BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA

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

Client expense: $184,468 · Firm income: —

Matched citations: HR1206

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard," reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees: Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery Systems Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; Federal exchanges; Federal rate reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and plans; Include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data share; Data aggregation Insurance Market Reform: Individual Market Reform, Small Group Market Reform; Small Business Healthcare, Guaranteed issue; Community Rating; Health status rating; Health savings accounts/Medical savings accounts; Individual mandate, MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America" OMB PBM Carveout

Client expense: $184,468 · Firm income: —

Matched citations: HR1206

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard," reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees: Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery Systems Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; Federal exchanges; Federal rate reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and plans; Include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data share; Data aggregation Insurance Market Reform: Individual Market Reform, Small Group Market Reform; Small Business Healthcare, Guaranteed issue; Community Rating; Health status rating; Health savings accounts/Medical savings accounts; Individual mandate, MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America" OMB PBM Carveout

Client expense: $184,468 · Firm income: —

Matched citations: HR1213

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

Client expense: $184,468 · Firm income: —

Matched citations: HR1370

Medicare Advantage; Medicare Fraud; HR1683 and S868 "State Flexibility Act"; Medigap First Dollar Coverage

Client expense: $184,468 · Firm income: —

Matched citations: HR1683

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard," reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees: Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery Systems Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; Federal exchanges; Federal rate reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and plans; Include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data share; Data aggregation Insurance Market Reform: Individual Market Reform, Small Group Market Reform; Small Business Healthcare, Guaranteed issue; Community Rating; Health status rating; Health savings accounts/Medical savings accounts; Individual mandate, MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America" OMB PBM Carveout

Client expense: $184,468 · Firm income: —

Matched citations: HR371

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

Client expense: $66,816 · Firm income: —

Matched citations: HR1206

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard," reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; Federal exchanges; Federal rate review; Existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLF Broker Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and plans; Include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards: Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data sharing; Data aggregation Insurance Market Reform: Individual Market Reform, Small Group Market Reform; Small Business Healthcare, Guaranteed issue; Community Rating; Health status rating; Health savings accounts/Medical savings accounts; Individual mandate, MEWAs

Client expense: $66,816 · Firm income: —

Matched citations: HR1206

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

Client expense: $66,816 · Firm income: —

Matched citations: HR1370

Medicare Advantage; Medicare Fraud; Medicaid; HR 1683 and S868 "State Flexibility Act"; Medigap First Dollar Coverage

Client expense: $66,816 · Firm income: —

Matched citations: HR 1683

HR371 "Health Care Choice Act of 2011"

Client expense: $66,816 · Firm income: —

Matched citations: HR371

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard," reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; Federal exchanges; Federal rate review; Existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLF Broker Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and plans; Include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards: Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data sharing; Data aggregation Insurance Market Reform: Individual Market Reform, Small Group Market Reform; Small Business Healthcare, Guaranteed issue; Community Rating; Health status rating; Health savings accounts/Medical savings accounts; Individual mandate, MEWAs

Client expense: $66,816 · Firm income: —

Matched citations: HR371

IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR 1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA."

Client expense: $249,941 · Firm income: —

Matched citations: HR 1206

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard", reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011"; HR5 HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs

Client expense: $249,941 · Firm income: —

Matched citations: HR1206

IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR 1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA."

Client expense: $249,941 · Firm income: —

Matched citations: HR1370

Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"

Client expense: $249,941 · Firm income: —

Matched citations: HR1683

HR371 "Health Care Choice Act of 2011

Client expense: $249,941 · Firm income: —

Matched citations: HR371

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard", reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; "Most Favored Nation" clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011"; HR5 HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs

Client expense: $249,941 · Firm income: —

Matched citations: HR371

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard", reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 "Health Insurance Rate Authority Act of 2010"; federal rate review; HR 4700 "Transparency in All Health Care Pricing Act of 2010"; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs

Client expense: $370,077 · Firm income: —

Matched citations: HR 4700

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: "good faith compliance standard", reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 "Health Insurance Rate Authority Act of 2010"; federal rate review; HR 4700 "Transparency in All Health Care Pricing Act of 2010"; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs

Client expense: $370,077 · Firm income: —

Matched citations: HR4757

Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010" Medicare Advantage Funding DME Competitive Bidding

Client expense: $370,077 · Firm income: —

Matched citations: HR 6130