4th Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$140,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

4 issue areas, each in the filer's own words, with who lobbied on it and where.

Budget/Appropriations BUD

Medicare Advantage Funding and Medicare Advantage Rates

LobbyistCovered position, as disclosed
GREGORY P ENGLERT —
MICHAEL G WARFEL —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions proposed annual insurer assessments and proposed excise tax on high-value health insurance plans

LobbyistCovered position, as disclosed
GREGORY P ENGLERT —
MICHAEL G WARFEL —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios HR 3200 "America's Affordable Health Choices Act of 2009"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR 3962 "Affordable Health Care for America Act"; HR 3962 Manager's Amendment; HR 3590 "Patient Protection and Affordable Care Act"; HR 3590 Manager's Amendment Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Reform issues related to stand-alone dental and vision plans

LobbyistCovered position, as disclosed
GREGORY P ENGLERT —
MICHAEL G WARFEL —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 3200 (111th), H.R. 3590 (111th), H.R. 3962 (111th), H.R. 3596 (111th)

Medicare/Medicaid MMM

Medicare Advantage Medicaid Medicare buy-in for those aged 55-64 years of age Medicare surety bonds for optical stores

LobbyistCovered position, as disclosed
GREGORY P ENGLERT —
MICHAEL G WARFEL —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.