WSHA and AWPHD Report on 2020 Lobbying Expenses for Medicare Cost Reports

March 11, 2021

The Medicare Provider Reimbursement Manual requires hospitals to adjust their Medicare cost reports to eliminate the portion of association dues related to lobbying expenses.

• The Washington State Hospital Association (WSHA) has determined 20.5 percent of its membership dues were expended in activities that meet the Medicare definition of lobbying for calendar year 2020.

• For the Association of Washington Public Hospital Districts (AWPHD), 16.5 percent of its membership dues were used for lobbying activities for calendar year 2020.

Please forward this information to the people in your organization responsible for completing and submitting Medicare cost reports. If you have questions, please contact Andrew Busz at or (206) 216-2533.


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