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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 1009 Duke Street |
Address2 |
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| City | Alexandria |
State | VA |
Zip Code | 22314 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 8101-366
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6. House ID# 308130010
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| TYPE OF REPORT | 8. Year | 2024 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Nathaniel Baugh |
Date | 10/18/2024 10:32:05 AM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
S. 198, H.R. 3730 ~ Rural Health Clinic Burden Reduction Act ~ Cost Neutral Legislation to Modernize the RHC Statute
Medicare Advantage Payment Policy for Rural Health Clinics ~ Securing a wrap-around payment policy for RHCs similar to what FQHCs have.
Telehealth Issues ~ extending Medicare coverage of telehealth in the RHC setting and paying RHCs normally for telehealth services
H.R. 5611 ~ extending and fixing telehealth payment policy for Rural Health Clinics
Creating value-based payments for Rural Health Clinics
S. 3967 / H.R. 7623 - Telehealth Modernization Act
Primary Care Team Education Centers Act
Improving Seniors' Timely Access to Care Act
Improving Measurements for Loneliness and Isolation Act - H.R. 6284
H.R. 4829 - Physical Therapist Workforce and Patient Access Act of 2023
H.R. 7855 - Rural Residency Planning and Development Act of 2024
H.R. 6748 - Promoting Effective and Empowering Recovery Services in Medicare Act of 2023
H.R. 8738 - Rural Health Preceptor Tax Fairness Act
H.R. 2829 - Chronic Care Management Improvement Act
H.R. 1712, S. 953 - Rural Health Innovation Act of 2023
S. 940 - Rural America Health Corps Act
H.R. 833 - Save America's Rural Hospitals
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Jeffrey |
Burke |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code BUD
16. Specific lobbying issues
Rural Health Clinic Behavioral Health Initiative ~ Small, exclusively for RHCs, grant that was included in the President's 2023 and 2024 budget request.
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Jeffrey |
Burke |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
Chronic Care Management Improvement Act of 2023 (H.R.2829)
Removes cost-sharing responsibilities for CCM services under the Medicare program.
Rural Health Innovation Act of 2023 (S.953 and H.R.1712)
Creates grant programs under HRSA to expand urgent/triage care in rural communities (RHCs and FQHCs eligible); $500,000 for existing facilities and $750,000 for new facilities.
Rural America Health Corps Act (S.940)
Creates a loan repayment program called NHSC Rural Provider Loan Repayment Program; includes NPs and PAs as providers eligible for the program; specifically aimed at rotating graduates through underserved areas.
Save Americas Rural Hospitals (H.R.833)
Primarily hospital related but Sec.113 makes permanent Medicare telehealth in RHCs/FQHCs and allows for telehealth visits to be reimbursed at parity with in-person visits.
Home-Based Telemental Health Care Act of 2023 (S.1077)
Grant demonstration program through USDA for increasing mental health and substance abuse services in rural, medically underserved populations.
Patients' Right to Know Their Medication Act of 2023 (H.R.1173)
RPM Cost Sharing Elimination Study Act of 2023 (H.R.6801)
Primary Care Team Education Centers Act
Creates further investment in the establishment of clinical training sites for primary care providers. RHCs would be eligible entities for this funding.
Improving Seniors Timely Access to Care Act
Modernize Medicare Advantage prior authorization processes.
Rural Residency Planning and Development Act of 2024
Officially authorizes the RRPD program that has been around since 2019. RHCs are eligible entities for participation in RRPD programs.
Improving Measurements for Loneliness and Isolation Act of 2023 (H.R.6284)
Create a working group within the Department of Health and Human Services tasked with developing standards to measure loneliness and isolation, with the goal of tackling this growing issue.
Promoting Effective and Empowering Recovery Services Under the Medicare Program (H.R.6748/S.3498)
Provides for Medicare coverage of peer support services as RHC services.
Physical Therapist Workforce and Patient Access Act of 2023 (H.R.4829)
Establishes physical therapy services as RHC services (reimbursable at RHC AIR)
Rural Health Preceptor Tax Fairness Act (H.R.8738)
Creates a $1,000 tax credit for health preceptors of various health professionals in rural areas.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Nathaniel |
Baugh |
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Sarah |
Hohman |
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Jeffrey |
Burke |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
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21. Client new principal place of business (if different than line 20)
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |