1st Quarter - Report

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

Firm
Client
Income
—
Expenses
$370,000
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.

Pharmacy PHA

HR1946 "Preserving our Hometown Pharmacies Act"

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 1946 (112th)

Taxation/Internal Revenue Code TAX

IRC section 822(b) tax provisions; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio defintion to quality for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional health Insurance Act of 2011"; health insurer excise tax; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPCA"; S1880 "Jobs and Premium Protection Act"

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 1206 (112th), H.R. 1370 (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 regulatory implementation timeline for compliance with PL 111-148. Affordable Private Health Care: Health Insurance Excise Tax; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; BCBSA's proposal, "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America". State-based regulation: State Oversight of Premium Increases; Properly designed state based 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 ot Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transistion 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. Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification, ICD10 implementation; 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; MEWS Federal Employee Health Benefit Probram (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. Blue Health Intelligence grant proposal from CMMI HR4209 "Patient's Access to Treatments Act of 2012" HR2182 "Generating Antibiotic Incentives Now Act of 2011" HR3630 "Middle Class Tax Relief and Job Creation Act of 2012"

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

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: H.R. 4209 (112th), H.R. 1213 (112th), H.R. 5 (112th), H.R. 1206 (112th), H.R. 2182 (112th), H.R. 371 (112th), H.R. 3630 (112th)

Medicare/Medicaid MMM

Medigap firs-dollar coverage; HR452 "Medicare Decisions Accountability Act of 2011"

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

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 452 (112th)

Budget/Appropriations BUD

H. Con. Res. "Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022"; BCBSA's proposal, "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"; DOL funding in FY 2013 sections pertaining to ACA triagency oversight of healthcare reform.

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

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.