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See the Lobbying and Publicity or Propaganda Guidelines provided by the HHS Office of the General Counsel Ethics Division (OGC/ED, July 2010). MCACs are responsible for determining the amount of payment for Medicare services and/or the eligibility for reimbursement. However, if a local agency employee has an in-person contact with a state agency representative in order to attempt to influence that state agency's adoption, repeal or amendment of a rule, rate, standard or other legislative enactment of the agency, the expenditures made in connection with that contact are reportable by the local agency. In contrast, a 501(c)(6) organization may engage in some legal political activity, although this activity can never be its primary mission. What kind of activities comprise advocacy work? Since, by definition, 501(c)(6) organizations are less likely to solicit funds or to be regarded as charities, they are less likely to fall within the scope of these statutes. The Office of Legal Counsel within the Department of Justice has interpreted the statute based on its underlying purpose, which is to restrict the use of appropriated funds for large-scale, high-expenditure campaigns to solicit pressure on government officials in relation to pending or proposed legislative matters on behalf of an Administration position. Ask for your senator’s or representative’s position on the bill. (Read the funding agency’s guidelines though, because often this form is optional.) Washington, D.C. 20001 ACS Chapters The following list of advocacy activities is not exhaustive. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. The Federal Legislative Action Center (LAC) is a user-friendly Web-based advocacy tool developed to help surgeons to advocate on their behalf. This law has three chief components affecting 501(c)(6) tax-exempt organizations and their members with regard to lobbying: The “de minimis rule” provides that, if a chapter spends less than $2,000 per year on lobbying, no notification of chapter members is required, and no further documentation to demonstrate compliance is required. Keep in mind that though you may be permitted to do so under this Act, under other statutes, you may not engage in any official action without appropriate permission. 2. appeal to members of the public to contact their elected representatives in support of or opposition to legislative matters or proposals. For example, in 2010, leaked audio transcripts of Nira Radia. Attempting to influence the interpretation or application of an existing state rule or policy is not lobbying; attempting to change a state agency's rule, rate or standard is.

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