Guaranteed Access to Health Insurance Act of 2012

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms 16. Specific Lobbying Issues (continued): H.R. 111, Breast Cancer Patient Protection Act (DeLauro) minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) national marketplace for individual coverage H.R.371, Health Care Choice Act (Blackburn) national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) rate review H.R. 1050, Small Business Health Fairness Act (Johnson) association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) disability program for federal employees H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act H.R.6283, Guaranteed Access to Health Insurance Act (Burgess) reinsurance, high risk pools S. 137, Health Insurance Rate Review Act (Feinstein) rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures S. 3271, Equal Access to Medicare Options Act (Kerry) Medigap provisions, MA enrollment provisions Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; and other issues relating to health care reform implementation.

Client expense: $2,020,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Health care reform implementation; State exchanges structure; Medicare; Medicaid; MedPAC Medigap Surrcharge; Repealing the Affordable Care Act (H.R. 6079); Transitional Reinsurance Program (H.R. 6283).

Client expense: $500,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

Capper-Volstead Act and other similar federal statutes; provisions related to agriculture and farmer cooperatives. HR 2419, Food, Conservation and Energy Act of 2008; regulatory provisions related to agriculture and farmer cooperatives. HR 6124, Food, Conservation and Energy Act of 2008; regulatory provisions related to agriculture and farmer cooperatives. Biotechnology Deregulation Process, including the deregulation of crops derived through biotechnology; provisions affecting agriculture and farmer cooperatives. Dodd-Frank Wall Street Reform and Consumer Protections Act, implementation and provisions related to Title 7. Regulatory relief and moritorium proposals. S 3240 Agriculture Reform, Food, and Jobs Act of 2012; provisions affecting agriculture and farmer cooperatives. House Farm Bill Reauthorization; provisions affecting agriculture and farmer cooperatives. HR 6083 Federal Agriculture Reform and Risk Management Act: provisions affecting agriculture and farmer cooperatives. HR 6283 House Farm Bill: provisions affecting agriculture and farmer cooperatives.

Client expense: $197,163 · Firm income: Not reported

HR 6124 Food Conservation and Energy Act of 2008; regulations pertaining to energy and other provisions affecting agriculture and farmer cooperatives. Biomass Crop Assistance Program reauthorization; provisions affecting agriculture and farmer cooperatives. S 3240 Energy Title; provisions affecting agriculture and farmer cooperatives. HR 6283 Energy Title; provisions affecting agriculture and farmer cooperatives.

Client expense: $197,163 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

HR 6124 Food Conservation and Energy Act of 2008; regulations pertaining to energy and other provisions affecting agriculture and farmer cooperatives. Biomass Crop Assistance Program reauthorization; provisions affecting agriculture and farmer cooperatives. S 3240 Energy Title; provisions affecting agriculture and farmer cooperatives. HR 6283 Energy Title; provisions affecting agriculture and farmer cooperatives.

Client expense: $215,675 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

Health care reform implementation; Medical loss ratio; State exchanges structure; Medicare; Medicaid; Retiree Health Care Coverage Protection Act (H.R. 3887); MedPAC Medigap Surrcharge; Repealing the Affordable Care Act (H.R. 6079); Transitional Reinsurance Program (H.R. 6283).

Client expense: $523,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) - LTC insurance reforms. H.R. 111, Breast Cancer Patient Protection Act (DeLauro) - minimum hospital stays for mastectomy patients. H.R. 346, Health Care Choice Act (Pearce ) - national marketplace for individual coverage. H.R.371, Health Care Choice Act (Blackburn) - national marketplace for individual coverage. H.R. 416, Health insurance Rate Review Act (Schakowsky) - rate review. H.R. 1050, Small Business Health Fairness Act (Johnson) - association health plans. H.R. 1150, Competitive Health Insurance Reform Act (Gosar) - antitrust policy. H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) - agent commissions, medical loss ratios. H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) - changes to McCarran-Ferguson Act. H.R. 2077, MLR Repeal Act (Price) - medical loss ratios. H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) - MLRs for Medigap policies. H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) - disability program for federal employees. H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) - changes to McCarran-Ferguson Act. H.R.6283, Guaranteed Access to Health Insurance Act (Burgess) - reinsurance, high risk pools. S. 137, Health Insurance Rate Review Act (Feinstein) - rate review. S. 159, Confidence in Long-Term Care Insurance Act (Kohl) - LTC insurance reforms. S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) - MLRs for Medigap policies. S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) - enrollment period for child-only policies. S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios. S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios. S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies. S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures. S. 3271, Equal Access to Medicare Options Act (Kerry) - Medigap provisions, MA enrollment provisions.

Long term healthcare issues; Accountable Care Organizations under the Affordable Care Act (ACA); technical analysis of Cadillac plan tax under ACA; actuarial value and premium support proposals under ACA; and issues re: HR 6283, Guaranteed Access to Health Insurance Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms 16. Specific Lobbying Issues (continued): H.R. 111, Breast Cancer Patient Protection Act (DeLauro) minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) national marketplace for individual coverage H.R.371, Health Care Choice Act (Blackburn) national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) rate review H.R. 1050, Small Business Health Fairness Act (Johnson) association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) disability program for federal employees H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act H.R.6283, Guaranteed Access to Health Insurance Act (Burgess) reinsurance, high risk pools S. 137, Health Insurance Rate Review Act (Feinstein) rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures S. 3271, Equal Access to Medicare Options Act (Kerry) Medigap provisions, MA enrollment provisions Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; and other issues relating to health care reform implementation.

HR 6124 Food Conservation and Energy Act of 2008; regulations pertaining to energy and other provisions affecting agriculture and farmer cooperatives. Biomass Crop Assistance Program reauthorization; provisions affecting agriculture and farmer cooperatives. S 3240 Energy Title; provisions affecting agriculture and farmer cooperatives. HR 6283 Energy Title; provisions affecting agriculture and farmer cooperatives.

Client expense: $215,675 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 6079: Repeal of Obamacare Act S.3228 Sequestration: Transparency Act of 2012 H.R.5872 Sequestration: Transparency Act of 2012 S. 2068: Access to Independent Health Insurance Advisors Act of 2012 H.R. 1206 Access to Professional Health insurance Advisors Act H.R. 6283 Guaranteed Access to Health Insurance Act of 2012 H.R. 5652 Sequester Replacement Reconciliation Act of 2012 H.R. 1004 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 5858 Health Savings Account Improvements Act of 2012 H.R. 5842 Restoring Access to Medication Act of 2012 H.R. 5651 Food and Drug Administration Reform Act of 2012 S. 2516 Food and Drug Administration Reform Act of 2012 H.R. 436 Protect Medical Innovation Act of 2012 S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 5 Help Efficient, Accessible, Low-cost, and Timely Healthcare Act H.R. 5652 Sequester Replacement Reconciliation Act of 2012 S. 1099 Seniors Choice Act S. 3414 Cybersecurity Act of 2012 S.3351 Protect our Health Privacy Act S. 3333 Data Security and Breach Notification Act of 2012 H.R. 6352 Physician Shortage Reduction and Graduate Medical Education Accountability Act S.3201 Graduate Medical Education Reform Act S.1627 Resident Physician Shortage H.R. 6174 Common Sense Nutrition Disclosure Act H.R.6482 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R.6429 STEM Jobs Act of 2012 S. 3276 FISA Amendments Act Reauthorization Act of 2012 H.R. 5949 FISA Amendments Act Reauthorization Act of 2012 S.3465 Care Coordination for Older Americans Act of 2012 S.3430 National Diabetes Clinical Care Commission Act of 2012 H.R. 6562 Resident Physician Shortage Reduction Act of 2012 H.R.6083 Federal Agriculture Reform and Risk Management Act of 2012 H.R.4348 MAP-21

Client expense: $160,000 · Firm income: Not reported