3rd Quarter - Report

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

Firm
Client
Income
—
Expenses
$2,120,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

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

Pharmacy PHA

Restructuring FEHBP Rx benefits

LobbyistCovered position, as disclosed
GARRY EWING —

Contacted: White House Office; Office of Management & Budget (OMB); HOUSE OF REPRESENTATIVES; SENATE

Medicare/Medicaid MMM

Medicare Advantage Medicaid Medigap Guaranteed Issue to Medicare Disabled/ESRD

LobbyistCovered position, as disclosed
DOUG ARMSTRONG —
JUSTINE HANDELMAN —
PHILIP JOHN HAYS —

Contacted: Office of Management & Budget (OMB); White House Office; SENATE; HOUSE OF REPRESENTATIVES

Budget/Appropriations BUD

Medicare Advantage Funding and 2010 Medicare Advantage Rates; Comparative Effectiveness Funding; HR3293 "Departement of HHS Appropriations Act" pertaining to Medicare Advantage Funding

LobbyistCovered position, as disclosed
DOUG ARMSTRONG —
JUSTINE HANDELMAN —
PHILIP JOHN HAYS —

Contacted: Office of Management & Budget (OMB); SENATE; HOUSE OF REPRESENTATIVES; White House Office

Bills named: H.R. 3293 (111th)

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation as provided for in healthcare reform proposals

LobbyistCovered position, as disclosed
JOHN CERISANO —
JOHN ERICKSEN —
ALISSA FOX —
KRIS HALTMEYER —
JUSTINE HANDELMAN —
ROBERT WESLEY HARRIS —
PHILIP JOHN HAYS —
RAY QUINTERO —

Contacted: SENATE; HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB); White House Office

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; 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; HR 3200 "America's Affordable Health Choices Act of 2009"; S1679 "Affordable Health Choices Act"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR1321 and S391 "Healthy Americans Act" Government-run health insurance Plan; Government Plan Trigger; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; 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; Pooling, Exchanges, Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009"

Contacted: SENATE; White House Office; HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB)

Bills named: H.R. 3200 (111th), H.R. 1321 (111th), H.R. 3596 (111th)

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.