3rd Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$159,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

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

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 1370 (112th)

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Health Insurance Tax; Affordable Essential Health Benefits; Inextricable link between Individual Mandate and Insurance Reforms; 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; existing state regulatory functions Medical Loss Ratios: MLR Broker Fee;Quality improvement definition; Consistent reporting requirements for all insurers; include benefits for individuals as well as populations; MLR Broker Fees: HR1206 "Access to Professional Health Insurance Act of 2011", S 2068 "Access to Independent Health Insurance Advisors Act of 2012" Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Telemedicine Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Age Rating; Health Status Rating; Health Savings Accounts: HR5858 "Health Savings Accounts Improvement Act of 2012"; Individual Mandate 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 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP; S1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 5858 (112th), H.R. 1206 (112th), H.R. 2309 (112th)

Medicare/Medicaid MMM

Medigap first-dollar coverage; S1789 "21st Century Postal Service Act of 2012" sections pertaining to wraparound plan for postal workers with Medicare Part A & B; Delivery System Reforms; Physician Payment Alternatives; Fee for Service Payment Reforms; Medicare Advantage

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.