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 1438824,993014a2-e8f2-40da-9126-e1a04e630ea2,Q3,MERIDIAN HEALTH,293313,MERIDIAN HEALTH,2013,third_quarter,HCR,"Labor, HHS and education appropriations Medicaid reform Medicare disproportionate share hospitals (DHS) eligibility Imputed rural floor wage indexChildren's hospitals' graduate medical education (GME) Trauma Indirect medical education (IME) Health care reform Patient Protection and Affordable Care Act (PPACA) Geographic variation Physician ""fix"" Urban Medicare Dependent Hospitals","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Natl Economic Council (NEC),SENATE",,30000,0,0,2013-10-08T11:58:28.273000-04:00