Policy and Election Update December 9, 2020

Todd Anderson Director, Public Policy and Regulatory Affairs Jonathan Linder Director, Federal Public Policy Blue Cross Blue Shield Blue Care Netw ork Policy and Election Update of Michigan

AGENDA: • Election results

• Impact on Key Issues

• Texas v. ACA Court Case

• Questions

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Blue Shield Blue Care Netw ork National election results of Michigan

U.S. Senate U.S. President U.S. House Vice President Joe Biden Control of the U.S. Senate will be Democrats have retained determined by a two-seat runoff control of the House, election in Georgia, on Jan. 5. despite several losses.

With both parties likely controlling a 222 50 chamber of Congress, Republicans incremental changes Democrats to the health care 46 system remain a 209 Democrats more viable and likely Republicans option than 2 overarching, 0 Ind sweeping reform. Ind.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Blue Shield Blue Care Netw ork 2020-2021 Michigan Congressional delegation of Michigan

Michigan’s U.S. Senators *Incumbent Debbie Stabenow (D)*

Gary Peters (D)*

Michigan’s U.S. Representatives 7-7 split (R and D) 1 Jack Bergman* 8 Elissa Slotkin* (D) (R) 2 Bill Huizenga* 9 Andy Levin* (D) (R) 3 Peter Meijer (R) 10 Lisa McClain(R) 4 John 11 Haley Stevens* (D) Moolenaar* (R) 5 Dan Kildee* (D) 12 Debbie Dingell* (D) 6 Fred Upton* (R) 13 Rashida Tlaib* (D) 7 Tim Walberg* 14 Brenda Lawrence* (R) (D)

NEW

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Blue Shield Blue Care Netw ork State election impact of Michigan

State House of Republicans maintained control of the Representatives Michigan House. All 110 members of the Michigan House of Representatives were up for election. Balance of the state Supreme Court moves to Democratic- nominated justices • Justice Bridget McCormack 58 (reelected) Republican • Elizabeth Welch 52 Democrat

State Senators and statewide elected offices were not up for election (Governor, Attorney General, Secretary of State)

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Blue Shield Blue Care Netw ork Election impact on key issues of Michigan

COVID-19

Public Option / Medicare Age 60

Medicaid

Individual Market

Lame Duck

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Texas v. ACA: The most likely outcomes are Blue Shield Blue Care Netw ork the least disruptive of Michigan

Most likely, least disruptive

Only Individual Mandate Overturned

Some Market Reforms Overturned

Entire ACA Overturned

Least likely, Most disruptive

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association. Blue Cross Blue Shield Blue Care Netw ork of Michigan

Questions

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cro ss and Blue Shield Association.