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HIGHMARK, INC.

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Insulin Copay Caps, Drug Pricing, Pharmacy Benefit Manager (PBM) Reform, Generic Drug Manufacturing Senate Finance Committee PBM Reform Framework H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 1488/S. 954 - The Affordable Insulin Now Act -- A bill to provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 127. - The Pharmacy Benefit Manager Transparency Act - This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. S.1339 - The Pharmacy Benefit Manager Reform Act - A bill to provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. H.R.2679 - The Pharmacy Benefits Manager Accountability Act - A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes. H.R. 3561 - PATIENT Act of 2023 - This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). H.R. 2630/S. 652 - The Safe Step Act -- This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. H.R. 830/S. 1375 - The HELP Copays Act -- This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements. H.R. 2880 - Protecting Patients Against PBM Abuses Act -- This bill establishes requirements for Medicare pharmacy benefit managers (PBMs) with respect to remuneration, payments, and fees. Specifically, the bill restricts PBMs that are under contract with plans under the Medicare prescription drug benefit or Medicare Advantage from (1) receiving income for their services other than flat dollar amount service fees; (2) basing any service fees on the prices of covered drugs or any associated discounts, rebates, or other remuneration; (3) charging plan sponsors for ingredient costs or dispensing fees in amounts that are different than what is reimbursed to the pharmacy; or (4) reimbursing network pharmacies for less than that what is reimbursed to PBM-affiliated pharmacies.
Affordability of Coverage, Affordable Care Act Subsidies, Telehealth, Mental Health, Workforce Shortages, Transparency in Coverage, Banning Anticompetitive Terms in Facility and Insurance Contracts, Site-Neutral Payments, Hospital Billing, Social Determinants of Health, Hunger/Nutrition, Food as Medicine, Medical Loss Ratio, Rural Health Care Access, Artificial Intelligence H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 3417 - FAIR Act - A bill to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S.1869 - SITE Act - A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. S.2840 - Bipartisan Primary Care and Health Workforce Act - A bill to improve access to and the quality of primary health care, expand the health workforce, and for other purposes. H.R. 1843/S. 1001 - The Telehealth Expansion Act - This bill permanently exempts high deductible health plans from the requirement of a deductible for telehealth and other remote care services.
Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Change Healthcare Cyber attack, Prior Authorization, Medicaid Redeterminations, Site Neutral Payments, Social Determinants of Health H.R.5746 - Addressing Whole Health in Medicare Advantage Act - A bill To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act - A bill to amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. S. 1002 -- No UPCODE Act -- To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Amortization of Research and Experimental Expenditures S. 866 - The American Innovation and Jobs Act This bill revises and expands the deductibility of research and experimental expenditures to allow immediate expensing of such expenditures. It also allows the amortization over a period of at least 60 months of certain other types of research and experimental expenditures not treated as expenses.

Duration: November 1, 2007 to present

General Issues: Pharmacy, Health Issues, Medicare/Medicaid, Taxation/Internal Revenue Code, Government Issues, Budget/Appropriations

Spending: about $14,447,569 (But it's complicated. Here's why.)

Agencies lobbied since 2007: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), White House Office, Health & Human Services - Dept of (HHS), Centers For Disease Control & Prevention (CDC), U.S. Senate,, Health & Human Services - Dept of (HHS), Labor - Dept of (DOL), Congressional Budget Office (CBO), Office of Management & Budget (OMB), Y Y CMS HHS, Y Y HHS, Y Y

Bills mentioned

H.R.173: Middle Class Health Benefits Tax Repeal Act of 2017

Sponsor: Mike Kelly (R-Pa.)

H.R.246: To repeal the annual fee on health insurance providers enacted by the...

Sponsor: Kristi Noem (R-S.D.)

H.R.1628: American Health Care Act of 2017

Sponsor: Diane Black (R-Tenn.)

S.1354: Individual Health Insurance Marketplace Improvement Act

Sponsor: Thomas R. Carper (D-Del.)

H.R.908: Medicare Advantage Quality Payment Relief Act of 2017

Sponsor: Mike Kelly (R-Pa.)

H.R.3921: HEALTHY KIDS Act

Sponsor: Michael C. Burgess (R-Texas)

H.R.1148: FAST Act of 2017

Sponsor: Morgan Griffith (R-Va.)

H.R.314: Health Care Choice Act of 2017

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.1101: Small Business Health Fairness Act of 2017

Sponsor: Sam Johnson (R-Texas)

H.R.633: Patient Fairness and Relief Act of 2017

Sponsor: Gregg Harper (R-Miss.)

H.R.708: State Age Rating Flexibility Act of 2017

Sponsor: Larry Bucshon (R-Ind.)

H.R.710: Health Coverage State Flexibility Act of 2017

Sponsor: Bill Flores (R-Texas)

H.R.706: Plan Verification and Fairness Act of 2017

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.661: Employee Fairness and Relief Act of 2017

Sponsor: Brett Guthrie (R-Ky.)

H.R.928: To repeal the annual fee on health insurance providers enacted by the...

Sponsor: Charles Boustany Jr. (R-La.)

H.R.2488: Medicare Beneficiary Preservation of Choice Act of 2015

Sponsor: Keith Rothfus (R-Pa.)

H.R.3463: Aligning Children's Dental Coverage Act

Sponsor: Morgan Griffith (R-Va.)

H.R.3742: Access to Marketplace Insurance Act

Sponsor: Kevin Cramer (R-N.D.)

H.R.4275: Medicare Advantage Quality Payment Relief Act of 2015

Sponsor: Mike Kelly (R-Pa.)

H.R.5410: Health Coverage State Flexibility Act of 2016

Sponsor: Bill Flores (R-Texas)

H.R.5447: Small Business Health Care Relief Act of 2016

Sponsor: Charles Boustany Jr. (R-La.)

H.R.5589: Plan Verification and Fairness Act of 2016

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.5904: Taxpayers Before Insurers Act

Sponsor: Mark Walker (R-N.C.)

S.183: Jobs and Premium Protection Act

Sponsor: John Barrasso (R-Wyo.)

H.R.2646: Helping Families in Mental Health Crisis Act of 2016

Sponsor: Tim Murphy (R-Pa.)

H.R.5273: Helping Hospitals Improve Patient Care Act of 2016

Sponsor: Pat Tiberi (R-Ohio)

H.R.5921: State Age Rating Flexibility Act of 2016

Sponsor: Larry Bucshon (R-Ind.)

S.524: Comprehensive Addiction and Recovery Act of 2016

Sponsor: Sheldon Whitehouse (D-R.I.)

H.R.5506: To amend title XVIII of the Social Security Act to establish a...

Sponsor: Todd Young (R-Ind.)

S.2484: CONNECT for Health Act

Sponsor: Brian Schatz (D-Hawaii)

H.R.1624: Protecting Affordable Coverage for Employees Act

Sponsor: Brett Guthrie (R-Ky.)

S.1099: PACE Act

Sponsor: Tim Scott (R-S.C.)

S.1347: Electronic Health Fairness Act of 2015

Sponsor: Johnny Isakson (R-Ga.)

H.R.6: 21st Century Cures Act

Sponsor: Fred Upton (R-Mich.)

S.123: Obamacare Taxpayer Bailout Prevention Act

Sponsor: Marco Rubio (R-Fla.)

H.R.221: Obamacare Taxpayer Bailout Prevention Act

Sponsor: Andy Harris (R-Md.)

H.R.2: Medicare Access and CHIP Reauthorization Act of 2015

Sponsor: Michael C. Burgess (R-Texas)

S.1726: Obamacare Taxpayer Bailout Prevention Act

Sponsor: Marco Rubio (R-Fla.)

H.R.3541: Obamacare Taxpayer Bailout Prevention Act

Sponsor: Tim Griffin (R-Ark.)

S.1486: Postal Reform Act of 2014

Sponsor: Thomas R. Carper (D-Del.)

H.R.647: ABLE Act of 2014

Sponsor: Ander Crenshaw (R-Fla.)

S.603: Jobs and Premium Protection Act

Sponsor: John Barrasso (R-Wyo.)

H.R.763: To repeal the annual fee on health insurance providers enacted by the...

Sponsor: Charles Boustany Jr. (R-La.)

H.R.3367: To amend section 9010 of the Patient Protection and Affordable Care Act...

Sponsor: Charles Boustany Jr. (R-La.)

H.R.83: Consolidated and Further Continuing Appropriations Act, 2015

Sponsor: Donna M.C. Christensen (D-Virgin Islands)

H.J.RES.124: Continuing Appropriations Resolution, 2015

Sponsor: Harold Rogers (R-Ky.)

H.R.460: Patients' Access to Treatments Act of 2013

Sponsor: David McKinley (R-W.Va.)

H.R.3522: Employee Health Care Protection Act of 2013

Sponsor: Bill Cassidy (R-La.)

H.R.3750: Telehealth Modernization Act of 2013

Sponsor: Doris Matsui (D-Calif.)

H.R.2667: Authority for Mandate Delay Act

Sponsor: Tim Griffin (R-Ark.)

H.R.762: Health Care Choice Act of 2013

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.3985: Stop Obamacare's Risky Provisions Act

Sponsor: Lynn Westmoreland (R-Ga.)

H.R.4160: Keep the Promise to Seniors Act of 2014

Sponsor: Renee Ellmers (R-N.C.)

H.R.2810: SGR Repeal and Medicare Beneficiary Access Act of 2013

Sponsor: Michael C. Burgess (R-Texas)

H.R.544: Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act

Sponsor: Phil Gingrey (R-Ga.)

H.R.1206: Access to Professional Health Insurance Advisors Act of 2011

Sponsor: Mike Rogers (R-Mich.)

S.2068: Access to Independent Health Insurance Advisors Act of 2012

Sponsor: Mary L. Landrieu (D-La.)

H.R.2309: Postal Reform Act of 2012

Sponsor: Darrell Issa (R-Calif.)

S.1789: 21st Century Postal Service Act of 2012

Sponsor: Joseph I. Lieberman (I-Conn.)

H.R.1370: To repeal the annual fee on health insurance providers enacted by the...

Sponsor: Charles Boustany Jr. (R-La.)

S.1880: Jobs and Premium Protection Act

Sponsor: John Barrasso (R-Wyo.)

H.R.5858: Health Savings Accounts Improvements Act of 2012

Sponsor: Wally Herger (R-Calif.)

H.R.5651: Food and Drug Administration Reform Act of 2012

Sponsor: Fred Upton (R-Mich.)

H.R.5842: Restoring Access to Medication Act of 2012

Sponsor: Lynn Jenkins (R-Kan.)

H.R.371: Health Care Choice Act of 2011

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.1213: To repeal mandatory funding provided to States in the Patient Protection...

Sponsor: Fred Upton (R-Mich.)

H.R.3630: Middle Class Tax Relief and Job Creation Act of 2012

Sponsor: Dave Camp (R-Mich.)

H.R.5: Protecting Access to Healthcare Act

Sponsor: Phil Gingrey (R-Ga.)

H.R.1: Disaster Relief Appropriations Act, 2013

Sponsor: Harold Rogers (R-Ky.)

H.R.1231: Reversing President Obama's Offshore Moratorium Act

Sponsor: Doc Hastings (R-Wash.)

S.3078: Health Insurance Rate Authority Act of 2010

Sponsor: Dianne Feinstein (D-Calif.)

H.R.4757: Health Insurance Rate Authority Act of 2010

Sponsor: Jan Schakowsky (D-Ill.)

H.R.4700: Transparency in All Health Care Pricing Act of 2010

Sponsor: Steve Kagen (D-Wis.)

H.R.6130: Strengthening Medicare Anti-Fraud Measures Act of 2010

Sponsor: Pete Stark (D-Calif.)

H.R.5200: FEHBP Dependent Coverage Extension Act

Sponsor: Chris Van Hollen (D-Md.)

H.R.3590: Patient Protection and Affordable Care Act

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.4872: Health Care and Education Reconciliation Act of 2010

Sponsor: John M. Spratt Jr. (D-S.C.)

H.R.4626: Health Insurance Industry Fair Competition Act

Sponsor: Tom Perriello (D-Va.)

H.R.3200: America's Affordable Health Choices Act of 2009

Sponsor: John D. Dingell (D-Mich.)

H.R.3962: Preservation of Access to Care for Medicare Beneficiaries and Pension...

Sponsor: John D. Dingell (D-Mich.)

S.1681: Health Insurance Industry Antitrust Enforcement Act of 2009

Sponsor: Patrick J. Leahy (D-Vt.)

H.R.3596: Health Insurance Industry Antitrust Enforcement Act of 2009

Sponsor: John Conyers Jr. (D-Mich.)

S.1679: Affordable Health Choices Act

Sponsor: Tom Harkin (D-Iowa)

H.R.1321: Healthy Americans Act

Sponsor: Anna G. Eshoo (D-Calif.)

S.391: Healthy Americans Act

Sponsor: Ron Wyden (D-Ore.)

H.CON.RES.85: Setting forth the congressional budget for the United States Government...

Sponsor: John M. Spratt Jr. (D-S.C.)

S.CON.RES.13: An original concurrent resolution setting forth the congressional budget...

Sponsor: Kent Conrad (D-N.D.)

H.R.1897: Healthy Workforce Act of 2009

Sponsor: Earl Blumenauer (D-Ore.)

S.803: Healthy Workforce Act of 2009

Sponsor: Tom Harkin (D-Iowa)

S.RES.156: A resolution expressing the sense of the Senate that reform of our...

Sponsor: Sherrod Brown (D-Ohio)

S.386: Fraud Enforcement and Recovery Act of 2009

Sponsor: Patrick J. Leahy (D-Vt.)

H.R.1427: Promoting Innovation and Access to Life-Saving Medicine Act

Sponsor: Henry A. Waxman (D-Calif.)

H.R.1: American Recovery and Reinvestment Act of 2009

Sponsor: David R. Obey (D-Wis.)

H.R.2: Children's Health Insurance Program Reauthorization Act of 2009

Sponsor: Frank Pallone (D-N.J.)

S.275: Children's Health Insurance Program Reauthorization Act of 2009

Sponsor: Max Baucus (D-Mont.)

H.R.1253: Health Insurance Restrictions and Limitations Clarification Act of 2009

Sponsor: Michael C. Burgess (R-Texas)

H.R.3801: First-Time Homebuyer Credit Continuation Act of 2009

Sponsor: Joe Sestak (D-Pa.)

S.1848: A bill to modify and extend the suspension of duty on fludioxinil...

Sponsor: Ben Nelson (D-Neb.)

H.R.1256: Family Smoking Prevention and Tobacco Control Act

Sponsor: Henry A. Waxman (D-Calif.)

H.R.6331: Medicare Improvements for Patients and Providers Act of 2008

Sponsor: Charles B. Rangel (D-N.Y.)

S.3101: Medicare Improvements for Patients and Providers Act of 2008

Sponsor: Max Baucus (D-Mont.)

S.3118: Preserving Access to Medicare Act of 2008

Sponsor: Charles E. Grassley (R-Iowa)

H.R.971: Community Pharmacy Fairness Act of 2007

Sponsor: Anthony Weiner (D-N.Y.)

S.2161: Community Pharmacy Fairness Act of 2007

Sponsor: Johnny Isakson (R-Ga.)

H.R.1368: Personalized Health Information Act of 2007

Sponsor: Patrick J. Kennedy (D-R.I.)

S.1783: Ten Steps to Transform Health Care in America Act

Sponsor: Michael B. Enzi (R-Wyo.)

S.1693: Wired for Health Care Quality Act

Sponsor: Edward M. Kennedy (D-Mass.)

H.R.3800: Promoting Health Information Technology Act

Sponsor: Anna G. Eshoo (D-Calif.)

H.R.2406: Healthcare Information Technology Enterprise Integration Act

Sponsor: Bart Gordon (D-Tenn.)

H.R.6357: PRO(TECH)T Act of 2008

Sponsor: John D. Dingell (D-Mich.)

S.1019: Universal Health Care Choice and Access Act

Sponsor: Tom Coburn (R-Okla.)

S.334: Healthy Americans Act

Sponsor: Ron Wyden (D-Ore.)

H.R.3163: Healthy Americans Act

Sponsor: Brian Baird (D-Wash.)

S.2795: Small Business Health Options Program Act of 2008

Sponsor: Richard J. Durbin (D-Ill.)

S.3712: A bill to make a technical correction in the Paul Wellstone and Pete...

Sponsor: Edward M. Kennedy (D-Mass.)

H.R.3801: Trade Adjustment Assistance Improvement Act

Sponsor: Adam Smith (D-Wash.)

S.1848: Trade and Globalization Adjustment Assistance Act of 2007

Sponsor: Max Baucus (D-Mont.)

H.R.976: Children's Health Insurance Program Reauthorization Act of 2007

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.3963: Children's Health Insurance Program Reauthorization Act of 2007

Sponsor: John D. Dingell (D-Mich.)

H.R.2851: Michelle's Law

Sponsor: Paul W. Hodes (D-N.H.)

S.400: Michelle's Law

Sponsor: John E. Sununu (R-N.H.)

H.R.3920: Trade and Globalization Assistance Act of 2007

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.3162: Children's Health and Medicare Protection Act of 2007

Sponsor: John D. Dingell (D-Mich.)

H.R.2184: Enhanced Health Care Value for All Act of 2007

Sponsor: Thomas H. Allen (D-Maine)

S.618: Insurance Industry Competition Act of 2007

Sponsor: Patrick J. Leahy (D-Vt.)

H.R.493: Genetic Information Nondiscrimination Act of 2008

Sponsor: Louise M. Slaughter (D-N.Y.)

S.358: Genetic Information Nondiscrimination Act of 2007

Sponsor: Olympia J. Snowe (R-Maine)

H.R.1424: A bill to provide authority for the Federal Government to purchase and...

Sponsor: Patrick J. Kennedy (D-R.I.)

S.558: Mental Health Parity Act of 2007

Sponsor: Pete V. Domenici (R-N.M.)

H.R.5550: To amend title 5, United States Code, to increase the maximum age to...

Sponsor: Danny K. Davis (D-Ill.)

S.2041: False Claims Act Correction Act of 2008

Sponsor: Charles E. Grassley (R-Iowa)

H.R.758: Breast Cancer Patient Protection Act of 2008

Sponsor: Rosa DeLauro (D-Conn.)

H.R.4296: Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007

Sponsor: Allyson Y. Schwartz (D-Pa.)

H.R.3043: Departments of Labor, Health and Human Services, and Education, and...

Sponsor: David R. Obey (D-Wis.)

S.1710: Departments of Labor, Health and Human Services, and Education, and...

Sponsor: Tom Harkin (D-Iowa)

H.R.3922: CHAMPIONING HEALTHY KIDS Act

Sponsor: Greg Walden (R-Ore.)

H.R.2212: CREATES Act of 2017

Sponsor: Tom Marino (R-Pa.)

H.R.3976: Access to Marketplace Insurance Act

Sponsor: Kevin Cramer (R-N.D.)

H.R.1: An Act to provide for reconciliation pursuant to titles II and V of the...

Sponsor: Kevin Brady (R-Texas)

H.R.1625: Consolidated Appropriations Act, 2018

Sponsor: Edward Royce (R-Calif.)

H.R.1892: Bipartisan Budget Act of 2018

Sponsor: John B. Larson (D-Conn.)

H.R.4666: Premium Relief Act of 2017

Sponsor: Ryan Costello (R-Pa.)

H.R.2051: FAST Generics Act of 2017

Sponsor: David McKinley (R-W.Va.)

H.R.6: SUPPORT for Patients and Communities Act

Sponsor: Greg Walden (R-Ore.)

H.R.5009: Jessie's Law

Sponsor: Tim Walberg (R-Mich.)

H.R.5963: To delay the reimposition of the annual fee on health insurance...

Sponsor: Kristi Noem (R-S.D.)

H.R.5684: Protecting Seniors From Opioid Abuse Act

Sponsor: Mike Kelly (R-Pa.)

H.R.6082: Overdose Prevention and Patient Safety Act

Sponsor: Markwayne Mullin (R-Okla.)

S.3063: Health Insurance Tax Relief Act of 2018

Sponsor: John Barrasso (R-Wyo.)

S.3497: Medicare Advantage Quality Payment Relief Act of 2018

Sponsor: Steve Daines (R-Mont.)

H.R.4952: Improving Seniors Access to Quality Benefits Act

Sponsor: Mike Kelly (R-Pa.)

S.3496: Improving Seniors Access to Quality Benefits Act

Sponsor: Steve Daines (R-Mont.)

H.R.965: CREATES Act of 2019

Sponsor: David Cicilline (D-R.I.)

H.R.1385: SAVE Act

Sponsor: Andy Kim (D-N.J.)

H.R.1386: ENROLL Act of 2019

Sponsor: Kathy Castor (D-Fla.)

H.R.987: Strengthening Health Care and Lowering Prescription Drug Costs Act

Sponsor: Lisa Blunt Rochester (D-Del.)

H.R.1010: To provide that the rule entitled "Short-Term, Limited Duration...

Sponsor: Kathy Castor (D-Fla.)

H.R.986: Protecting Americans with Preexisting Conditions Act of 2019

Sponsor: Ann McLane Kuster (D-N.H.)

H.R.1425: Patient Protection and Affordable Care Enhancement Act

Sponsor: Angie Craig (D-Minn.)

H.R.1143: Educating Consumers on the Risks of Short-Term Plans Act of 2019

Sponsor: Anna G. Eshoo (D-Calif.)

S.172: Health Insurance Tax Relief Act of 2019

Sponsor: Cory Gardner (R-Colo.)

S.684: Middle Class Health Benefits Tax Repeal Act of 2019

Sponsor: Martin Heinrich (D-N.M.)

H.R.748: CARES Act

Sponsor: Joe Courtney (D-Conn.)

H.R.1398: Health Insurance Tax Relief Act of 2019

Sponsor: Ami Bera (D-Calif.)

H.R.1346: Medicare Buy-In and Health Care Stabilization Act of 2019

Sponsor: Brian Higgins (D-N.Y.)

H.R.1384: Medicare for All Act of 2019

Sponsor: Pramila Jayapal (D-Wash.)

H.R.3502: Protecting People From Surprise Medical Bills Act

Sponsor: Raul Ruiz (D-Calif.)

S.1895: Lower Health Care Costs Act

Sponsor: Lamar Alexander (R-Tenn.)

H.R.1781: Payment Commission Data Act of 2019

Sponsor: Buddy Carter (R-Ga.)

H.R.938: BLOCKING Act of 2019

Sponsor: Kurt Schrader (D-Ore.)

H.R.1520: Further Extension of Continuing Appropriations Act, 2021

Sponsor: Anna G. Eshoo (D-Calif.)

H.R.1503: Orange Book Transparency Act of 2020

Sponsor: Robin Kelly (D-Ill.)

H.R.1499: Protecting Consumer Access to Generic Drugs Act of 2019

Sponsor: Bobby L. Rush (D-Ill.)

H.R.3: Elijah E. Cummings Lower Drug Costs Now Act

Sponsor: Frank Pallone (D-N.J.)

H.R.275: Medicare Prescription Drug Price Negotiation Act of 2019

Sponsor: Peter Welch (D-Vt.)

H.R.448: Medicare Drug Price Negotiation Act

Sponsor: Elijah E. Cummings (D-Md.)

H.R.1046: Medicare Negotiation and Competitive Licensing Act of 2019

Sponsor: Lloyd Doggett (D-Texas)

H.R.3630: No Surprises Act

Sponsor: Frank Pallone (D-N.J.)

H.R.4378: Continuing Appropriations Act, 2020, and Health Extenders Act of 2019

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.3107: Improving Seniors' Timely Access to Care Act of 2019

Sponsor: Suzan K. DelBene (D-Wash.)

H.R.4004: Social Determinants Accelerator Act of 2019

Sponsor: Cheri Bustos (D-Ill.)

H.R.2279: Safe Step Act

Sponsor: Raul Ruiz (D-Calif.)

S.2546: Safe Step Act

Sponsor: Lisa Murkowski (R-Alaska)

H.R.3439: PATIENTS Act

Sponsor: Donald Beyer (D-Va.)

S.2897: Patient-Centered Outcomes Research Institute Reauthorization Act

Sponsor: Mark Warner (D-Va.)

S.3013: Encouraging Innovative Benefit Design to Lower Costs for Seniors Act

Sponsor: Patrick J. Toomey (R-Pa.)

H.R.5826: Consumer Protections Against Surprise Medical Bills Act of 2020

Sponsor: Richard E. Neal (D-Mass.)

S.3548: CARES Act

Sponsor: Mitch McConnell (R-Ky.)

H.R.5800: Ban Surprise Billing Act

Sponsor: Robert C. Scott (D-Va.)

H.R.6201: Families First Coronavirus Response Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.6311: Care for COVID-19 Act

Sponsor: Raul Ruiz (D-Calif.)

H.R.6299: Rapid Coverage of COVID-19 Vaccine Act of 2020

Sponsor: Joe Courtney (D-Conn.)

H.R.6173: Covering Coronavirus Test Act of 2020

Sponsor: Diana DeGette (D-Colo.)

H.R.6213: No Cost for COVID-19 Testing Act

Sponsor: Frederica Wilson (D-Fla.)

H.R.6222: Ensuring Affordable COVID-19 Preventive Care Act of 2020

Sponsor: Jan Schakowsky (D-Ill.)

H.R.6232: To require the Secretary of Health and Human Services, through the...

Sponsor: Tony Cárdenas (D-Calif.)

H.R.6231: Ensuring Access to COVID-19 Preventive Care Act of 2020

Sponsor: Larry Bucshon (R-Ind.)

H.R.6244: To amend titles XVIII and XIX to provide for coverage at no cost sharing...

Sponsor: Robin Kelly (D-Ill.)

H.R.6263: To amend title XVIII of the Social Security Act to waive cost sharing...

Sponsor: John Sarbanes (D-Md.)

H.R.6810: Health Care Protection Act

Sponsor: Rodney Davis (R-Ill.)

H.R.6800: The Heroes Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.6545: Health Insurance Marketplace Affordability Act of 2020

Sponsor: Stephanie Murphy (D-Fla.)

H.R.7659: Ensuring Parity in MA for Audio-Only Telehealth Act of 2020

Sponsor: Terri Sewell (D-Ala.)

H.R.133: Consolidated Appropriations Act, 2021

Sponsor: Henry Cuellar (D-Texas)

H.R.8337: Continuing Appropriations Act, 2021 and Other Extensions Act

Sponsor: Nita M. Lowey (D-N.Y.)

S.4840: Ensuring Parity in MA for Audio-Only Telehealth Act of 2020

Sponsor: Pat Roberts (R-Kan.)

H.R.133: David’s Law

Sponsor: Sheila Jackson Lee (D-Texas)

H.R.1319: American Rescue Plan Act of 2021

Sponsor: John Yarmuth (D-Ky.)

S.748: Medicare Sequester Relief Act

Sponsor: Jeanne Shaheen (D-N.H.)

S.150: Ensuring Parity in MA for Audio-Only Telehealth Act of 2021

Sponsor: Catherine Cortez Masto (D-Nev.)

H.R.2166: Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021

Sponsor: Terri Sewell (D-Ala.)

H.R.1868: To prevent across-the-board direct spending cuts, and for other purposes.

Sponsor: John Yarmuth (D-Ky.)

H.R.3: Elijah E. Cummings Lower Drug Costs Now Act

Sponsor: Frank Pallone (D-N.J.)

H.R.2503: Social Determinants Accelerator Act of 2021

Sponsor: Cheri Bustos (D-Ill.)

H.R.3969: To amend title XXVII of the Public Health Service Act to include...

Sponsor: John Curtis (R-Utah)

H.R.959: Black Maternal Health Momnibus Act of 2021

Sponsor: Lauren Underwood (D-Ill.)

H.R.3894: CARING for Social Determinants Act of 2021

Sponsor: Lisa Blunt Rochester (D-Del.)

H.R.4074: Addressing Social Determinants in Medicare Advantage Act of 2021

Sponsor: Gus Bilirakis (R-Fla.)

S.CON.RES.14: A concurrent resolution setting forth the congressional budget for the...

Sponsor: Bernard Sanders (ID-Vt.)

H.R.5376: Inflation Reduction Act of 2022

Sponsor: John Yarmuth (D-Ky.)

H.R.6833: Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023

Sponsor: Angie Craig (D-Minn.)

S.3700: Affordable Insulin Now Act

Sponsor: Raphael Warnock (D-Ga.)

H.R.7666: Restoring Hope for Mental Health and Well-Being Act of 2022

Sponsor: Frank Pallone (D-N.J.)

H.R.3173: Improving Seniors’ Timely Access to Care Act of 2021

Sponsor: Suzan K. DelBene (D-Wash.)

S.3018: Improving Seniors’ Timely Access to Care Act of 2021

Sponsor: Roger Marshall (R-Kan.)

H.R.7767: Strengthening Behavioral Health Benefits Act

Sponsor: Joe Courtney (D-Conn.)

S.346: Black Maternal Health Momnibus Act of 2021

Sponsor: Cory Booker (D-N.J.)

S.4804: Parity Enforcement Act of 2022

Sponsor: Christopher S. Murphy (D-Conn.)

H.R.7780: Mental Health Matters Act

Sponsor: Mark DeSaulnier (D-Calif.)

H.R.432: Mental Health Access Improvement Act of 2021

Sponsor: Mike Thompson (D-Calif.)

S.828: Mental Health Access Improvement Act of 2021

Sponsor: John Barrasso (R-Wyo.)

H.R.8594: Restore Protections for Dialysis Patients Act

Sponsor: Yvette D. Clarke (D-N.Y.)

S.4750: Restore Protections for Dialysis Patients Act

Sponsor: Robert Menendez (D-N.J.)

H.R.2617: Consolidated Appropriations Act, 2023

Sponsor: Gerald E. Connolly (D-Va.)

H.R.1488: Affordable Insulin Now Act

Sponsor: Angie Craig (D-Minn.)

S.954: Affordable Insulin Now Act of 2023

Sponsor: Raphael Warnock (D-Ga.)

S.127: Pharmacy Benefit Manager Transparency Act of 2023

Sponsor: Maria Cantwell (D-Wash.)

S.142: Preserve Access to Affordable Generics and Biosimilars Act

Sponsor: Amy Klobuchar (D-Minn.)

H.R.1843: Telehealth Expansion Act of 2023

Sponsor: Michelle Steel (R-Calif.)

S.1001: Telehealth Expansion Act of 2023

Sponsor: Steve Daines (R-Mont.)

S.1002: No UPCODE Act

Sponsor: Bill Cassidy (R-La.)

S.866: American Innovation and Jobs Act

Sponsor: Margaret Hassan (D-N.H.)

S.1339: Pharmacy Benefit Manager Reform Act

Sponsor: Bernard Sanders (ID-Vt.)

H.R.2679: Pharmacy Benefits Manager Accountability Act

Sponsor: Ann McLane Kuster (D-N.H.)

H.R.3561: PATIENT Act of 2023

Sponsor: Cathy McMorris Rodgers (R-Wash.)

H.R.2630: Safe Step Act

Sponsor: Brad Wenstrup (R-Ohio)

S.652: Safe Step Act

Sponsor: Lisa Murkowski (R-Alaska)

H.R.830: HELP Copays Act

Sponsor: Buddy Carter (R-Ga.)

S.1375: HELP Copays Act

Sponsor: Roger Marshall (R-Kan.)

S.1869: SITE Act

Sponsor: Mike Braun (R-Ind.)

H.R.3417: FAIR Act

Sponsor: Kevin Hern (R-Okla.)

H.R.5378: Lower Costs, More Transparency Act

Sponsor: Cathy McMorris Rodgers (R-Wash.)

S.2840: Bipartisan Primary Care and Health Workforce Act

Sponsor: Bernard Sanders (ID-Vt.)

H.R.5746: Addressing Whole Health in Medicare Advantage Act

Sponsor: Gus Bilirakis (R-Fla.)

S.1038: Drug Price Transparency in Medicaid Act of 2023

Sponsor: Peter Welch (D-Vt.)

H.R.1613: Drug Price Transparency in Medicaid Act of 2023

Sponsor: Buddy Carter (R-Ga.)

H.R.2880: Protecting Patients Against PBM Abuses Act

Sponsor: Buddy Carter (R-Ga.)

Show All Mentioned Bills

Lobbyists

Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.

Lobbyist	Covered positions?
Michael Warfel	n/a
Greg Englert	n/a
Gregory Englert	n/a
Arielle Phillips	n/a
Micheal Warfel	n/a
Mike Warfel	n/a

Disclosures Filed

Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.

1st Quarter, 2024

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 19. Original Filing: 301567287.xml

Lobbying Issues

Insulin Copay Caps, Drug Pricing, Pharmacy Benefit Manager (PBM) Reform, Generic Drug Manufacturing Senate Finance Committee PBM Reform Framework H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 1488/S. 954 - The Affordable Insulin Now Act -- A bill to provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 127. - The Pharmacy Benefit Manager Transparency Act - This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. S.1339 - The Pharmacy Benefit Manager Reform Act - A bill to provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. H.R.2679 - The Pharmacy Benefits Manager Accountability Act - A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes. H.R. 3561 - PATIENT Act of 2023 - This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). H.R. 2630/S. 652 - The Safe Step Act -- This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. H.R. 830/S. 1375 - The HELP Copays Act -- This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements. H.R. 2880 - Protecting Patients Against PBM Abuses Act -- This bill establishes requirements for Medicare pharmacy benefit managers (PBMs) with respect to remuneration, payments, and fees. Specifically, the bill restricts PBMs that are under contract with plans under the Medicare prescription drug benefit or Medicare Advantage from (1) receiving income for their services other than flat dollar amount service fees; (2) basing any service fees on the prices of covered drugs or any associated discounts, rebates, or other remuneration; (3) charging plan sponsors for ingredient costs or dispensing fees in amounts that are different than what is reimbursed to the pharmacy; or (4) reimbursing network pharmacies for less than that what is reimbursed to PBM-affiliated pharmacies.

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordability of Coverage, Affordable Care Act Subsidies, Telehealth, Mental Health, Workforce Shortages, Transparency in Coverage, Banning Anticompetitive Terms in Facility and Insurance Contracts, Site-Neutral Payments, Hospital Billing, Social Determinants of Health, Hunger/Nutrition, Food as Medicine, Medical Loss Ratio, Rural Health Care Access, Artificial Intelligence H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 3417 - FAIR Act - A bill to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S.1869 - SITE Act - A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. S.2840 - Bipartisan Primary Care and Health Workforce Act - A bill to improve access to and the quality of primary health care, expand the health workforce, and for other purposes. H.R. 1843/S. 1001 - The Telehealth Expansion Act - This bill permanently exempts high deductible health plans from the requirement of a deductible for telehealth and other remote care services.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Change Healthcare Cyber attack, Prior Authorization, Medicaid Redeterminations, Site Neutral Payments, Social Determinants of Health H.R.5746 - Addressing Whole Health in Medicare Advantage Act - A bill To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act - A bill to amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. S. 1002 -- No UPCODE Act -- To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2023

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 19. Original Filing: 301533040.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordability of Coverage, Telehealth, Mental Health, Workforce Shortages, Transparency in Coverage, Banning Anticompetitive Terms in Facility and Insurance Contracts, Site-Neutral Payments, Hospital Billing, Social Determinants of Health, Hunger/Nutrition, Food as Medicine, Medical Loss Ratio, Rural Health Care Access, Artificial Intelligence H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 3417 - FAIR Act - A bill to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S.1869 - SITE Act - A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. S.2840 - Bipartisan Primary Care and Health Workforce Act - A bill to improve access to and the quality of primary health care, expand the health workforce, and for other purposes. H.R. 1843/S. 1001 - The Telehealth Expansion Act - This bill permanently exempts high deductible health plans from the requirement of a deductible for telehealth and other remote care services.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage, Risk Adjustment, Star Ratings, Health Equity Index, Prior Authorization, Medicaid Redeterminations, Site Neutral Payments, Social Determinants of Health Senate Finance Committee PBM Reform Framework H.R.5746 - Addressing Whole Health in Medicare Advantage Act - A bill To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act - A bill to amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. S. 1002 -- No UPCODE Act -- To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2023

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2023. Original Filing: 301514573.xml

Lobbying Issues

Insulin Copay Caps, Drug Pricing, Pharmacy Benefit Manager (PBM) Reform, Generic Drug Manufacturing H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 1488/S. 954 - The Affordable Insulin Now Act -- A bill to provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 127. - The Pharmacy Benefit Manager Transparency Act - This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. S.1339 - The Pharmacy Benefit Manager Reform Act - A bill to provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. H.R.2679 - The Pharmacy Benefits Manager Accountability Act - A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes. H.R. 3561 - PATIENT Act of 2023 - This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). H.R. 2630/S. 652 - The Safe Step Act -- This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. H.R. 830/S. 1375 - The HELP Copays Act -- This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements.

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordability of Coverage, Telehealth, COVID/End of Public Health Emergency, Mental Health, Workforce Shortages, Banning Anticompetitive Terms in Facility and Insurance Contracts, Site-Neutral Payments, Hospital Billing, Social Determinants of Health, Hunger/Nutrition, Food as Medicine, Medical Loss Ratio, Rural Health Care Access, Artificial Intelligence H.R. 5378 - The Lower Costs, More Transparency Act - A bill to require health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. H.R. 3417 - FAIR Act - A bill to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S.1869 - SITE Act - A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. S.2840 - Bipartisan Primary Care and Health Workforce Act - A bill to improve access to and the quality of primary health care, expand the health workforce, and for other purposes. H.R. 1843/S. 1001 - The Telehealth Expansion Act - This bill permanently exempts high deductible health plans from the requirement of a deductible for telehealth and other remote care services.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage Rate Notice, Risk Adjustment, Star Ratings, Prior Authorization in Medicare Advantage, Medicaid Redeterminations, Site Neutral Payments, Social Determinants of Health H.R.5746 - Addressing Whole Health in Medicare Advantage Act - A bill To amend title XVIII of the Social Security Act to expand the availability of supplemental benefits to certain Medicare Advantage enrollees. S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act - A bill to amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. S. 1002 -- No UPCODE Act -- To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2023

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2023. Original Filing: 301488499.xml

Lobbying Issues

Insulin, Drug Pricing, Pharmacy Benefit Manager (PBM) Reform H.R. 1488/S. 954 - The Affordable Insulin Now Act -- A bill to provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 127. - The Pharmacy Benefit Manager Transparency Act - This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. S.1339 - The Pharmacy Benefit Manager Reform Act - A bill to provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. H.R.2679 - The Pharmacy Benefits Manager Accountability Act - A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes. H.R. 3561 - PATIENT Act of 2023 - This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). H.R. 2630/S. 652 - The Safe Step Act -- This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. H.R. 830/S. 1375 - The HELP Copays Act -- This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements.

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordability of Coverage, Telehealth, COVID/End of Public Health Emergency, Mental Health, Workforce Shortages, Site-Neutral Payments, Social Determinants of Health, Medical Loss Ratio H.R. 1843/S. 1001 - The Telehealth Expansion Act - This bill permanently exempts high deductible health plans from the requirement of a deductible for telehealth and other remote care services. S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2023

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2023. Original Filing: 301465766.xml

Lobbying Issues

Insulin, Drug Pricing, Drug Patent Reform, Pharmacy Benefit Manager (PBM) Reform H.R. 1488/S. 954 - The Affordable Insulin Now Act A bill to provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 127. - The Pharmacy Benefit Manager Transparency Act A bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 142 -- The Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2022

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2023. Original Filing: 301438170.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Telehealth; COVID-19; Mental Health Parity; Affordability; Covid transition/PHE; Pre-deductible/site restriction telehealth extension; provider directories. H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 7780 - Mental Health Matters Act To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits. Sponsor: Rep. Mark DeSaulnier (D-CA-11) H.R. 959 - Black Maternal Health Momnibus Act of 2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) S. 346 - Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) H.R. 432 - Mental Health Access Improvement Act of 2021 To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Rep. Mike Thompson (D-CA-04) S. 828 - Mental Health Access Improvement Act of 2021 A bill to amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Sen. John Barrasso (R-WY)

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare; Medicare Advantage; Medicaid; Medicaid postpartum coverage; Medicare Advantage provider directories; Medicaid MOE; Part D; Addressing Health-Related Social Needs and SDOH in Medicaid; Medicare Advantage Prior Authorization; Dialysis parity H.R. 3173 - Improving Seniors' Timely Access to Care Act of 2021 Sponsor: Rep. Suzan DelBene (D-WA-01) S. 3018 - Improving Seniors' Timely Access to Care Act of 2021 Sponsor: Sen. Roger Marshall (R-KS) H.R. 8594 - Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Rep. Yvette Clarke (D-NY-09) S. 4750 - Restore Protections for Dialysis Patients Act A bill to amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. Sponsor: Sen. Bob Menendez (D-NJ)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2022

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 19, 2022. Original Filing: 301411911.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Telehealth; COVID-19; Extending Affordable Care Act ARPA Subsidies; Social Determinants of Health; Mental Health Parity; Affordability; Inflation Reduction Act; Mental Health Reform H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 7767 - Strengthening Behavioral Health Benefits Act To amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) S. 346 - Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) S. 4804 - Parity Enforcement Act of 2022 A bill to provide for civil monetary penalties for violations of mental health parity requirements. Sponsor: Sen. Chris Murphy (D-CT)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2022

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2022. Original Filing: 301395059.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2022

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2022. Original Filing: 301368598.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2021

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 19, 2022. Original Filing: 301329315.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2021

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2021. Original Filing: 301312562.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA subsidies; Surprise Billing, Maternal Health; COVID-19; Telehealth; Health disparities; Social Determinants of Health; Extending Exchange Subsidies; Budget Reconciliation Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03) Public Law 117-7 (H.R. 1868)- To prevent across-the-board direct spending cuts, and for other purposes. Sponsor: Rep. John Yarmuth (D-KY-03) H.R. 959 - Black Maternal Health Momnibus Act of 2021 Sponsor: Rep. Lauren Underwood (D-IL-14) H.R. 3894 - CARING for Social Determinants Act of 2021 Sponsor: Rep. Lisa Blunt Rochester (D-DE-At-Large) H.R. 3969, to include activities to improve social determinants of health in calculation of medical loss ratios

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2021

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2021. Original Filing: 301284107.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Reform; Transparency; Surprise Billing, Maternal Health; COVID-19 Response/Relief Packages, Telehealth/ Audio-Only; Black Maternal Health; Health disparities; Social Determinants of Health; Implementation timetables/deliverables; CAA; Closing Coverage Gap; Extending Exchange Subsidies Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Sponsor: Rep. Henry Cuellar (D-TX-28) H.R. 2503 - Social Determinants Accelerator Act of 2021 Sponsor: Rep. Cheri Bustos (D-IL-17) H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. Sponsor: Rep. John Curtis (R-UT-03) Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2021

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2021. Original Filing: 301264115.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2020

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2021. Original Filing: 301237841.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); Transparency; Surprise billing, COVID-19 Response/Relief Packages; Testing Funding Level/Plan Requirements; Vaccines; Electronic Medical Records; HIPAA; Telehealth; Provider Contracting H.R. 6800 - 116th Congress HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-136 (H.R. 748) - 116th Congress Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) Public Law 116-260 (H.R. 133) - 116th Congress COVID-19 Relief and Fiscal 2021 Omnibus Sponsor: Rep. Henry Cuellar (D-TX-28) S. 1895 - 116th Congress Lower Health Care Costs Act Sponsor: Sen. Lamar Alexander (R-TN) H.R. 3630 - 116th Congress No Surprises Act Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5826 - 116th Congress Consumer Protections Against Surprise Medical Bills Act of 2020 Rep. Richard Neal (D-MA-01) H.R. 6810 - 116th Congress Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 6074) - 116th Congress Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-127 (H.R. 6201) - 116th Congress Families First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-159 (H.R. 8337) - 116th Congress Continuing Appropriations Act, 2021 and Other Extensions Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2020

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2020. Original Filing: 301220052.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; Risk Adjustment; Transparency; Surprise billing, Insurer-Provider contracting, Prior Authorization; COVID-19 Response/Relief Packages, COBRA; Telehealth/Audio-Only; COVID-19 Testing S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-123 (H.R.6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136(H.R. 748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2020

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2020. Original Filing: 301198031.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); Health Reform; Risk Adjustment; Health Care Costs; Mental Health; Transparency; Surprise billing, Prior Authorization; Negotiated rate disclosure; Medicare for All; COVID-19 Response/Relief Packages, Risk Corridors; COBRA; Telehealth; SEPs; CDC Testing Guidance S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) S. 3548 - 116th Congress - Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell (R-KY) Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2020

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2020. Original Filing: 301173522.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); Affordability, ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Marketplace Stability; Individual Market Reform; Health Care Costs; Transparency; Surprise billing, Prior Authorization; Negotiated rate disclosure; Consumer-facing app disclosures; Medicare for All; Medicare Buy-in; Public Option; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] S. 2546 - 116th Congress (2019-2020) Safe Step Act Sponsor: Sen. Lisa Murkowski (R-AK) H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) S. 3548 - 116th Congress - Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell (R-KY) H.R. 5800 - 116th Congress - Second Session Ban Surprise Billing Act Sponsor: Rep. Bobby Scott (D-VA-03) H.R. 6201 - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6311 - 116th Congress - Second Session Care for COVID-19 Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6299 - 116th Congress - Second Session Rapid Coverage of COVID-19 Vaccine Act of 2020 H.R. 6173 - 116th Congress - Second Session Covering Coronavirus Test Act of 2020 Sponsor: Rep. Diana DeGette (D-CO-01) H.R. 6213 - 116th Congress - Second Session No Cost for COVID-19 Testing Act Sponsor: Rep. Frederica Wilson (D-FL-24) H.R. 6222 - 116th Congress - Second Session Ensuring Affordable COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6232 - 116th Congress - Second Session To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals. Sponsor: Rep. Tony Cardenas (D-CA-29) H.R. 6231 - 116th Congress - Second Session Ensuring Access to COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Larry Bucshon (R-IN-08) H.R. 6244 - 116th Congress - Second Session To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6263 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19. Sponsor: Rep. John Sarbanes (D-MD-03)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2019

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 17, 2020. Original Filing: 301109494.xml

Lobbying Issues

Opioids; CREATES Act; Drug Pricing; PBM/Prescription Drug Costs Rx Rebates; Biosimilars; Drug approval; Drug patents, generic drugs, Part D Reform H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] S. 2546 - 116th Congress (2019-2020) Safe Step Act Sen. Lisa Murkowski (R-AK)

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Reinsurance; CSRs; Transparency; Silverloading; Texas lawsuit; Surprise billing, Small Business; Outreach, Education, and Enrollment; Prior Authorization; All payer claims database; Negotiated rate disclosure; Provider directories; Medicare for All; Medicare Buy-in; Social determinants of health; NBPP (Notice Benefit and Payment Parameters); provider contracting, restrictions on steering and tiering H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) Cosponsors: (48) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - Strengthening Health Care and Lowering Prescription Drug Costs Act 116th Congress (2019-2020) Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] (Introduced 02/06/2019) H.R.1010 - 116th Congress (2019-2020) To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.4378 - 116th Congress (2019-2020) Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Sponsor: Rep. Lowey, Nita M. [D-NY-17] H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] S. 2897 - 116th Congress (2019-2020) Patient-Centered Outcomes Research Institute Reauthorization Act Sponsor: Sen. Mark Warner (D-VA) S. 2546 - 116th Congress (2019-2020) Safe Step Act Sen. Lisa Murkowski (R-AK)

Agencies Lobbied

Type of Issue

Lobbying Issues

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax; Tax Extenders S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Sen. Gardner, Cory [R-CO] (Introduced 01/16/2019) S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Sen. Heinrich, Martin [D-NM] (Introduced 03/06/2019) H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] (Introduced 01/24/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019)

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Medicare Prior Authorization; Medicaid General; Rate Notice and Call Letter; Medicare Part D; Part D Reform, Rx Rebates; Medicare prescription drug prices H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Rep. Suzan DelBene (D-WA-01)

Agencies Lobbied

Type of Issue

3rd Quarter, 2019

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 18, 2019. Original Filing: 301069865.xml

Lobbying Issues

(Epidemic, Deterrence); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs; Rx Rebates; Biosimilars; Drug approval; Drug patents H.R.1781 - Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.938 -BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] H.R.1520 - Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] H.R.1503 Orange Book Transparency Act of 2019 Sponsor: Rep. Kelly, Robin L. [D-IL-2] H.R.1499 - Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] H.R.965 CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] H.R.3 - Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.275 - Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] H.R.448 - Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] H.R.1046 - Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35]

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Reinsurance; CSRs; 42 CFR Part 2; Transparency; Silverloading; Texas lawsuit; Surprise billing, Transparency, Biosimilars; Provider Directories; Outreach, Education, and Enrollment; Prior Authorization; All payer claims database; Negotiated rate disclosure; Medicare for All; Medicare Buy-in; Social determinants of health; provider contracting H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) Cosponsors: (48) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - Strengthening Health Care and Lowering Prescription Drug Costs Act 116th Congress (2019-2020) Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] (Introduced 02/06/2019) H.R.1010 - 116th Congress (2019-2020) To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.4378 - 116th Congress (2019-2020) Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Sponsor: Rep. Lowey, Nita M. [D-NY-17] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36]

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Medicare Prior Authorization; Medicaid Expansion; Medicare Part D; Part D Donut Hole, Rx Rebates; Medicare prescription drug prices H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1]

Agencies Lobbied

Type of Issue

2nd Quarter, 2019

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 19, 2019. Original Filing: 301050980.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; State Flexibility; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Reinsurance; CSRs; 42 CFR Part 2; Transparency; Silverloading; Texas lawsuit; Surprise billing, Provider Directories; Outreach, Education, and Enrollment; Prior Authorization; All payer claims database; Negotiated rate disclosure; Medicare for All; Medicare Buy-in; Medicaid buy in; public option; provider contracting; social determinants; health care workplace violence H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) Cosponsors: (48) H.R.987 - Strengthening Health Care and Lowering Prescription Drug Costs Act 116th Congress (2019-2020) Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] (Introduced 02/06/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2019

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 19, 2019. Original Filing: 301030982.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; State Flexibility; Point of Sale; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Single Payer; Reinsurance; CSRs, 42 CFR Part 2; Transparency; Silverloading; Texas lawsuit; Surprise billing H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - 116th Congress (2019-2020) MORE Health Education Act Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] H.R.1010 - 116th Congress (2019-2020) To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2018

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 18, 2019. Original Filing: 301010521.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; Sec. 1332 Waivers; Short Term Limited Duration Insurance (STLDI): Reinsurance; CSRs; 42 CFR Part 2; Silverloading; Texas lawsuit; Surprise billing, HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2018

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 19, 2018. Original Filing: 300990756.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; State Flexibility; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Single Payer; Reinsurance; CSRs; 42 CFR Part 2 HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. HR 6082 Overdose Prevention and Patient Safety Act Introduced June 13, 2018 by Markwayne Mullin (R-OK) Amends the Public Health Service Act to permit substance use disorder (SUD) records to be shared among covered entities and Part 2 programs in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), for the purposes of treatment, payment, and healthcare operations. In order to protect individuals seeking and receiving SUD treatment, the bill enhances the protections on the disclosure of SUD treatment records to non-covered entities and non-Part 2 programs by, except for authorization by court order or by consent of the patient, prohibiting the use of these records in any criminal, civil, or administrative investigations, actions, or proceedings. The legislation increases the penalties in the event of unlawful disclosure of SUD treatment records and establishes breach notification requirements in accordance with the Health Information Technology for Economic and Clinical Health (HITECH) Act. Finally, the bill requires the Secretary of Health and Human Services to issue regulations prohibiting discrimination based on data disclosed from such medical records, to issue regulations requiring covered entities to provide written notice of privacy practices, and to develop model training programs and materials for health care providers and patients and their families. S 1354 Individual Health Insurance Marketplace Improvement Act introduced June 14, 2017 by Thomas Carper (D-DE) A bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs.

Agencies Lobbied

Type of Issue

Lobbying Issues

Health Insurance Tax (HIT Tax); Tax Credits HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 5963 Introduced May 24, 2018 by Kristi Noem (R-SD) To delay the reimposition of the annual fee on health insurance providers until after 2020. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY) A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Rate Notice and Call Letter; Medicare Part D; Benchmark Caps HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 908, S 3497 Medicare Advantage Quality Payment Relief Act - This bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid to disregard the application of certain percentage quality increases when calculating the maximum payment that may be made to a Medicare Advantage organization. HR 4952, S 3496 Improving Seniors Access to Quality Benefits Act - This bill requires the Centers for Medicare & Medicaid Services to report on how the inclusion of quality percentage increases in Programs of All-Inclusive Care for the Elderly affects certain payment calculations under Medicare Advantage.

Agencies Lobbied

Type of Issue

2nd Quarter, 2018

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2018. Original Filing: 300975673.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA); ACA Regulations; Opioid Epidemic; ACA Stabilization;; Health Savings Accounts (HSAs); Cost Sharing Reductions (CSRs); Health Care Reform Reinsurance; Market Stability; State Flexibility; Pay-fors; Affordability; 1332 Templates; Risk Adjustment; Drug Pricing; Association Health Plans; Short Term Limited Duration; 42 CFR Part 2; Individual Market Reform; CREATES Act; Marketplace Certainty Act; Individual Market Rules; Small Group Market HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. HR 3922 Championing Healthy Kids Act Introduced October 3, 2017 by Greg Walden (R-OR) Extends funding for the Childrens Health Insurance Program (CHIP) through Fiscal Year (FY) 2022, Federally Qualified Health Centers (FQHCs) through FY2019, and revises CHIP and Medicaid. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. HR 4666 Premium Relief Act Introduced December 18, 2017 by Ryan Costello (R-PA) To amend the Public Health Service Act to provide for a Patient and State Stability Fund. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 5009 Jessies Law Introduced February 13, 2018 by Tim Walberg (R-MI) Ensures medical professionals have access to a consenting patients complete health information when making treatment decisions by requiring the Department of Health and Human Services (HHS) to develop and annually disseminate best practices regarding the prominent display of substance use disorder (SUD) history in records of patients who have previously provided this information to a health care provider.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Rate Notice and Call Letter; Medicaid; Opioids; Medicare Part D; 340B drug pricing, Hospital shared space limitations HR 3921 HEALTHY KIDS Act Introduced October 3, 2017 by Michael Burgess (R-TX) To extend funding for the Children's Health Insurance Program, and for other purposes. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 5009 Jessies Law Introduced February 13, 2018 by Tim Walberg (R-MI) Ensures medical professionals have access to a consenting patients complete health information when making treatment decisions by requiring the Department of Health and Human Services (HHS) to develop and annually disseminate best practices regarding the prominent display of substance use disorder (SUD) history in records of patients who have previously provided this information to a health care provider. HR 5684 Protecting Seniors From Opioid Abuse Act Introduced May 7, 2018 by Mike Kelly (R-PA) To amend title XVIII of the Social Security Act to expand eligibility for medication therapy management programs established under part D of the Medicare program to include certain individuals who are at risk for prescription drug abuse.

Agencies Lobbied

Type of Issue

1st Quarter, 2018

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2018. Original Filing: 300953360.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Regulations; Health Care Reform; Reinsurance; CSRs (Cost Sharing Reductions); Individual Mandate; Drug Pricing; Individual Market Reform; Market Stabilization; AHPs (Association Health Plans; Waivers; Small Group Market Reform; STLDI (Short Term Limited Duration Insurance); HIT (Health Insurance Tax); Catastrophic Coverage beyond age 30; Tax Credits; Graham-Cassidy Legislation; Collins-Nelson Legislation; Alexander-Murray Legislation, 1332 Waivers, subsidy restructuring; Hyde Amendment H.R.1625 - Consolidated Appropriations Act of 2018 H.R. 1892 - Bipartisan Budget Act of 2018 H.R.173 - 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017Sponsor: Rep. Kelly, Mike [R-PA-3] (Introduced 01/03/2017) H.R.246 - 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.Sponsor: Rep. Noem, Kristi L. [R-SD-At Large] (Introduced 01/04/2017) H.R.1101 - 115th Congress (2017-2018) Small Business Health Fairness Act of 2017 H.R.708 - 115th Congress (2017-2018) State Age Rating Flexibility Act of 2017 H.R.3922 - 115th Congress (2017-2018) CHAMPIONING HEALTHY KIDS Act H.R.2212 - 115th Congress (2017-2018) CREATES Act of 2017 H.R.4666 - 115th Congress (2017-2018) Premium Relief Act of 2017 H.R.3976 - 115th Congress (2017-2018) Access to Marketplace Insurance Act

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2017

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 19, 2018. Original Filing: 300930310.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Regulations; Health Care Reform; Reinsurance; CSRs (Cost Sharing Reductions); Individual Mandate; Drug Pricing; Individual Market Reform; Market Stabilization; AHPs (Association Health Plans; Waivers; Small Group Market Reform; STLD (Short Term Limited Duration); HIT (Health Insurance Tax); Grace Periods; SEPs (Special Enrollment Periods); Catastrophic Coverage beyond age 30; Tax Credits; Graham-Cassidy Legislation; Collins-Nelson Legislation; Alexander-Murray Legislation H.R.173 - 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017 Sponsor: Rep. Kelly, Mike [R-PA-3] (Introduced 01/03/2017) H.R.246 - 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.Sponsor: Rep. Noem, Kristi L. [R-SD-At Large] (Introduced 01/04/2017) H.R.1101 - 115th Congress (2017-2018) Small Business Health Fairness Act of 2017 H.R.708 - 115th Congress (2017-2018) State Age Rating Flexibility Act of 2017 H.R.3922 - 115th Congress (2017-2018) CHAMPIONING HEALTHY KIDS Act H.R.2212 - 115th Congress (2017-2018) CREATES Act of 2017 H.R.4666 - 115th Congress (2017-2018) Premium Relief Act of 2017 H.R.3976 - 115th Congress (2017-2018) Access to Marketplace Insurance Act

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2017

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2017. Original Filing: 300913147.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Regulations; American Health Care Act (AhCA); Health Care Reform; Health Savings Accounts (HSAs); Reinsurance; Cost Sharing Reductions (CSRs); Implementation; Special Needs Plans (SNP); Third Party Payment of Premiums (TPP); Repeal and Replace; Individual Market Reform; Market Stability; Grace Periods; SEPs; Senate Health Reform Bill (BCRA);Association Health Plans. H.R.173 - 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017 Sponsor: Rep. Kelly, Mike [R-PA-3] (Introduced 01/03/2017) H.R.246 - 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.Sponsor: Rep. Noem, Kristi L. [R-SD-At Large] (Introduced 01/04/2017) H.R.1628 - 115th Congress (2017-2018) American Health Care Act of 2017 Sponsor: Rep. Black, Diane [R-TN-6] (Introduced 03/20/2017) S.1354 - 115th Congress (2017-2018) Individual Health Insurance Marketplace Improvement Act Sponsor: Sen. Carper, Thomas R. [D-DE] (Introduced 06/14/2017)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2017

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2017. Original Filing: 300892029.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Regulations; 0American Health Care Act (ACHA); Health Care Reform; Health Savings Accounts (HSAs); Reinsurance; Cost Sharing Reductions (CSRs); Implementation; Third Party Payment of Premiums (TPP); Repeal and Replace; Drug Pricing; Risk Ratios; Individual Market Reform; Market Stability; Marketplace Certainty Act; Mental Health Parity; 2017 Notice of Benefit and Payment Parameters; Grace Periods; SEPs; Better Care Reconciliation Act HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 314 Introduced January 5, 2017 by Marsha Blackburn (R-TN) To repeal title I of the Patient Protection and Affordable Care Act and to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. HR 1628 American Health Care Act Introduced March 20, 2017 by Diane Black (R-TN) The American Health Care Act of 2017 (AHCA), also known as the Better Care Reconciliation Act of 2017 (BCRA), is the leading proposal to "repeal and replace" the Affordable Care Act (aka Obamacare, but we'll abbreviate it ACA) and "defund" Planned Parenthood. S 1354 Individual Health Insurance Marketplace Improvement Act introduced June 14, 2017 by Thomas Carper (D-DE) A bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2017

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 19, 2017. Original Filing: 300871178.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Regulations; American Health Care Act (AHCA); Health Care Reform; Implementation; Cost Sharing Reduction (CSR); Reinsurance; Health Savings Accounts (HSAs); Repeal and Replace; Grace Periods; SEPs; Marketplace Stability; Individual Marketplace Reform; Anti-trust; Medical Malpractice Reform; Association Health Plans, Selling across state lines HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 633 Patient Fairness and Relief Act of 2017 Introduced January 24, 2017 by Gregg Harper (R-MS) To authorize health insurance issuers to continue to offer for sale health insurance coverage offered in the individual market before the enactment of the Patient Protection and Affordable Care Act in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 708 State Age Rating Flexibility Act of 2017 Introduced by Larry Bucshon (R-IN) This bill amends the Public Health Service Act to increase the permissible variation based on age for health insurance premiums for coverage offered in the individual or small group market from a factor of three to a factor of five, or to a factor determined by the state. This applies to plan years starting on or after January 1, 2018. HR 710 Health Coverage State Flexibility Act of 2017 Introduced January 17, 2017 by Bill Flores(R-TX) This bill amends the Patient Protection and Affordable Care Act to revise the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. The grace period is shortened from 3 months to 30 days unless state law includes an applicable grace period. HR 706 Plan Verification and Fairness Act of 2017 Introduced January 27, 2017 by Marsha Blackburn (R-TN) This bill amends the Patient Protection and Affordable Care Act to require health insurance exchanges to verify an individual's eligibility for a special enrollment period before coverage is made effective. Individuals seeking coverage through an exchange during a special enrollment period must submit to the exchange the documents necessary to verify their eligibility for the special enrollment period. HR 661 Employee Fairness and Relief Act of 2017 Introduced January 24, 2017 by Brett Guthrie (R-KY) To authorize health insurance issuers to offer for sale previously available health insurance coverage in the small group market in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2016

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2017. Original Filing: 300852881.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act (ACA) Issues; ACA Regulations; HCR Implementation; Re-insurance; Co-ops; Market Stability; Cost-sharing Reduction (CSR); Better Way; ACA Reform; Risk Corridors; Chronic Care; Mental Health Reform; Premium Education; Third Party Payment of Premiums; SEPs; Grace Periods; Age Bands, Individual Mandate. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) To amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State law. HR 5447 Small Business Health Care Relief Act of 2016 Introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provisions of Federal law with regard to the Patient Protection and Affordable Care Act's Transitional Reinsurance Program

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Site-neutral Payments; Rate Notice and Call Letter. Medicaid reimbursement HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited.

Agencies Lobbied

Type of Issue

3rd Quarter, 2016

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2016. Original Filing: 300836068.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act Issues - Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Market Stability; Special Enrollment Periods (SEPs); Reinsurance; Risk Corridors; Risk Mitigation; Risk Programs; Premiums; Health Reimbursement Arrangements (HRAs) Legislation; Individual Market Reform; Exchanges; Age Bands. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 5273 Helping Hospitals Improve Patient Care Act of 2016 Introduced May 18, 2016 by Patrick Taberi (R-OH) To amend title XVIII of the Social Security Act to provide for regulatory relief under the Medicare program for certain providers of services and suppliers and increased transparency in hospital coding and enrollment data, and for other purposes. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State law. HR 5447 Small Business Health Care Relief Act of 2016 Introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provisions of Federal law with regard to the Patient Protection and Affordable Care Act. Affordable Care Act's Transitional Reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) To amend title XXVII of the Public Health Service Act to change the permissible age variation in health insurance premium rates. S. 524 Comprehensive Addiction and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. Heroin overdoses have more than tripled in the last five years, an issue receiving outsize attention nationally but especially during the presidential campaign season as New Hampshire has been one of the hardest-hit states.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage; Medicaid; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Site-neutral Payments; Rate Notice and Call Letter; QHP Quality Rating System (QRS); ESRD HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) To amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited.

Agencies Lobbied

Type of Issue

2nd Quarter, 2016

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2016. Original Filing: 300816293.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act Issues - Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Implementation; Cyber Security;Open Enrollment; Market Stability; Grace Periods; Special Enrollment Periods (SEPs); Reinsurance; Taskforce; Premiums; Health Reimbursement Arrangements (HRAs) Legislation; Individual Market Reform; Tobacco Cessation Programs Other Health Care Issues - Mental Health Parity; Opioid Education; End Stage Renal Disease (ESRD) HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) To amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State law. HR 5447 Small Business Health Care Relief Act of 2016 Introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5589 Plan Verification and Fairness Act of 2016 Introduced by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. S. 524 Comprehensive Addiction and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. Heroin overdoses have more than tripled in the last five years, an issue receiving outsize attention nationally but especially during the presidential campaign season as New Hampshire has been one of the hardest-hit states.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medigap; Medicare Advantage; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; ICD-10; Site-neutral Payments; Medicare Fraud; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; Medical Billing; Transparency Tools; QHP Quality Rating System (QRS); Star Rating System; Risk Adjustment; Employer Group Waivers HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited.

Agencies Lobbied

Type of Issue

1st Quarter, 2016

Amendment

HIGHMARK, INC. amended a lobbying report for in-house lobbying in Q12016 on May 5, 2016 Original Filing: 300804917.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act Issues - Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Open Enrollment; Market Stability; Grace Periods; Special Enrollment Periods (SEPs); Risk Corridors, Reinsurance Other Health Care Issues - Opioid Education HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes. as introduced. S. 2484 the Clinical Opportunities for Novel and Necessary Effective Technologies (CONNECT) for Health Act Introduced February 2, 2016 by Brian Schatz (D-HI) A bill to amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring services, and for other purposes.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2016

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 18, 2016. Original Filing: 300793797.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2015

Amendment

HIGHMARK, INC. amended a lobbying report for in-house lobbying in Q42015 on Feb. 1, 2016 Original Filing: 300785848.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act; Small Group Expansion; Payment reform; 2017 Notice of Benefit and Payment Parameters; ACA Regulations; Co-ops; Risk Stabilization programs; Open Enrollment; Market Stability; Site-neutral payments HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes. as introduced. S. 1099 Introduced April 27, 2015 by Tim Scott (R-SC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1347 Electronic Health Fairness Act of 2015 Introduced May 14, 2015 by John Isakson (R-GA) bill to amend title XVIII of the Social Security Act with respect to the treatment of patient encounters in ambulatory surgical centers in determining meaningful EHR use, and for other purposes.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2015

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2016. Original Filing: 300779501.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2015

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2015. Original Filing: 300761043.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act; Delivery System Reform; Implementation; Small Group Expansion; Opioid Abuse; Medical Loss Ratios; Exchanges; Payment Reform; Plan Innovation; ACA Regulations; Risk Corridors; Site-Neutral Payments HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. S. 1099 Introduced April 27, 2015 by Tim Scott (R-SC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2015

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2015. Original Filing: 300745962.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act Issues: Small group expansion; Reinsurance; Risk Corridors; Delivery system reform; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications. Other Major Health Care Related Issues: Medicare Advantage; Health care quality issues; Site-neutral Payments; Payment reform; Opioid abuse; Medical Loss Ratios. S 123 Introduced January 8, 2015 by Marco Rubio (R-FL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016. S. 1099 Introduced April 27, 2015 by Tim Scott (R-SC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. HR 221 Introduced January 8, 2015 by Andy Harris (R-MD) Taxpayer bailout of health insurers. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2015

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2015. Original Filing: 300723891.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Affordable Care Act Issues: Risk Corridors; implementation issues; Premiums; Exchanges; CHIP reauthorization; Medicare Advantage; Small Group Expansion; Reinsurance; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Proposals to limit tiering of specialty pharmaceuticals; S 123 Introduced January 8, 2015 by Marco Rubio (R-FL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified. HR 221 Introduced January 8, 2015 by Andy Harris (R-MD) Taxpayer bailout of health insurers HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. HR 2 Introduced by March 24, 2015 Michael Burgess (R-TX) Medicare Access and CHIP Reauthorization Act of 2015 Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance. Requires specified incentive payments to eligible participants in an alternative payment model. Equalization of dental benefits inside and outside of health insurance exchanges.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Reforms: Medicare A & B; Delivery System Reforms, Benefit Restructuring ; Medigap first-dollar coverage; Medicare Advantage, Part D Quality Initiatives/SGR Reform; ICD-10, Medicare Advantage Star Ratings; Site-Neutral Medicare Payments CHIP (Children's Health Insurance Program) reauthorization; Medicare co-pay limits HR 2 Introduced March 24, 2015 by Michael Burgess (R-TX) Medicare Access and CHIP Reauthorization Act of 2015 Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance. Requires specified incentive payments to eligible participants in an alternative payment model. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2014

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2015. Original Filing: 300703439.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Advantage , Star Ratings See attached addendum HR 647 - /ABLE Act Introduced February 13, 2013 by Ander Crenshaw (R-FL) Achieving a Better Life Experience Act of 2014 or the ABLE Act of 2014 - Title I: Qualified ABLE Programs - (Sec. 101) States as the purposes of this title to: (1) encourage and assist individuals and families in saving private funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life; and (2) provide secure funding for disability-related expenses of beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, title XVI (Supplemental Security Income) and title XIX (Medicaid) of the Social Security Act, the beneficiary's employment, and other sources.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2014

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2014. Original Filing: 300686866.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Area; HCR - Healthcare H.R. H.R. 460 Introduced by Rep. David McKinley (02/04/2013) Patients' Access to Treatments Act of 2013 - Amends the Public Health Service Act to establish cost-sharing limits for health plans that cover prescription drugs and use a formulary or other tiered cost-sharing structure. Prohibits such a health plan from imposing cost-sharing requirements, including co-payment and co-insurance, applicable to prescription drugs in a specialty drug tier that exceed the dollar amount of cost-sharing requirements applicable to prescription drugs in a non-preferred brand drug tier. Applies the non-preferred brand drug tier for which beneficiary cost-sharing is lowest, if a formulary used by the health plan contains more than one non-preferred brand drug tier. Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Electronic Health Records (EHRs); Health IT Roadmap; Expatriate Legislation. See following page on Health Care Reform issues S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2014

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 21, 2014. Original Filing: 300668023.xml

Lobbying Issues

See atddendum page.Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, for any period after December 31, 2014, from being required to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums.

Agencies Lobbied

Type of Issue

Lobbying Issues

Medicare Reforms: Medicare A & B; Delivery System Reforms, Benefit Restructuring ; Medigap first-dollar coverage; Quality Initiatives/SGR Reform, Medicare Advantage Risk Delay Part D Cuts, See addendum on additional Medicare/Medicaid issues...Multi-State Plan Programs, Medicare Patient Access and Quality Improvement Act of 2013, Medicare Prescription Drug Integrity. Medicare fraud; Provider terminations in Medicare Advantage HR 4160 Introduced March 6, 2014 by Renee Ellmers (R-NC) Keep the Promise to Seniors Act of 2014 - Prohibits the Secretary of Health and Human Services (HHS) from taking any action (through promulgation of a final or interim final regulation, issuance of regulatory or program guidance, use of federal payment audit procedures, or other enforcement or administrative action, policy, or practice) to implement any provision of the proposed regulation (relating to policy and technical changes to the MedicareAdvantage and part D programs under Medicare) published in the Federal Register on January 10, 2014, insofar as that regulation relates to part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA), including its application to MedicareAdvantage- Prescription Drug (MA-PD) plans under part C (Medicare+Choice Program).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2014

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 9, 2014. Original Filing: 300654358.xml

Lobbying Issues

See addendum page.Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851 HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: Delay of Individual Mandate; ACA Implementation; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation See following pages on Health Care Reform issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2013

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 21, 2014. Original Filing: 300624739.xml

Lobbying Issues

See atddendum page.Successful Insurance Industry Implementation of Health Reforms: Reasonable regulatory implementation timeline for compliance with PL 111-148. Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms. Federal exchanges; Multi-State Health Plans. Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts; Individual Mandate; Grandfathering; Risk Corridors; Reinsurance. Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2013

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 21, 2013. Original Filing: 300605496.xml

Lobbying Issues

See atddendum page.Successful Insurance Industry Implementation of Health Reforms: Reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts Federal Employee Health Benefit Program (FEHBP): proposals to remove postal employees from FEHBP; allow additional types of carriers including regionalPPOs to be included in the coverage options offered by OPM

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2013

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 22, 2013. Original Filing: 300584537.xml

Lobbying Issues

See atddendum page.Successful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148. Affordable Private Health Care: effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms. State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database. Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management. Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts. Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2013

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 19, 2013. Original Filing: 300557120.xml

Lobbying Issues

See AdenedumSuccessful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148. Affordable Private Health Care: effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms. State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database. Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees. Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management. Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts. Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. HR 544 Introduced by Gingrey (R-Ga.) on February 6, 2013. Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act HR 763 Introduced by Boustany (R-La.) on February 15, 2013. A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S 603 Introduced by Barrasso (R-Wyo.) on March 19, 2013. A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2012

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 22, 2013. Original Filing: 300538250.xml

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: HR1206 "Access to Professional Health Insurance Act of 2011"; S 2068 "Access to Independent Health Insurance Advisors Act of 2012" Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Guaranteed Issue; Community Rating; Age Rating; Health Savings Accounts Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; HR 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP; S1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2012

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 22, 2012. Original Filing: 300517186.xml

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Health Insurance Tax; Affordable Essential Health Benefits; Inextricable link between Individual Mandate and Insurance Reforms; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; existing state regulatory functions Medical Loss Ratios: MLR Broker Fee;Quality improvement definition; Consistent reporting requirements for all insurers; include benefits for individuals as well as populations; MLR Broker Fees: HR1206 "Access to Professional Health Insurance Act of 2011", S 2068 "Access to Independent Health Insurance Advisors Act of 2012" Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Telemedicine Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Age Rating; Health Status Rating; Health Savings Accounts: HR5858 "Health Savings Accounts Improvement Act of 2012"; Individual Mandate Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; HR 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP; S1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2012

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2012. Original Filing: 300498000.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Health Insurance Tax; Affordable Essential Health Benefits; Inextricable link between Individual Mandate and Insurance Reforms; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; existing state regulatory functions; Selling Health Insurance across state lines: HR371 "Health Care Choice Act of 2011" Medical Loss Ratios: MLR Broker Fee; State Innovation Waivers 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; Telemedicine Health Information Technology Standards; Electronic Health Records; Data Sharing; Data Aggregation; Centralized All-Payer Database Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts: HR5858 "Health Savings Accounts Improvement Act of 2012"; Individual Mandate; Association Health Plans Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; HR 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP; S1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2012

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2012. Original Filing: 300472217.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful Insurance Industry Implementation of Health Reforms: reasonable regulatory implementation timeline for compliance with PL 111-148 Affordable Private Health Care: Health Insurance Excise Tax; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" State-based regulation: State Oversight of Premium Increases; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges" 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 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 Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM HR3630 "Middle Class Tax Relief and Job Creation Act of 2012"

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2011

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2012. Original Filing: 300448799.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum.Successful Insurance Industry Implementation of Heatlh Reforms: 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; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based Regulation: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competiton 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: Quality improvement definition; Consistent reporting requirements for all insurers Health Care Quality: Delivery System Incentives to Promote Better Care; Pay for Performance Health Information Technology Standards: Centralized All-Payer Database Insurance Market Reform: Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Account/Medical Savings Accounts; Individual Mandate Dental & Vision: Review impacts of PPACA to standalone dental and vision plans BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2011

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2011. Original Filing: 300427443.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See addendum.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; 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"; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 "Access to Professional Health Insurance Advisors Act of 2011"; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans Health Information Technology Standards; Electronic Health Records; Administrative Simplification; 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 Dental & Vision: Review impacts of PPACA to standalone dental and vision plans.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2011

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2011. Original Filing: 300399316.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful 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 Initial Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; 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 rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; Quality improvement definition Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Health Disparities; Wellness; Chronic Care Management: Childhood Obesity Dental and Vision Benefits: Essential health benefit package; participation inside and outside of the Exchange 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

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2011

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 19, 2011. Original Filing: 300369138.xml

Lobbying Issues

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; 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 rate review; existing state regulatory functions; selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011 Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers 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 Health Information Technology Standards; Health Information Privacy; Electronic Health Records 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

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2010

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2011. Original Filing: 300347745.xml

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful 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 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 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 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

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2010

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 19, 2010. Original Filing: 300319591.xml

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - Health IssuesSuccessful Insurance Industry Implementation of Health Reforms: good faith compliance standard, Reasonable Effective Dates for Compliance with PL 111-148 State Oversight of Premium Increases: S3078 and HR4757 Health Insurance Rate Authority Act of 2010; Federal Rate Review; Existing State Regulatory Functions; State Exchanges Medical Loss Ratios: Quality Improvement Definition; Consistent Reporting Requirements for All Insurers 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; 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; Health Disparities, HHS Advisory Committee on Minority Health; Wellness; Chronic Care Management; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity; Highmark Healthy High 5 Initiative 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

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2010

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 19, 2010. Original Filing: 300293428.xml

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareSuccessful 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 Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited 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; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: 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 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 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; MEWAs Stand-alone dental and vision coverage under health care reform

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2010

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2010. Original Filing: 300267738.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareHealth Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering; Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; 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; Medical Loss Ratios; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; malpractice reform; 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"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Pooling; 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; Health Information Technology; Health Information Privacy; Electronic Health Records; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act"; Health care reform issues related to stand-alone dental and vision coverage

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2009

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 19, 2010. Original Filing: 300237820.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareHealth Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling 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; 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; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; 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"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Pooling 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; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Reform issues related to stand-alone dental and vision plans

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2009

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2009. Original Filing: 300218514.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareHealth Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; 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; HR 3200 "America's Affordable Health Choices Act of 2009"; S1679 "Affordable Health Choices Act"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR1321 and S391 "Healthy Americans Act" Government-run health insurance Plan; Government Plan Trigger; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; 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; Pooling; Exchanges, Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Health Information Privacy; Electronic Health Records; Administrative Simplification Stand-alone dental and vision coverage

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2009

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 20, 2009. Original Filing: 300188651.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareHealth Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Effective Individual Mandate; Health Coverage Responsibility; Affordable Private Health Care; Government Plan Option; FEHBP; Healthcare Reform Model; dental and vision coverage HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; American Health Choices Act 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 Patient-centered Primary Care/Medical Home; Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Healthcare Delivery System Reforms Antitrust and Health Insurance Reform Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool" Health Information Technology Standards; Health Information Privacy; Electronic Health Records S386 "Fraud Enforcement and Recovery Act of 2009" sections pertaining to the False Claims Act

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2009

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 20, 2009. Original Filing: 300157168.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareHealth Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Individual Mandate; Affordable Health Care; Government Plan Option Insurance Market Reform; Small Group Market Reform; Small Business Healthcare Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research Health Information Technology Standards; Health Information Privacy; Electronic Health Records HIPAA Privacy: HR1 "American Recovery and Reinvestment Act of 2009" Sections pertaining to HIPAA Privacy in the HITECH Act Health Savings Accounts/Medical Savings Accounts (Tax) HR1253 "Health Insurance Restrictions and Limitations Clarification Act of 2009" Antitrust and Health Insurance Reform Mental Health Parity TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Amendment to HR1256 to raise the maximum age of dependent children under FEHBP

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2008

Q4 Report

In Q4, HIGHMARK, INC. had in-house lobbyists. The report was filed on Jan. 20, 2009. Original Filing: 300127462.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAntitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill" HR2851 and S400 "Michelle's Law"

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2008

Q3 Report

In Q3, HIGHMARK, INC. had in-house lobbyists. The report was filed on Oct. 20, 2008. Original Filing: 300101349.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAntitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2008

Q2 Report

In Q2, HIGHMARK, INC. had in-house lobbyists. The report was filed on July 21, 2008. Original Filing: 300076861.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAntitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act", HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2008

Q1 Report

In Q1, HIGHMARK, INC. had in-house lobbyists. The report was filed on April 18, 2008. Original Filing: 300052748.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAntitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

0th Quarter, 2007

MM Report

In MM, HIGHMARK, INC. had in-house lobbyists. The report was filed on Aug. 8, 2007. Original Filing: 200048252.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAntitrust and Health Insurance Reform: S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1693 and S1783 "Wired for Health Care Quality Act" Insurance Market Reform; Association Health Plans; Uninsured: S1019 "Health Care Choice Act of 2007" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" Health Savings Accounts/Medical Savings Accounts; SCHIP Reauthorization; Transparency

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Source: Clerk of the U.S. House of Representatives and Secretary of the Senate

Legislators

Bills

Statements

Lobbying

Travel

Lobbyists

Disclosures Filed