BLUE CROSS AND BLUE SHIELD ASSOCIATION for BLUE CROSS AND BLUE SHIELD ASSOCIATION

Medicare/Medicaid MMM

Medicare Reforms: Medicare A & B; Delivery System Reforms, Benefit Restructuring ; Medigap first-dollar coverage; HR 2810 Introduced by Burgess (R-TX) on July 31, 2013 Medicare Patient Access and Quality Improvement Act of 2013

Contacted: HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS); SENATE; Office of Management & Budget (OMB); Office of Personnel Management (OPM); Treasury, Dept of; Health & Human Services, Dept of (HHS); White House Office

Bills named: H.R. 2810 (113th)

Pharmacy PHA

No pharmacy lobbying activity reported during the 3rd quarter.

Contacted: Centers For Medicare and Medicaid Services (CMS); Office of Management & Budget (OMB); Office of Personnel Management (OPM); Health & Human Services, Dept of (HHS); Treasury, Dept of; SENATE; White House Office; HOUSE OF REPRESENTATIVES

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions; Health Spending Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax:

Contacted: Office of Management & Budget (OMB); Office of Personnel Management (OPM); Centers For Medicare and Medicaid Services (CMS); Treasury, Dept of; HOUSE OF REPRESENTATIVES; SENATE; White House Office; Health & Human Services, Dept of (HHS)

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful Insurance Industry Implementation of Health Reforms: Reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act

Contacted: HOUSE OF REPRESENTATIVES; SENATE; Office of Management & Budget (OMB); Office of Personnel Management (OPM); Treasury, Dept of; White House Office; Health & Human Services, Dept of (HHS); Centers For Medicare and Medicaid Services (CMS)

Bills named: H.R. 2668 (113th), H.R. 2667 (113th)