2012 Congressional Visit Report

1. What is the name of the Member of Congress?

What is the name of the Member of Congress?

2. What is the name of the congressional staff member that was present?

What is the name of the congressional staff member that was present?

3. Please check each of the following issues that were discussed:

Please check each of the following issues that were discussed: Drug Shortages

Medicare Payment

Rural Pass-through

Truth and Transparency

Other (please specify)

4. What was the response?

What was the response?

5. What follow-up should be done?
*Note: If a commitment was made to you regarding supporting or co-sponsoring a bill, you should personally follow-up with the legislator or staff.

What follow-up should be done? *Note: If a commitment was made to you regarding supporting or co-sponsoring a bill, you should personally follow-up with the legislator or staff.

6. What is your name?

What is your name?

7. Are you a constituent of the Member of Congress you visited?

Are you a constituent of the Member of Congress you visited? Yes

8. What is your email address?

What is your email address?

9. Is there any additional information you would like for ASA's DC office to know?

Is there any additional information you would like for ASA's DC office to know?

10. It is important for us to know if a meeting was sought by a constituent and the meeting request was not accommodated by the legislator or his/her staff. Check here if a meeting request was not accommodated.

It is important for us to know if a meeting was sought by a constituent and the meeting request was not accommodated by the legislator or his/her staff. Check here if a meeting request was not accommodated. Meeting request was not accommodated