WSHA and AWPHD report on 2019 lobbying expenses for Medicare cost reports

March 5, 2020

The Medicare Provider Reimbursement Manual requires hospitals to adjust their Medicare cost reports to eliminate the portion of association dues related to lobbying expenses. Please forward the following information to the people in your organization responsible for completing and submitting Medicare cost reports.

For calendar year 2019, the Washington State Hospital Association (WSHA) has determined 21 percent of its membership dues were expended in activities that meet the Medicare definition of lobbying. For the Association of Washington Public Hospital Districts (AWPHD), 17 percent of its membership dues were used for lobbying activities. If you have questions, please contact Andrew Busz at or (206) 216-2533.


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