{"count":3975,"next":"https://lda.gov/api/v1/filings/?filing_specific_lobbying_issues=data+center&page=2","previous":null,"results":[{"url":"https://lda.gov/api/v1/filings/3d34c243-fa1e-4519-b86c-f6f959cf6b43/","filing_uuid":"3d34c243-fa1e-4519-b86c-f6f959cf6b43","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2002,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/3d34c243-fa1e-4519-b86c-f6f959cf6b43/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"200000.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2003-02-11T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":27866,"url":"https://lda.gov/api/v1/registrants/27866/","house_registrant_id":30744,"name":"NATIONAL FRATERNAL ORDER OF POLICE","description":null,"address_1":"328 Massachusetts Avenue NE","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20002","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"JAMES O. PASCO, JR.","contact_telephone":"","dt_updated":"2026-07-30T10:49:36.743974-04:00"},"client":{"id":134463,"url":"https://lda.gov/api/v1/clients/134463/","client_id":12,"name":"NATIONAL FRATERNAL ORDER OF POLICE","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-10"},"lobbying_activities":[{"general_issue_code":"LAW","general_issue_code_display":"Law Enforcement/Crime/Criminal Justice","description":"H.R. 94 (Green, D-TX), the \"Law Enforcement Officers Flag Memorial Act,\" would provide the families of law enforcement officers killed in the line of duty with a flag that has been flown over the U.S. Capitol\r\n\r\nH.R. 199 (Sweeney, R-NY), the \"Law Enforcement Officers' Privacy Protection Act,\" would provide for the confidentiality of a personnel record or personal information of a law enforcement officer\r\n\r\nH.R. 201  (Sweeney, R-NY), the \"Correctional Officer Protection Act,\" would reduce Federal funding to States which fail to enact legislation requiring the death penalty for persons convicted of killing a correctional officer\r\n\r\nH.R. 259 (Cunningham, R-CA), \"Matthew's Law,\" would provide enhanced penalties for crimes of violence against children less than thirteen years of age by directing the U.S. Sentencing Commission to amend the Federal sentencing guidelines, increasing the offense level by at least five (5)\r\n\r\nH.R. 307 (Traficant, D-OH), the \"Federal Protective Service Reform Act,\" provides expansion and clarification of the authority of FPS police officers and would enact other needed reforms\r\n\r\nH.R. 709 (Stupak, D-MI), the \"Law Enforcement Officers' Health Act,\" would withhold ten percent (10%) of Federal monies awarded under the Local Law Enforcement Block Grant (LLEBG) program from those public safety agencies who do not establish a legal presumption that heart, lung and respiratory diseases are occupational diseases for public safety officers\r\n\r\nH.R. 863, (Smith, R-TX), the \"Consequences for Juvenile Offenders Act,\" which authorizes  grants to States and local governments to strengthen their juvenile justice systems\r\n\r\nH.R. 1007 (Stupak, D-MI),  the \"James Guelff and Chris McCurley Body Armor Act of 1999,\" would enhance the penalties for persons convicted of a violent offense while wearing body armor, prohibit the use and possession of body armor by convicted violent felons and initiate a program whereby Federal surplus body armor can be donated to State and local departments\r\n\r\nH.R. 1212 (Barr, R-GA), the \"Law Enforcement Officers Due Process Act,\" would provide grants to law enforcement agencies that ensure that their officers are afforded due process when involved in a case that may lead to dismissal, demotion, suspension, or transfer\r\n\r\nH.R. 1348 (Hutchinson, R-AR), the \"Rural Law Enforcement Assistance Act,\" would authorize the establishment of a National Center for Rural Law Enforcement to assist rural departments with training and other concerns unique to rural areas\r\n\r\nH.R. 1535 (Wolf, R-VA), the \"Federal Inmate Work Act,\" would increase the opportunities for inmates to gain meaningful employment through the Federal Prison Industries of the Bureau of Prisons, while ensuring the continued success of the program, creating a safer environment for correctional officers, reducing the rate of recidivism, enhancing public safety, and providing restitution to the victims of crime.\r\n\r\nH.R. 1626 (Ramstad, R-MN), the \"Law Enforcement Officers' Discipline, Accountability and Due Process Act,\"would protect the due process rights of officers during internal investigations\r\n\r\nH.R. 1747 (Kelly, R-NY) would amend 18 USC to prohibit taking a child hostage in order to evade arrest\r\n\r\nH.R. 1764 (Strickland, D-OH), the \"Public Safety Act,\" would ensure that the incarceration of inmates is not provided by private contractors or vendors and that persons charged or convicted of an offense against the U.S. shall be housed in facilities managed and maintained by Federal, State or local governments\r\n\r\nH.R. 1841 (Filner, D-CA), the \"Law Enforcement Officers Equity Act,\" would amend the definition of law enforcement officer under Title 5, USC, to include Federal police officers and others under the \"6(c)\" retirement provisions of Chapters 83 and 84\r\n\r\nH.R. 1887 (Morella, R-MD), the \"Federal Law Enforcement Pension Adjustment Equity Act,\" would permit annuitants of the U.S. Park Police and U.S. Secret Service Uniformed Division to receive adjustments in pension benefits to which they would otherwise be entitled as a result of the transfer of active officers to a new pay scale\r\n\r\nH.R. 2009 (Weiner, D-NY), the \"PROTECTION Act,\" would reauthorize the successful COPS program through 2007 to hire and retain police officers, pay overtime and reimburse officers pursuing college and advance degrees to enhance their job skills as well as providing Federal money for new technology\r\n\r\nH.R. 1900, (Greenwood, R-PA), the \"Juvenile Justice and Delinquency Prevention Act,\" which would assist State and local governments in preventing acts of juvenile delinquency and holding offenders accountable\r\n\r\nH.R. 2215/PL 107-273 (Sensenbrenner, R-WI), the \"21st Century Department of Justice Appropriations Authorizations Act,\" which authorizes appropriations for the U.S. Department of Justice, provides for several studies, requires several reports, reallocates some of the Department's litigating attorneys, authorizes the \"Violence Against Women Office\" within the Department, provides for an increase in funds available for grants to Boys and Girls Clubs for the next three fiscal years, makes technical amendments to Title 18 of the U.S. Code, amends the \"Paul Coverdell National Forensic Sciences Improvement Act\" (legislation the F.O.P. had supported in the previous Congress) to permit local crime labs to receive grants, increases the tuition allotments for Police Corps officers scholarship/reimbursement from $10, 000 to $13,333 per year and reauthorizes the program for four more years, amends Federal law to clarify that a law enforcement officer does not need to be present for a warrant to be served or executed, authorizes the establishment of a police force within the FBI to provide protection for FBI buildings and personnel, assists State and local governments in preventing acts of juvenile delinquency and holding offenders accountable by providing block grants and other Federal aid, makes changes in intellectual property and antitrust laws, and raises the penalty for using physical force or attempting physical force to tamper with a witness from a maximum imprisonment of 10 years to a maximum imprisonment of 20 years and adds a conspiracy section to the tampering and retaliating against a witness statutes so that whoever conspires to commit any of the offenses shall be subject to the same penalties as those prescribed for the offense the commission of which was the object of the conspiracy and includes the text of the numerous other bills which the F.O.P. strongly supported\r\n\r\nH.R. 2624  Schiff (D-CA), the \"Law Enforcement Tribute Act,\" authorizes the Attorney General to make grants to States, local governments, and Indian tribes to carry out programs to honor, through permanent tributes, men and women of the United States who were killed or disabled while serving as law enforcement or public safety officers\r\n\r\nH.R. 3025, Forbes (R-VA), would expand the program under which State and local governments may procure law enforcement equipment through the Department of Defense to include the procurement of counter-terrorism equipment\r\n\r\nH.R. 5005/PL 107-296 (Armey, R-TX), the \"Homeland Security Act of 2002,\" which creates a Department of Homeland Security\r\n\r\nH.R. 5018, Ney (R-OH), the \"Capitol Police Retention, Recruitment and Auhtorization Act,\" seeks to improve the overall strength and effectiveness of the Capitol Police by authorizing an increase in the annual rate of basic compensation, additional compensation for officers perfomring speciality assignments, tuition reimbursements and bonuses to officers who complete a dgree in a law enforcement course of study, and bonus payments to officers who recruit others to join the force\r\n\r\nH.R. 5205/PL 107-290 (Morella, R-MD), legislation which permits the Secretary of the Treasury to use estimated amounts in determining the service longevity component of the Federal benefit payment to certain retirees of the Metropolitan Police Department of the District of Columbia\r\n\r\nS. 33 (Thurmond, R-SC), excludes prisoners from the requirements of the Americans with Disabilities Act and the Rehabilitation Act\r\n\r\nS. 34 (Thurmond, R-SC), amends the Federal Rules of Criminal Procedure by changing the verdict requirement in criminal trials in Federal court from unanimous to five-sixths (10 jury members)\r\n\r\nS. 166/H.R. 1007, (Feinstein, D-CA/Stupak D-MI), the \"James Guelff and Chris McCurley Body Armor Act,\" which enhances the penalties for persons convicted of a violent offense while wearing body armor and prohibits the use and possession of body armor by convicted violent felons\r\n\r\nS. 349 (Hutchinson, R-AR), the \"Rural Law Enforcement Assistance Act,\" would authorize the establishment of a National Center for Rural Law Enforcement to assist rural departments with training and other concerns unique to rural areas\r\n\r\nS. 440 (Campbell, R-CO), the \"Officer Dale Claxton Bullet Resistant Police Protective Equipment Act,\" would provide grants to State and local law enforcement agencies to purchase bullet resistant equipment\r\n\r\nS. 441 (Campbell, R-CO), the \"Law Enforcement Officers and Firefighters Flag Memorial Act,\" would provide the families of law enforcement officers and firefighters killed in the line of duty with a flag that has been flown over the U.S. Capitol\r\n\r\nS. 443 (Campbell, R-CO), would amend the Federal criminal code to increase from ten to fifteen years the maximum term of imprisonment for offenses involving the transportation, transfer, or use of stolen firearms\r\n\r\nS. 490 (Edwards, D-NC), the \"Law Enforcement Officers Due Process Act,\" would provide grants to law enforcement agencies that ensure that their officers are afforded due process when involved in a case that may lead to dismissal, demotion, suspension, or transfer\r\n\r\nS. 840 (Biden, D-DE), the \"Law Enforcement Officers' Discipline, Accountability and Due Process Act,\"would protect the due process rights of officers during internal investigations\r\n\r\nS. 842 (Feingold, D-WI), the \"Public Safety Act,\" would require any recipient of a grant under the violent offender incarceration and truth-in-sentencing incentive grant program to assure the Attorney General that no funds will be used to pay a private contractor or vendor to provide core correctional services related to the incarceration of an inmate, and amends the Federal criminal code to require the Bureau of Prisons to provide that any penal or correctional facility or institution confining any person convicted of offenses against the United States shall be under the direction of the Director of the Bureau and shall be managed and maintained by Federal, State, or local government employees\r\n\r\nS. 924 (Biden, D-DE), the \"PROTECTION Act,\" would reauthorize the successful COPS program through 2007 to hire and retain police officers, pay overtime and reimburse officers pursuing college and advance degrees to enhance their job skills as well as providing Federal money for new technology\r\n\r\nS. 1099, (Smith, R-OR), the \"Federal Judiciary Protection Act,\" which enhances penalties for threatening or attempting to impede Federal officials carrying out their official duties\r\n\r\nS. 1228 (Thurmond, R-SC), the \"Federal Inmate Work Act,\" would provide for the reform of Federal Prison Industries (FPI) and allow for the phased elimination of mandatory source purchase requirements\r\n\r\nS. 1351 (Thurmond, R-SC), the \"Fugitive Apprehension Act,\" would authorize administrative subpoena authority for the U.S. Marshals Service in fugitive investigations\r\n\r\nS. 1399 (Feinstein, D-CA), the \"Identity Theft Prevention Act,\" would make it more difficult for criminals to commit identity theft crimes\r\n\r\nS. 1742 (Cantwell, D-WA), the \"Restore Your Identity Act,\" would increase the focus on Federal assistance to State and local law enforcement agencies combating the huge rise in identity theft and establish a nationwide process for victims of identity theft to obtain the evidence to reclaim their identities and assist law enforcement to find the identity thieves by requiring consumer credit reporting agencies to block reporting of bad credit arising from identity theft and extending the statute of limitations for the Fair Credit Reporting Act for circumstances of identity theft three additional years\r\n\r\nS. 1934 (Mikulski, D-MD), the \"Federal Law Enforcement Pension Adjustment Equity Act,\" would permit annuitants of the U.S. Park Police and U.S. Secret Service Uniformed Division to receive adjustments in pension benefits to which they would otherwise be entitled as a result of the transfer of active officers to a new pay scale\r\n\r\nS. 1935 (Mikulski, D-MD), the \"Law Enforcement Officers Retirement Equity Act,\" would extend law enforcement retirement status to Immigration and Naturalization Service Inspectors, U.S. Customs Service Inspectors and Canine Enforcement Officers, and Revenue Officers of the Internal Revenue Service, representing an important first step in the ongoing fight to extend this coverage to all Federal law enforcement officers who are entitled to it.\r\n\r\nS. 2179, (Carnahan, D-MO), the \"Law Enforcement Tribute Act,\" which authorizes grants of up to $150,000 to States, local governments, and Indian tribes to carry out programs to honor, through permanent tributes, the men and women of the United States who were killed or disabled while serving as law enforcement or public safety officers \r\n\r\nS. 2633 (Biden, D-DE), the \"Reducing Americans' Vulnerability to Ecstasy (RAVE) Act,\" would amend 21 U.S.C. 856, by making it applicable to those who lease, rent, use, manage or control a place, either permanently or temporarily, for the purpose of manufacturing, distributing or using any controlled substance or who make such a place available for use, with or without compensation, for the purpose of unlawfully manufacturing, storing, distributing, or using a controlled substance\r\n\r\nH.R. 321 (Jackson, D-IL), would provide a moratorium on the execution of Federal death sentences\r\n\r\nH.R. 697 (Rangel, D-NY), the \"Crack-Cocaine Equitable Sentencing Act\" would amend the Controlled Substances Act and the Controlled Substances Import and Export Act to eliminate certain mandatory minimum penalties relating to crack cocaine offenses\r\n\r\nH.R. 965 (Norton, D-DC), the \"Racial Profiling Prohibition Act,\" makes the receipt of Federal highway funding conditional on the adoption of State laws prohibiting \"racial profiling\"H.R. 1038 (Jackson, D-IL), would impose a moratorium on the imposition of the death penalty at the Federal level until a National Commission on the Death Penalty reviews its fairness\r\n\r\nH.R. 1907 (Norton, D-DC), the \"Racial Profiling Prohibition Act,\" would cut Federal highway funds to States and localities that, absent an eyewitness description, consider race, national origin or ethnic origin to initiate a traffic stop or vehicle search\r\n\r\nH.R. 1996 (Lewis, D-GA), would restrict any use of race by the U.S. Customs Service to trigger searches or detentions\r\n\r\nH.R. 2074 (Conyers, D-MI), the \"End Racial Profiling Act,\" defines \"racial profiling\" as any consideration of race, national origin or ethnic origin to initiate a traffic stop or vehicle search absent and eyewitness description and requires the collection of race and other data by State and local law enforcement during routine investigatory activities \r\n\r\nS. 191 (Feingold, D-WI), the \"Federal Death Penalty Abolition Act,\" would abolish the death penalty option for all Federal crimes which currently carry that penalty\r\n\r\nS. 233 (Feingold, D-WI), the \"National Death Penalty Moratorium Act,\" would impose a moratorium on the death penalty at the Federal and State level until a National Commission on the Death Penalty studies its use\r\n\r\nS. 989 (Feingold, D-WI), the \"End Racial Profiling Act,\" defines \"racial profiling\" as any consideration of race, national origin or ethnic origin to initiate a traffic stop or vehicle search absent and eyewitness description and requires the collection of race and other data by State and local law enforcement during routine investigatory activities\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"ALC","general_issue_code_display":"Alcohol and Drug Abuse","description":"H.R. 196 (Sweeney, R-NY), the \"Anti-Drug Legalization Act,\" would prohibit Federally sponsored research pertaining to the legalization of drugs\r\n\r\nH.R. 213  (Sweeney, R-NY), the \"Drug Importer Death Penalty Act,\" would provide the death penalty for persons convicted of importing very large quanities of certain controlled substances\r\n\r\nH.R. 417 (Andrews, D-NJ), the \"Open Air Drug Market Penalty Act,\" would amend the Controlled Substances Act to provide an additional five years imprisonment for knowingly committing a Federal drug offense within 500 feet of the place where any similar offense was committed in the preceding 48 hours\r\n\r\nS. 304, (Hatch, R-UT), the \"Drug Abuse Education, Prevention and Treatment Act,\" which would increase penalties for traffickers who employ minors, sell to minors or near schools and provides grants to eliminate drugs from prisons, prevention programs for youth, juvenile drug treatment programs, and prosecutor-developed treatment alternatives to prison sentences for eligible nonviolent drug offenders\r\n\r\n\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"CON","general_issue_code_display":"Constitution","description":"H.J.Res. 36 (Cunningham, R-CA), would amend the Constitution to give Congress the power to prohibit the physical desecration of the flag of the United States\r\n\r\nS.J.Res. 7 (Hatch, R-UT), would amend the Constitution to give Congress the power to prohibit the physical desecration of the flag of the United States\r\n\r\nS. J. Res. 35 (Feinstein, D-CA), would amend the Constitution to provide for the rights of victims of violent crime\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"H.R. 664 (Jefferson, D-LA), would address the \"Government Pension Offset\" provision in the Social Security Act by amending the level of reductions in Social Security benefits which are required in the case of spouses and surviving spouses who are also receiving certain government pensions\r\n\r\nH.R. 710 (Sununu, R-NH), the \"Survivor Benefits Tax Fairness Act,\" would extend to survivors of public safety officers killed in the line of duty before December 31, 1996, the same tax benefits available to the survivors of such officers killed after such date.\r\n\r\nH.R. 848 (Sandlin, D-TX), the \"Social Security Benefits Restoration Act,\" would remove the \"Windfall Elimination Provision\" from the Social Security Act\r\n\r\nH.R. 1836, the \"Economic Growth and Tax Relief Reconciliation Act\"\r\n\r\nH.R. 2638 (McKeon, R-CA), the \"Social Security Fairness Act,\" would repeal both the \"Windfall Elimination Provision\" and the \"Government Pension Offset\" in current Social Security Law\r\n\r\nH.R. 3433 (T. Davis, R-VA), \"Terrorist Response Tax Exemption Act,\" would exempt the income of uniformed rescue personnel in declared \"terrorist attack zones\" from income tax during the months in which they perform their duties in response to such attacks, mirroring current law giving military personnel tax relief while serving in a combat zone\r\n\r\nH.R. 4796, Green (D-TX), eliminates the ten percent (10%) early withdrawal penalty for public safety employees participating in Deferred Retirement Option Plans (DROP)\r\n\r\nS. 611 (Mikulski, D-MD), the \"Government Pension Offset Reform Act,\" would address the \"Government Pension Offset\" provision in the Social Security Act and amend the level of  reductions in Social Security benefits which are required in the case of spouses and surviving spouses who are also receiving certain government pensions\r\n\r\nS. 742  (Grassley, R-IA), the \"Retirement Security and Savings Act,\" would expand coverage and increase the portability of public pension and retirement plans\r\n\r\nS. 1446 (Allen, R-VA), the \"Terrorist Response Tax Exemption Act,\" would exempt the income of uniformed rescue personnel in declared \"terrorist attack zones\" from income tax during the months in which they perform their duties in response to such attacks, mirroring current law giving military personnel tax relief while serving in a combat zone\r\n\r\nS. 1523 (Feinstein, D-CA), the \"Social Security Fairness Act,\" would repeal both the \"Windfall Elimination Provision\" and the \"Government Pension Offset\" in current Social Security Law\r\n\r\nS. 1653 (Schumer, D-NY), the \"September 11 Surviving Spouse Student Loan Relief Act,\" would direct the Secretary of Education to cancel the Federal student loan indebtedness of spouses of individuals who died or who became permanently and totally disabled from injuries suffered in the terrorist attacks on September 11, 2001\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"H.R. 674 (LaFalce, D-NY), the \"Homeownership Opportunities for Uniformed Services and Educators (HOUSE) Act,\"  would allow local communities greater flexibility in designing homeownership programs for law enforcement officers and other municipal employees through existing CDBG and HOME programs, authorizes one percent (1%) downpayments for Federal Housing Authority (FHA) insured home loan mortgages for law enforcement officers and other public safety officers, and also builds on the success of the \"Office Next Door\" program, by providing a no downpayment incentive for law enforcement officers buying homes in troubled neighborhoods\r\n\r\nH.R. 3191 (Roukema, R-NJ), the \"Home Ownership Opportunities for Public Safety Officers and Teachers Act,\" would amend the National Housing Act to provide for a one percent (1%) downpayment (and deferral and reduction of up-front premiums) for Federal Housing Administration mortgage loans for qualified elementary and secondary school teachers and administrators and public safety officers to purchase homes within the jurisdictions of their employing agencies, a fifty percent (50%) discount for teachers and public safety officers purchasing certain properties, and directs the Secretary of Housing and Urban Development to carry out a mortgage assistance pilot program to assist Federal, State, and local public safety officers purchase primary residences in high-crime areas\r\n\r\nH.R. 3995, Roukema (R-NJ), the \"Housing Affordability for America Act of 2002,\" would amend the National Housing Act to provide for a one percent (1%) downpayment (and deferral and reduction of up-front payments) for Federal Housing Administration mortgage loans for qualified elementary and secondary school teachers and administrators and public safety officers to purchase homes within the jurisdictions of their employing agencies, a fifty percent (50%) discount for teachers and public safety officers purchasing certain properties, and directs the Secretary of Housing and Urban Development to carry out a mortgage assistance pilot program to assist Federal, State, and local public safety officers in purchasing primary residences in \"at-risk\" areas\r\n\r\nS. 417 (Schumer, D-NY), the  \"Homeownership Opportunities for Uniformed Services and Educators (HOUSE) Act,\" would allow local communities greater flexibility in designing homeownership programs for law enforcement officers and other municipal employees through existing CDBG and HOME programs, authorizes one percent (1%) downpayments for Federal Housing Authority (FHA) insured home loan mortgages for law enforcement officers and other public safety officers, and also builds on the success of the \"Office Next Door\" program, by providing a no downpayment incentive for law enforcement officers buying homes in troubled neighborhoods\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of 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Registration Act,\" would require the licensing and registration of all handguns with the Federal government\r\n\r\nH.R. 138 (Nadler, D-NY), the \"Handgun Licensing Act,\" would require every person possessing a handgun or ammunition to obtain a license issued by the State of residence\r\n\r\nH.R. 139 (Nadler, D-NY), the \"Handgun Registration Act,\" would provide grants to States in order to encourage the registration of handguns with the State government\r\n\r\nH.R. 225 (Wexler, D-FL), the \"Anti-Gunrunning Act,\" would make it illegal for any person to purchase more than one handgun in a thirty-day period\r\n\r\nH.R. 693 (Pascrell, D-NJ), would ban the manufacture of handguns that cannot be personalized\r\n\r\nH.R. 998 (Payne, D-NJ), the \"Stop Gun Trafficking Act,\" would make it illegal for any person to purchase more than one handgun in a thirty-day period\r\n\r\nS. 25 (Feinstein, D-CA), the \"Firearm Licensing and Record of Sale Act,\" would provide for the implementation of a system of licensing for purchasers of certain firearms and for a record of sale system for those firearms\r\n\r\nS. 406 (Torricelli, D-NJ), the \"Stop Gun Trafficking Act,\" would make it illegal for any person to purchase more than one handgun in a thirty-day period\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of 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consumers.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":3611,"prefix":null,"prefix_display":null,"first_name":"TARA","nickname":null,"middle_name":null,"last_name":"STOVEKEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of 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America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare part B physician payment provisions of the omnibus appropriations bill HJR 2.\r\n\r\nS. 1054, Jobs and Growth Tax Relief Reconciliation Act of 2003, introduced by Senator Grassley. Specifically, amendment No. 594, To amend title XVIII of the Social Security Act to enhance beneficiary access to quality health care services in rural areas under the Medicare program. All provisions improving the reimbursement of physician in rural areas.\r\n          Save this template.Issue Template Text BUD budget/appropriations            OrS. 1, Prescription Drug and Medicare Improvement Act of 2003'introduced by Senators Grassley and Baucus.  Provisions calling for a statutory increase in Medicare physician payments for 2004-2005;  provisions equalizing payments for physicians in rural areas for 2004?2007 by implementing a floor of 1.0 for the geographic adjustment of physician work, and practice expense. Incentive payments for physicians in underserved areas. “Medicare Equity” concepts developed by Senate Finance Committee taking incremental steps towards Medicare reform, including restructuring CMS, improving Medicare+Choice, increasing the number of plans in rural areas, and easing payment inequities between urban and rural providers.  Regulatory reform of CMS.   Specific provisions include: Sec. 108, Protecting seniors with cancer;  Sec. 203, Payments to MedicareAdvantage organizations;  Sec. 421, Establishment of floor on geographic adjustments of payments for physicians' services; Sec. 422, Medicare incentive payment program improvements; Sec. 431, Application of coinsurance and deductible for clinical diagnostic laboratory tests. Sec. 432, Basing Medicare payments for covered outpatient drugs on market prices; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program; Sec. 444, GAO study of geographic differences in payments for physicians' services; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program;   Sec. 444, GAO study of geographic differences in payments for physicians' services;  Sec. 453, Clarifications to certain exceptions to Medicare limits on physician referrals;  Sec. 455, MEDPAC study on Medicare payments and efficiencies in the health care system; Sec. 464, Sense of the Senate concerning Medicare payment update for physicians and other health professionals;  Sec. 504. Streamlining and simplification of Medicare regulations. \r\n\r\nHR 2473, Medicare Prescription Drug and Modernization Act of 2003, introduced by Rep. Bill Thomas, to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program.\r\n\r\nHR 1, Medicare Prescription Drug and Modernization Act of 2003, introduced by Reps. Thomas, Tauzin, Johnson and Bilirakis, provisions establishing a 1.5% Medicare Part B conversion factor update in 2004 and 2005; provisions instructing GAO to examine the impact of the geographic adjustment factor on physician payments under the Medicare physician fee schedule; increasing Medicare+Choice payments; Full reimbursement of Medicare Allowed Costs under Medicare Part B; preservation of floor payments in rural areas under Medicare+Choice. Demonstration programs under Medicare to increase beneficiary and plan participation in the Medicare +Choice Program. Specific provisions include: Sec. 241. Application of FEHBP-style competitive reform beginning in 2010. Sec. 303. Competitive acquisition of covered outpatient drugs and biologicals. Sec. 413. GAO study of geographic differences in payments for physicians' services; Sec. 417, Medicare incentive payment program improvements for physician scarcity; Sec. 505. MedPAC report on specialty hospitals; Sec. 601 Revision of updates for physicians' services; Sec. 602. Studies on access to physicians' services; Sec. 603. MedPAC report on payment for physicians' services; Sec. 605. Establishment of floor on work geographic adjustment; Sec. 611. Coverage of an initial preventive physical examination; Sec. 625. Adjustment to payments for services furnished in ambulatory surgical centers; Sec. 941. Policy development regarding evaluation and management (E & M) documentation guidelines.\r\n\r\nFederal reimbursement of telehealth grant programs through Medicaid and Medicare.\r\n\r\nModification of Medicare physician fee schedule geographic work adjustor. HR 33, the Rural Equity Payment Index Reform Act (REPAIR) introduced by Rep. Doug Bereuter, would lessen the disparity in Medicare physician payment that currently exists between urban and rural areas.\r\nS. 881, by Bingaman Rural Equity Payment Index Reform Act of 2003 to establish a minimum geographic cost-of-practice index value for physicians' services furnished under the medicare program\r\nS. 36, Feingold legislation to eliminate the geographic physician work adjustment factor from the geographic indices used to adjust payments under the Medicare physician fee schedule.\r\nHR 810, Medicare Regulatory and Contracting Reform Act of 2003, introduced by Rep. Nancy Johnson (Sec. 501) Prohibits the Secretary from implementing any new documentation guidelines for, or clinical examples of, evaluation and management physician services under Medicare unless the Secretary:  has developed the guidelines in collaboration with practicing physicians (including both generalists and specialists) and provided for an assessment of the proposed guidelines by the physician community; has established a program to educate physicians on the use of such guidelines. Requires the Secretary to make changes to the manner in which existing evaluation and management documentation guidelines are implemented to reduce paperwork burdens on physicians.\r\nS. 1148 Medicare Quality Improvement Act'  by Jeffords authorizing the Centers for Medicare and Medicaid Services to conduct research demonstrations to examine health delivery factors that encourage the delivery of improved quality in patient care.\r\n\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":14,"name":"Council of Economic Advisers (CEA)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":14,"name":"Council of Economic Advisers (CEA)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\n\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling. \r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":14,"name":"Council of Economic Advisers (CEA)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2004 Budget (H Con Res 95) related to Medicare reform, the provision of Medicare services and benefits to patients, physician reimbursement, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nHR 2660, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2004.\r\n\r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":14,"name":"Council of Economic Advisers (CEA)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"S. 1, Prescription Drug and Medicare Improvement Act of 2003'introduced by Senators Grassley and Baucus.  Opposing Provisions of Sec. 431, Application of coinsurance and deductible for clinical diagnostic laboratory tests.\r\nHR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":14,"name":"Council of Economic Advisers (CEA)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/03248607-cc78-49b9-9b83-860a61b41ac9/","filing_uuid":"03248607-cc78-49b9-9b83-860a61b41ac9","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2003,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/03248607-cc78-49b9-9b83-860a61b41ac9/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"200000.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2003-08-12T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":27866,"url":"https://lda.gov/api/v1/registrants/27866/","house_registrant_id":30744,"name":"NATIONAL FRATERNAL ORDER OF POLICE","description":null,"address_1":"328 Massachusetts Avenue NE","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20002","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"JAMES O. PASCO, JR.","contact_telephone":"","dt_updated":"2026-07-30T10:49:36.743974-04:00"},"client":{"id":134463,"url":"https://lda.gov/api/v1/clients/134463/","client_id":12,"name":"NATIONAL FRATERNAL ORDER OF POLICE","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-10"},"lobbying_activities":[{"general_issue_code":"ALC","general_issue_code_display":"Alcohol and Drug Abuse","description":"H.R. 404 (Andrews, D-NJ), the \"Open Air Drug Market Penalty Act,\" would amend the Controlled Substances Act to provide an additional five years imprisonment for knowingly committing a Federal drug offense within 500 feet of the place where any similar offense was committed in the preceding 48 hours;","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"CON","general_issue_code_display":"Constitution","description":"H.J.Res. 4 (Cunningham, R-CA), would amend the Constitution to give Congress the power to prohibit the physical desecration of the flag of the United States\r\n\r\nH. J. Res. 10 (Royce, R-CA), would amend the Constitution to provide for the rights of victims of violent crime\r\n\r\nS. J. Res. 1 (Kyl, R-AZ), would amend the Constitution to provide for the rights of victims of violent crime\r\n\r\nS.J.Res. 4 (Hatch, R-UT), would amend the Constitution to give Congress the power to prohibit the physical desecration of the flag of the United States","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"H.R. 729 (Green, R-WI), legislation authorizing a three-year pilot program to assist law enforcement officers purchasing homes in locally designated at-risk areas","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"LBR","general_issue_code_display":"Labor Issues/Antitrust/Workplace","description":"S. 22, Part 3, (Daschle, D-SD), the \"Federal Prosecutors Retirement Benefit Equity Act,\" would include Assistant United States Attorneys and Federal Prosecutors under the definition of \"law enforcement officer\" for retirement purposes;\r\n\r\nH.R. 2442 (Filner, D-CA), the \"Law Enforcement Officers' Equity Act,\" would amend the definition of law enforcement officer under Title 5, USC, to include Federal police officers and others under the \"6(c)\" retirement provisions of Chapters 83 and 84;\r\n\r\nH.R. 814 (Kildee, D-MI), the \"Public Safety Employer-Employee Cooperation Act,\" would recognize the right of law enforcement and other public safety officers to bargain collectively with their employers;\r\n\r\nH.R. 2171 (Maloney, D-NY), the \"Federal Reserve Labor-Management Relations Accountability Act\" would include the Federal Reserve Banks and the Board of Governors of the Federal Reserve under the provisions of the Federal Labor Relations Act (FLRA);\r\n\r\nH.R. 2967 (Ramstad, R-MN), the \"State and Local Law Enforcement Officers' Discipline, Accountability, and Due Process Act,\" would protect the due process rights of officers during internal investigations;\r\n\r\nS. 819 (Mikulski, D-MD), the \"Law Enforcement Officers Retirement Equity Act,\" would amend the definition of law enforcement officer under Title 5, USC, to include Federal police officers and others under the \"6(c)\" retirement provisions of Chapters 83 and 84;\r\n\r\nS. 1277 (Biden, D-DE), the \"State and Local Law Enforcement Officers' Discipline, Accountability and Due Process Act,\"would protect the due process rights of officers during internal investigations;\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"LAW","general_issue_code_display":"Law Enforcement/Crime/Criminal Justice","description":"H.R. 21  (Leach, R-IA), the \"Unlawful Internet Gambling Funding Prohibition Act,\" would make it a crime to accept financial instruments for debts incurred while gambling illegally on the Internet and create rules requiring financial institutions to use designated methods to block or filter Internet gambling transactions;\r\n\r\nH.R. 101 (Green, D-TX), the \"Law Enforcement Officers Flag Memorial Act,\" would provide the families of law enforcement officers killed in the line of duty with a flag that has been flown over the U.S. Capitol;\r\n\r\nH.R. 293 (Kelly, R-NY) would amend 18 U.S.C. to prohibit taking a child hostage in order to evade arrest;\r\n\r\n \t\r\nH.R. 718/PL 108-20 (Coble, R-NC), the \"Reducing Americans' Vulnerability to Ecstasy (RAVE) Act,\" which amends 21 U.S.C. 856, making it applicable to those who lease, rent, use, manage or control a place, either permanently or temporarily, for the purpose of manufacturing, distributing or using any controlled substance or who make such a place available for use, with or without compensation, for the purpose of unlawfully manufacturing, storing, distributing, or using a controlled substance, was incorporated into S. 151 (now PL 108-20), the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act\";\r\n\r\nH.R. 919 (Etheridge, D-NC), the \"Hometown Heroes Survivor Benefits Fairness Act,\" would provide Public Safety Officer Benefits (PSOB) compensation to the families of Federal, State and local law enforcement officers who suffer a fatal heart attack or stroke while on duty, or within 24 hours of participating in a training exercise or responding to an emergency situation;\r\n\r\nH.R. 1104/PL 108-20 (Sensenbrenner, R-WI), the \"Child Abduction Prevention Act,\" which allows judges the discretion to extend the term for supervision of released sex offenders up to a maximum of life, extends the statute of limitations for child abductions and sex crimes to the life of the child victim, denies pretrial release for child rapists and abductors, requires a mandatory life sentence for twice-convicted child sex offenders, mandates a minimum 20-year prison sentence for the kidnapping of a minor by a non-family member, authorizes funding for a Sex Offender Apprehension Program (SOAP), allowing Federal funds to be used by State and local law enforcement to track sex offenders that violate the terms of their release, adds new wiretap predicates that relate to sexual exploitation crimes against children, aims to prevent international parental kidnapping by adding attempt liability to the definition of that offense, criminalizes \"sex tour\" operations and punishes those who travel to foreign nations to engage in illicit sex with minors, provides prosecutors with better tools to prosecute persons who seek to lure children to pornographic websites through the use of misleading domain names and increases the penalties of this practice, and provides for the creation of a national website containing information about registered sex offenders, was incorporated into S. 151 (now PL 108-20), the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act\";\r\n\r\nH.R. 1708 (Visclosky, D-IN), the \"Bulletproof Vest Partnership Grant Act,\" reauthorizes the grant program through 2007;\r\n\r\nH.R. 1770/PL 108-21 (Burr, R-NC), the \"Smallpox Emergency Personnel Protection Act,\" provides Federal benefits to law enforcement officers, public safety personnel, health care workers, and smallpox response team members who suffer injury or death as a result of being vaccinated against smallpox by establishing a program modeled on the Public Safety Officers Benefits (PSOB) Program;\r\n\r\nH.R. 2143  (Bachus, R-AL), the \"Unlawful Internet Gambling Funding Prohibition Act,\" directs Federal banking regulators to create rules requiring financial institutions to use designated methods to block or filter Internet gambling transactions;\r\n\r\nS. 121/PL 108-20 (Hutchison, R-TX),  the \"National AMBER Alert Network Act,\" which establishes a National AMBER Network and improves the current system of AMBER Alert plans that exist in several States by establishing an AMBER Alert Coordinator within the Department of Justice to assist States with their AMBER plans, was incorporated into S. 151 (now PL 108-20), the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act\";\r\n\r\nS. 151/PL 108-20 (Hatch, R-UT), the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act,\" which would plug a loophole in Federal law by allowing prosecutions to proceed when the pornography includes persons who appear virtually indistinguishable from actual minors and prohibit the pandering or solicitation of anything represented to be obscene child pornography;\r\n\r\nS. 226/PL 108-20 (Biden, D-DE), the \"Illicit Drug Anti-Proliferation Act,\" which amends 21 U.S.C. 856, making it applicable to those who lease, rent, use, manage or control a place, either permanently or temporarily, for the purpose of manufacturing, distributing or using any controlled substance or who make such a place available for use, with or without compensation, for the purpose of unlawfully manufacturing, storing, distributing, or using a controlled substance was incorporated into S. 151 (now PL 108-20), the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act\";\r\n\r\nS. 459 (Leahy, D-VT), the \"Hometown Heroes Survivor Benefits Fairness Act,\" would provide Public Safety Officer Benefits (PSOB) compensation to the families of Federal, State and local law enforcement officers who suffer a fatal heart attack or stroke while on duty, or within 24 hours of participating in a training exercise or responding to an emergency situation;\r\n\r\nS. 627  (Kyl, R-AZ), the \"Unlawful Internet Gambling Funding Prohibition Act,\" would make it a crime to accept financial instruments for debts incurred while gambling illegally on the Internet and create rules requiring financial institutions to use designated methods to block or filter Internet gambling transactions;\r\n\r\nS. 764 (Campbell, R-CO), the \"Bulletproof Vest Partnership Grant Act,\" reauthorizes the grant program through 2007; \r\n\r\nS. 773/PL 108-20 (Leahy, D-VT), the \"Protecting Our Children Comes First Act,\" which reauthorizes and increases Federal funding to the National Center for Missing and Exploited Children (NCMEC), was incorporated into S. 151 (now PL 108-20), the the \"Prosecutorial Remedies and Tools Against the Exploitation of Children Today (PROTECT) Act\";\r\n\r\nS. 1177 (Hatch, R-UT), the \"Prevent All Cigarette Trafficking (PACT) Act,\" would lower the threshold of the number of cigarettes to be treated as contraband from 60,000 to 10,000, strengthen the reporting requirements for interstate cigarette vendors, making violations of those requirements a felony instead of a misdemeanor and increase the civil penalties for violating these reporting requirements and allow State Attorneys General to prosecute violators in Federal court;\r\n\r\nH.R. 86 (Jackson-Lee, D-TX), the \"Traffic Stops Along the Border Statistics Study Act,\" would require the U.S. Attorney General to collect race and other data on traffic stops made by State and local law enforcement officers;\r\n\r\nH.R. 259 (Conyers, D-MI), the \"Civic Participation and Rehabilitation\" would restore the right to vote in Federal elections to released felons who are denied that right by the State in which they reside;\r\n\r\nH.R. 1433 (Rangel, D-NY), the \"Ex-Offender Voting Rights Act,\" would restore the right to vote in Federal elections to released felons who are denied that right by the State in which they reside;\r\n\r\nH.R. 1435 (Rangel, D-NY), the \"Crack-Cocaine Equitable Sentencing Act\" would amend the Controlled Substances Act and the Controlled Substances Import and Export Act to eliminate certain mandatory minimum penalties relating to crack cocaine offenses;\r\n\r\nS. 132 (Feingold, D-WI), the \"National Death Penalty Moratorium Act,\" would impose a moratorium on the death penalty at the Federal level and urge the States to do the same until a National Commission on the Death Penalty studies its use; and\r\n\r\nS. 402 (Feingold, D-WI), the \"Federal Death Penalty Abolition Act,\" would abolish the death penalty option for all Federal crimes which currently carry that penalty.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"H.R. 134 (Lewis, R-KY), would add Kentucky to the list of those States permitted to operate a separate retirement system for certain public employees, a reform needed following the 2003 merger of the local governments of Louisville and Jefferson County;\r\n\r\nH.R. 594 (McKeon, R-CA), the \"Social Security Fairness Act,\" would repeal both the \"Windfall Elimination Provision\" and the \"Government Pension Offset\" in current Social Security law;\r\n\r\nH.R. 782, Brady (R-TX), eliminates the ten percent (10%) early withdrawal penalty for public safety employees participating in Deferred Retirement Option Plans (DROP);\r\n\r\nS. 37 (McConnell, R-KY), would add Kentucky to the list of those States permitted to operate a separate retirement system for certain public employees, a reform needed following the 2003 merger of the local governments of Louisville and Jefferson County;\r\n\r\nS. 349 (Feinstein, D-CA), the \"Social Security Fairness Act,\" would repeal both the \"Windfall Elimination Provision\" and the \"Government Pension Offset\" in current Social Security Law;\r\n\r\nS. 748, Santorum (R-PA), eliminates the ten percent (10%) early withdrawal penalty for public safety employees participating in Deferred Retirement Option Plans (DROP)","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"FIR","general_issue_code_display":"Firearms/Guns/Ammunition","description":"H.R. 218  (Cunningham, R-CA), the \"Law Enforcement Officers' Safety Act,\" would exempt qualified active and retired law enforcement officers from State and local prohibitions on the carrying of concealed firearms\r\n\r\nS. 253, (Campbell, R-CO), the \"Law Enforcement Officers' Safety Act,\" would exempt qualified active and retired law enforcement officers from State and local prohibitions on the carrying of concealed firearms\r\n\r\nH.R. 124 (Holt, D-NJ), the \"Handgun Licensing and Registration Act,\" would require the licensing and registration of all handguns with the Federal government;\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":13414,"prefix":null,"prefix_display":null,"first_name":"CHRIS","nickname":null,"middle_name":null,"last_name":"GRANBERG","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":42835,"prefix":"mr","prefix_display":"MR.","first_name":"JAMES","nickname":null,"middle_name":"O","last_name":"PASCO","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":44703,"prefix":"mr","prefix_display":"MR.","first_name":"TIMOTHY","nickname":null,"middle_name":"M","last_name":"RICHARDSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":37,"name":"Justice, Dept of (DOJ)"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"},{"id":12,"name":"White House Office"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/adfae6c0-1378-439f-86d7-bc3aac158689/","filing_uuid":"adfae6c0-1378-439f-86d7-bc3aac158689","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2003,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/adfae6c0-1378-439f-86d7-bc3aac158689/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"320000.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2003-08-14T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":20664,"url":"https://lda.gov/api/v1/registrants/20664/","house_registrant_id":30347,"name":"JOHNS HOPKINS UNIVERSITY","description":null,"address_1":"1101 E. 33RD STREET, SUITE B301","address_2":null,"address_3":null,"address_4":null,"city":"BALTIMORE","state":"MD","state_display":"Maryland","zip":"21218","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"MAREN BOHAN","contact_telephone":"+1 443-997-5999","dt_updated":"2026-09-09T11:46:15.360675-04:00"},"client":{"id":126905,"url":"https://lda.gov/api/v1/clients/126905/","client_id":12,"name":"JOHNS HOPKINS UNIVERSITY","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"MD","state_display":"Maryland","country":"US","country_display":"United States of America","ppb_state":"MD","ppb_state_display":"Maryland","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-09"},"lobbying_activities":[{"general_issue_code":"CPT","general_issue_code_display":"Copyright/Patent/Trademark","description":"Monitored HR 107, the “Digital Media Consumers’ Rights Act of 2003\", HR 2344, the “Intellectual Property Protection Restoration Act of 2003.”","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"Requested and received support from Senators Sarbanes and Mikulski for a $400 thousand HUD Community Outreach Partnership Center grant proposal from Johns Hopkins University Office of Government, Community and Public Affairs.\r\n\r\nSupported the City of Baltimore Department of Housing and Community Development’s request for HUD approval of 108 Loan agreement of $18 million.  The loan funding will be used by the City for the East Baltimore Development Inc. project located north of Johns Hopkins Hospital.\r\n\r\nSupported the City of Baltimore Mayor’s office request on behalf of the East Baltimore Development Inc. for $10 million in FY 2004 HUD/VA Appropriations bill for redevelopment activities including large-scale property acquisition and demolition; economic development and job creation as well as re-development of housing anchored by a biotech facility located near Johns Hopkins Hospital. $1 million was provided for this purpose in fiscal year 2003.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"HR 2660/S.1356, “Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2004\": supported and advocated for passage of the following items: supported the Ad Hoc Group for Medical Research Funding, AAMC and AAU recommendations for an increase of 10 percent to the National Institutes of Health budget; continued to support the advocacy effort of AAU for increased funding for extramural facilities construction through the National Institutes of Health; advocated for a variety of student financial assistance programs such as Pell Grant appropriation to $14 billion,  $115 million increase to the Supplemental Educational Opportunities Grant, $157 million increase to Federal Work-Study, $40.6 million increase to the Perkins Loan Program, and increase to the GAANN/Javits fellowships: HR 2861, “Department of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2004\": supported AAU’s advocacy for a $7.7 billion increase in NASA Science, Aeronautics and Exploration activities; $34 million additional for the Office of Earth Science and an increase of $39 million for the Office of Biological and Physical Research; specifically advocated for continued funding for the Solar Probe which provides for the next mission at Johns Hopkins Applied Physics Laboratory, Space Department;advocated for an NSF budget of $6.4 billion with particular support for the graduate programs like the Graduate Research Fellowship and support for funding areas to support the Nanotechnology Consortium in Maryland; advocated for continued support from EPA for the Center for Urban Asthma Studies and $250 thousand to conduct a review of the Baltimore region air quality data.  HR 2555, “Homeland Security Act, 2004”: urged appropriations for a Science and Technology Directorate and new funding for science and technology as well as university-based research within the Homeland Security area.HR2658/S.1382, \"Department of Defense Appropriations Act, 2004\": advocated for continued growth in support for DOD Science, with particular emphasis on basic (6.1) and applied (6.2) research; opposed the proposed \"devolvement\" of certain S&T programs and opposed the transfer of the National Security Education Program to DOE.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Communicated several issues concerning academic health centers to the Secretary of Health and Human Services including: implementation of HIPAA rules and the development of electronic patient record systems, concerns about medical malpractice, bioterrorism and facilities funding. Specifically, Johns Hopkins is part of a Maryland/DC E-Health Initiative to devise a regional electronic patient record system; we are monitoring HR 663 and S 720, both Patient Safety and Quality Improvement Acts that create voluntary systems for tracking medical errors and promise confidentiality to hospitals and doctors; monitoring HR 5, “Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003,\") that sets a cap on medical liability; and monitoring any Congressional activity that may result from recent court decisions regarding patent infringement claims.\r\n\r\nAdvocated for funding and monitored NIH and NSF budgets along with Association of American  Medical Colleges (AAMC)–see budget section.\r\n\r\nMonitored S.1504/HR 2122, \"Project BioShield Act of 2003,\" HCR 95,S. 1505 and HSA smallpox vaccination program implementation.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index.\r\n\r\nAdvocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5% level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.”\r\n\r\nMonitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.”\r\n\r\nHR 1, \"Medicare Prescription Drug and Modernization Act of 2003,\" and S.1, \"Prescription Drug and Medicare Improvement Act of 2003,\":advocated on behalf of the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals, competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"Advocated with AAMC, and other interested organizations to reach consensus on eligibility requirements for non-accredited subspecialty fellowship programs under J-1 visa; joined AAU in raising concerns about mandatory interviews of all H-1 visa holders which includes foreign students-concern was time frame and delays on academic year.\r\n\r\nRequested and received letters of support from Senators Mikulski and Sarbanes for one student and two faculty members who had visa issues or delays.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"Worked collaboratively with ACE, NAICU, NASULGC, and AAU to establish the university community positions on the Reauthorization of the Higher Education Act, HR 6. Have advocated for: increased access to higher education for low-income students by strengthening support for grants and early intervention programs, particularly the Pell Grant program; increase in financial aid support for graduate education through GAANN, Javits and FLAS fellowship and grant programs; increased access to both undergraduate and graduate education by raising student loan borrowing limits and providing for a more flexible means of calculating individual student aid packages; reducing the regulatory burden on universities; and ensuring accountability of institutions through an accreditation system and providing a decentralized system of higher education accreditation.\r\n\r\nAdvocated for FY 2004 budget level reflecting the above priorities (See budget).","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"Monitored HR 801, the \"Cloning Prohibition Act of 2003,\" S.245, \"Human Cloning Prohibition Act of 2003,\" S. 303, the \"Human Cloning Ban and Stem Cell Research Protection Act of 2003,\" HR 534, the \"Human Cloning Prohibition Act of 2003,\" HR 916, \"Human Cloning Research Prohibition Act,\" and HR 2852, the \"Stem Cell Act of 2003.\" Also, S.415, \"Consumer Involvement in Breast Cancer Research Act,\" and S.314, \"Foundation for the National Institutes of Health Improvement Act.\"","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37330,"prefix":null,"prefix_display":null,"first_name":"MAX","nickname":null,"middle_name":"C","last_name":"CURRENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/64650257-0b38-40c0-bac1-b55b462af572/","filing_uuid":"64650257-0b38-40c0-bac1-b55b462af572","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2003,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/64650257-0b38-40c0-bac1-b55b462af572/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"160878.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2004-02-06T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare part B physician payment provisions of the omnibus appropriations bill HJR 2.\r\n\r\nS. 1054, Jobs and Growth Tax Relief Reconciliation Act of 2003, introduced by Senator Grassley. Specifically, amendment No. 594, To amend title XVIII of the Social Security Act to enhance beneficiary access to quality health care services in rural areas under the Medicare program. All provisions improving the reimbursement of physician in rural areas.\r\n          Save this template.Issue Template Text BUD budget/appropriations            OrS. 1, Prescription Drug and Medicare Improvement Act of 2003'introduced by Senators Grassley and Baucus.  Provisions calling for a statutory increase in Medicare physician payments for 2004-2005;  provisions equalizing payments for physicians in rural areas for 2004?2007 by implementing a floor of 1.0 for the geographic adjustment of physician work, and practice expense. Incentive payments for physicians in underserved areas. “Medicare Equity” concepts developed by Senate Finance Committee taking incremental steps towards Medicare reform, including restructuring CMS, improving Medicare+Choice, increasing the number of plans in rural areas, and easing payment inequities between urban and rural providers.  Regulatory reform of CMS.   Specific provisions include: Sec. 108, Protecting seniors with cancer;  Sec. 203, Payments to MedicareAdvantage organizations;  Sec. 421, Establishment of floor on geographic adjustments of payments for physicians' services; Sec. 422, Medicare incentive payment program improvements; Sec. 431, Application of coinsurance and deductible for clinical diagnostic laboratory tests. Sec. 432, Basing Medicare payments for covered outpatient drugs on market prices; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program; Sec. 444, GAO study of geographic differences in payments for physicians' services; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program;   Sec. 444, GAO study of geographic differences in payments for physicians' services;  Sec. 453, Clarifications to certain exceptions to Medicare limits on physician referrals;  Sec. 455, MEDPAC study on Medicare payments and efficiencies in the health care system; Sec. 464, Sense of the Senate concerning Medicare payment update for physicians and other health professionals;  Sec. 504. Streamlining and simplification of Medicare regulations. \r\n\r\nHR 2473, Medicare Prescription Drug and Modernization Act of 2003, introduced by Rep. Bill Thomas, to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program.\r\n\r\nHR 1, Medicare Prescription Drug and Modernization Act of 2003, introduced by Reps. Thomas, Tauzin, Johnson and Bilirakis, provisions establishing a 1.5% Medicare Part B conversion factor update in 2004 and 2005; provisions instructing GAO to examine the impact of the geographic adjustment factor on physician payments under the Medicare physician fee schedule; increasing Medicare+Choice payments; Full reimbursement of Medicare Allowed Costs under Medicare Part B; preservation of floor payments in rural areas under Medicare+Choice. Demonstration programs under Medicare to increase beneficiary and plan participation in the Medicare +Choice Program. Specific provisions include: Sec. 241. Application of FEHBP-style competitive reform beginning in 2010. Sec. 303. Competitive acquisition of covered outpatient drugs and biologicals. Sec. 413. GAO study of geographic differences in payments for physicians' services; Sec. 417, Medicare incentive payment program improvements for physician scarcity; Sec. 505. MedPAC report on specialty hospitals; Sec. 601 Revision of updates for physicians' services; Sec. 602. Studies on access to physicians' services; Sec. 603. MedPAC report on payment for physicians' services; Sec. 605. Establishment of floor on work geographic adjustment; Sec. 611. Coverage of an initial preventive physical examination; Sec. 625. Adjustment to payments for services furnished in ambulatory surgical centers; Sec. 941. Policy development regarding evaluation and management (E & M) documentation guidelines.\r\n\r\nFederal reimbursement of telehealth grant programs through Medicaid and Medicare.\r\n\r\nModification of Medicare physician fee schedule geographic work adjustor. HR 33, the Rural Equity Payment Index Reform Act (REPAIR) introduced by Rep. Doug Bereuter, would lessen the disparity in Medicare physician payment that currently exists between urban and rural areas.\r\nS. 881, by Bingaman Rural Equity Payment Index Reform Act of 2003 to establish a minimum geographic cost-of-practice index value for physicians' services furnished under the medicare program\r\nS. 36, Feingold legislation to eliminate the geographic physician work adjustment factor from the geographic indices used to adjust payments under the Medicare physician fee schedule.\r\nHR 810, Medicare Regulatory and Contracting Reform Act of 2003, introduced by Rep. Nancy Johnson (Sec. 501) Prohibits the Secretary from implementing any new documentation guidelines for, or clinical examples of, evaluation and management physician services under Medicare unless the Secretary:  has developed the guidelines in collaboration with practicing physicians (including both generalists and specialists) and provided for an assessment of the proposed guidelines by the physician community; has established a program to educate physicians on the use of such guidelines. Requires the Secretary to make changes to the manner in which existing evaluation and management documentation guidelines are implemented to reduce paperwork burdens on physicians.\r\nS. 1148 Medicare Quality Improvement Act'  by Jeffords authorizing the Centers for Medicare and Medicaid Services to conduct research demonstrations to examine health delivery factors that encourage the delivery of improved quality in patient care.\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling. \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2004 Budget (H Con Res 95) related to Medicare reform, the provision of Medicare services and benefits to patients, physician reimbursement, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nHR 2660, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2004.\r\n\r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"S. 1, Prescription Drug and Medicare Improvement Act of 2003'introduced by Senators Grassley and Baucus. Opposing Provisions of Sec. 431, Application of coinsurance and deductible for clinical diagnostic laboratory tests.\r\nHR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/c01edc56-1033-4365-a83f-e80df4ca004c/","filing_uuid":"c01edc56-1033-4365-a83f-e80df4ca004c","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2003,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/c01edc56-1033-4365-a83f-e80df4ca004c/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"380000.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2004-02-17T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":20664,"url":"https://lda.gov/api/v1/registrants/20664/","house_registrant_id":30347,"name":"JOHNS HOPKINS UNIVERSITY","description":null,"address_1":"1101 E. 33RD STREET, SUITE B301","address_2":null,"address_3":null,"address_4":null,"city":"BALTIMORE","state":"MD","state_display":"Maryland","zip":"21218","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"MAREN BOHAN","contact_telephone":"+1 443-997-5999","dt_updated":"2026-09-09T11:46:15.360675-04:00"},"client":{"id":126905,"url":"https://lda.gov/api/v1/clients/126905/","client_id":12,"name":"JOHNS HOPKINS UNIVERSITY","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"MD","state_display":"Maryland","country":"US","country_display":"United States of America","ppb_state":"MD","ppb_state_display":"Maryland","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-09"},"lobbying_activities":[{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Advocated for funding and monitored NIH and NSF budgets along with Association of American Medical Colleges (AAMC)-see budget section.\r\n\r\nMonitored S.1504/HR 2122, “Project BioShield Act of 2003”\r\n\r\nHR 2660, “Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2004”: Worked on the Toomey admendment, which would have altered the funding of certain NIH grant review processes.\r\n\r\nParticipated in meetings with Agency for Healthcare Research and Quality and the Veterans Administration as a member of the MD/DC Electronic Health Initiative. Met with a member of the President’s Information Technology Advisory Committee. This consortium is working to create a regional electronic health record system. In addition to meeting with agency representatives, kept Senators Mikulski and Sarbanes, as well as Congressman Cardin, apprised of the group’s plans and progress.\r\n\r\nContinue to monitor legislative efforts on patient safety, quality improvement and those working to address medical liability issues.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"Monitored the following:\r\nHR 801, the “Cloning Prohibition Act of 2003,” \r\nS.245, “Human Cloning Prohibition Act of 2003,” \r\nS.303, the “Human Cloning Ban and Stem Cell Research Protection Act of 2003,” \r\nHR 534, the “Human Cloning Prohibition Act of 2003,” \r\nHR 916, “Human Cloning Research Prohibition Act,” \r\nHR 2852, the “Cord Blood Stem Cell Act of 2003.” \r\nS.415, “Consumer Involvement in Breast Cancer Research Act,” \r\nS.314, “Foundation for the National Institutes of Health Improvement Act,” \r\nS.1717, “Cord Blood Stem Cell Act of 2003,” working with the Coalition for the Advancement of Medical research to track such issues.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"CPT","general_issue_code_display":"Copyright/Patent/Trademark","description":"Monitored the following bills:\r\n\r\nHR 3261, \"Database and Collections of Information Misappropriation Act\"\r\nHR 2417, \"Piracy Deterrence and Education Act of 2003\"\r\nHR 107, \"Digital Media Consumers' Rights Act of 2003\"\r\nPatent legislation\r\nThe CREATE Act\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version  of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index.\r\n\r\nAdvocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5 % level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.”\r\n\r\nMonitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.”\r\n\r\nHR 1, “Medicare Prescription Drug and Modernization Act of 2003,” and S.1, “Prescription Drug and Medicare Improvement Act of 2003,”: worked on the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals; communicated with the Maryland Congressional Delegation and with the conferees concerning various aspects of the Medicare Prescription Drug Bill. \r\nAlso addressed issues concerning the increase to a positive update of the physician Medicare payments; DSH relief provision and encouraged accelerated application of relief; competitive bidding for durable medical equipment (DME); home health co-payment; the reduction in the home health market basket update; the cut in hospital payments of market basket –0.4; hospital payment improvements; the inclusion of IME relief; competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"Advocated with AAMC, and other interested organizations to reach consensus on eligibility requirements for non-accredited subspecialty fellowship programs under J-1 visa; joined AAU in raising concerns about mandatory interviews of all H-1 visa holders which includes foreign students--concern was time frame and delays on academic year.\r\n\r\nRequested and received letters of support from Senators Mikulski and Sarbanes for one associate researcher experiencing severe visa delays. \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"Supported the City of Baltimore Department of Housing and Community Development’s request for HUD approval of 108 Loan agreement of $21.5 million. The loan funding will be used by the City for the East Baltimore Development Inc. project located north of Johns Hopkins Hospital.\r\n\r\nHR 2861, “Department of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2004”: supported the City of Baltimore Mayor’s office request on behalf of the East Baltimore Development Inc. for the $10 million for redevelopment activities including large-scale property acquisition and demolition; economic development and job creation as well as re-development of housing anchored by a biotech facility located near Johns Hopkins Hospital. $1 million was provided for this purpose in fiscal year 2003.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"HR 2660/S.1356, “Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2004”: worked on the following items: the Ad Hoc Group for Medical Research Funding, AAMC and AAU recommendations for an increase of 10 percent to the National Institutes of Health budget; the Toomey amendment on HR 2660, which would have altered the funding of certain NIH grant review processes; the advocacy effort of AAU for increased funding for extramural facilities construction through the National Institutes of Health; a variety of student financial assistance programs such as Pell Grant appropriation to $14 billion, $115 million increase to the Supplemental Educational Opportunities Grant, $157 million increase to Federal Work-Study, $40.6 million increase to the Perkins Loan Program, and increase to the GAANN/Javits fellowships. Worked on funding for the Title VII and VIII health professions appropriations.\r\n\r\nHR 2861, “Department of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2004”: worked on AAU’s advocacy for a $7.7 billion increase in NASA Science, Aeronautics and Exploration activities; $34 million additional for the Office of Earth Science and an increase of $39 million for the Office of Biological and Physical Research; specifically worked on continued funding for the Solar Probe which provides for the next mission at Johns Hopkins Applied Physics Laboratory, Space Department; the NSF budget of $6.4 billion with particular support for the graduate programs like the Graduate Research Fellowship and support for funding areas to support the Nanotechnology Consortium in Maryland; continued support from EPA for the Center for Urban Asthma Studies and $250 thousand to conduct a review of the Baltimore region air quality data.   \r\n\r\nHR 2555, “Homeland Security Appropriations Act, 2004”: urged appropriations for a Science and Technology Directorate and new funding for science and technology as well as university-based research within the Homeland Security area. Bioterrorism – Homeland Security Act: expressed concern over the flow of funds designated for improvements to the medical emergency preparedness and response system. \r\n\r\nHR 2658/S.1382, “Department of Defense Appropriations Act, 2004”: worked on continued growth in support for DOD Science, with particular emphasis on basic (6.1) and applied (6.2) research; the proposed “devolvement” of certain S&T programs and the transfer of the National Security Education Program to DOE. \r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"Worked collaboratively with ACE, NAICU, NASULGC, and AAU to establish the university community positions on the Reauthorization of Higher Education Act, HR 6. Visited offices of all ten members of the Maryland Delegation. Worked on increased access to higher education for low-income students by strengthening support for grants and early intervention programs, particularly the Pell Grant program; increase in financial aid support for graduate education through GAANN, Javits and FLAS fellowship and grant programs; increased access to both undergraduate and graduate education by raising student loan borrowing limits and providing for more flexible means of calculating individual student aid packages; reducing the regulatory burden on universities; and ensuring accountability of institutions through an accreditation system and providing a decentralized system of higher education accreditation.\r\n\r\nJoined AAU and other universities in working on measures within HR 3311, Affordability in Higher Education Index.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0/","filing_uuid":"74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2004,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"187307.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2004-07-29T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173\r\n(Sec. 106) Establishes a State Pharmaceutical Assistance Transition Commission to develop a proposal for addressing the unique transitional issues facing State pharmaceutical assistance programs as a result of the enactment of this Act.\r\n(Sec. 108) Authorizes the Secretary to make grants to physicians for the purpose of assisting them to implement electronic prescription drug programs that comply with appropriate standards. Authorizes appropriations.\r\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blend. Increases minimum percentage increase to national growth rate. \r\nRequires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.\r\nSubtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.\r\nSubtitle D: Additional Reforms - \r\n(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. \r\n(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \r\nTitle III: Combatting Waste, Fraud, and Abuse - (Sec. 302) Directs the Secretary to conduct a demonstration project on the application of competitive acquisition to clinical diagnostic laboratory tests. \r\n(Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. \r\nRequires the Secretary to: (1) promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption; (2) make adjustments to the nonphysician work pool methodology for the determination of practice expense relative value units under the physician fee schedule so that practice expense relative value units for services determined under such methodology are not affected relative to the practice expense relative value units of services not determined under such methodology; and (3) review and appropriately modify Medicare's payment policy in effect on October 1, 2003, for the administration of more than one drug or biological to an individual on a single day through the push technique. Makes the increase in expenditures resulting from this provision exempt from the budget-neutrality requirement in 2004. \r\nRequires a transitional adjustment or additional payment for services furnished from January 1, 2004, through December 31, 2005, to be made for drug administration services. Requires the part B payment to be made to the physician and equal a percentage of the payment otherwise made. \r\nDirects the MEDPAC to review the payment changes made under this section insofar as they affect payments under Medicare part B for items and services furnished by oncologists and for drug administration services furnished by other specialists. Requires the Commission to submit a report to the Secretary and Congress and for the Secretary to make appropriate payment adjustments on the basis of such report.\r\nProvides that the following drugs and biologicals are to be paid at 95 percent of the average wholesale price (AWP): (1) a drug or biological furnished before January 1, 2004; (2) blood clotting factors furnished during 2004; (3) a drug or biological furnished during 2004 that was not available for part B payment as of April 1, 2003; (3) pneumoccal influenza and hepatitus B vaccines furnished on or after January 1, 2004; and (4) a drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities. Provides in general that payments for other drugs furnished in 2004 will equal 85 percent of the AWP (determined as of April 1, 2003). Provides that, beginning in 2005, drugs or biologicals, except for pneumococcal, influenza, and hepatitis B vaccines and those associated with certain renal dialysis services, will be paid using either the average sales price methodology or through the competitive acquisition program. Provides that infusion drugs furnished through covered durable medical equipment starting January 1, 2004, will be paid at 95 percent of the AWP in effect on October 1, 2003, and that those infusion drugs which may be furnished in a competitive area starting January 1, 2007, will be paid on the competitive price. Provides that intravenous immune globulin will be paid at 95 percent of the AWP in 2004 and paid according to the average sales price method in 2005. \r\nTitle IV: Rural Provisions - \r\nSubtitle B: Provisions Relating to Part B Only - \r\n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. \r\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarity areas.\r\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\r\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \r\n (Sec. 417) Amends the Balanced Budget Act of 1997 to extend the telemedicine demonstration project by 4 years and to increase total funding for the project. \r\nSubtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.\r\n(Sec. 433) Directs the MEDPAC to conduct a study of specified rural provisions of this title for various reports to Congress. \r\nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - Amends SSA title XVIII with respect to payment for physicians' services to: (1) provide that the update to the conversion factor for 2004 and 2005 will not be less than 1.5 percent; (2) modify the formula for calculating the sustainable growth rate to provide that the gross domestic product factor will be based on the annual average change over the preceding 10 years (a 10-year rolling average); \r\n(Sec. 604) Directs the Comptroller General to conduct a study for a report to Congress on access of Medicare beneficiaries to physician's services under the Medicare program.\r\n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. \r\n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \r\nSubtitle C: Other Provisions - \r\n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \r\nProvides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. \r\nProvides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. \r\nRequires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. \r\n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \r\n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \r\n(Sec. 648) Directs the Secretary to establish demonstration projects under which the Secretary is required to evaluate methods that improve the quality of care provided to individuals with chronic conditions and that reduce expenditures that would otherwise be made under the Medicare program on behalf of such individuals for such chronic conditions. Requires the Secretary to conduct a demonstration project in at least one area that the Secretary determines has a population of individuals entitled to benefits under Medicare part A, and enrolled under Medicare part B, with a rate of incidence of diabetes that significantly exceeds the national average rate of all areas. \r\n(Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \r\nTitle VII: Provisions Relating to Parts A and B - \r\nSubtitle C: Chronic Care Improvement - (Sec. 721) Amends SSA title XVIII to require the Secretary to provide for the phased-in development, testing, evaluation, and implementation of chronic care improvement programs. Requires the programs to be designed to improve clinical quality and beneficiary satisfaction and achieve spending targets with respect to expenditures under Medicare for targeted beneficiaries with one or more threshold conditions. Makes necessary appropriations. \r\n(Sec. 722) Requires each Medicare Advantage organization to have an ongoing quality improvement program for improving the quality of care provided to enrollees in each MA plan offered by such organization (other than an MA private fee-for-service plan or an MSA plan) effective for contract years beginning January 1, 2006. Requires as part of the quality improvement program for each MA organization to have a chronic care improvement program. \r\nTitle IX: Subtitle E: Miscellaneous Provisions - \r\n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.\r\nSubtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.\r\n\r\n\r\n\r\n\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\n\r\nRequest for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.\r\n\r\nOppose limits on the laboratory CPI update.\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"HR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nS 2061 A bill to improve women's health access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services – introduced by Senator Judd Gregg.\r\nS 2207 A bill to improve women's access to health care services, and the access of all individuals to emergency and trauma care services, by reducing the excessive burden the liability system places on the delivery of such services – introduced by Senator Judd Gregg.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2005 Budget (H Con Res 95, S Con Res 95) related to Medicare reform, the provision of Medicare and Medicaid services and benefits to patients, incentives to promote the implementation of health information technology, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nDepartments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for 2005.\r\n\r\nAppropriations for Community Health Centers\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0/","filing_uuid":"74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2004,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"187307.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2004-07-29T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173\r\n(Sec. 106) Establishes a State Pharmaceutical Assistance Transition Commission to develop a proposal for addressing the unique transitional issues facing State pharmaceutical assistance programs as a result of the enactment of this Act.\r\n(Sec. 108) Authorizes the Secretary to make grants to physicians for the purpose of assisting them to implement electronic prescription drug programs that comply with appropriate standards. Authorizes appropriations.\r\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blend. Increases minimum percentage increase to national growth rate. \r\nRequires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.\r\nSubtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.\r\nSubtitle D: Additional Reforms - \r\n(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. \r\n(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \r\nTitle III: Combatting Waste, Fraud, and Abuse - (Sec. 302) Directs the Secretary to conduct a demonstration project on the application of competitive acquisition to clinical diagnostic laboratory tests. \r\n(Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. \r\nRequires the Secretary to: (1) promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption; (2) make adjustments to the nonphysician work pool methodology for the determination of practice expense relative value units under the physician fee schedule so that practice expense relative value units for services determined under such methodology are not affected relative to the practice expense relative value units of services not determined under such methodology; and (3) review and appropriately modify Medicare's payment policy in effect on October 1, 2003, for the administration of more than one drug or biological to an individual on a single day through the push technique. Makes the increase in expenditures resulting from this provision exempt from the budget-neutrality requirement in 2004. \r\nRequires a transitional adjustment or additional payment for services furnished from January 1, 2004, through December 31, 2005, to be made for drug administration services. Requires the part B payment to be made to the physician and equal a percentage of the payment otherwise made. \r\nDirects the MEDPAC to review the payment changes made under this section insofar as they affect payments under Medicare part B for items and services furnished by oncologists and for drug administration services furnished by other specialists. Requires the Commission to submit a report to the Secretary and Congress and for the Secretary to make appropriate payment adjustments on the basis of such report.\r\nProvides that the following drugs and biologicals are to be paid at 95 percent of the average wholesale price (AWP): (1) a drug or biological furnished before January 1, 2004; (2) blood clotting factors furnished during 2004; (3) a drug or biological furnished during 2004 that was not available for part B payment as of April 1, 2003; (3) pneumoccal influenza and hepatitus B vaccines furnished on or after January 1, 2004; and (4) a drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities. Provides in general that payments for other drugs furnished in 2004 will equal 85 percent of the AWP (determined as of April 1, 2003). Provides that, beginning in 2005, drugs or biologicals, except for pneumococcal, influenza, and hepatitis B vaccines and those associated with certain renal dialysis services, will be paid using either the average sales price methodology or through the competitive acquisition program. Provides that infusion drugs furnished through covered durable medical equipment starting January 1, 2004, will be paid at 95 percent of the AWP in effect on October 1, 2003, and that those infusion drugs which may be furnished in a competitive area starting January 1, 2007, will be paid on the competitive price. Provides that intravenous immune globulin will be paid at 95 percent of the AWP in 2004 and paid according to the average sales price method in 2005. \r\nTitle IV: Rural Provisions - \r\nSubtitle B: Provisions Relating to Part B Only - \r\n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. \r\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarity areas.\r\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\r\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \r\n (Sec. 417) Amends the Balanced Budget Act of 1997 to extend the telemedicine demonstration project by 4 years and to increase total funding for the project. \r\nSubtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.\r\n(Sec. 433) Directs the MEDPAC to conduct a study of specified rural provisions of this title for various reports to Congress. \r\nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - Amends SSA title XVIII with respect to payment for physicians' services to: (1) provide that the update to the conversion factor for 2004 and 2005 will not be less than 1.5 percent; (2) modify the formula for calculating the sustainable growth rate to provide that the gross domestic product factor will be based on the annual average change over the preceding 10 years (a 10-year rolling average); \r\n(Sec. 604) Directs the Comptroller General to conduct a study for a report to Congress on access of Medicare beneficiaries to physician's services under the Medicare program.\r\n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. \r\n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \r\nSubtitle C: Other Provisions - \r\n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \r\nProvides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. \r\nProvides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. \r\nRequires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. \r\n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \r\n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \r\n(Sec. 648) Directs the Secretary to establish demonstration projects under which the Secretary is required to evaluate methods that improve the quality of care provided to individuals with chronic conditions and that reduce expenditures that would otherwise be made under the Medicare program on behalf of such individuals for such chronic conditions. Requires the Secretary to conduct a demonstration project in at least one area that the Secretary determines has a population of individuals entitled to benefits under Medicare part A, and enrolled under Medicare part B, with a rate of incidence of diabetes that significantly exceeds the national average rate of all areas. \r\n(Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \r\nTitle VII: Provisions Relating to Parts A and B - \r\nSubtitle C: Chronic Care Improvement - (Sec. 721) Amends SSA title XVIII to require the Secretary to provide for the phased-in development, testing, evaluation, and implementation of chronic care improvement programs. Requires the programs to be designed to improve clinical quality and beneficiary satisfaction and achieve spending targets with respect to expenditures under Medicare for targeted beneficiaries with one or more threshold conditions. Makes necessary appropriations. \r\n(Sec. 722) Requires each Medicare Advantage organization to have an ongoing quality improvement program for improving the quality of care provided to enrollees in each MA plan offered by such organization (other than an MA private fee-for-service plan or an MSA plan) effective for contract years beginning January 1, 2006. Requires as part of the quality improvement program for each MA organization to have a chronic care improvement program. \r\nTitle IX: Subtitle E: Miscellaneous Provisions - \r\n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.\r\nSubtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.\r\n\r\n\r\n\r\n\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\n\r\nRequest for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.\r\n\r\nOppose limits on the laboratory CPI update.\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"HR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nS 2061 A bill to improve women's health access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services – introduced by Senator Judd Gregg.\r\nS 2207 A bill to improve women's access to health care services, and the access of all individuals to emergency and trauma care services, by reducing the excessive burden the liability system places on the delivery of such services – introduced by Senator Judd Gregg.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2005 Budget (H Con Res 95, S Con Res 95) related to Medicare reform, the provision of Medicare and Medicaid services and benefits to patients, incentives to promote the implementation of health information technology, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nDepartments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for 2005.\r\n\r\nAppropriations for Community Health Centers\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":9,"name":"President of the U.S."},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/0fa6a240-6643-49f9-b984-59990df4dc09/","filing_uuid":"0fa6a240-6643-49f9-b984-59990df4dc09","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2004,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/0fa6a240-6643-49f9-b984-59990df4dc09/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"280000.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2004-08-13T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":20664,"url":"https://lda.gov/api/v1/registrants/20664/","house_registrant_id":30347,"name":"JOHNS HOPKINS UNIVERSITY","description":null,"address_1":"1101 E. 33RD STREET, SUITE B301","address_2":null,"address_3":null,"address_4":null,"city":"BALTIMORE","state":"MD","state_display":"Maryland","zip":"21218","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"MAREN BOHAN","contact_telephone":"+1 443-997-5999","dt_updated":"2026-09-09T11:46:15.360675-04:00"},"client":{"id":126905,"url":"https://lda.gov/api/v1/clients/126905/","client_id":12,"name":"JOHNS HOPKINS UNIVERSITY","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"MD","state_display":"Maryland","country":"US","country_display":"United States of America","ppb_state":"MD","ppb_state_display":"Maryland","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-09"},"lobbying_activities":[{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"Monitored implementation and proposed adaptations to the Sarbanes-Oxley Act.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Communicated several issues concerning academic health centers to the Secretary of Health and Human Services and his office including: implementation of HIPAA rules, the development of regional electronic patient record systems, and concerns about physician reimbursement rates, medical liability, patient safety, bioterrorism and facilities and administration support.  Worked in cooperation with AAMC and AHA to appeal to CMS to consider adjustments to the Medicare sustainable growth rate formula.\r\n\r\nJohns Hopkins is part of the Maryland/DC Collaborative for Healthcare Information Technology (formerly Maryland/DC E-Health Initiative) to develop and implement a regional electronic patient record system. Continue to keep all members of the Maryland Delegation apprised of the Collaborative’s progress.\r\n\r\nMonitored HR 663 and S.720, both Patient Safety and Quality Improvement Acts that create voluntary systems for tracking medical errors and promise confidentiality to hospitals and doctors; monitored HR 5, “Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003,” that sets a cap on medical liability; and monitored any Congressional activity that may result from recent court decisions regarding patent infringement claims.\r\n\r\nAdvocated funding and monitored NIH and NSF budgets along with the Association of American Universities (AAU) and Association of American Medical Colleges (AAMC)-see budget section.\r\n\r\nMonitored S.15, “Project BioShield Act of 2004” \r\n\r\nMonitored legislation and raised awareness of potential Toomey–type amendments, which would potentially alter the funding of specific NIH-sponsored research projects that had undergone the established peer review processes.  \r\n\r\nContinue to monitor legislative efforts on patient safety, physician reimbursement rates, quality improvement and medical liability.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"“Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2005”: worked on the following items: the Ad Hoc Group for Medical Research Funding, AAMC and AAU recommendations for an increase of 10 percent to the National Institutes of Health budget; potential Toomey-type amendments in the FY 2005 Labor, Health and Human Services and Education Appropriations bill, which stands to alter the funding of certain NIH grant review processes; the advocacy effort of AAU for increased funding for extramural facilities construction through the National Institutes of Health.\r\n\r\nWorked on expanding a variety of student financial assistance programs such as Pell Grant appropriation to $14 billion, $115 million increase to the Supplemental Educational Opportunities Grant, $157 million increase to Federal Work-Study, $40.6 million increase to the Perkins Loan Program, and increase to the GAANN/Javits fellowships. Supported expansion of the Nursing Reinvestment Act funding health professions appropriations within Labor, HHS appropriations bill.  \r\n\r\nWorked on increased allotment for American Schools and Hospitals Abroad programs within the international programs section of the budget.\r\n \r\nDiscussed maintenance of research funding at the National Science Foundation and at the Department of Energy (HR 4818/ S. draft, “Energy and Water Development Appropriations Act, 2005”) with particular emphasis in investing in basic research.  \r\n\r\n“Department of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2005”: worked on AAU’s advocacy for a $7.7 billion increase in NASA Science, Aeronautics and Exploration activities; $34 million additional for the Office of Earth Science and an increase of $39 million for the Office of Biological and Physical Research; specifically worked on continued funding for the Solar Probe which provides for the next mission at Johns Hopkins Applied Physics Laboratory, Space Department; the NSF budget of $6.4 billion with particular support for the graduate programs like the Graduate Research Fellowship and support for funding areas to support the Nanotechnology Consortium in Maryland; continued support from EPA for the Center for Urban Asthma Studies and $250 thousand to conduct a review of the Baltimore region air quality data. \r\n\r\nSupported funding requests made for East Baltimore Development Inc., funding requests for emergency preparedness, and funding request for operating room equipment. \r\n\r\nHR 4567/S.2537, “Homeland Security Act, 2005”: urged appropriations for a Science and Technology Directorate and new funding for science and technology as well as university-based research within the Homeland Security area. Bioterrorism – Homeland Security Act: expressed concern over the flow of funds designated for improvements to the medical emergency preparedness and response system. \r\n\r\nHR 4613/S.2559, “Department of Defense Appropriations Act, 2005”: worked on continued growth in support for DOD Science, with particular emphasis on basic (6.1) and applied (6.2) research; the proposed “devolvement” of certain S&T programs and the transfer of the National Security Education Program to DOE. \r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"Worked collaboratively with ACE, NAICU, NASULGC, and AAU to establish the university community positions on the Reauthorization of Higher Education Act. Visited offices of all ten members of the Maryland Delegation. Worked on increased access to higher education for low-income students by strengthening support for grants and early intervention programs, particularly the Pell Grant program; increase in financial aid support for graduate education through GAANN, Javits and FLAS fellowship and grant programs; increased access to both undergraduate and graduate education by raising student loan borrowing limits and providing for more flexible means of calculating individual student aid packages; reducing the regulatory burden on universities; ensuring accountability of institutions through an accreditation system and providing a decentralized system of higher education accreditation.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"CPT","general_issue_code_display":"Copyright/Patent/Trademark","description":"Monitored:\r\nHR 3261, “Database and Collections of Information Misappropriation Act”\r\nHR 2517, “Piracy Deterrence and Education Act of 2003”\r\nHR 107, “Digital Media Consumers' Rights Act of 2003”\r\nS.2560, “Inducing Infringement of Copyrights Act of 2004” \r\nPatent legislation\r\nThe CREATE Act\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Kept Maryland Delegation apprised of concerns associated with the growing Medicare population and the pressures this presents for the healthcare system.\r\n\r\nContinued to appeal to CMS to adjust the Medicare Sustainable Growth Rate (formula) SGR.\r\n\r\nMonitored the implementation of the Medicare Modernization Act.\r\n\r\nTracking: \r\nHR 4903, \"Medicare Advantage and Prescription Drug Accountability Act of 2004\"\r\nS.2725, \"Closing the Coverage Gap Act of 2004\"\r\nS.2766, \"Prescription Drug and Health Improvement Act of 2004\"\r\nHR 4919, \"Medicare Drug Card Guaranteed Savings Act\"\r\nHR4898/S.2535, \"Medicare Preventative Services Coverage Act of 2004\"\r\nHR 4491, \"Hobson amendment\"\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"Supported the requests on behalf of the East Baltimore Development Inc. for the support in FY 2005 HUD/VA Appropriations bill for redevelopment activities including large-scale property acquisition and demolition; economic development and job creation as well as re-development of housing anchored by a biotech facility located near Johns Hopkins Hospital.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"Advocated with ACE, AAU, and other interested organizations to improve the current DHS Student and Exchange Visitor Information System (SEVIS). Outlined several areas of concern to our students and institutions including long delays and insufficient assistance to students and scholars in meeting the SEVIS requirements. Officials at DHS continue to work with us to resolve visa difficulties. \r\n\r\nRequested and received letters of support from Senators Mikulski and Sarbanes for one associate researcher experiencing severe visa delays.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"Monitored:\r\nHR 4682, “Stem Cell Research Enhancement Act of 2004” \r\nHR 4812, “Stem Cell Discovery Through Diversity Act\"\r\nS.303, “Human Cloning Ban and Stem Cell Research Protection Act of 2003” \r\nHR 4531, “Ronald Reagan Memorial Stem Cell Research Act of 2004”\r\nS.2533/HR 4595, \"Ronald Reagan Alzheimer's Breakthrough Act of 2004\" (also discussed this bill with members of MD Delegation)\r\nHR 3960, “Stem Cell Replenishment Act of 2004”\r\nHR 2852, “Stem Cell Act of 2003” \r\nS.1717, “Cord Blood Stem Cell Act of 2003” \r\n\r\nWorked with the Coalition for the Advancement of Medical research to track such issues.\r\n\r\nRequested that Maryland Congressional Delegation sign letter appealing to President Bush to expand policy concerning stem cell research.\r\n\r\nWrote to NIH regarding position on a request to invoke march-in proceedings for patent rights on two pharmaceuticals.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/bb7434bc-6b03-4377-b963-f8bbdbb7a6c5/","filing_uuid":"bb7434bc-6b03-4377-b963-f8bbdbb7a6c5","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2004,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/bb7434bc-6b03-4377-b963-f8bbdbb7a6c5/print/","filing_document_content_type":"application/pdf","income":"80000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2005-02-03T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":16987,"url":"https://lda.gov/api/v1/registrants/16987/","house_registrant_id":31352,"name":"GRIZZLE COMPANY","description":"Government affairs consulting firm.","address_1":"1701 Pennsylvania Ave NW","address_2":"Suite 300","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20006","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"RICHARD A. CANTOR","contact_telephone":"+1 202-234-2101","dt_updated":"2022-04-06T16:06:09.638515-04:00"},"client":{"id":122646,"url":"https://lda.gov/api/v1/clients/122646/","client_id":137,"name":"UNIVERSITY OF LOUISVILLE","general_description":null,"client_government_entity":true,"client_self_select":null,"state":"KY","state_display":"Kentucky","country":"US","country_display":"United States of America","ppb_state":"KY","ppb_state_display":"Kentucky","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-07"},"lobbying_activities":[{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"HR4613/S2559:defense funding for digital signal processing; distance learning;IMPACT;nanowires;structural biology.HR4818:funding for fuel cell technologies:Ohio River bio-criteria:computational toxicology;job empowerment in South Africa;waste water treatment in Georgia;nutraceutical research;B2B e-commerce;math doctoral program;pharmacogenetics;building;cardiovascular assist device center;Center for Cancer Nursing;Bio-terrorism Center;Metropolitan Workforce; oral health;Women's Health Care Initiative;cancer hospital;clearinghouse for minority IHE data;Metropolitan College Nursing Program;molecular radiation tomography;teleradiology;elder abuse & neglect;brownfields;Center for Infrastructure Research;stream restoration;technology diffusioin;Environmental Finance Centers.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":10442,"prefix":"mr","prefix_display":"MR.","first_name":"CHARLES","nickname":null,"middle_name":"L","last_name":"GRIZZLE","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":19678,"prefix":"mr","prefix_display":"MR.","first_name":"RICHARD","nickname":null,"middle_name":"A","last_name":"CANTOR","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":25,"name":"Defense, Dept of (DOD)"},{"id":49,"name":"Environmental Protection Agency (EPA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/f9ab7190-83a2-4956-8a70-9cc0573a7706/","filing_uuid":"f9ab7190-83a2-4956-8a70-9cc0573a7706","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2004,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/f9ab7190-83a2-4956-8a70-9cc0573a7706/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"211129.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2005-02-04T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173\r\n(Sec. 106) Establishes a State Pharmaceutical Assistance Transition Commission to develop a proposal for addressing the unique transitional issues facing State pharmaceutical assistance programs as a result of the enactment of this Act.\r\n(Sec. 108) Authorizes the Secretary to make grants to physicians for the purpose of assisting them to implement electronic prescription drug programs that comply with appropriate standards. Authorizes appropriations.\r\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blend. Increases minimum percentage increase to national growth rate. \r\nRequires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.\r\nSubtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.\r\nSubtitle D: Additional Reforms - \r\n(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. \r\n(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \r\nTitle III: Combatting Waste, Fraud, and Abuse - (Sec. 302) Directs the Secretary to conduct a demonstration project on the application of competitive acquisition to clinical diagnostic laboratory tests. \r\n(Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. \r\nRequires the Secretary to: (1) promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption; (2) make adjustments to the nonphysician work pool methodology for the determination of practice expense relative value units under the physician fee schedule so that practice expense relative value units for services determined under such methodology are not affected relative to the practice expense relative value units of services not determined under such methodology; and (3) review and appropriately modify Medicare's payment policy in effect on October 1, 2003, for the administration of more than one drug or biological to an individual on a single day through the push technique. Makes the increase in expenditures resulting from this provision exempt from the budget-neutrality requirement in 2004. \r\nRequires a transitional adjustment or additional payment for services furnished from January 1, 2004, through December 31, 2005, to be made for drug administration services. Requires the part B payment to be made to the physician and equal a percentage of the payment otherwise made. \r\nDirects the MEDPAC to review the payment changes made under this section insofar as they affect payments under Medicare part B for items and services furnished by oncologists and for drug administration services furnished by other specialists. Requires the Commission to submit a report to the Secretary and Congress and for the Secretary to make appropriate payment adjustments on the basis of such report.\r\nProvides that the following drugs and biologicals are to be paid at 95 percent of the average wholesale price (AWP): (1) a drug or biological furnished before January 1, 2004; (2) blood clotting factors furnished during 2004; (3) a drug or biological furnished during 2004 that was not available for part B payment as of April 1, 2003; (3) pneumoccal influenza and hepatitus B vaccines furnished on or after January 1, 2004; and (4) a drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities. Provides in general that payments for other drugs furnished in 2004 will equal 85 percent of the AWP (determined as of April 1, 2003). Provides that, beginning in 2005, drugs or biologicals, except for pneumococcal, influenza, and hepatitis B vaccines and those associated with certain renal dialysis services, will be paid using either the average sales price methodology or through the competitive acquisition program. Provides that infusion drugs furnished through covered durable medical equipment starting January 1, 2004, will be paid at 95 percent of the AWP in effect on October 1, 2003, and that those infusion drugs which may be furnished in a competitive area starting January 1, 2007, will be paid on the competitive price. Provides that intravenous immune globulin will be paid at 95 percent of the AWP in 2004 and paid according to the average sales price method in 2005. \r\nTitle IV: Rural Provisions - \r\nSubtitle B: Provisions Relating to Part B Only - \r\n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. \r\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarity areas.\r\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\r\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \r\n (Sec. 417) Amends the Balanced Budget Act of 1997 to extend the telemedicine demonstration project by 4 years and to increase total funding for the project. \r\nSubtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.\r\n(Sec. 433) Directs the MEDPAC to conduct a study of specified rural provisions of this title for various reports to Congress. \r\nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - Amends SSA title XVIII with respect to payment for physicians' services to: (1) provide that the update to the conversion factor for 2004 and 2005 will not be less than 1.5 percent; (2) modify the formula for calculating the sustainable growth rate to provide that the gross domestic product factor will be based on the annual average change over the preceding 10 years (a 10-year rolling average); \r\n(Sec. 604) Directs the Comptroller General to conduct a study for a report to Congress on access of Medicare beneficiaries to physician's services under the Medicare program.\r\n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. \r\n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \r\nSubtitle C: Other Provisions - \r\n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \r\nProvides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. \r\nProvides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. \r\nRequires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. \r\n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \r\n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \r\n(Sec. 648) Directs the Secretary to establish demonstration projects under which the Secretary is required to evaluate methods that improve the quality of care provided to individuals with chronic conditions and that reduce expenditures that would otherwise be made under the Medicare program on behalf of such individuals for such chronic conditions. Requires the Secretary to conduct a demonstration project in at least one area that the Secretary determines has a population of individuals entitled to benefits under Medicare part A, and enrolled under Medicare part B, with a rate of incidence of diabetes that significantly exceeds the national average rate of all areas. \r\n(Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \r\nTitle VII: Provisions Relating to Parts A and B - \r\nSubtitle C: Chronic Care Improvement - (Sec. 721) Amends SSA title XVIII to require the Secretary to provide for the phased-in development, testing, evaluation, and implementation of chronic care improvement programs. Requires the programs to be designed to improve clinical quality and beneficiary satisfaction and achieve spending targets with respect to expenditures under Medicare for targeted beneficiaries with one or more threshold conditions. Makes necessary appropriations. \r\n(Sec. 722) Requires each Medicare Advantage organization to have an ongoing quality improvement program for improving the quality of care provided to enrollees in each MA plan offered by such organization (other than an MA private fee-for-service plan or an MSA plan) effective for contract years beginning January 1, 2006. Requires as part of the quality improvement program for each MA organization to have a chronic care improvement program. \r\nTitle IX: Subtitle E: Miscellaneous Provisions - \r\n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.\r\nSubtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.\r\n\r\n\r\n\r\n\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\n\r\nRequest for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.\r\n\r\nOppose limits on the laboratory CPI update.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2005 Budget (H Con Res 95, S Con Res 95) related to Medicare reform, the provision of Medicare and Medicaid services and benefits to patients, incentives to promote the implementation of health information technology, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nDepartments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for 2005.\r\n\r\nAppropriations for Community Health Centers\r\n\r\nAppropriations for the Family Health Center to provide dental services\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n\r\nAppropriations for the Laird Center for Applied Sciences \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nS 2061 A bill to improve women's health access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services – introduced by Senator Judd Gregg.\r\nS 2207 A bill to improve women's access to health care services, and the access of all individuals to emergency and trauma care services, by reducing the excessive burden the liability system places on the delivery of such services – introduced by Senator Judd Gregg.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling. \r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"HR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/f9ab7190-83a2-4956-8a70-9cc0573a7706/","filing_uuid":"f9ab7190-83a2-4956-8a70-9cc0573a7706","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2004,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/f9ab7190-83a2-4956-8a70-9cc0573a7706/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"211129.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2005-02-04T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173\r\n(Sec. 106) Establishes a State Pharmaceutical Assistance Transition Commission to develop a proposal for addressing the unique transitional issues facing State pharmaceutical assistance programs as a result of the enactment of this Act.\r\n(Sec. 108) Authorizes the Secretary to make grants to physicians for the purpose of assisting them to implement electronic prescription drug programs that comply with appropriate standards. Authorizes appropriations.\r\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blend. Increases minimum percentage increase to national growth rate. \r\nRequires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.\r\nSubtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.\r\nSubtitle D: Additional Reforms - \r\n(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. \r\n(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \r\nTitle III: Combatting Waste, Fraud, and Abuse - (Sec. 302) Directs the Secretary to conduct a demonstration project on the application of competitive acquisition to clinical diagnostic laboratory tests. \r\n(Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. \r\nRequires the Secretary to: (1) promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption; (2) make adjustments to the nonphysician work pool methodology for the determination of practice expense relative value units under the physician fee schedule so that practice expense relative value units for services determined under such methodology are not affected relative to the practice expense relative value units of services not determined under such methodology; and (3) review and appropriately modify Medicare's payment policy in effect on October 1, 2003, for the administration of more than one drug or biological to an individual on a single day through the push technique. Makes the increase in expenditures resulting from this provision exempt from the budget-neutrality requirement in 2004. \r\nRequires a transitional adjustment or additional payment for services furnished from January 1, 2004, through December 31, 2005, to be made for drug administration services. Requires the part B payment to be made to the physician and equal a percentage of the payment otherwise made. \r\nDirects the MEDPAC to review the payment changes made under this section insofar as they affect payments under Medicare part B for items and services furnished by oncologists and for drug administration services furnished by other specialists. Requires the Commission to submit a report to the Secretary and Congress and for the Secretary to make appropriate payment adjustments on the basis of such report.\r\nProvides that the following drugs and biologicals are to be paid at 95 percent of the average wholesale price (AWP): (1) a drug or biological furnished before January 1, 2004; (2) blood clotting factors furnished during 2004; (3) a drug or biological furnished during 2004 that was not available for part B payment as of April 1, 2003; (3) pneumoccal influenza and hepatitus B vaccines furnished on or after January 1, 2004; and (4) a drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities. Provides in general that payments for other drugs furnished in 2004 will equal 85 percent of the AWP (determined as of April 1, 2003). Provides that, beginning in 2005, drugs or biologicals, except for pneumococcal, influenza, and hepatitis B vaccines and those associated with certain renal dialysis services, will be paid using either the average sales price methodology or through the competitive acquisition program. Provides that infusion drugs furnished through covered durable medical equipment starting January 1, 2004, will be paid at 95 percent of the AWP in effect on October 1, 2003, and that those infusion drugs which may be furnished in a competitive area starting January 1, 2007, will be paid on the competitive price. Provides that intravenous immune globulin will be paid at 95 percent of the AWP in 2004 and paid according to the average sales price method in 2005. \r\nTitle IV: Rural Provisions - \r\nSubtitle B: Provisions Relating to Part B Only - \r\n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. \r\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarity areas.\r\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\r\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \r\n (Sec. 417) Amends the Balanced Budget Act of 1997 to extend the telemedicine demonstration project by 4 years and to increase total funding for the project. \r\nSubtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.\r\n(Sec. 433) Directs the MEDPAC to conduct a study of specified rural provisions of this title for various reports to Congress. \r\nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - Amends SSA title XVIII with respect to payment for physicians' services to: (1) provide that the update to the conversion factor for 2004 and 2005 will not be less than 1.5 percent; (2) modify the formula for calculating the sustainable growth rate to provide that the gross domestic product factor will be based on the annual average change over the preceding 10 years (a 10-year rolling average); \r\n(Sec. 604) Directs the Comptroller General to conduct a study for a report to Congress on access of Medicare beneficiaries to physician's services under the Medicare program.\r\n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. \r\n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \r\nSubtitle C: Other Provisions - \r\n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \r\nProvides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. \r\nProvides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. \r\nRequires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. \r\n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \r\n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \r\n(Sec. 648) Directs the Secretary to establish demonstration projects under which the Secretary is required to evaluate methods that improve the quality of care provided to individuals with chronic conditions and that reduce expenditures that would otherwise be made under the Medicare program on behalf of such individuals for such chronic conditions. Requires the Secretary to conduct a demonstration project in at least one area that the Secretary determines has a population of individuals entitled to benefits under Medicare part A, and enrolled under Medicare part B, with a rate of incidence of diabetes that significantly exceeds the national average rate of all areas. \r\n(Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \r\nTitle VII: Provisions Relating to Parts A and B - \r\nSubtitle C: Chronic Care Improvement - (Sec. 721) Amends SSA title XVIII to require the Secretary to provide for the phased-in development, testing, evaluation, and implementation of chronic care improvement programs. Requires the programs to be designed to improve clinical quality and beneficiary satisfaction and achieve spending targets with respect to expenditures under Medicare for targeted beneficiaries with one or more threshold conditions. Makes necessary appropriations. \r\n(Sec. 722) Requires each Medicare Advantage organization to have an ongoing quality improvement program for improving the quality of care provided to enrollees in each MA plan offered by such organization (other than an MA private fee-for-service plan or an MSA plan) effective for contract years beginning January 1, 2006. Requires as part of the quality improvement program for each MA organization to have a chronic care improvement program. \r\nTitle IX: Subtitle E: Miscellaneous Provisions - \r\n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.\r\nSubtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.\r\n\r\n\r\n\r\n\r\nHR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public\r\nHR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  \r\nHR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.\r\nOn September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.\r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\n\r\nRequest for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.\r\n\r\nOppose limits on the laboratory CPI update.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2005 Budget (H Con Res 95, S Con Res 95) related to Medicare reform, the provision of Medicare and Medicaid services and benefits to patients, incentives to promote the implementation of health information technology, medical liability reform, prescription drug benefits.\r\n\r\nDemonstration grant programs to increase patient safety through the application of computerized prescriber order entry systems to reduce preventable adverse drug reactions.\r\n\r\nDepartments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for 2005.\r\n\r\nAppropriations for Community Health Centers\r\n\r\nAppropriations for the Family Health Center to provide dental services\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n\r\nAppropriations for the Laird Center for Applied Sciences \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"HR 5, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003, introduced by Rep. James Greenwood in the House and S. 607 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nS 2061 A bill to improve women's health access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services – introduced by Senator Judd Gregg.\r\nS 2207 A bill to improve women's access to health care services, and the access of all individuals to emergency and trauma care services, by reducing the excessive burden the liability system places on the delivery of such services – introduced by Senator Judd Gregg.\r\nHR663, the Patient Safety and Quality Improvement Act, introduced by Rep. Michael Bilirakis in the House Amends the Public Health Service Act to make patient safety work product privileged information. Defines \"patient safety work product\" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization. Defines a \"patient safety organization\" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.\r\nHR 877: The Patient Safety Improvement Act introduced by Rep. Nancy Johnson Amends title XI of the Social Security Act to add a new part D (Patient Safety Improvements) to provide for voluntary reporting to the Secretary of Health and Human Services of patient safety data. Prescribes confidentiality and peer review protections for such data. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. \r\nS. 1053, the Genetic Information Nondiscrimination Act of 2003, introduced by Senator Olympia Snowe. Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling. \r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"HR 623 Medical Laboratory Personnel Shortage Act of 2003 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/5a04529e-ffd0-4c8d-af41-83aefd1bef28/","filing_uuid":"5a04529e-ffd0-4c8d-af41-83aefd1bef28","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2004,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/5a04529e-ffd0-4c8d-af41-83aefd1bef28/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"3570180.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2005-02-10T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":2115,"url":"https://lda.gov/api/v1/registrants/2115/","house_registrant_id":31026,"name":"AMERICAN COUNCIL OF LIFE INSURERS","description":"Life Insurance","address_1":"300 New Jersey Ave, NW, 10th Floor","address_2":null,"address_3":null,"address_4":null,"city":"WASHINGTON","state":"DC","state_display":"District of Columbia","zip":"20001","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"LAVETTE JOHNSON","contact_telephone":"+1 202-624-2141","dt_updated":"2026-07-24T10:07:57.108430-04:00"},"client":{"id":103080,"url":"https://lda.gov/api/v1/clients/103080/","client_id":12,"name":"AMERICAN COUNCIL OF LIFE INSURERS","general_description":null,"client_government_entity":false,"client_self_select":true,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2008-04-01"},"lobbying_activities":[{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"H.R. 2 - Jobs and Growth Tax Relief Reconciliation Act of 2003. Annuities fix.\r\n\r\nH.R. 8 - Death Tax Repeal Permanency Act of 2003. Estate tax.\r\n\r\nH.R. 51 - Family Heritage Preservation Act. Estate tax.\r\n\r\nH.R. 57 - Death Tax Permanency Act of 2003. Estate tax.\r\n\r\nH.R. 139 - Permanent Death Tax Repeal Act of 2003. Estate tax.\r\n\r\nH.R. 158 - To make the repeal of the estate tax permanent. Estate tax.\r\n\r\nH.R. 210 - To amend the Internal Revenue Code of 1986 to accelerate the individual income tax rate cuts made by the Economic Growth and Tax Relief Reconciliation Act of 2001 and to make permanent all tax cuts made by that Act. Estate tax, pension provisions\r\n\r\nH.R. 407 - To repeal the sunset of the provisions of the Economic Growth and Tax Relief Reconciliation Act of 2001. Estate tax, pension provisions.\r\n\r\nH.R. 414 - Life Insurance Employee Notification Act. The nondisclosure of employer-owned life insurance coverage of employees.\r\n\r\nH.R. 432 - To amend chapters 83 and 84 of title 5, United States Code, to provide for the indexation of deferred annuities; to provide that a survivor annuity be provided to the widow or widower of a former employee who dies after separating from Government service with title to a deferred annuity under the Civil Service Retirement System but before establishing a valid claim therefor, and for other purposes. To provide for the indexation of deferred annuities; to provide that a survivor annuity be provided to the widow or widower of a former employee who dies after separating from Government service with title to a deferred annuity under the Civil Service Retirement System but before establishing a valid claim therefor.\r\n\r\nH.R. 808 - Life Insurance Tax Simplification Act of 2003. Repealing Sections 809 and 815.\r\n\r\nH.R. 1612 - To make permanent the tax benefits enacted by the economic Growth and Tax Relief Reconciliation Act of 2001. Estate tax, pension provisions\r\n\r\nH.R. 2127 - Taxpayer Savings and Employee Notification Act of 2003. Protect tax benefits relating to company-owned life insurance.\r\n\r\nH.R. 2228 - To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Permitting consolidated returns.\r\n\r\nH.R. 2458 - Secure Annuity Income for Life Act of 2003. To exclude from gross income a percentage of lifetime annuity payments.\r\n\r\nH.R. 2477 - To amend the Internal Revenue Code of 1986 to increase the exclusion equivalent of the unified credit allowed against the estate tax to $7,500,000 and to modify the estate tax rate schedule. Estate tax.\r\n\r\nH.R. 2480 - To amend the Internal Revenue Code of 1986 to reduce estate and gift tax rates to 30 percent, to increase the exclusion equivalent of the unified credit to $10,000,000, and to increase the annual gift tax exclusion to $50,000. Estate tax.\r\n\r\nH.R. 2481 - Estate Tax Reduction Act of 2003. Estate tax.\r\n\r\nH.R. 2502 - Estate Tax Relief Act of 2003. Estate tax.\r\n\r\nH.R. 2513 - Estate Tax Repeal for Family-Owned Farms and Businesses Act of 2003. Estate tax.\r\n\r\nH.R. 2532 - Save Social Security First Act of 2003. Estate tax.\r\n\r\nH.R. 2610 - To amend the Internal Revenue Code of 1986 to restore the estate tax and repeal the carryover basis rule, to increase the estate and gift tax unified credit to an exclusion equivalent of $5,000,000, and to reduce the rate of the estate and gifts taxes to the generally applicable capital gains income tax rate. Estate tax.\r\n\r\nH.R. 2682 - Estate Tax Reduction Act of 2003. Estate tax.\r\n\r\nH.R. 2896 - American Jobs Creation Act of 2003. International issues, corporate-owned life insurance, non-qualified deferred compensation.\r\n\r\nH.R. 3521 - Tax Relief Extension Act of 2003.  To amend the Internal Revenue Code of 1986 to extend certain expiring provisions, and for other purposes.  Section 809 repeal.\r\n\r\nH.R. 4849 - the Retirement Security for Life Act of 2004, to provide a tax incentive for annuities.\r\n\r\nS. 2 - Jobs and Growth Tax Relief Reconciliation Act of 2003. Repealing Sections 809 and 815, non-qualified deferred compensation, Edwards corporate-owned life insurance amendment, annuities.\r\n \r\nS. 13 - Death Tax Fairness Act of 2003. Estate tax.\r\n\r\nS. 34 - Estate Tax Repeal Acceleration (ExTRA) for Family-Owned Businesses and Farms Act. Estate tax.\r\n\r\nS. 96 - Contract With Investors. Estate tax.\r\n\r\nS. 135 - Dayton Fair Tax Cut Act. Estate tax.\r\n\r\nS. 169 - Permanent Death Tax Repeal Act of 2003. Estate tax.\r\n\r\nS. 992 - Life Insurance Tax Simplification Act of 2003. Repealing Sections 809 and 815.\r\n\r\nS. 1054 - Jobs and Growth Tax Relief Reconciliation Act of 2003. Repealing Sections 809 and 815, non-qualified deferred compensation, Edwards corporate-owned life insurance amendment, annuities.\r\n\r\nS. 1475 - Promote Growth and Jobs in the USA Act of 2003. Competitiveness of American business, international tax issues.\r\n\r\nS. 1495 - To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Permitting consolidated returns.\r\n\r\nS. 1596 - Tax Relief Extension Act of 2003. To provide extensions for certain expiring provisions of the Internal Revenue Code of 1986, and for other purposes. Section 809 repeal.\r\n\r\nS. 1637 - Jumpstart Our Business Strength (JOBS) Act.  To amend the Internal Revenue Code of 1986 to comply with the World Trade Organization rulings on the FSC/ETI benefit in a manner that preserves jobs and production activities in the United States, to reform and simplify the international taxation rules of the United States, and for other purposes.\r\n\r\nS. 3029 – Retirement Security for Life Act of 2004\r\n\r\nNational Employee Savings Trust Equity Guarantee Act - Senate Pension bill, no bill number yet.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":1348,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"HUGHES","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":6392,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"LOVENDUSKY","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":7895,"prefix":null,"prefix_display":null,"first_name":"MORRIS","nickname":null,"middle_name":null,"last_name":"GOFF","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":14167,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"CANTER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":15972,"prefix":null,"prefix_display":null,"first_name":"LAURIE","nickname":null,"middle_name":null,"last_name":"LEWIS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":16195,"prefix":null,"prefix_display":null,"first_name":"LISA","nickname":null,"middle_name":null,"last_name":"TATE","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":22491,"prefix":null,"prefix_display":null,"first_name":"ANGELA","nickname":null,"middle_name":null,"last_name":"ARNETT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25213,"prefix":null,"prefix_display":null,"first_name":"JERRY","nickname":null,"middle_name":null,"last_name":"GOLDEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25652,"prefix":null,"prefix_display":null,"first_name":"MIKE","nickname":null,"middle_name":null,"last_name":"HUNTER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":29929,"prefix":null,"prefix_display":null,"first_name":"DAVID","nickname":null,"middle_name":null,"last_name":"LEIFER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":30725,"prefix":null,"prefix_display":null,"first_name":"ALANE","nickname":null,"middle_name":null,"last_name":"DENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":31022,"prefix":null,"prefix_display":null,"first_name":"DIANNE","nickname":null,"middle_name":null,"last_name":"SULLIVAN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":33948,"prefix":null,"prefix_display":null,"first_name":"ALLEN","nickname":null,"middle_name":null,"last_name":"CASKIE","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":34653,"prefix":null,"prefix_display":null,"first_name":"KIMBERLY","nickname":null,"middle_name":null,"last_name":"DORGAN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":36689,"prefix":"mr","prefix_display":"MR.","first_name":"JUAN","nickname":null,"middle_name":"CARLOS","last_name":"SCOTT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":38216,"prefix":null,"prefix_display":null,"first_name":"JILL","nickname":null,"middle_name":null,"last_name":"EDWARDS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":38482,"prefix":null,"prefix_display":null,"first_name":"JULIE","nickname":null,"middle_name":null,"last_name":"SPIEZIO","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":43192,"prefix":"mr","prefix_display":"MR.","first_name":"FRANK","nickname":null,"middle_name":"ANTHONY","last_name":"KEATING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":51471,"prefix":null,"prefix_display":null,"first_name":"ROBERTA","nickname":null,"middle_name":null,"last_name":"MEYER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"}]},{"general_issue_code":"FIN","general_issue_code_display":"Financial Institutions/Investments/Securities","description":"H.R.395 - 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Equal Rights and Equal Dignity for Americans Act of 2003 genetic information is critical to determine risk class when issuing life insurance.\r\n\r\nS.228 - Social Security Number Misuse Prevention Act prevents requiring applicant to disclose SS# in order to obtain product or service.\r\n\r\nS. 2764 - Terrorism Risk Insurance Extension Act of 2004, to extend the Terrorism Risk Insurance Program; group life.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":1348,"prefix":null,"prefix_display":null,"first_name":"GARY","nickname":null,"middle_name":null,"last_name":"HUGHES","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":6392,"prefix":null,"prefix_display":null,"first_name":"MICHAEL","nickname":null,"middle_name":null,"last_name":"LOVENDUSKY","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":7895,"prefix":null,"prefix_display":null,"first_name":"MORRIS","nickname":null,"middle_name":null,"last_name":"GOFF","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":14167,"prefix":null,"prefix_display":null,"first_name":"MARK","nickname":null,"middle_name":null,"last_name":"CANTER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":15972,"prefix":null,"prefix_display":null,"first_name":"LAURIE","nickname":null,"middle_name":null,"last_name":"LEWIS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":16195,"prefix":null,"prefix_display":null,"first_name":"LISA","nickname":null,"middle_name":null,"last_name":"TATE","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":22491,"prefix":null,"prefix_display":null,"first_name":"ANGELA","nickname":null,"middle_name":null,"last_name":"ARNETT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25213,"prefix":null,"prefix_display":null,"first_name":"JERRY","nickname":null,"middle_name":null,"last_name":"GOLDEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25652,"prefix":null,"prefix_display":null,"first_name":"MIKE","nickname":null,"middle_name":null,"last_name":"HUNTER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":29929,"prefix":null,"prefix_display":null,"first_name":"DAVID","nickname":null,"middle_name":null,"last_name":"LEIFER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":30725,"prefix":null,"prefix_display":null,"first_name":"ALANE","nickname":null,"middle_name":null,"last_name":"DENT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":31022,"prefix":null,"prefix_display":null,"first_name":"DIANNE","nickname":null,"middle_name":null,"last_name":"SULLIVAN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":33948,"prefix":null,"prefix_display":null,"first_name":"ALLEN","nickname":null,"middle_name":null,"last_name":"CASKIE","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":34653,"prefix":null,"prefix_display":null,"first_name":"KIMBERLY","nickname":null,"middle_name":null,"last_name":"DORGAN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":36689,"prefix":"mr","prefix_display":"MR.","first_name":"JUAN","nickname":null,"middle_name":"CARLOS","last_name":"SCOTT","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":38216,"prefix":null,"prefix_display":null,"first_name":"JILL","nickname":null,"middle_name":null,"last_name":"EDWARDS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":38482,"prefix":null,"prefix_display":null,"first_name":"JULIE","nickname":null,"middle_name":null,"last_name":"SPIEZIO","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":43192,"prefix":"mr","prefix_display":"MR.","first_name":"FRANK","nickname":null,"middle_name":"ANTHONY","last_name":"KEATING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":51471,"prefix":null,"prefix_display":null,"first_name":"ROBERTA","nickname":null,"middle_name":null,"last_name":"MEYER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":38,"name":"Labor, Dept of (DOL)"},{"id":1,"name":"SENATE"},{"id":41,"name":"Treasury, Dept of"}]},{"general_issue_code":"TRD","general_issue_code_display":"Trade (domestic/foreign)","description":"H.R. 4366 – Personal Data Offshoring Protection Act\r\n\r\nH.R. 4759 - 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R. 1406 - To amend title XIX of the Social Security Act to permit additional States to enter into long -term care partnerships under the Medicaid Program in order to promote the use of long -term care insurance. To amend title XIX of the Social Security Act to permit additional States to enter into long -term care partnerships under the Medicaid Program in order to promote the use of long -term care insurance.\r\n\r\nH.R. 1776 - Pension Preservation and Savings Expansion Act of 2003. Make retirement savings opportunities permanent, expand and improve retirement savings vehicles, extend pension coverage, enhance fairness and portability, revitalize defined benefit plans, etc.\r\n\r\nH.R. 2096 - Long-Term Care and Retirement Security Act of 2003. 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efforts.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Kept Maryland Delegation apprised of concerns associated with the growing Medicare population and the pressures this presents for the healthcare system.\r\n\r\nContinued to appeal to CMS to adjust the Medicare Sustainable Growth Rate (formula) SGR.\r\nMet with HHS staff  in the office of the Director for Medicare Services to discuss SGR and opportunities to design demo projects.\r\n\r\nMonitored the implementation of the Medicare Modernization Act.\r\n\r\nTracking: \r\nHR 4903, \"Medicare Advantage and Prescription Drug Accountability Act of 2004\"\r\nS.2725, \"Closing the Coverage Gap Act of 2004\"\r\nS.2766, \"Prescription Drug and Health Improvement Act of 2004\"\r\nHR 4919, \"Medicare Drug Card Guaranteed Savings Act\"\r\nHR4898/S.2535, \"Medicare Preventative Services Coverage Act of 2004\"\r\nHR 4491, \"Hobson amendment\"\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HOU","general_issue_code_display":"Housing","description":"HR 5041/S 2825*HR 4818,  Supported the requests on behalf of the East Baltimore Development Inc. for the support in FY 2005 HUD/VA Appropriations bill for redevelopment activities including large-scale property acquisition and demolition; economic development and job creation as well as re-development of housing anchored by a biotech facility located near Johns Hopkins Hospital.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HOM","general_issue_code_display":"Homeland Security","description":"Monitored BAA’s (Broad Agency Announcement) with respect to applications for Centers of Excellence.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"CPT","general_issue_code_display":"Copyright/Patent/Trademark","description":"Monitored:\r\nHR 3261, “Database and Collections of Information Misappropriation Act”\r\nHR 2517, “Piracy Deterrence and Education Act of 2003”\r\nHR 107, “Digital Media Consumers' Rights Act of 2003”\r\nS.2560, “Inducing Infringement of Copyrights Act of 2004” \r\nPatent legislation\r\nThe CREATE Act\r\nNIH proposal regarding public access to articles resulting from sponsored research\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Communicated several issues concerning academic health centers to the Secretary of Health and Human Services and his office including: implementation of HIPAA rules, the development of regional electronic patient record systems, and concerns about physician reimbursement rates, medical liability, patient safety, bioterrorism and facilities and administration support. Worked in cooperation with AAMC and AHA to appeal to CMS to consider adjustments to the Medicare sustainable growth rate formula.\r\n\r\nJohns Hopkins is part of the Maryland/DC Collaborative for Healthcare Information Technology (formerly Maryland/DC E-Health Initiative) to develop and implement a regional electronic patient record system. Continue to keep all members of the Maryland Delegation apprised of the Collaborative’s progress.\r\n\r\nMonitored HR 663 and S.720, both Patient Safety and Quality Improvement Acts that create voluntary systems for tracking medical errors and promise confidentiality to hospitals and doctors; monitored HR 5, “Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003,” that sets a cap on medical liability; and monitored any Congressional activity that may result from recent court decisions regarding patent infringement claims.\r\n\r\nAdvocated funding and monitored NIH and NSF budgets along with the Association of American Universities (AAU) and Association of American Medical Colleges (AAMC)-see budget section.\r\n\r\nMonitored S.15, “Project BioShield Act of 2004” \r\n\r\nMonitored legislation and raised awareness of potential Toomey–type amendments, which would potentially alter the funding of specific NIH-sponsored research projects that had undergone the established peer review processes. \r\n\r\nContinue to monitor legislative efforts on patient safety, physician reimbursement rates, quality improvement and medical liability.\r\n\r\nMonitored the shortage of flu vaccine and attempts to obtain vaccine from Canada.\r\n\r\nMonitored NIH and Congressional review of the use of federal funds for HIV research in Uganda.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"IMM","general_issue_code_display":"Immigration","description":"Advocated with ACE, AAU, and other interested organizations to improve the current DHS Student and Exchange Visitor Information System (SEVIS). Outlined several areas of concern to our students and institutions including long delays and insufficient assistance to students and scholars in meeting the SEVIS requirements. Officials at DHS continue to work with us to resolve visa difficulties. \r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"EDU","general_issue_code_display":"Education","description":"HR 4283 “College Access and Opportunity Act of 2004”, Worked collaboratively the university community positions on the Reauthorization of Higher Education Act. Visited offices of all ten members of the Maryland Delegation. Worked toward increased access to higher education for low-income students by strengthening support for grants and early intervention programs, particularly the Pell Grant program; increase in financial aid support for graduate education through GAANN, Javits and FLAS fellowship and grant programs; increased access to both undergraduate and graduate education by raising student loan borrowing limits.\r\n\r\nCommunicated by letter to leadership in both House and Senate Committees regarding the omission of “experimental site” designations within the reauthorization bill.  This program provides for more flexible means of calculating individual student aid packages; reducing the regulatory burden on universities; ensuring accountability of institutions through an accreditation system and provides a decentralized system of higher education accreditation.\r\n\r\nMonitored proposal from Department of Education to require individual student unit record reporting. \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"Monitored:\r\nHR 4682, “Stem Cell Research Enhancement Act of 2004” \r\nHR 4812, “Stem Cell Discovery Through Diversity Act\"\r\nS.303, “Human Cloning Ban and Stem Cell Research Protection Act of 2003” \r\nHR 4531, “Ronald Reagan Memorial Stem Cell Research Act of 2004”\r\nS.2533/HR 4595, \"Ronald Reagan Alzheimer's Breakthrough Act of 2004\" (also discussed this bill with members of MD Delegation)\r\nHR 3960, “Stem Cell Replenishment Act of 2004”\r\nHR 2852, “Stem Cell Act of 2003” \r\nS.1717, “Cord Blood Stem Cell Act of 2003” \r\n\r\nWorked with the Coalition for the Advancement of Medical research to track such issues.\r\n\r\nRequested that Maryland Congressional Delegation sign letter appealing to President Bush to expand policy concerning stem cell research.\r\n\r\nWrote to NIH regarding position on a request to invoke march-in proceedings for patent rights on two pharmaceuticals.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null},{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"SCI","general_issue_code_display":"Science/Technology","description":"Communicated with the Department of Commerce Inspector Generals, Department of Treasury (Office of Foreign Asset Control) and National Security Advisor to the President on issues that arise from the IG report of March 2004 on the definition of “use” technology and other findings that impact the fundamental research exemption. Along with AAU and ACE we are part on an ongoing dialogue with the administration on this and the International Traffic in Arms Regulations (ITAR) as it relates to university research.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":4666,"prefix":null,"prefix_display":null,"first_name":"MARGARET","nickname":null,"middle_name":null,"last_name":"HUSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":9474,"prefix":null,"prefix_display":null,"first_name":"MAGGIE","nickname":null,"middle_name":null,"last_name":"MCINTOSH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":10837,"prefix":"ms","prefix_display":"MS.","first_name":"LINDA","nickname":null,"middle_name":null,"last_name":"ROBERTSON","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25185,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":"A","last_name":"ETTEN","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":25416,"prefix":"ms","prefix_display":"MS.","first_name":"BETH","nickname":null,"middle_name":"ANN","last_name":"FELDER","suffix":null,"suffix_display":null},"covered_position":"CHIEF COUNSEL REPUBLICAN STAFF SENATE COMMITTEE ON BUDGET","new":null}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":11,"name":"Executive Office of the President (EOP)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":201,"name":"Homeland Security, Dept of (DHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":35,"name":"Housing & Urban Development, Dept of (HUD)"},{"id":68,"name":"Natl Aeronautics & Space Administration (NASA)"},{"id":1,"name":"SENATE"},{"id":39,"name":"State, Dept of (DOS)"},{"id":41,"name":"Treasury, Dept of"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/7c513cc7-e551-4d8b-a214-e93a8efdadc2/","filing_uuid":"7c513cc7-e551-4d8b-a214-e93a8efdadc2","filing_type":"MM","filing_type_display":"Mid-Year Report","filing_year":2005,"filing_period":"mid_year","filing_period_display":"Mid-Year (Jan 1 - Jun 30)","filing_document_url":"https://lda.gov/filings/public/filing/7c513cc7-e551-4d8b-a214-e93a8efdadc2/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"190405.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2005-08-03T00:00:00-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"Sustainable Growth Rate\r\n\r\nMedicare’s SGR mechanism unfairly links physician payment updates to factors unrelated to patients’ needs and the cost of providing patient care. If the SGR formula is not changed during the coming year, Medicare program trustees predict that Medicare physician payments will be cut by 31% between 2006-2013.  Reform proposals include reimbursement updated on a market basket basis, removal of prescription drugs from the calculation of Medicare Part B costs, and rebasing Part B to reflect current rather than cumulative costs.\r\n\r\nS.1081, by Senators Jon Kyl (R-AZ) and Debbie Stabenow (D-MI), the Preserving Patient Access to Physicians Act of 2005, would replace projected Medicare payment cuts with positive updates in each of the next two years.  The bill would provide an update of not less than 2.7% in 2006 and an update in 2007 that reflects physician practice cost inflation, which is expected to be about 2.6%.\r\n \r\nH.R. 2356. Reps. Clay Shaw (R-FL) and Ben Cardin (D-MD) A bill to amend title XVIII of the Social Security Act to reform the Medicare physician payment update system through repeal of the sustainable growth rate (SGR) payment update system.   \r\n\r\nPay-for performance\r\n\r\nCurrently the prevailing methods of paying for health care in the US neither incent nor reward providing high quality care. The rising costs of care coupled with the increasing awareness of poor quality care have made clear the need for a transformation in the way health care is financed.  In the fee-for-service system Medicare currently reimburses for units of service, in a manner that promotes service utilization without regard to quality.  This has had the unanticipated, but now recognized effect of economically stimulating growth in the numbers of services provided by physicians.   Medicare must implement quality based payments for physician services, and capture the data on performance measures utilizing available claims-based data recoverable through enhanced IT functions.  \r\n\r\nS 1356, Introduced by Senators Chuck Grassley (R-IA) and Max Baucus (D-MT), the Medicare Value Purchasing Act, a bill that links physician payment to quality performance, increasing payment by 2% incrementally between 2008 and 2012, and funding the performance payments by drawing funds from physicians who do not report quality performance.   \r\n\r\n\r\nInformation Technology\r\n\r\nUnder current law the capital and operating expenses of installing and maintaining an electronic medical record are assumed to be part of the overhead expense of a medical practice.  Since no more than 5 –10% of the physician population has installed EMRs, CMS’ measurement of current physician practice expenses reflect minimal expense associated with IT.  Congress should provide incentives for EMR adoption, and should establish standards to facilitate the sharing and exchange of data.  \r\n\r\nPayment Fairness\r\n\r\nThe formulas by which Medicare’s payments are calculated are widely variable throughout Medicare localities, and are based upon outdated data and assumptions regarding the cost and organization of medical practice.  CMS must administratively revise its measurements of the costs of practice to assure the validity and fairness of payments.\r\n\r\nPayment Equity\r\n\r\nBefore MMA 03, Medicare’s payments were geographically adjusted based upon erroneous assumptions about the cost of hiring and retaining physicians.  Congress established a floor payment mechanism for the physician work component of Medicare payment for ‘04 – ‘06 to assure that physicians in low payment localities were compensated for their work at least at the national average payment amount.  This payment floor should be extended indefinitely or geographic adjustment of work should be eliminated entirely.\r\n\r\nMedicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173\r\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blended payments. Increases minimum percentage increase to national growth rate. \r\nRequires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.\r\nSubtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.\r\nSubtitle D: Additional Reforms - \r\n(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. \r\n(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \r\nTitle III: Combatting Waste, Fraud, and Abuse - (Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. \r\nTitle IV: Rural Provisions - \r\nSubtitle B: Provisions Relating to Part B Only - \r\n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. \r\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarcity areas.\r\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\r\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \r\nSubtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.\r\nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - \r\n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. \r\n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \r\nSubtitle C: Other Provisions - \r\n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \r\nProvides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. \r\nProvides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. \r\nRequires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. \r\n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \r\n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \r\n (Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \r\nTitle IX: Subtitle E: Miscellaneous Provisions - \r\n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.\r\nSubtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.\r\nMedicare Advisory Committee review of the scientific evidence pertaining to vertebroplasty and kyphoplasty. \r\nCMS Physician Group Practice Demonstration     On September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and was selected by CMS to participate in the demonstration program, effective April 1 2005.\r\nRequest for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.\r\nOn March 4, 2005 CMS published a proposed rule that would enable Competitive Acquisition of Outpatient Drugs and Biologicals Under Medicare Part B. The proposed rule would implement provisions of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 that require the implementation of a competitive acquisition program for certain Medicare Part B drugs not paid on a cost or prospective payment system basis. Beginning January 1, 2006, physicians will generally be given a choice between obtaining these drugs from vendors selected through a competitive bidding process or directly purchasing these drugs and being paid under the average sales price system.\r\nOppose limits on the laboratory CPI update.\r\nOn April 4, 2005, the HHS Secretary’s Advisory Committee on Genetics, Health, and Society (SACGHS) published a Request for Public Comment in the Federal Register on a draft report on coverage and reimbursement of genetic tests and services.   SACGHS is proposing to make the following recommendations: Medicare beneficiaries who lack current signs, symptoms, or personal histories of illness stand to clinically benefit from predictive and predispositional genetic tests and services. As such, SACGHS recommends that preventive services, including predispositional genetic tests and services, meeting evidence standards should be covered under Medicare.  \r\nReforming Medicaid\r\nPotential changes that will make Medicaid a more cost-effective and high quality program include the following:\r\n·\tPrescription Drug Improvements. The goal of reducing both state and federal expenditures will require policy changes that impact all segments of the pharmaceutical marketplace, including increased rebates from manufacturers, reforms to the Average Wholesale Price (AWP), and tiered, enforceable co-pays for beneficiaries. \r\n·\tAsset Policy. Many individuals are utilizing Medicaid estate planners or other means in order to shelter or transfer assets and therefore qualify for Medicaid funded long-term care services. Medicaid reform must include changes that increase the penalties for inappropriate transfers, restrict the types of assets that can be transferred, and encourage reverse mortgages, as well as other policies that encourage individuals and their families to self-finance care rather than rely on Medicaid.\r\n·\tCost Sharing. Medicaid’s cost-sharing rules, which have not been updated since 1982, prevent states from utilizing market forces and personal responsibility to improve health care delivery. These provisions should be modified to make Medicaid look more like the State Children’s Health Insurance Program (SCHIP), where states have broad discretion to establish enforceable premiums, deductibles, or co-pays. \r\n·\tBenefit Package Flexibility. The Medicaid benefits package remains “one-size-fits-all.” Many states have found that the flexibility built into the SCHIP program allows for greater efficiencies without compromising quality of care. Extension of this flexibility to services for appropriate Medicaid populations would allow states to provide more targeted services while managing the program in a way that prevents sweeping cuts in the future.\r\n·\tComprehensive Waiver Reforms. Reforms are needed to increase efficiency and reduce costs, increase the ease with which states obtain current waivers, expand the ability to seek new types of changes, and change the federal statute to eliminate the need for many waivers altogether.\r\n·\tJudicial Reforms. The right of states to locally manage the optional Medicaid categories is clearly defined in both policy and law, and the federal government should remove legal barriers that impede this fundamental management tool. \r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"According to the Joint Committee on Taxation, health-related organizations make up the largest percentage of Section 501(c)(3) non-profit organizations, accounting for almost 60 percent of total revenues of the 501(c)(3)s. Of the health-related organizations, hospitals constitute almost three-quarters of total revenues.  Congress is looking at several issues: how the standards for tax-exemption evolved; what criteria are used to assess if organizations meet the tax-exempt standard; whether tax-exempt organizations operate principally as businesses selling their services in a competitive market.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"The Patient Safety and Quality Improvement Act of 2005 (S. 544) introduced by Sen. James Jeffords.  This bill creates a new voluntary medical error reporting system, in which HHS would certify a number of private and public organizations to act as patient safety organizations. These PSOs would analyze data on medical errors, determine their causes, and develop and disseminate evidence-based information to providers to help them implement changes that would improve patient safety. To ensure reporting, data would be privileged against disclosure. \r\n \r\nMedical Liability\r\n\r\nThe State of Wisconsin has successfully limited the escalation of liability insurance costs by implementing MICRA style medical liability reforms that include limits on non-economic damages, collateral source rules and limits on attorney’s contingency fees.  This proven mechanism for restraining liability insurance costs should be made widely available throughout the country. \r\nHR 534, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2005, introduced by Rep. Chris Cox in the House and S. 354 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\r\nS. 306, the Genetic Information Nondiscrimination Act of 2005, introduced by Senator Olympia Snowe. And HR 1227 introduced by Rep. Judy Biggert  in the House.  Amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to prohibit health discrimination on the basis of genetic information or services. Defines genetic information as genetic tests of an individual or family member or occurrence of a disease or disorder in family members used to predict risk of disease in asymptomatic or undiagnosed individuals. Defines genetic services as health services provided for genetic education and counseling. \r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Provisions of the President’s FY2006 Budget and related appropriations legislation (H Con Res 95, S Con Res 18) related to implementation of MMA, the provision of Medicare and Medicaid services and benefits to patients, incentives to promote electronic health records for all Americans, medical liability reform, prescription drug benefits.\r\n\r\nDepartments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for 2006.\r\n\r\nAppropriations for Community Health Centers\r\n\r\nAppropriations for the Family Health Center to provide dental services\r\n\r\nAppropriations for rural telehealth grant programs in HRSA and HRSA rural health outreach grants.\r\n\r\nAppropriations for Laboratory Response Network in CDC.\r\n\r\nAppropriations for Personalized Medicine Research Programs in NIH.\r\n\r\nAppropriations for the Laird Center for Applied Sciences \r\n\r\nS 4, The Healthy America Act of 2005, To be introduced by Senator Bill Frist, (R-TN) calls for changes to make health care more affordable through medical liability reform, implementation of electronic health records, patient safety and voluntary error reporting; S 4 also expands access through tax deductions for the purchase of long term care insurance, and incentives for group purchasing arrangements for individuals; S 4 also strengthens the safety net by funding additional Community and Rural Health Centers, promoting chronic disease management, promoting care coordination by funding for integrated health systems, and expanding liability protection for health professionals who provide safety net services.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"FOO","general_issue_code_display":"Food Industry (safety, labeling, etc.)","description":"Development of governmental advice and consultation and research methods relevant to food safety services  including but not limited to laboratory test development, topical research on genetics as well as zoonosis.\r\nGenerally, Marshfield Clinic Laboratories' status relative to federal programs/initiatives in DHFS and USDA on the topics of CWD and Food Safety. \r\n\r\nSpecifically investigation of: 1) USDA's determination that Marshfield Clinic Laboratories are not eligible to conduct certain kinds of tests which can at this point in time only be conducted by \"federally-certified laboratories\"; 2) the degree to which there exists a USDA \"federal certification\" process for laboratories; 3) feasibility of designating Marshfield Clinic Laboratories in a way so as to be \"federally-certified\" absent such a process in USDA for what it considers today to be \"non-governmental\" or \"non-academic\" laboratories; 4)processes for DHFS and USDA \"recognition\" of new, rapid testing scientific procedures as those \"accepted\" by USDA and FDA relative to their public health roles in food safety.\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"HR 1175 Medical Laboratory Personnel Shortage Act of 2005 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \r\nHR 2218 Medicare Laboratory Services Access Act of 2005 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.78 for 2006, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \r\nOppose limits on the laboratory CPI update.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":23,"name":"Agriculture, Dept of (USDA)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":8,"name":"Congressional Budget Office (CBO)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/7f64ced7-f883-47a7-8944-f5a392282d02/","filing_uuid":"7f64ced7-f883-47a7-8944-f5a392282d02","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2005,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/7f64ced7-f883-47a7-8944-f5a392282d02/print/","filing_document_content_type":"application/pdf","income":"100000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2006-02-10T00:00:00-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":30792,"url":"https://lda.gov/api/v1/registrants/30792/","house_registrant_id":30115,"name":"PARRY, ROMANI, DECONCINI & SYMMS","description":"Consulting","address_1":"517 C Street NE","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20002","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"ROMANO ROMANI","contact_telephone":"+1 202-547-4000","dt_updated":"2026-04-23T11:31:32.295882-04:00"},"client":{"id":136162,"url":"https://lda.gov/api/v1/clients/136162/","client_id":1888,"name":"CHIRON CORP","general_description":"Manufacturing of vaccines, biotech products and blood diagnostic products.","client_government_entity":null,"client_self_select":null,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2004-10-21"},"lobbying_activities":[{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":null,"foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"S. 16: A bill to reduce to the cost of quality health care coverage and improve the availability of health care coverage for all Americans.  Lobbied to protect the interests of the Biotech drug industry.\r\n\r\nS. 109, H.R. 328: A bill entitled the \"Pharmaceutical Market Access Act of 2005\". Lobbied for an exemption for biologics.S.184,H.R. 753: A bill to amend the Federal Food, Drug, and Cosmetic Act to protect the public health from the \r\nunsafe importation of prescription drugs and from counterfeit prescription drugs, and for other purposes. Lobbied\r\nfor an exemption for biologics.\r\nS. 334, H.R. 700: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to the importation of \r\nprescription drugs, and for other purposes. Lobbied for an exemption for biologics.\r\nH.R. 563: To amend part D of title XVIII of the Social Security Act to require the Secretary of Health and Human \r\nServices to negotiate and disclose lowest possible prices for prescription drug prices for Medicare beneficiaries,\r\nand with respect to the Federal Food, Drug, and Cosmetic Act, to provide waivers that permit such beneficiaries\r\nto import prescription drugs from Canada. Lobbied for an exemption for biologics.\r\nH.R. 578: To amend the Internal Revenue Code of 1986 with respect to the purchase of prescription drugs by\r\nindividuals who have attained retirement age, and to amend the Federal Food, Drug, and Cosmetic Act with\r\nrespect to the importation of prescription drugs and the sale of such drugs through Internet sites. Lobbied for an \r\nexemption for biologics.\r\nH.R.1626: To amend part D of the title XVIII of the Social Security Act to authorize the Secretary of Health and \r\nHuman Services to negptiate for lower prices for Medicare prescription drugs and to eliminate the gap in coverage\r\nof Medicare prescrition durg benefits, to the Secretary of Health and Human Services to promulgate\r\nregulations for the reimportation of prescription drugs, and for other purposes. Lobbied for an exemption for \r\nbiologics.\r\nH.R. 2599: To improve the quality, availability, diversity, personal privacy, and innovation of health care in the \r\nUnited States. Lobbied for an exemption for biologics..\r\nH.R.16: To authorize the use of Federal funds for research on human embryonic stem cells irrrespective of the\r\ndate on which such stem cells were derived, and for other purposes. Lobbied to prevent the unreasonable\r\nrestriction of legitimate medical research or clinical trials.\r\nH.R. 596, S. 681: To amend the Public Health Service Act to establish a National Cord Blood Stem Cell Bank\r\nNetwork to prepare, store, and distribute human umbilical cord blood stem cells for the treatment of patients and\r\nto support peer-reviewed research using such cells. Lobbied to prevent the unreasonable restriction of legitimate\r\nmedical research or clinical trials.\r\nH.R. 810, S. 471: To amend the Public Health Service Act to provide for human embryonic stem cell research.\r\nH.R.1650: To amend the Internal Revenue Code of 1986 to allow tax credits to holders of stem cell research\r\nbonds. Lobbied to prevent the unreasonable restriciton of legitimate medical research or clinical trials.\r\nH.R. 1822, S. 876: To prohibit human cloning and protect stem cells research. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials.\r\nH.R. 2541: To amend the Public Health Service Act to provide for the expansion, intensification, and coordination\r\nof the activities of the National Institutes of Health regarding qualifying adult stem cell research, and for other\r\npurposes. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials.\r\nH.R.2520, S.1317: To provide for the collection and maintenance of human cord blood stem cells for the treatment of patients and research, and to amend the Public Health Service Act to authorize the C.W. Bill Young Cell\r\nTransplantation Program. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical\r\ntrials.\r\nH.R. 2574: To amend the Public Health Service Act to provide for a program at the National Institutes of Health to conduct and support research on animals to develop techniques for the derivation of stem cells from embryos that do not harm the embryos, and for other purposes. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials.\r\nS.1392: A bill to reauthorize the Federal Trade Commission. (Dorgan/Snowe Drug Importation Amendment).\r\nLobbied for an exemption for biologics.\r\nH.R.3144: To amend the Public Health Service Act to provide for a program at the National Institutes of Health to\r\nconduct and support research in the derivation and use of human pluripotent stem cells by means that do not\r\nharm human embryos, and for other purposes. Lobbied for the interests of the vaccine industry. H.R.3423,S.1420:\r\nTo amend the Federal Food, Drug, and Cosmetic Act with respect to medical device user fees. Lobbied for the \r\ninterests of the medical device industry.\r\nS.226: A bill to amend the Public Health Service Act to improve immunization rates by increasing the supply of vaccines. Lobbied for the interst of the vaccine industry.\r\nS.521,H.R.1290: A bill to amend the Public Health Service Act to direct the Secretary of Health and Human \r\nServices to establish, promote, and support a comprehensive prevention, research, and medical management\r\nreferral program for hepatitis C virus infection. Supported bill.\r\nS.969,H.R.3369: A bill to amend the Public Health Service Act with respect to preparation for an influenza\r\npandemic, including an avian influenza pandemic, and for other purposes. Lobbied for the interests of the vaccine \r\nindustry.\r\nS.1422,H.R.881: A bill to amend the Federal Food, Drug, and Cosmetic Act to reduce human exposure to \r\nmercury through vaccines. Lobbied for the interests of the vaccine industry.\r\nH.R.650: To establish reasonable legal reforms that will facilitate the manufacture of vital, life-saving vaccines,\r\nand for other purposes. Lobbied for the interests of the vaccine industry.\r\nH.R.1297: To amend the Public Health Service Act with respect to the National Vaccine Injury Compensation\r\nProgram. Lobbied for the interests of the vaccine industry.\r\nS.930: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to drug safety, and for other \r\npurposes. Lobbied to prevent the unreasonable restricition of legitimate medical research or clinical trials.\r\nS.470: A bill to amend the Public Health Service Act to expand the clinical trials drug data bank. Lobbied to\r\nprovide the best information to the patient.\r\nH.R.2090: To amend the Federal Food, Drug, and Cosmetic Act to provide for the deposit in the general fund of\r\nthe Treasury of fees that are collected from manufacturers of drugs and devices under chapter VII of such Act, to\r\nterminate the authority of the Food and Drug administration to negotiate with the manufacturers on particular uses\r\nof the fees, to establish a Center for Postmarket Drug Safety and Effectiveness, to establish additional authorities\r\nto ensure the safe and effective use of drugs, and for other purposes. Lobbied for provisions that promoted the\r\ndevelopment safe and effective drugs.\r\nH.R.2124,H.R.2308: To amend the Public Health Service Act to provide for clinical research support grants,\r\nclinical research infrastructure grants, and a demonstration program on partnerships in clinical research, and for \r\nother purposes. Lobbied for reasonable provisions that support research and clinical trials.\r\nH.R.2650: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and\r\nthe Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage.\r\nLobbied for the interests of the industry.\r\nH.R.2792: To permit an individual to be treated by a health care practitioner with any method of medical treatment\r\nsuch individual requests, and for other purposes. Lobbied for the interests of the industry.\r\nH.R.3196,H.R.2259,S.1012: To amend the Public Health Service Act to expand the scope of information\r\nrequired for the data bank on clinical trials of drugs, and for other purposes. Lobbied for reasonable provisions that support research and clinical trials. \r\nS.1128: A bill to amend title XIX of the Social Security Act to provide for increased rebates under the medicaid \r\nprogram for prescription drugs that are directly advertised to consumers, to require other Federal programs\r\npurchasing or reimbursing for such drugs to establish payment and reimbursement mechanisms that reduce the\r\ncosts of those drugs, and for other purposes. Lobbied to ensure that any enacted restrictions would not impede \r\n\r\naccess of the consumer to accurate information about pharmaceutical products.\r\nH.R.840,S.399: A bill to amend the Federal Food, Drug and Cosmetic Act with respect to the sale of prescription\r\ndrugs through the internet, and for other purposes. Lobbied to ensure that the internet would not be used to import\r\ncounterfeit and defective medical products.\r\nH.R.1808,S.334: To amend the Federal Food, Drug, and Cosmetic Act to create a uniform certification standard for Internet pharmacies and to prohibit Internet pharmacies from engaging in certain advertising activities, to\r\nprohibit the use of certain bank instruments for purchases associated with illegal Internet pharmacies, and for\r\nother purposes. Lobbied to ensure that the internet would not be used to import counterfeit and defective medical\r\nproducts.\r\nH.R.4395: To amend titles XVIII and XIX of the Social Security Act to provide for an improved voluntary Medicare\r\nprescription drug benefit, to provide greater access to affordable pharmaceuticals, and for other purposes.\r\nLobbied for an exemption for biologics in the Drug Importation section.\r\nS.470: A bill to amend the Public Health Service Act to expand the clinical trials drug data bank. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials.\r\nS.930: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to drug safety, and for other\r\npurposes. Lobbied to prevent the unreasonable restricition of legitimate medical research or clinical trials.\r\nS.1873: A bill to prepare and strengthen the biodefenses of the United States against deliberate, accidental, and\r\nnatural outbreaks of illness, and for other purposes. Lobbied for a vaccine liability and compensation program for\r\nPandemic Vaccines.\r\nH.R.2345: To amend the Federal Food, Drug, and Cosmetic Act to increase criminal penalties for the sale or\r\ntrade of prescription drugs knowingly caused to be adulterated or misbranded, to modify requirements for\r\nmaintaining records of the chain-of-custody of prescription drugs, to establish recall authority regarding drugs, and\r\nfor other purposes. Lobbied in support of enhanced FDA authorities over counterfeit products.\r\nH.R.3052,S.1527: Vaccine Access and Supply Act, lobbied for provisions to strengthen the domestic vaccine\r\nindustry.\r\nH.R.3970: Bioterror and Pandemic Preparedness Protection Act, lobbied in support of provisions to assure\r\ndomestic pandemic preparedness.\r\nS.1821: Pandemic Preparedness and Response Act, lobbied in support of provisions to assure domestic\r\npandemic preparedness.\r\nS.1828: Influenza Vaccine Security Act of 2005, lobbied in support of provisions to assure as strong domestic \r\nvaccine industry.\r\nS.1912: Global Network for Avian Influenza Surveillance Act, lobbied in support of domestic pandemic\r\npreparedness.\r\nS.375: Flu Protection Act of 2005, lobbied in support of domestic influenza provisions to stabilize production and\r\nsupply.\r\nS.969: Attacking Viral Influenza Across Nations Act of 2005, lobbied in support of influenza provisions.\r\n\r\nGeneral matters related to vaccine industry stability, pandemic preparedness, avian influenza.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"S. 96: A bill to target Federal funding for research and development, to amend section 1928 of the Social Security Act to encourage the production of influenza vaccines by eliminating the price cap applicable to the purchase of such vaccines under contracts entered into by the Secretary of Health and Human Services, to amend the Internal Revenue Code of 1986 to establish a tax credit to encourage vaccine production capacity, and for other purposes.  Lobbied for the interests of the vaccine industry.H.R. 628, H.R. 813: To amend the Public Health Service Act to provide for an influenza vaccine awareness campaign, ensure a sufficient influenza vaccine supply, and prepare for an influenza pandemic or epidemic, to amend the Internal Revenue Code of 1986 to encourage vaccing production capacity, and for other purposes. Lobbied for the interests of the vaccine industry.\r\nS. 375: A bill to amend the Public Health Service Act to provide for an influenza vaccine awareness campaign, ensure a sufficient influenza vaccine supply, and prepare for an influenza pandemic or epidemic, to amend the Internal Revenue Code of 1986 to encourage vaccine production capacity, and for other purposes. Lobbied for the interests of the vaccine industry.\r\nS. 375, H.R. 628, H.R. 813: A bill to amend the Public Health Service Act to provide for an influenza vaccine awareness campaign, ensure a sufficient influenza vaccine supply, and prepare for an influenza pandemic or epidemic, to amend the Internal Revenue Code of 1986 to encourage vaccine production capacity, and for other purposes.  Lobbied for incentives for the vaccine industry.\r\nS. 627: A bill to amend the Internal Revenue Code of 1986 to permanently extend the research credit, to increase the rates of the alternative incremental credit, and to provide an alternative simplified credit for qualified research expenses. Lobbied for the R & D Tax credit.\r\nH.R. 1650: To amend the Internal Revenue Code of 1986 to allow tax credits to holders of stem cell research bonds. Lobbied for the R & D Tax credit.\r\nH.R. 1736: To amend the Internal Revenue Code of 1986 to permanently extend the research credit, to increase the rates of the alternative incremental credit, and to provide an alternative simplified credit for qualified research expenses. Lobbied for the R & D Tax credit.\r\nH.R. 2943, S. 1263: To amend the Small Business Act to establish eligibility requirements for business concerns to receive awards under the Small Business Innovation Research Program Lobbied for small business interests.\r\nH.R. 3154: To provide incentives for pharmaceutical companies, biotechnology companies, and medical device companies to invest in research and development with respect to antibiotic drugs, antivirals, diagnostic tests, and vaccines that may be used to identify, treat, or prevent an infectious disease, and for other purposes. Lobbied for incentives for the vaccine industry.\r\nH.R. 913: To direct the Securities and Exchange Commission to require enchanced disclosures of employee stock options, and to require a study on the economic impact of broad-based employee stock option plans, and for other purposes. Lobbied for the interests of the Biotech Medical Products industry.\r\nH.R. 1234: To amend the Internal Revenue Code of 1986 to require greater transparency of corporate tax accounting measures, to facilitate analysis of financial statements, to permit inspection of true corporate tax liability and understand the tax strategies undertaken by corporations, to discourage abusive tax sheltering activities, and to restore investor confidence in publicly traded corporations.  Lobbied for the interest of the Biotech Medical products industry.\r\nS. 1008: A bill to amend the Internal Revenue Code of 1986 to add meningococcal vaccines to the list of taxable vaccines for purposes of the Vaccine Injury Compensation Trust Fund. Lobbied for incentives for the vaccine industry.\r\n\r\n\r\n\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"CPT","general_issue_code_display":"Copyright/Patent/Trademark","description":"H.R. 2795: To amend title 35, United States Code, relating to the procurement, enforcement, and validity of patents.  Lobbied to protect intellectual property rights.\r\nH.R. 2791: To amend title 35, United States Code, with respect to patent fees, and for other purposes.  Lobbied for reasonable patent fees and to protect intellectual property rights.H.R. 357, S. 167: To provide for the protection of intellectual property rights, and for other purposes.  Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nH.R. 2795: To amend title 35, United States Code, relating to the procurement, enforcement, and validity of patents. Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nH.R. 4102: To amend title 35, United States Code, to provide for compulsory licensing of certain patented inventions relating to health care emergencies.  Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nH.R. 4131: To amend title 35, United States Code. to provide for compulsory licensing of certain patented inventions relating to health care emergencies, and to provide that applications under section 505 of the Federal Food, Drug, and Cosmetic Act that are submitted pursuant to such licenses may be approved with immediate effective dates. Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nH.R. 4392: To provide for the importation of pharmaceutical products under a compulsory license as provided for under the World Trade Organization.  Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nS. 167: a bill to provide for the protection of intellectual property rights, and for other purposes.  Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\nS. 1511: A bill to clarify that the overall trade negotiating objectives of the United States include avoiding provisions in trade agreements that restrict the access of consumers in the United states to pharmaceutical imports, and for other purposes.  Lobbied to protect the Biopharmaceutical indistry's intellectual property rights.\r\nS.Amdt. to H.R. 2862: To prevent the United States Trade Representative from negotiating future trade agreements that prevent the United States from changing United States patent law to allow the importation of pharmaceutical products.  Lobbied to protect the Biopharmaceutical industry's intellectual property rights.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"H.R. 2744: Making appropriations for Agriculture, Rural Development, Food and Drug Administration, and Related Agencies for the fiscal year ending September 30, 2006, and for other purposes.\r\nH.R. 3010: Making appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2006, and for other purposes.  Lobbied for sufficient funding of the CDC and NIH.H.R. 2601: To authorize appropriations for the Department of State for Fiscal Years 2006 and 2007.  Lobbied for sufficient funding for bioterrorist medical counter measures.\r\nH.R. 2863: Department of Defense Appropriations Act, 2006.  Lobbied for a vaccine liability and compensation program for Pandemic Vaccines.\r\n\r\nFunds for domestic vaccine supply, Centers for Disease Control, National Institutes of Health and Vaccine Injury Compensation Fund.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HOM","general_issue_code_display":"Homeland Security","description":"S. 3: A bill to strengthen and protect America in the war on terror.  Lobbied for incentives to manufacture biomedical counter measures.\r\nS. 975: A bill to provide incentives to increase research by private sector entities to develop medical counter measures to prevent, detect, identify, contain, and treat illnesses, including those associated with biological, chemical, nuclear, or radiological weapons attack or an infectious disease outbreak, and for pandemic preparedness provisions.S. 1873: A bill to prepare and strengthen the biodefenses of the United States against deliberate, accidental, and natural outbreaks of illness, and for other purposes.  Lobbied for a vaccine liability and compensation program for Pandemic Vaccines.\r\nH.R. 1815, S. 1042: National Defense Authorizations Act for Fiscal Year 2006.  Lobbied for a vaccine liability and compensation program for Pandemic Vaccines.\r\nH.R. 2601: To authorize appropriations for the Department of State for Fiscal Years 2006 and 2007.  Lobbied for sufficient funding for bioterrorist medical counter measures.\r\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":2964,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"HADDOW","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":5895,"prefix":null,"prefix_display":null,"first_name":"STEVE","nickname":null,"middle_name":null,"last_name":"SYMMS","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":13252,"prefix":null,"prefix_display":null,"first_name":"ROMANO","nickname":null,"middle_name":null,"last_name":"ROMANI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":23447,"prefix":"mr","prefix_display":"MR.","first_name":"THADDEUS","nickname":null,"middle_name":"E","last_name":"STROM","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":29800,"prefix":null,"prefix_display":null,"first_name":"DENNIS","nickname":null,"middle_name":null,"last_name":"DECONCINI","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":31170,"prefix":null,"prefix_display":null,"first_name":"JAMES","nickname":null,"middle_name":null,"last_name":"ROCK","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":43346,"prefix":"mr","prefix_display":"MR.","first_name":"EDWARD","nickname":null,"middle_name":"H","last_name":"BAXTER","suffix":null,"suffix_display":null},"covered_position":null,"new":null}],"government_entities":[{"id":134,"name":"Centers For Disease Control & Prevention (CDC)"},{"id":135,"name":"Food & Drug Administration (FDA)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":139,"name":"Natl Institutes of Health (NIH)"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/25a47471-a0ed-4f2e-9686-0cab7b970142/","filing_uuid":"25a47471-a0ed-4f2e-9686-0cab7b970142","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2006,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/25a47471-a0ed-4f2e-9686-0cab7b970142/print/","filing_document_content_type":"application/pdf","income":null,"expenses":"154366.00","expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2007-01-30T11:56:41-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":57830,"url":"https://lda.gov/api/v1/registrants/57830/","house_registrant_id":35255,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","description":"Healthcare","address_1":"1000 NORTH OAK AVENUE","address_2":null,"address_3":null,"address_4":null,"city":"MARSHFIELD","state":"WI","state_display":"Wisconsin","zip":"54449","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"BRADLEY WOLTERS","contact_telephone":"+1 202-321-5466","dt_updated":"2026-07-23T09:48:45.293465-04:00"},"client":{"id":160408,"url":"https://lda.gov/api/v1/clients/160408/","client_id":12,"name":"MARSHFIELD CLINIC HEALTH SYSTEM","general_description":"Integrated health system serving northern Wisconsin","client_government_entity":false,"client_self_select":true,"state":"WI","state_display":"Wisconsin","country":"US","country_display":"United States of America","ppb_state":"WI","ppb_state_display":"Wisconsin","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2019-02-01"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"\r\nSubtitle D: Additional Demonstrations, Studies, and Other Provisions - \n(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. \n (Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures \nTitle IX: Subtitle E: Miscellaneous Provisions - \n(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. \nDeficit Reduction Act (Section 5102) reduced reimbursements for multiple images on contiguous body parts in 2006; the DRA provision created in statute a basis for payment reductions on the imaging of contiguous body parts that CMS implemented through the rulemaking process in 2005; the DRA also requires that payment rates for imaging services delivered in physician offices do not exceed payment rates for identical imaging services delivered in hospital outpatient departments beginning in 2007.  Clinic recommends that Congress repeal Section 5102, and direct MedPAC and CMS to conduct a comprehensive study of imaging and the geographic variation in services. \nMedicare Advisory Committee review of the scientific evidence pertaining to vertebroplasty and kyphoplasty. \nCMS Physician Group Practice Demonstration     On September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project.  Marshfield Clinic submitted a proposal for this demonstration and was selected by CMS to participate in the demonstration program, effective April 1, 2005.\nOppose limits on the laboratory CPI update.\nAmbulatory Surgical Center Medicare Payment Modernization Act of 2005, H.R. 4042/S. 1884 Legislation introduced by Representative Wally Herger (R-CA) and Senator Mike Crapo (R-ID), would amend the law to reform the method for determining Medicare payment rates for ambulatory surgical centers (ASCs). This legislation would expand Medicare beneficiaries’ access to care in ASCs.\n\r\nTitle III: Combating Waste, Fraud, and Abuse - (Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule.\nTitle IV: Rural Provisions - Subtitle B: Provisions Relating to Part B Only - \n(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. Since this provision expires at the end of 2006 it must be extended or revised.\n(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarcity areas.\nDirects the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.\nDirects the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. \nTitle VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services  \n(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. \n(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. \nSubtitle C: Other Provisions - \n(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. \n(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. \n\r\nHR 4157, the Health Information Technology Promotion Act, introduced by Rep. Nancy Johnson (R-CT) Rep. Nathan Deal establishes within the Department of Health and Human Services an Office of the National Coordinator for Health Information Technology.  \n\nPayment Fairness for Practice Costs\n\nThe formulas by which Medicare’s payments are calculated are widely variable throughout Medicare localities, and are based upon outdated data assumptions regarding the cost and organization of medical practice.  Alternatives: CMS administratively revise its measurements of the costs of practice to assure the validity and fairness of payments; a payment floor could be established for practice expense; or the present variation (.705 – 1.501) in practice expense could be channeled into a narrower corridor of adjustment \n\nPayment Equity\n\nIn MMA ‘03, Congress established a floor payment mechanism for the physician work component of Medicare payment for ‘04 – ‘06 to assure that physicians in low payment localities were compensated for their work at least at the national average payment amount.  This payment floor should be extended indefinitely or geographic adjustment of work should be eliminated entirely.\n\nH.R.5118 Section 5, SEC. 5. Extension of Floor on Medicare Work Geographic Adjustment. Introduced by Rep. Greg Walden\n\nMedicare Part D Call Center Requirements\n\nCMS issued a February 2006 guidance (Attachment 1) requiring customer service call centers to be open 8 a.m. through 8 p.m. 7 days per week, including holidays. Pharmacy technical help desks are required to be open 24 hours/day 7 days per week if there are network pharmacies open for this period. \n\nMedicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173:\nTitle II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. \nSubtitle D: Additional Reforms - \n(Sec. 237) Provides that Federally Qualified Health Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers.\n (Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. \n\n\n\n\n\n\n\n\n\n\n\n\n\r\nthe provision of Medicare and Medicaid services and benefits to patients, incentives to promote electronic health records for all Americans, and prescription drug benefits.\n\nTax Relief and Health Care Act of 2006 (HR 6111) coupled a tax extenders and trade bill with a number of Medicare and Medicaid provisions including a physician fee freeze, a 1.5% bonus for physicians who report performance measures, extension of the Medicare physician work adjuster floor, and extension of the therapy services cap.\n\nSustainable Growth Rate\n\nMedicare’s SGR mechanism unfairly links physician payment updates to factors unrelated to patients’ needs and the cost of providing patient care. If the SGR formula is not changed, Medicare program trustees predict that Medicare physician payments will be cut by 31% between 2006-2013.  \nS.1081, by Senators Jon Kyl (R-AZ) and Debbie Stabenow (D-MI), the Preserving Patient Access to Physicians Act, would replace projected Medicare payment cuts with positive updates in each of the next two years.   \nH.R. 2356. Reps. Clay Shaw (R-FL) and Ben Cardin (D-MD) A bill to amend title XVIII of the Social Security Act to reform the Medicare physician payment update system through repeal of the sustainable growth rate (SGR) payment update system.   \n\nPay-for Reporting and Performance\n\nS 1356, Introduced by Senators Chuck Grassley (R-IA) and Max Baucus (D-MT), the Medicare Value Purchasing Act, a bill that links physician payment to quality performance, increasing payment by 2% incrementally between 2008 and 2012, and funding the performance payments by drawing funds from physicians who do not report quality performance.   \n\nHR 3617, the Medicare Value-Based Purchasing for Physician Services Act introduced by Rep. Nancy Johnson (R-CT) amends Part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide for value-based purchasing in the payment for physicians' services under the Medicare program. \n\nOn October 28, 2005, the Centers for Medicare and Medicaid Services (CMS) proposed the Physicians Voluntary Reporting Program (PVRP).  In the program CMS calls on physicians to report on a “Core Starter Set” of 16 evidence-based performance measures selected with input from the National Quality Forum, the Ambulatory Care Quality Alliance, and the National Committee for Quality Assurance, (NCQA).  \n\nInformation Technology\n\nS. 1418, the Wired for Health Care Quality Act introduced by Senator Michael Enzi (R-WY) - Amends the Public Health Service Act to establish the Office of the National Coordinator of Health Information Technology to coordinate and oversee programs and activities to develop a nationwide interoperable health information technology infrastructure.  \n\n\r\nProvisions of the President’s FY2007 Budget and related appropriations legislation (H Con Res 376, S Con Res 83) and the Deficit Reduction Act (S 1932, HR 4241) related to implementation of the Medicare Advantage and Prescription Drug Programs,","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"\r\nOf the health-related organizations, hospitals constitute almost three-quarters of total revenues.  Congress is looking at several issues: how the standards for tax-exemption evolved; what criteria are used to assess if organizations meet the tax-exempt standard; whether tax-exempt organizations operate principally as businesses selling their services in a competitive market.  \n\nSection 306 of S 2020, the Tax relief Act of 2005 introduced by Senator Chuck Grassley (R-IA) SEC. 306. Modifies Section 512(B)(13) of the Tax code requiring the certification by auditors or legal counsel of the Unrelated Business Taxable Income for certain not-for-profit Organizations. The provision requires every applicable exempt organization to include in its tax return a statement by an independent auditor or an independent counsel that certifies to the best of the auditor's or counsel's knowledge, the allocation of expenses between the unrelated trades and business of the organization and the activities related to the purpose or function constituting the basis of the organization's exemption under section 501 complies with the requirements set forth by the Secretary under section 512. \n\r\nAccording to the Joint Committee on Taxation, health-related organizations make up the largest percentage of Section 501(c)(3) non-profit organizations, accounting for almost 60 percent of total revenues of the 501(c)(3)s.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"\r\nthe provision of Medicare and Medicaid services and benefits to patients, incentives to promote electronic health records for all Americans, medical liability reform, prescription drug benefits.\n\nProvisions in the President FY 2007 Budget and related appropriations legislation including\npublic health programs in health and wellness and prevention; plant and animal inspections and programs; bioterrorism preparedness -- human, food, animal; human, animal and plant laboratory networks and response networks; Johnes research and eradication; Chronic Wasting Disease eradication and diagnosis; Avian flu; syndromic surveillance; National Institutes of Health research funding; research on childhood agricultural safety and health; waterborne disease research.\n\nLabor HHS Appropriations, HR 5647, Appropriations for Community Health Centers, Increased Funding for Tele-health Activities\n\nDefense Appropriations HR 5631 support for funding for Optical Gene Mapping of Engineered Biological Warfare Agents\n\r\nProvisions of the President’s FY2007 Budget and related appropriations legislation (H Con Res 376, S Con Res 83) and the Deficit Reduction Act (S 1932, HR 4241) related to implementation of the Medicare Advantage and Prescription Drug Programs, \n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"\r\nand would be regulated by the DOL rather than the state.\nImplementation of the Patient Safety and Quality Improvement Act of 2005 (HR 3205) introduced by Rep. Michael Bilirakis (R-FLA) was enacted as Public Law 109-41 on 7/29/2005.  This law Amended the Public Health Service Act to designate patient safety work product as privileged and not subject to: (1) a subpoena or discovery in a civil, criminal, or administrative disciplinary proceeding against a provider; (2) disclosure under the Freedom of Information Act (FOIA) or a similar law; (3) admission as evidence in any civil, criminal, or administrative proceeding; or (4) admission in a professional disciplinary proceeding. Defines \"patient safety work product\" as any data, reports, records, memoranda, analysis, or written or oral statements which: (1) are assembled or developed by a provider for reporting to a patient safety organization (PSO); (2) are developed by a PSO for patient safety activities and which could result in improved patient safety or health care quality or outcomes; or (3) identify or constitute the deliberations or analysis of, or identify the fact of reporting pursuant to, a patient safety evaluation system.\n\nMedical Liability\n\nHR 5, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2005 introduced by Rep. Phil Gingrey (R-GA) - Sets forth provisions regulating lawsuits for health care liability claims concerning the provision of health care goods or services or any medical product affecting interstate commerce. Sets a statute of limitations of three years after the date of manifestation of injury or one year after the claimant discovers the injury, or should have discovered the injury.  Limits noneconomic damages to $250,000. Requires court supervision over payment arrangements to protect against conflicts of interest that may reduce the amount of damages awarded that are actually paid to claimants. Allows the court to restrict the payment of attorney contingency fees. \n\nHR 534, the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2005, introduced by Rep. Chris Cox in the House and S. 354 by Senator John Ensign in the Senate to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.\n\r\nThe Health Insurance Marketplace Modernization and Affordability Act, (S 1955), enables the formation of small business health plans (SBHPs), which are group health plans sponsored by trade, industry, or similar business associations that meet ERISA certification requirements","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"LBR","general_issue_code_display":"Labor Issues/Antitrust/Workplace","description":"\r\nH.R. 4437 Section 701 would create an electronic verification system for employment. This new system will be based on the current “Basic Pilot” system and would require an employer to check, within three working days of hire, each new employee’s work eligibility and identity using a toll-free telephone line or other electronic medium. H.R. 4437 section 702 establishes a secondary verification process that must be initiated to confirm the validity of the information provided and would be required to provide the employer with a confirmation or non-verification of work eligibility within ten working days after the initial non-confirmation. Employers would not be allowed to terminate individuals that had received a tentative non-confirmation until the employer had received a non-verification or the ten-day period of time had elapsed. In this process a \"Tentative non-confirmation of work eligibility\" appears to be problematic, because the system has a high percentage of \"false positives\" attributable to data base errors.\r\nH.R.4437, the Border Protection, Antiterrorism, and Illegal Immigration Control Act of 2005 amends the Immigration and Nationality Act (INA) to curtail illegal immigration through enhanced enforcement of immigration laws and border security.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"MED","general_issue_code_display":"Medical/Disease Research/Clinical Labs","description":"\r\nthat may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. \nHR 2218 Medicare Laboratory Services Access Act of 2005 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.78 for 2006, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. \nOppose limits on the laboratory CPI update.\nLab Competitive Bidding  -- The MMA ’03 has required that HHS conduct a demonstration program on competitive bidding for clinical lab tests furnished without a face-to-face encounter between the Medicare beneficiary and the hospital personnel or physician performing the test.  CMS views the competitive bidding design as a means to establish new lab fees based on costs. The current lab fee schedule is hopelessly outdated, and should be revised, but we urge caution regarding the structure and comprehensiveness of the demonstration.  Competitive bidding will subordinate timeliness and specimen integrity in lab analysis to bulk quantity analysis at the expense of quality patient care.  Lab fee schedule changes should be consistent with the emerging emphasis on quality and performance-based reimbursement.\n\r\nHR 1175 Medical Laboratory Personnel Shortage Act of 2005 introduced by Rep. Schimkus- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":29828,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":"E","last_name":"FARNSWORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":null},{"lobbyist":{"id":37501,"prefix":"mr","prefix_display":"MR.","first_name":"GREG","nickname":null,"middle_name":"R","last_name":"NYCZ","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":37946,"prefix":"mr","prefix_display":"MR.","first_name":"BRENT","nickname":null,"middle_name":"V","last_name":"MILLER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":132,"name":"Agency for Healthcare Research & Quality (AHRQ)"},{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":5,"name":"Government Accountability Office (GAO)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":137,"name":"Health Resources & Services Administration (HRSA)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/b95add19-0103-4cf0-8ac1-bd8a6dffaf3f/","filing_uuid":"b95add19-0103-4cf0-8ac1-bd8a6dffaf3f","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2006,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/b95add19-0103-4cf0-8ac1-bd8a6dffaf3f/print/","filing_document_content_type":"application/pdf","income":"20000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2007-02-07T14:11:40-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":48417,"url":"https://lda.gov/api/v1/registrants/48417/","house_registrant_id":34479,"name":"JEFFERSON GOVERNMENT RELATIONS, L.L.C.","description":"Government Relations Lobbying Firm","address_1":"1615 L Street NW, Suite 650","address_2":null,"address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20036","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"CAROLYN M. CUPPERNULL","contact_telephone":"+1 202-626-8547","dt_updated":"2022-04-06T16:07:06.537353-04:00"},"client":{"id":155269,"url":"https://lda.gov/api/v1/clients/155269/","client_id":1534,"name":"EYE BANK ASSOCIATION OF AMERICA","general_description":null,"client_government_entity":false,"client_self_select":false,"state":"DC","state_display":"District of Columbia","country":"US","country_display":"United States of America","ppb_state":"DC","ppb_state_display":"District of Columbia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2007-08-13"},"lobbying_activities":[{"general_issue_code":"VET","general_issue_code_display":"Veterans","description":"\r\nS. 1182, the Veterans' Health Care Act of 2005; Section 9; Disclosure of Medical Records for the purpose of organ, eye and tissue donation.\nS.3421, the Veterans' Benefits, Health Care and Information Technology Act of 2006","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":15628,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"DESSER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":28044,"prefix":"mr","prefix_display":"MR.","first_name":"THOMAS","nickname":null,"middle_name":"R","last_name":"DONNELLY","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":43424,"prefix":"mr","prefix_display":"MR.","first_name":"TOM","nickname":null,"middle_name":"E","last_name":"NETTING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":46838,"prefix":null,"prefix_display":null,"first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"JACOBS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"\r\n\r\n3. FDA's proposed rule (1/08/01) Current Good Manufacturing Practice for Manufacturers of Cellular and Tissue-Based Products.\n4. FDA's draft guidance (6/25/02) Preventive Measures to Reduce the Possible Risk of CJD and and vDJD by Human Cells, Tissues and Cellular and Tissue-Based Products\n5. FDA's final rule  (5/25/04) Eligibility Determination for Donors of Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps)\n6. FDA's draft guidance for industry (5/25/04) Eligibility Determination for Donors of Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps)\n7. FDA's final rule (11/24/04) Current Good Tissue Practice for Human Cells, Tissues, and Cellular and Tissue-Based Product Establishments; Inspection and Enforcement\n8. P.L. 108-216, the \"Organ Donation and Recovery and Improvement Act;\" implementation by DHHS.\n9. S.2609, the \"Safe Tissue Act\" entire bill\n10. H.R. 5209, the Safe Tissue Act\", entire bill.\n11. FDA Federal Register (12/4/06); Proposed Collection; Comment Request; Human Tissue Intended for Transplantation.\r\n1. Ongoing discussions with FDA officials; response to FDA's proposed regulation of Cellular and Tissue-Based Products (12/28/97) and proposed regulation thereto.\n2. FDA's proposed rule (9/30/99) Suitability Determination of Cellular and Tissue-Based Products.","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":15628,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"DESSER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":28044,"prefix":"mr","prefix_display":"MR.","first_name":"THOMAS","nickname":null,"middle_name":"R","last_name":"DONNELLY","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":43424,"prefix":"mr","prefix_display":"MR.","first_name":"TOM","nickname":null,"middle_name":"E","last_name":"NETTING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":46838,"prefix":null,"prefix_display":null,"first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"JACOBS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"\r\nIdentification of Potential Organ, Tissue and Eye Donors and Transplant Hospitals' Provision of Transplant Related Data.\nImplementation and follow-up Q and As\n\nCMS proposed rules (8/23/06) Medicare Program; Hospital Outpatient Prospective Payment System and CY 2007 Payment Rates; CY 2007 Update to the Ambulatory Surgical Center Covered Procedures List; the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates; Medicare Contractors; and Reporting Hospital Quality Data for FY 2008 Inpatietn Prospective payment System Annual Payment Update Program--HCAHPS Survey, SCIP and Mortality.  Interest in Medicare payment policy for Hospital outpatient procedures and ACs's relative to ocular procedures.\n\nCMS final rule (11/7/06) Medicare Program; Hospital Outpatient Prospective Payment System and CY 2007 Payment Rates; CY 2007 Update to the Ambulatory Surgical Center Covered Procedures List; Medicare Administrative Contractors; and Reporting Hospital Quality Data for FY 2008 Inpatient Prospective Payment System Annual Payment Update Program -- HCAHPS Survey, SCIP and Mortality.  Interest in Medicare payment policy for Hospital outpatient procedures relative to ocular procedures.\r\nHCFA final rule (11/20/00) Medicare program; Prospective Payment System for Hospital Outpatietn Services\nHCFA final rule (6/22/98) Medicare and Medicaid Programs; Hospital Conditions of Participation.\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":15628,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"DESSER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":28044,"prefix":"mr","prefix_display":"MR.","first_name":"THOMAS","nickname":null,"middle_name":"R","last_name":"DONNELLY","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":43424,"prefix":"mr","prefix_display":"MR.","first_name":"TOM","nickname":null,"middle_name":"E","last_name":"NETTING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":46838,"prefix":null,"prefix_display":null,"first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"JACOBS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"\r\nS.3708, Making Appropriations for the Department of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 20, 2007; provisions related to funding HRSA and programs on organ donation.\r\nH.R. 5647, Making Appropriations for the Department of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2007; provisions related to funding HRSA and programs on organ donation.\n","foreign_entity_issues":null,"lobbyists":[{"lobbyist":{"id":15628,"prefix":null,"prefix_display":null,"first_name":"JOHN","nickname":null,"middle_name":null,"last_name":"DESSER","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":28044,"prefix":"mr","prefix_display":"MR.","first_name":"THOMAS","nickname":null,"middle_name":"R","last_name":"DONNELLY","suffix":"jr","suffix_display":"JR"},"covered_position":"N/A","new":null},{"lobbyist":{"id":43424,"prefix":"mr","prefix_display":"MR.","first_name":"TOM","nickname":null,"middle_name":"E","last_name":"NETTING","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null},{"lobbyist":{"id":46838,"prefix":null,"prefix_display":null,"first_name":"CHRISTOPHER","nickname":null,"middle_name":null,"last_name":"JACOBS","suffix":null,"suffix_display":null},"covered_position":"N/A","new":null}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":42,"name":"Veterans Affairs, Dept of (VA)"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/1b293c6f-4f7e-4cee-bd1a-fe5344e4d636/","filing_uuid":"1b293c6f-4f7e-4cee-bd1a-fe5344e4d636","filing_type":"YY","filing_type_display":"Year-End Report","filing_year":2006,"filing_period":"year_end","filing_period_display":"Year-End (July 1 - Dec 31)","filing_document_url":"https://lda.gov/filings/public/filing/1b293c6f-4f7e-4cee-bd1a-fe5344e4d636/print/","filing_document_content_type":"application/pdf","income":"80000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":null,"dt_posted":"2007-02-09T12:44:07-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":"United States of America","registrant_address_1":null,"registrant_address_2":null,"registrant_different_address":null,"registrant_city":null,"registrant_state":null,"registrant_zip":null,"registrant":{"id":16987,"url":"https://lda.gov/api/v1/registrants/16987/","house_registrant_id":31352,"name":"GRIZZLE COMPANY","description":"Government affairs consulting firm.","address_1":"1701 Pennsylvania Ave NW","address_2":"Suite 300","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20006","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"RICHARD A. 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