1st Quarter - Report

HIGHMARK, INC. for HIGHMARK INC

Firm
Client
Income
—
Expenses
$150,000
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.

Budget/Appropriations BUD

Medicare Advantage Funding and Comparative Effectiveness Funding in Health Care Reform legislation

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Taxation/Internal Revenue Code TAX

Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurance plans

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Medicare/Medicaid MMM

Medicare Advantage; Medicare Part D

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Health Issues HCR

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering; 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; Medical Loss Ratios; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Pooling; 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; Health Information Technology; Health Information Privacy; Electronic Health Records; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act"; Health care reform issues related to stand-alone dental and vision coverage

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 4872 (111th), H.R. 4626 (111th), H.R. 3590 (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.