1st Quarter - Amendment

GREATER NEW YORK HOSPITAL ASSOCIATION for GREATER NEW YORK HOSPITAL ASSOCIATION

Firm
Client
Income
—
Expenses
$370,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

3 issue areas, each in the filer's own words, with who lobbied on it and where.

Health Issues HCR

Discuss federal civil rights complaints concerning hospital visitation with HHS Office of Civil Rights. Discussion with staff from the Office of National Drug Control Policy (ONDCP) regarding federal regulations limiting the use of Methadone for OUD maintenance purposes to three days. Support revisions to Medicaid DSH policy to include dual-eligible patients in state DSH cap calculation. Discuss support for the 340B Drug Pricing Program with Congressional staff and oppose changes. Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss opposition of site-neutral payment policies with Congressional staff. Discuss FEMA reimbursement with FEMA and Congressional staff. Discuss hospital and health care provisions included in the Consolidated Appropriations Act of 2023 with Congressional staff. Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss nursing and ancillary health care staff shortages and support reforms: faculty recruitment and retention, additional financial support for supervision and precepting students, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Discuss telehealth issues with Congressional staff and support the permanent extension of PHE telehealth flexibilities: removing Medicare geographic and originating site restrictions, expanding the list of practitioners eligible to furnish telehealth services, extending telehealth services for federally qualified health centers and rural health clinics, delaying in-person Medicare requirements related to behavioral health care, and allowing audio-only services. Support the permanent extension of the Acute Hospital Care at Home waiver. Support Medicare Advantage prior authorization reforms and pass Improving Seniors Timely Access to Care Act (support). Discuss the Resident Physician Shortage Reduction Act with Congressional staff. Discuss commercial insurance issues and health care workforce shortages with HELP Committee. Discuss GME provisions in the Consolidated Appropriations Act of 2023 with HHS staff. Educate Congressional staff on hospital price transparency federal rule. Respond to Senate Health, Education, Labor, and Pensions (HELP) Committee Request for Information on workforce shortages and supply legislative recommendations.

Contacted: Executive Office of the President (EOP); SENATE; Federal Emergency Management Agency (FEMA); Centers For Medicare and Medicaid Services (CMS); Health Resources & Services Administration (HRSA); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES

Medicare/Medicaid MMM

Meet with Congressional staff and discuss support for Medicare graduate medical education funding, including support for the Resident Physician Shortage Reduction Act, the Opioid Workforce Act, Substance Use Disorder Workforce Act, the Pathways to Practice program proposal, and the Presidents FY 2024 budget request. Advocate for the inclusion of Medicare GME funding in FY 2024 federal budget. Meet with HHS Region II to discuss GME legislation - the Resident Physician Shortage Reduction Act. Discuss Medicare and Medicaid issues with HHS Assistant Secretary for Legislation. Support delay of Medicaid DSH cuts. Discuss Medicaid waiver proposal with Congressional staff and HHS. Discuss telehealth issues with Congressional staff and support for the permanent extension of PHE telehealth flexibilities. Discuss Acute Hospital Care at Home waiver and support for its permanent extension. Discuss legislation to provide support for safety net hospitals. Discuss issues concerning DSH hospitals with the Executive Branch. Meet with CMS Innovation Center to discuss CMMI models of care. Discuss proposals that stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support), make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss opposition of site-neutral payment policies with Congressional staff. Discuss telehealth issues with Congressional staff and support the permanent extension of PHE telehealth flexibilities: removing Medicare geographic and originating site restrictions, expanding the list of practitioners eligible to furnish telehealth services, extending telehealth services for federally qualified health centers and rural health clinics, delaying in-person Medicare requirements related to behavioral health care, and allowing audio-only services. Support Medicare Advantage prior authorization reforms and pass Improving Seniors Timely Access to Care Act (support).

Contacted: Health & Human Services, Dept of (HHS); SENATE; Centers For Medicare and Medicaid Services (CMS); Health Resources & Services Administration (HRSA); HOUSE OF REPRESENTATIVES

Budget/Appropriations BUD

Advocate for inclusion of Medicare GME funding in the Presidents FY 2024 budget request. Discuss Medicare GME funding in Consolidated Appropriations Act, 2023 with Congressional staff and HHS staff. Discuss Medicare Nursing and Allied Health Education Payment Policies in Consolidated Appropriations Act, 2023 Section 4143 Implementation with House Ways and Means staff. Meeting with House Ways and Means Committee staff to discuss safety net funding issues. Meeting with CMS Regional Administration to discuss safety net funding issues.

Contacted: Health Resources & Services Administration (HRSA); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS); SENATE

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.