Long-Term Care Insurance Reform Act of 2011

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 36. Hr 5817 - Eliminate Privacy Notice Confusion Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 37. Fair Credit Reporting Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 38. American Tax Payer Relief Act of 2012: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

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.

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act HR6300 Medicaid Long Term Care Reform Act of 2012

Client expense: $1,740,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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.

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 16. Specific Lobbying Issues (continued): 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 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; issues related to genetic nondiscrimination; 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; and other issues relating to health care reform implementation.

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

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 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

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act; HR 5838, Health Insurance Industry Antitrust Enforcement Act of 2012. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011. *MLRs for Medigap policies - HR 2645, Medigap Medical Loss Ratio Improvement Act; S 1416, Medigap Medical Loss Ratio Improvement Act of 2011. *Disability program for Federal employees - HR 2958, Federal Employee Short-Term Disability Insurance Act of 2011. *Enrollment period for child-only policies - S 1500, Ensure Children Have Health Care Act. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011; S 2068, Access to Independent Health Insurance Advisors Act of 2012; S 2288, Access to Independent Health Insurance Advisors Act of 2012. *Model disclosure form for marketing long-term care insurance policies - S 3229, Long-Term Care Insurance Consumer Right-to-Know Act of 2012. *Claims dispute resolution procedures - S 3230, Long Term Care Insurance Integrity Act of 2012. *Medigap provisions, MA enrollment provisions - S 3271, Equal Access to Medicare Options Act of 2012.

Client expense: Not reported · Firm income: $100,000

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $820,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) Lobbied on preserving fund for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159/H.R. 63, Discussed the Confidence in Long-Term Care Insurance Act/Long-Term Insurance Reform Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. S. 1416/H.R. 2645, Medigap Medical Loss Ratio Improvement Act - Lobbied for bill introduction and helped with crafting. Discussed Internal Claims, Appeals and external Review Process. (no bill) Discussed HIPAA Privacy Rule Accounting under HITECH Act. (no bill) Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed status of the CLASS Program. (no bill) Discussed opposition to repeal of the CLASS Program (no bill, but also as S. 720, the Repeal the CLASS Entitlement Act. Discussed opposition to H.R. 1173, the Fiscal Responsibility and Retirement Security Act, to repeal the CLASS Program and shared stories and information related to long-term services and supports. Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed cost effectiveness of home and community-based services. (no bill) Discussed dual eligibles with Medpac. (no bill) S.3295, the Labor-HHS Appropriations bill for FY 2013 - Lobbied to protect/increase funding for the Social Security Administration, Older Americans Act nutrition, family caregiver & supportive services programs, low income home energy assistance (LIHEAP), and to protect funding for program authorized under the Affordable Care Act, including CMS State Health insurance exchanges, state survey & demonstrations and preventive Care Act, including CMS State Health insurance exchanges, state survey and demonstrations and preventive health. Discussed Hospital & Critical Access Hospitals Conditions of Participation proposed regulations; requested that advanced practice registered nurses and physicians assistants be allowed the full scope of services in hospital admitting and visiting privileges. (no bill) Discussed Hospital Outpatient Therapeutic Services Final Rule underscoring that advanced practice registered nurses and physicians should be allowed to supervise such outpatient service clinics without physician oversight as long as in line with state scope of practice laws. (no bill) Discussed Medicare GNE demonstration design problems. Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed legislation to make long-term care insurance available under cafeteria plans and flexible spending arrangements and to improve consumer protections. (no bill) Discussed Medicare and Social Security programs. (no bill)

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159/H.R. 63, Discussed the Confidence in Long-Term Care Insurance Act/Long-Term Insurance Reform Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. S. 1416/H.R. 2645, Medigap Medical Loss Ratio Improvement Act - Lobbied for bill introduction and helped with crafting. Discussed Internal Claims, Appeals and external Review Process. (no bill) Discussed HIPAA Privacy Rule Accounting under HITECH Act. (no bill) Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed status of the CLASS Program. (no bill) Discussed opposition to repeal of the CLASS Program (no bill, but also as S. 720, the Repeal the CLASS Entitlement Act. Discussed opposition to H.R. 1173, the Fiscal Responsibility and Retirement Security Act, to repeal the CLASS Program and shared stories and information related to long-term services and supports. Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) S. 1750 -Discussed Home Care Consumer Bill of Rights Act. Discussed cost effectiveness of home and community-based services. (no bill) Discussed reports on family caregiving and Long-Term Services and Supports State Scorecard. (no bill) Discussed Hospital & Critical Access Hospitals Conditions of Participation proposed regulations; requested that advanced practice registered nurses and physicians assistants be allowed the full scope of services in hospital admitting and visiting privileges. (no bill) Discussed Hospital Outpatient Therapeutic Services Final Rule underscoring that advanced practice registered nurses and physicians should be allowed to supervise such outpatient service clinics without physician oversight as long as in line with state scope of practice laws. (no bill) Discussed Medicare GNE demonstration design problems. Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed legislation to make long-term care insurance available under cafeteria plans and flexible spending arrangements and to improve consumer protections. (no bill)

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 16. Specific Lobbying Issues (continued): 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 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 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; 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; issues related to genetic nondiscrimination; 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; and other issues relating to health care reform implementation. 18. Lobbyists (continued): K. Callahan: Ross (March 2005- January 2012); Research Assistant, Senator Tim Johnson (October 2001 March 2005). G. Gierer: Legislative Correspondent, Senator Dodd (May 1997 - December 1999); Staff Assistant, Representative DeLauro (March 1996-May 1997). D. Mott-Bronson: (June 1998 - September 2002); Democratic Professional Staff Member, House International Relations Committee, Representative McKinney (September 2002 December 2002).

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011. *MLRs for Medigap policies - HR 2645, Medigap Medical Loss Ratio Improvement Act; S 1416, Medigap Medical Loss Ratio Improvement Act of 2011. *Disability program for Federal employees - HR 2958, Federal Employee Short-Term Disability Insurance Act of 2011. *Enrollment period for child-only policies - S 1500, Ensure Children Have Health Care Act. *Agent commissions, medical loss ratios - S 2068, Access to Independent Health Insurance Advisors Act of 2012.

Client expense: Not reported · Firm income: $100,000

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. 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.

Client expense: Not reported · Firm income: $60,000

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 24. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. Proposed DOL Amendment to Claims Procedure Regulation of Section 503 of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. section 1134: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. CFTC proposal on implementation timeframe for Title VII's trade documentation and clearing requirements: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry;

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $900,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

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 (cont.) 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; S.137 -- Health Insurance Rate Review Act (Feinstein) rate review; S.159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms INS (Regulatory) 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; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation. Komendant (con't): Altmire: 01-2007 to 04-2009; Blue Dog Coalition (Shared Employee) 04-2009 to 02-2011; Full list available at : http://www.legistorm.com/person/Erik_Komendant/33059.html.

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Health Care Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 24. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. Proposed DOL Amendment to Claims Procedure Regulation of Section 503 of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. section 1134: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27.Data breach and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. CFTC proposal on implementation timeframe for Title VII's trade documentation and clearing requirements: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $1,400,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011. *MLRs for Medigap policies - HR 2645, Medigap Medical Loss Ratio Improvement Act; S 1416, Medigap Medical Loss Ratio Improvement Act of 2011. *Disability program for Federal employees - HR 2958, Federal Employee Short-Term Disability Insurance Act of 2011. *Enrollment period for child-only policies - S 1500, Ensure Children Have Health Care Act.

Client expense: Not reported · Firm income: $100,000

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, 16. Specific Lobbying Issues (con't): 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 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 INS (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; 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; 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; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation. 18. Name of each individual who acted as a lobbyist in this issue area (con't): J. Miller, Legislative Counsel, Washington, D.C. Assistant Legislative Counsel, August 1992 December 1995.

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) Consolidated Appropriations Act, FY 2012, H.R. 2055, H.R. 3671, H.R. 2017, Consolidated and Further Appropriations Continuing Appropriations Act, H.R. 2112, Continuing Resolution, FY 2012, H.R. 2608 and H.J. Res. 79, 94 and 95 - Lobbied for funding for agencies and programs within jurisdiction of the Labor-HHS Appropriations bill (H.R. 3055/S. 1599), including Social Security Administration operations, Older Americans Act nutrition, health care delivery reform, CLASS, LIHEAP, Older Americans Act caregiver programs, high risk pool subsidies to states and Medicaid. Pub. Law 111-148 & 111-152 - Discussed implementation of health disparities data collection provisions of the Affordable Care Act. Pub. Law 111-148 & 111-152 - Discussed implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long term care services. Lobbied in support of comparative effectiveness research. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159/H.R. 63, The Confidence in Long-Term Care Insurance Act - Discussed the Long-Term Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. S. 1416/H.R. 2645, Medigap Medical Loss Ratio Improvement Act - Lobbied for bill introduction and helped with crafting. Discussed Internal Claims, Appeals and external Review Process. (no bill) Discussed HIPAA Privacy Rule Accounting under HITECH Act. (no bill) Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed implementation of the CLASS Porgram. (no bill) Discussed opposition to repeal of the CLASS Program (no bill, but also as S. 720, the Repeal the CLASS Entitlement Act/ this was also filed as multiple amendments). Discussed opposition to H.R. 1173, the Fiscal Responsibility and Retirement Security Act, to repeal the CLASS Program. Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) S. 1750 -Discussed Home Care Consumer Bill of Rights Act. Discussed cost effectiveness of home and community-based services. (no bill) Discussed invitation to solutions forum on family caregiving and webinar on elder care and employment. (no bill) Discussed reports on family caregiving and Long-Term Services and Supports State Scorecard. (no bill) Discussed Hospital & Critical Access Hospitals Conditions of Participation proposed regulations; requested that advanced practice registered nurses and physicians assistants be allowed the full scope of services in hospital admitting and visiting privileges. (no bill) Discussed Hospital Outpatient Therapeutic Services Final Rule underscoring that advanced practice registered nurses and physicians should be allowed to supervise such outpatient service clinics without physician oversight as long as in line with state scope of practice laws. (no bill) Discussed Medicare GNE demonstration design problems. Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed legislation to make long-term care insurance available under cafeteria plans and flexible spending arrangements and to improve consumer protections. (no bill)

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Health Care Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 22. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 24. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. Proposed DOL Amendment to Claims Procedure Regulation of Section 503 of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. section 1134: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27.Data breach and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. CFTC proposal on implementation timeframe for Title VII's trade documentation and clearing requirements: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms (cont.) 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; S.137 -- Health Insurance Rate Review Act (Feinstein) rate review; S.159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms. INS (Regulatory) 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; 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; implementation of the Mental Health Parity Act requirements; issues related to genetic nondiscrimination; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation. Durham (con't): the Assistant Secretary for Planning and Evaluation, Washington, DC, 2001-2005: Acting Deputy Assistant Secretary for Health Policy (8/034/04 and 1/054/05); Deputy to the Deputy Assistant Secretary for Health Policy (7/02 4/05); Senior Advisor for Health Policy (12/01-7/02). SOCIAL SECURITY ADMINISTRATION (SSA), Washington, DC, 1998-2001: Acting Associate Commissioner for Retirement Policy (9/00-12/01); Deputy Associate Commissioner for Retirement Policy (7/98-12/01); OFFICE OF MANAGEMENT AND BUDGET, Washington, DC, 1987-1989: Policy Analyst, Health and Income Maintenance Division Thornton (con't): OF MANAGEMENT AND BUDGET, WASHINGTON DC, JANUARY 2002 TO MAY 2006; PRESIDENTIAL MANAGEMENT FELLOW, SOCIAL SECURITY ADMINISTRATION, BALTIMORE, MD, JANUARY 2000 TO JANUARY 2002. Zigmund Luke (con't): Department of Labor, Pension & Welfare Benefits Administration, Philadelphia, PA, May 1997 to June 1998.

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 (cont.) 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; S.137 -- Health Insurance Rate Review Act (Feinstein) rate review; S.159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms INS (Regulatory) 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; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation. Komendant (con't): Altmire: 01-2007 to 04-2009; Blue Dog Coalition (Shared Employee) 04-2009 to 02-2011; Full list available at : http://www.legistorm.com/person/Erik_Komendant/33059.html.

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 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 INS (Regulatory): 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; 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; implementation of the Mental Health Parity Act requirements; issues related to genetic nondiscrimination; 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; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation.

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) H.J.Res 44, H.R. 1599, H.J. Res.79, H.R. 2068, H.R. 2017Labor-Health & Human Services, Education and Related Agencies Appropriations bill for FY2012 - Lobbied for funding for LIHEAP. Sent letters to House and Senate LHHS Subcommittees on funding for SSA Administration, Older Americans Act nutrition, health care delivery reform, CLASS, LIHEAP, Older Americans Act caregiver programs and Medicaid. Pub. Law 111-148 & 111-152 - Discussed implementation of health disparities data collection provisions of the Affordable Care Act. Pub. Law 111-148 & 111-152 - Discussed implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long term care services. Lobbied in support of comparative effectiveness research. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159, The Confidence in Long-Term Care Insurance Act - Discussed the Long-Term Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. H.R. 63, The Long-Term Care Insurance Reform Act - Discussed the Long Term Care Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. S. 1416/H.R. 2645, Medigap Medical Loss Ratio Improvement Act - Lobbied for bill introduction and helped with crafting. Discussed Internal Claims, Appeals and external Review Process. (no bill) Discussed HIPAA Privacy Rule Accounting under HITECH Act. (no bill) Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill)

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) H.J.Res 44, H.R. 1599, H.J. Res.79, H.R. 2068, H.R. 2017Labor-Health & Human Services, Education and Related Agencies Appropriations bill for FY2012 - Lobbied for funding for LIHEAP. Sent letters to House and Senate LHHS Subcommittees on funding for SSA Administration, Older Americans Act nutrition, health care delivery reform, CLASS, LIHEAP, Older Americans Act caregiver programs and Medicaid. Pub. Law 111-148 & 111-152 - Discussed implementation of health disparities data collection provisions of the Affordable Care Act. Pub. Law 111-148 & 111-152 - Discussed implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long term care services. Lobbied in support of comparative effectiveness research. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159, The Confidence in Long-Term Care Insurance Act - Discussed the Long-Term Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. H.R. 63, The Long-Term Care Insurance Reform Act - Discussed the Long Term Care Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. S. 1416/H.R. 2645, Medigap Medical Loss Ratio Improvement Act - Lobbied for bill introduction and helped with crafting. Discussed Internal Claims, Appeals and external Review Process. (no bill) Discussed HIPAA Privacy Rule Accounting under HITECH Act. (no bill) Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill)

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011. *MLRs for Medigap policies - HR 2645, Medigap Medical Loss Ratio Improvement Act; S 1416, Medigap Medical Loss Ratio Improvement Act of 2011. *Disability program for Federal employees - HR 2958, Federal Employee Short-Term Disability Insurance Act of 2011. *Enrollment period for child-only policies - S 1500, Ensure Children Have Health Care Act.

Client expense: Not reported · Firm income: $100,000

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Health Care Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 22. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 24. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. Proposed DOL Amendment to Claims Procedure Regulation of Section 503 of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. section 1134: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. Insurance claims handling and potential claimaint fraud: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

HR63 Long Term Care Insuance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

HR 3590 & HR 4872 -Patient Protection and Affordable Care Act & Reconciliation Act of 2010 - Long-term care requirements as a result of a national, voluntary long-term care insurance program and effect on home office procedures and self-insured plan, executive compensation and 1099 reporting requirements. S 668/HR 452-Medicare Decisions Accountability Act of 2011 - Repeal the creation of IPAB. S 1416/HR2645 - Medigap Medical Loss Ratio Improvement Act of 2011 - Health Reform medical loss ratio requirements to Medigap. S 159/ HR 63 - Confidence in Long-Term Care Insurance Act of 2011 - LTC model disclosures and consumer protections. HR 2958 - Federal Employee Short-Term Disability Insurance Act of 2011 - Federal Short-Term Disability Program.

Client expense: $136,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 63: LONG-TERM CARE INSURANCE REFORM ACT OF 2011; PROVISIONS RELATED TO ENHANCED CONSUMER PROTECTIONS FOR LONG-TERM CARE INSURANCE POLICIES HR 677/S 267: LIFETIME INCOME DISCLOSURE ACT; PROVISIONS RELATED TO ANNUITY ILLUSTRATION HR 1173: FISCAL RESPONSIBILITY AND RETIREMENT SECURITY ACT OF 2011; PROVISIONS RELATED TO THE REPEAL OF THE CLASS ACT HR 1534: SMALL BUSINESSES ADD VALUE FOR EMPLOYEES (SAVE) ACT OF 2011; PROVISIONS RELATED TO VOLUNTARY AUTO-INDIVIDUAL RETIREMENT ACCOUNTS (IRA) S 159: CONFIDENCE IN LONG-TERM CARE INSURANCE ACT OF 2011; PROVISIONS RELATED TO ENHANCED CONSUMER PROTECTION S 1121: SAVINGS ENHANCEMENT BY ALLEVIATING LEAKAGE IN 401(K) SAVINGS ACT OF 2011; PROVISIONS RELATED TO LIMITS BORROWING FROM 401(K) PLANS P.L. 110-233: GENETIC INFORMATION NONDISCRIMINATION ACT OF 2008; PROVISIONS RELATED TO UNDERWRITING RESTRICTIONS ON LONG-TERM CARE INSURANCE

Client expense: $660,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace. (no bill) Discussed barriers to care that can result from language differences between providers and patients and/or lack of translation services. (no bill) H.J.Res 44, Labor-Health & Human Services, Education and Related Agencies Appropriations bill for FY2012 - Lobbied for funding for LIHEAP. Sent letters to House and Senate LHHS Subcommittees on funding for SSA Administration, Older Americans Act nutrition, health care delivery reform, CLASS, LIHEAP, Older Americans Act caregiver programs and Medicaid. Pub. Law 111-148 & 111-152 - Discussed implementation of health disparities data collection provisions of the Affordable Care Act. Pub. Law 111-148 & 111-152 - Discussed implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long term care services. Lobbied in support of legislation to provide a hearing aid tax credit to individuals. (no bill) Lobbied in support of comparative effectiveness research. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) S. 1019, Hearing Aid Assistance Tax Credit Act - Discussed Hearing Aid Assistance Tax Credit Act which would provide a $500 credit to people of all ages. H.R. 217, To repeal the Prevention and Public Health Fund - Lobbied against the repeal the Prevention and Public Health Trust Fund. This fund is an important component in state and community efforts to prevent illness and promote health. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 159, The Confidence in Long-Term Care Insurance Act - Discussed the Long-Term Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies. H.R. 63, The Long-Term Care Insurance Reform Act - Discussed the Long Term Care Insurance Act which improves the consumer protections of LTC insurance policies and make more and better information available to consumers to help them make informed decisions about such policies.

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011.

Client expense: Not reported · Firm income: $100,000

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms (cont.) 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; S.137 -- Health Insurance Rate Review Act (Feinstein) rate review; S.159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms. INS (Regulatory) 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; 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; implementation of the Mental Health Parity Act requirements; issues related to genetic nondiscrimination; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation. Durham (con't): the Assistant Secretary for Planning and Evaluation, Washington, DC, 2001-2005: Acting Deputy Assistant Secretary for Health Policy (8/034/04 and 1/054/05); Deputy to the Deputy Assistant Secretary for Health Policy (7/02 4/05); Senior Advisor for Health Policy (12/01-7/02). SOCIAL SECURITY ADMINISTRATION (SSA), Washington, DC, 1998-2001: Acting Associate Commissioner for Retirement Policy (9/00-12/01); Deputy Associate Commissioner for Retirement Policy (7/98-12/01); OFFICE OF MANAGEMENT AND BUDGET, Washington, DC, 1987-1989: Policy Analyst, Health and Income Maintenance Division Thornton (con't): OF MANAGEMENT AND BUDGET, WASHINGTON DC, JANUARY 2002 TO MAY 2006; PRESIDENTIAL MANAGEMENT FELLOW, SOCIAL SECURITY ADMINISTRATION, BALTIMORE, MD, JANUARY 2000 TO JANUARY 2002. Zigmund Luke (con't): Department of Labor, Pension & Welfare Benefits Administration, Philadelphia, PA, May 1997 to June 1998.

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. S 720 - Repeal the CLASS Entitlement Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Community Living Assistance Services and Supports Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Health Care Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry 23. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Tax reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

See attachment. RET Second Quarter Report 2011 H.R. 493 Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1173 Fiscal Responsibility and Retirement Security Act of 2011. Issue: Repeal of the CLASS Act. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. S. 159/H.R. 63 The Confidence in Long-Term Care Insurance Act of 2011. Issue: Enhanced consumer protections for long-term care insurance policies. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans.

Client expense: $820,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), HOUSE OF REPRESENTATIVES, SENATE

S 668 & HR 452 - Medicare Decisions Accountability Act of 2011 - Repeal the creation of IPAB. S 1599 & HR 63 - Confidence in Long-Term Care Insurance Act of 2011 - LTC model disclosures and consumer protections.

Client expense: $191,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR63 Long Term Care Insuance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act

Client expense: $1,150,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 1173 Fiscal Responsibility and Retirement Security Act of 2011. Issue: Repeal of the CLASS Act. S. 159/H.R. 63 The Confidence in Long-Term Care Insurance Act of 2011. Issue: Enhanced consumer protections for long-term care insurance policies. H.R. 493 Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans.

Client expense: $1,777,300 · Firm income: Not reported

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011.

Client expense: Not reported · Firm income: $100,000

HR 1173: FISCAL RESPONSIBILITY AND RETIREMENT SECURITY ACT OF 2011; PROVISIONS RELATED TO THE REPEAL OF THE CLASS ACT HR 63: LONG-TERM CARE INSURANCE REFORM ACT OF 2011; PROVISIONS RELATED TO ENHANCED CONSUMER PROTECTIONS FOR LONG-TERM CARE INSURANCE POLICIES HR 667/S 267: LIFETIME INCOME DISCLOSURE ACT; PROVISIONS RELATED TO ANNUITY ILLUSTRATION S 159: CONFIDENCE IN LONG-TERM CARE INSURANCE ACT OF 2011; PROVISIONS RELATED TO ENHANCED CONSUMER PROTECTIONS FOR LONG-TERM CARE INSURANCE POLICIES P.L. 110-233: GENETIC INFORMATION NONDISCRIMINATION ACT OF 2008; PROVISIONS RELATED TO UNDERWRITING RESTRICTIONS ON LONG-TERM CARE INSURANCE

Client expense: $330,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE