2nd Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$110,000
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.

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits 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 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; MEWAs Stand-alone dental and vision coverage under health care reform

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 4700 (111th), H.R. 5200 (111th), H.R. 4757 (111th)

Medicare/Medicaid MMM

Medicare Advantage; Medicaid FMAP funding

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Taxation/Internal Revenue Code TAX

annual insurer assessments, proposed excise tax on high-value health insurance plans; Small Employer Tax Credits; IRS Guidelines on dependent coverage

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.