{"database": "lobbying", "table": "lobbying_activities", "rows": [[1950183, "c2b45b0b-a2fd-4ba2-ab50-031fe11cb8b6", "Q1", "IOWA HOSPITAL ASSOCIATION", 400484391, "IOWA HOSPITAL ASSOCIATION", 2017, "first_quarter", "MMM", "Iowa's ranking as top quality health care state\nPermanent extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program.\nMedicaid expansion, impact of Medicaid to Iowa's hospitals\nAmerican Health Care Act \nImpact on Iowans losing coverage under AHCA and any other proposals\nHospital cuts under Affordable Care Act, including market-basket update and DSH payments\nUncompensated care models under AHCA\nIncreased use of emergency rooms with loss of coverage\nRegulatory changes- 96 hour, direct supervision of outpatient therapeutic services\nRural Emergency Hospitals (REACH Act)\nCGS changes to interpretation of accreditation needs for sleep studies", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", null, 80000, 0, 0, "2017-04-11T12:05:22.033000-04:00"]], "columns": ["id", "filing_uuid", "filing_type", "registrant_name", "registrant_id", "client_name", "filing_year", "filing_period", "issue_code", "specific_issues", "government_entities", "income_amount", "expense_amount", "is_no_activity", "is_termination", "received_date"], "primary_keys": ["id"], "primary_key_values": ["1950183"], "units": {}, "query_ms": 44.8245110019343, "source": "Federal Register API & Regulations.gov API", "source_url": "https://www.federalregister.gov/developers/api/v1", "license": "Public Domain (U.S. Government data)", "license_url": "https://www.regulations.gov/faq"}