FOIA Number: 2006-0770-F FOIA MARKER This is not a textual record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff.
Collection/Record Group: Clinton Presidential Records
Subgroup/Office of Origin: Policy Development
Series/Staff Member: Ira Magaziner Subseries:
OA/ID Number: 10020 FolderlD:
Folder Title: First Lady Briefings [1]
Stack: Row: Section: Shelf: Position: 100 2 1 3 Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE
001. list List of NBC News Personnel (partial) (1 page) nd P6/b(6)
002. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (1 page)
003. list List of CBS News Personnel (partial) (1 page) nd P6/b(6)
004. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6)
005. list List of NBC News Personnel (partial) (1 page) nd P6/b(6)
006. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (I page) 007. list List of CBS News Personnel (partial) (1 page) nd P6/b(6)
008. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6)
COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1]
2006-0770-F rv5l8 RESTRICTION CODES Presidential Records Act - \44 U.S.C. 2204(a)] Freedom of Information Act - |5 U.S.C. 552(b)]
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MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: IRA C. MAGAZINER LYNN MARGHERIO
SUBJECT: PROVIDER FORUMS
PURPOSE
As an integral part of the "national discussion" on health reform, we propose a series of interdisciplinary provider forums in which nationally respected physicians, nurses, deans of medical and nursing schools, hospital and health plan administrators come together to discuss specific aspects of health reform.
The acceptance of the health reform proposal faces major challenges — it represents major change, it affects a large segment of the economy and it's complicated. In addition, it's an issue that's central to the lives of individuals and families. The American public will need to be reassured that their relationship with their doctor, the care that they are used to receiving and the availability of services will not be disrupted due to reform. They will naturally look to their own physician for this reassurance.
By convening nationally recognized providers to discuss how the President's health reform plan will affect the delivery of health care and how it will impact patients will both build credibility for the plan as well as reassure the American public, the Congress, governors and others.
KICKOFF FORUM
To underscore the importance the Administration places on health reform, we would propose the first forum to take place in the White House (possibly the East Room) on September 20th.
Format: The President will make introductory comments about the need for health reform and the principles to which he is committed. C. Everett Koop, chair of the provider forums, will follow the President's remarks with a statement in support of the need for health reform and how the President's commitment to health reform over the past six months alone has done more to change health reform than any legislative effort in the past twenty years.
The President will participate in a 1-hour discussion with 6-10 panelists and the panel will take questions for 45 minutes from an invited audience of 50 practicing physicians, deans, nurses, hospital and health plan administrators Topic: The problems with the current system and the necessary principles for health reform
Goal: To publicly associate Dr. Koop and other opinion leaders with the President's plan and with the principles the President has committed to. Building a network of very visible supporters of the plan will provide invaluable outreach and will hopefully succeed in neutralizing those who may otherwise speak out against the plan.
Similar to the economic summit during the Transition, this type of forum highlights the President's knowledge and passion for the issues.
The forum would be open to the press (C-SPAN, network news, paper media) but would not be a press conference.
Because the Administration has had a rocky relationship with Koop, it is very important that we structure Dr. Koop's role so that he becomes invested in the success of our plan. He needs to feel that his role is not simply as a mouthpiece, but rather that it is helping to frame the national discussion. If we push him too fast to endorse the plan, we may lose him.
SUBSEQUENT FORUMS
During the months of October through January, we would propose continuing a series of forums around critical components of the plan from the provider perspective. These are examples of topics the group might discuss:
Improving quality Doctor-patient relationship Technology and information in health care Rural and urban issues Public health/prevention New system organization
There are a number of key events being sponsored by interest groups — the subject will naturally be health reform and the various plans being proposed. If we piggyback the forums on these key events, with a built-in audience of key players in the industry, we will be able to influence the agenda and the outgoing message from these events.
Dr. Koop will be a constant presence as the chair of each of these forums, moderating the panels and taking questions from the audience. Depending upon the schedule and the prominence of the event, the President and/or the First Lady could either drop in to introduce the panel and/or participate in the panel. PLANNING:
September 2 - 10: Identify panelists and audience with input from Congressional Relations, Intergovernmental Affairs, Public Liaison
Discuss press strategy and format with Communications
September 13 - 17: Invite the panelists to review the health plan, followed by a discussion with Ira. If possible, arrange for a drop by from the First Lady or the President. If not possible, invite these panelists to the September 18/19th reception with the President.
September 20: Breakfast panel with the President September 7, 1993
MEMORANDUM FOR HILLARY RODHAM CLINTON
FROM: Kim Tilley, Amy Nemko SUBJECT: Briefings for Wednesday, September 8th
American Hospital Association Briefing
- "Reform Could Limit Charity Care/ USA Today, August 25, 1993 - "Health Debated on Radio," Sacramento Bee, August 22, 1993
[NOTE: AHA made the following comments after their time today in the reading room today: 1. Where was the chapter on doctor's choice? 2 They were concerned how the numbers would work. 3. How would hospitals survice in this system?]
DARE Photo-Op Briefing
Blue Cross/Blue Shield Briefing
AFL-CIO Briefing - AFL-OO Press Summary - Health Care Reform Today (for talking points) - "Health Care Reform Plan to Propose Federal Coverage for Early Retirees/ Washington Post September 7, 1993 [NOTE: Marilyn Yager feels that this article is relevant to the Business Roundtable as well.]
Democratic Policy Council Meeting Agenda
Business Roundtable Briefing
- Concerns and Responses - Talking Points - Participants List September 7, 1993
AMERICAN HOSPITAL ASSOCIATION
DATE: September 8, 1993 LOCATION: HRCs Office TIME: 9:00 am FROM: Kim Tilley, Amy Nemko
L PURPOSE
To close the deal with American Hospital Association (AHA) leadership.
IL BACKGROUND As you may know, AHA represents 5,300 health care institutions. We have had a good relationship with the leadership of AHA throughout the process with frequent communication (including a meeting with you and your speech to their convention) and strong response to their concerns on the package. They badly want to support the administration, but they face complicated internal politics with their membership. This meeting is in large part to give AHA leadership the needed assurances and enthusiasm to aggressively sell the plan to their membership.
Their main issues of concern are:
1. Antitrust regulations 2 Size of regional alliances (they would like more businesses to be able to opt out so that alliances have a weaker negotiating business) 3. Toughness of cost controls
HL PARTICIPANTS
James Bentley, Ph.D. Richard Davidson, President, AHA Richard Pollack, Senior VP for Federal Relations Mike Lux Melanne Verveer IV. SEQUENCE OF EVENTS
Informal briefing.
V. PRESS PLAN
Closed press.
VL REMARKS
• We have reached out to you and brought you into our process in every way you've asked. Even if you don't agree with every detail of the plan, this is the best chance we'll ever have at health care reform. If you support us, we will be committed to working with you closely throughout this process.
• Antitrust Regulations
The Department of Justice and the FTC will publish guidelines that provide safety zones for hospital mergers.
Hospitals may enter into joint ventures involving high tech or expensive equipment and ancillary services as well as joint purchasing arrangements involving the goods and services they need.
Within safety zones, physicians may join provider networks to negotiate with health plans. They also are provided a narrow safe harbor to establish and negotiate prices if the providers share financial risk.
Current exemption from the antitrust laws enjoyed by health insurers is repealed. (McCarran-Ferguson)
• Size of regional alliances -
All employees in firms with under 5000 employees get their health coverage through regional alliances. We have chosen a large number for three policy reasons: 1) to ensure a single system in terms of quality and the benefits package. If companies of 100 or more are outside the alliance, this invites a regulatory framework, because smaller companies can't meet the requirements on their own; 2) to avoid competition based on risk selection; 3) because it is more administratively simple. These objectives can probably be accompUshed with a lower threshold, but we are balancing this with the objective of bringing the single-payer advocates on board. • Toughness of cost controls / global budget -
The President has made a commitment to bring the growth in health care expenditures in line with the growth in the Gross Domestic Product Other countries - - Germany and Japan have been able to reach this goal - - we should, too. The Congress has said it will cap Medicare and Medicaid spending. We need to limit the growth in these programs in order to meet the President's commitment as well as to protect the private sector. If we don't place a budget on private sector, businesses and individuals will have to pay more as the costs are shifted onto the private sector.
Thafs why we've Umited the growth in private health care premiums (for the guaranteed benefits package) to CPI by 1999. We're going to phase this in over time.
We see the global budget as a backstop, and the only cost saving measure CBO will score. We believe that the there's enough inefficiency in the current system to achieve this level of cost savings, and that managed competition will naturally achieve those savings. USA TODAY August 25, 1993, Wednesday, FINAL EDITION SECTION: NEWS; Pg. 3A HEADLINE: Reform could limit charity care / Less money for costly treatments BYLINE: Lori Sharn BODY: The extraordinary attempt to save a Siamese twin against nearly impossible odds has captured headlines across the country. But such long-shot operations are less likely if the nation's health-care system is reformed to give everyone basic care, experts say. "The reason we have charity care now (is) hospitals cost-shift to the middle class," says Leonard Fleck, a medical ethics professor and adviser to Hillary Clinton's task force on health care. "All that cost shifting will be gone." Health-plan managers will have to serve everyone within a set budget, Fleck says, leaving less money for free care in cases with extremely limited chances of success. The Clinton plan, due next month, must pass Congress. Larry Marsh, a health-care analyst with Wheat First Securities, says less money will be set aside for costly, experimental treatments, but hospitals will still take high-profile cases. "The more sensational, the more experimental it is sometimes, the greater odds of it happening," Marsh says. Hospitals spent about $ 11 billion in 1991 on charity cases and writing off bad debt, says Jon Ross of the American Hospital Association. The Children's Hospital of Philadelphia, where Amy and Angela Lakeberg were separated last week, spent $ 27 million on uncompensated care last year. The twins' care and treatment at two hospitals has already topped $ 300,000 and could - if all expenses were billed - reach $ 1 million. Indiana Public Aid is contributing $ 997 a day for the Lakebergs. The hospitals are picking up the rest of the bills. Ross says if reform makes health care more efficient, hospitals will still have room to take on high-risk cases: "Hospitals don't want to see anybody dying because (of) a lack of funds." Yet, patients who need life-saving operations - but whose odds are better than the twins' - find hospitals and insurance companies reluctant to pay. "I'm not as cute as a little baby," says Mary Ella Douglas, 35, whose insurance company refuses to pay for a bone marrow transplant to fight breast cancer because it's considered experimental. But the former Virginia Beach marketing director, now on medical disability, says she doesn't begrudge the twins. "The powers that be that make these decisions, I guess they're playing God every day," she says. She says her oncologist told her there is a 90% chance of the cancer returning within five years of surgery with conventional treatment, but only a 50-70% chance with a transplant. Douglas begins the treatment in September. Douglas needed about $ 60,000 for her procedure - raised through a golf tournament fund-raiser, yard sale, a local radio station and other donations. "There are plenty of women in my situation," Douglas says. "It really is a procedure for people who have the money to pay for it." Sacramento Bee August 22, 1993, METRO FINAL SECTION: MAIN NEWS; Pg. Al HEADLINE: HEALTH DEBATED ON RADIO BYLINE: Bee News Services BODY: President Clinton and Gov. Pete Wilson debated health-care reform Saturday in separate radio addresses that outlined the biggest question -- who pays. And the argument over which approach is best came amid signs that the health-care industry is already linking up to form the health-care networks that Clinton is likely to propose as the foundation of a new medical system. In his weekly radio address, Clinton said health reforms were needed to prevent "more fear, anxiety and insecurity on the part of our citizens." With his economic package now law, Clinton said, America "must take the next step." "We must reform our health-care system so that you and every American will be assured not only of economic security, but the security of knowing that health care is always there for you." Clinton is expected to unveil his plan Sept. 22 in a speech to a joint session of Congress. "The plan will be built on three guiding principles: security, savings and simplicity," the president promised. His health plan, to be phased in over five to seven years, would require big employers to pay 80 percent of their employees' premiums, with workers paying the rest. Small companies would be offered sliding-scale subsidies. The so-called employer mandate is quickly emerging as the most contentious element of Clinton's agenda — now that the White House has said it will not seek a broad-based tax to finance health reform. Critics have argued that any requirement that employers provide health insurance would cost jobs and be particularly harmful to small businesses. Wilson said that there is much that Republicans can agree on with the Clinton administration, but that the employer mandate is not one of them. "There is a better way," said Wilson in the Republican response to Clinton. Wilson said voluntary state insurance purchasing pools for small businesses offer "better coverage at a lower cost ... at no cost to the taxpayer and without any job-killing mandates on employers." "California's pool offers the opportunity to insure up to 75 percent of the Californians who currently don't have insurance coverage, with rates for the typical small business as much as 23 percent below premiums for currently offered comparable coverage," Wilson said. But Clinton insisted that under his plan employers would have "plenty of time to phase in coverage for their employees" and that the plan would give small businesses "lower insurance rates instead of pricing them out of the market." "And amazingly, doing nothing is the most expensive thing of all," Clinton said. "It means about 100,000 Americans a month will join the nearly 40 million already without health insurance. And we will continue to spend much, much more of our income on health care than any other people on Earth." And while the politicians debated, the New York Times reported Saturday that hospitals, doctors and insurance companies around the country are taking matters into their own hands. The health-care market, not the government, is the driving force behind the health-care networks, which are being formed in many metropolitan areas, the Times reported. The new networks typically offer a full spectrum of care, from treatment of minor infections to open-heart surgery, for a fixed price..Consumers, in theory, will no longer receive their care from a multitude of unconnected services. The new networks resemble health maintenance organizations in some respects, but they are bigger than the typical HMO. The new conglomerates may include outpatient clinics, freestanding doctors' offices, nursing homes, hospices, home health agencies, retail pharmacies, drug treatment centers and medical equipment suppliers, as well as hospitals, the newspaper reported. With nearly 40 percent of hospital beds empty, the American Hospital Association is exhorting its members to form "community care networks." The association's biweekly magazine, published since 1936 under the title Hospitals, changed its name in June to add the phrase "& Health Networks." Dr. James S. Todd, executive vice president of the American Medical Association, said that "in recent months, there has been an unprecedented wave of health-care industry mergers, acquisitions and consolidations." He warned that this trend may restrict patients' ability to choose their doctors and the doctors' freedom to make medical decisions — a concern shared by some consumer advocates. The trend toward networks of doctors and hospitals has probably gone further in Southern California than in any other part of the country, the Times reported. "Solo practitioners are getting to be increasingly rare out here," said Robert H. Calverley, a spokesman for the Los Angeles County Medical Association. Dr. Ben Shwachman, an anesthesiologist and lawyer who is president of the Los Angeles association, said: "You can't just hang up a shingle, open the door and get patients any more. You have to get contracts, and contracts go through huge conglomerates formed by hospitals, physicians or insurance companies." Michael D. Bromberg, executive director of the Federation of American Health Systems, a trade group that represents investor-owned hospitals, said there was "a whirlwind of activity" by hospitals and doctors trying to get ready for the new health-care system envisioned by Clinton. September 7, 1993
PHOTO WITH DRUG ABUSE RESISTANCE EDUCATION (D.A.R.E.) POSTER CONTEST WINNERS DATE: September 8, 1993 LOCATION: South Portico TIME: 10:30 am FROM: Danny Wexler
I. PURPOSE To participate in an event to celebrate the 10th anniversary of D.A.R.E.. D.A.R.E. is one of the most comprehensive Drug educations programs in the world with more than 5,400 cooperative partnerships between law enforcement and local school districts.
II. BACKGROUND More than 5 million 5th and 6th grade D.A.R.E students in all 50 states participated in a D.A.R.E. poster contest this past spring to commemorate D.A.R.E.'s 10 year anniversary and National D.A.R.E. Day. The nine regional winners will be in Washington September 8 and 9. DARE challenged students to create an 18" X 24" poster illustrating "What D.A.R.E. Means to Me". D.A.R.E. officers chose one winning poster per school. Those winners were submitted to D.A.R.E. Regional Training Centers where regional winners (9) were chosen. The nine winners will be in Washington accompanied by a parent, D.A.R.E. officer and a teacher. The grand prize winner will be announced in Washington, tomorrow, September 8, at 3:00 pm, in a ceremony with Attorney General Janet Reno at the DEA. The trip is being provided courtesy of Kentucky Fried Chicken, D.A.R.E.'s national corporate sponsor. D.A.R.E. originated in 1983 as a cooperative effort of the Los Angeles Police Department and the Los Angeles Unified School District. LAPD officers taught a drug prevention/education curriculum to 5th and 6th grade students in the classroom. Due to demand from school districts and law enforcement agencies throughout the country and worldwide, D.A.R.E. expanded rapidly. Today more than 15,000 officers in all 50 states and around the world participate in the program. Today's D.A.R.E. program will reach more than 25 million kindergarten through 12th grade students. About 5.5 million will receive the core D.A.R.E. curriculum and more than 20 million will be touched by other components of the D.A.R.E. program. According to a Summer 1993 Gallup survey of D.A.R.E. students in 50 states, 93 percent of those participating in the program believe it is giving them the skills they need to resist drugs, gangs/violence and unwanted peer pressure of any kind.
III. PARTICIPANTS Lee Brown, Director, Office of National Drug Control Policy Jim Hoag, President, Bayliner David Hasbrouck, D.A.R.E. California Board Glenn Levant, Executive Director, D.A.R.E., Worldwide Jean MacCurdy, President, D.A.R.E. America Board Helen Mars, D.A.R.E. America Board Mike Schwab, President, D.A.R.E. California Nathan Shapell, President, D.A.R.E. America The Nine Finalists Ninia Song, San Clemente, CA Kimberly Dehn, North Canton, Ohio Erika Posthumas, Minneapolis, Minn. B.J. Gavin, St. Petersburg, FL Liz Knoll, Delman, New York Brooke Hopper, New Albany, Indiana Kyla Pepper, Kemmerer, Wyoming Cynthia Agate, Statesville, North Carolina Mitali Banjerjee, Houston, Texas Total 50 people Staff: Danny Wexler IV. PRESS PLAN Closed Press V. SEQUENCE OF EVENTS o The participants will be positioned on the South Lawn and South Portico, o You will come out to the driveway and greet the children. Each of the children will present you with a copy of their poster, o You Depart. VI. REMARKS None required September 7, 1993
BLUE CROS^ BLUE SHIELD
DATE: September 8, 1993 LOCATION: HRCs Office TIME: 12:30 pm FROM Kim Tilley, Amy Nemko L PURPOSE
To get them as close as possible to closing the deal.
IL BACKGROUND
As I mention in an earlier memo to you. Blue Cross Blue Shield is our most likely vehicle for gaining support in the insurance industry. They are supportive of most of the insurance reform proposals, the employer mandate, and the general managed competition principles. They seem to be very open in general, and their preference would be to be supportive rather than antagonistic.
They are most worried about the global budget and the cost control measures in the plan. Like the rest of the insurance industry, they don't like the idea of premium caps in particular, and global budget/ cost controls in general.
RL PARTICIPANTS
Mary Nell Lehnhard, Senior Vice-President, Office of Gov't Relations Barney Tresnowski, President and CEO Mike Lux Melanne Verveer
IV. SEQUENCE OF EVENTS
Informal briefing.
V. PRESS PLAN
Closed press. VL REMARKS
• Even with the things in this plan that you are uncomfortable with, we want your support You are the leaders in the industry in terms of reform, and we'll pledge to keep working with you closely throughout the process if you stay positive and constructive at the beginning.
• The President has made a commitment to bring the growth in health care expenditures in line with the growth in the Gross Domestic Product Other countries - - Germany and Japan have been able to reach this goal - - we should, too.
• The Congress has said it will cap Medicare and Medicaid spending. We need to limit the growth in these programs in order to meet the President's commitment as well as to protect the private sector. If we don't place a budget on private sector, businesses and individuals will have to pay more as the costs are shifted onto the private sector. Thafs why we've limited the growth in private health care premiums (for the guaranteed benefits package) to CPI by 1999. We're going to phase this in over time.
• We see the global budget as a backstop, and the only cost saving measure CBO will score. We believe that the there's enough inefficiency in the current system to achieve this level of cost savings, and that managed competition will naturally achieve those savings.
• As for cost controls, we're not imposing any cost controls — they'll be strictly voluntary. September 7, 1993
MEETING WriH AFL-CIO
DATE: September 9, 1993 LOCATION: OEOB, Room 100 TIME: 1:45 pm FROM Kim Tilley, Amy Nemko
L PURPOSE
The goal of this meeting is to close the deal with AFL-CIO.
IL BACKGROUND They have wanted very much to support us and we have made strong efforts to be responsive to their concerns about the health care package.
Concerns 1. The most sensitive issue is the tax cap. Even though there is some deductibility limit, this issue has been resolved to a large degree in their favor.
2. Allowing big business to opt out of the regional alliances.
3. Making sure federal employees are not hurt by being in the regional alliances instead of the current FEHBP system.
4. Making sure Medicare/ Medicaid cost controls don't hurt retirees and the poor.
The membership of the AFL-OO is extremely diverse, as is their range of concerns. The people in thus meeting reflect that, ranging from being pro-single payer (Jerry Mclntee) to being very conservative (Bob Georgine).
RL PARTICIPANTS
Lane Kirkland, President, AFL-CIO John Sweeney, President Service Employees International Union Robert Georgine, President Building and Construction Trades Department Gerald McEntee, President, American Federation of State, County, and Municipal Employees Gerald Shea, Director, AFL-CIO Department of Employees Benefits Robert McGlotten, Director, AFL-CIO Department of Legislation Mike Lux Melanne Verveer
IV. SEQUENCE OF EVENTS
Informal briefing.
V. PRESS PLAN
Closed press.
VL REMARKS
Follow:
1. CONCERN: Tax cap
RESPONSE: While we felt that having some tax cap was an important symbolic part of reform, we have made it a very modest part of the package and put it together in a way so that it will have very little effect on union members. We have made the following concessions on this issue:
- A generous standard benefit package makes the effect relatively small.
- Union contracts are grandfathered in for ten years.
- The 20% employee share of the insurance cost as well as deductibles and co- pays are not tax capped.
2 CONCERN: Big business opt outs
RESPONSE: We thought it was important to give big companies who had had the experience of effectively controlling costs and providing quality the opportunity to continue to do that, but only under certain strict guidelines:
- They have to offer the same or better benefit package.
- They have to provide some choice of plans for their employees. - They have to offer the same or better quality standards.
- They have to pay a 1% surcharge to contribute to the subsidies for low income people. [NOTE: This point is unclear. Ira needs to provide greater detail.]
The other thing to note is the 5,000 employee number for opt outs is much higher than business wanted.
3. CONCERN: Federal employees
RESPONSE: We feel it symbolically important that all of us - as federal workers - be included in the local health alliances. Federal workers will have a better benefits package with more generous cost-shifting provisions under our plan. Unlike the postal workers, the federal workers do not have collective bargaining and thus agree that they have no need to establish an independent health alliance.
4. CONCERN: Medicare/Medicaid cuts
RESPONSE: Because we are doing private sector reform, medicare and medicaid cost won't hurt the elderly or poor the way some of these cuts have in the past The percentage growth of medicare/medicaid will be higher than the private sector. (This is the same discussion that we went through with AARP.)
[This information provided by Mike Lux.] AFL-CIO PRESS SUMMARY
"Organized labor...is expected to be among the principal advocates of health reform. However...AFL-CIO support for health care is not firm: 'The AFL-CIO, Teamsters, and UAW are steamed over Clinton's continuing support for NAFTA, and sources tell us they've signaled White House officials not to expect any help on health care as long as they have to fight NAFTA." Health Line, August 31, 1992
"[AFL-CIO President Land] Kirkland said the AFL-CIO had discussed with the White House its concerns about health care reform. The labor organization wants to ensure unions can bargain for better coverage than the basic U.S. plan. 'We, of course, oppose paying for it by taxing benefits,' Kirkland said." The Renter Business Report, August 31, 1993
AP/Daily News noted that the AFL-CIO "has adamantly opposed any tax on health benefits. To assuage big labor, the White House said its proposal will exempt from taxation health benefits after the new system starts in 1996." Anderson: "We believe it will ultimately be acceptable to most union leaders." AP/Daily News, September 7, 1993
"A coalition of 15 labor, medical, and elderly advocacy groups, including the AFL- CIO, the [AARP], and the American Academy of Family Physicians, is moving ahead with plans for a full-scale campaign to promote comprehensive health care reform. The group, whose provisional name is the Healthcare Project, appears headed toward hiring the Washington political consulting firm of Chlopak, Leonard, Schechter and Associates to coordinate the campaign and harmonize the efforts of member groups. Chlopak and his partners, who were formerly with the Sawyer/Miller Group, have specialized in running issue-oriented campaigns for coalitions, most recently on environmental and consumer matters. In addition to hiring the consulting firm, the coalition is likely to also ask participatants to contribute staff employees to the effort" National Journal, "At A Glance: Health," August 21, 1993 The White House Health Care Reform Today September 1,1993
SETTING THE RECORD STRAIGHT ON MEDICARE AND HEALTH REFORM
• Anticipated savings in the Medicare and Medicaid programs from the administration's health reform proposal will come from restraining the growth of all health spending, private as well as public, the White House said today.
"// is wrong to imply that President Clinton would make inappropriate or indefensible cuts in Medicare and Medicaid to pay for health care reform, " said Donna Shalala, Secretary of Health and Human Services.
Recent press reports suggesting a recent rift within the administration over capping Medicare and Medicaid ignore several points.
• Savings in those programs will not shift costs onto the private sector because under the administration's reform plan, for the first time, all health spending -- public and private - will be placed under the discipline of a budget. Past efforts to cut or cap those programs in isolation merely fueled soaring health care prices in the private sector. The administration's Health Security Plan will avoid - and in fact reverse -- that so-called cost-shifting by controlling all spending, private as well as public.
• The administration's reform plan anticipates expanding Medicare benefits by adding coverage for prescription drugs, and home- and community-based long-term care. The expected savings in Medicare will be rechanneled into those new benefits.
• Expansion of coverage to the uninsured will replace a portion of current Medicaid program spending. Tens of millions of new, paying patients will reduce providers' reliance on often inadequate Medicare and Medicaid reimbursements, allowing room for program savings.
• Finally - and again contrary to published reports - no figures for expected Medicare and Medicaid savings exist because the President has not made a final decision on the financing package and phase-in schedule. "The essence of that decision is basically how much and how fast we can slow health spending down - which is the discussion we've been having since January. There's no new debate here, " said Ira Magaziner, Senior Adviser to the President for Domestic Policy Development. "It's absurd to suggest that anyone here would promote a policy that would harm Medicare or Medicaid beneficiaries or providers. "
-Continued- HEALTH REFORM AND JOBS: MYTHS AND REALITY
The White House refuted today a story in the Sept. 6, 1993, issue of Time Magazine claiming that preliminary administration studies of its health reform plan show it would produce "significant" losses of "as many as 1 million jobs" over five years. The facts:
• No official administration computer study based on even contemplated parameters of the Health Security Plan as a whole suggests any such result. • The Council of Economic Advisors is conducting computer studies of the employment effects ofthe Health Security Plan. Those studies are not complete, because the final decisions on the plan's financing package and phase-in schedule have not been made. The White House expects to announce the results of those studies near the time the President presents his plan to Congress late this month.
Also false is Time's further claim that "many" of President Clinton's advisers "know" health reform will cost jobs and "fear Clinton has not been told."
"That's absolute hogwash, and apparently willful ignorance of some basics about jobs and health reform, " said White House health policy spokesman Kevin Anderson.
• A handful of recent reports have proclaimed massive job loss from health reform. But in each case they were bought by partisan groups opposed to the principal of the fair sharing of health costs by all. Each study made unfounded assumptions about the Health Security Plan - in some cases wildly exaggerated. And each plan purposely ignored the job-creating effect of slowing the growth of health care costs among the vast majority of employers who now offer health insurance. • The "job loss" debate is really about relative rates of job growth. Even the pseudo-studies mentioned above stop short of characterizing their "millions of jobs lost" claims in terms of layoffs and existing jobs destroyed. The question is, in fact, how many more - or fewer - jobs will there be in the economy at the end of a certain period of time because of health reform's changes than there otherwise would be.
"Given that, any studies of jobs and health reform should measure proposals against a realistic view of the status quo, " Anderson said. "And by that standard, the Health Security Plan will be a hands-down winner for American workers, because soaring health costs have been dampening job growth for a decade and will continue to do so. "
"The bottom line is that health reform will save the private sector tens of billions of dollars more than it costs, money that can be used for more and better-paying jobs, " said Laura D 'Andrea Tyson, Chairman of the Council of Economic Advisers. "You have to look at the plan as a whole. " Health Care Reform Today • The White House • 202-456-2566 • Fax: 202-456-2362 1111 <~ Health Care Reform Plan to Propose Federal Cov erage for Early Retirees
3\ Dana Priest dividual companies." said Gerald M. leave the work force early, said a Shea, health benefits director for senior White House official. They the .AFL-CIO. The administration's are trying to figure out a way to President Clinton's health care proposal "goes a very- long way m penalize, perhaps through a tax, ret'orm plan will call tor the federal addressing the cost problem.' he firms that offer early-reurement governnient to pay most of the cost said. incentives. of coverage for middle- and low-in In a study released last year, the The proposed new provision come workers who retire between GAO found that •firms are reducing would apply to persons who had the ages of 55 and 65—a provision or terminating health benefits for worked for 30 years (the exact calculated to win support from large current and future retirees. Retir number has not been detemuned) corporations, labor oruons and the ees who lose their company health and retire between the ages of 55 x?mor citizen lobby, according to coverage often face poor prospects and 65. Benefits would be tied to top White House officials. for acquiring health coverage income, but Clinton has not yet de "This is a middle-class benefit." through another employer, and in cided what the cutoff point would said one official, who explained that dividual insurance may be available be. The range under consideration it would not apply to retirees with only at very high rates." is $40,000 to $75,000 a year in re sizable retirement incomes. Details of the plan were still be tirement income. The policy's purpose is twofold. ing ironed out yesterday by a spe To finance health care for all First, it is intended to finance cial economic team put together working Amencans. Clinton's plan health care for early retirees or last week at Clinton's request, but would require employers to pay 80 workers laid off before they reach it was estimated that the entitle percent of the average cost of a 65—when they would become el ment would cost as much as $10 premium for their full-time employ igible for Medicare—who suddenly billion a year. The financing mech ees; employee would pay up to 20 have to bear the entire cost of their anism has not yet been decided, but percent. Firms with fewer than 50 health insurance. the White House is considering im employees, and those at which the There are now about 4 million posing a one-time tax on the com average wage is less than $24,000. retirees between the ages of 55 and panies that would benefit most from would be eligible for a government 65. according to a recent General being relieved of most of their re subsidy for costs of health care cov Accounting Office study. Approx tirees' health costs. erage. imately 3 million reurees and their Clinton administration officials Under the formula that would ap spouses in that age group receive have said that the federal govern ply to early retirees, if the company some health benefits, either from a ment can cover most of the cost of had an existing arrangement (such former employer or. in the case of the president's health care reform as a union contract) with employees at least 100,000 people, from Med plans by redirecting money in ex to provide retiree health benefits, icaid. isting health programs. then the company would pay for 20 The plan's second goal is to pro But as reports of new proposed percent of that premium coet; the vide financial relief for certain in benefits have increased, so has federal government would pick up dustries—such as steel companies, skepticism that the plan can achieve 80 percent. Individual retirees automakers and large communica what its designers say it can at the would have to pay out-of-pocket costs estimated by the administra charges if they chow a health plan tions firms—that have costly retir tion. ee health-benefit obligations and requiring such charges. often have older-than-average work it's almost too much of a free For retirees with no guaranteed forces. These factors, officials of lunch." said John Rother, legislative benefits, each retiree would be re such industries say, are draining director of the American Associa sponsible for 20 percent of the pre them financially and making their tion of Retired Persons and a sup mium, with the federal govenunent products less competitive in the porter of the early-retirement pro paying the rest. But there would be vision. "There's an Alice-in-Won- a sliding scale applied to individual world market. derland quality to all this." For example. U.S. automakers contnbutions so that low-income Other analysts are concerned persons also would receive a gov estimate that their health care that an early-retirement entitle ernment subsidy for their portion of costs add more than Si.000 to the ment would encourage floods of the premium. price of every car and truck they people to leave the work force ear sell, compared with health care lier than they would otherwise, costs closer to $500 per vehicle for swelling the government's financial their foreign competitors. burden. TODAY IN CONGRESS In the last several years, many "You could end up creating a fair companies have significantly scaled ly significant inducement to retire SCHATC back or even eliminated their health among people who otherwise coverage for retirees, a trend that wouldn't see a way to do it prior to -10 •m is expected to continue as health being eligible for Medicare," said arwAnc on 0***» 0«pt i care costs climb and the work force Dallas Salisbury, president of the 'totom-gp' r*"** 223 MuMl OMca ages. Employee Benefit Research Insti £2*1 INMM-2 X 9 m M » it's crucial, in our opinion, that tute, a nonprofit research organi ftvitM. «19 Oiruwi Oftn awi part of the health reform process zation. HOUSI include moving the retirees into Government economists are con some uniform, national system and ducting "sensitivity analysis" to es taking them off the budgets of in timate how many people might I
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AGENDA FOR DOMESTIC POLICY COUNCIL MEETING Wedneeday Swyteiuber 8 Rocsat/alt Room 2:00 - 3; 00 p. u..
2:00 p.m. I. Opening 5;en\ar 2:10 p.m. II. Program Updates A. Office of TM« Nationjal Drug Control Policy Lee Brown B. Office o£ the A1D5 rdicy Coordinator Kristine Gebbie 2:35 p.m. III. Health Care Sefom. .Hillary Rodham Clinton Zra Magaziner 3:00 p.m. IV. Adlourn September 7, 1993 BUSINESS ROUNDTABLE DATE; September 8, 1993 LOCATION: Crystal Room, Willard Hotel TIME: 5:30 pm FROM: Kim Tilley, Amy Nemko L PURPOSE To provide a brief overview of the Health Security Act,(with special emphasis on its strengths for larger companies) and in general to seek the support of the 55 CEOs in attendance. They are hoping you will be to take a few questions following your remarks. IL BACKGROUND (NOTE: This informadon was provided by Marilyn Yager.) Event This is a meeting of the Business Roundtable's Policy Committee, which consists of 88 of their 213 members and is in effect the Roundtable's Board of Directors. The Business Roundtable is an association of business executives who examine public issues that affect the economy and develop positions on public policy. Political Overview The Roundtable's Health Task Force, chaired by Bob Winters, CEO of The Prudential, met with you on June 4. The President addressed the full Business Roundtable on June 9. There has been ample opportunity for communication between the Roundtable and the White House health care team, largely from meetings which Ira Magaziner has had with Sam Maury, Executive Director of the Roundtable, and Bob Winters. Although an endorsement of the Health Security Act is not expected from the Roundtable, we are discussing with them the possibility of a supportive letter for the September 22 announcement As a group they have worked constructively with us throughout the health reform process. The real strength, however, in tomorrow's meetings is the opportunity to make our pitch to 55 corporate CEOs who have followed the health care debate and, in many cases, worked closely with the President on the Economic plan earlier this year. Since their membership covers a broad mix of corporate America, it has members who we expect to work closely with on health reform (i.e., AT&T, XEROX, Bethlehem Steel, IBM), and it includes members who have expressed concerns about provisions of our health plan (i.e., Marriott Corp, Prudential, Philip Morris). ISSUE BACKGROUND Bob Winters, CEO of Prudential and Chair of the Roundtable's Health Task Force, will be reminding their members to give the plan a comprehensive overview. It has been easy in recent months for companies to get bogged down on some specific issues that may not be to their advantage or liking. Winters will remind their members to view our plan in its totality. At this point, the Roundtable members: • have a very strong consensus that companies be allowed to run their own plans. They believe that corporate America has been at the forefront of innovative ways to control costs in recent years and they don't want to come out losers in health reform. • are opposed to payroll tax financing. They are concerned about the 7.9% of payroll premium cap for all non-corporate alliance businesses, since they believe this will have to be substantially subsidized. They also want to know how will the government pay for this program? • do not have a consensus on employer mandates. The members who oppose mandates either oppose because they restaurants/ retailers like the Marriott or they oppose because they are responding to pressures from their small business clients. • believe the function of the alliances should be to create a more competitive market, not to regulate it • have concerns about hidden surcharges and taxes that will force corporate America to subsidize the rest of the health system. HL PARTICIPANTS John D. Long, Chair, Business Roundtable; and Chair, B.F. Goodrich Approximately 65 people to attend. List foUows IV. SEQUENCE OF EVENTS • HRC to sit at head of U-shaped table; • Mr. Long intros HRC; • HRC remarks [10-15 mins]; • Question and answer - tentative. V. PRESS PLAN Closed press. VL REMARKS Follow. CONCERNS AND RESPONSES 1. CONCERN: What is the cost of the plan to the government and how we will pay for it? RESPONSE: In an employer-based plan such as ours, the premiums largely finance the plan, however additional funds will be needed to subsidize low-income firms and workers, the unemployed, the Medicare drug benefit, and long term care provisions. Medicare and Medicaid savings totalling an estimated $285 billion will be folded back into the program, and an estimated $105 billion will be raised through tobacco and spirit taxes. However, just like your businesses, we are putting the health plans on a budget to slow the growth in health costs. 1 CONCERN: What is the cost to employers and how they will pay for it? RESPONSE: Employers will be responsible for 80% of their employee's premium, although they may choose to pay more. In corporate alliances the premium rates may be based on community rating or experience rating. Their premiums for the basic benefit package will be fully tax deductible. 3. CONCERN: What is the cost to employees, including potentially lesser benefits? RESPONSE: Employees will be responsible for 20% of their premium, and the co- payments and deductibles associated with the plan they choose. For tax purposes their premium payments for the national benefit package will not be considered income. Benefits in addition to the national benefit package will retain the preferred tax deductibility for several years, as additional benefits are phased in by the year 2000. 4. CONCERN: Will corporate alliances being able to control their own costs? RESPONSE: While Corporate Alliances will need to meet national benefit and quality standards, they will retain their own authority to negotiate with health plans on price. 5. CONCERN: We are concerned about payroll financing of the plan. RESPONSE: The premiums are financed through premiums, not payroll taxes. The confusion has arisen over the issue of the 7.9% of payroll premium cap for employers in regional alliances. 6. CONCERN: Won't this dampen the market instead of making it more competitive? RESPONSE: The Health Security Act stimulates market forces so that health plans and providers compete on the basis of quality, service, and price. The national standards address benefits, quality, and access, giving regional and corporate alliances the flexibility to tailor their system to their own needs. 7. CONCERN: What additional surcharge will be needed to pay to subsidize the overall system? RESPONSE: We have looked at this issue and have not resolved it As you probably can guess, there are still some issues we will be ironing out over the next two weeks. NOTE: This issue is not resolved. For your own information, you should know that we were looking at a 1% to 1.5% surcharge on corporate alliances only to go towards academic medical centers and quality standards. As of this weekend we were looking at using that surcharge for helping to pay for the small business subsidies. TALKING POINTS o Hie involvement of the Business Roundtable has been constructive and thoughtful I believe many of you will see concerns whkh you have raised with us in the plan. o Let me briefly state was our plan does do: 1. It restructures the health care marketplace to a system of managed care plans that compete on the basis of quality and cost to the consumer — including administrative costs - not on the basis of risk selection. 2 It provides a standard set of benefits including preventive care that will be offered in all plans. 3. Subsidies are provided for low-wage and unemployed individuals so that all citizens will be able to purchase basic benefits. 4. Incentives are in place so that employees who choose more cost-effective plans save, while employees who choose less cost-effective plans will have more out- of-pocket costs. Employer premium payments for the national benefit package are fully deductible, and the employee payments are not considered income. 5. Our plan creates group purchasing arrangements to assure that small businesses and individuals have choice among quality, cost-effective health plans. 6. Our plan allows sufficient latitude in design to allow innovation in methods of health care delivery and new treatments. 7. Our plan contains a national strategy for carrying on outcomes research to define and identify the most cost-effective treatments, and integrating this knowledge into the design for basic benefits. 8. Our plan contains medical malpractice reform. 9. Our plan provides pre-emption of state laws for the corporate alliances except in states with all-payer hospital rates or all-payer rate setting. o If the above nine components sound familiar,, they should. These were the nine parts of the Business Roundtable goals of healthcare reform in February of this year. o Let me briefly tell you about several other items that I know are important to your members: 1. Today, many employers pay the entire insurance bill for a family, while the employer of a worker's spouse pays nothing at all. Under our plan, the costs of families are spread over all firms. 2. Today, large businesses bear the brunt of the cost shift burden. Under our plan, that burden is lifted from them and shared by all employers. 3. Today, many large companies with growing retirees populations of those under 65 are struggling with the out-year costs, while others have no pension plans. Under our plan, the pre-65 retiree health premiums will be paid out of the federal subsidy pool. 4. Today, workers compensation duplicates our health plans. Our plan simplifies the workers' comp provisions through the health alliances, providing savings for businesses. 5. And most importantly, under today's system health care costs are out of control hurting our ability to grow and compete. Under our plan, health care costs are brought into line with inflation through great competition in the health care marketplace and annual budgets that will work. POLICY COMMITTEE MEETING Pu] A. ABairr Xerox Cocpootico Robert E. Allen AT MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: Kim Tilley, Amy Nemko SUBJECT: Briefings for Saturday, September 11th Children's Advocates Briefing - Information on Medicaid and Long Term Care Citizen Action Briefing - Talking Points - Memo from Citizen Action re: Questions and Concerns Federation for Allied Health Systems Briefing - "Clinton's Caps on Medicare, Medicaid Would Save $238 Billion, Aides Say" Wall Street Toumal 9/8/93 September 9, 1993 MEETING WITH CHILDRENS ADVOCATES DATE: September 11, 1993 TIME: 9:45 AM LOCATION: Room 180, OEOB FROM: Mike Lux I. PURPOSE To close the deal and inspire enthusiasm amongst the key children's groups. H. BACKGROUND You obviously know this community better than anyone, and I thought it was important that the leaders of this constituency got 'touched" by you a final time before the announcement Their primary issues of concern are: Medicaid (The Medicaid section did not answer all of their questions) Long Term Care m. PARTICIPANTS Eve Brooks: Executive Director of National Association of Child Advocates Geoff Canada: Regional Coordinator of Black Community Crusade for Children Rae Grad: Executive Director of National Commission to Prevent Infant Mortality David Liedermaru Executive Director of Child Welfare League of America Evelyn Moore: Executive Director of National Black Child Developmental Institute Karabelle Pizigati: Jennifer Perry: Executive Director of Children's Action Network Marian Wright Edelman: President of the Children's Defense Fund Carol Regan: Health Director of the Children's Defense Fund Jennifer Howse: President of March of Dimes Kay Johnson: Policy Director Barbara Wilier: National Association for the Education of Young Children Lawrence McAndrews: President, National Association of Children's Hospitals and Related Institutions Peters Willson: Vice President for Government Relations, National Association of Children's Hospitals and Related Instutions IV. PRESS Closed. V. SEQUENCE OF EVENTS Informal. IV. REMARKS MEDICAID An outline of the basic Medicaid policy follows below as background information for specific concerns that follow on Medicaid policy: Everyone, including those on AFDC and SSI, will receive coverage through the alliances. AFDC and SSI recipients will continue to get coverage through Medicaid. However, the way that this would work is that a capitated amount would be paid to the regional alliances, who will then offer choice of plans to the Medicaid recipients. Just like other members of the alliances, those with incomes below 150% of poverty will receive subsidies. We keep a residual Medicaid program to provide supplemental services that are not covered in the benefits package. We require a maintenance of effort during the transitional phase. CONCERN: Can there be a written commitment to phase out Medicaid and not keep it as a separate program? (Guaranteed Benefits for AFDC and SSI Cash Assistance Recipients) RESPONSE: Medicaid will continue to provide coverage for individuals who are receiving either AFDC or SSI cash payments. Although AFDC and SSI recipients are kept in Medicaid, they will go to the alliances. CONCERN: Residual Program RESPONSE: Because there will be some services not covered in the benefits package, as those mentioned above, we keep Medicaid as a residual program. Medicaid will continue to provide supplemental services that are limited or not covered under the comprehensive benefit package. Examples of these services include transportation and vision care. These supplemental services for low income individuals will be available to qualifying individuals. CONCERN: Where are the savings gong to come from? They worry about the Medicaid cuts discussed in the press and would like to discuss the budget numbers more thoroughly. RESPONSE: We get Medicaid savings as people on Medicaid move into the alliance system. Today, Medicaid makes large payments to hospitals and other providers who take care of uninsured people. Since the uninsured will all be covered in the new plan, these payments can be drastically reduced. In addition the Medicaid program becomes part of the budget That money we save will go to help subsidize low wage families. I would emphasize that there are no Medicaid cuts made, rather slowing the rate of growth in future spending. We will also put a limit on private sector premiums so that savings from Medicare and Medicaid are no longer just shifted to the private sector. CONCERN: States explicitly have a maintenance of effort provision but does one exist for the benefits package? RESPONSE: States will continue to spend the amount they currently spend on acute care coverage under Medicaid until full implementation of reform. Medicaid benefits themselves will not change under Medicaid. CONCERN: What are the cost sharing protections for low-income families? RESPONSE: Individuals with incomes up to 150% of poverty will qualify for subsidies, for both premiums and copayments. Subsidized individuals and families may sometimes be unable to enroll in a plan at or below the average premium because none is available or enrollment is limited. In such case, the alliance will raise the subsidy to permit them to enroll in the lowest- cost plans available. CONCERN: What about supplemental benefits (We have assured them in past meetings that Medicaid eligible children still qualify for EPSDP but she did ot see it there.) As mentioned above, we are keeping a Medicaid residual program to provide supplemental services not covered by the benefits package. These services, including EPSDT, will be available to eligible individuals. LONG TERM CARE CONCERN: What can we do for children with special health care needs (i.e. acute, long term chronic cystic fibrosis). They do not qualify under the three ADL requirements but they have needs not met in the standard package. This is a small population so that they feel that this can be addressed with limited additional expense. RESPONSE: Medicaid continues to provide long-term series. Eligibility for the new community based home care program include: -3 ADLs - cognitively or mentally impaired - severe mental retardation - children under the age of six who is dependent o technology and otherwise require hospital or institutional care Although a Medicaid child may not meet any of the requirements for the new home ad community based services, they will continue to be eligible for needed services under Medicaid. September 8, 1993 MEETING WITH CITIZEN ACTION DATE: September 11, 1993 TIME: 10: VS" AM LOCATION: Room 100, OEOB FROM: Mike Lux L PURPOSE To close the deal with Citizen Action. H. BACKGROUND As you know, comprehensive health care reform has been a priority for Citizen Action for years. Although they support a single payer health care system, they are one of the single payer groups whose support I think is possible to get because there is so much that we do agree on. Although they are tough negotiators, they have been happy with the inclusiveness of our process, and with how much we've reached out to them. Ira and I attended their conference in July, which helped make some progress. They have also been to the Reading Room and met w/ Christine afterwards. The reason I think they are so important is that I believe they are the linchpin to getting support from the reasonable non-labor single payor groups. Their support is also important because of the grassroots activity they can generate, whether it be for or against us, and because of the single payer bloc in Congress. They have 29 million members, reaching constituents in 163 congressional districts in 28 states. They make up part of the traditional liberal base whose support we will need to get this plan passed. Note: They worked hard to lobby support for the economic package. Their issues of concern: • big business opt outs • HIPCs and AHPs compete on the basis of quality and outcomes instead of cost/ allowing unlimited price competition. • a generous comprehensive benefits package • consumer choice of doctor Additional information follows on their concerns with our suggested responses. m. PARTICIPANTS IV. PRESS PLAN Closed. V. SEQUENCE OF EVENTS Informal. VL REMARKS Follow. CONCERNS/ RESPONSE CONCERN: Allowing big business to opt-out RESPONSE: We thought it was important to give big companies who had the experience of effectively controlling costs and providing quality the opportunity to continue to do that, but only under certain strict guidelines: - They have to offer the same or better benefit package. - They have to provide some choice of plans for their employees. - They have to offer the same or better quality standards. The other thing to note is the 5,000 employee number for opt outs is much higher than business wanted. CONCERN: Aren't we limiting choice of doctor/plan by allowing price competition and fee-for-service plans to be priced more expensively than HMOs? Aren't out of pocket expenses going to be too high for lower middle income people? RESPONSE: We took a major step toward their position by limiting price competition between health plans (you can't go more than 20% over ihe weighted average.) And we've worked hard to keep out-of-pocket expenses reasonable given our budgetary constraints. But in order for this plan to work in having the market restrain health care costs, and in order for this plan to pass, we have to have something less than what's perfect from their point of view. CONCERN: The language in your plan is confusing in terms of the state single payor option. RESPONSE: We had trouble finding good language in any of the single payor bills on how a state options would work, and are open to your suggestions on how to clarify this section. TALKING POINTS We have gone a long way toward the single payor position. We have (use as many examples as you want): - gone to 5,000 employees on the opt out, which is far higher than most people advocated - limited price competition among AHPs - a tough global budget and cost controls - a very generous benefits package - consumer choice of doctor - no caps on non-economic damages in our tort reform package - fairly fast phase in of universal coverage - added a drug benefit, a long term care benefit, and improved mental health benefits - impressive consumer safeguards/ governance role in the health alliances Even though you don't agree with every part of the plan, this is our country's best chance at health reform. Keep working with us and Congress on details, but help us get off to a fast start 09- 10. 93 03: H -3202 296 4 05 4 CITIZEN Memo To: Ira Magaziner, Christine Heenan, Mike Lux From: Citizen Action, AFSCME Re: Questions and Concerns Date: September 9, 1993 We greatly appreciate your taking the time to meet with us to discuss the plan. This memo attempts to recap our conversation and to clarify some queslions that we did not have a chance to ask. We will get you a more complete list later. Michael Podhorzer will be at 775-1580 this morning. The Citizen Action meeting starts at 10:30. I. Single Payer A. Waivers. The plan says that states "may" be given ERISA, guaranty fund, and regional and corporate health alliance requirement waivers. Ira said it should say "will." We strongly oppose making these waivers anything but automatic. To do so makes state single payer systems vulnerable to unsympathetic administrations. However, we understand the need for the standards you set for Medicare waivers. B. Payroll tax. We strongly believe that states should have complete flexibility to implement financing systems other than the one set out in the plan as long as they guarantee the benefit packages and meet the quality and other standards set in the plan. We understand your concern that states might compete for businesses by replacing payroll burdens with VATs or sales taxes. As we discussed, it should be possible to meet our goals and your concerns by giving states the flexibility to adopt funding sources as long as they do not reduce the liability that businesses would have under your plan. This appeared to be an agreeable solution based on comments by Ira. Comment. The single payer option is absolutely essential for winning single payer suppon. If local activists are allowed to believe that the Administration is offering a single payer option in name only, it will harden their resolve to resist the President's plan. Conversely, if the single payer option is real, we believe that most single payer advocates will come to realize that the President's plan offers the best chance for passage of a single payer system in their states. Since the political viability of single payer plans depends on the certainty of implementing authority and the ability to fashion a progressive financing package, the President's plan should speak to these points with absolute clariiy. II. Financing Issues A. Tbe "1.9 percent cap." We understand that you cannot guarantee that no one will spend more than 1.9 percent of their income on premiums because you allocated funds to solve the retiree problem. As we understand from your comments, if a cap were to be set it would be at a rate of 3 percent. We believe that you would improve the plan by explicitly including an employee cap for the following reasons: (1) the plan is extremely complex, and vulnerable to "horror stories" about people who fall through the cracks. A cap enables advocates ofthe plan Health Plan Questions Page 2 to say, "no maiter what your position, you will never pay more than 3 percent of your income to purchase health insurance." This will be an effective way to cut critics off. (2) The plan sends the wrong signal to consumers: we will protect corporations with a cap, but not individuals. (3) Providing subsidies for low income people without providing income protection for the middle class creates the impression that the middle class is once again paying for benefits they will not receive. B. Two worker families. Our understanding is that both employers pay 80 percent, but that the two workers pay a combined 20 percent. Questions remain as to how that is actually implemented. C. Employment discrimination against couples and families. It would seem that employers incur a larger liability when they hire someone in a more expensive premium category. Is there any reason to believe that this will not be a significant factor in hiring choices especially for low and moderate wage jobs? D. Subsidies. A number of subsidies are mentioned, including ones for people below ISO percent of poverty, for people below 150 percent of poverty in areas where they cannot enroll in the low cost plan or only have fee for service available, for non-workers who make less than 250 percent of poverty, for disabled medicaid, etc. If it is possible, could we know what the amounts of the subsidies are and the slope of the graduated phase out? While the low cost plans have out of pocket limits, those limits are significant for low income persons, is there any mechanism to prevent this from becoming a de facto barrier to care for the poor? E. Large employer op-oui. Is there a 1 percent tax on employers who opt out? F. Retiree subsidies. These provisions were marked, "under review." Have they changed? G. The numbers. We would greatly appreciate the opportunity to sit down with someone to better understand the tables at the back of the book, and how they tie in with the text. H. Progressivity. We just note our strong objection io your decision to financing health through so fundamentally a regressive a system. (Both the employer and employee share amount to dramatically higher percentages of income for low and moderate income famiiies than for affluent families). This seems especially ill-advised since it places the greatest burden on key Democratic constituencies and relieves Republican constituencies of any extra burden. Even if this is where you would have to end up, it would seem you would be better off forcing the opponents of the plan to argue for lower payments by the affluent and higher payments by average working people. m. Medicare and Medicaid A. We have heard that the Part B premium will increase by $8/month for the prescription drug benefit and $20/month for the long term care benefit. Is this correct? B. We like your blended premium approach for Medicaid. However, we understand Health Plan Questions page 3 some congressional staff have been told that this has changed. Is that true? C. Medicaid maintenance of effort. We are troubled by your decision to look at just one base year. Medicaid budgets are volatile and subject to local and cylical economic conditions. We believe it does not make sense to take a single snap shot and use that as the basis for the system. Also, it may encourage states to game the system by minimizing their programs in the year before enactment. D. Meaning of medicaid and medicare savings. You (and we) would be well served by stating a clear explanation of why these cuts do not jeopardize the quantity and quality of care available to senior citizens and Medicaid recipients. We also believe that any program which allows differential reimbursements will lead to the same results we see now in Medicare and Medicaid: Doctors not wanting to take these patients. E. Availability of alliances to Medicare recipients. We understand that those who turn 65 have the option to stay in the alliance. Can current Medicare enrolles opt in? We believe they should be able to. If so what are the terms? IV. Cost Control A. Assessments for plans over the target premium. The plan seems to say that the assessments against plans that charge more than the target premium if the weighted average premium exceeds the target are only used to subside the employer, and not the employee. If this is an accurate reading ofthe provision, we disagree. B. Sening first year weighted average premium. The first year weighted average premium seems to be one ofthe most important numbers in the entire plan. We would appreciate a more concrete explanation of how this important rate will be chosen, and how the alliances will make sure that the target is met. C. Relationship between weighted average premium and target premium. The plan says, for example, that the employer pays 80 percent of the weighted average premium. But. of course, we won't know what the actual weighted average premium will be until after everyone has enrolled. Do you mean 80 percent of the premium target set by the National Board, or are we missing something? V. Consumer Protection and Benefits A. Are there details on how consumers are protected? For example, are plans subject to penalty for arbitrary denial of care? Do plans have to pay for out-of-network care if needed? Is there a time limit on appeal of denials, terminations or reduction of care? How is the ombudsman funded? B. Balance billing. In one place, the plan says balance billing is prohibited. But in another, it says that to get a medicare waiver states must make sure that balance billing is no greater than Medicare. Isn't that so by definition? Health Plan Questions Page 4 C. Is the $250 prescription drug deductible for the individual or the family. VI. Medical Malpractice A. The plan calls on HHS to establish a demonstration project using practice guidelines. Would a doctor be presumed to be negligent if he or she did not follow the guidelines? B. The plan sets a cap on attorneys fees and allows states to set lower caps. Do states have the option to increase the cap if they find, for example, that plaintiffs are unable to attract counsel for costly appeals? VH. Other A. Authority for tax incentives to serve rural underserved areas is granted. What about urban underserved areas? B. The plan appears to say that states are free to set fee schedules under fee for service plans. Is this always the case, or do you envision insurers being given a capitated rate by alliances and setting rates themselves? D. Is McCarran - Ferguson repealed for health insurance only? September 9, 1993 MEETING WITH FEDERATION OF AMERICAN HEALTH SYSTEMS DATE: September 11, 1993 TIME: Xt&) PM LOCATION: Room 100, OEOB FROM: Mike Lux L PURPOSE To satisfy Congressional expectations that we work with Federation of American Health Systems (FAHS), as well as to potentially soften their opposition with a commitment to continue working with them. IL BACKGROUND FAHS represents the for-profit hospitals and health care systems industry, with more than 1,400 institutions in fifty states, Washington D.C, Puerto Rico, and eleven foreign nations. As you know, Michael Bromberg is one of the most powerful lobbyists in the health care debate, respected and feared on the Hill. Unfortunately, he has had a negative and cynical attitude form the beginning of this process, and neither Ira nor I expect his support However, a variety of key Congresspeople expected that we meet with him, and ifs good that we are doing so to deflect potential criticism that we ignored him. As I mention above, beyond the Congressional expectations, the goal of this meeting is to try and soften Bromberg's opposition by promising we'll continue to work with him throughout the process. Issues of concern and areas of agreement follow. NOTE: FAHS has not been in the Reading Room. m. PARTICIPANTS Michael Bromberg, Executive Director of FAHS. Victor Campbell: Chairman of the Board of FAHS and Vice President of Corporate Relations at the Hospital Corporation of America (HCA), Nashville, Tennessee. HCA is the largest hospital management company in the United Sates, with 121 hospitals in 23 states (including Doctors Hospital in Little Rock where W. Perry Kinder is Administrator). W. Randolph Smith: President of FAHS and Executive Vice President of Operations for american Medical International, Inc. (AMI) of Dallas, Texas. AMI is a publicly held corporation which owns and operates thirty five hospitals in the United States, including three in Arkansas: AMI Central Arkansas Hospital Searcy, Arkansas David C Laffoon, Executive Director AMI National Park Medical Center Hot Springs, Arkansas Warner N. Kass, Executive Director AMI St Mary's Medical Center Russellville, Arkansas Jerry D. Mabry, Executive Director IV. SEQUENCE OF EVENTS Informal. V. PRESS Closed. VL REMARKS To be taken from issues of concern and areas of agreement Likely Issues of Concern: 1) Medkar^ Medicaid savings: Like the American Hospital Association, this group won't like the cap on Medicare/Medicaid. They will argue that the cuts are too aggressive. In general, they will oppose virtually everything about our cost controls and budgeting (both public and private.) Our response: For the next two years. Medicare and Medicaid will continue to grow at their current projected rates - - which are substantially in excess of the growth in private sector health expenditures. For 1994 and 1995, Medicare will still grow at 11.2% (compared to about 7.5% in the private sector). Medicaid will grow at nearly twice the rate of private expenditures in 1995 (14.3%). If we let these programs continue to grow at their current levels, they would be responsible for over 2/3 of the increase in government spending during the next decade. We believe that capping the rate of growth in Medicare and Medicaid is possible in the overall context of health reform, without impacting the quality or availability of health care services. From 1996 on. Medicare spending will still grow faster than most sectors of the economy - - in excess of CPI + population. And, we expect that the Medicare program, like the private sector health plans will benefit from the rationalization in the marketplace due to the reforms (for example, easing up on the antitrust restrictions, better coordination of services through the formation of community-based plans, etc.). 2) Budgets in general - We're budgeting the rate of growth in health care expenditures for services covered under the benefits package beginning in 1996. For the next two years, expenditures will grow at their current projected rates. As we see it, the budget is a backstop to the marketplace reforms. We believe that there's tremendous inefficiency in the current system. To achieve our budget, we're calling for productivity increases of less than 2% per year - - which is not a target that should be difficult to meet • Study after study docvunents double-digit levels of inappropriate care and equivocal care. • There's tremendous variation between hospitalization admission rates and charges from one hospital to another, without differences in quality of care. One Pennsylvania hospital charges $21,000 for heart surgery and has better outcomes than another hospital in the same state that charges $84,000 for the same procedure. We're providing incentives that will minimize these kinds of behaviors. Things they will like 1) Antitrust Reform: they will favor the reforms that we are proposing • Easing up restrictions on hospital mergers through safety zones and an expedited business review or advisory opinion procedure • Allowing joint ventures and joint purchasing arrangements for high tech or expensive equipment and ancillary services • Protection to negotiate effectively will health plans and to form their own health plans. If providers share financial risk, they are provided a narrow safe harbor to establish and negotiate prices. • Repealing the exemption from the antitrust laws enjoyed by health insurers, which eliminates the ability of health plans to collectively determine the rates they charge and other terms of their relationship with providers. 2) Malpractice Reform: They might not think we go far enough, but being able to say that we're limiting lawyers fees and introducing alternative dispute resolution mechanisms should be considered favorable. 3) Administrative Simplification: Single form to replace the hundreds of different forms. Standardized billing procedures, formats, codes, etc. Streamlining Medicare regulations and billing requirements (eliminating physician attestation) u)5 nies to channel money that they would Clintons Caps on Medicare, Medicaid have spent on health care into wages and profits. Wages and profits are taxable; health benefits aren't. Would Save $238 Billion, Aides Say • $47 billion in savings from other fed Skepticism About Numbers eral health programs. By HILARY STOUT Other Meetings And DAVID ROCF.KS As a result, many Democrats, while Staff Reporters of TMF. WALL STRF.RT JOURNAL still loyal, are rolling their eyes at the Yesterday's two-hour session was the WASHINGTON - The Medicare and numbers being quoted by the administra first of numerous inforrrlational and con Medicaid spending caps that President tion. sultative meetings that administration of Clinton plans to propose would wring $238 "When I first heard about them I was ficials plan to hold with Democrats and billion from the two programs in the first angry. Now I'm nervous," said Rep. Henry Republicans on Capitol Hill before the five years of his health-care plan, adminis Waxman (D., Calif.), chairman of the president unveils his health plan to the tration officials told Democratic Senate health subcommittee on the House Energy- public the week of Sept. 19. Today Mr. and Commerce Committee. "I'm very Clinton will meet with congressional lead staffers. concerned that the administration's Such amounts dwarf the $56 billion, ers from both parties, and Hillary ROdham health-care proposal be funded sufficiently Clinton will meet with House committee five-year reductions in projected spending . . . but some of the savings figures floated on Medicare and Medicaid that Con chairmen tomorrow. around may be unrealistic and politically Many feel that the administration's gress approved recently after bitter spar unacceptable." ring in the budget debate. And the addi best hope in getting Congress to swallow tional savings already are arousing some Republicans, many of whom have long the tough limits on Medicare and Medicaid skepticism and resistance among mem supported the idea of capping entitlement spending Is to emphasize that it is plowing bers of the president's own party. 'prograins. shciro sonip wariness about both money back into the shared goal of health the aciniinisiniiun's math and the means care reform. look with extreme caution The caps would limit spending in lo its end. ' When they talk about these at I taking]la lot of money from Medicare," creases on the public health programs for great savings. I don't know," said Rhode said Sen. Jay Rbckefeller, a West Virginia the elderly, disabled and poor to the gen Island Sen. John Chafee. a Finance Com Democrat and a strong White House loyal eral inflation rate plus the rate of growth in mittee member and head of a GOP health ist on the Finance Committee. "What is the each program's population - and possibly care task force. "Something Is missing." trade-off; what is it spent on?" an additional percentage point-by 1998 or Other GOP lawmakers hailed the caps 1999. (Currently Medicare outlays are. on public programs but warned against the Administration officials stress that growing more than 9% a year, and Medic-' administration's Intention to propose sim they will be placing similar ceilings on the aid more than 30% ) But so far officials ilar lids on private health Insurance pre rate of increase in private-sector health have offered scant details of how they plan miums. "I like this idea lof only Medicare insurance premiums, thereby alleviating to meet the stringent ceilings. and Medicaid caps]. I think It will force us the potential for hospitals and doctors to shift costs to the private sector. Medicare Premiums to deal with the entire problem," said Minnesota Sen. David Durenberger. Administration officials also said the Interest Groups Offer Hope president is likely to propose requiring Two New Beneflfs Such promises seemed to temper the well-off senior citizens to pay a greater In the Senate briefing, officials said reaction of interest groups that have pro portion of Medicare premiums for the part they plan to squeeze $124 billion from tested Medicare curbs in the past. So long of the program that covers doctor bills and Medicare and $114 billion from Medicaid as we're talking about systemwide cost other out-of-hospital costs. Currently, the over the first five years of the health plan, controls . . . then we're for it." said government subsidizes 75% of every se according to people who attended the John Rother, legislative director for the nior's premium. session. The savings generally would go American Association of Retired Persons. During the presidential campaign, Mr. toward financing a new long-term care James Todd, executive vice president Clinton proposed requiring people with program and a prescription drug benefit of the American Medical Association, annual incomes exceeding $125,000 to pay for the elderly, they said. which represents physicians, said that if the whole premium. Under that proposal, However, the officials also said that all doctors and hospitals were involved in the premium for physician coverage would Medicare beneficiaries would be required negotiations on how to arrive at the rise to $146.60 a month for wealthy Medi to assume 25% of the cost of the new drug spending caps and some allowance were care beneficiaries from the current $36.60. benefit through higher Medicare pre made for developments in technology, the Similar proposals to tie Medicare pre ceilings "could be palatable." miums to beneficiaries' ability to pay were miums. The benefit will pay for 80% of proposed by forrper President Bush, but prescription drug costs after beneficiaries "Clearly, If we're going to have any- they never cleared Congress. meet a $250 annual deductible. meaningful system reform, we've got to Yesterday, the administration officials Officials also said the plan, which introduce economic discipline into the sys told Democratic staffers that specific would guarantee health coverage to all tem," he said. Medicare and Medicaid spending curbs Americans, is expected over the first five years to raise: But Michael Bromberg, a lobbyist for would be outlined in a briefing book of the Federation of American Health Sys more than 200 pages that officials are • $105 billion from "sin taxes" on ciga rettes and possibly alcohol. tems, was far less conciliatory. "Caps that finishing, according to people at the ses don't say how they're going to be enforced sion. The officials declined to discuss de • $51 billion in new tax revenue as cost is something we can't support," he said. tails. controls In the health plan enable compa September 13, 1993 MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: Kim Tilley, Amy Nemko SUBJECT: Briefings for Tuesday, September 14th NBC Network Profile (NOTE: Prior to each network meeting, Lisa, David Gergen and Maggie will brief you.) - Memo from Lisa — Overview of Meetings with Networks - List of Attendees ABC Network Profile - List of Attendees Linda Wachner Briefing - Biography - "Fashion Avenue's $100 Million Woman," New York Times, 5/17/92 CBS Network Profile - List of Attendees House Energy and Commerce Briefing - Membea Profiles Anita Keating Briefing - Profile of Anita Keating - Profile of Lisa Barker (Ms. Barker will also be in the meeting.) Family Circle Interview/Photo-Shoot Briefing NETWORK PROFILE: NBC Overview President & CEO: Robert Wright Sales: $3 billion / Profits: $410 million Affiliated for polling with: The Wall Street Journal Employees: 5,000 Ownership: General Electric Co. General Electric Co. bought RCA in 1986 for $6.4 billion and now owns the NBC network and five NBC-owned television stations. General Electric Co. also owns GE Aerospace, GE Nuclear Energy, and other power, aerospace, electric, and motor companies, as well as the Roper Corporation, GE Communications and Services, CNBC, and numerous corporations in Canada, Europe, and the Pacific Rim. (Directory of Corporate Affiliations, 1993) History RCA launched NBC in 1926, and subsequently owned numerous multi-media outlets, including Random House, RCA Records, RCA Global Communications, and the NBC Radio Network. Each was sold before RCA's acquision by GE. (Renter Business Report, 8/26/93; Everybody's Business, 1990) Owned & Operated Stations WNBC-TV, New York; KNBC-TV, Los Angeles; WMAQ-TV, Chicago; WRC-TV, Washington; WTVJ-TV, Miami; KCNC-TV, Denver Cable Affiliation Last month, NBC signed its first major retransmission deal, a seven-year deal with No. 2 multiple system operator Time Warner Cable. The deal allows Time Warner to extend carriage of NBCs cable channel, CNBC In exchange. Time Warner systems in New York, Los Angeles, Chicago and Washington received consent to retransmit NBCs owned-and-operated stations in those markets. (Electronic Media, 8/23/93) Financial Status GE reported record net earnings for the second quarter of 1993 of $1,334 billion, up 10% from last year. The NBC network was identified as one of the top five factors contributing to the company's growth. (PR Newswire, 7/13/93) Executive Employment Information NBC employs only five women out of 45 employees in the levels of Vice President, Executive Vice President, Senior Vice President, and President NETWORK PROFILE: NBC Overview President & CEQ Robert Wright Sales: $3 billion / Profits: $410 million Affiliated for polling with: The Wall Street Journal Employees: 5,000 Ownership: General Electric Co. General Electric Co. bought RCA in 1986 for $6.4 billion and now owns the NBC network and five NBC-owned television stations. General Electric Co. also owns GE Aerospace, GE Nuclear Energy, and other power, aerospace, electric, and motor companies, as well as the Roper Corporation, GE Communications and Services, CNBC, and numerous corporations in Canada, Europe, and the Pacific Rim. (Directory of Corporate Affiliations, 1993) History RCA launched NBC in 1926, and subsequently owned numerous multi-media outlets, including Random House, RCA Records, RCA Global Communications, and the NBC Radio Network. Each was sold before RCA's acquision by GE. (Renter Business Report, 8/26/93; Everybody's Business, 1990) Owned & Operated Stations WNBC-TV, New York; KNBC-TV, Los Angeles; WMAQ-TV, Chicago; WRC-TV, Washington; WTVJ-TV, Miami; KCNC-TV, Denver Cable Affiliation Last month, NBC signed its first major retransmission deal, a seven-year deal with No. 2 multiple system operator Time Warner Cable. The deal allows Time Warner to extend carriage of NBCs cable channel CNBC In exchange. Time Warner systems in New York, Los Angeles, Chicago and Washington received consent to retransmit NBCs owned-and-operated stations in those markets. (Electronic Media, 8/23/93) Financial Status GE reported record net earnings for the second quarter of 1993 of $1,334 billion, up 10% from last year. The NBC network was identified as one of the top five factors contributing to the company's growth. (PR Newswire, 7/13/93) Executive Employment Information NBC employs only five women out of 45 employees in the levels of Vice President, Executive Vice President, Senior Vice President and President TO: Hillary FR: Lisa RE: Meetings with Networks DT: September 13, 1993 You are scheduled to do three one hour off the record briefings with each of the three networks on Tuesday morning and afternoon. Lists of those attending the meetings from each network as well as bios are attached. David Gergen and I will brief you on additional information in the morning prior to each meeting. The purpose of these meetings is to brief the reporters, producers and anchors on the health care plan in order to lay the groundwork leading up to the President's speech by educating them about the plan as well as to put to rest any misinformation that is out there about the plan. It is also an opportunity for you and the reporters to get to know one another and establish a rapport. I suggest that the format for these briefings be similar to the format you use when briefing members on Capitol Hill. You should open the meeting with a broad overview of the health care plan, discussing the current health care problem and the cost of doing nothing and then getting into a discussion of the six principles of the Clinton health care plan. After your presentation, you should open it up to a Q and A session. Ira Magaziner will attend the briefing to assist in answering any questions. You should view this as an opportunity to educate the press on a very complicated issue. Keep in mind that you know more about the issue than most of them do. Withdrawal/Redaction Marker Clinton Library DOCIIMEISTNO. SUBJECT/TITLE DATE RESTRICTION AND TYI'E 001. list List of NBC News Personnel (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F ry518 RESTRICTION CODES Presidential Records Act -144 U.S.C. 2204(a)| Freedom of Information Act - [5 U.S.C. 552(b)| 1*1 National Security Classified Information 1(a)(1) of the PRA| b(l) National security classified information 1(b)(1) of the FOIA] P2 Relatin(> to the appointment to Federal office 1(a)(2) ofthe PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA] an agency 1(b)(2) of the FOIA| P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) ofthe FOIAj financial information 1(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial PS Release would disclose confidential advice between the President information 1(b)(4) ofthe FOIAj and his advisors, or between such advisors |a)(S) of the PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) of the FOIA] personal privacy 1(a)(6) ofthe PRA] b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIAJ C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIAj PRM. Personal record misfile denned in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIAj RR. Document will be reviewed upon request. 30 tocVtUU*' Kaia A D^•il'•0••,0 ' M.w Mferi. NY 10112 212 NBC NEWS NBC MEWS PERSONNEL DOB LOOI' TITLH as f David Bohrman Executive Producer, Special Events Tom Brokaw Cheryl Gould Vice President, NBC Now* Me) Jeff Gralnick Executive Producer, Nightly News ;(b)(6) Tammy Haddad Senior Producer, Today M6) Andy Lack President, NBC Neve rb)(6)- Neal Shapiro Executive Producer, Dateline Jeff Zucker Executive Producer, NOW Wm Robert Kager Network Correspondent Senior VP NBC News t Washington Bureau Chief Tim Ruasert White House Correspondent Jim Miklaszeweki White House Correspondent Andrea Mitchell White House correspondent Lisa Myere NETWORK PROFILE- ABC Overview Chair of the Board: Thomas S. Murphy President & CEO: Daniel B. Burke Sales: $5 billion / Profits: $ 486 million Affiliated for polling with: The Washington Post Employees: 19,800 Ownership: Capital Cities/ABC Inc. Capital Cities/ ABC, Inc. is one of the largest U.S. media companies, owning eight TV stations, seven daily newspapers, 77 weeklies and shopping guides, and 80 trade publications and magazines, including fashion magazines W and M, Prairie Farmer, Women's Wear Daily, Los Angeles Magazine, Word Inc. (a religious book publisher), 80% of ESPN, 38% of the Arts & Entertainment Network, and 33% of Lifetime. ABC Television Network holds 222 stations reaching 99% of US. households; ABC Radio Network holds 2,100 affiliates nationwide. Capital Cities/ABC Inc. has virtually no influence in Europe, with 25% ownership in a single European cable TV programming service. History ABC began as part of NBC When the FCC ruled that one of NBCs two networks must be sold in 1941, NBC sold ifs "Blue network," which became ABC Capital Cities merged with ABC in 1986, at which time Cap Cities already owned numerous radio and TV stations, and several publishing properties, including Fairchild Publications and the Kansas City Star. Capitol Cities is known as a strong business with its eye on the bottom line, leaving the daily media management to the broadcasters and publishers. Owned & Operated Stations W ABC-TV, New York; KABC-TV, Los Angeles; WLS-TV, Chicago; WPVI-TV, Philadelphia; KGO-TV, San Francisco; KTRK-TV, Houston; WTVD-TV, Raleigh/Durham, N.C; KFSN-TV, Fresno, Calif. Financial Status Capital Cities/ABC Inc. experienced a 30 percent increase in its total operating profit of $159 million on a 6 percent increase in net revenues of $1.16 billion for the first quarter of 1993. Nearly half of the $194 million increase in corporate operating income Capital Cities/ABC is expected to realize for all of 1993 will be generated by the ABC Television Network. The network is expected to post $ 180 million in operating profits for the year - double what it was in 1992. (Electronic Media, 4/5/93) Executive Employment Information CBS employs four women out of 31 employees in the levels of Vice President, Executive Vice President, Senior Vice President and President Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 002. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (1 page) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F ry518 RESTRICTION CODES Presidential Records Act -144 U.S.C. 2204(a)] Freedom of Inforniation Act - |S U.S.C. 552(b)| PI National Security Classified Information 1(a)(1) of the PRA] b(l) National security classified information 1(b)(1) ofthe FOIAj P2 Relating to the appointment to Federal office 1(a)(2) of the PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) of the I'KA] an agency 1(b)(2) of the FOIAj P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) of the FOIA] financial information |(a)(4) ofthe PRA) b(4) Release would disclose trade secrets or confidential or financial PS Release would disclose confidential advice between the President informaiion 1(b)(4) of the FOIAj and his advisors, or between such advisors |a)(S) ofthe I'RA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) ofthe FOIAj personal privacy 1(a)(6) ofthe PRA] b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOI A| PRM. Personal record misfile defined in accordance with 44 U.S.C b(9) Release would disclose geological or geophysical inforniation 2201(3). concerning wells 1(b)(9) ofthe FOIAj RR. Document will be reviewed upon request. AOCNrwt 17-7 DeSaiei Sew. N;V w^y.^o". D C JCC36 Taioc^onc ?^ 887.7COC Ho bin VWrt5ueh«r Spnxil September 13. 1993 TO: Neel Lattimore RE: Health Care briefing with Mrs. Clinton The White House Tuesday, September 14, 1993 9:30a.m. - 10:30 a.m. The following people will attend the briefing for ABC News Bietany, Joanna (b)(6) Brinkley, David M6) Friedman, Paul Gabriner, Nancy .(b)(6) Gurbst, Mimi Halperin, Mark Wm Hume, Brit .M6) Jennings, Peter MB). Johnson, Tim M6) Koppel, Ted Murphy, Bob :(b)(6) • Nelson, Mark Jb)(6) Rooney, Emily Ib)(6) Sproul, Robin Strait, George M6)' Wooten, Jim ,M6) September 13, 1993 MEETING WITH LINDA WACHNER DATE: September 13, 1993 LOCATION: Maggie Williams's Office TIME: 11:00 a.m. FROM: Kim Tilley, Amy Nemko L PURPOSE To address corporate concerns regarding the health care plan and to develop an on going relationship. IL BACKGROUND Linda Wachner acquired Wamaco seven years ago through a leveraged buyout Although Wamaco is profitable, the leveraged buyout necessitates a tight corporate budget and causes concern about the impact of the health care plan on her ability to continue to remain profitable yet meet the paychecks of her 14,000 domestic employees without downsizing. (Profiles of Mrs. Wachner and Wamaco follow.) Health Plan Concerns • Union Contracts - Mrs. Wachner wants to know if a corporation's contract with a union is abrogated or superceded under our health care plan. The specific example given is if the corporation currently pays 100% of the employees' health care premium but our plan calls for an 80% - 20% split does die 100% agreement hold or the 80/20? (Mrs. Wachner, obviously, prefers the latter case.) • Employer Premiums - How did the Administration arrive at the decision that the employer premium is not to exceed 7.9% ? According to Mrs. Wachner's staff, part of her reason for wanting this meeting is simply to establish an ongoing relationship with you and to offer her services as a sounding board. (NOTE: Mrs. Wachner is the only female CEO in the Fortune 500. Mrs. Wachner participated in the Economic Summit in Little Rock and, as a strong supporter of NAFTA, currently serves as a Presidential Appointee to the U.S.T.R.'s Presidential Advisory Committee for Trade Policy and Negotiations. She also serves on the Animal Tracks' Board.) m. PARTICIPANTS Linda Wachner Phyllis Bonanno, Staff Vice President for International Trade Development IV. PRESS PLAN Closed. V. SEQUENCE OF EVENTS Informal. IV. REMARKS None. .\ ^ '• :r< ^'v! 90 Park Avenue. New York. New York 10016(212) 370-8205-Fax:^(212) 687-6771 ' - •- 11111 Santa Monica Blvd., L03 Angeles. CA 90025 (310) 473-0032. Fax:(310)479-0475 LINDA J. WACHNER Chairman President Chief Executive Officer Linda J. Wachner Linda J. Wachner, 47, is Chairman, President and Chief Executive Officer of Warnaco Inc., a leading U.S. apparel company which ranks within the Fortune 500. Mrs. Wachner led a leveraged buy-out of Warnaco in 1986 and successfully brought the company public in October 1991. In intimate apparel, the well-recognized Warnaco brands include Warner's, Olga, Valentino Intimo, Scaasi, Blanche and Fruit of the Loom bras. The Warnaco menswear division includes Hathaway, Chaps by Ralph Lauren, Christian Dior, Puritan, Thane and Jack Nicklaus. Mrs. Wachner also serves as Chairman and Chief Executive Officer of Authentic Fitness Corporation, formerly the activewear division of Warnaco, which was sold to a management and investor group led by Mrs. Wachner in 1990 and completed its initial public offering in June 1992. Speedo swimwear and accessories, Speedo Authentic Fitness apparel and White Stag, Mountain Goat, Edelweiss and Skiing Passport skiwear are the well-known brand names owned or licensed by Authentic Fitness Corporation. Mrs. Wachner began her career in the apparel industry as an assistant buyer for Foley's in Houston (1967-1968), where at age 21 she was the youngest buyer in the history of Federated Department Stores. She also held a position as buyer for Macy's in New York (1968-1973). In 1974, she was appointed Vice President of Advertising for Warner's, a division of Warnaco, where she was the first female vice president in the company's 100-year history. From 1977-1978, she was Vice President of Corporate Marketing at Caron International, a well-known yarn and crafts manufacturer. In December 1978, Mrs. Wachner moved to Max Factor & Co. as President of its U.S. Division and rose to the position of President and Chief Executive Officer of Max Factor & Co. worldwide. At Max Factor, she was credited with returning the company to profitability, streamlining operations, and introducing several highly successful product lines. In 1985-1986, she was a Managing Director of Adler & Shaykin, a leveraged buy-out firm. Among Mrs. Wachner's other business activities, she is a Director of Primerica Corporation, Castle & Cooke Homes, Inc. and the New THE WARNACO COMPANIES: MEN'S APPAREL Chaps by Ralph Lauren . Christian Dior • Hathaway • Jack Nicklaus • Puritan • Thane INTIMATE APPAREL Warner's • Olga • Valentino Intimo • Scaasi • Bob Mackie • Blanche • Fruit ot the Loom Bras York City Partnership. She currently serves on the Policy Committee of The Business Roundtable, the Board of Trustees of the Aspen Institute and Carnegie Hall and the Board of Overseers of Memorial Sloan-Kettering Cancer Center. She is a member of the Council on Foreign Relations. She is a Presidential Appointee to the Advisory Committee for Trade Policy Negotiations. In 1986, Fortune Magazine designated her as one of the "Fifty Most Fascinating Business People", and in 1992 featured her as "America's Most Successful Businesswoman". In 1986, she was also named Woman of the Year by Ms. Magazine. Mrs. Wachner received a Bachelor of Science degree in business from the University of Buffalo in 1966. She resides in New York City. m -o i V Sunday, May 17, 1992 >&iD -J CD Business 3 ro Fashion Avenue^ $100 Million Woman o pany, who smile* at a small woman with division, whose stable of invaluable brand widely applauded, seme management ex honey-cotured hair.when she raises her names like Chaps by Ralph Lauren and perts lay thai many of them have beea Hrro, bound by a watch from Hurry Win Hathaway had not been supported wiih self-serving. Her Warnaco buyout ston, lo squeeze his hand. superior fabrics and manufaciuilng. CiHcs and even sottic acquaintances Meet l-inda i. Wachner, the only woman say tbe 185 niUliun sale of Wamace's worked. But is Linda who ran rightfully be called a peer of the Speed* bathkng mit business to Mrs. buyout specialists Henry Kravls, Saul A Woman With Optlora Wachner and an investment group she Wachner worth $3.1 Steinberg and Ronald Perelmai. Her success has made her one of the cobbled together was dripping with ron- In 1966. armed with old-fashioned moitie richest worklrg women In America. In a flicis af imeresi million a year? and a track record studded with market worM where milMoMeUfr salaries pad Her almost Uieral devinkm io hands-on ing and financial coups, site led a $990 ded with slock optiona aaa bonuses are the manage mem has frustrated many compe mlllon hostile takeover of Warnaco Inc., i yardstick of EUCCCSS, Mrs. Wachner has tent subordinates Her nmdet, Charles By STEPHANIE STROM sleepy, ttabby maker of llngerieand men's outperfarmed many of her male counter Revsen, the fauuler of Kevlon, was in/a- sportswear, badly In need of an overhaul. parts with 103 percent of Wamaco slock raoM for overseeing the most minute de KiHT A M The Regency oit Park Witk Ihe pibllc offering of Warnaco and a 12 percent slake in a saon-to-be- tails of his coanietics empire, which Mrs Avenue In Manhaltan. Among die shares six months ago, Mrs. Wachner be public maker of swinuuNs and camping Wachner tried to acquire before Wamaco. Epuw«r brokers sipping coffee art came one of the few people, male or fe and hiking gear, bankers estimate her net Her style has already driven out several spooning Irish oatmeal In ihe power- male, to make a debt-laden buyout work worth at around SIM mUlon. She says U Is lieutenants, leaving the company, man breakfusl capital of corporate Anwrlia Mrs. Wachner has homed In on the closer to SM rail lion. Not had for a furri agement experts say. with little dqith and aru* Laurence A. Tlsrh. head o( CBS Int. company's best business, underwear, er's daughter who spent more than a year disseni. "She's active and energetic, ex and ihe Loews Corporation; his brother working with retailers to get brands like of her adolescence in a body cast to cor treme^ bright and autocratic, a ihrow- Preston R. Ttscb, president of 1 news and Olga and Warner's better floor space. Dui rect severe curvature of the spins that left back to the old school of management ihat coowner of the New York Cilanis; and Ing unprompiu (ripe lo depart ment storef, several fused disks in her back. derives from believing you have all the Psul Tagllabue, ihe commissioner of the she has been known to move Varnaco's "II proves that If you bet on yourself, answers." said Herbert Mines. piesideM tr> National Football League. As tw leaves, products to front and center racks herself. you THE SEW YORK TIMES, SUNDAY, MAY 17 JW I"ashion Avenue's $100 Million Woman W ill street Ukes Unda Wachner's Wamaco, Despite Contlmifng Losses m naNnrortTiMt rsrii. rued from Page 1 tu booda wftboot the rccapitalisauan has grown to ttlOJ mimon from a Hon. or I percem uf rtrvenwe*. in JWI >rf na«tK» who is anywhere near in March, h nM five million more lossof JI.7 million. On a comparable basis, Wamaco's ie: <:apedty. If someUibishappens u> sham at SMJO and used the pro Investors have alto been im- sales have grown 31 percent over that i.lr:: i whst happens tt>Winuco? " ceeds to buy back debt and preferred prataed by Mrs. Wachner's ability to period despite stomping retail sales rand a pared-down company Inr. whai nas caught the •luartJun uock. Mvtng it about %M million a handle a leveraged buyout agafcm an )! i : ? gurus of corporale greed is year in interest payments. Yftrile its assortment of odds. The investment •Ar.. '*'achner-s hefty remunerttior. stock and bands are still not Invest bank that backed her bid. Drexel A'DoKNow'MmtaMty w it than 11.7 million in salary and ment grade, iher standing has im- Bumham Lambert, crumbled amid ie • uth at f)J million in booum fmrnd. charges of insider trading, making "People have criticized my do-it U;' year she nreed t3.] mUlion. "When I looked at the company the Junk bonds that made up a big now mentality and my obsession wim aoi HI 19W. she pulled in about tn more than a year ago, I was shaking pen of the purchase price difficult to cash flow, but that's the way we've mi:Inn, despite ocaiLLoumg losses at my head and saying they've get to do sell been able to manage this thing." she *:i rntco. which totaled W.* nUUon something here and quickly." said Many of the department and spe said "We've done an IBO the way a la;• >«sr. Mrs. Wachner poinu out Angela Uiuro, an analyst at the cialty apparel swes, where Wanwui lutbuuk M/» JI should be done " thi.: cash flow is a belter indicator of Standard A Poor's Corporatjon. "Lin generate; about 95 percent of its Mrs. Wachner's management fcVruco's performance because da was not lataware of this. She had a sales, proved to be less adept finan style, her friends say. Is every bit as UV••!•: losses s'.em io part from the plan and pulM it oft and that has ciers than Mrs. Wachner. Wamaco demanding and impatient as her Ite-; riuiDon wamaco ttas »\x>n »IIKK worked out quite nicety for her stock- suffered nght along whh B. AtMnan & meet tmpcnouf mate rouni*rj»rl 'M xiyoui to retire debt and pay hokierv" Company. Federated Depanment The word "now" frequently lollo** , inn!-*s«. That mchides herself. la the nine Stores inc. Bonwh Teller, Carter her requests, as In "Tell her to come months before Wamaco went public, to the phene - now." At meetings. the directors granted Mrs. Wachner Wamaco'* top managers keep track A I'^Md for Bu»ln*M the right to purchase 1,290,000 sham of directions ana tasks in spiral note ..-iousiy. the greed police, per- st U.57 apiece — S1U3 less than the books with green- or orange-colored ha;': c awe of her siatus as tbe only shares sold for when they were- covers specially stamped with bis fen.i le ir. charge of a Fonuue 500 launched on the New York S&ck Ex- Mock letters ordering "Do it now '' co •• >an> and the (irs; woman on the cnaage • i ve heard of otscoumec op "She can be preiiy tough on people ro;m: at exorbitaMly pax! execu- tions but uus was highway robbery." someumcs." said William Diiiard 2d i:vi: have seemed more willing *.o Mr. Crysiai said president and chief operating officer tor ..re Time w»rr>er's Steven Ross By contrast, some 75 Wamaco of Kllard Department Store? inc . «rv . :^ot«-CoU's Robe no C. Cotaieu managers were allowed to buy Ute i-Mralling onrnf M>-x Wachner's visit? thn Mrt. Wachner stock a: tl? a share before the public to his company to discuss tl » racam (ala noouruif M:. puruww or twr o/nipenaauun p^n >i«ve a mt wi Kaan un any ttev ul inc :::)ii2«n of Lis Claiborne and his wife. age. Deborah Wheeler, the anaiwt wMk." Mrs. wachner caitfeaaed. Wachner's ability :c delegate ir- < noni »*r» WachMr. giving the who foUows Wantacs at Fidrlity In She icioml ui on EDIT, eanungs autfd a team, she savs that after a vis:, mentioned a call from the vestments, which holds a large stake before interest and (axes, which helps years she has finally assembirt or -d oi her East Side condomtniunt m the company, says her compensa deternme a debt-laden companv's 'Jiat could succeed her. she nas .i.r;- ri ? aked did J know Jerrv Chazen tion is not out of line. Mrs. Wachner. ability to make tu payments. IW executives from the Sara Lee Corpr s.i.: what was his irack record run- she said, has pared down Wamaco's Sion manager* r«)M en naat black Tummy MUIiger Ban an, - ri Liz Claibome.•• she said. "Thank expenses, increased its marXet share, binders filled with projections that Enm I Young and given ihcm stak? they didn't ask those kind ot developed new markets and en were readjusted every month to plan m wamaco io cultivate toysI t v c:. ifitions when 1 moved in." hanced the value of the stock, with their businesses: if sales were off one She is apparently no less demand '^len she bouaht her apartment for the stock trading publicly and the month, they ordered more prudenih- i, million in IWO. Wamaco's heav- subsuuttiai reduction in interest pay mg nf h*r cuetomers. "She's noi a for the next. ways easy to work wjih. bui once vo debt-lader financial structure ments, analysts believe shareholders Wamaco began milking more cash T: exactlv the paragon of corpc>- may earn as much as 12 a dure by gei the details ironed out. she rraie- from its revenues. EBIT climbed 138 thmgs happen." said Burton Tansk . r : . • virtue "Maybe 1 better think the ens of thi* year. Since the stock percent in 1991. to 192 million, or 16 3 aiannJ irailing, sharehoiaer equity chairman of BereJorf r.ncdma:. muving,' s'hr .lavkeU -'"niey percent of revenues, from 138.5 mil- riii;;i be geiting more selective ' which Warnaco suppiits wj-ji imgf "•• "**>* pushes hard at her end. ar . i:ui her self-deprecating, off-hand she expects ihe retailer to do rr ni.:ijre belies a sharp business sense. same." v:i: Wachner'* first real cl^im to The bergoon account lends riiis e — as an executive at Warnaco's to the Valertmo line wnich was in- '* i.^er's division m the 1970 s — was firs; designer name she added ron mnng bras from their cardboard Wamaco's stable of brand names, ?:•'::< aging and hanging them on alio put the company :n :un aocu; ai -MAS. 3 marketing gimmick tha: pn> 'he depanment anc spccialry «t Warnaco s regotiaiions. Bui or. A.t 26. Wamaco and Fruw .. i- censing atrecm^ni. The !i.>t -hir ments of Fruit of the Loom bras * v.- into Wal-Man stores last week .mc wiil start selling :n Kmart and Brail lee's this summer. Mry 'A'achn'.-; c\ pecis Fruit of the Loom bras io '•• sold in more than 3.000 siorrj by 'N end of the vear She has conquered ihv iii.'^arlmrn- store business. or htr *a> •..JAJI,: esublishmg a firm fooinoid m mass market and preparing iu another company pubix. on vi.-r Wachner still has a few wishes L.-U "It's hard to ha re so ;nuvri ^nc no- share it with someone. • she xaij . Then »lnr lauin.hcU into 5 distusiior. of wamaco's marKei lapujiija.ion and ielt the stbjec; ^f lonL-!int.'si bc-- hind • NETWORK PROFILE: CBS Overview Chair of the Board, President & CEQ Lawrence A. Tisch Sales: $3 billion / Profits: $297 million Affiliated for polling with: The New York Times Employees: 6,160 Ownership: CBS, Inc. The CBS network has remained an independent network since its inception; its parent company is CBS, Inc. CBS, Inc. owns CBS Entertainment, CBS Radio, CBS FoxVideo, and affiliates in Toronto and London- In 1982, CBS and Twentieth Century Fox- Video formed CBS/Fox, a videotape distributorship, and in 1983, CBS, HBO, and CPI Film Holdings formed Tri-Star Pictures (which it sold in 1985). In 1992, CBS Inc. bought MTM Studios (a production studio) and Midwest Communications (broadcaster and sports programmer). (Hoover's Handbook of American Businesses, 1993) History Founded in 1927, CBS formed a partnership with the Columbia Phonograph and Records Co. before it was purchased by William Paley that year. CBS grew throughout the 40s and 50s, buying numerous radio stations, later moving into publishing. In the 1980s, after several takeover bids, CBS sold itself out of film production, sold its interest in Tri-Star, and sold its publishing company (Holt, Rinehart & Winston), records division, and St Louis radio station. In 1991, CBS bought Midwest Communications. CBS now consists of the network and its owned and operated local TV and radio stations. (Les Brown's Encyclopedia of Television, 1992; Reuter Business Report 8/26/93) Owned & Operated Stations WCBS-TV, New York; KCBS-TV, Los Angeles; WBBM-TV, Chicago; WCAU-TV, Philadelphia; WOX-TV, Miami; WCCO-TV, Minneapolis; WFRV-TV, Green Bay. Cable Affiliation CBS is the only network without an agreement with one of the major cable operators for carriage of its owned stations. (Electronic Media, 8/23/93) Financial Status CBS expected a 128% increase in its per share earnings in the first quarter at about $260 per share. CBS realized about $25 million in operating income in the first quarter, compared with a loss of $16 million in the same period last year. (Electronic Media, A/5/93) Executive Employment Information CBS employs 12 women out of 47 employees in the levels of Vice President, Executive Vice President Senior Vice President and President Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 003. list List of CBS News Personnel (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F ry518 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)| Freedom of Information Act - |5 U.S.C. 552(b)| PI National Security Classified Information 1(a)(1) ofthe I'RA] b(l) National security classified information [(b)(1) ofthe FOIA| P2 Rclatiii(>t0 ,llc appointment to Federal office 1(a)(2) ofthe PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA| an agency 1(b)(2) of the FOIA) P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) of the FOIAj financial information 1(a)(4) of the PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information 1(b)(4) of the FOIA] and his advisors, or between such advisors |a)(5) ofthe PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) of the FOIA) personal privacy 1(a)(6) of the PRA| b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIAJ C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIA| PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIA) RR. Document will be reviewed upon request. CBS News Personnel Paula Zahn, Anchor, "CBS This Morning" SS: Harry Smith, Anchor, "CBS This Morning" DOB: '(b)(6.) SS: Dan Rather, Anchor, CBS Evening News DOB:ftp) SS: Connie Chung, Anchor, CBS Evening News DOB: ^Key SS: Joseph F. Peyronnin, Vice President DOB: r(b)(6) SS: Lane Venardos, Vice President DOB:M6) ' SS: Barbara S. Cochran, Vice President, Washington bureau chief DOB:^)', SS: Mary S. Martin, Deputy Washington bureau chief DOB: 6/22/51 SS: 579-70-1976 Linda Douglass, Health Care correspondent DOB:ftp) SS: William Plante, White House correBpondent DOB IMG) SS: Rita Braver, White House correspondent DOB:p6) SS: Bob Schiaffer, Anchor, "Face the Nation" DOB: '(b)(6) . ~ SS: September 13,1993 MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: Chris Jennings SUBJECT: Energy and Commerce Briefing Overview Depending on the drafting of the bill, the Energy and Commerce Committee may well have the greatest percentage of the proposal under its jurisdiction. It is also expected to be a tight committee with only a four vote swing (assuming that no Republicans vote for the plan) and with the support of more than four Democratic Members in doubt Cooper, Slattery, Tauzin, Boucher, and Rowland. Complicating this situation. Members represent a wide range of views on virtually all details of the health care plan. The Members also have a wide range of familiarity with the plan. The staff was concerned that if you speak to the level of Members who are up to speed on health care, you'll lose the Members who haven't had a chance to become familiar with the issue. If the Members have an impression of overwhelming complexity, they're not going to be able to sell it to their constituents and gain their support To deal with this, the committee staff strongly recommended that you acknowledge the expertise and knowledge of many of the members and ask for their forbearance as you provide an overview of the plan. Issues to Address • Employer mandates and how we are working to lessen the impact on small businesses who are not currently providing, and how our proposal will mostly benefit those who do. • Financing - This will be a mixed bag. The same issues that will be concerns to Dingell and Waxman will likely be somewhat attractive to Slattery and some Republicans. The main question will be focused around the credibility and political feasibility of the numbers we are using. Additional Issues of Concern Members may raise the following issues: • Abortion - This will be a difficult issue to handle because the diverse views represented on the Committee. As you know. Reps. Slattery, Tauzin, and Cooper are uncomfortable with federal support for abortion. Other members, however, are strongly in favor of federal support for abortion. We recommend using your "status quo as much as possible" line. • Tobacco taxes - Representatives Boucher, Ronald, and Bliley are likely to raise their concern on this issue. • Malpractice reform - Many members favor this, but were concerned by the "thin" section in the plan. There's a good chance this will come up (especially with Rep. Rowland). • Copies of the Plan - You should note that copies have been made available to minority and majority full committee and subcommittee staff, and they are welcome and even encouraged to make copies for other Members. (They should have received them on Friday.) Positive Issues toNot e • This committee badly wanted to include a proposal to require higher income Medicare premiums benefidaries to pay greater premiums during the debate on Reconciliation. They were asked by the Administration to hold off on this proposal so that this could be used as a financing option for health care reform. This fulfilled promise should be noted. • Corporate alliances and retiree health care is being addressed in a way that is good for Michigan, and should be stressed as a selling point for Chm. Dingell. Concerns of Individual Members • Reps. Waxman and Dingell will be very concerned about the handling of Medicaid: 1) Concerned about die fact that Medicaid remains at all; 2) Concerned that the budget for Medicaid will effectively begin 1-2 years before the budget for any other program; 3) Concerned about financing - that the main source is Medicare savings. The feel that there should be a dedicated funding source so that the plan is stable into perpetuity. (This was also an issue raised in reference to child immunizations.) • Rep. Tauzin is not likely to vote for the plan. He is anti-employer mandate, anti-budget; anti-abortion, etc • Rep. Collins should be recognized because she chairs the Commerce Subcommittee which will do insurance stuff. • Rep. Marke y is very interested in the applications of telecommunications toth e health care industry. If this comes up, you may wish to say that we intend to use telecommunications in this way and look forward to working with him on this. You may want to mention how impressed you were with new technology's ability to have a physician in a medically underserved rural area hooked up to an urban area with an academic health center to do a consultation. Rep. Rowland will focus on the plan's affect on physicians. He is concerned that payment is out of such a tight budget Our response is that while it is out of a tight budget we are establishing a new system for health care with plans that put the doctors back in control; a plan which tries not to regulate past setting budget and basic standards. ENERGY AND COMMERCE COMMITTEE 9/13/93 CHAIRMAN JOHN DINGELL (D-MI): Chairman Dingell, following in his father's footsteps, has been working for health care reform throughout his Congressional career. He is likely to be more concerned with turf issues than the details of the plan. His primary goal is passage of health care reform in this Congress. In meetings he has expressed his view that the plan should guarantee universal coverage to acute care services with state flexibility to develop their own plans. He thinks the plan should also include cost containment, malpractice reform and coverage for preventive services including family planning. CONGRESSMAN HENRY WAXMAN (D-CA); While supportive of the Administration's health care reform efforts in the beginning. Representative Waxman has been increasingly critical and issued a number of press statements indicating his concerns. Recent Developments; On Sept. 3 Waxman told USA Today he did not feel health care could be enacted by the end of 1993. In identical comments to the Wall Street Journal and the Washington Post on September 8 and 9, he stated : "Some of the savings figures floated around may be unrealistic and politically unacceptable." CONGRESSMAN PHIL SHARP (D-IN): Congressman Sharp is a careful legislator with a doctorate from Georgetown and a moderate to liberal record in the Congress. In addition to the Energy and Commerce Committee, Sharp is a member of the Rural Health Care Coalition and the Mainstream Forum. His views on health care reform are unknown, but he has voted pro-choice. CONGRESSMAN EDWARD MARKSY (D-MA): Congressman Markey has moved past his initial reputation as a grandstander and is now known as a consensus builder, well-liked for consulting members of both parties on pending legislation. As Chairman of the Subcommittee on Telecommunications, Markey's interest in health care relates to the role of telecommunications. He outlined that potential contribution in an extensive letter to the First Lady following her meeting with the Committee in March. CONGRESSMAN AL SWIFT (D-WA): Congressman Swift recently announced he would not run for re-election - a promise made during the term limit campaign in Washington State. Swift's views on health care are not known, but he has been a supporter of reproductive rights. CQNGRESSWOMAN CARDISS COLLINS (D-IL): Chicago Congresswoman Collins chairs the Energy and Commerce Subcommittee on Commerce, Consumer Protection and Competitiveness, which will have jurisdiction over the insurance reform provisions of the health care package. Collins has introduced the Women's Basic Health Coverage Act of 1993, the Long-Term Care Insurance Standards and Consumer Protection Act, and the National Institute on Minority Health Act. Recent Developments: At the July House Focus Group meeting, Collins raised concern about limiting malpractice awards to victims, the impact of the reconciliation bill on our ability to finance reform, specifically the use of Medicare and Medicaid savings for deficit reduction. CONGRESSMAN MIKE SYNAR (D-OK); Congressman Synar wants reform and to be helpful to the Administration. He is fiercely anti- smoking. He co-founded the Rural Health Care Coalition and co- sponsored bills to improve rural health services as well as access to basic health care services for needy children. He worked with Congressman Wyden to create the Stark-Gephardt compromise on health reform in the last Congress. He wanted the plan to be marketed before release in order to garner public support. Synar is close to Gephardt, and will be influential in bridging the gap between liberals and the Conservative Democratic Forum. Recent Developments: Synar told Congressional Quarterly on 9/4: "What this is all about is how we market the future to the American people... every generation has its opportunity to leave a lasting mark. This is it, folks." CONGRESSMAN W.J. "BILLY" TAUZIN (D-LA): Congressman Tauzin is known as a coalition builder on the Energy and Commerce Committee, most notably forging a compromise that facilitated the passage of the Clean Air Act. On issues not related to gas and oil, he is often a key swing vote, reluctant to take sides early on and eager to negotiate. On health care issues, the Congressman is very concerned about the cost of prescription drugs for Medicare and Social Security beneficiaries. He notes that estimates indicate 30-35% of Louisianans are uninsured, and is concerned about rationing. Tauzin is protective of small business employees, and will likely oppose an employer mandate. He is anti-choice. He also favors tort reform. CONGRESSMAN RON WYDEN (D-OR): The former executive director of Oregon's Gray Panthers, Congressman Wyden is an ardent advocate for the interests of the elderly. He serves on both Small Business and Energy and Commerce where he is a close ally of Chairman Dingell. A team player, Wyden is also close to Congressman Waxman and may be willing to serve as a broker a between liberals and conservatives. Congressman Wyden is an enthusiastic supporter of Oregon's health care reform demonstration program. He is a strong proponent of abortion rights. Wyden was a major sponsor of legislation to constrain the costs of drugs sold to Medicaid patients, and recently backed a bill to establish a process to provide reasonable prices for drugs, devices and other products receiving NIH funding. In the 103rd Congress, he reintroduced a bill to establish Federal standards for long-term care insurance policies. Recent Development: In September Wyden told the New York Times that he welcomed cuts in Medicare and Medicaid but that they should not be used to pay for new programs. CONGRESSMAN RALPH HALL (D-TX): Congressman Hall's voting record reflects the rural conservative area he represents. Fiscally conservative, he often votes with the Republicans, as he has done this year in voting against the Administration on all three economic policy votes. He is a member of the Rural Health Care Coalition and is opposed to employer mandates and cost controls on providers. He is also anti-choice. Hall is sympathetic to physician concerns and supports improvements in organ transplantation. He is close to Chairman Dingell. While it is highly unlikely that Hall will vote for the final package, he might be persuaded to vote for it in committee to get it to the floor. CONGRESSMAN BILL RICHARDSON (D-NM): While considered a liberal Democrat, on the Energy and Commerce Committee Congressman Richardson is seen as a centrist, business-oriented vote. Given his leadership position, Richardson will probably be supportive on health care reform, but he also has a reputation for unpredictability so he will need continuing attention. Having served on the Select Committee on Aging, he should carry some of those concerns to the health care debate. Richardson will be a strong advocate of Indian, as well as Hispanic, health care interests. Other health related issues with which he is identified are women's health, alternative therapies, which are popular in his district, malpractice reform, and rural access. A Roman Catholic, he has voted pro-choice. Richardson wanted the plan to be announced after Labor Day. He was a supporter of the Health Care University. CONGRESSMAN JIM SLATTERY (D-KS); Congressman Slattery is a moderate to conservative Democrat who has been willing to buck the leadership in order to reduce the budget deficit. In addition to Energy and Commerce, Slattery is a member of the Veterans' Affairs and Banking Committees, the Rural Health Care Coalition and the Mainstream Forum. In the 100th Congress, he was part of the committee's "group of nine" which tried to work with all sides on the Clean Air Act. Slattery often works together with Representative Glickman and Long. Moderate conservatives look to him for leadership. Health care is one issue on which Slattery has indicated a willingness to spend more federal dollars. He has sponsored or cosponsored bills to expand Medicaid coverage to poor children, to improve rural access to health care, and to improve the availability and affordability of health insurance for small businesses. In the current health care reform debate, Congressman Slattery is concerned about states and state flexibility, especially with respect to cost containment. He is also very concerned about a payroll tax, and wants coverage for pregnant women, children, and rural areas. Slattery has suggested limiting the deduction for tobacco advertising. While he wants to support the Administration on health care reform, he is strongly anti-choice and might oppose the final package if reproductive rights are included. Recent Developments: Slattery announced on September 8 that he will not run for re-election. It is rumored that he is considering a race for the governorship. CONGRESSMAN JOHN BRYANT (D-TX): Congressman Bryant is a loyal Democrat and populist who believes strongly in the need for health care reform. While he will be concerned about costs, his number one priority will be access. Bryant is close to Congressmen Dingell and Waxman. CONGRESSMAN RICK BOUCHER (D-VA): Congressman Boucher is a lawyer and former McGovern advance man with one of the most liberal voting records in the Virginia delegation. On the Energy and Commerce Committee, Boucher played an important role as a member of the "group of nine" in the 100th Congress - a caucus of moderate-to-conservative Democrats who tried to end a Clean Air stalemate between pro-industry and environmental factions. Boucher also serves on the Judiciary Committee and is a member of the Rural Health Care Coalition and the Mainstream Forum. On health care matters, Boucher will be concerned about black lung disease. He will be opposed to a tobacco tax as shown by his co-signing the March 10 letter regarding tobacco excise taxes. His general views on health care reform are not known. He has voted pro-choice. Boucher will take some work but is considered "gettable." v;.<, . • - CONGRESSMAN JIM COOPER (D-TN): Congressman Cooper is a soft- spoken former Rhodes Scholar who, as a moderate, has been instrumental in forging compromises on the Energy and Commerce Committee. Last term he was chosen to be the lead spokesman for the Conservative Democratic Forum's health care bill which was based Jackson Hole Group model. He advocates reform without significant government intrusion, opposing price controls or the extension of Medicare rates to private insurance. He questions whether Congress has the courage to pass a global budget restricting private sector growth and believes that even if passed, it would not be enforced. He is concerned about employer mandates and prefers a voluntary approach to expanding coverage. On June 2nd, Congressman Cooper sent a memo to his constituents interested in health care reform. It was notable more for its negative tone than its substance. However, at his June 15 meeting with the First Lady, Cooper thanked her for the meeting and praised the White House for the attention given to Tennessee and its new health care reform proposal. He again expressed his concern that the White House is disavowing managed competition. He believes that the health care reform package should phase in the parts people agree on but hold off on employer mandates and enforceable budgets. He also does not believe abortion should be in the package. Recent Developments; On September 3, Cooper told USA Today that months of hearings would be needed on health care reform. Since then, Cooper has been publicly critical of the administration plan, noting in particular his opposition to employer mandates and global budgets. He told the Wall Street Journal on September 12 that the plan "makes both conservatives and liberals unhappy... You can't have a sausage product when it comes to health care." CONGRESSMAN ROY ROWLAND (D-GA); Congressman Rowland is a key player on health care reform not only because he is a physician and respected southern Democrat, but because he will be a point person for veterans, rural areas, and small business. Chairman Dingell and Rep. Waxman rely on Rowland's credibility and as a go-between for committee moderates and liberals. Rowland is also close to Rep. John Lewis. Rowland has sponsored three health care related bills this year: (HR 862) the "Long-Term Care Insurance for the Elderly Act" to benefit individuals earning less than $45,000 annually by providing for tax-free withdrawals from IRAs to purchase health insurance; (HR 1770) the "Rural Physicians' Incentives Act" to provide qualified medical education loans to physicians for underserved rural areas and to extend deferments of Federal student loans for rural physicians; and (HR 1771) the "Rural Access to Obstetrical Care Act" to start state demonstration projects to improve access in rural areas. He is a strong supporter of preventive health care for children and high-risk mothers. Rowland is opposed to mandates. In past legislation, he has authored "anti-hassle" bill to reduce Medicare red tape. CONGRESSMAN THOMAS MANTON (D-NY): Congressman Manton is considered a "leadership loyalist" and obtained his seat on Energy and Commerce by carefully courting Chairman Dingell. Manton served on the Select Committee on Aging. A lawyer and former policeman, Manton's views on health care reform are not known. He is Roman Catholic and votes anti-choice. He is a McDermott co-sponsor. Recent Developments: At an August focus group meeting, Manton voiced his support for a comprehensive benefits package. CONGRESSMAN EDOLPHUS TOWNS (D-NY): Congressman Towns is a liberal who is loyal to the leadership of his committee. In the past. Towns has co-sponsored a number of bills dealing with women's health interests, including research, Medicaid benefits for breast and cervical cancer, and mammography. He is a McDermott co-sponsor in this Congress. He believes in the need for a uniform record-keeping process. CONGRESSMAN GERRY STUDDS (D-MA): While Congressman Studds has not been particularly active on health issues, he has cosponsored legislation to revitalize NIH, revise orphan drug provisions, improve Federal funding for women's health research, increase Medicaid coverage for HIV-related services, and improve Medicare's basic health care services for children. Studds is a cosponsor of Congressman McDermott's single-payer bill. While Studds recognizes that compromise will be required to get health care reform passed, his support should not be taken for granted. CONGRESSMAN RICHARD LEHMAN (D-CA): Congressman Lehman will have a very tough fight in 1994. He voted against the Administration on deficit reduction and the budget. In February, Lehman wrote to the First Lady explaining the health care problems of the rural areas of his district, specifically underserved farm workers. Other issues included: malpractice reform; fair reimbursement for urban and rural areas; health care as an undue burden on small business; duplication of services; local health networks providing preventive and primary care; and concern that managed competition would not work in rural areas. CONGRESSMAN FRANK PALLONE. JR. (D-NJ): Representing a Republican district Congressman Pallone is generally a fiscal conservative and a supporter of the Conservative Coalition in Congress. A recent Energy and Commerce appointee, Pallone has not developed much of a record on health care issues. While Pallone was a single payer cosponsor in the past, he has not done so this year. Pallone wants prescription drugs covered by reform, and believes that cost containment is essential. He did, however, cosponsor Porter's Title X Pregnancy Counseling Act, and Regula's Comprehensive Preventive Health Program for Medicare Beneficiaries. Pallone voted against the Deficit Reduction Bill (HR 22640). A longtime opponent of abortion, he changed his stance in the wake of Webster. Rep. Pallone was one of those who felt strongly about having a health care university. CONGRESSMAN CRAIG WASHINGTON (D-TX): A new member of the Energy and Commerce Subcommittee on Health, Congressman Washington is an outspoken liberal who can be unpredictable, as when he voted against the civil rights bill compromises in the last Congress. While his general health care views are not known, as a state senator he was responsible for passage of the first legislation in Texas to provide funding for the education and treatment of AIDS. He will probably center his concerns on children, minority and urban health matters. Washington attended the First Lady's March meeting with the CBC. His significant other is a general practitioner. Recent Developments: On Sept. 6, Washington told the Washington Times that he felt the plan was flawed because: "He is talking more to doctors, hospitals, and insurance companies. That's where the problem is." CONGRESSWOMAN LYNN SCHENK (D-CA): Freshman Congresswoman Schenk campaigned hard to win with 51% in a Republican leaning district. Schenk's health care concerns include: women and children; mental health coverage; and protecting choice of provider. Her district includes a number of biotech industries and she wants to see them protected. A strong pro-choice supporter, Schenk signed the May 13 letter regarding the importance of including abortion coverage in the health care package. CONGRESSMAN SHERROD BROWN (D-OH): Freshman Congressman Brown lobbied hard for a seat on Energy and Commerce in order to pursue his interest in health care reform. He has pledged to pay for his own health care, rather than use the Congressional coverage, until a national health care program is in place. He has indicated his desire to be helpful to the Administration on health care reform. As a follow-up to a March meeting with the First Lady, Brown wrote to her about his concern that the health reform proposal "emphasize preventive and cost-effective health services," investing in immunization, pre-natal and well-baby programs in particular. Brown campaigned for abortion rights. He is a supporter of home-based long-term care services as a cost- effective alternative to institutionalization. Recent Developments: In a Sept. 1 AP Wire story, Brown praised the President for tackling the health care issue but stated he felt "the task force is headed in the wrong direction... regulating the economy and eliminating people's freedom to choose is not an effective way to tackle the health care crisis." CONGRESSMAN MIKE KREIDLER (D-WA): Freshman Congressman Kreidler comes to Congress with a strong background in health care both in the state legislature and as a practicing optometrist who worked for 20 years in a managed care system. Kreidler holds a Masters Degree in Public Health. He would like to see a bold system which moves toward a single-payer approach. In March, he wrote to the First Lady recommending that the Task Force include universal coverage, expenditure limits, and state flexibility. He also stated his desire to be helpful in whatever way appropriate. Kreidler serves on the Veterans' Affairs Committee and was in the Army Reserve for 20 years. Recent Developments: On August 4, Kreidler commented to the AP on health care reform "it is time for the Federal government to lead or get out of the way." CONGRESSWOMAN MARJORIE MARGOLIES-MEZVINSKY (D-PA): Congresswoman Margolies-Mezvinsky is finding that her courageous vote on final passage of the budget has brought her more respect and less criticism than anticipated in her district. On health care, the Congresswoman's particular concerns are children and child welfare, education, and issues related to families. She is the first unmarried American to adopt a foreign child and at one time or another she has had 11 children growing up in her household. She has said she wants to be involved with the Administration on health care, but given her budget vote, we may not be able to push her very hard. CONGRESSWOMAN BLANCHE LAMBERT (D-AR): Congresswoman Lambert advocates greater access to affordable health care, especially in rural areas. This should make her popular with the farmers in her district. In meetings with the First Lady and Ira, Lambert has voiced concern about waste in the system, the chronically ill, reducing overall health costs, and educating the public about those costs. REPUBLICANS CONGRESSMAN CARLOS MOORHEAD (R-CA): Ranking Republican Moorhead is one of the most conservative members of the House. Despite that, he does cooperate with Democrats, most notably on energy policy. He also serves on the Judiciary Committee. Moorhead is a member of the Republican Task Force on Health. In a February meeting with the First Lady he discussed the need to cover part-time and temporary workers. He did not believe employers should be taxed on health care benefits. Moorhead has a pro-business philosophy and votes against reproductive rights. His low key style may mean he will not play a major role in opposing the Administration on health care. CONGRESSMAN THOMAS BLILEY JR. (R-VA): A soft-spoken former mortician, Congressman Bliley serves on the Republican Task Force on Health and is the most active Republican on Energy and Commerce health issues. He is the ranking Republican on the Health Subcommittee where he and Rep. Waxman have clashed often on tobacco-related legislation. Bliley is known as the tobacco industry's "sentry" on the subcommittee. On health care, Bliley is interested in preventive medicine and maternal and child health care. He believes there need to be controls on hospital and procedure costs. He occasionally votes with the Democrats to increase health services to black Americans, especially maternal and child health care. He has not sponsored or cosponsored any health care reform legislation in this Congress. Bliley attended the February Republican meeting with the First Lady and has attended Ira's breakfast meetings. CONGRESSMAN JACK FIELDS (R-TX): Congressman Fields is an activist conservative who has concentrated his efforts on Energy and Commerce in the areas of oil and natural gas. Fields' health care views are unknown but he has voted against reproductive rights. CONGRESSMAN MIKE OXLEY (R-OH): Congressman Oxley is a conservative and regular opponent of regulation and control on the Energy and Commerce Committee. His health care views are not known but he, too, has voted against reproductive rights. CONGRESSMAN MICHAEL BILIRAKIS (R-FL): Congressman Bilirakis has some tough re-election fights and has said he will retire in 1994 if he has no major legislation pending. He serves on both Energy and Commerce and the Veterans' Affairs Committees as well as the Republican Task Force on Health. He has cast some key votes on health in the past - against catastrophic in 1988, for increased federal elderly home care funds, and for drug discounts for the VA and other federal purchasers. He is opposed to abortion. Given his constituency and these votes, he has been considered a possible target. CONGRESSMAN DAN SCHAEFER (R-CO): Congressman Schaefer is a former state legislator whose conservatism matches that of his suburban Denver district. Schaefer's health care views are not known. He has voted against abortion rights. Recent Developments: On August 30, Schaefer stated publicly that he wanted to be heavily involved in health care reform and did not want to reduce the overall quality of the present system. CONGRESSMAN JOE BARTON (R-TX): A conservative with a heavily Republican Ft. Worth and Dallas suburban district, Congressman Barton's major goal in continuation of the Supercollider. He serves on both Energy and Commerce and the Science Committees. Barton's health care views are not known but he has voted against abortion. CONGRESSMAN ALEX McMILLAN (R-NC): Conservative but pragmatic, Congressman McMillan has become a key ally of the House Republican leadership. McMillan has been a leader on the House Republican Task Force on Health studying health care reform. He co-sponsored the House Republican health care reform bill, which has been reintroduced in the 103rd. He led the subgroup examining administrative reforms in health care and cosponsored a separate health care administrative reform bill. He also has introduced malpractice reform legislation. There are a substantial number of insurance companies headquartered in his district. A former businessman, he consistently opposes Federal mandates on business. CONGRESSMAN J. DENNIS HASTERT (R-IL): Congressman Hastert was selected by House Minority Leader Michel to be his point person on health care reform. A fellow Illinoisan, Hastert's appointment was a surprise, considering that he is only in his fourth term in the House and his second term on the Energy and Commerce Committee. Congressman Hastert is generally not known to be a mover and shaker in the House or in health care reform. He does, however, seem to reflect the "Michel style" of House Republican. While Hastert is a staunch conservative, he is willing to offer proposals and be a part of the process. Congressman Hastert has sponsored his own "Health Care Choice and Access Improvement Act" (HR 150), which would reform the small group insurance market, increase the tax deductibility for the self-employed, and allow employers to establish tax-free Medi- Save accounts. Congressman Hastert has been pleased and appreciative of the weekly briefings by Ira and other members of the working groups to Republican members. He has spoken about the need to hold costs down and to open up access. He has indicated a desire to be helpful. CONGRESSMAN FRED UPTON (R-MI): Serving his fourth term in the House, Congressman Upton is a protege of former Budget Director Stockman. Upton is a member of the Energy and Commerce Committee and the Wednesday Group. He is known to listen closely to local groups. While Upton's health care views are not known, Congressman Bonior considers him a priority target. Upton supports abortion to save the life of the mother and in cases of rape or incest. CONGRESSMAN CLIFF STEARNS (R-FL): Congressman Stearns is a conservative representing a strong Republican central Florida district. Stearns grew up in Washington and serves on both Energy and Commerce and Veterans' Affairs. While his specific health care views are not known, he is said to support market-driven health care reform. He has voted against reproductive rights. CONGRESSMAN BILL PAXON (R-NY); The Chairman of the National Republican Congressional Committee, Congressman Paxon was a volunteer in Jack Kemp's first campaign for the House and now holds that seat. Paxon recently became engaged to Rep. Molinari. Paxon's health care views are not known but he has voted against abortion. CONGRESSMAN PAUL GILLMOR (R-OH): Congressman Gillmor was unopposed in 1992. A member of the Energy and Commerce Committee, Gillmor is a former state legislator. His health care views are unknown but he has voted against abortion funding. CONGRESSMAN SCOTT KLUG (R-WI); Congressman Klug is a new member of the Energy and Commerce Committee, part of the Tuesday Group, and previously served on the Select Committee on Children and Education and Labor. He is both a White House and a Bonior target. While Klug's health care views are not known, he has called for early intervention programs for at-risk children. CONGRESSMAN GARY FRANKS (R-CT): The first Republican to join the Congressional Black Caucus, Congressman Franks is a self-made millionaire who opposes most of the CBC's bills. While his general health care views are not known, he is pro- choice. He is a co-sponsor of the Republican leadership's health care reform bill. His mother was a dietary aide in a city hospital. He is one of Bonior's Republican targets. CONGRESSMAN JIM GREENWOOD (R-PA): A former social worker who dealt with children, Freshman Congressman Greenwood's specific health care views are not known. He did campaign for creating a health care system and has been considered a possible target. CONGRESSMAN MICHAEL CRAPO (R-ID): (pronounced CRAY-poe) Freshman Congressman Crapo quickly aligned himself this year with the freshman reformers and now sits on the Energy and Commerce Committee. He is a fiscal conservative. While Crapo's health care views are not known, he will be sensitive to the needs of his district's farmers. September 13, 1993 SUBJECT: Meeting with Mrs. Anita Keating September 14, 1993 BACKGROUND Anna ("Anita") Keating works to promote cancer awareness. She is coordinating with Australian agencies to develop a national strategy to increase awareness of breast cancer and promote breast cancer research, looking toward Australia's first National Breast Cancer Day in 1994. She views breast cancer not only as a women's health problem but more broadly as a major social problem affecting families, businesses and individuals from every sector of society. Mrs. Keating wants to develop links with breast cancer organizations in the United States, and had lunch here September 13 with representatives of such groups. While in town, she will also attend the opening of Hollis Sigler's exhibition at the National Museum of Women in the Arts. She plans to meet with museum directors to spur interest in Australian art, and will visit Australian fashion companies based in the United States. POINTS YOU MAY WISH TO MAKE o Note that Mrs. Keating's interest in Australian breast cancer issues parallels your own concern with American health care problems. The social and financial ramifications of health care are universal. o Inquire about Mrs. Keating's lunch with American cancer organization representatives. Linkages between the United States, Australia, and other nations would be useful. o What is planned for the Australian National Breast Cancer Day in 1994? What sort of follow-up is envisioned? Attachment Tab I Biographical Information Anna Johanna Maria KEATING AUSTRALIA Wife of the Prime Minister Addressed as: Mrs. Keating Anna "Anita" Keating, a former flight attendant from the Netherlands, is a skilled linguist who speaks five languages. Described by her husband's biographer ai a stylish woman whose gracious manner makes people feel comfortable around her, Keaiing has helped to soften the hard public image of her husband, Paul Keating, according to the local press. She is now a traditional homemaker who is devoted to her husband and children; for example, she regularly sits in the visitor's gallery of Parliament during question time to support her husband. Keating generally shuns the public limelight and closely guards her private life. A French. I Jisappointed at the quality ofthe French February 1993 interview in Vogue Australia, instructu ii there, she moved to Paris, where she however, reported her plans to raise her profile by studied J-ench at the Soibonne, and then moved to working with aborigines and homeless children. In London I study English. After returning to the her rare public interviews. Keaiing has been a Netherlai Js, she worked as a flight attendant for the supporter of women's athletics; she criticized the Dutch ainine KLM and then joined Alitalia and Australian postal service in July 1992 for excluding moved to Rome. She met Paul Keating while he women athletes from its Olympic stamp series. She was on a > ip. According to his biographer, the man also attended the 1992 Olympics in Barcelona to once billed us one of Parliament's most eligible promote Sydney as a future Olympic site. bachelors jourted his future wife around the world, as her wo k assignments took her to Europe and Latin America. They were married in 1975. The Keating shares her husband's love for both the couple ha; lour children—a son, Patrick (17). and arts and collecting antique furniture. She has been a three dauj hters, Caroline (13), Kathcrine (II), and patron of the Merrill Tankard Dance Company Alexandn (7). since 1990; the Keatings frequently attend the ballet. She is also an avid skier. 7 September 1993 Anna Johanna Maria van Jerscl was bom on 5 October 1948 in Oisteriuijk, the Netherlands. After completing high school in the Netherlands, she moved to Lausanne, Switzerland, to study Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 004. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-077()-F ry518 RESTRICTION CODES Presidential Kecorils Act -144 U.S.C. 2204(a)| Freedom of Inforniation Act - |5 U.S.C. 552(b)] PI National Security Classified Information 1(a)(1) ofthe PRA) b(l) National security classified information |(b)(l)of the FOIA| P2 Relatin); to the appointment to Federal office 1(a)(2) of the I'RA) b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA| an agency 1(b)(2) ofthe FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) of the FOI A] financial information 1(a)(4) ofthe PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIAj and his advisors, or between such advisors |a)(5) ofthe PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) of the FOIAj personal privacy 1(a)(6) of the PRA| b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIAJ C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of uift. financial institutions 1(b)(8) ofthe FOIAj PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) of the FOIAj RR. Document will be reviewed upon request. ^ ^MB .OF FSUSTRPL ifi NAME : LISA RAHKFR DATE OF BIfcTH: r—gj. PLACE OF BIRTH HOBART, TASMANIA, AUSTRALIA FAMILY: MARRIED DON RUSSELL IN 1991. ONE CHILD, JOSHUA THEODORE RUSSELL (BORN JANUARY 3 993). TWO STEP SONS, DAVID AND JOEL RUSSELL (AGED 16 AND 14 RESPECTIVELY). EDUCATION: HEAD DAYGIRL AND DUX OF ST HILDA'S GIRLS GRAMMAR SCHOOL, SOUTHPORT, QUEENSLAND. BACHELOR OF ARTS, UNIVERSITY OF QUEENSLAND. BACHELOR OF LAWS, UNIVERSITY OF QUEENSLAND. MASTERS IN INTERNATIONAL LAW, due for completion by February 1994, AUSTRALIAN NATIONAL UNIVERSITY. EMPLOYMENT: 1983 - 1987 Private practise as a litigation and commercial law solicitor, including invo 1 verrient in the Hope Royal Commission enquiring into the Australian Security intelligence Oryanisation and its relationship to Government, and representation of a High Couit Judg* before two Senate Enquiries into his alleged misconduct. 1987 - 1988 Legal Consultant to Department of Social Security on creation of the Child Support Scheme, e formula based scheme of child support for automatic collection of maintenance through the tax system. This scheme is now operating successfully. 1988 - 1991 Senior Adviser and Head of Office to Senator Nick Bolkus, Minister for Consumer Affairs and Minister Assisting the Treasurer for Prices, and subsequently Minister Cor Administrative Services. 1992-1993 Consultant to the National Food Authority on the conduct of a policy review designed to remove unnecessary regulation, promote exports and safeguard coneumer protections. LANGUAGES: ENGLISH INTERESTS: Antitjuet-, ait and architecture, theatre and ballet, culinary pursuits, politicp and social policy, human rights issues; reading about ond participating in all of the. above. PAST & PRESENT Staqecoach Theatre School for Children, ASSOCIATIONS: Amnesty International, Labor Lawyers, Law Society . TO: Hillary FR: Lisa RE: Family Circle Magazine Interview and Photo Shoot DT: September 13, 1993 You are scheduled to do a 30 minute photo shoot and a 30 minute interview with Family Circle. This will be for the December Christmas issue of Family Circle. You will be an inset cover photo. Family Circle has asked that you wear red. The interview will be with Nancy Lloyd. You last spoke with Nancy by telephone for the profile she wrote on Tipper Gore in last month's Family Circle. The point of this story is to feature Christmas and crafts at the White House. Nancy saw you on the Home Show and would like to talk to your about your interest in crafts and why you have chosen crafts as the theme for your first White House Christmas. Ann Stock is preparing a briefing memo for you which you will have tomorrow morning. NETWORK PROFILE: NBC Overview President & CEQ Robert Wright Sales: $3 billion / Profits: $410 million Affiliated for polling with: The Wall Street Journal Employees: 5,000 Ownership: General Electric Co. General Electric Co. bought RCA in 1986 for $6.4 billion and now owns the NBC network and five NBC-owned television stations. General Electric Co. also owns GE Aerospace, GE Nuclear Energy, and other power, aerospace, electric, and motor companies, as well as the Roper Corporation, GE Communications and Services, CNBC, and numerous corporations in Canada, Europe, and the Pacific Rim. (Directory of Corporate Affiliations, 1993) History RCA launched NBC in 1926, and subsequentiy owned numerous multi-media outlets, including Random House, RCA Records, RCA Global Communications/ and the NBC Radio Network. Each was sold before RCA's acquision by GE. (Reuter Business Report, 8/26/93; Everybody's Business, 1990) Owned & Operated Stations WNBC-TV, New York; KNBC-TV, Los Angeles; WMAQ-TV, Chicago; WRC-TV, Washington; WTVJ-TV, Miami; KCNC-TV, Denver Cable Affiliation Last month, NBC signed its first major retransmission deal, a seven-year deal with No. 2 multiple system operator Time Warner Cable. The deal allows Time Warner to extend carriage of NBCs cable channel, CNBC In exchange. Time Warner systems in New York, Los Angeles, Chicago and Washington received consent to retransmit NBCs owned-and-operated stations in those markets. (Electronic Media, 8/23/93) Financial Status GE reported record net earnings for the second quarter of 1993 of $1,334 billion, up 10% from last year. The NBC network was identified as one of the top five factors contributing to the company's growth. (PR Newswire, 7/13/93) Executive Employment Information NBC employs only five women out of 45 employees in the levels of Vice President; Executive Vice President, Senior Vice President, and President NETWORK PROFILE: NBC Overview President & CEO: Robert Wright Sales: $3 billion / Profits: $410 million Affiliated for polling with: The Wall Street Journal Employees: 5,000 Ownership: General Electric Co. General Electric Co. bought RCA in 1986 for $6.4 billion and now owns the NBC network and five NBC-owned television stations. General Electric Co. also owns GE Aerospace, GE Nuclear Energy, and other power, aerospace, electric, and motor companies, as well as the Roper Corporation, GE Communications and Services, CNBC, and numerous corporations in Canada, Europe, and the Pacific Rim. (Directory of Corporate Affiliations, 1993) History RCA launched NBC in 1926, and subsequently owned numerous multi-media outlets, including Random House, RCA Records, RCA Global Communications, and the NBC Radio Network. Each was sold before RCA's acquision by GE. (Reuter Business Report, 8/26/93; Everybody's Business, 1990) Owned & Operated Stations WNBC-TV, New York; KNBC-TV, Los Angeles; WMAQ-TV, Chicago; WRC-TV, Washington; WTVJ-TV, Miami; KCNC-TV, Denver Cable Affiliation Last month, NBC signed its first major retransmission deal, a seven-year deal with No. 2 multiple system operator Time Wamer Cable. The deal allows Time Warner to extend carriage of NBCs cable channel, CNBC In exchange. Time Wamer systems in New York, Los Angeles, Chicago and Washington received consent to retransmit NBCs owned-and-operated stations in those markets. (Electronic Media, 8/23/93) Financial Status GE reported record net earnings for the second quarter of 1993 of $1,334 billion, up 10% from last year. The NBC network was identified as one of the top five factors contributing to the company's growth. (PR Newswire, 7/13/93) Executive Employment Information NBC employs only five women out of 45 employees in the levels of Vice President Executive Vice President, Senior Vice President, and President TO: Hillary FR: Lisa RE: Meetings with Networks DT: September 13, 1993 You are scheduled to do three one hour off the record briefings with each of the three networks on Tuesday morning and afternoon. Lists of those attending the meetings from each network as well as bios are attached. David Gergen and I will brief you on additional information in the morning prior to each meeting. The purpose of these meetings is to brief the reporters, producers and anchors on the health care plan in order to lay the groundwork leading up to the President's speech by educating them about the plan as well as to put to rest any misinformation that is out there about the plan. It is also an opportunity for you and the reporters to get to know one another and establish a rapport. I suggest that the format for these briefings be similar to the format you use when briefing members on Capitol Hill. You should open the meeting with a broad overview of the health care plan, discussing the current health care problem and the cost of doing nothing and then getting into a discussion of the six principles of the Clinton health care plan. After your presentation, you should open it up to a Q and A session. Ira Magaziner will attend the briefing to assist in answering any questions. You should view this as an opportunity to educate the press on a very complicated issue. Keep in mind that you know more about the issue than most of them do. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 005. list List of NBC News Personnel (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F rySIS RESTRICTION CODES Presidential Records Act -144 U.S.C. 2204(a)| Freedom of Information Act -15 U.S.C. 552(b)| PI National Security Classified Information 1(a)(1) ofthe PRA| b(l) National security classified information 1(b)(1) ofthe FOIA] P2 Relating to the appointment to Federal office 1(a)(2) ofthe l*RA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA) an agency 1(b)(2) ofthe FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) of the FOI A] financial information 1(a)(4) ofthe PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information 1(b)(4) of the FOIA) and his advisors, or between such advisors |a)(S) ofthe PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) of the FOI A] personal privacy 1(a)(6) ofthe PRA] b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIAj PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIA| RR. Document will be reviewed upon request. 3C "'Oia N«- MY '0112 2i2 6iH<.i<44 Coupon/. IPC. NEWS NBC N£W8 PERSONNEL S3 § DOB HAME TITLH David Bohrman Executive Producer, Special Events rb)(6) Ton Brokaw Choryl Gould Vice President, NBC News We) Jeff Gralnick Executive Producer, Nightly News Tammy Haddad Senior Producer, Today Andy Lack President, NBC News WW ••• '•' :(b)(6) . Neal Shapiro Executive Producer, Dateline ^ Jeff Zucker Executive Producer, pm NOW '(b)(6) ,: Robert Hager Network Correspondent Tim Ruasert Senior VP NBC News fc Washington Bureau Chief White House Correspondent Jim Miklaszewski White House Correspondent Andrea Mitchell White House Correspondent Lisa Myere NETWORK PROFILE- ABC Overview Chair of the Board: Thomas S. Murphy President & CEQ Daniel B. Burke Sales: $5 billion / Profits: $ 486 million Affiliated for polling with: The Washington Post Employees: 19,800 Ownership: Capital Cities/ABC, Inc. Capital Cities/ ABC, Inc. is one of the largest U.S. media companies, owning eight TV stations, seven daily newspapers, 77 weeklies and shopping guides, and 80 trade publications and magazines, including fashion magazines W and M, Prairie Farmer, Women's Wear Daily, Los Angeles Magazine, Word Inc. (a religious book publisher), 80% of ESPN, 38% of the Arts & Entertainment Network, and 33% of Lifetime. ABC Television Network holds 222 stations reaching 99% of U.S. households; ABC Radio Network holds 2,100 affiliates nationwide. Capital Cities/ABC Inc. has virtually no influence in Europe, with 25% ownership in a single European cable TV programming service. History ABC began as part of NBC When the FCC ruled that one of NBCs two networks must be sold in 1941, NBC sold its "Blue network," which became ABC Capital Cities merged with ABC in 1986, at which time Cap Cities already owned numerous radio and TV stations, and several publishing properties, including Fairchild Publications and the Kansas City Star. Capitol Cities is known as a strong business with its eye on the bottom line, leaving the daily media management to the broadcasters and publishers. Owned & Operated Stations WABC-TV, New York; KABC-TV, Los Angeles; WLS-TV, Chicago; WPVI-TV, Philadelphia; KGO-TV, San Francisco; KTRK-TV, Houston; WTVD-TV, Raleigh/ Durham, N.C; KFSN-TV, Fresno, Calif. Financial Status Capital Cities/ ABC Inc. experienced a 30 percent increase in its total operating profit of $159 million on a 6 percent increase in net revenues of $1.16 billion for the first quarter of 1993. Nearly half of the $194 million increase in corporate operating income Capital Cities/ABC is expected to realize for all of 1993 will be generated by the ABC Television Network. The network is expected to post $ 180 million in operating profits for the year - double what it was in 199Z (Electronic Media, 4/5/93) Executive Employment Information CBS employs four women out of 31 employees in the levels of Vice President, Executive Vice President Senior Vice President, and President Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 006. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (1 page) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number. 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F ry518 RESTRICTION CODES Presidential Records Act -144 U.S.C. 2204(a)| Freedom of Information Act - |5 U.S.C. 552(b)| PI National Security Classified Inforniation |(a)(l) of the PRA| b(l) National security classified information 1(b)(1) of the FOIA] P2 Relating to the appointment to Federal office 1(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA] an agency 1(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) of the FOIA] financial information 1(a)(4) ofthe PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information 1(b)(4) ofthe FOIAj and his advisors, or between such advisors |a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) of the FOIA] personal privacy 1(a)(6) ofthe PRA] b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIAj PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIAj RR. Document will be reviewed upon request. ?•:•!>Soni Seer- N •'' -.'.Mn.^-^ DC KC36 TSUJ-XVI-V ?.v2 M?-•6X BO bin Wtiuch»n S September 13, 1993 TO: Neel Lactimore RE: Health Care briefing with Mrs. Clinton The White House Tuesday, September 14, 1993 9:30a.m. -10:30a.m. COOL The following people will attend the briefing for ABC Neva Bietany, Joanna (b)(6) Brinkley, David (b)(6)- , Friedman, Paul (b)(6) Gabriner, Nancy (b)(6). Gurbat, Mimi Halperin, Mark (b)(6) Hume, Brit M6) Jennings, Peter MB) Johnson, Tim (b)(6) Koppel, Ted MB) "• Murphy, Bob (b)(6) Neleon, Mark (b)(6)' Rooney, Emily f(3)(6) Sproul, Robin MS) Strait, George Wooten, Jim MB) ,• September 13, 1993 MEETING WITH UNDA WACHNER DATE: September 13, 1993 LOCATION: Maggie Williams's Office TIME: 11:00 a.m. FROM Kim Tilley, Amy Nemko L PURPOSE To address corporate concerns regarding the health care plan and to develop an on going relationship. IL BACKGROUND Linda Wachner acquired Wamaco seven years ago through a leveraged buyout Although Wamaco is profitable, the leveraged buyout necessitates a tight corporate budget and causes concern about the impact of the health care plan on her ability to continue to remain profitable yet meet the paychecks of her 14,000 domestic employees without downsizing. (Profiles of Mrs. Wachner and Wamaco follow.) Health Plan Concerns • Union Contracts - Mrs. Wachner wants to know if a corporation's contract with a union is abrogated or superceded under our health care plan. The specific example given is if the corporation currently pays 100% of the employees' health care premium but our plan calls for an 80% - 20% split, does the 100% agreement hold or the 80/20? (Mrs. Wachner, obviously, prefers the latter case.) • Employer Premiums - How did the Administration arrive at the decision that the employer premium is not to exceed 7.9% ? According to Mrs. Wachner's staff, part of her reason for wanting this meeting is simply to establish an ongoing relationship with you and to offer her services as a sounding board. (NOTE: Mrs. Wachner is the only female CEO in the Fortune 500. Mrs. Wachner participated in the Economic Summit in Little Rock and, as a strong supporter of NAFTA, currently serves as a Presidential Appointee to the U.S.T.R's Presidential Advisory Committee for Trade Policy and Negotiations. She also serves on the Animal Tracks' Board.) m. PARTICIPANTS Linda Wachner Phyllis Bonanno, Staff Vice President for International Trade Development IV. PRESS PLAN Closed. V. SEQUENCE OF EVENTS Informal. IV. REMARKS None. 90 ParK Avenue. New York. New York 10016 I212) 370-3205 • Fa:<: (2-.2) S37-5771 "ill Sana Monica Blvd.. Los Angeles CA 90025 (310) 473-0032-Fax (310) 479-0475 LINDA J. WACHNER Chairman President Chief Executive Officer Linda J. Wachner Linda J. Wachner, 47, is Chairman, President and Chief Executive Officer of Warnaco Inc., a leading U.S. apparel company which ranks within the Fortune 500. Mrs. Wachner led a leveraged buy-out of Warnaco in 1986 and successfully brought the company public in October 1991. In intimate apparel, the well-recognized Warnaco brands include Warner's, Olga, Valentino Intimo, Scaasi, Blanche and Fruit of the Loom bras. The Warnaco menswear division includes Hathaway, Chaps by Ralph Lauren, Christian Dior, Puritan, Thane and Jack Nicklaus. Mrs. Wachner also serves as Chairman and Chief Executive Officer of Authentic Fitness Corporation, formerly the activewear division of Warnaco, which was sold to a management and investor group led by Mrs. Wachner in 1990 and completed its initial public offering in June 1992. Speedo swimwear and accessories, Speedo Authentic Fitness apparel and White Stag, Mountain Goat, Edelweiss and Skiing Passport skiwear are the well-known brand names owned or licensed by Authentic Fitness Corporation. Mrs. Wachner began her career in the apparel industry as an assistant buyer for Foley's in Houston (1967-1968), where at age 21 she was the youngest buyer in the history of Federated Department Stores. She also held a position as buyer for Macy's in New York (1968-1973). In 1974, she was appointed Vice President of Advertising for Warner's, a division of Warnaco, where she was the first female vice president in the company's 100-year history. From 1977-1978, she was Vice President of Corporate Marketing at Caron International, a well-known yarn and crafts manufacturer. In December 1978, Mrs. Wachner moved to Max Factor & Co. as President of its U.S. Division and rose to the position of President and Chief Executive Officer of Max Factor & Co. worldwide. At Max Factor, she was credited with returning the company to profitability, streamlining operations, and introducing several highly successful product lines. In 1985-1986, she was a Managing Director of Adler & Shaykin, a leveraged buy-out firm. Among Mrs. Wachner's other business activities, she is a Director of Primerica Corporation, Castle & Cooke Homes, Inc. and the New THE WARNACO COMPANIES: MEN'S APPAREL Chaps by Ralph Lauren • Christian Dior • Hathaway • Jack Nicklaus • Puritan • Thane INTIMATE APPAREL Warner's • Olga • Valentino Intimo • Scaasi • Bob Mackie • Blanche • Fruit of the Loom Bras York City Partnership. She currently serves on the Policy Conunittee of The Business Roundtable, the Board of Trustees of the Aspen Institute and Carnegie Hall and the Board of Overseers of Memorial Sloan-Kettering Cancer Center. She is a member of the Council on Foreign Relations. She is a Presidential Appointee to the Advisory Committee for Trade Policy Negotiations. In 1986, Fortune Magazine designated her as one of the "Fifty Most Fascinating Business People", and in 1992 featured her as "America's Most Successful Businesswoman". In 1986, she was also named Woman of the Year by Ms. Magazine. Mrs. Wachner received a Bachelor of Science degree in business from the University of Buffalo in 1966. She resides in New York City. m ~D I Ol I t-' iD -J Business 3 CD -n Fashion Avenue^ $100 Million Woman z s pany, who smllen at a •mall woman with division, whose stable el invaluable brand widely appiauded. some management ex honey-cotomi hair, when sfie ralies her names like Chaps by Ralph Lauren and perts lay thai many of them have been Her Warnaco buyout Him. bound by a watch from H^rry Win Hathaway had not been supported with self serving ston, lo squetie hw hand. superior fabrics and nunufacturlng. Crit:C4 and even soiTic acquafcilances worked. But is Linda Meet l.inda J. Wactuter, 'he only woman soy the $65 ttiHlKMi sale of Wamace's wh« can rightfully be called a peer of the A WontMi Willi 0|)tlufM Speeds bathing suit business io Mrs. buyout specialists Henry Kravls, Saul Wachner and an investment group she Wachner worth $3.1 Steinberg and Runald Perelman Her success has made her one of the cobbled together was dripping with ron- In [ THE NEW YORK TIMES, SUNDAY, MAY 17 fW Fashion Avenue's $100 Million Woman W ull Street Ukes Unda Wachner's Wamaco, Despite Continiitng Losses l-l'l 2 ntNMYoikTma* Zjni.'ueifrom Page! tu bonds wttboBt the itcapftaiimtion has grown to $UOJ million from a Hon, or » percent uf rrvenuo. in JWI. iri i Tiutioti who J anywhere near in March, h wM five miltton more Iocs of 11.7 mfllion. On a comparable basis. Wamaco's ie: opacity. If someUibig happeni u> shares at SMJO and used the pro investors have also been im sales have grown 31 percent over that Llr: < what happens 'JO Warnaco?" ceeds to buy bKk debt and preferred pressed by Mrs. Wachner's abihty to period despite stomping mail sales l;:r, wnai has caUKhl Ihe atioiUun suack. Mvtng ft about 130 million a handle a leveraged buyout tgainrt an and a pared-down cTimp-iny >: 11 c gurus of corporate Jireed is year in tmerett payments. While its assortment of odds. The Investment wir 'ktauKT's. hefty rwnunerttion, stock and bonds are still not Invest- bank that backed her bid. Drexel 10 ii ;s manfl.7 mUlion in salary and ment grade, their standing has im- Bumham Lambert, crumbled amid A 'Do It Now' Mentality »£ : uch »t t)J million In boouv»f nraved. charges of insider trading, making "People have criticiied mv don La" year, she earned CJ mUlion. "When I looked at the company the Junk bonds that made up a big now mentality and my obsession witn in.; ii 19W. she pul)ed in about tZS, more than a year ago, 1 was shaking port of the purchase price difficult to cash flow, but that's the way we've mi lnn, despite ornitinumg losses at my head and saying they've get to do sell been able to manage this thing " she *ti r:v«co. which touied te8.4 million somethini here and quickly," said Many of the department and spe said. "We've done an LBO the way a lav >ear Mrs. Wachner points out Angela Utaro, u analyst at UK cialty apparel sjores, where Waraatu lextbuuk M/* JI should be done " Lh:.; !:asl) flow is a better indicaior of Sumoard % Poor's Corporvua). "Lin generates about 45 percent of its Mrs- Wachner's management Wiitvisco's performance because da waa not tauwart of this- She had a sales, proved to be less adept finan style, her friends say, ts every bit as the i'' losses s'.etn io pan from ihe plan and pulled it oft and that has ciers than Mrs. Wachner. Wamaco demanding and impatient as her iK. , rnUijgn warnaco has atxan rti*x worked out quite nicely for her stack •uffered right along whh B. AHman 1 moct tmpcnouf male rwniefpari •M :)uyaut to retire debt and pay holders. " Company. Federated Depanment The word "now" frequently follow* |jlt1:-»Sl. That includes herself. Ir. the rane Stores Inc, Bonwh Teller, Carter her requests, as tn "Tell her to come months before Wamaco went public, to the phone — now: At meetings. A'I NMdforBiMlms the directors granted Mrs. Wachner Wamaco's top managers keep track the nght to purchase 1,290,000 shares of directions ana tasks m spiral note .riousiy. ittt greed pol»c», per- at US! apiece - I1SJ3 less than the books with green- or orange-colored haj-i awe of her siatvs as the only shares sold for when thev were- covers specially stamped wim big (eii.i;le in charge of a Fonuae SOO launched oo the New York Stock Ex- block letters ordering "Do n now.-' co - >any and the lirs; woman on the cnaage ' i ve heard of mscountea op "She can be prei.ty :ough on people rof-'ur at exorbiU'-tly paiO exreu- tions but jus was highway robbery." sometimes.'' said William Diilard 2d uvrv iuve seemed more wtiung '.o Mr. Crvttai said president and chief operating officer IOI .I* Time Warner's Steven Ross B> Mntrast, some 7? Wamaco of Diilard Department Store? Inc.. An.-. :'«c«-C«U s Robene C. Ootcueta mansg^rs »trt allowed io buy the [••railing nneof M'v Wachmr's v'isit? thur Mrs. Wachner siock a: 1)7 a share before the public to his company to discuss the compui : s kmd of nice to see a woman oflenng their stake is now wor* e.-ized system that links Wamaco tc m;,i.:]ig more ihar, Sieve Ross, sakl more thur. $20 million, compared with his buying offices. When she callei C.n.-tS "^tnl. tfi« ReHt»»v ^rnfes. the $73 rtvihon value of here. Wamaco's New Vork office lo as* b sc: : txi expert on enecutive compen- Mrs. Wachaer says um unlike the questicn, no one had a reddy anrw.;r sa - . Of course, if a man wai, malt- principals of other appare: compa FT*4 I GWrW- Tta Hrw Tort T.iwt Mr. Diilard was impressec tha: 2*'er ini, .:iat fr.uch. vwj'ti have to p> after nies rJta: wen: public about the same what he descntasd as "s hf.ie br. of a th;.; ::er»on wiu, 100U1 and fang " time as Wamaco, she did not cash Linda J Wachner commotion on the telephone.' Ui» o:- M %. wacnner s disarming canoor OUL •! ve oooe me opposne: rv? fVcr rang bacn with ar. anfwer ria charmed nrvesurs. colieag-jei. bought more stack since October," Hawiey Hale and K. H. Macy & Com "1 bke Unda a lot. ! think a lot of an.: irven critici. sh? peppers her Mrs. Wachner said "I'm an investcr pany. In 1WJ. Wimaco'i sales her behavior. If she were s man. yot co- ursaiwu wiih tidbns of personal tn this company I'm nor looking to slipped ever so sUghtly after growing wouldn't think much abev: i:." h»: ry, «pur-of-a%#-rTHjmen-. maim mak* « euK-k jrrrfit." • SeettTv 7.2 nercent and 14 1 percent uid. "Instead of Oescntnne her as er', niyj updates on ceaselest el- Naj7 » ttockhoider nor bondholder or a comparable basts in the first two tor.: io drop another 10 poundt ist baited an ey* over her suck years after the buyout. We didn't aggressive, you'd fmd anotne- wora i recent gala hoooang Mr pu-cfc**. o; nei compeStauon pack have a tot of cash on any day of tne like uaitl> or stem O'l:-MI « Ui Claiborne «no ht» wtte. Mrs. Wacfmer ooninced. Despite orJ^rs' doubt:- about age. Debcmh ler tne analyst W»clnrr'i atelity u> d»t«a«l« 4562239 P.06 5EP-;3-1993 17:10 FROM WflPNACD INC. TO u a racaoi (ait rwourmt M;. puruukc or nvr cvnipenMUvn p«t«- ii«ve 4 AA 111 KMMtt un ««y ij»> ui mt t«es>'i> Overview Chair of the Board, President & CEQ Lawrence A. Tisch Sales: $3 billion / Profits: $297 million Affiliated for polling with: The New York Times Employees: 6,160 Ownership: CBS, Inc. The CBS network has remained an independent network since its inception; its parent company is CBS, Inc. CBS, Inc. owns CBS Entertainment, CBS Radio, CBS FoxVideo, and affiliates in Toronto and London, In 1982, CBS and Twentieth Century Fox Video formed CBS/Fox, a videotape distributorship, and in 1983, CBS, HBO, and CPI Film Holdings formed Tri-Star Pictures (which it sold in 1985). In 1992, CBS Inc. bought MTM Studios (a production studio) and Midwest Communications (broadcaster and sports programmer). (Hoover's Handbook of American Businesses, 1993) History Founded in 1927, CBS formed a partnership with the Columbia Phonograph and Records Co. before it was purchased by William Paley that year. CBS grew throughout the 40s and 50s, buying numerous radio stations, later moving into publishing. In the 1980s, after several takeover bids, CBS sold itself out of film production, sold its interest in Tri-Star, and sold its publishing company (Holt, Rinehart & Winston), records division, and St Louis radio station. In 1991, CBS bought Midwest Communications. CBS now consists of the network and its owned and operated local TV and radio stations. (Les Brown's Encyclopedia of Television, 1992; Reuter Business Report, 8/26/93) Owned & Operated Stations WCBS-TV, New York; KCBS-TV, Los Angeles; WBBM-TV, Chicago; WCAU-TV, Philadelphia; WCDC-TV, Miami; WCCO-TV, MinneapoUs; WFRV-TV, Green Bay. Cable Affiliation CBS is the only network without an agreement with one of the major cable operators for carriage of its owned stations. (Electronic Media, 8/23/93) Financial Status CBS expected a 128% increase in its per share earnings in the first quarter at about $260 per share. CBS realized about $25 million in operating income in the first quarter, compared with a loss of $16 million in the same period last year. (Electronic Media, A/5/93) Executive Employment Information CBS employs 12 women out of 47 employees in the levels of Vice President, Executive Vice President, Senior Vice President, and President Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SL BJECTATITLE DATE RESTRICTION AND TYPE 007. list List of CBS News Personnel (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F rySIS RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)l Freedom of Information Act - |5 U.S.C. 552(b)| PI National Security Classified Information 1(a)(1) of the I'RA] b(l) National security classified information 1(b)(1) of the FOIA) P2 Rclatint; to the appointment to Federal office 1(a)(2) of the PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) ofthe PRA| an agency 1(b)(2) of the FOIA) P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) ofthe FOIA) financial inforniation 1(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial PS Release would disclose confidential advice between the President inforniation 1(b)(4) ofthe FOIA) and his advisors, or between such advisors |a)(5) ofthe PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) ofthe FOIA| personal privacy 1(a)(6) of the PRA) b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) of the FOIAJ C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of sift. financial institutions 1(b)(8) ofthe FOIA) PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9)of the FOIA) RR. Document will be reviewed upon request. CBS News Personnel Paula Zahn, Anchor, "CBS This Morning" DOB: b)(6)' SS: Harry Smith, Anchor, "CBS This Morning" DOB:M6) SS: Dan Rather, Anchor, CBS Evening News SS: Connie Chung, Anchor, CBS Evening News D0B:fa)(6) SS: Joseph F. Peyronnin, Vice President DOB :r(b)(6) SS: Lane Venardos, Vice President DOB: ?b)(6) SS: Barbara S. Cochran, Vice President, Washington bureau chief DOB:fr)(6) SS: Mary S. Martin, Deputy Washington bureau chief DOB:'(b)(6) SS: Linda Douglass, Health Care correspondent D0B:fa)(6) SS: William Plante, White House correspondent DOB:fc)(6) SS: Rita Braver, White House correspondent DOB:|(bj(6r SS: Bob Schieffer, Anchor, "Face the Nation" DOB^MeT' SS: September 13, 1993 MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: Chris Jennings SUBJECT: Energy and Commerce Briefing Overview Depending on the drafting of the bill, the Energy and Commerce Committee may well have the greatest percentage of the proposal under its jurisdiction. It is also expected to be a tight committee with only a four vote swing (assuming that no Republicans vote for the plan) and with the support of more than four Democratic Members in doubt Cooper, Slattery, Tauzin, Boucher, and Rowland. Complicating this situation. Members represent a wide range of views on virtually all details of the health care plan. The Members also have a wide range of familiarity with the plan. The staff was concerned that if you speak to the level of Members who are up to speed on health care, you'll lose the Members who haven't had a chance to become familiar with the issue. If the Members have an impression of overwhelming complexity, they're not going to be able to sell it to their constituents and gain their support To deal with this, the committee staff strongly recommended that you acknowledge the expertise and knowledge of many of the members and ask for their forbearance as you provide an overview of the plan. Issues to Address • Employer mandates and how we are working to lessen the impact on small businesses who are not currently providing, and how our proposal will mostly benefit those who do. • Financing - This will be a mixed bag. The same issues that will be concerns to Dingell and Waxman will likely be somewhat attractive to Slattery and some Republicans. The main question will be focused around the credibility and political feasibility of the numbers we are using. Additional Issues of Concern Members may raise the following issues: • Abortion - This will be a difficult issue to handle because the diverse views represented on the Committee. As you know. Reps. Slattery, Tauzin, and Cooper are uncomfortable with federal support for abortion. Other members, however, are strongly in favor of federal support for abortion. We recommend using your "status quo as much as possible" line. • Tobacco taxes - Representatives Boucher, Ronald, and Bliley are likely to raise their concern on this issue. • Malpractice reform - Many members favor this, but were concerned by the "thin" section in the plan. There's a good chance this will come up (especially with Rep. Rowland). • Copies of the Plan - You should note that copies have been made available to minority and majority full committee and subcommittee staff, and they are welcome and even encouraged to make copies for other Members. (They should have received them on Friday.) Positive Issues to Note • This committee badly wanted to include a proposal to require higher income Medicare premiums benefidaries to pay greater premiums during the debate on Reconciliation. They were asked by the Administration to hold off on this proposal so that this could be used as a financing option for health care reform. This fulfilled promise should be noted. • Corporate alliances and retiree health care is being addressed in a way that is good for Michigan, and should be stressed as a selling point for Chm. Dingell. Concerns of Individual Members • Reps. Waxman and Dingell will be very concerned about the handling of Medicaid: 1) Concerned about the fact that Medicaid remains at all; 2) Concerned that the budget for Medicaid will effectively begin 1-2 years before the budget for any other program; 3) Concerned about financing - that the main source is Medicare savings. The feel that there should be a dedicated funding source so that the plan is stable into perpetuity. (This was also an issue raised in reference to child immunizations.) • Rep. Tauzin is not likely to vote for the plan. He is anti-employer mandate, anti-budget anti-abortion, etc. • Rep. Collins should be recognized because she chairs the Commerce Subcommittee which will do insurance stuff. • Rep. Markey is very interested in the applications of telecommunications to the health care industry. If this comes up, you may wish to say that we intend to use telecommunications in this way and look forward to working with him on this. You may want to mention how impressed you were with new technology's ability to have a physician in a medically underserved rural area hooked up to an urban area with an academic health center to do a consultation. Rep. Rowland will for,,* ^ iu , A Bi&tS eStabliSh,'ng 3 St, 1^ Wha' « «• out ENERGY AND COMMERCE COMMITTEE 9/13/93 CHAIRMAN JOHN DINGELL (D-MI): Chairman Dingell, following in his father's footsteps, has been working for health care reform throughout his Congressional career. He is likely to be more concerned with turf issues than the details of the plan. His primary goal is passage of health care reform in this Congress. In meetings he has expressed his view that the plan should guarantee universal coverage to acute care services with state flexibility to develop their own plans. He thinks the plan should also include cost containment, malpractice reform and coverage for preventive services including family planning. CONGRESSMAN HENRY WAXMAN (D-CA): While supportive of the Administration's health care reform efforts in the beginning, Representative Waxman has been increasingly critical and issued a number of press statements indicating his concerns. Recent Developments; On Sept. 3 Waxman told USA Today he did not feel health care could be enacted by the end of 1993. In identical comments to the Wall Street Journal and the Washington Post on September 8 and 9, he stated : "Some of the savings figures floated around may be unrealistic and politically unacceptable." CONGRESSMAN PHIL SHARP (D-IN): Congressman Sharp is a careful legislator with a doctorate from Georgetown and a moderate to liberal record in the Congress. In addition to the Energy and Commerce Committee, Sharp is a member of the Rural Health Care Coalition and the Mainstream Forum. His views on health care reform are unknown, but he has voted pro-choice. CONGRESSMAN EDWARD MARKEY (D-MA): Congressman Markey has moved past his initial reputation as a grandstander and is now known as a consensus builder, well-liked for consulting members of both parties on pending legislation. As Chairman of the Subcommittee on Telecommunications, Markey's interest in health care relates to the role of telecommunications. He outlined that potential contribution in an extensive letter to the First Lady following her meeting with the Committee in March. CONGRESSMAN AL SWIFT (D-WA): Congressman Swift recently announced he would not run for re-election - a promise made during the term limit campaign in Washington State. Swift's views on health care are not known, but he has been a supporter of reproductive rights. CONGRESSWOMAN CARDISS COLLINS (D-IL): Chicago Congresswoman Collins chairs the Energy and Commerce Subcommittee on Commerce, Consumer Protection and Competitiveness, which will have jurisdiction over the insurance reform provisions of the health care package. Collins has introduced the Women's Basic Health Coverage Act of 1993, the Long-Term Care Insurance Standards and Consumer Protection Act, and the National Institute on Minority Health Act. Recent Developments: At the July House Focus Group meeting, Collins raised concern about limiting malpractice awards to victims, the impact of the reconciliation bill on our ability to finance reform, specifically the use of Medicare and Medicaid savings for deficit reduction. CONGRESSMAN MIKE SYNAR (D-OK); Congressman Synar wants reform and to be helpful to the Administration. He is fiercely anti- smoking. He co-founded the Rural Health Care Coalition and co- sponsored bills to improve rural health services as well as access to basic health care services for needy children. He worked with Congressman Wyden to create the Stark-Gephardt compromise on health reform in the last Congress. He wanted the plan to be marketed before release in order to garner public support. Synar is close to Gephardt, and will be influential in bridging the gap between liberals and the Conservative Democratic Forum. Recent Developments: Synar told Congressional Quarterly on 9/4: "What this is all about is how we market the future to the American people... every generation has its opportunity to leave a lasting mark. This is it, folks." CONGRESSMAN W.J. "BILLY" TAUZIN (D-LA): Congressman Tauzin is known as a coalition builder on the Energy and Commerce Committee, most notably forging a compromise that facilitated the passage of the Clean Air Act. On issues not related to gas and oil, he is often a key swing vote, reluctant to take sides early on and eager to negotiate. On health care issues, the Congressman is very concerned about the cost of prescription drugs for Medicare and Social Security beneficiaries. He notes that estimates indicate 30-35% of Louisianans are uninsured, and is concerned about rationing. Tauzin is protective of small business employees, and will likely oppose an employer mandate. He is anti-choice. He also favors tort reform. CONGRESSMAN RON WYDEN (D-OR); The former executive director of Oregon's Gray Panthers, Congressman Wyden is an ardent advocate for the interests of the elderly. He serves on both Small Business and Energy and Commerce where he is a close ally of Chairman Dingell. A team player, Wyden is also close to Congressman Waxman and may be willing to serve as a broker a between liberals and conservatives. Congressman Wyden is an enthusiastic supporter of Oregon's health care reform demonstration program. He is a strong proponent of abortion rights. Wyden was a major sponsor of legislation to constrain the costs of drugs sold to Medicaid patients, and recently backed a bill to establish a process to provide reasonable prices for drugs, devices and other products receiving NIH funding. In the 103rd Congress, he reintroduced a bill to establish Federal standards for long-term care insurance policies. Recent Development: In September Wyden told the New York Times that he welcomed cuts in Medicare and Medicaid but that they should not be used to pay for new programs. CONGRESSMAN RALPH HALL (D-TX): Congressman Hall's voting record reflects the rural conservative area he represents. Fiscally conservative, he often votes with the Republicans, as he has done this year in voting against the Administration on all three economic policy votes. He is a member of the Rural Health Care Coalition and is opposed to employer mandates and cost controls on providers. He is also anti-choice. Hall is sympathetic to physician concerns and supports improvements in organ transplantation. He is close to Chairman Dingell. While it is highly unlikely that Hall will vote for the final package, he might be persuaded to vote for it in committee to get it to the floor. CONGRESSMAN BILL RICHARDSON (D-NM): While considered a liberal Democrat, on the Energy and Commerce Committee Congressman Richardson is seen as a centrist, business-oriented vote. Given his leadership position, Richardson will probably be supportive on health care reform, but he also has a reputation for unpredictability so he will need continuing attention. Having served on the Select Committee on Aging, he should carry some of those concerns to the health care debate. Richardson will be a strong advocate of Indian, as well as Hispanic, health care interests. Other health related issues with which he is identified are women's health, alternative therapies, which are popular in his district, malpractice reform, and rural access. A Roman Catholic, he has voted pro-choice. Richardson wanted the plan to be announced after Labor Day. He was a supporter of the Health Care University. CONGRESSMAN JIM SLATTERY (D-KS): Congressman Slattery is a moderate to conservative Democrat who has been willing to buck the leadership in order to reduce the budget deficit. In addition to Energy and Commerce, Slattery is a member of the Veterans' Affairs and Banking Committees, the Rural Health Care Coalition and the Mainstream Forum. In the 100th Congress, he was part of the committee's "group of nine" which tried to work with all sides on the Clean Air Act. Slattery often works together with Representative Glickman and Long. Moderate conservatives look to him for leadership. Health care is one issue on which Slattery has indicated a willingness to spend more federal dollars. He has sponsored or cosponsored bills to expand Medicaid coverage to poor children, to improve rural access to health care, and to improve the availability and affordability of health insurance for small businesses. In the current health care reform debate, Congressman Slattery is concerned about states and state flexibility, especially with respect to cost containment. He is also very concerned about a payroll tax, and wants coverage for pregnant women, children, and rural areas. Slattery has suggested limiting the deduction for tobacco advertising. While he wants to support the Administration on health care reform, he is strongly anti-choice and might oppose the final package if reproductive rights are included. Recent Developments: Slattery announced on September 8 that he will not run for re-election. It is rumored that he is considering a race for the governorship. CONGRESSMAN JOHN BRYANT (D-TX): Congressman Bryant is a loyal Democrat and populist who believes strongly in the need for health care reform. While he will be concerned about costs, his number one priority will be access. Bryant is close to Congressmen Dingell and Waxman. CONGRESSMAN RICK BOUCHER (D-VA): Congressman Boucher is a lawyer and former McGovern advance man with one of the most liberal voting records in the Virginia delegation. On the Energy and Commerce Committee, Boucher played an important role as a member of the "group of nine" in the 100th Congress - a caucus of moderate-to-conservative Democrats who tried to end a Clean Air stalemate between pro-industry and environmental factions. Boucher also serves on the Judiciary Committee and is a member of the Rural Health Care Coalition and the Mainstream Forum. On health care matters, Boucher will be concerned about black lung disease. He will be opposed to a tobacco tax as shown by his co-signing the March 10 letter regarding tobacco excise taxes. His general views on health care reform are not known. He has voted pro-choice. Boucher will take some work but is considered "gettable." CONGRESSMAN JIM COOPER (D-TN): Congressman Cooper is a soft- spoken former Rhodes Scholar who, as a moderate, has been instrumental in forging compromises on the Energy and Commerce Committee. Last term he was chosen to be the lead spokesman for the Conservative Democratic Forum's health care bill which was based Jackson Hole Group model. He advocates reform without significant government intrusion, opposing price controls or the extension of Medicare rates to private insurance. He questions whether Congress has the courage to pass a global budget restricting private sector growth and believes that even if passed, it would not be enforced. He is concerned about employer mandates and prefers a voluntary approach to expanding coverage. On June 2nd, Congressman Cooper sent a memo to his constituents interested in health care reform. It was notable more for its negative tone than its substance. However, at his June 15 meeting with the First Lady, Cooper thanked her for the meeting and praised the White House for the attention given to Tennessee and its new health care reform proposal. He again expressed his concern that the White House is disavowing managed competition. He believes that the health care reform package should phase in the parts people agree on but hold off on employer mandates and enforceable budgets. He also does not believe abortion should be in the package. Recent Developments: On September 3, Cooper told USA Today that months of hearings would be needed on health care reform. Since then, Cooper has been publicly critical of the administration plan, noting in particular his opposition to employer mandates and global budgets. He told the Wall Street Journal on September 12 that the plan "makes both conservatives and liberals unhappy... You can't have a sausage product when it comes to health care." CONGRESSMAN ROY ROWLAND (D-GA): Congressman Rowland is a key player on health care reform not only because he is a physician and respected southern Democrat, but because he will be a point person for veterans, rural areas, and small business. Chairman Dingell and Rep. Waxman rely on Rowland's credibility and as a go-between for committee moderates and liberals. Rowland is also close to Rep. John Lewis. Rowland has sponsored three health care related bills this year: (HR 862) the "Long-Term Care Insurance for the Elderly Act" to benefit individuals earning less than $45,000 annually by providing for tax-free withdrawals from IRAs to purchase health insurance; (HR 1770) the "Rural Physicians' Incentives Act" to provide qualified medical education loans to physicians for underserved rural areas and to extend deferments of Federal student loans for rural physicians; and (HR 1771) the "Rural Access to Obstetrical Care Act" to start state demonstration projects to improve access in rural areas. He is a strong supporter of preventive health care for children and high-risk mothers. Rowland is opposed to mandates. In past legislation, he has authored "anti-hassle" bill to reduce Medicare red tape. CONGRESSMAN THOMAS MANTON (D-NY): Congressman Manton is considered a "leadership loyalist" and obtained his seat on Energy and Commerce by carefully courting Chairman Dingell. Manton served on the Select Committee on Aging. A lawyer and former policeman, Manton's views on health care reform are not known. He is Roman Catholic and votes anti-choice. He is a McDermott co-sponsor. Recent Developments: At an August focus group meeting, Manton voiced his support for a comprehensive benefits package. CONGRESSMAN EDOLPHUS TOWNS (D-NY): Congressman Towns is a liberal who is loyal to the leadership of his committee. In the past, Towns has co-sponsored a number of bills dealing with women's health interests, including research, Medicaid benefits for breast and cervical cancer, and mammography. He is a McDermott co-sponsor in this Congress. He believes in the need for a uniform record-keeping process. CONGRESSMAN GERRY STUDDS (D-MA): While Congressman Studds has not been particularly active on health issues, he has cosponsored legislation to revitalize NIH, revise orphan drug provisions, improve Federal funding for women's health research, increase Medicaid coverage for HIV-related services, and improve Medicare's basic health care services for children. Studds is a cosponsor of Congressman McDermott's single-payer bill. While Studds recognizes that compromise will be required to get health care reform passed, his support should not be taken for granted. CONGRESSMAN RICHARD LEHMAN (D-CA): Congressman Lehman will have a very tough fight in 1994. He voted against the Administration on deficit reduction and the budget. In February, Lehman wrote to the First Lady explaining the health care problems of the rural areas of his district, specifically underserved farm workers. Other issues included: malpractice reform; fair reimbursement for urban and rural areas; health care as an undue burden on small business; duplication of services; local health networks providing preventive and primary care; and concern that managed competition would not work in rural areas. CONGRESSMAN FRANK PALLONE. JR. (D-NJ): Representing a Republican district Congressman Pallone is generally a fiscal conservative and a supporter of the Conservative Coalition in Congress. A recent Energy and Commerce appointee, Pallone has not developed much of a record on health care issues. While Pallone was a single payer cosponsor in the past, he has not done so this year. Pallone wants prescription drugs covered by reform, and believes that cost containment is essential. He did, however, cosponsor Porter's Title X Pregnancy Counseling Act, and Regula's Comprehensive Preventive Health Program for Medicare Beneficiaries. Pallone voted against the Deficit Reduction Bill (HR 22640) . A longtime opponent of abortion, he changed his stance in the wake of Webster. Rep. Pallone was one of those who felt strongly about having a health care university. CONGRESSMAN CRAIG WASHINGTON (D-TX): A new member of the Energy and Commerce Subcommittee on Health, Congressman Washington is an outspoken liberal who can be unpredictable, as when he voted against the civil rights bill compromises in the last Congress. While his general health care views are not known, as a state senator he was responsible for passage of the first legislation in Texas to provide funding for the education and treatment of AIDS. He will probably center his concerns on children, minority and urban health matters. Washington attended the First Lady's March meeting with the CBC. His significant other is a general practitioner. Recent Developments: On Sept. 6, Washington told the Washington Times that he felt the plan was flawed because: "He is talking more to doctors, hospitals, and insurance companies. That's where the problem is." CONGRESSWOMAN LYNN SCHENK (D-CA): Freshman Congresswoman Schenk campaigned hard to win with 51% in a Republican leaning district. Schenk's health care concerns include: women and children; mental health coverage; and protecting choice of provider. Her district includes a number of biotech industries and she wants to see them protected. A strong pro-choice supporter, Schenk signed the May 13 letter regarding the importance of including abortion coverage in the health care package. CONGRESSMAN SHERROD BROWN (D-OH): Freshman Congressman Brown lobbied hard for a seat on Energy and Commerce in order to pursue his interest in health care reform. He has pledged to pay for his own health care, rather than use the Congressional coverage, until a national health care program is in place. He has indicated his desire to be helpful to the Administration on health care reform. As a follow-up to a March meeting with the First Lady, Brown wrote to her about his concern that the health reform proposal "emphasize preventive and cost-effective health services," investing in immunization, pre-natal and well-baby programs in particular. Brown campaigned for abortion rights. He is a supporter of home-based long-term care services as a cost- effective alternative to institutionalization. Recent Developments: In a Sept. 1 AP Wire story, Brown praised the President for tackling the health care issue but stated he felt "the task force is headed in the wrong direction... regulating the economy and eliminating people's freedom to choose is not an effective way to tackle the health care crisis." CONGRESSMAN MIKE KREIDLER (D-WA): Freshman Congressman Kreidler comes to Congress with a strong background in health care both in the state legislature and as a practicing optometrist who worked for 20 years in a managed care system. Kreidler holds a Masters Degree in Public Health. He would like to see a bold system which moves toward a single-payer approach. In March, he wrote to the First Lady recommending that the Task Force include universal coverage, expenditure limits, and state flexibility. He also stated his desire to be helpful in whatever way appropriate. Kreidler serves on the Veterans' Affairs Committee and was in the Army Reserve for 20 years. Recent Developments: On August 4, Kreidler commented to the AP on health care reform "it is time for the Federal government to lead or get out of the way." CONGRESSWOMAN MARJORIE MARGOLIES-MEZVINSKY (D-PA): Congresswoman Margolies-Mezvinsky is finding that her courageous vote on final passage of the budget has brought her more respect and less criticism than anticipated in her district. On health care, the Congresswoman's particular concerns are children and child welfare, education, and issues related to families. She is the first unmarried American to adopt a foreign child and at one time or another she has had 11 children growing up in her household. She has said she wants to be involved with the Administration on health care, but given her budget vote, we may not be able to push her very hard. CONGRESSWOMAN BLANCHE LAMBERT (D-AR): Congresswoman Lambert advocates greater access to affordable health care, especially in rural areas. This should make her popular with the farmers in her district. In meetings with the First Lady and Ira, Lambert has voiced concern about waste in the system, the chronically ill, reducing overall health costs, and educating the public about those costs. REPUBLICANS CONGRESSMAN CARLOS MOORHEAD (R-CA): Ranking Republican Moorhead is one of the most conservative members of the House. Despite that, he does cooperate with Democrats, most notably on energy policy. He also serves on the Judiciary Committee. Moorhead is a member of the Republican Task Force on Health. In a February meeting with the First Lady he discussed the need to cover part-time and temporary workers. He did not believe employers should be taxed on health care benefits. Moorhead has a pro-business philosophy and votes against reproductive rights. His low key style may mean he will not play a major role in opposing the Administration on health care. CONGRESSMAN THOMAS BLILEY JR. (R-VA): A soft-spoken former mortician, Congressman Bliley serves on the Republican Task Force on Health and is the most active Republican on Energy and Commerce health issues. He is the ranking Republican on the Health Subcommittee where he and Rep. Waxman have clashed often on tobacco-related legislation. Bliley is known as the tobacco industry's "sentry" on the subcommittee. On health care, Bliley is interested in preventive medicine and maternal and child health care. He believes there need to be controls on hospital and procedure costs. He occasionally votes with the Democrats to increase health services to black Americans, especially maternal and child health care. He has not sponsored or cosponsored any health care reform legislation in this Congress. Bliley attended the February Republican meeting with the First Lady and has attended Ira's breakfast meetings. CONGRESSMAN JACK FIELDS (R-TX); Congressman Fields is an activist conservative who has concentrated his efforts on Energy and Commerce in the areas of oil and natural gas. Fields' health care views are unknown but he has voted against reproductive rights. CONGRESSMAN MIKE OXLEY (R-OH); Congressman Oxley is a conservative and regular opponent of regulation and control on the Energy and Commerce Committee. His health care views are not known but he, too, has voted against reproductive rights. CONGRESSMAN MICHAEL BILIRAKIS (R-FL): Congressman Bilirakis has some tough re-election fights and has said he will retire in 1994 if he has no major legislation pending. He serves on both Energy and Commerce and the Veterans' Affairs Committees as well as the Republican Task Force on Health. He has cast some key votes on health in the past - against catastrophic in 1988, for increased federal elderly home care funds, and for drug discounts for the VA and other federal purchasers. He is opposed to abortion. Given his constituency and these votes, he has been considered a possible target. CONGRESSMAN DAN SCHAEFER (R-CO): Congressman Schaefer is a former state legislator whose conservatism matches that of his suburban Denver district. Schaefer's health care views are not known. He has voted against abortion rights. Recent Developments: On August 30, Schaefer stated publicly that he wanted to be heavily involved in health care reform and did not want to reduce the overall quality of the present system. CONGRESSMAN JOE BARTON (R-TX): A conservative with a heavily Republican Ft. Worth and Dallas suburban district, Congressman Barton's major goal in continuation of the Supercollider. He serves on both Energy and Commerce and the Science Committees. Barton's health care views are not known but he has voted against abortion. CONGRESSMAN ALEX McMILLAN (R-NC): Conservative but pragmatic, Congressman McMillan has become a key ally of the House Republican leadership. McMillan has been a leader on the House Republican Task Force on Health studying health care reform. He co-sponsored the House Republican health care reform bill, which has been reintroduced in the 103rd. He led the subgroup examining administrative reforms in health care and cosponsored a separate health care administrative reform bill. He also has introduced malpractice reform legislation. There are a substantial number of insurance companies headquartered in his district. A former businessman, he consistently opposes Federal mandates on business. CONGRESSMAN J. DENNIS HASTERT (R-IL): Congressman Hastert was selected by House Minority Leader Michel to be his point person on health care reform. A fellow Illinoisan, Hastert's appointment was a surprise, considering that he is only in his fourth term in the House and his second term on the Energy and Commerce Committee. Congressman Hastert is generally not known to be a mover and shaker in the House or in health care reform. He does, however, seem to reflect the "Michel style" of House Republican. While Hastert is a staunch conservative, he is willing to offer proposals and be a part of the process. Congressman Hastert has sponsored his own "Health Care Choice and Access Improvement Act" (HR 150), which would reform the small group insurance market, increase the tax deductibility for the self-employed, and allow employers to establish tax-free Medi- Save accounts. Congressman Hastert has been pleased and appreciative of the weekly briefings by Ira and other members of the working groups to Republican members. He has spoken about the need to hold costs down and to open up access. He has indicated a desire to be helpful. CONGRESSMAN FRED UPTON (R-MI): Serving his fourth term in the House, Congressman Upton is a protege of former Budget Director Stockman. Upton is a member of the Energy and Commerce Committee and the Wednesday Group. He is known to listen closely to local groups. While Upton's health care views are not known, Congressman Bonior considers him a priority target. Upton supports abortion to save the life of the mother and in cases of rape or incest. CONGRESSMAN CLIFF STEARNS (R-FL): Congressman Stearns is a conservative representing a strong Republican central Florida district. Stearns grew up in Washington and serves on both Energy and Commerce and Veterans' Affairs. While his specific health care views are not known, he is said to support market-driven health care reform. He has voted against reproductive rights. CONGRESSMAN BILL PAXON (R-NY): The Chairman of the National Republican Congressional Committee, Congressman Paxon was a volunteer in Jack Kemp's first campaign for the House and now holds that seat. Paxon recently became engaged to Rep. Molinari. Paxon's health care views are not known but he has voted against abortion. CONGRESSMAN PAUL GILLMOR (R-OH): Congressman Gillmor was unopposed in 1992. A member of the Energy and Commerce Committee, Gillmor is a former state legislator. His health care views are unknown but he has voted against abortion funding. CONGRESSMAN SCOTT KLUG (R-WI): Congressman Klug is a new member of the Energy and Commerce Committee, part of the Tuesday Group, and previously served on the Select Committee on Children and Education and Labor. He is both a White House and a Bonior target. While Klug's health care views are not known, he has called for early intervention programs for at-risk children. CONGRESSMAN GARY FRANKS (R-CT): The first Republican to join the Congressional Black Caucus, Congressman Franks is a self-made millionaire who opposes most of the CBC's bills. While his general health care views are not known, he is pro- choice. He is a co-sponsor of the Republican leadership's health care reform bill. His mother was a dietary aide in a city hospital. He is one of Bonior's Republican targets. CONGRESSMAN JIM GREENWOOD (R-PA): A former social worker who dealt with children. Freshman Congressman Greenwood's specific health care views are not known. He did campaign for creating a health care system and has been considered a possible target. CONGRESSMAN MICHAEL CRAPO (R-ID): (pronounced CRAY-poe) Freshman Congressman Crapo quickly aligned himself this year with the freshman reformers and now sits on the Energy and Commerce Committee. He is a fiscal conservative. While Crapo's health care views are not known, he will be sensitive to the needs of his district's farmers. September 13, 1993 SUBJECT: Meeting with Mrs. Anita Keating September 14, 1993 BACKGROUND Anna ("Anita") Keating works to promote cancer awareness. She is coordinating with Australian agencies to develop a national strategy to increase awareness of breast cancer and promote breast cancer research, looking toward Australia's first National Breast Cancer Day in 1994. She views breast cancer not only as a women's health problem but more broadly as a major social problem affecting families, businesses and individuals from every sector of society. Mrs. Keating wants to develop links with breast cancer organizations in the United States, and had lunch here September 13 with representatives of such groups. While in town, she will also attend the opening of Hollis Sigler's exhibition at the National Museum of Women in the Arts. She plans to meet with museum directors to spur interest in Australian art, and will visit Australian fashion companies based in the United States. POINTS YOU MAY WISH TO MAKE o Note that Mrs. Keating's interest in Australian breast cancer issues parallels your own concern with American health care problems. The social and financial ramifications of health care are universal. o Inquire about Mrs. Keating's lunch with American cancer organization representatives. Linkages between the United States, Australia, and other nations would be useful. o What is planned for the Australian National Breast Cancer Day in 1994? What sort of follow-up is envisioned? Attachment Tab I Biographical Information Anna Johanna Maria KEATING AUSTRALIA Wife ofthe I'rime Minister Addressed as: Mrs, Keating Anna "Anila" Keating, a former flight attendant from the Netherlands, is a skilled linguist who speaks five languages. Described by her husband's biographer as a stylish woman whose gracious manner makes people feel comfortable around her, Keating has helped to soften the hard public image of her husband, Paul Keating, according to the local press. She is now a traditional homemaker who is devoted to her husband and children; for example, she regularly sits in the visitor's gallery of Parliament during question time to support her husband. Keating generally shuns the public limelight and closely guards her private life. A French. 1 iisappointed at the quality of the French February 1993 interview in Vogue Australia, tnstructit n there, she moved to Paris, where she however, reported her plans to raise her profile by studied J ench at the Sorbonne, and then moved to working with aborigines and homeless children. In London l study English. After returning tu the her rare public interviews, Keating has been a Netherlai Js, she worked as a flight attendant for the supporter of women's athletics; she criticized the Dutch ainine KLM and then joined Alitalia and Australian postal service in July 1992 for excluding moved to Home. She met Paul Keating while he women athletes from its Olympic stamp series. She was on a nip. According to his biographer, the man also attended the 1992 Olympics in Barcelona to once billed us one of Parliament's most eligible promote Sydney as a future Olympic site. bachelors tourted his future wife around the world, as her wo k assignments took her to Europe and Latin Anvrica. They were married in 1975. The Keating shares her husband's love for both the couple ha ; lour children—a son, Patrick (17). and arts and collecting antique furniture. She has been a three dauj titers, Caroline (13), Kathcrine (11). and patron ofthe Merrill Tankard Dance Company Alexandn (7). since 1990; the Keatings frequently attend the ballet. She is also an avid skier. 7 September 1993 Anna Johanna Maria van Jerscl was bom on 5 October 1948 in Oisteriuijk, the Netherlands. After completing high school in the Netherlands, she moved to Lausanne, Switzerland, to study Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 008. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1 2006-0770-F rySIS RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)l Freedom of Information Act - |S U.S.C. 552(b)| PI National Security Classified Information [(a)(1) of the I'RA] b(l) National security classified information [(b)(1) ofthe FOIA] P2 Relating to the appointment to Federal office 1(a)(2) of the PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) of the PRA| an agency 1(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute 1(b)(3) ofthe FOIA| financial information 1(a)(4) ofthe PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information |(l))(4) ofthe FOIA] and his advisors, or between such advisors |a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy 1(b)(6) ofthe FOIAj personal privacy 1(a)(6) ofthe PRA] b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIA] PRM. Personal record misfile denned in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIA] RR. Document will be reviewed upon request. M i, S " R H i_ 1 ^ j - c ^ NAME : LISA RA ft K FR DATE OF BIRTH: (b)(6) PLACE OF BIRTH HOBART. TASMANIA. AUSTRALIA FAMILY: MARRIED DON RUSSELL IN 1991. ONE CHILD, JOSHUA THEODORE RUSSELL (PORN JANUARY 1993). TWO STEP SONS, DAVID AND JOEL RUSSELL (AGED 16 AND 14 RESPECTIVELY). EDUCATION: HEAD DAYGIRL AND DUX OF ST HILDA'S GIRLS GRAMMAR SCHOOL, SOUTHPORT, QUEENSLAND. BACHELOR OF ARTS, UNIVERSITY OF QUEENSLAND. BACHELOR OF LAWS, UNIVERSITY OF QUEENSLAND. MASTERS IN INTERNATIONAL LAW. due for completion by February 1994, AUSTRALIAN NATIONAL UNIVERSITY• EMPLOYMENT: 1983 - 1987 Private practiee as a litigation jnd convnerci a 1 law solicitor, including ir.vo 1 vement in the Hope Royal Commission enquiring into the Australian Security Intelligence Organisation and its relationship to Government, and representation of a High Court Judge before two Senate Enquiries into his alleged misconduct. 1987 - 1988 Legal Consultant to Department of social Security on creation of the Child Support Scheme, a formula based scheme of child support for automatic collection of maintenance through the tax system. This scheme is now operating successfully. 1988 - 1991 Senior Adviser and Head of Office to Senator Nick Bolkus, Minister for Consumer Affairs and Minister Assisting the Treasurer for Prices, and subsequently Minister for Administrative Scrv i ces. 1992-1993 Consultant to the National Food Authority on the conduct of a policy review designed tb remove unnecessary regulation, promote exports and safeguard coneumer protections. LANGUAGES: ENGLISH INTERESTS: Antitjuei-, art and architecture, (.heal re ar>d ballet, culinary pmsuits, politic? and social policy, human rights issues; reading about und participating in all of the above. PAST b PRESENT Staqecoach Theatre School for Children, ASSOCIATIONS: Amnesty International, Labor Lawyers, Law Society. TO: Hillary FR: Lisa RE: Family Circle Magazine Interview and Photo Shoot DT: September 13, 1993 You are scheduled to do a 30 minute photo shoot and a 30 minute interview with Family Circle. This will be for the December Christmas issue of Family Circle. You will be an inset cover photo. Family Circle has asked that you wear red. The interview will be with Nancy Lloyd. You last spoke with Nancy by telephone for the profile she wrote on Tipper Gore in last month's Family Circle. The point of this story is to feature Christmas and crafts at the White House. Nancy saw you on the Home Show and would like to talk to your about your interest in crafts and why you have chosen crafts as the theme for your first White House Christmas. Ann Stock is preparing a briefing memo for you which you will have tomorrow morning.