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, bio-technology, public health.

Contact
RJN
Ryan J. Natzke
1000 N Oak Ave
Marshfield, WI 54449
608-513-4204
natzke.ryan@marshfieldclinic.org
http://www.marshfielclinic.org

Authorized Lobbyists

Lobbyist Name Exclusive Duties Authorized On Withdrawn On
Ryan Natzke Exclusive Duties No Authorized On 1/3/2023 Withdrawn On N/A
Tony Langenohl Exclusive Duties Yes Authorized On 1/4/2023 Withdrawn On N/A

Lobbying Interests

Legislative Bills/Resolutions

Assembly Bill 114
Assembly Bill 114
Relating to: extension of eligibility under the Medical Assistance program for postpartum women. (FE)

Bill Text and History

For
Notification Date
5/10/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Assembly Bill 144
Assembly Bill 144
Relating to: preliminary health care credentials granted to previously unlicensed individuals. (FE)

Bill Text and History

For
Notification Date
5/10/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Assembly Bill 185
Assembly Bill 185
Relating to: requiring use of the electronic system of vital records for medical certifications of death.

Bill Text and History

Other
Notification Date
8/10/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Assembly Bill 216
Assembly Bill 216
Relating to: passenger restrictions on all-terrain vehicles.

Bill Text and History

Against
Notification Date
12/4/2023
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 272
Assembly Bill 272
Relating to: an income and franchise tax exemption for broadband expansion grants. (FE)

Bill Text and History

For
Notification Date
6/19/2023
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 465
Assembly Bill 465
Relating to: prohibiting gender transition medical intervention for individuals under 18 years of age.

Bill Text and History

Against
Notification Date
10/6/2023
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 616
Assembly Bill 616
Relating to: Medical Assistance coverage of services provided in an institution for mental disease. (FE)

Bill Text and History

2023 Wisconsin Act 177

For
Notification Date
11/6/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Assembly Bill 618
Assembly Bill 618
Relating to: expanding graduate medical training grants and making an appropriation. (FE)

Bill Text and History

For
Notification Date
11/7/2023
First Communication Date
11/7/2023
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.
Assembly Bill 724
Assembly Bill 724
Relating to: financing the operating costs and certain out-of-state projects of nonprofit institutions and compensation of employees of the Wisconsin Health and Educational Facilities Authority. (FE)

Bill Text and History

For
Notification Date
12/12/2023
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 1077
Assembly Bill 1077
Relating to: transfer from the state building trust fund to the general fund, funding for grants to support hospital emergency department services, and making an appropriation. (FE)

Bill Text and History

For
Notification Date
2/12/2024
First Communication Date
2/9/2024
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.
Assembly Bill 1078
Assembly Bill 1078
Relating to: funding for hospital emergency department services. (FE)

Bill Text and History

For
Notification Date
2/12/2024
First Communication Date
2/9/2024
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.
Senate Bill 110
Senate Bill 110
Relating to: extension of eligibility under the Medical Assistance program for postpartum women. (FE)

Bill Text and History

For
Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Senate Bill 217
Senate Bill 217
Relating to: passenger restrictions on all-terrain vehicles.

Bill Text and History

Against
Notification Date
1/26/2024
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 266
Senate Bill 266
Relating to: an income and franchise tax exemption for broadband expansion grants. (FE)

Bill Text and History

For
Notification Date
6/19/2023
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 328
Senate Bill 328
Relating to: price transparency in hospitals and providing a penalty. (FE)

Bill Text and History

Against
Notification Date
6/22/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.
Senate Bill 480
Senate Bill 480
Relating to: prohibiting gender transition medical intervention for individuals under 18 years of age.

Bill Text and History

Against
Notification Date
10/12/2023
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 690
Senate Bill 690
Relating to: financing the operating costs and certain out-of-state projects of nonprofit institutions and compensation of employees of the Wisconsin Health and Educational Facilities Authority. (FE)

Bill Text and History

For
Notification Date
12/12/2023
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 1014
Senate Bill 1014
Relating to: funding for hospital emergency department services. (FE)

Bill Text and History

For
Notification Date
2/12/2024
First Communication Date
2/9/2024
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.
Senate Bill 1015
Senate Bill 1015
Relating to: transfer from the state building trust fund to the general fund, funding for grants to support hospital emergency department services, and making an appropriation. (FE)

Bill Text and History

2023 Wisconsin Act 97

For
Notification Date
2/12/2024
First Communication Date
2/9/2024
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.

Budget Bill Subjects

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
3/23/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Topics Not Yet Assigned A Bill Or Rule Number

Children's Mental Health
Development, drafting or introduction of a proposal relating to
Children's Mental Health

Notification Date
3/23/2023
First Communication Date
3/9/2023
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has communicated on this matter.

Guardianship Laws
Development, drafting or introduction of a proposal relating to
Guardianship Laws

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Mental Health Funding
Development, drafting or introduction of a proposal relating to
Mental Health Funding

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Healthcare workforce shortage
Development, drafting or introduction of a proposal relating to
Healthcare workforce shortage

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Healthcare professinal licensure processes
Development, drafting or introduction of a proposal relating to
Healthcare professinal licensure processes

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

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

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Transparency and other payer related issues
Development, drafting or introduction of a proposal relating to
Transparency and other payer related issues

Notification Date
1/19/2023
First Communication Date
N/A
Communication Information
The principal, a lobbyist authorized by the principal, or another individual acting on behalf of the principal has not yet communicated on this matter, but intends to do so at a later date.

Total Lobbying Effort

  2023
January - June
2023
July - December
2024
January - June
Total
Total Lobbying Expenditures 2023
January - June
$78,576.00
2023
July - December
$60,770.00
2024
January - June
$30,039.00
Total $169,385.00
Total Hours Communicating 2023
January - June
35.50
2023
July - December
10.50
2024
January - June
42.50
Total 88.50
Total Hours Other 2023
January - June
125.50
2023
July - December
66.50
2024
January - June
163.50
Total 355.50

Percent Allocation of Lobbying Effort

Legislative Bills/Resolutions

Relating to: price transparency in hospitals and providing a penalty. (FE)
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
30%
2024
January - June
5%
2024
July - December
Total 7%
Relating to: transfer from the state building trust fund to the general fund, funding for grants to support hospital emergency department services, and making an appropriation. (FE)
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
2024
January - June
15%
2024
July - December
Total 7%
Relating to: funding for hospital emergency department services. (FE)
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
2024
January - June
15%
2024
July - December
Total 7%
Relating to: funding for hospital emergency department services. (FE)
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
2024
January - June
15%
2024
July - December
Total 7%
Relating to: transfer from the state building trust fund to the general fund, funding for grants to support hospital emergency department services, and making an appropriation. (FE)
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
2024
January - June
15%
2024
July - December
Total 7%

Budget Bill Subjects

2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
10%
2023
July - December
2024
January - June
2024
July - December
Total 4%
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
20%
2023
July - December
2024
January - June
2024
July - December
Total 7%
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
40%
2023
July - December
2024
January - June
2024
July - December
Total 14%

Administrative Rulemaking Proceedings

No administrative rulemaking proceedings found.

Topics Not Yet Assigned A Bill Or Rule Number

2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
20%
2023
July - December
2024
January - June
2024
July - December
Total 7%
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
10%
2024
January - June
2024
July - December
Total 2%
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
20%
2024
January - June
2024
July - December
Total 3%
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
30%
2024
January - June
15%
2024
July - December
Total 12%

Minor Efforts

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

Minor Efforts
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
10%
2023
July - December
2024
January - June
20%
2024
July - December
Total 13%

Other Matters

Includes time spent on:

  • Gubernatorial nominations
  • Matters on which the organization made no lobbying communication

Other Matters
2023
January - June
2023
July - December
2024
January - June
2024
July - December
Total
2023
January - June
2023
July - December
10%
2024
January - June
2024
July - December
Total 2%

Filed Statements of Lobbying Activity and Expenditures