Extended COBRA Continuation Protection Act of 2009

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long-Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act (mandatory sick leave) H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Health Care Reform issues affecting employer sponsored plans, employer responsibilities, accounting for part-time workers, ERISA preemption, quality, wellness provisions, financing, delivery, costs, coverage, tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy, The Community Living Assistance Services and Support Program (CLASS Act), Health Savings Accounts (HSAs), Flexible Spending Arrangements (FSAs), effectives dates and transition period Patient Protection and Affordable Care Act (PPACA) H.R. 3590, Public Law No: 111-148 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Extended COBRA Continuation Protection Act of 2009 H.R. 3930 Affordable Health Care for America Act H.R. 3962 Common Sense Health Care Reform and Affordability Act H.R. 4038 American Workers, State, and Business Relief Act H.R. 4213, & substitute amendment Department of Defense Appropriations Act for Fiscal Year 2010 (House Amendment to the Senate Amendment to H.R. 3326. Public Law No: 111-118 COBRA Subsidy Program Jobs for Main Street Act House Amendment to the Senate Amendment to H.R. 2847 Temporary Extension Act of 2010 H.R. 4691 Public Law No: 111-144, COBRA Subsidy Program extension Health Care and Education Affordability Reconciliation Act of 2010 H.R. 4872: package of modifications to H.R. 3590 Fiscal Year 2011 Budget health plan proposals Presidents Proposal on Health Care Reform summary (2/22) Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act (mandatory sick leave) S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 Health Care Reform issues affecting employer sponsored plans, employer responsibilities, part-time, seasonal, and short-term worker issues, ERISA preemption, quality, wellness provisions, financing, delivery, costs, coverage, tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy, The Community Living Assistance Services and Support Program (CLASS Act), Health Savings Accounts (HSAs), Flexible Spending Arrangements (FSAs), effectives dates and transition period The COBRA Subsidy Extension and Enhancement Act S. 2730 Patient Protection and Affordable Care Act (PPACA) H.R. 3590, Law No: 111-148 American Workers, State, and Business Relief Act H.R. 4213 & substitute amendment Temporary Extension Act of 2010 H.R. 4691 Public Law No: 111-144 COBRA Subsidy Program extension Health Care and Education Affordability Reconciliation Act of 2010 H.R. 4872: package of modifications to H.R. 3590 Continuing Extension Act H.R. 4851: short-term COBRA extension Hiring Incentives to Restore Employment Act (HIRE) COBRA subsidy extension Fiscal Year 2011 Budget health plan proposals Presidents Proposal on Health Care Reform summary (2/22) Regulatory communication with covered federal officials on legislative issues DOL/Employee Benefits Security Administration, EBSA) health care reform legislation and implementation, ERISA preemption DOL/Employee Benefits Security Administration (EBSA)/Office of Management and Budget (OMB) - proposed rule on application of ERISA to state/local health reform efforts DOL /EBSA)/IRS/Treasury/HHS - Genetic Information Nondiscrimination Act (GINA) of 2008 Treasury/IRS/DOL/EBSA COBRA premium subsidy assistance extension American Recovery and Reinvestment Act of 2009 (ARRA) included in the Department of Defense Appropriations Act of 2010 DOL/HHS-CMS/Treasury/IRS Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 Interim Final Regulations Commerce, Office of the Secretary taxation of Medicare Part D subsidy White House/Executive Office of the President: OMB & NEC Stand for Quality Coalition health care reform White House/Executive Office of the President - health care reform Office of the Vice President health care reform: taxation of Medicare Part D Subsidy

Client expense: $258,735 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of, White House Office

water quality financial act H.R. 3930 clean water infrastructure and security improvement act H.R. 3792 energy & water development H.R. 2765 calfed -bay/delta H.R. 2828

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long- Community Living Assistance Services and Supports Act CLASS Act H.R. 1721 Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act (mandatory sick leave) H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Health Care Reform issues affecting employer sponsored plans, ERISA preemption, quality, financing, delivery, costs, coverage, and tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy Americas Affordable Health Choices Act of 2009 (Tri-Committee Bill) H.R. 3200 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Extended COBRA Continuation Protection Act of 2009 H.R. 3930 Emergency Influenza Containment Act H.R. 3991 Affordable Health Care for America Act H.R. 3962 merged bill, managers amendment Common Sense Health Care Reform and Affordability Act (Republican Substitute) H.R. 4038 Department of Defense Appropriations Act for Fiscal Year 2010 (House Amendment to the Senate Amendment to H.R. 3326. Public Law No: 111-118 COBRA Subsidy Program Jobs for Main Street Act (House Amendment to the Senate Amendment to H.R. 2847) Disability policy Issues issues affecting employer sponsored plans Senate Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act (mandatory sick leave) S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 Health Care Reform - issues affecting employer sponsored plans, ERISA preemption, quality, financing, delivery, costs, coverage, and tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy Senate Health, Education, Labor and Pensions Committee (HELP) Affordable Health Choices Act S. 1679 - Community Living Assistance Services Supports Act CLASS Act - S. 697 Senate Finance Committee Version Americas Healthy Future Act of 2009 S. 1796 -executive compensation amendment Section 162 (m) Patient Protection and Affordable Care Act H.R. 3590 The COBRA Subsidy Extension and Enhancement Act S. 2730 Disability policy issues issues affecting employer sponsored plans Regulatory communication with covered federal officials on legislative issues White House/Executive Office of the President: OMB & NEC Stand for Quality Coalition health care reform White House/Executive Office of the President - health care reform White House Genetic Information Nondiscrimination Act (GINA) of 2008, Employer wellness programs Office of the Vice President health care reform: taxation of Medicare Part D Subsidy HHS/Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Recovery Process DOL (Employee Benefits Security Administration EBSA)/IRS/Treasury/HHS - Genetic Information Nondiscrimination Act (GINA) of 2008 Treasury/IRS/DOL/ temporary subsidy of COBRA coverage guidance, HHS H1N1 coverage

Supported all provisions unless otherwise indicated: H.R. 3200, America's Affordable Health Choices Act of 2009 H.R. 3930, Extended COBRA Continuation Protection Act of 2009 H.R. 3962, Affordable Health Care for America Act - in addition to supporting bill, in particular supported increasing Medicaid Supported all provisions unless otherwise indicated: Continuation of H.R. 3962 from page 2: eligibility to 150 percent of the federal poverty level H.R. 3966, To amend the American Reinvestment and Recovery Act of 2009 to extend for 6 months the period of eligibility for COBRA premium assistance under such Act. Senate Finance Committee Chairman's Mark, America's Healthy Future Act - in addition to supporting Mark, in particular supported subsidy cap at two percent for low-income people. S. 1730, Fairness in Health Insurance Act S. 2730, COBRA Subsidy Extension and Enhancement Act of 2009 H.R. 3590, in the Senate, Patient Protection and Affordable Care Act - in addition to supporting bill, specifically opposed Section 1333 relating to Health Care Choice Compacts and "nationwide plan" and opposed Section 2705 relating to wellness provisions. In addition to supporting H.R. 3590, in particular supported provisions for low-income people: increasing Medicaid eligibility to 150 percent of the federal poverty level; offering stronger premium subsidies for people below 250 percent of the federal povery level; reducing high deductibles and high copayments and improving out-of-pocket limits for low-income people; and also supported closing the doughnut hole for Medicare beneficiaries. Also supported Subtitle D physician payments sunshine provision. Supported the following amendments to H.R. 3590: S.Amdt. 2790 (improve CHIP), S.Amdt. 2868 (include language services and cultural competency training in market-based incentives provision), S.Amdt. 2910 (require 90% minimum loss ratios for health insurance coverage), S.Amdt. 2919 (add external appeals process), S.Amdt. 2920 (insurance company reporting requirements regarding the rate of denial of coverage and enrollment), S.Amdt. 2991 (lift five-year ban on Medicaid for legal immigrant adults), S.Amdt. 3004 (price transparency), S.Amdt. 3065 (make good the provisions of the 2001 Patients' Bill of rights that both House and Senate passed but weren't signed into law), S.Amdt. 3076 (extend cessation benefits to all Medicaid recipients), S.Amdt. 3086 (provide incentives to states to offer home and community-based services as long-term care alternatives to nursing homes), and S.Amdt. 3167 (streamline enrollment). Opposed the following amendment to H.R. 3590: S.Amdt. 3189 (provisions related to Medicare and health behaviors). .

water quality financial act H.R. 3930 clean water infrastructure and security improvement act H.R. 3792 energy & water development H.R. 2765 calfed -bay/delta H.R. 2828

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The association monitors and reacts to policy concepts that may impact its ability to continue providing its high quality Group Health Plan to members, their employees, and the association staff at affordable rates and on reasonable terms and conditions. During the reporting period the association contacted officials about the following measures: Health Care Coverage: S 1679 to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce all sections. S 2730 to A bill to extend and enhance the COBRA subsidy program under the American Recovery and Reinvestment Act of 2009 all sections. HR 3200 to provide affordable, quality health care for all Americans and reduce the growth in health care spending all sections. HR 3326 & PL 111-118 Department of Defense Appropriations Act for FY 2010 Note: Pursuant to H Res 976, the Department of Defense Appropriations Act, 2010, HR 3326 was modified in part to include extensions of some direct spending programs and other authorities as Division B ("Other Matters") of the Act. The report of the House Rules Committee on H Res 976 (H.Rept. 111-380, pp. 4-5) summarized the matter included in Division B of the Act concerning SBA loan guarantees; the Patriot Act; flood insurance; Medicare physician payments; surface transportation; unemployment insurance; COBRA; copyright; the Supplemental Nutrition Assistance Program (SNAP); and poverty guidelines COBRA sections. HR 3590 an Act entitled the Patient Protection And Affordable Care Act. Note: The bill is the Senate vehicle for health care reform legislation all sections. HR 3925 to amend the Employee Retirement Income Security Act of 1974 to preclude preemption of a State cause of action relating to a denial of a claim for benefits under a health care plan all sections. HR. 3930 to extend for 6 months the maximum COBRA continuation coverage period for individuals who were involuntarily terminated between April 1, 2009, and December 31, 2009, and to amend the American Reinvestment and Recovery Act of 2009 to extend the eligibility period and maximum assistance period for COBRA premium assistance under such Act all sections

S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending HR 859 To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit HR 956 To expand the number of individuals and families with health insurance coverage, and for other purposes HR 1558 To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets H.R. 1897 to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes H.R. 2520 to provide comprehensive solutions for the health care system of the United States, and for other purposes HR 2847COBRA, extend benefits period; extend termination date eligibility to June 30, 2010 HR 3200 America's Affordable Health Choices Act of 2009 H.R.3590: An act entitled The Patient Protection and Affordable Care Act. H.R.3596: To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. H.R. 3925, to amend the Employee Retirement Income Security Act of 1974 to preclude preemption of a state cause of action relating to a denial of a claim for benefits under a health care plan H.R. 3930, to extend for 6 months the maximum COBRA continuation coverage period for individuals who were involuntarily terminated between April 1, 2009, and Dec. 31, 2009, and to amend the American Reinvestment and Recovery Act of 2009 to extend the eligibility period and maximum assistance period for COBRA premium assistance under such Act. H.R.3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending. H.R. 3326: Extends from nine to 15 months the 65% COBRA health insurance subsidy for individuals who have lost their jobs. The job lost eligibility date is extended in the provision to February 28, 2010. Approximately seven million people benefited from the premium subsidy provided in the Recovery Act. S 179 To improve quality in health care by providing incentives for adoption of modern information technology S 623 To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets S 803 A bill to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S. Amdt 98 In the nature of a substitute S. 1099 to provide comprehensive solutions for the health care system of the United States, and for other purposes S. 1149 to eliminate annual and lifetime aggregate limits imposed by health plans S. 1152 to allow Americans to earn paid sick time so that they can address their own health needs and the health needs of their families S. Res. 156 expressing the sense of the Senate that reform of our nation's health care system should include the establishment of a federally-backed insurance pool S. 1488 to extend temporarily the 18-month period of continuation coverage under group health plans required under COBRA continuation coverage provisions so as to provide for a total period of continuation coverage of up to 24 months S. 1679 the Affordable Health Choices Act -- An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. S.1681: A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending

water quality financial act H.R. 3930 clean water infrastructure and security improvement act H.R. 3792 energy & water development H.R. 2765 calfed -bay/delta H.R. 2828

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

water quality financial act H.R. 3930 clean water infrastructure and security improvement act H.R. 3792 energy & water development H.R. 2765 calfed -bay/delta H.R. 2828

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

water quality financial act H.R. 3930 clean water infrastructure and security improvement act H.R. 3792 energy & water development H.R. 2765 calfed -bay/delta H.R. 2828

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE