4th Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$210,000
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.

Medicare/Medicaid MMM

Medicare Advantage, Medigap first-dollar coverage

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions; annual insurer asseessments, proposed excise tax on high-value health insurance plans, Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Health Issues HCR

See attached addendum. Successful Insurance Industry Implementation of Heatlh Reforms: reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate, Healthcare Delivery System Reforms; Small Employer Tax Credits; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based Regulation: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competiton and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers Health Care Quality: Delivery System Incentives to Promote Better Care; Pay for Performance Health Information Technology Standards: Centralized All-Payer Database Insurance Market Reform: Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Account/Medical Savings Accounts; Individual Mandate Dental & Vision: Review impacts of PPACA to standalone dental and vision plans BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 371 (112th), H.R. 5 (112th)

Budget/Appropriations BUD

Medicare Advantage funding; deficit; BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"; Consolidated Appropriations Act of 2012

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

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.