Marshfield Clinic Health System

Registered Principal Details

Business Or Interest:
Marshfield Clinic Health System is interested in issues relating, but not limited to medical care, medical research, health insurance and social determinants of health.

Lobbying Interests:
Legislation and administrative rules related to health, health care financing and issues related to them such as education of health care providers, insurance, taxation, state budget, economic development, laboratory services (human, veterinary, food safety), bio-technology, public health.

Title:
Chief External Affairs Officer

Contact
RJN
Ryan J. Natzke
1000 N Oak Ave
Marshfield, WI 54449
(715) 221-8691
(608) 251-1255
natzke.ryan@marshfieldclinic.org
http://www.marshfielclinic.org

Authorized Lobbyists

Lobbyist Name Exclusive Duties Authorized On Withdrawn On
Tony Langenohl Exclusive Duties No Authorized On 1/15/2021 Withdrawn On N/A
Ryan Natzke Exclusive Duties No Authorized On 1/19/2021 Withdrawn On N/A
Randy R Neve Exclusive Duties No Authorized On 9/20/2021 Withdrawn On N/A

Lobbying Interests

Legislative Bills/Resolutions

Assembly Bill 1
Assembly Bill 1
Relating to: state government actions to address the COVID-19 pandemic, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, and granting rule-making authority. (FE)

Bill Text and History

For
Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 4
Assembly Bill 4
Relating to: pharmacy technicians and pharmacy students administering vaccines.

Bill Text and History

2021 Wisconsin Act 3

For
Notification Date
1/20/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 63
Assembly Bill 63
Relating to: the practice of psychology, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, and requiring the exercise of rule-making authority. (FE)

Bill Text and History

2021 Wisconsin Act 22

For
Notification Date
3/14/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 125
Assembly Bill 125
Relating to: regulation of physician assistants, creating a Physician Assistant Affiliated Credentialing Board, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, a...

Bill Text and History

2021 Wisconsin Act 23

For
Notification Date
3/9/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 148
Assembly Bill 148
Relating to: state response to COVID-19 related to health services and practice of health care providers licensed outside of this state.

Bill Text and History

2021 Wisconsin Act 10

For
Notification Date
3/7/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 255
Assembly Bill 255
Relating to: the regulation and licensure of genetic counselors, creating a genetic counselors affiliated credentialing board, providing an exemption from emergency rule procedures, granting rule-making authority, and providing a penalty. (FE)

Bill Text and History

For
Notification Date
5/24/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 372
Assembly Bill 372
Relating to: passenger restrictions on all-terrain vehicles.

Bill Text and History

Against
Notification Date
8/31/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 537
Assembly Bill 537
Relating to: ratification of the Psychology Interjurisdictional Compact. (FE)

Bill Text and History

2021 Wisconsin Act 131

For
Notification Date
1/2/2022
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 571
Assembly Bill 571
Relating to: allowing discounts for prompt payment of health care fees.

Bill Text and History

For
Notification Date
10/11/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 578
Assembly Bill 578
Relating to: electing to be a donor of an anatomical gift when applying for a hunting, fishing, or trapping license and making an appropriation. (FE)

Bill Text and History

2021 Wisconsin Act 220

For
Notification Date
2/9/2022
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 592
Assembly Bill 592
Relating to: extension of eligibility under the Medical Assistance program for postpartum women. (FE)

Bill Text and History

For
Notification Date
10/11/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 679
Assembly Bill 679
Relating to: hospital services provided in a home setting.

Bill Text and History

2021 Wisconsin Act 208

For
Notification Date
10/31/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 689
Assembly Bill 689
Relating to: financing the working capital of nonprofit institutions. (FE)

Bill Text and History

For
Notification Date
12/3/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 718
Assembly Bill 718
Relating to: prohibiting certain practices relating to insurance coverage of clinician-administered drugs.

Bill Text and History

For
Notification Date
11/18/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Assembly Bill 960
Assembly Bill 960
Relating to: battery or threat to a health care provider or staff member of a health care facility and providing a penalty.

Bill Text and History

2021 Wisconsin Act 209

For
Notification Date
2/9/2022
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 77
Senate Bill 77
Relating to: the practice of psychology, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, and requiring the exercise of rule-making authority. (FE)

Bill Text and History

For
Notification Date
2/13/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 184
Senate Bill 184
Relating to: regulation of physician assistants, creating a Physician Assistant Affiliated Credentialing Board, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, a...

Bill Text and History

For
Notification Date
3/14/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 202
Senate Bill 202
Relating to: state response to COVID-19 related to health services and practice of health care providers licensed outside of this state.

Bill Text and History

For
Notification Date
3/14/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 259
Senate Bill 259
Relating to: the regulation and licensure of genetic counselors, creating a genetic counselors affiliated credentialing board, providing an exemption from emergency rule procedures, granting rule-making authority, and providing a penalty. (FE)

Bill Text and History

2021 Wisconsin Act 251

For
Notification Date
5/24/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 368
Senate Bill 368
Relating to: passenger restrictions on all-terrain vehicles.

Bill Text and History

Against
Notification Date
8/31/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 534
Senate Bill 534
Relating to: ratification of the Psychology Interjurisdictional Compact. (FE)

Bill Text and History

For
Notification Date
1/2/2022
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 556
Senate Bill 556
Relating to: electing to be a donor of an anatomical gift when applying for a hunting, fishing, or trapping license and making an appropriation. (FE)

Bill Text and History

For
Notification Date
2/9/2022
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 559
Senate Bill 559
Relating to: allowing discounts for prompt payment of health care fees.

Bill Text and History

For
Notification Date
10/11/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 562
Senate Bill 562
Relating to: extension of eligibility under the Medical Assistance program for postpartum women. (FE)

Bill Text and History

For
Notification Date
10/11/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 661
Senate Bill 661
Relating to: financing the working capital of nonprofit institutions. (FE)

Bill Text and History

For
Notification Date
12/3/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Bill 687
Senate Bill 687
Relating to: hospital services provided in a home setting.

Bill Text and History

For
Notification Date
12/9/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.
Senate Resolution 4
Senate Resolution 4
Relating to: observing February 28, 2021, as Rare Disease Day.

Bill Text and History

For
Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Budget Bill Subjects

Administration: Departmentwide
Biennial budget bill treatment of matter relating to
Administration: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Agriculture, Trade, and Consumer Protection: Central Administrative Services
Biennial budget bill treatment of matter relating to
Agriculture, Trade, and Consumer Protection: Central Administrative Services

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Agriculture, Trade, and Consumer Protection: Food Safety and Consumer Protection
Biennial budget bill treatment of matter relating to
Agriculture, Trade, and Consumer Protection: Food Safety and Consumer Protection

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Children and Families: Children and Family Services
Biennial budget bill treatment of matter relating to
Children and Families: Children and Family Services

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Children and Families: Departmentwide
Biennial budget bill treatment of matter relating to
Children and Families: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Health Services: Departmentwide
Biennial budget bill treatment of matter relating to
Health Services: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Health Services: Medicaid Services
Biennial budget bill treatment of matter relating to
Health Services: Medicaid Services

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Health Services: Quality Assurance Services Planning, Regulation and Delivery
Biennial budget bill treatment of matter relating to
Health Services: Quality Assurance Services Planning, Regulation and Delivery

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Insurance: Departmentwide
Biennial budget bill treatment of matter relating to
Insurance: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Insurance: Supervision of the Insurance Industry
Biennial budget bill treatment of matter relating to
Insurance: Supervision of the Insurance Industry

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Miscellaneous Appropriations
Biennial budget bill treatment of matter relating to
Miscellaneous Appropriations

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Public Instruction: Departmentwide
Biennial budget bill treatment of matter relating to
Public Instruction: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Safety and Professional Services: Departmentwide
Biennial budget bill treatment of matter relating to
Safety and Professional Services: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Safety and Professional Services: Professional Regulation and Administrative Services
Biennial budget bill treatment of matter relating to
Safety and Professional Services: Professional Regulation and Administrative Services

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Shared Revenue and Tax Relief
Biennial budget bill treatment of matter relating to
Shared Revenue and Tax Relief

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Technical College System Board
Biennial budget bill treatment of matter relating to
Technical College System Board

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

University of Wisconsin System
Biennial budget bill treatment of matter relating to
University of Wisconsin System

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Workforce Development: Departmentwide
Biennial budget bill treatment of matter relating to
Workforce Development: Departmentwide

Notification Date
2/19/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Topics Not Yet Assigned A Bill Or Rule Number

provider licensing
Development, drafting or introduction of a proposal relating to
provider licensing

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

grants to farmers to upgrade tractors with roll-over protection systems.
Development, drafting or introduction of a proposal relating to
grants to farmers to upgrade tractors with roll-over protection systems.

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

hospital-associated service
Development, drafting or introduction of a proposal relating to
hospital-associated service

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

State's response to the COVID-19 pandemic
Development, drafting or introduction of a proposal relating to
State's response to the COVID-19 pandemic

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Trauma Informed Care
Development, drafting or introduction of a proposal relating to
Trauma Informed Care

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Medicaid Reimbursement
Development, drafting or introduction of a proposal relating to
Medicaid Reimbursement

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Regulation of Hospitals
Development, drafting or introduction of a proposal relating to
Regulation of Hospitals

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Telehealth and Telemedicine
Development, drafting or introduction of a proposal relating to
Telehealth and Telemedicine

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Workers Compensation
Development, drafting or introduction of a proposal relating to
Workers Compensation

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Funding for residency and rural residency programs
Development, drafting or introduction of a proposal relating to
Funding for residency and rural residency programs

Action Intended To Affect
Both Legislative matter and rule

Notification Date
1/15/2021
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal do not intend to communicate on this matter.

Total Lobbying Effort

  2021
January - June
2021
July - December
2022
January - June
Total
Total Lobbying Expenditures 2021
January - June
$79,356.00
2021
July - December
$88,290.00
2022
January - June
$76,550.00
Total $244,196.00
Total Hours Communicating 2021
January - June
32.50
2021
July - December
21.00
2022
January - June
21.25
Total 74.75
Total Hours Other 2021
January - June
180.50
2021
July - December
180.00
2022
January - June
115.00
Total 475.50

Percent Allocation of Lobbying Effort

Legislative Bills/Resolutions

Relating to: state government actions to address the COVID-19 pandemic, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, and granting rule-making authority. (FE)
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
15 %
2021
July - December
2022
January - June
2022
July - December
Total 6 %
Relating to: prohibiting certain practices relating to insurance coverage of clinician-administered drugs.
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
2021
July - December
20 %
2022
January - June
40 %
2022
July - December
Total 17 %
Relating to: hospital services provided in a home setting.
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
2021
July - December
25 %
2022
January - June
2022
July - December
Total 9 %
Relating to: hospital services provided in a home setting.
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
2021
July - December
25 %
2022
January - June
2022
July - December
Total 9 %

Budget Bill Subjects

2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
20 %
2021
July - December
2022
January - June
2022
July - December
Total 8 %

Administrative Rulemaking Proceedings

No administrative rulemaking proceedings found.

Topics Not Yet Assigned A Bill Or Rule Number

2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
10 %
2021
July - December
2022
January - June
2022
July - December
Total 4 %
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
10 %
2021
July - December
2022
January - June
2022
July - December
Total 4 %
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
20 %
2021
July - December
2022
January - June
2022
July - December
Total 8 %
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
2021
July - December
20 %
2022
January - June
2022
July - December
Total 7 %
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
2021
July - December
2022
January - June
10 %
2022
July - December
Total 2 %

Minor Efforts

(Time spent on matters each of which accounted for less than 10% of the organization's lobbying.)

Minor Efforts
2021
January - June
2021
July - December
2022
January - June
2022
July - December
Total
2021
January - June
25 %
2021
July - December
10 %
2022
January - June
50 %
2022
July - December
Total 26 %

Other Matters

No other matters found.

Filed Statements of Lobbying Activity and Expenditures