4th Quarter - Report

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. for BLUE CROSS AND BLUE SHIELD OF FLORIDA INC

Firm
Client
Income
—
Expenses
$360,000
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; HR1683 and S868 "State Flexibility Act"; Medigap first-dollar coverage

LobbyistCovered position, as disclosed
CYRUS M JOLLIVETTE —
STEVEN DOUGLAS SMITH —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 1683 (112th)

Taxation/Internal Revenue Code TAX

IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"

LobbyistCovered position, as disclosed
CYRUS M JOLLIVETTE —
STEVEN DOUGLAS SMITH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

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 Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; 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 exchanges; 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"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation; 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 Accounts/Medical Savings Accounts; Individual Mandate; MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" OMB PBM Carveout

LobbyistCovered position, as disclosed
CYRUS M JOLLIVETTE —
STEVEN DOUGLAS SMITH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 371 (112th), H.R. 1206 (112th), H.R. 5 (112th), H.R. 1213 (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
CYRUS M JOLLIVETTE —
STEVEN DOUGLAS SMITH —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

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.