| LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 |
801 PENNSYLVANIA AVENUE, NW, #245
| Address2 |
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| City |
WASHINGTON
| State |
DC
| Zip Code |
20004
| Country |
USA
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3. Principal place of business (if different than line 2)
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| 5. Senate ID# 14267-12
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| 6. House ID# 326350000
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| TYPE OF REPORT | 8. Year |
2010
| 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 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| 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 |
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| Signature |
Digitally Signed By: Jeffrey G. Micklos, General Counsel
| Date |
07/20/2010
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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
Health Reform The President and Congress passed plans to institute comprehensive reform of the health care delivery and payments systems in the United States. (Senate Health, Education, Labor, and Pensions Bill, Senate Finance Bill, House Tri-Committee Bill, HR 3962, and HR 3590)
HR 4872 Health Care and Education Reconciliation Act of 2010 Includes changes to the health reform legislation that are agreed on between both Senate and House leaders.
HITECH Act - Implementation of meaningful use and privacy and security provisions in HITECH Act of 2009.
Stand for Quality - Initiative to codify the health care quality infrastructure that has operated outside the realm of Congress to this point.
HR 1776 - Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009 - To amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program, and for other purposes.
Group Purchasing Organization Regulations Policy proposals have been discussed in the context of health reform that would result in additional federal regulation of Group Purchasing Organizations.
Medical Liability Reform Numerous policy proposals have been developed that would seek to reform the federal medical liability laws.
Price transparency Policy proposals have been discussed that would make pricing of health care services more transparent.
Healthcare Acquired Conditions/Infections There are a number of government activities related to reducing the number of healthcare acquired conditions or infections.
HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 - To amend the Internal Revenue Code of 1986 to extend certain expiring provisions, and for other purposes.
Medical Loss Ratios A provision of the health reform legislation of 2010 required that health insurance plans meet a minimum threshold of premium dollars spent on actually medical care.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, White House Office, Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
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Jayne
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Chambers
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Jeff
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Cohen
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Charles N.
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Kahn
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III
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Jeffrey G.
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Micklos
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Steve
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Speil
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Karen Conwell
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Smith
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Samantha
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Burch
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Alexander R.
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Mullineaux
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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 MMM
16. Specific lobbying issues
Ban on Self-Referral to Physician-Owned Hospitals Provision that will prospectively ban the practice of physicians referring patients to hospitals that are owned by the physician.
FMAP - The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year.
In-Patient Prospective Payment System Rulemaking Yearly CMS proposed rulemaking.
72 Hour Rule A provision of HR4213 that closed the 3-day payment window for hospitals to re-submit Medicare claims to unbundle unrelated payments.
Disproportionate Share Payments As a part of the health reform debate there has been discussion of using a cut to Disproportionate Share (DSH) payments to hospitals as a way of paying for coverage expansion.
Hospital Readmissions Policies A policy concept that would penalize hospitals for preventable readmissions to hospitals through Medicare reimbursement. Intended to save the Medicare system money in order to pay for a coverage expansion in health reform.
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), White House Office
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
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Jayne
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Chambers
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Jeff
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Cohen
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Charles N.
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Kahn
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III
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Jeffrey G.
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Micklos
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Steve
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Speil
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Karen Conwell
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Smith
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Samantha
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Burch
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Alexander R.
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Mullineaux
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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 LBR
16. Specific lobbying issues
HR 1409 - Employee Free Choice Act of 2009 - To amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes.
S. 560 Employee Free Choice Act of 2009 - A bill to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during the organizing efforts, and for other purposes.
COBRA - COBRA provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. An expansion of benefits under COBRA was passed in a previous Congress, and extensions to the expansion have been proposed thereafter.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, White House Office
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
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Jayne
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Chambers
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Jeff
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Cohen
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Charles N.
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Kahn
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Steve
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Speil
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Karen Conwell
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Smith
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Samantha
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Burch
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Jeffrey G.
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Micklos
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Alexander R.
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Mullineaux
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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
Presidents Deficit Reduction Commission In January 2010 President Obama signed an Executive Order creating a Deficit Reduction Commission. The purpose of this commission will be to make recommendations on reducing inefficiencies in entitlements with the result of reducing the nations deficit.
Labor/HHS Appropriations Bill A provision of the Labor/HHS appropriations bill included funding for hospital quality measure development.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, White House Office
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
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Jayne
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Chambers
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Jeff
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Cohen
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Charles
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Kahn
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Steve
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Speil
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Karen Conwell
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Smith
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Samantha
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Burch
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Jeffrey G.
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Micklos
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Alexander R.
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Mullineaux
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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 FIN
16. Specific lobbying issues
Financial Regulation Reform A provision of the financial regulation reform legislation would require hospitals and other derivative end-users to conform to the same margin requirements and exchange costs as large financial institutions.
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 Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
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Karen Conwell
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Smith
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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
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21. Client new principal place of business (if different than line 20)
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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
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
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Principal Place of Business (city and state or country) |
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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:
| Name | Address | Principal place of business (city and state or country) | Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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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 |