Skip to content

Judicial Watch • 905 HHS Second Production Copy

905 HHS Second Production Copy

905 HHS Second Production Copy

Page 1: 905 HHS Second Production Copy

Category:General

Number of Pages:41

Date Created:March 2, 2012

Date Uploaded to the Library:February 20, 2014

Tags:copy, HHS, production


File Scanned for Malware

Donate now to keep these documents public!

  • demand_answers

See Generated Text   ˅

Autogenerated text from PDF

DEPARTMENT HEALTH HUMAN SERVICES Office the Secretary Case No.: 
Assistant Secretary for Public Affairs 

Washington, D.C. 20201 
January 2012 
John Althen Judicial Watch 425 Third Street S.W. Suite 800 Washington, 20024 
Dear Mr. Althen: 
This letter the second partial response your June 2010 Freedom ofinfonnation Act (FOIA) request for records concerning the HHS-published Medicare and the Health Care Law -What Means for You, from March 2010 present. 

The Office the Assistant Secretary for Public Affairs (ASPA) conducted search and 
located pages responsive records., which are pages are enclosed. have determined withhold portions the released records under FOIA exemptions (b)(5) and (b)(6); and six pages, their entirety, under FOIA exemption (b)(5), which are draft documents. 
The FOIA exemption )(5) permits the withholding inter-and intra-agency 
conununications records which are pre-decisional, and this case includes 
documentation the deliberative process. The FOIA exemption (b)(6) permits the 
withholding information which, released, would constitute clearly unwarranted 
invasion personal privacy, which, this case consist personal phone numbers. 
Please advised that the remainder your request still pending the Office 
Health Reform (OHR) and Office the General Counsel (OGC), which are conducting 
search for responsive records. you believe that the information withheld should not exempt from disclosure, you 
may appeal. Your appeal must mailed within days from the date receipt this 
letter, the Deputy Assistant Secretary for Public Affairs (Media), U.S. Department 
Health and Human Services, Mary Switzer Building, 330 Street, S.W., Room 2206, 
Washington, 20201. Clearly mark both the envelope and your letter "Freedom 
Information Act Appeal.'' 

Director FOVPrivacy Acts Division Office Public Affairs 
DEPARTMENT HEALTH HUMAN SERVICES Ofllce the Secretary 

Assistant Secretary for Public Affairs Washington, D.C. 20201 
January 2012 
John Althen Judicial Watch 
425 Third Street S.W. Suite 800 
Washington, 20024 
Dear Mr. Althen: 
This letter the second partial response your June 2010 Freedom oflnformation Act (FOIA) request for records concerning the HHS-published Medicare and the Health Care Law -What Means for You, from March 2010 present. 
The Office the Assistant Secretary for Public Affairs (ASP conducted search and located pages responsive records, which are pages are enclosed. have determined withhold portions the released records under FOIA exemptions (b)(5) and (b)(6); and six pages, their entirety, under FOIA exemption (b)(5), which are draft documents. 
The FOIA exemption (b)(5) permits the withholding inter-and intra-agency 
communications records which are pre-decisional, and this case includes 
documentation the deliberative process. The FOIA exemption (b)(6) permits the 
withholding information which, ifreleased, would constitute clearly unwarranted 
invasion personal privacy, which, this case consist personal phone numbers. 
Please advised that the remainder your request still pending the Office Health Reform (OHR) and Office the General Counsel (OGC), which are conducting search for responsive records. 
Ifyou believe that the information withheld should not exempt from disclosure, you 
may appeal. Your appeal must mailed within days from the date receipt this 
letter, the Deputy Assistant Secretary for Public Affairs (Media), U.S. Department 
Hea1th and Human Services, Mary Switzer Building, 330 Street, S.W., Room 2206, 
Washington, 20201. Clearly mark both the envelope and your letter "Freedom 
Information Act Appeal." 

Director 
FOi/Privacy Acts Division Office Public Affairs 

HOT BUTTON 
COSTS CONSUMERS 
The Actuary has estimated that total health expenditures will and 11ot dow11. How can you say the new law will bri1tg down costs America will spending more health care? 
The Actuary finds that under the new law, the life the Medicare tmst fund extended years while reducing annual Medicare premiums nearly $200 per senior the coming years. And the Congressional Budget Office estimates that the Affordable Care Act will lower the federal deficit $100 billion this decade and trillion the next. 
The Affordable Care Act will lower the cost health care for families, for providers and for business. Both the Actuary report and the recent CBO report say clearly that the Affordable Care Act will cover more Americans and strengthen Medicare cracking down waste fraud and abuse, modernizing payment systems, improving benefits providing free preventive services without cost sharing, suppmting innovations that help control chronic disease and closing the prescription drug donut hole. 
IMPLEMENTATION COSTS you have enough money implement the bill? 
Just the legislation seeks reduce costs and spend resources wisely. does the 
Department implement this new bill. Our goal effectively use the existing 
resources the Deprutment addition what Congress has appropriated begin 
implementation the Affordable Care Act. 
How long does the one billion la.t? What will yoll when ru11s out? will work closely with Congress ensure that resources are spent efficiently and 
appropriately and timely manner. believe there are adequate resources 
appropriated ensure the Ametican people receive the full benefits this new law. you have share with other agencies? 
Implementation requires the collaborations several parts the government and are working hand-in-hand get the job done. For example, the Attorney General and are collaborating fighting fraud and waste Medicare and other health care spending. The Labor Department and the Treasury Department are working with issues that pertain large employers and the tax code. are working make sure all have the resources need get the job done for the American people. 
Will you doing paid media with your implementation fund.? essential that the American people know what benefits and responsibilities they have under this law. need creative how get infonnation them help them make the light choices for their families. This will include paid media but only patt comprehensive, multi-media effort. These efforts will designed reach people where they live, where they work, and the languages they best understand. this right, the people for whom this law was written will benefits. 
STAFFING 
How many staff yo11 anticipate hiring? 
Getting implementation right our top priority and I'm very proud what have accomplished already. are harnessing the skills hundreds our skilled employees construct the new rules way that guarantees people will get the benefits they deserve. This does require bringing some new talents and skills supplement those already have. great example our new Office Consumer Information and Insurance Oversight, which combines existing staff with new staff oversee the dramatic changes the insurance industry that this law and the American people demand 
How many people have you hired date? last Friday, have hired approximately 100 new employees and have detailed 
others help the implementation effo1ts. Remember, this the context 
Department with nearly 65,000 employees. 
What new offices have you created? great extent are using the resources already hand get the job done. There 
are thousands talented, conunitted men and women working HHS and they bring 
their years experience the task. are supplementing those resources with new 
skills that are needed address the reforms that were enacted. The new Office 
Consumer Information and Insurance Oversight great example. have combined 
existing staff with new people who have tremendous experience regulating the insurance 
industry. For this law work, need get the rnles right and confident have 
the talent need get the job done. 
Our goal implement this legislation appropriately use many our existing resources HHS possible. Instead creating many new divisions, are seeking have our existing operating divisions lead the implementation the new law. The one new office have created the Office Consumer Information and Insurance Oversight. This Office led some the top former insurance commissioners the country and have deployed some great teams from CMS and from other agencies across the Department help them get set over the last two months. 
The word 011 the street that HHS securing new office buildings and new space for all the staff you are hiring -is this true? are doing everything can utilize the space have and create new space for the staff the jobs they have been assigned. are working with the GSA creative possible. many you know who have been following HHS for years, space our Capitol complex was already short. are working with GSA help secure space for the new Office Consumer Information and Insurance Oversight and help consolidate some our other anticipated space needs. 
AMERICA'S HELP DESK 
Will you revamping HealthReform.gov make more comprehensive and user
friendly? part requirements the Affordable Care Act, the Department HHS must create new web portal July help consumers get more information about their insurance options. The Department working hard design this new tool easy use and full information that consumers can use. believe the portal and its accompanying website will provide the American people with information they can use for themselves, their families, their neighbors, and their :fiiends. 
You said yo11 wa11t make HHS-American's Help Desk.-When will the consumer 
call center available? 
Many Americans have questions about their own health care and questions about how the Affordable Care Act affects them. And, you lrnow, there has been great deal misinformation out there about the new law. need use all forms information get help people where they live, where they work, and their communitjes. There "one size fits all" answer this challenge and I'm committed finding the best ways help people make choices. are working with 1-800 Medicare and other call centers the Department well the major Internal Revenue Service call center help ensure that questions that come over these lines are addressed timely manner. 
VHITE HOUSE INVOLVEMENT 
How involved the White Ho11se implementation -the P1esident? 
The President deeply committed ensuring Americans get more control over their own health care, that insurance companies are held accountable, that the cost care for patients, providers and businesses reduced and the quality health care this country goes for everyone. has told repeatedly how important for the American people that take implementation this new law seriously and take our implementation responsibilities seriously. has assigned two his top staff-Nancy Ann DeParle and Pete Rouse lead the implementation efforts for the Affordable Care Act across the federal govenunent. These two work hard coordinating efforts each the Cabinet Agencies and OMB ensure meet the deadlines the legislation and 
that regulations and guidance are issued timely manner. While HHS has the lion's share the responsibilities implement the new law, there are other agencies -the Departments Labor and Treasury, OPM, the SBA -that have key jobs do. 
MEDICARE MAILER 
Critics say you are wasting taxpayer money try sell unpopular law the American people. this mailer just pork? 
The information this educational mailing will help info1m Medicare beneficiaries and their families about how the Affordable Care Act affects them and remind them the alett for any scams asking for personal info1mation. designed answer the specific questions that beneficiaries have been asking our 1-800 Medicare operators and top Medicare officials the ground the states and here Washington. 
Sadly have already seen focused efforts confuse seniors not only about what's the bill but also sell them insurance and other things that they simply don't need. This mailing designed make sure the cheaters don't win. 
Medicare mails the Medicare You handbook all beneficiary households every fall provide people with Medicare the most date information about changes Medicare. These annual mailings have from time time been supplemented with additional mailings that inform beneficiaries about major changes the law that significantly affect the Medicare program. 
The last series supplemental mailings were sent the spring and summer 2004, explaining provisions the newly signed Medicare Modernization Act. Those mailings were sent Feb. 2004, Apr./May 2004 and Sept. 2004. 
There are close million Medicare beneficiaries this country. The total cost this mailing $18,222, 700. The print cost about million and the mail cost about $14 million. 
You criticized Humana for sending out materials oppositio11 health reform 
aren't you doing tire same t/1i11g now? 
No, not the same. The information this educational mailing will help 
inform Medicare beneficiaries and their families about how the Affordable Care Act 
affects them and remind them the alert for any scams asking for personal 
information. designed answer the specific questions that beneficiaries have been 
asking our 1-800 Medicare operators and top Medicare officials the ground the 
states and here Washington. 
Medicare mails the Medicare You handbook all beneficiary households every fall provide people with Medicare the most date infmmation about changes Medicare. These annual mailings have from time time been supplemented with 
additional mailings that inform beneficiaries about major changes the law that significantly affect the Medicare program. 1bis type document was also generated for educational purposes after the Medicare Modernization Act was passed. 
The last series supplemental mailings were sent the spring and summer 2004, explaining provisions the newly signed Medicare Modernization Act. Those mailings were sent Feb. 2004, Apr./May 2004 and Sept. 2004. The cost those mailings was 
xxx. 
The law requires CMS protect Medicare beneficiaries. part that obligation, the case Humana, CMS took action related plan beneficiary communication order minimize beneficiary confusion about the Medicare Advantage benefit and ensure that federal funds had been used for appropriate purposes. 
Unlike the Humana mailing, this mailing way asks people contact their legislator nor does aim influence Medicare beneficiaries about any proposed legislation that would make changes the program. Rather, this mailing simply educates Medicare beneficiaries about their benefits under existing law. 
How much this mailing costing the tax payers? 
Medicare mails the Medicare You handbook all beneficiary households every fall provide people with Medicare the most date infonn.ation about changes Medicare. These annual mailings have from time time been supplemented with additional mailings that inform beneficiaries about major changes the law that significantly affect the Medicare program. 
The last series supplemental mailings were sent the spring and summer 2004, 
explaining provisions the newly signed Medicare Modernization Act. Those mailings 
were sent Feb. 2004, Apr./May 2004 and Sept. 2004. 
There are close million Medicare beneficiaries this country. The total cost this 
mailing $18,222,700, about per beneficiary, including postage, about $18 
million. The print cost about million and the mail cost about $14 million. funding for this coming from health reform funding 
that could used increase payments providers? 
No. This mailing was paid forusing existing administrative funding. addition 
ensuring that people with Medicare receive covered health care services from the highest 
quality health care providers, CMS tasked with providing information about Medicare beneficiaries. This brochure meets that objective infonning beneficiaries and their 
family members about improvements made Medicare part the Affordable Care 
Act. 
POLITICS AND HEALTH REFORM 
The Democrat who won the Congressional Special Election i11 Pennsylvania opposed health reform and the Republicans who won were too -doesn't this show the American people want the law repealed? 
The Affordable Care Act, which was passed Congress and signed into law the President landmark law that gives Americans more control over their own health care, reduces health care costs and seeks improve the quality health care this country. Americans are already starting feel and see the early benefits this law, like coverage for adult children the age the and small business tax credits this year for million small businesses. 
Larger businesses are now able apply for funding provide care for their early retirees and companies working the medicines and cures tomolTOW can soon apply for new tax credit help take their initial scientific work the next level. 
Americans don't want these important benefits repealed. There has been tremendous 
amount misinformation out there but the more people learn about what this new law 
truly does, the more they support it. 
Recent polls till not .fhow majority Americans appro-ving health reform 
many are confused -have you done good job getting your message out? 
The Affordable Care Act, which was passed Congress and signed into law the 
President landmark law that gives Americans more control over their own health 
care, reduces health care costs and seeks improve the quality health care this 
country. are working steadily educate Americans about what the Affordable Care Act does and doesn't do. There question that there tremendous amount misinformation out there and have more work do. Our education strategy relies using wide coalition public and private sector leaders, clear and concise educational materials and wide variety platforms from the Internet television radio the mail educate Americans about this landmark new law. 
Will this new law liability candidates who voted for i11 the fall? 
Not all. The Affordable Care Act which was passed Congress and signed into law the President landmark law that gives Americans more control over their own health care, reduces health care costs and seeks improve the quality health care this country. Americans are already starting feel and see the early benefits this law, like coverage for adult children the age the and small business tax credits this year for million small businesses. 
Larger businesses are now able apply for funding provide care for their early retirees and companies working the medicines and cures tomorrow can soon apply for new tax credit help take their initial scientific work the next level. 
Congresma11 Boehner recently sent you letter saying AmericallS don want this law 
What your response tliis letter? told Congressman Boehner that continue implement this law, hope can 
work together ways make sure that the Affordable Care Act has the maximum benefit for the American people. important part that combating fraud. Attorney General Holder and have outlined detailed plans after the cheaters and the frauds 
that are the leeches our Medicare trust funds and drive them out business and, 
necessary, into jail. That something that all Americans, matteI their party, can get 
behind. 
INSURANCE COMPANIES 
You liave long history confronting WellPoint-when you were Insurance 
Commissioner, you stopped Anthem from buying Kansas Blue Cros.. Jay Angoff 
OCHO won legal battle with Missouri Blue Cross and Blue Shield help set 
indepe11dent charitable foundation after switched from nonprofit for-profit status; 
and his deputy that's coming Steve Larson, rejected WellPoint's bid buy 
CareFirst, Inc. sound like key members yo11r team have long hi.tory fighting 
WellPoint -are you singling them out? Are they wor.e than other insurance 
companies? 
The job insurance commissioners protect the interests consumers. The 
Affordable Care Act helps shift power back consumers. are working get the 
consumer protections the Act place soon possible. will also working 
with our state colleagues encourage them exercise their autholity and help make 
sure they have the tools they need help rein costs and rising premiums. you have one per.on specifically assigned reilling premiums, a11d working 
with states stop unreasonable rate hikes? 
Working give Americans more control over their own health care and implementing the important insurance industry reforms the Affordable Care Act our top priority HHS. take our oversight and consumer information responsibilities very seriously. 
One the first things did once the new law passed was establish new Office Consumer Information and Insurance Oversight That office headed some the top insurance commissioners and consumer advocates the country and they are already hard work implementing critical parts this new law. They understand that for too long the balance has been tilted towards insurers and away from consumers. 
What are your next steps when comes the insurance industry? 
The industry not going change years anti-consumer practices overnight. need methodically work implement this bill and hold the industry accountable. will continue working with our state partners stop unreasonable rate hikes, will ensure that premiums actually towards medical care and not excessive profits, and will use the new protections the law empower consumers and hold insurers accountable. 
Thefinal legislation longer gives the Secretary HHS the strong rate review authority that was the proposal you rolled out February. How will you fulfill your promise crack down insurance companies? 
The Affordable Care Act gives the Secretary and HHS some important powers help consumers when comes unreasonable actions insurance companies. These provisions will make insurance companies more accountable for how they are spending your premium dollars and include: 
Tough new rules that require insurance companies dedicate more the premiums dollars they collect actual care instead profits, bonuses and advertising. they don't spend enough actual care, they have send rebate checks consumers; 
Rules prevent insurance companies from unreasonably raising rates. they do, they won't able participate the new exchanges and won't have access tens millions newly insured Americans; 
Consumer support that will give Americans access state-based health insurance consumer assistance help them enroll plans; learn about benefits, and file complaints and appeals against insurance companies. Insurance companies will required adopt uniform descriptions benefits and begin using identical forms; i11surance company wants raise rates, what recourse will the consumer have? 

For most consumers today, hard figure out how challenge rate increase. The 
Affordable Care Act will create clear pathway for consumers hold insurance 
companies accountable. July this year, there will new HHS website that will help consumers identify and compare health coverage options. Information will presented standardized, easy-to-understand format ensure that individuals and families understand their options and purchase the right coverage for their needs. 
Starting September this year, all new health plans will required have 
implemented clear and effective process under which policy holders can appeal 

coverage determinations and claims. States must also have external appeals process ensure fair and objective review coverage disputes. 
Additionally, millions dollars grants will made available this year states help create health insurance consumer assistance office where consumers can learn how enroll plan file complaint. 
DRUG COMPANIES/DONUT HOLE 
Are you planning meeti11g with drug companies like you did with the insurers and urging them more close the d01iut hole more quickly? 
Yes. are planning series strategic outreach meetings with key groups like 
insurers, fo1mer leaders HHS and CMS, drug companies, hospitals and providers. 
all need work together implement this important law and ensure America's patients 
and providers receive the benefits this new law. 
Are you c011fident that they will live their end the bargain that the Administration cut with them? recently last Friday PHARMA released statement saying that America's 
pharmaceutical research and biotechnology companies fimtly support the Part 
coverage gap discount program and are committed working with the Centers for 
Medicare and Medicaid Services (CMS) ensure the program begins 2011, set 
forth the new health care reform law. 
LAWSUITS AGAINST THE AFFORDABLE CARE ACT 
The government filed motion dismiss the lawsuit filed Virginia and other states 
challenging the new law a11d seeking repeal it. yo11 believe that the opponents 
reform have .trong case? 
The Affordable Care Act which was passed Congress and signed into law the President landmark law that gives Americans more control over their own health care, reduces health care costs and seeks improve the quality health care this country. Like any big and important piece oflegislation our nation's past, there will attempts challenge it. will def the lawyers and the Justice Department address the specific legal arguments but this legislation clearly Constitutional and strong legal grounds. addition clear that Americans not want the Affordable Care Act repealed and 
have already begun enjoy some critical benefits from including small business tax 
credits, voluntary coverage for adult children, and the voluntary end the controversial 
practice insurance companies called rescissions. 
Were you discouraged when the NFIBjoined the lawsuits seeking repeal parts the new law -especially since you claim there much for small businesses this new law? 
The Affordable Care Act contains important provisions that directly help small businesses, including small business tax credit unveiled earlier this year that close 
four million small businesses this country can receive this year. believe when small business owners realize that they can get 35% their insurance costs back their pockets this year, they will very glad the Congress and the President enacted this law. This tax credit will help small businesses provide health insurance for their employees and help keep them competitive allowing them recruit and retain employees. tenns the specifics the lawsuits and who party them, will defer the 
lawyers and the Department Justice address the specific legal arguments and cases. 
All will say that this legislation clearly Constitutional and strong legal 
grounds. 
DEADLINES you expect meet all deadlines required the new law? extremely proud the fact that date have implemented several pieces the 
law time ahead time. And through our outreach the insurance industry and 
others have gotten some the new benefits people's hands months before the law 
requires it. hope keep that pace the job implementation continues. 
That clearly our goal. have been making steady and effective progress 
implementing the Affordable Care Act and date have met our deadlines. some 
cases, have been able deliver some important benefits early, like the Donut Hole 
Checks that hope mail out several days early, voluntary coverage adult children 
and the voluntary end the practice rescissions that were supposed get into effect 
starting late September. also know there will some bumps along the road and some unanticipated 
challenges. promise keep you informed when encounter them and use our 
resources and our partners the public and the private sector help find ways around 
them. 
HIGH RISK POOLS 
Will you run out money? 
The high-risk pool program funded with 100 percent federal money, regardless whether HHS runs the program the state runs the program.. HHS will working with 
states ensure these resources are used efficiently and effectively that many people possible can get insurance through the temporary high-risk pool program the program ru11s out money, will states left holding the bag? 
No. This program funded with 100% federal dollars. 
Will you get them established time? you have estimate for when people will able enroll the new high-risk pools aftel' the fund. become available July 1st, for how much this might vary .tate-by-state? July HHS will launch the national high risk pool program and there will money 
for each state ready for their use they begin eruoll people. States will ready 
rolling basis -some states will ready right away -some will take longer depending 
upon the size and needs each state. are encouraging states move quickly, but 
carefully, that individuals with preexisting conditions can begin get the coverage, 
and care, they need. 
What are the next steps jor HHS the states that have decided not run their own 
high-risk pools? these states, HHS will have contracts place establish the high-risk pool programs July 1st. issue that has been getting some attention that people currently enrolled more 
expe11.ive .tate pools won't eligible jo1 the new, less expensive federally fmided 
pools. Can you comme11t this? there anything that could done mitigate the 
disparity? major benefit the Affordable Care Act that people with costly chronic conditions like cancer, heart disease, HIV IAIDS will longer excluded from the health insurance market. Beginning 2014, people will able purchase coverage Health Insurance Exchanges and many will eligible for financial support. 
The high-risk pool program temporary bridge program 2014, when the health insurance exchanges will provide Amelicans with affordable health insurance options. The temporary high-risk pool program designed give people with pre-existing conditions who have been unable get insurance opportunity get coverage soon possible. The program last until 2014, when the exchanges become available. 
Does the fact that many states have chosen not run their own pool sign that 
states don't really support this new law? 
I'm extremely pleased that many states have stepped the plate and volunteered run high risk pool programs their states. Some states were not able that and will have program ready July 1st help the people those states who need it. 
No, considered having the federal government operate high risk pools for all the states. decided reach out the states, many whom who have been rururing their own high risk pools, give them the option setting their own program. states have taken that offer. But whether the state the Federal government administers the program, the residents that state who are uninswed with pre-existing condition will have new options for coverage. 
COVERAGE FOR ADULT CHILDREN Even though many in.urers have said they will allow graduating seniors stay 
their pa1ents' coverage, the employer has also agree. Are you doing anything 
e11courage employers allow insurers cover young adults early? have already reached out the insurance industry with some real success. The Administration will also talk with employers about following that lead and providing 
millions young adults with insurance coverage. Like many parents, have ah-eady 
been through this with two sons when they graduated from college and couldn't get 
insurance the job. With this new law, all parents should able have the peace 
mind that having their kids insured brings. 
America's families, insurers and employers are working hard provide this important benefit the Affordable Care Act early. are working closely with our colleagues the Labor Department and across the government reach out employers encourage them cover young adults early. also discussed this with the insurers when met with them today. 
Isn't hypocritical that you have called 011 insurers implement this provision early, 
and OPM won't allow young adults U11der age join thefr parents insurance until 
January 2011? 
OPM has closely examined its options for providing this benefit early employees but will unfortunately take legislative fix allow them this. have reached out Congress asked them consider making change the law allow this happen. 
PRE-EXISTING CONDITIONS FOR CHILDREN 
Even though the new law bans insurers from denying covemge for kid. because pre-existing condition, critics say the law doesn't limit how much they can charge. Thel'efore, many kids with pre-existing conditions still won't able get coverage. Doesn't that mea11 this provision will ineffective helping families get coverage for these children? reached out the insurance industry and they pledged their support early for this 
important benefit the Affordable Care Act. hope work closely with them 
have rescissions and the adult child coverage provisions ensure that families get 
relief and more importantly coverage. 
ABORTION GUIDANCE/THE EXECUTIVE 
When you expect issue the regulations called for the President's Executive Orde1? 
Following the timeline the executive order, are developing that guidance now and hope release the fall. 
Several pro-choice groups recently wrote you concerned about the Medical Loss Ratio and how insurance compatiies may use that provi.ion reduce and deny ab011ion coverage their plan. due the high cost segregating dollars fo1 abortions. Will yo11 addressing this? are currently working our regulation around the Medical Loss Ratio with input from the public gleaned from our recent Request for Comment and also with input from the National Association Insurance Commissioners. will share this letter with those staff who are working the regulation. 
MERCER STUDY May 23, the New York Times story repornng new study Mercer, claimed 
that part the new law will saddle employers with new hidden penaltie.. this true? 
This not the case. What the new law does help bring down health cares costs and give more Americans the insurance they need. The Affordable Care Act strengthens our current system which most people get their insurance work. 
Under the new law, employers with more than fulltime workers will not required offer health insurance. However, the employer will have pay shared responsibility fee their employee purchases coverage through new exchange with the help premium tax credit targeted toward middle lowpincome fan1ilies. other words, employers can't "free riders" and let the taxpayers pay for the cost covering their workers. the insurance provided employer would cost workers more than 9.5 percent 
their household income, that insurance considered unaffordable and workers have 
new option: purchase affordable coverage the new health insurance exchanges, and 
receive tax credit make easier get the coverage they need. 
Under this scenario, employers would longer paying provide benefits their 
employee. Instead, they would contribute $3)000 help support the cost the tax 
credit provided the govemment. the employer provides insurance all, and any employee obtains premium tax 
credits through the new exchanges, the employer would pay maximum $2,000 per 
full time employee. 
Whether large business provides affordable coverage their employees their employees purchase coverage the exchange, employers will make one -and only one contribution the cost their employees' health care. h's important provision and ensures large employers aren't off the hook taxpayers are subsidizing health insurance coverage for their employees. 
-###
Affordable Care Act: Getting Benefits into the Hand Consumer 
Progress Date 
Since the passage the Affordable Care Act, the Administration has worked carefully and expeditiously implement the legislation's early insurance market reforms and strengthen the health care system for all Americans. have made significant progress date. Accomplishments include: 
Improving the Affordability and Accessibility Health Insurance 
 
Issuing Patient's Bill Rights: June 22, the Administration issued regulations 
under the Affordable Care Act protecting consumers Patient's Bill Rights. The 
Patient's Bill Rights will stop insurance companies from imposing pre-existing 
condition exclusions children rescinding taking away coverage based 
unintentional mistake application, setting lifetime dollar limits coverage and 
restricting insurers' use annual dollar limits coverage. The new rules will also 
ensure that patients plans covered the rules can choose available primary care 
doctor pediatrician their choice from plan's provider network, and that most women can see OB-GYN without needing refen-al. Most insurance companies will 
not able require prior approval before you seek emergency care hospital outside 
your plan's network, and will not able require higher co-payments co-insurance for such care than would charged network. 
 	
Helping Americans Keep the Coverage They Have Now: June 14, the Administration issued rules defining "grandfathered health plans." The rules help give Americans the ability keep their current plan they like it, while minimizing market disruption and putting glide path toward the competitive, patient-centered market the future. 

 	
Strengthening the Ability Appeal Insurer Decisions: July 22, the Administration issued rules empower consumers appeal decisions made their health plans insurance companies and the availability resources that will used help give conswners more control their health care decisions. These provisions the Affordable Care Act will help support and protect consumers and help end some the worst insurance company abuses. Additional guidance was issued August and September offer model notices, transition periods, and details the new process. 

 
Lowering Premiums: The Administration solicited public comments both the medical loss ratio (MLR) and rate review provisions April 12. These provisions will help ensure least percent premium dollars are spent medical care, not salaries and overhead. HHS expects receive recommendations definitions related the MLR from the National Association Insurance Commissioners (NAIC) October. Secretary Sebelius wrote letter insurers describing the new Affordable Care Act policies oversee unreasonable and unjustified rate increases September 
 
Reviewing Premiums States: The Affordable Care Act includes $25 million 
support state efforts review premiums and guard against unreasonable premium 
increases. states are already using portion the new resources strengthen their 
oversight premium increases. 
 
Informing Consumers through HealthCare.Gov: July the Administration launched www.HealthCare.gov. www.Healthcare.gov new, easy use website that helps consumers take control their health care and make the choices that are right for them putting the power information their fingertips. The website the first its kind bring information and links health insurance plans and other coverage options into one place, make easy for consumers learn about their insurance choices. And 
the site includes extensive, easy understand info:nnation about patients' rights, how 
navigate the current insurance market, and how the Affordable Care Act will help them. Spanish language version-was launched September and additional pricing information will added October 
 
Providing Support for State Consumer Assistance Efforts: July 22, HHS announced the availability $30 million grants help States provide consumers with the information they need pick from range health coverage options well provide assistance with enrollment; educate consumers about their rights and obligations; help them appeal decisions when plan denies coverage; and generally track consumer problems. 
Improving Access mid Affordability Healtli Insurance Coverage 
 
Providing Small Business Tax Credits: The Administration notified small employers regarding $40 billion tax credits help small employers that purchase health insurance for employees. The TRS has delivered post cards nearly four million small businesses and tax exempt organizations that could qualify make them aware the credit and has conducted hundreds briefings and meetings for small businesses and the accountants and practitioners who serve them. 
 
Insuring Young Adults Early: May 10, the Administration released regulations allowing young adults stay their parents' plans until age the plan offers dependent child coverage. the Administration's request, more than the nation's leading insurance companies agreed begin implementing the new law immediately, advance the effective date provided for the Affordable Care Act. 
 
Creating the Pre-Existing Condition Insurance Plan (PCIP) Program: July Secretary Sebelius announced the establishment the Pre-Existing Condition Insurance Program provide coverage for eligible Americans who have been uninsured for six months because pre-existing condition. Coverage started states August, and will provided all states the end September. Rules for the program were 
published July 30. 

 
Supporting Early Retirees: 1988, percent large firms provided health care 
coverage their retirees. Twenty years later 2008, the percent firms offering 
coverage retirees plummeted percent. The Early Retiree Reinsurance Program 
offers billion employers they can more easily give benefits their retired 
workers who are not eligible for Medicare. The program's benefits are effective June 
three weeks ahead schedule. The first round approvals was announced August 
31, along with new website 	and policy guidance. The Depru.1ment 
 
Expanding Medicaid Options: CMS made available federal funding States that elect the statutory option cover low-income childless adults through Medicaid advance the 2014 coverage requirement. The new funding will help states that are working provide coverage more their residents. 
 
Expanding Community Health Centers: August the Administration alUlounced the availability $250 million grants for new access points for primary care. These funds will support the establishment approximately 350 new community health center sites fiscal year 2011. 
 	Laying the Groundwork for Exchanges: The Administration announced the availability million state planning grants for exchanges July 29. also posted request for information July 29, attended four meetings with state officials exchanges, and held public forum the topic August 30. 
Strengthening Medicare 
 
Closing the Medicare Part "Donut Hole" for Seniors: The Department Health and Hwnan Services implemented the process provide $250 rebate checks for eligible Medicare beneficiaries who fall into the prescription drug coverage gap known the donut hole. August 30, over million beneficiaries have received checks. The checks are the first step toward closing the donut hole 2020. 
 
Lowering Drug Costs: CMS secured agreements with drug manufacturers covering percent all brand-name drugs provide percent discount brand name drugs purchased the prescription drug coverage gap known the donut hole 2011. addition, Medicare Actuary estimates that the Part drug benefit premiwn 2011 will not higher than was 2010. 
 	Ending Excessive Payments Insurance Companies: CMS implemented payment policy changes the Medicare Advantage program for 2011 that will begin the process correct Medicare's excessive payments private plans the Medicare Advantage program. The resources will help strengthen Medicare for all seniors, provide all beneficiaries with important new benefits and extend the life the Medicare Trust Fund. Seniors who choose Medicare Advantage plans will continue receive their guaranteed benefits and have access Medicare Advantage plans. 
 
Educating Seniors and the American Public: June the President hosted town 
hall meeting discuss with seniors the Affordable Care Act. brochure describing the 
new law and its implications was sent all Medicare beneficiaries May 24. 
Educational ads featuring Andy Griffith were launched July 31, the 45lh anniversary 
Medicare. addition, the Administration has hosted over Web Chats different 
topics regarding the new law, including the President demonstration how use the 
HealthCare.gov. 
 
Fighting Fraud: The Affordable Care Act includes significant new tools that will help fight fraud and protect taxpayer dollars. Using these new tools, Secretary Sebelius has pledged cut Medicare's error rate (the percentage claims paid inappropriately) half 2012. Attorney General Holder and Secretary Sebelius have asked the State Attorneys General join forces coordinated nation-wide effort fight and prevent health care fraud. series summits planned across the country jwnp-start this effort local level. The first summit was held Miami July and the second was Los Angeles August 26. proposed regulation implementing the first round Affordable Care Act policies combat Medicare and Medicaid fraud was issued September 17. 
Promoting Preve11tion 
 
Ensuring All New Health Insurance Plans Cover Proven Prevention: The Administration issued regulations July 19th that ensure that, starting new pJan policy years starting after September 23, insurers offering plans created purchased after the date the Affordable Care Act was enacted will cover certain recommended preventive services with deductibles, copayments, coinsurance. 
 
Free Preventive Services for Seniors: The Administration proposed regulations June waive Medicare cost sharing for recommended preventive benefits starting 2011. 
 	
Adding Annual Wellness Visit Medicare: Starting 2011, Medicare will pay for annual wellness visit seniors can receive the free preventive benefits they need well advice how stay healthy. Rules for the wellness visit were proposed June. 

 	
Awarding $250 million Grants for Prevention: The Administration allocated the 2010 Prevention and Public Health Fund programs support activities such community initiatives and the development the public health infrastructure that can help prevent disease and illness before starts. 

 	
Launching the Prevention Council and Plan: executive order create the National Prevention, Health Promotion and Public Health Council was signed June 10. met and produced preliminary report July and met again September review its plan for the coming year. 

 	
Spurring Innovation and Lowering Costs: The Treasury Department accepting applications tmder the billion therapeutic discovery tax credit program, which provides tax credits small businesses encourage the development new and costsaving therapies, support good jobs, and increase U.S. competitiveness. 

 	
Protecting Patient Safety, Reducing Medical Liability: September, 2009, President Obama called the Department Health and Human Services make grants available for projects that have the potential improve patient safety and reduce medical liability. Grants for these projects were awarded June. 

 	
Strengthening the Health Care Vorkforce with $250 million Grants: These grant opportunities, along with other funding the Affordable Care Act and the American Recovery and Reinvestment Act, will train 16,000 primary care physicians, physician assistants and nurse practitioners over the next years. 

Building the Foundation Ajfol'dahle, High-Quality Health Sy.f;tem 
 
Strengthening the Long-Term Care System: joint Administration Aging and 
CMS initiative will support $60 million grants States and communities help 
individuals and their caregivers better understand and navigate their health and long-term 
care options. addition, letters State Medicaid Directors outlined new options for 
home-and conununity-based care June 22, August and September 
 
Supporting Programs Help Families: Grant opportunities for home visitation help parents learn about care for their newborns were announced June 10. Grant opportunities for Family Family Health Information Centers were announced June Funding announcements for the new Pregnancy Assistance Fund July and related programs July 30. 
 
Appointing Boards and Commissions: addition, steps have been taken establish commissions that address series issues including: 	Alaska Workforce: completed its work and its final report was issued September 

17. 	COOP program: lts appointees were announced June GAO. 	Personal Assistance Workforce: was chartered May. 	Breast Cancer Awareness: Its appointees were announced September 17. 

From: 
To: 
Subject: RE: headsupl CMS tapings medicare.gov, dashboard, NMTP 
Date: Friday, March 19, 2010 12:25:07 
Jamie -do you think you could send the briefing memo and scripts before the meeting? 
Jessica Santillo 
From: Mulligan, Jaime (CMS/OEA) 
Sent: Friday, March 19, 2010 8:55 
To: Santillo, Jessica (HHS/ASPA); Booth, Jon (CMS/OEA); Liebengood, London (HHS/ASPA) Subject: Re: headsup! CMS tapings medicare.gov, dashboard, NMTP everyone here can 3:30 let's one those---you guys are way more critical the reality Monday than 
From: Santillo, Jessica (HHS/ASPA) 
To: Booth, Jon (CMS/OEA); Liebengood, London (HHS/ASPA}; Mulligan, Jaime (CMS/OEA) Sent: Fri Mar 08:48:49 2010 
Subject: Re: headsup! CMS tapings medicare.gov, dashboard, NMTP 3:30 possibility instead? have conflict 
From: Booth, Jon (CMS/OEA) 
To: Liebengood, London (HHS/ASPA); Mulligan, Jaime (CMS/OEA) Cc: Santillo, Jessica (HHS/ASPA) 
Sent: Fri Mar 08:47:27 2010 
Subject: RE: headsup! CMS tapings medicare.gov, dashboard, NMTP 
Yc.s, I'd reco mmend including Kirsten well Zabeen Chong the call. have budget meeting but will try for least part the call. Thanks. 
From: Liebengood, London (HHS/ASPA) 
Sent: Thursday, March 18, 2010 9:48 
To: Mulligan, Jaime (CMS/OEA) 
Cc: Booth, Jon (CMS/OEA); Santillo, Jessica (HHS/ASPA) 
Subject: Re: headsup! CMS tapings medicare.gov, dashboard, NMTP 

Works for me. Should invite the CMS producer-Kirsten Knutson? 
Sent using BlackBerry 

From: Mulligan, Jaime (CMS/OEA) To: Liebengood, London (HHS/ASPA) 
Cc: Booth, Jon (CMS/OEA); Santillo, Jessica (HHS/ASPA) Sent: Thu Mar 17:23:10 2010 
Subject: RE: headsup! CMS tapings medicare.gov, dashboard, NMTP London, could you conference call tomorrow? wanted get everyone the line through Monday morning, but wanted make sure the 
time set didn't conflict with your work the event tomorrow. 
Let know what works. 
Thanks, 

Jaime 
From: Mulligan, Jaime (CMS/OEA) 
Sent: Thursday, March 18, 2010 4:51 
To: Liebengood, London (HHS/ASPA) 
Cc: Booth, Jon (CMS/OEA) 
Subject: RE: headsup! CMS tapings medicare.gov, dashboard, NMTP 
Got it---11 am-12 pm. Crossing fingers that that works the studio. Yes? 
From: Mulligan, Jaime (CMS/OEA) 
Sent: Thursday, March 18, 2010 4:30 
To: Liebengood, London (HHS/ASPA) 
Subject: RE: headsup! CMS tapings medicare.gov, dashboard, NMTP 
Alas. about ping the scheduling team again. 
From: Liebengood, London (HHS/ASPA) 
Sent: Thursday, March 18, 2010 4:30 
To: Mulligan, Jaime (CMS/OEA) 
Subject: RE: headsup! CMS tapings medicare.gov, dashboard, NMTP  Jamie, 
Any updates? This the first hearing this. 
Best, London 
From: Mulligan, Jaime (CMS/OEA) 
Sent: Thursday, March 18, 2010 12:41 
To: Liebengood, London (HHS/ASPA) 
Cc: Booth, Jon (CMS/OEA) 
Subject: headsup! CMS tapings medicare.gov, dashboard, NMTP  London, 
CMS working with ASPA get three videos filmed featuring the Secretary. [I'm attaching the request made here you have background---Secretarylnterviewrequest_031610.] This has all been 
approved Jenny. 

The Details:
The main reason why pinging you advance confirming the potential slots for the Secretary the first video. 	It's the Secretary doing demo new website and involves her being computer clicking through webpages and guiding the user through them. There's script for that gets into the nitty-gritty how navigate. 	[I'm attaching the draft brief here, well, you can see It.) 	Rebecca Adelman mentioned that this isn't necessarily something we've had the Secretary before, suspect the logistics how get done may require some 

more time upfront. 	Here's some text from Jenny this: envision her taping the script straight read first from prompter and then you all just shooting her clicking through the pages ... you can edit the sound later ... otherwise might hard for her remember the script verbatim -or could just practice with her clicking through and take spontaneously" 

I'm cc'ing Jon Booth here because he'll definitely there Monday help, etc. I'm not sure how you guys usually work out the production you have time today. know there's big event tomorrow your team probably crashing on. 

Thanks for reading this email. Please don't hesitate let know which issues you think still need teased out etc, and again, I'll reply again once know more about the Secretary's availability Monday. 
-Jaime 
Jaime Mulligan 
Special Assistant the Director 
Office External Affairs (OEA) 
Centers for Medicare Medicaid Services (CMS) 
jaime.mu lligan@cms.hhs.gov 
desk: 202-205-0350 
Ch) 
From: 

To: 

Subject: RE: HERE STUFF FOR KGS PREPARE FOR HER PRESS CONFERENCE THURSDAY Date: Monday, May 24, 2010 5:12.:40 
Attachments: 
Attached the hot topic and bringing zip drive down with the rest. 

From: Backus, Jenny (HHS/ASPA) 
Sent: Monday, May 24, 2010 5:07 
To: Choucalr, Jordana (HHS/ASFR); Santillo, Jessica (HHS/ASPA) 
Subject: HERE STUFF FOR KGS PREPARE FOR HER PRESS CONFERENCE THURSDAY 

Front Page-Briefing Memo Second Page -Hot Topic -Jess -please send latest version Third Copy the Medicare Brochure Fourth -the and Five -The letters and one pagers that Jess just sent you 
JESS -can you confirm this right and send Jordana the link for the brochure 

From: Wolf, Zachary [mailto:Zachary.B.Wolf@abc.com] Sent: Monday, May 24, 2010 6:12 
To: Santillo, Jessica {HHS/ASPA) 
Subject: FW: Hill Notification: Medicare and the New Health Law -What Means for You 

Jessica -this Zach Wolf with ABC writing. I'm wondering there dollar figure associated with these mailers going Medicare beneficiaries ... 
Regards, 
Zach Wolf Senate Producer 

U.S.House and Senate Notification Monday, May 24, 2010 
To: Senate Finance Committee House Ways and Means Committee House Energy and Commerce Committee House and Senate Appropriations Committees House and Senate Budget Committees 
Other Interested Hill Staff 
From: AmyHall Director, Office Legislation Centers for Medicare Medicaid Services 
Re: Medicare and the New Health Law -What Means for You 
Starting tomorrow and throughout this week, Medicare beneficiaries across the country should begin receiving copies brochure "Medicare and the New Health Law -What 
Means for You" their mailboxes. The mailing from CMS outlines key provisions the Affordable Care Act for people with Medicare well members their families. The mailing being sent both English and Spanish. 
Because Medicare trusted resource for beneficiaries and their family members, the 
mailing encourages them log call 1-800-MEDlCARE get 
their questions about Medicare the Affordable Care Act answered and reminds them the alert for possible scams. 
The first benefit that many people with Medicare will receive result the passage the new law one-time check for $250, they enter the Part donut hole and are not eligible for Medicare Extra Help. Beginning next year, the Affordable Care Act ensures that Medicare beneficiaries will get free preventive care services like colorectal cancer screening and mammograms, addition free annual wellness visit. The law also includes new tools help fight fraud helping Medicare crack down criminals who are seeking scam seniors and steal taxpayer dollars. 
The brochures can also found at: 

Please share this information with your constituents, community organizations, and other partners. Hard copies the brochure can obtained the Office the Speaker (H-232), Office the Republican Leader (H-204), Senate Majority Leader's Office (Hart 522), and Senate Minority Leader's Office (S-230). 
Please contact the CMS Office Legislation you have any questions. 
From: 

To: 
Subject: 
Date: Friday, May 28, 2010 11:24:44 

Are still thinking doing these Congressional packets? has indicated they would like review any packets are planning send the Hill. 
Jessica Santillo 
(c) 
From: Granholm, Tim (HHS/ASPA) 
Sent: Thursday, May 27, 2010 10:00 
To: Backus, Jenny (HHS/ASPA); Maley, Keith (HHS/ASPA); Santillo, Jessica (HHS/ASPA); Lewis, Caya 
(CMS/OA) 
Subject: RE: Resource Packet for Members 

Date: Thursday, May 27, 2010 To: Member Congress From: Secretary Kathleen Sebelius Re: Affordable Care Act -Congressional Resources 
Since the Affordable Care Act became law March, the Department Health and Human Services (HHS) has been working quickly but carefully implement the early refonns the new law and improve the health security all Americans. During the month June, many key provisions. especially for seniors, will taking effect. Members return their districts for the Memorial Day recess, know that many constituents will have questions about what the Affordable Care Act means for them and their families. hope that the materials this packet will assist you helping educate and inform Americans about the new law. 
Attached this memo please find: 
''Medicare and the New Health Care Law: What Means for You" Affordable Care Act: New Tools Fight Fraud one-page document fraud "Closing the Prescription Drug Coverage Gap" look forward working closely with you over the coming months implement this law successfully. 
Sincerely, 
Kathleen Sebelius Secretary, U.S. Department Health and Human Services 
From: Backus, Jenny (HHS/ASPA) Sent: Thursday, May 27, 2010 9:59 
To: Granholm, Tim (HHS/ASPA); Maley, Keith (HHS/ASPA); Santillo, Jessica (HHS/ASPA); Lewis, Caya (CMS/OA) 
Subject: Re: Resource Packet for Members 
Can you send letter the text email 
From: Granholm, Tim (HHS/ASPA) 
To: Backus, Jenny (HHS/ASPA); Maley, Keith (HHS/ASPA); Santlllo, Jessica (HHS/ASPA) Sent: Thu May 09:54:22 2010 
Subject: FW: Resource Packet for Members 
Good morning everyone. had talked about wanting get these materials out today "at the latest." 
Has anyone seen formatted copy the brochure? Jenny, have you had opportunity review the contents? 
From: Granholm, Tim (HHS/ASPA) 
Sent: Wednesday, May 26, 2010 12:09 
To: Backus, Jenny (HHS/ASPA) 

Cc: Santillo, Jessica (HHS/ASPA); Maley, Keith (HHS/ASPA) 
Subject: Resource Packet for Members Jenny, 

Please see the attached materials for the "Resource Packet" for Members. The first document brief 
cover letter the Members, with overview the packet's contents. you know when the Donut Hole Brochure will formatted? Also, should put the Fraud pager 
and Preventing Fraud Resources HHS letterhead? 

When you give the "OK," will reach out ASL, OHR, and Sam Mitchell get clearance 
everything. 

Per our conversation this morning, also plan create packets for Groups and RDs. The Groups 

packet will include additional TPs. The RDs packet will include additional TPs, QA, and template 

event Ideas. 
Thanks, 
Tim 
Tim Granholm 
Office the Assistant Secretary for Public Affairs 
U.S. Department Health and Human Services 

From: 
To: 
Subject: 
Date: Tuesday, May 25, 2010 4:54:17 think would just truncate the below
From: Eisman, Julia (HHS/ASPA} 
Sent: Tuesday, May 25, 2010 4:49 
To: Santillo, Jessica (HHS/ASPA) 
Subject: RE: thanks 

This promote the web chat and the Medicare brochure. From the email sent earlier: 

TITLE: 
Medicare and the Affordable Care Act 

GRAPHIC: 
Group Seniors talking 
LANGAUA GE: 
Join today learn about what the Affordable Care Act means for Medicare 
recipients. 

BUTTONS/LINKS: 
"Watch Video" -links hhs.gov/live 
"Ask Question" -links the 

email 
"Brochure" -link CMS page with brochure 

http://www.medjcare.goy/PubJjcations/Pubs/pdf/11467.pdf 
From: Santillo, Jessica (HHS/ASPA) Sent: Tuesday, May 25, 2010 4:48 To: Eisman, Julia (HHS/ASPA) Subject: RE: thanks 
For what 
Jessica Santillo 

From: Eisman, Julia (HHS/ASPA) Sent: Tuesday, May 25, 2010 4:48 To: Santillo, Jessica (HHS/ASPA) Subject: RE: thanks 
This our billboard text 
From: Santillo, Jessica (HHS/ASPA) 
Sent: Tuesday1 May .25, 2010 4:48 To: Eisman, Julia (HHS/ASPA) Subject: RE: thanks 
Who this geared towards and what's reference 

From: Eisman, Julia (HHS/ASPA) Sent: Tuesday, May 25, 2010 4:45 To: Santillo, Jessica (HHS/ASPA) Subject: thanks 
Join today lam learn about our Medicare education efforts and what the Affordable Care Act means for Medicare recipients. 
From: To: 
Subject: 
Date: 

From: Wolf, Zachary  
To: Santillo, Jessica (HHS/ASPA) 
Sent: Mon May 18:12:27 2010 
Subject: FW: Hill Notification: Medicare and the New Health Law -What Means for You 

Jessica -this Zach Wolf with ABC writing. I'm wondering there dollar figure associated with these mailers going Medicare beneficiaries ... 
Regards, 
Zach Wolf Senate Producer 
ABC News 

@abe.com bttp:l/twjtter.com/zbyronwolf 
U.S. House and Senate Notification Monday, May 24, 2010 
To: Senate Finance Committee 
House Ways and Means Committee 
House Energy and Commerce Committee 
House and Senate Appropriations Committees 
House and Senate Budget Committees 
Other Interested Hill Staff 
From: Amy Hall Director, Office Legislation Centers for Medicare Medicaid Services 
Re: Medicare and the New Health Law -What Means for You 
Starting tomorrow and throughout this week, Medicare beneficiaries across the country should begin receiving copies brochure "Medicare and the New Health Law -What Means for You" their mailboxes. The mailing from CMS outlines key provisions the Affordable Care Act for people with Medicare well members their families. The mailing being sent both English and Spanish. 
Because Medicare trusted resource for beneficiaries and their family members, the call 1-800-MEDlCARE get 
mailing encourages them log 
their questions about Medicare the Affordable Care Act answered and reminds them the alert for possible scams. 
The first benefit that many people with Medicare will receive result the passage the new law one-time check for $250, they enter the Part donut hole and are not eligible for Medicare Extra Help. Beginning next year, the Affordable Care Act ensures that Medicare beneficiaries will get free preventive care services like colorectal cancer screening and mammograms, addition free annual wellness visit. The law also includes new 
tools help fight fraud helping Medicare crack down criminals who are seeking 
scam seniors and steal taxpayer dollars. 
The brochures can also found at: 

Please share this information with your constituents, community organizations, and other partners. Hard copies the brochure can obtained the Office the Speaker (H-232), Office the Republican Leader (H-204), Senate Majority Leader's Office (Hart 522), and 
Senate Minority Leader's Office (S-230). 
Please contact the CMS Office Legislation you have any questions. 
From: 
To: Subject: Fw: Hill Notification: Medicare and the New Health Law -What Means for You Date: Monday, May 24, 2010 7:19:37 

Mary talked with him and gave him the info wanted but also told him the had vetted the piece. Wanted flag. 
From: Wolf, Zachary  To: Santillo, Jessica (HHS/ASPA) 
Sent: Mon May 18:12:27 2010 
Subject: FW: Hill Notification: Medicare and the New Health Law -What Means for You 
Jessica -this Zach Wolf with ABC writing. I'm wondering there dollar figure associated with these mailers going Medicare beneficiaries ... 
Regards, 
Zach Wolf 
Senate Producer 
ABC News 

U.S. House and Senate Notification Monday, May 24, 2010 
To: 	Senate Finance Committee House Ways and Means Committee 
House Energy and Commerce Committee 
House and Senate Appropriations Committees 
House and Senate Budget Committees 

Other Interested Hill Staff 
From: Amy Hall Director, Office Legislation 
Centers for Medicare Medicaid Services 
Re: 	Medicare and the New Health Law What Means for You
Starting tomorrow and throughout this week, Medicare beneficiaries across the country should begin receiving copies brochure "Medicare and the New Health Law -What Means for You" their mailboxes. The mailing from CMS outlines key provisions the Affordable Care Act for people with Medicare well members their families. The mailing being sent both English and Spanish. 

Because Medicare trusted resource for beneficiaries 
and their family members, the mailing encourages them log call 1-800-MEDICARE get their questions about Medicare the Affordable Care Act answered and reminds them the alert for possible scams. 
The first benefit that many people with Medicare will receive result the passage the 
new law one-time check for $250, they enter the Pait donut hole and are not eligible 
for Medicare Extra Help. Beginning next year, the Affordable Care Act ensures that Medicare beneficiaries will get free preventive care services like colorectal cancer screening 
and mammograms, addition free annual wellness visit. The law also includes new 
tools help fight fraud helping Medicare crack down criminals who are seeking 
scam seniors and steal taxpayer dollars. 
The brochures can also found at: 

Please share this information with your constituents, community organizations, and other partners. Hard copies the brochure can obtained the Office the Speaker (H-232), Office the Republican Leader (H-204), Senate Majority Leader's Office (Hart 522), and Senate Minority Leader's Office (S-230). 
Please contact the CMS Office Legislation you have any questions. 

Subject: YOU CAN SEND THIS BACKGROUND REPORTERS Date: Monday, September 20, 2010 4:37:00 
Attachments: 

Affordable Care Act: Getting Benefits into the Hand Consumer 
Progress Date 
Since the passage the Affordable Care Act, the Administration has worked carefully and expeditiously implement the legislation's early insurance market reforms and strengthen the health care system for all Americans. have made significant progress date. Accomplishments include: 
Improving the Affordability and Accessibility Health ltisurance 

Issuing Patient's Bill Rights: June 22, the Administration issued regulations under the Affordable Care Act protecting consumers Patient's Bill Rights. The Patient's Bill Rights will stop insurance companies from imposing pre-existing condition exclusions children rescinding taking away coverage based unintentional mistake application, setting lifetime dollar limits coverage and restricting insurers' use annual dollar limits coverage. The new rules will also ensure that patients plans covered the rules can choose available primary care doctor pediatrician their choice from plan's provider network, and that most women can see OB-GYN without needing referral. Most insurance companies will not able require prior approval before you seek emergency care hospital outside your plan's network, and will not able require higher co-payments coinsurance for such care than would charged network. 
Helping Americans Keep the Coverage They Have Now: June 14, the Administration issued rules defining "grandfathered health plans." The rules help give Americans the ability keep their cmTent plan they like it, while minimizing market disruption and putting glide path toward the competitive, patientcentered market the future. 

Strengthening the Ability Appeal Insurer Decisions: July 22, the Administration issued rules empower consmners appeal decisions made their health plans insurance companies and the availability resources that will used help give consumers more control their health care decisions. These provisions the Affordable Care Act will help support and protect consumers and help end some the worst insurance company abuses. Additional guidance was issued August and September offer model notices, transition periods, and details the new process. 
Lowering Premiums: The Administration solicited public comments both the medical loss ratio (MLR) and rate review provisions April 12. These provisions will help ensure least percent premium dollars are spent medical care, not salaries and overhead. HHS expects receive recommendations definitions related the MLR from the National Association Insurance Commissioners (NAIC) October. Secretary Sebelius wrote letter insurers describing the new 
Affordable Care Act policies oversee unreasonable and unjustified rate increases September 

Reviewing Premiums States: The Affordable Care Act includes $250 million support state efforts review premiums and guard against unreasonable premium 
increases. states are already using p01tion the new resources strengthen 
their oversight premium increases. 
Informing Consumers through HealthCare.Gov: July the Administration launched www.HealthCare.gov. www.Healthcare.gov new, easy use website that helps consumers take control their health care and make the choices that are right for them putting the power information their fingertips. The website the first its kind bring information and links health insurance plans and other coverage options into one place, make easy for consumers learn about their insurance choices. And the site includes extensive, easy understand information about patients' rights, how navigate the current insurance market, and how the Affordable Care Act will help them. Spanish 
language version
was launched September and 
additional pricing information will added October 
 
Providing Support for State Consumer Assistance Efforts: July 22, HHS announced the availability $30 million grants help States provide consumers with the information they need pick from range health coverage options well provide assistance with enrollment; educate consumers about their rights and obligations; help them appeal decisions when plan denies coverage; and generally track consumer problems. 
Improving Access and Affordability Health Insurance Coverage 
Providing Small Business Tax Credits: The Administration notified small employers regarding $40 billion tax credits help small employers that purchase health insurance for employees. The IRS has delivered post cards nearly four million small businesses and tax exempt organizations that could qualify make them aware the credit and has conducted hundreds briefings and meetings for small businesses and the accountants and practitioners who serve them. 

Insuring Young Adults Early: May 10, the Administration released regulations allowing young adults stay their parents' plans until age the plan offers dependent child coverage. the Administration's request, more than the nation's leading insurance companies agreed begin implementing the new law immediately, advance the effective date provided for the Affordable Care Act. 
Creating the Pre-Existing Condition Insurance Plan (PCIP) Program: July Secretary Sebelius announced the establislunent the Pre-Existing Condition Insurance Program provide coverage for eligible Americans who have been uninsured for six months because pre-existing condition. Coverage started states August, and will provided all states the end September. Rules 
for the program were published July 30. 

Supporting Early Retirees: 1988, percent large firms provided health care coverage their retirees. Twenty years later 2008, the percent firms offering coverage retirees plummeted percent. The Early Retiree Reinsurance Program offers billion employers they can more easily give benefits their retired workers who are not eligible for Medicare. The program's benefits are effective June three weeks ahead schedule. The first round approvals was announced August 31, along with new website (www.eerp.gov) and policy guidance. The Department expects that claims will paid starting October. 
Expanding Medicaid Options: CMS made available federal funding States that elect the statutory option cover low-income childless adults through Medicaid advance the 2014 coverage requirement. The new flll1ding will help states that are working provide coverage more their residents. 
Expanding Community Health Centers: August the Administration announced the availability $250 million grants for new access points for primary care. These funds will support the establishment approximately 350 new community health center sites fiscal year 2011. 
Laying the Groundwork for Exchanges: The Administration announced the availability million state planning grants for exchanges July 29. also posted request for information July 29, attended four meetings with state officials exchanges, and held public forum the topic August 30. 
Strengthening Medica1e 
Closing the Medicare Part "Donut Hole" for Seniors: The Department Health and Human Services implemented the process provide $250 rebate checks for eligible Medicare beneficiaries who fall into the prescription drug coverage gap known the donut hole. August 30, over million beneficiaries have received checks. The checks are the first step toward closing the donut hole 2020. 
Lowering Drug Costs: CMS secured agreements with drug manufacturers covering percent all brand-name drugs provide percent discount brand name drugs purchased the prescription drug coverage gap known the donut hole 2011. addition, Medicare Actuary estimates that the Part drug benefit premium 2011 will not higher than was 2010. 

Ending Excessive Payments Insurance Companies: CMS implemented payment policy changes the Medicare Advantage program for 2011 that will begin the process correct Medicare's excessive payments private plans the Medicare Advantage program. The resources will help strengthen Medicare for all seniors, provide all beneficiaries with important new benefits and extend the life the Medicare Trust Fund. Seniors who choose Medicare Advantage plans will continue receive their guaranteed benefits and have access Medicare Advantage plans. 
 
Educating Seniors and the American Public: June the President hosted town hall meeting discuss with seniors the Affordable Care Act. brochure describing the new law and its implications was sent all Medicare beneficiaries 
May 24. Educational ads featuring Andy Griffith were launched July 31, the 45th anniversary Medicare. addition, the Administration has hosted over Web Chats different topics regarding the new law, including the President demonstration how use the HealthCare.gov. 
 
Fighting Fraud: The Affordable Care Act includes significant new tools that will help fight fraud and protect taxpayer dollars. Using these new tools, Secretary Sebelius has pledged cut Medicare's error rate (the percentage claims paid inappropriately) half 2012. Attorney General Holder and Secretary Sebelius have asked the State Attorneys General join forces coordinated nation-wide effort fight and prevent health care fraud. series summits planned across the country jump-start this effort local level. The first summit was held Miami July and the second was Los Angeles August 26. proposed regulation implementing the first round Affordable Care Act policies combat Medicare and Medicaid fraud was issued September 17. 
Promoting Pl'evention 
Ensuring All New Health Insurance Plans Cover Proven Prevention: The Administration issued regulations July 19th that ensure that, starting new plan policy years starting after September 23, insurers offering plans created purchased after the date the Affordable Care Act was enacted will cover certain reconnnended preventive services with deductibles, copayrnents, coinsurance. 
Free Preventive Services for Seniors: The Administration proposed regulations June waive Medicare cost sharing for recommended preventive benefits sta11ing 
2011. 
Adding Annual Wellness Visit Medicare: Starting 2011, Medicare will pay for annual wellness visit seniors can receive the free preventive benefits they need well advice how stay healthy. Rules for the wellness visit were proposed June. 
Awarding $250 million Grants for Prevention: The Administration allocated the 2010 Prevention and Public Health Fund programs support activities such community initiatives and the development the public health infrastructure that can help prevent disease and illness before starts. 
Launching the Prevention Council and Plan: executive order create the National Prevention) Health Promotion and Public Health Council was signed June 
10. met and produced preliminary report July and met again September review its plan for the coming year. 
Building the Foundation Affordable, High-Quality Health System 
 
Spurring Innovation and Lowering Costs: The Treasury Department accepting applications under the billion therapeutic discovery tax credit program, which provides tax credits small businesses encourage the development new and cost-saving therapies, support good jobs, and increase U.S. competitiveness. 
 
Protecting Patient Safety, Reducing Medical Liability: September, 2009, President Obama called the Department Health and Human Services make grants available for projects that have the potential improve patient safety and reduce medical liability. Grants for these projects were awarded June. 
Strengthening the Health Care Workforce with $250 million Grants: These grant opportunities, along with other funding the Affordable Care Act and the American Recovery and Reinvestment Act, will train 16,000 primary care physicians, physician assistants and nurse practitioners over the next years. 
Strengthening the Long-Term Care System: joint Administration Aging and CMS initiative will support $60 million grants States and communities help individuals and their caregivers better understand and navigate their health and longterm care options. addition, letters State Medicaid Directors outlined new options for home-and community-based care June 22, August and September 
Supporting Programs Help Families: Grant opportunities for home visitation help parents learn about care for their newborns were announced June 10. Grant opportunities for Family Family Health Information Centers were announced June Funding announcements for the new Pregnancy Assistance Fund July and related programs July 30. 

Appointing Boards and Commissions: addition, steps have been taken establish commissions that address series issues including: 	Alaska Workforce: completed its work and its final report was issued September 17. 	COOP program: Its appointees were announced June GAO. 	Personal Assistance Workforce: was chartered May. 	Breast Cancer Awareness: Its appointees were announced September 17.