MATTHEW O'DONNELL

See attached addendum for General Lobbying Issue Area: HCR - Healthcare 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 Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies 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 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 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 Manadate

See attached addendum for genearl lobbying issue area: HCR - Health Issues. Health Care Reform bill HR 3590, the "Patient Protection and Affordable Care Act" sections pertaining to health care reform; Health Care Reconciliation bill HR 4872, the "Health Care and Education Reconciliation Act of 2010" sections pertaining to health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; insurer tax, lack of adequate cost containment provisions; weak individual mandate; restricted age discounts (5:1 vs. 3:1); fedearl health insurance rate review authority; national health insurance exchange; grandfathering Insurance market reforms; provisions affecting the individual and small group health insurance markets; sections affecting small business health care options; medical loss ratios; community rating; health status rating; excise tax on high value health plans; need for effective individual mandate; realistic minimum benefit values; provider underpayments; level playing field among all insurers in the market Health care quality; patient-centered medical homes; wellness and chronic disease management; comparative effectiveness research; electronic health records; administrative simplifications; insurer anti-trust exemption.

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Health Status Rating; Individual Manadate; Medical Loss Ratios; HR 3200 "America's Affordable Health Choices Act of 2009"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR 3962 "Affordable Health Care for America Act"; HR 3962 Manager's Amendment; HR 3590 "Patient Protection and Affordable Care Act"; HR 3590 Manager's Amendment Government-run health insurance Plan; Government Plan Trigger; Government's ability to negotiate rates; state opt-out; Co-Ops; Medicare Provider Payment Rates; Provider Underpayments; Level Playing Field between Government and Private Insurance; Proposed insurer fees; excise taxes on high value Plans ("cadillac tax"); premium caps; Flexibility in Age rating - 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; New federal regulatory functions; value of existing state regulatory functions; Federal Exchanges; Federal Connectors; State-based exchanges; Pooling of insurance markets; 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; Electronic Health Records; Administrative Simplification; Funding for new medical schools.

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Health Status Rating; Individual Manadate; Medical Loss Ratios; HR 3200 "America's Affordable Health Choices Act of 2009"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR 3962 "Affordable Health Care for America Act"; HR 3962 Manager's Amendment; HR 3590 "Patient Protection and Affordable Care Act"; HR 3590 Manager's Amendment Government-run health insurance Plan; Government Plan Trigger; Government's ability to negotiate rates; state opt-out; Co-Ops; Medicare Provider Payment Rates; Provider Underpayments; Level Playing Field between Government and Private Insurance; Proposed insurer fees; excise taxes on high value Plans ("cadillac tax"); premium caps; Flexibility in Age rating - 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; New federal regulatory functions; value of existing state regulatory functions; Federal Exchanges; Federal Connectors; State-based exchanges; Pooling of insurance markets; 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; Electronic Health Records; Administrative Simplification; Funding for new medical schools.

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Health Status Rating; Individual Manadate; Medical Loss Ratios; HR 3200 "America's Affordable Health Choices Act of 2009"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR 3962 "Affordable Health Care for America Act"; HR 3962 Manager's Amendment; HR 3590 "Patient Protection and Affordable Care Act"; HR 3590 Manager's Amendment Government-run health insurance Plan; Government Plan Trigger; Government's ability to negotiate rates; state opt-out; Co-Ops; Medicare Provider Payment Rates; Provider Underpayments; Level Playing Field between Government and Private Insurance; Proposed insurer fees; excise taxes on high value Plans ("cadillac tax"); premium caps; Flexibility in Age rating - 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; New federal regulatory functions; value of existing state regulatory functions; Federal Exchanges; Federal Connectors; State-based exchanges; Pooling of insurance markets; 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; Electronic Health Records; Administrative Simplification; Funding for new medical schools.

Medicare; Medicare Advantage: S3101"Medicare Improvements for Patients and Providers Act of 2008" Sections 124, 132, 134, 161, and 162; Medicare Electronic Records; Pay for performance

S.3408, the "Comparative Effectiveness Research Act of 2008"; Proposed Rulemaking from CMS on ICD-10; Mental Health Parity

S.3408, the "Comparative Effectiveness Research Act of 2008"; Proposed Rulemaking from CMS on ICD-10; H.R. 1424, the "Emergency Economic Stabilization Act" (Mental Health Parity provisions); Health IT (privacy and security issues); and Health Care Reform, including discussion on exchanges/connectors, rating reforms, and expansion of SCHIP.

S.3408, the "Comparative Effectiveness Research Act of 2008"; Proposed Rulemaking from CMS on ICD-10; H.R. 1424, the "Emergency Economic Stabilization Act" (Mental Health Parity provisions); Health IT (privacy and security issues); and Health Care Reform, including discussion on exchanges/connectors, rating reforms, and expansion of SCHIP.