ARTHUR LIFSON

HR 1. American Recovery and Reinvestment Act of 2009. In support of Title V, Sections 5000-5008. HR 2. Children's Health Insurance Program Reauthorization Act of 2009. In support of all provisions. S 547 Drug Rebate Equalization Act of 2009. In support of all provisions. HR 904. Medicaid Prescription Drug Rebate Equalization Act of 2009. In support of all provisions.

- HR 904/ S 547, "To amend title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee-for-service Medicaid to such organizations" a/k/a "Medicaid Prescription Drug Rebate Equalization Act of 2009", regarding support for all provisions as they relate to extending the Medicaid prescription drug rebate to Medicaid MCO's. HR 2758/ S 1307, "To amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals, and for other purposes", a/k/a, "Medicare Specialty Care Improvement and Protection Act of 2009" regarding all provisions with respect to a special needs plan extension. HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "America's Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title VII with respect to extend Medicaid drug rebate to Medicaid MCO's, Extend SNP authority, Medicaid expansion for low-income populations, out of network amendment. S 1679, "An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce", a/k/a, "Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title I with respect to the expansion of Medicaid. Support for "America's Healthy Future Act of 2009", (Bill number TBD), regarding the Medicaid provisions, Title I and Title II.

HR-2758, "To amend Part C of Title XVIII of the Social Security Act with respect to Medicare Special Needs Plans and the alignment of Medicare and Medicaid for dually eligible individuals and for other purposes", a/k/a "Medicare Specialty Care Improvement and Protection Palma of 2009", regarding Special Needs Plans extension. S-1307, "To amend Part C of Title XVIII of the Social Security Act with respect to Medicare Special Needs Plans and the alignment of Medicare and Medicaid for dually eligible individuals and for other purposes", a/k/a "Medicare Specialty Care Improvement and Protection Palma of 2009", regarding Special Needs Plans extension. HR 904, "To amend Title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee for service Medicaid to such organizations," a/k/a, "Drug Rebate Equalization Act of 2009", regarding support for all provisions. S-547, "A bill to amend Title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee for service Medicaid to such organizations," a/k/a, "Drug Rebate Equalization Act of 2009", regarding support for all provisions. Health Reform (Bills not yet introduced), provisions regarding Medicaid, Children's Health Insurance Program, and Medicare.

- HR 904/ S 547, "To amend title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee-for-service Medicaid to such organizations" a/k/a "Medicaid Prescription Drug Rebate Equalization Act of 2009", regarding support for all provisions as they relate to extending the Medicaid prescription drug rebate to Medicaid MCO's. HR 2758/ S 1307, "To amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals, and for other purposes", a/k/a, "Medicare Specialty Care Improvement and Protection Act of 2009" regarding all provisions with respect to a special needs plan extension. HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "America's Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title VII with respect to extend Medicaid drug rebate to Medicaid MCO's, Extend SNP authority, Medicaid expansion for low-income populations, out of network amendment. S 1679, "An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce", a/k/a, "Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title I with respect to the expansion of Medicaid. Support for "America's Healthy Future Act of 2009", (Bill number TBD), regarding the Medicaid provisions, Title I and Title II.

- HR 904/ S 547, "To amend title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee-for-service Medicaid to such organizations" a/k/a "Medicaid Prescription Drug Rebate Equalization Act of 2009", regarding support for all provisions as they relate to extending the Medicaid prescription drug rebate to Medicaid MCO's. HR 2758/ S 1307, "To amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals, and for other purposes", a/k/a, "Medicare Specialty Care Improvement and Protection Act of 2009" regarding all provisions with respect to a special needs plan extension. HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "America's Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title VII with respect to extend Medicaid drug rebate to Medicaid MCO's, Extend SNP authority, Medicaid expansion for low-income populations, out of network amendment. S 1679, "An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce", a/k/a, "Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title I with respect to the expansion of Medicaid. Support for "America's Healthy Future Act of 2009", (Bill number TBD), regarding the Medicaid provisions, Title I and Title II.

Advocated for modification of various provisions relating to Minimum Medical Loss Ratios and imposition of special fees on health insurers. Specifically advocated for minimum medical loss ratios that related to a whole book of business on a company wide basis rather than product by product, market by market basis. Also advocated for net premium revenue attributable to Medicaid Managed Care insurance contracts be excluded from payment of the fee. HR 3590 the Patient Protection and Affordable Care Act relating to the establishment of Minimum Medical Loss Ratios, Part IV State Flexibility to Establish Alternatives Programs, Secction 1331 (b) Standard Health Plan(s), and imposition of fees oncertain health insurers, Title IX, Subsection B. Section 9010 Imposition of Annual Fee on Health Insurance Providers, Sectioin 9016 Modification of Section 833 Treatment of certain Health Care Organizations, and Title XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle HProvisions Relating to Title IX, Sec. 10905. Modification of annual fee on health insurance providers. HR 3962 Affordable Health Care for America Act, Division A, Title I-Immediate Reforms, Section 102-Ensuring Value and Lower Premiums, and Division B, Title VIII revenue Related Provisions, Subchapter B Insured and Self Insured Health Plans, Sections 4375-4377. S 1796 Americas Healthy Future Act of 2009, TITLE VIREVENUE PROVISIONS, Subtitle ARevenue Offset Provisions, Sec. 6010. Imposition of annual fee on health insurance providers. Relating to minimum loss ratios, TITLE IHEALTH CARE COVERAGE, Subtitle AInsurance Market Reforms, PART AINSURANCE REFORMS, SUBPART 4CONTINUED ROLE OF STATES, Sec. 2228. State flexibility to establish basic health programs for low-income individuals not eligible for Medicaid. HR 3200 Americas Affordable Health Choices Act of 2009, With regard to Minimum Medical Loss Ratios, DIVISION AAFFORDABLE HEALTH CARE CHOICES, Subtitle BStandards Guaranteeing Access to Affordable Coverage, Sec. 116. Ensuring value and lower premiums; Subtitle GEarly Investments, SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.

HR 1. American Recovery and Reinvestment Act of 2009. In support of Title V, Sections 5000-5008. HR 2. Children's Health Insurance Program Reauthorization Act of 2009. In support of all provisions. S 547 Drug Rebate Equalization Act of 2009. In support of all provisions. HR 904. Medicaid Prescription Drug Rebate Equalization Act of 2009. In support of all provisions.

- HR 904/ S 547, "To amend title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee-for-service Medicaid to such organizations" a/k/a "Medicaid Prescription Drug Rebate Equalization Act of 2009", regarding support for all provisions as they relate to extending the Medicaid prescription drug rebate to Medicaid MCO's. HR 2758/ S 1307, "To amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals, and for other purposes", a/k/a, "Medicare Specialty Care Improvement and Protection Act of 2009" regarding all provisions with respect to a special needs plan extension. HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "America's Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title VII with respect to extend Medicaid drug rebate to Medicaid MCO's, Extend SNP authority, Medicaid expansion for low-income populations, out of network amendment. S 1679, "An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce", a/k/a, "Affordable Health Choices Act of 2009", regarding Medicaid provisions and Title I with respect to the expansion of Medicaid. Support for "America's Healthy Future Act of 2009", (Bill number TBD), regarding the Medicaid provisions, Title I and Title II.

Advocated for expansion of Medicaid, elimination of categorical restrictions and continuation of the CHIP program. HR 3590--Patient Protection and Affordable Care Act, TITLE IIROLE OF PUBLIC PROGRAMS, Subtitle A-L, relating to Medicaid, and Children's Health Insurance Program. Specifically advocated for extension of drug rebate program to Medicaid managed care, Subtitle FMedicaid Prescription Drug Coverage SEC. 2501. PRESCRIPTION DRUG REBATES, (c) EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS; extention of special needs plans, Subtitle BImproving Medicare for Patients and Providers, PART IIIIMPROVING PAYMENT ACCURACY, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals; and continuation of the Children's Health Insurance Program, TITLE IIROLE OF PUBLIC PROGRAMS, Sec. 2101. Additional federal financial participation for CHIP, and TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. HR 3962-Affordable Health Care for America Act, Division B-Medicare and Medicaid Improvements, Title VII Medicaid and CHIP, Subtitles A to H. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Title VII, subtitle E, Section 1743, Extension of prescription drug discounts to enrollees of Medicaid managed care organizations, continuation of Special Needs Plan demonstrations, Division B, Title I, Subtitle D, Part 3, Treatment of Special Needs Plans, section 1177 and continuation of the Children's Health Insurance Program, Title II Public Programs, Subtitle B and C, Enchased Support for the Children's Health Insurance Program and Medicaid and CHIP Enrollment Simplification, Subtitle JImprovements to the Medicaid and CHIP Payment and Access Commission (MACPAC), TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. S-1796-Americas Healthy Future Act of 2009, Title I-Health Insurance Coverage, Subtitle GRole of Public Programs Parts I-IX. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Part V Medicaid Prescription Drug Coverage, Section 1651 Prescription Drug Rebates, (c) Extension of Prescription Drug Discounts to Enrollees of Medicaid Managed Care Organizations; continuation of Special Needs Plans,TITLE IIIIMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals, and continuation of the Children's Health Insurance Program, PART IICHILDRENS HEALTH INSURANCE PROGRAM, Sec. 1611. Additional federal financial participation for CHIP. HR 3200 Americas Affordable Health Choices Act of 2009. Supported DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE VIIMEDICAID AND CHIP, Subtitles A-H, Title VIII Revenue Related Provisions. Specifically advocated for inclusion of the provisions relating to expansion of the Drug Discount Program to Medicaid Managed Care Organizations, Title VII, Subtitle E Financing, Sec. 1743. Extension of prescription drug discounts to enrollees of Medicaid managed care organizations and continuation of Special Needs Plans, DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE IIMPROVING HEALTH CARE VALUE, Subtitle DMedicare Advantage Reforms, PART 3TREATMENT OF SPECIAL NEEDS PLANS, Sec. 1177. Extension of authority of special needs plans to restrict enrollment. Advocated for extension of the Recovery Act increase in FMAP. HR 2847-An Act making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes,TITLE IIIUNEMPLOYMENT AND OTHER EMERGENCY NEEDS CHAPTER, 3LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, GENERAL PROVISIONS, THIS CHAPTER ASSISTANCE FOR UNEMPLOYED WORKERS AND STRUGGLING FAMILIES, EXTENSION OF RECOVERY ACT INCREASE IN FMAP.

Advocated for expansion of Medicaid, elimination of categorical restrictions and continuation of the CHIP program. HR 3590--Patient Protection and Affordable Care Act, TITLE IIROLE OF PUBLIC PROGRAMS, Subtitle A-L, relating to Medicaid, and Children's Health Insurance Program. Specifically advocated for extension of drug rebate program to Medicaid managed care, Subtitle FMedicaid Prescription Drug Coverage SEC. 2501. PRESCRIPTION DRUG REBATES, (c) EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS; extention of special needs plans, Subtitle BImproving Medicare for Patients and Providers, PART IIIIMPROVING PAYMENT ACCURACY, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals; and continuation of the Children's Health Insurance Program, TITLE IIROLE OF PUBLIC PROGRAMS, Sec. 2101. Additional federal financial participation for CHIP, and TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. HR 3962-Affordable Health Care for America Act, Division B-Medicare and Medicaid Improvements, Title VII Medicaid and CHIP, Subtitles A to H. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Title VII, subtitle E, Section 1743, Extension of prescription drug discounts to enrollees of Medicaid managed care organizations, continuation of Special Needs Plan demonstrations, Division B, Title I, Subtitle D, Part 3, Treatment of Special Needs Plans, section 1177 and continuation of the Children's Health Insurance Program, Title II Public Programs, Subtitle B and C, Enchased Support for the Children's Health Insurance Program and Medicaid and CHIP Enrollment Simplification, Subtitle JImprovements to the Medicaid and CHIP Payment and Access Commission (MACPAC), TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. S-1796-Americas Healthy Future Act of 2009, Title I-Health Insurance Coverage, Subtitle GRole of Public Programs Parts I-IX. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Part V Medicaid Prescription Drug Coverage, Section 1651 Prescription Drug Rebates, (c) Extension of Prescription Drug Discounts to Enrollees of Medicaid Managed Care Organizations; continuation of Special Needs Plans,TITLE IIIIMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals, and continuation of the Children's Health Insurance Program, PART IICHILDRENS HEALTH INSURANCE PROGRAM, Sec. 1611. Additional federal financial participation for CHIP. HR 3200 Americas Affordable Health Choices Act of 2009. Supported DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE VIIMEDICAID AND CHIP, Subtitles A-H, Title VIII Revenue Related Provisions. Specifically advocated for inclusion of the provisions relating to expansion of the Drug Discount Program to Medicaid Managed Care Organizations, Title VII, Subtitle E Financing, Sec. 1743. Extension of prescription drug discounts to enrollees of Medicaid managed care organizations and continuation of Special Needs Plans, DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE IIMPROVING HEALTH CARE VALUE, Subtitle DMedicare Advantage Reforms, PART 3TREATMENT OF SPECIAL NEEDS PLANS, Sec. 1177. Extension of authority of special needs plans to restrict enrollment. Advocated for extension of the Recovery Act increase in FMAP. HR 2847-An Act making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes,TITLE IIIUNEMPLOYMENT AND OTHER EMERGENCY NEEDS CHAPTER, 3LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, GENERAL PROVISIONS, THIS CHAPTER ASSISTANCE FOR UNEMPLOYED WORKERS AND STRUGGLING FAMILIES, EXTENSION OF RECOVERY ACT INCREASE IN FMAP.

Advocated for modification of various provisions relating to Minimum Medical Loss Ratios and imposition of special fees on health insurers. Specifically advocated for minimum medical loss ratios that related to a whole book of business on a company wide basis rather than product by product, market by market basis. Also advocated for net premium revenue attributable to Medicaid Managed Care insurance contracts be excluded from payment of the fee. HR 3590 the Patient Protection and Affordable Care Act relating to the establishment of Minimum Medical Loss Ratios, Part IV State Flexibility to Establish Alternatives Programs, Secction 1331 (b) Standard Health Plan(s), and imposition of fees oncertain health insurers, Title IX, Subsection B. Section 9010 Imposition of Annual Fee on Health Insurance Providers, Sectioin 9016 Modification of Section 833 Treatment of certain Health Care Organizations, and Title XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle HProvisions Relating to Title IX, Sec. 10905. Modification of annual fee on health insurance providers. HR 3962 Affordable Health Care for America Act, Division A, Title I-Immediate Reforms, Section 102-Ensuring Value and Lower Premiums, and Division B, Title VIII revenue Related Provisions, Subchapter B Insured and Self Insured Health Plans, Sections 4375-4377. S 1796 Americas Healthy Future Act of 2009, TITLE VIREVENUE PROVISIONS, Subtitle ARevenue Offset Provisions, Sec. 6010. Imposition of annual fee on health insurance providers. Relating to minimum loss ratios, TITLE IHEALTH CARE COVERAGE, Subtitle AInsurance Market Reforms, PART AINSURANCE REFORMS, SUBPART 4CONTINUED ROLE OF STATES, Sec. 2228. State flexibility to establish basic health programs for low-income individuals not eligible for Medicaid. HR 3200 Americas Affordable Health Choices Act of 2009, With regard to Minimum Medical Loss Ratios, DIVISION AAFFORDABLE HEALTH CARE CHOICES, Subtitle BStandards Guaranteeing Access to Affordable Coverage, Sec. 116. Ensuring value and lower premiums; Subtitle GEarly Investments, SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.

Advocated for expansion of Medicaid, elimination of categorical restrictions and continuation of the CHIP program. HR 3590--Patient Protection and Affordable Care Act, TITLE IIROLE OF PUBLIC PROGRAMS, Subtitle A-L, relating to Medicaid, and Children's Health Insurance Program. Specifically advocated for extension of drug rebate program to Medicaid managed care, Subtitle FMedicaid Prescription Drug Coverage SEC. 2501. PRESCRIPTION DRUG REBATES, (c) EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS; extention of special needs plans, Subtitle BImproving Medicare for Patients and Providers, PART IIIIMPROVING PAYMENT ACCURACY, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals; and continuation of the Children's Health Insurance Program, TITLE IIROLE OF PUBLIC PROGRAMS, Sec. 2101. Additional federal financial participation for CHIP, and TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. HR 3962-Affordable Health Care for America Act, Division B-Medicare and Medicaid Improvements, Title VII Medicaid and CHIP, Subtitles A to H. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Title VII, subtitle E, Section 1743, Extension of prescription drug discounts to enrollees of Medicaid managed care organizations, continuation of Special Needs Plan demonstrations, Division B, Title I, Subtitle D, Part 3, Treatment of Special Needs Plans, section 1177 and continuation of the Children's Health Insurance Program, Title II Public Programs, Subtitle B and C, Enchased Support for the Children's Health Insurance Program and Medicaid and CHIP Enrollment Simplification, Subtitle JImprovements to the Medicaid and CHIP Payment and Access Commission (MACPAC), TITLE XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle BProvisions Relating to Title II, PART IMEDICAID AND CHIP, Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. S-1796-Americas Healthy Future Act of 2009, Title I-Health Insurance Coverage, Subtitle GRole of Public Programs Parts I-IX. Specifically advocated for expansion of drug rebate program to Medicaid managed care organizations, Part V Medicaid Prescription Drug Coverage, Section 1651 Prescription Drug Rebates, (c) Extension of Prescription Drug Discounts to Enrollees of Medicaid Managed Care Organizations; continuation of Special Needs Plans,TITLE IIIIMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE, Subtitle CProvisions Relating to Part C, Sec. 3205. Extension for specialized MA plans for special needs individuals, and continuation of the Children's Health Insurance Program, PART IICHILDRENS HEALTH INSURANCE PROGRAM, Sec. 1611. Additional federal financial participation for CHIP. HR 3200 Americas Affordable Health Choices Act of 2009. Supported DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE VIIMEDICAID AND CHIP, Subtitles A-H, Title VIII Revenue Related Provisions. Specifically advocated for inclusion of the provisions relating to expansion of the Drug Discount Program to Medicaid Managed Care Organizations, Title VII, Subtitle E Financing, Sec. 1743. Extension of prescription drug discounts to enrollees of Medicaid managed care organizations and continuation of Special Needs Plans, DIVISION BMEDICARE AND MEDICAID IMPROVEMENTS, TITLE IIMPROVING HEALTH CARE VALUE, Subtitle DMedicare Advantage Reforms, PART 3TREATMENT OF SPECIAL NEEDS PLANS, Sec. 1177. Extension of authority of special needs plans to restrict enrollment. Advocated for extension of the Recovery Act increase in FMAP. HR 2847-An Act making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes,TITLE IIIUNEMPLOYMENT AND OTHER EMERGENCY NEEDS CHAPTER, 3LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, GENERAL PROVISIONS, THIS CHAPTER ASSISTANCE FOR UNEMPLOYED WORKERS AND STRUGGLING FAMILIES, EXTENSION OF RECOVERY ACT INCREASE IN FMAP.

Advocated for modification of various provisions relating to Minimum Medical Loss Ratios and imposition of special fees on health insurers. Specifically advocated for minimum medical loss ratios that related to a whole book of business on a company wide basis rather than product by product, market by market basis. Also advocated for net premium revenue attributable to Medicaid Managed Care insurance contracts be excluded from payment of the fee. HR 3590 the Patient Protection and Affordable Care Act relating to the establishment of Minimum Medical Loss Ratios, Part IV State Flexibility to Establish Alternatives Programs, Secction 1331 (b) Standard Health Plan(s), and imposition of fees oncertain health insurers, Title IX, Subsection B. Section 9010 Imposition of Annual Fee on Health Insurance Providers, Sectioin 9016 Modification of Section 833 Treatment of certain Health Care Organizations, and Title XSTRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS, Subtitle HProvisions Relating to Title IX, Sec. 10905. Modification of annual fee on health insurance providers. HR 3962 Affordable Health Care for America Act, Division A, Title I-Immediate Reforms, Section 102-Ensuring Value and Lower Premiums, and Division B, Title VIII revenue Related Provisions, Subchapter B Insured and Self Insured Health Plans, Sections 4375-4377. S 1796 Americas Healthy Future Act of 2009, TITLE VIREVENUE PROVISIONS, Subtitle ARevenue Offset Provisions, Sec. 6010. Imposition of annual fee on health insurance providers. Relating to minimum loss ratios, TITLE IHEALTH CARE COVERAGE, Subtitle AInsurance Market Reforms, PART AINSURANCE REFORMS, SUBPART 4CONTINUED ROLE OF STATES, Sec. 2228. State flexibility to establish basic health programs for low-income individuals not eligible for Medicaid. HR 3200 Americas Affordable Health Choices Act of 2009, With regard to Minimum Medical Loss Ratios, DIVISION AAFFORDABLE HEALTH CARE CHOICES, Subtitle BStandards Guaranteeing Access to Affordable Coverage, Sec. 116. Ensuring value and lower premiums; Subtitle GEarly Investments, SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

HR976/HR 3963. Childrens Health Insurance Program Reauthorization Act of 2007. In support

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Medicare Special Needs Plans Extension and Amendments Act of 2008 (Introduced in House)[H.R.6365.IH] Advocated substitution of provisions of this bill for section 164 of HR 6331. Medicare Improvements for Patients and Providers Act of 2008 (Placed on Calendar in Senate)[S.3101.PCS] Advocated for passage of section 164 relating to Special Needs Plans. Medicare Improvements for Patients and Providers Act of 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.6331.ENR]-Advocated for passage of section 164 relating to Special Needs Plans. Preserving Access to Medicare Act of 2008 (Placed on Calendar in Senate)[S.3118.PCS] Advocated for the inclusion of Special Needs Plans as expressed in the provisions of Section 163. Supplemental Appropriations Act, 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.2642.ENR] Advocated for the provisions contained in Title VII-Section 7001 concerning instituting a moratorium on implementation of various regulations promulgated by the DHHS.

Medicare Special Needs Plans Extension and Amendments Act of 2008 (Introduced in House)[H.R.6365.IH] Advocated substitution of provisions of this bill for section 164 of HR 6331. Medicare Improvements for Patients and Providers Act of 2008 (Placed on Calendar in Senate)[S.3101.PCS] Advocated for passage of section 164 relating to Special Needs Plans. Medicare Improvements for Patients and Providers Act of 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.6331.ENR]-Advocated for passage of section 164 relating to Special Needs Plans. Preserving Access to Medicare Act of 2008 (Placed on Calendar in Senate)[S.3118.PCS] Advocated for the inclusion of Special Needs Plans as expressed in the provisions of Section 163. Supplemental Appropriations Act, 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.2642.ENR] Advocated for the provisions contained in Title VII-Section 7001 concerning instituting a moratorium on implementation of various regulations promulgated by the DHHS.

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Medicare Special Needs Plans Extension and Amendments Act of 2008 (Introduced in House)[H.R.6365.IH] Advocated substitution of provisions of this bill for section 164 of HR 6331. Medicare Improvements for Patients and Providers Act of 2008 (Placed on Calendar in Senate)[S.3101.PCS] Advocated for passage of section 164 relating to Special Needs Plans. Medicare Improvements for Patients and Providers Act of 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.6331.ENR]-Advocated for passage of section 164 relating to Special Needs Plans. Preserving Access to Medicare Act of 2008 (Placed on Calendar in Senate)[S.3118.PCS] Advocated for the inclusion of Special Needs Plans as expressed in the provisions of Section 163. Supplemental Appropriations Act, 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.2642.ENR] Advocated for the provisions contained in Title VII-Section 7001 concerning instituting a moratorium on implementation of various regulations promulgated by the DHHS.

Medicare Special Needs Plans Extension and Amendments Act of 2008 (Introduced in House)[H.R.6365.IH] Advocated substitution of provisions of this bill for section 164 of HR 6331. Medicare Improvements for Patients and Providers Act of 2008 (Placed on Calendar in Senate)[S.3101.PCS] Advocated for passage of section 164 relating to Special Needs Plans. Medicare Improvements for Patients and Providers Act of 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.6331.ENR]-Advocated for passage of section 164 relating to Special Needs Plans. Preserving Access to Medicare Act of 2008 (Placed on Calendar in Senate)[S.3118.PCS] Advocated for the inclusion of Special Needs Plans as expressed in the provisions of Section 163. Supplemental Appropriations Act, 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.2642.ENR] Advocated for the provisions contained in Title VII-Section 7001 concerning instituting a moratorium on implementation of various regulations promulgated by the DHHS.

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Medicare Special Needs Plans Extension and Amendments Act of 2008 (Introduced in House)[H.R.6365.IH] Advocated substitution of provisions of this bill for section 164 of HR 6331. Medicare Improvements for Patients and Providers Act of 2008 (Placed on Calendar in Senate)[S.3101.PCS] Advocated for passage of section 164 relating to Special Needs Plans. Medicare Improvements for Patients and Providers Act of 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.6331.ENR]-Advocated for passage of section 164 relating to Special Needs Plans. Preserving Access to Medicare Act of 2008 (Placed on Calendar in Senate)[S.3118.PCS] Advocated for the inclusion of Special Needs Plans as expressed in the provisions of Section 163. Supplemental Appropriations Act, 2008 (Enrolled as Agreed to or Passed by Both House and Senate)[H.R.2642.ENR] Advocated for the provisions contained in Title VII-Section 7001 concerning instituting a moratorium on implementation of various regulations promulgated by the DHHS.

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Reauthorization of Special Needs Plans under the Medicare Modernization Act. Removal of the moratorium on approval of new Special Needs Plans and the expansion of existing ones for 2009. Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate)[S.2499.ENR]Modification of Section 108; HR 976, SCHIP Reauthorization (vetoed by President) HR 3162, CHAMP Act, specifically section extending SNP authority (moratorium on SNP authority in S 2499 which was signed into law in 12/07) (still waiting for Senate Medicare bill) HR 5140, Economic Stimulus Act, specifically reqeusting temporary increase in federal Medicaid match rate (was not included in bill sent to President) S 2049 and HR 3555. Repeal August 17 CMS SCHIP directive HR 5613. Exend moratorium on certain Medicaid regulations S Con Res 70 and H Con Res 312. Budget of the United States, FY 2009-2013

Lobbyed for inclusion of Title III, Section 3001 of the National Park Centennial Fund Act -S.3689, relating to the increase in the federal match to the states for Medicaid. H.R.7110, Job Creation and Unemployment Relief Act of 2008; making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for fiscal year ending September 30, 2009 and other purposes; in support of provisions relating to a temporary increase in the federal medical assistance percentage under the Medicaid program; Title III Temporary increase in the Medicaid Match Rate. H.R.976/H.R.3963, Childrens Health Insurance Program Reauthorization Act of 2007; In support of all provisions. H.R.5268/S.2620, To provide for a temporary increase in the federal medical assistance percentage under the Medicaid program, and for other purposes; In support of all provisions.

Advocated for the establishing the congressional budget for the United States Government for fiscal year 2008 and setting forth appropriate budgetary levels for fiscal years 2009 through 2012. (Introduced in House)[H.CON.RES. 99] Advocated for inclusion of sufficient funds for the reauthorization of the Children's Health Insurance Program and Special Needs Plans.

S-401 To amend title XXI of the Social Security Act to eliminate funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 advocated enactment. S-895 Children's Health First Act commented on titles I and II. S-1022 To amend title XXI of the Social Security Act to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007, and for other purposes. Advocated enactment of Section 1. S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 commented on all provisions relating to CHIP. State Children's Health Insurance Program reauthorization, Medicare Special Needs Plans reauthorization, HR 2147 Healthy Kid Act of 2007; HR 1535 Children's Health First Act of 2007; Senate Concurrent Resulition 21(Concrrent Resolution on the Budgert for Fiscal Year 2008); S 1022 to amend title XXI of SSA to eliminate funding shortfalls in the Children's Health Insurance Program;

S-401 To amend title XXI of the Social Security Act to eliminate funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 advocated enactment. S-895 Children's Health First Act commented on titles I and II. S-1022 To amend title XXI of the Social Security Act to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007, and for other purposes. Advocated enactment of Section 1. S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 commented on all provisions relating to CHIP. State Children's Health Insurance Program reauthorization, Medicare Special Needs Plans reauthorization, HR 2147 Healthy Kid Act of 2007; HR 1535 Children's Health First Act of 2007; Senate Concurrent Resulition 21(Concrrent Resolution on the Budgert for Fiscal Year 2008); S 1022 to amend title XXI of SSA to eliminate funding shortfalls in the Children's Health Insurance Program;

S-401 To amend title XXI of the Social Security Act to eliminate funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 advocated enactment. S-895 Children's Health First Act commented on titles I and II. S-1022 To amend title XXI of the Social Security Act to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007, and for other purposes. Advocated enactment of Section 1. S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 commented on all provisions relating to CHIP. State Children's Health Insurance Program reauthorization, Medicare Special Needs Plans reauthorization, HR 2147 Healthy Kid Act of 2007; HR 1535 Children's Health First Act of 2007; Senate Concurrent Resulition 21(Concrrent Resolution on the Budgert for Fiscal Year 2008); S 1022 to amend title XXI of SSA to eliminate funding shortfalls in the Children's Health Insurance Program;

S-401 To amend title XXI of the Social Security Act to eliminate funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 advocated enactment. S-895 Children's Health First Act commented on titles I and II. S-1022 To amend title XXI of the Social Security Act to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal year 2007, and for other purposes. Advocated enactment of Section 1. S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 commented on all provisions relating to CHIP. State Children's Health Insurance Program reauthorization, Medicare Special Needs Plans reauthorization, HR 2147 Healthy Kid Act of 2007; HR 1535 Children's Health First Act of 2007; Senate Concurrent Resulition 21(Concrrent Resolution on the Budgert for Fiscal Year 2008); S 1022 to amend title XXI of SSA to eliminate funding shortfalls in the Children's Health Insurance Program;

Support for reallocation of unused SCHIP funds from states with surpluses to states with shortages.-HR 6111Tax Relief and Health Care Act of 2006; Support for S 3590 an amendment to Title XXI of SSA delaying effective date of DRA of 2005 requiring documentation evidence of citizenship.

HR 5 HEALTH Act; S.4 The Healthy America Act Act; S 1337 Fair and Reliable Medical Justice Act

HR 5 HEALTH Act; S.4 The Healthy America Act Act; S 1337 Fair and Reliable Medical Justice Act