2nd Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$121,000
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.

Taxation/Internal Revenue Code TAX

Small Employer Tax Credits; Health Savings Accounts; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 201; HR1370 "To repeal the annual fee on Health Insurance Providers Enacted by PPACA"

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

Contacted: SENATE; Labor, Dept of (DOL); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES

Bills named: H.R. 1370 (112th), H.R. 1206 (112th)

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 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Initial Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; Quality improvement definition Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Health Disparities; Wellness; Chronic Care Management: Childhood Obesity Dental and Vision Benefits: Essential health benefit package; participation inside and outside of the Exchange 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 Mandate

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

Contacted: Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; SENATE; Labor, Dept of (DOL)

Bills named: H.R. 371 (112th), H.R. 1213 (112th), H.R. 1206 (112th)

Medicare/Medicaid MMM

Medicare Advantage; Medicaid; Medigap

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

Contacted: Labor, Dept of (DOL); Health & Human Services, Dept of (HHS); SENATE; HOUSE OF REPRESENTATIVES

Budget/Appropriations BUD

HR371 "Health Care Choice Act of 2011; HR1231 Repeal mandatory funding provided to States in PPACA to Establish Benefit Exchanges; Debt Ceiling; HR1 Full-Year Continuing Appropriations Act, 2011 Title V and Title VIII

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

Contacted: SENATE; Labor, Dept of (DOL); HOUSE OF REPRESENTATIVES; Health & Human Services, Dept of (HHS)

Bills named: H.R. 1 (112th), H.R. 1231 (112th), H.R. 371 (112th)

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.