delegation health staffer regarding RHTP funds and stat discussed by congressman. - Corresponded with a member of the Missouri congressional delegation health staffer regarding CMS Releasing RHTP notice of funding opportunity. - Corresponded with a member of the Missouri congressional delegation health staffer regarding dually classified Missouri hospitals. - Distributed a drafted CMS letter to a member of the Missouri congressional delegation health staffer.

- Corresponded with the members of the Missouri congressional delegation health staffers regarding the latest Senate version on rural hospital assistance. - Distributed Medicaid advocacy briefs to members of the Missouri congressional delegation health staffers. - Distributed Medicaid advocacy letters to members of the Missouri congressional delegation. - Corresponded with a member of the Missouri congressional delegation health staffers regarding FRA simplified cash flow. - Distributed MHA Medicaid advocacy brief and one pager state directed payments to members of the Missouri congressional delegation health staffers. - Corresponded with the members of the Missouri congressional delegation health staffers regarding a draft of the healthcare worker bill. - Corresponded with a member of the Missouri congressional delegation health staffers regarding the estimated reduction to Medicaid lives. - Distributed a letter regarding the One Big Beautiful Bill Act to members of the Missouri congressional delegation. - Corresponded with a member of the Missouri congressional delegation health staffer regarding Per Resident Amount. - Corresponded with a member of the Missouri congressional delegation health staffer regarding a new CEO at a Missouri hospital. - Corresponded with a member of the Missouri congressional delegation health staffer regarding Cosponsored legislation S. 1816. - Corresponded with a member of the Missouri congressional delegation health staffer regarding a congressmans in-person visit to a Missouri hospital in their district. - Corresponded with members of the Missouri congressional delegation health staffers regarding an upcoming in person meeting in Washington DC. - Convened in-person meetings with members of the Missouri congressional delegation health staffers to discuss hospital issues. - Corresponded with a member of the Missouri congressional delegation health staffer regarding Save Americas Rural Hospitals Reintroduction. - Corresponded with a member of the Missouri congressional delegation health staffer regarding a question about HR 2571. - Corresponded with members of the Missouri congressional delegation health staffers regarding rural hospitals questioning whether they can afford Medicare Advantage contracts. - Corresponded with a member of the Missouri congressional delegation health staffer regarding a Missouri hospital unable to meet their payroll. - Corresponded with a member of the Missouri congressional delegation health staffer thanking a Senator for cosponsoring an amendment to protect Medicaid funding.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- Corresponded and provided Medicare Advantage webinar link to a member of the Missouri Congressional delegation health staffer. - 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 stafffer regarding in person visits. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding their departure from position with congressional delegate. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Nursing Home Minimum Staffing Rule. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Witness Bios and Testimony. - Corresponded with members of the Missouri Congressional delegation health staffers regarding HR 8245, HR 8261, HR 8144, HR 8246 and HR 8235. - Corresponded with members of the Missouri Congressional delegation health staffers regarding Critical Access Hospitals and OB Carve Out proposed legislation. - Corresponded with a member of the Missouri Congressional delegation health staffer regarding Humana Medicare Advantage Authorization example - Corresponded with a member of the Missouri Congressional delegation health staffer regarding FEMA status of a Missouri hospital. - Corresponded with members of the Missouri Congressional delegation regarding issues facing Missouri hospitals this quarter.

- 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

- 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.

- 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

- 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.

- 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.

- 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.

- 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.

- 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.

- 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.

- 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.

- 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.