1st Quarter - Report

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

Firm
Client
Income
—
Expenses
$1,800,000
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.

Medicare/Medicaid MMM

Medicare Advantage Medicaid

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

Taxation/Internal Revenue Code TAX

HR1 "American Recovery and Reinvestment Act of 2009" - parts pertaining to the Trade Adjustment Act Health Care Tax Credit Section 1899A; Individual Market and Small Business Health Care Tax Credits

LobbyistCovered position, as disclosed
ELIZABETH MACDONALD BARNETT —
JOHN ERICKSEN —
ALISSA FOX —
PHILIP JOHN HAYS —

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

Bills named: H.R. 1 (111th)

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; Effective Individual Mandate; Affordable Health Care; Government Plan Option; FEHBP Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care Health Information Technology Standards; Health Information Privacy; Electronic Health Records HIPAA Privacy: HR1 "American Recovery and Reinvestment Act of 2009" Sections pertaining to HIPAA Privacy in the HITECH Act Health Savings Accounts/Medical Savings Accounts (Tax) S386 "Fraud Enforcement and Recovery Act of 2009" sections pertaining to the False Claims Act HR1253 "Health Insurance Restrictions and Limitations Clarification Act of 2009" Antitrust and Health Insurance Reform Mental Health Parity TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Amendment to HR1256 to raise the maximum age of dependent children under FEHBP

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

Bills named: H.R. 1256 (111th), H.R. 3801 (111th), H.R. 1 (111th), H.R. 2 (111th), H.R. 1253 (111th)

Budget/Appropriations BUD

See attached addendum for General Lobbying Issue Area: BUD - Budget/Appropriations Medicare Advantage Funding; 2010 Medicare Advantage Rates HR1 "American Recovery and Reinvestment Act of 2009" Section 3001 on COBRA Subsidies; Section 5001 on Medicaid funding; Sections 4101 and 4102 on Electronic Health Records; Sections on Health Information Privacy; Section 804 on Comparative Effectiveness Research; sections 1801 and 1899L on the Trade Adjustment Act CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Reconcilliation Instructions in HConRes85 Section 201 Health Care Reserve Funds in HConRes85 Section 301 and SConRes13 Section 201

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

Bills named: H.Con.Res. 85 (111th), H.R. 2 (111th), S.Con.Res. 13 (111th), H.R. 1 (111th)

Pharmacy PHA

Biogenerics/Generic Biologics: HR1427 "Promoting Innovation and Access to Life-Saving Medicine Act"

LobbyistCovered position, as disclosed
ROBERT WESLEY HARRIS —

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

Bills named: H.R. 1427 (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.