Clerk of the House of Representatives
Legislative Resource Center
B-106 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby
LOBBYING REPORT

Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

1. Registrant Name Organization/Lobbying Firm Self Employed Individual
NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS

2. Address

Address1
1301 PENNSYLVANIA AVENUE, NW, #950
Address2
 
City
WASHINGTON
State
DC
Zip Code
20004
Country
USA

3. Principal place of business (if different than line 2)

City
 
State
 
Zip Code
 
Country
 
4a. Contact Nameb. Telephone Numberc. E-mail
 Ms.
 RHONDA GOLD
 2025850109
 rgold@naph.org
5. Senate ID#
 27057-12
7. Client NameSelfCheck if client is a state or local government or instrumentality
 NATIONAL ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS
6. House ID#
 302500000
TYPE OF REPORT8. Year
 2011
Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) Q3 (7/1 - 9/30) Q4 (10/1 - 12/31)

9. Check if this filing amends a previously filed version of this report

10. Check if this is a Termination Report Termination Date
 
11. No Lobbying Issue Activity
INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13
12. Lobbying13. Organizations
INCOME relating to lobbying activities for this reporting period was:EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
Less than $5,000
$5,000 or more$
 
$5,000 or more$
 190,000.00
Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income from the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options.
Method A. Reporting amounts using LDA definitions only

Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code

Method C. Reporting amounts under section 162(e) of the Internal Revenue Code

Signature
Digitally Signed By: Shawn Gremminger
Date
04/15/2011

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MMM

16. Specific lobbying issues

Maintenance of Medicaid Eligibility Levels
Safety Net Accountable Care Demonstration
Safety Net Advanced Primary Care Practice Demonstration
Issues pertaining to Medicaid provisions in the Health reform law

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS)

18. Name of each individual who acted as a lobbyist in this issue area

First NameLast NameSuffix Covered Official Position (if applicable) New
Shawn
Gremminger
 
 
Lynne
Fagnani
 
 
Kristin
LaRoche
 
 

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code PHA

16. Specific lobbying issues

Request that stakeholders be permitted to review and comment on (i) Notice Regarding Section 602 of the Veterans Health Care Act of 1992 Definition of "Patient" (RIN: 0906-ZA08) and (ii) Notice Regarding Section 602 of the Veterans Health Care Act of 1992 Definition of "Patient" - Withdrawl of Previous Notice (RIN: 0906-ZA09)

17. House(s) of Congress and Federal agencies Check if None

Office of Management & Budget (OMB)

18. Name of each individual who acted as a lobbyist in this issue area

First NameLast NameSuffix Covered Official Position (if applicable) New
Shawn
Gremminger
 
 
Lynne
Fagnani
 
 
Kristin
LaRoche
 
 

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code BUD

16. Specific lobbying issues

Funding for collaborative care network program [House and Senate FY 2011 Labor-HHS-Education Appropriations bills); FY 2011 continuing resolutions]; deficit reduction proposals and FY 2012 budget.
HR 1 - Full-Year Continuing Appropriations Act - Provisions relating to health care spending
H Con Res 34 - Concurrent Resolution on the Budget for Fiscal Year 2012 - Provisions relating to health care spending

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

First NameLast NameSuffix Covered Official Position (if applicable) New
Shawn
Gremminger
 
 
Lynne
Fagnani
 
 
Kristin
LaRoche
 
 

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code HCR

16. Specific lobbying issues

Efforts to expand coverage for the uninsured; Efforts to preserve and strengthen safety net hospitals, including supplemental payments; issues pertaining to health reform implementation; Promoting use of coordinated care networks for newly insured populations
HR 2-Repealing the Job-Killing Health Care Law Act - all provisions

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

First NameLast NameSuffix Covered Official Position (if applicable) New
Shawn
Gremminger
 
 
Lynne
Fagnani
 
 
Kristin
LaRoche
 
 

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

Address
 
City
 
State
 
Zip Code
 
Country
 

21. Client new principal place of business (if different than line 20)

City
 
State
 
Zip Code
 
Country
 

22. New General description of client’s business or activities

 

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

First Name
Last Name
Suffix
First Name
Last Name
Suffix
1
 
 
 
3
 
 
 
2
 
 
 
4
 
 
 

ISSUE UPDATE

24. General lobbying issue that no longer pertains

 
 
 
 
 
 
 
 
 

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address: www.naph.org

NameAddress Principal Place of Business
(city and state or country)
Street Address
CityState/ProvinceZipCountry
City
State Country

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

1 2 3

FOREIGN ENTITIES

27. Add the following foreign entities:

NameAddressPrincipal place of business
(city and state or country) 		Amount of contribution for lobbying activitiesOwnership percentage in client
Street Address
CityState/ProvinceCountry
City
State Country
%

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization

1 3 5
2 4 6