DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Assistant Secretary for Public Affairs Washington, D.C. 20201 November 29, 2017 HHS Request: 2017-00722-FOIA-OS Legal Case 1:17-cv-01448 Mr. Austin R. Evers, Esq. Executive Director American Oversight 1030 15th Street NW, Suite B255 Washington, DC 20005 Dear Mr. Evers: This letter is the Department’s first interim response to your May 4, 2017, Freedom of Information Act (FOIA)1 request, which you sent via electronic mail to the attention of Michael Marquis, FOIA Director, Department of Health and Human Services (HHS or Department). In that request, you sought the following records, as quoted from your request: 1. A copy of any letter or memorandum sent on or about March 23, 2017 to Congressional Republicans outlining potential regulatory actions related to the Affordable Care Act. The requested record was referenced in an April 4, 2017 letter from 21 Senators to Secretary Tom Price. 2. Any other communications from HHS to any member of Congress or congressional staff concerning potential administrative actions relating to implementation of the Affordable Care Act. Please provide all responsive records from March 6, 2017, to the date the search is conducted. After receiving your request, the Department sent your request to three offices for records search: the Office of the Secretary (IOS); the Office of the Assistant Secretary for Administration (ASA), and; the Office of the Assistant Secretary for Legislation (ASL). Our office is continuing to review the records located in our search. In accordance with the Court’s minute orders of November 2, 2017, and November 17, 2017, HHS must process at least 400 potentially responsive records each month in rolling responses to American Oversight’s FOIA request. For this initial response, our office has processed approximately 1,908 documents, which totaled approximately 4,500 pages. Of those 4,500 pages, the vast majority was determined to be outside the scope of your request and non-responsive, in that they did not discuss or involve the subjects described in Item 1 or Item 2 of your request. After careful consideration and review, we have made the following disclosure determination regarding the documents in which records with responsive material were located:  1 Sixteen (16) pages are being released in full; 5 U.S.C. § 552. Evers\American Oversight: FOIA 2017-00722-FOIA-OS Page 1 of 2  Forty-three (43) pages are being released with redactions under FOIA Exemption 6. Exemption 6 FOIA Exemption 6 permits a federal agency to withhold information about individuals in “personnel and medical files and similar files” when the disclosure of such information “would constitute a clearly unwarranted invasion of personal privacy.”2 The United States Supreme Court has held that Congress intended the term "similar files" to be interpreted broadly, rather than narrowly. 3 The Court stated that the protection of an individual's privacy "surely was not intended to turn upon the label of the file which contains the damaging information" and opined that information that "applies to a particular individual" meets the threshold requirement for Exemption 6 protection. In analyzing these records, we find they meet this threshold requirement of the Exemption. When a privacy interest is found to exist, the public interest in disclosure of the information, if existent, must be examined and weighed against the privacy interest in nondisclosure. In this case certain e-mail addresses and non-public telephone and cell phone numbers were redacted under this Exemption. The release of this information would not serve to enhance or increase the public understanding of government functions, but would pose a harm to privacy interests, and thus the invocation of Exemption 6 is appropriate. We are continuing to review the documents located in response to your FOIA request, and as stated above, will be responding to your FOIA request with subsequent productions. Should you have questions, please contact Michael Baer, Trial Attorney, U.S. Department of Justice. Sincerely, Michael S. Marquis Director Freedom of Information/Privacy Acts Division Document Production to Dropbox: American Oversight v. HHS et al., 17-1448 cc: Michael Baer Sara Creighton 2 3 5 U.S.C. § 552(b)(6).  United States Department of State v. Washington Post Co, 456 U.S. 595 (1982)). Evers\American Oversight: FOIA 2017-00722-FOIA-OS Page 2 of 2 From: Palmer, Ashley HSIASL) Sent: 18 May 2017 21:12:15 +0000 To: Sanger, Alvene Subject: Checklist for Section 1332 State Innovation Waiver Applications Alvene It was good to talk to you today. It would be great to receive your updates: (131(5) andlibii?i lAlso, wanted to note, the contact info we passed out during the Committee meet and greet had the wrong phone numbers for me. Feel free to call if I can ever be a resource. Below is the link to the final 1332 checklist, along with the press release. Take care! -Ashlev lbll?l (direct) (we (cell) Today, the Centers for Medicare Medicaid Services (CMS) and the US Department of Treasury released a checklist to help states pursuing Section 1332 State Innovation Waivers as they develop and complete the required elements of the application, in particular Section 1332 waivers implementing a high-risk poollstate-operated reinsurance program. We encourage states interested in applying for Section 1332 waivers to reach out to the Departments for assistance in formulating an approach that meets the requirements of Section 1332. The ?nal checklist can be found here: Initiativesl Stale-Innovation-Wei 3 32-Slate-Innovation- Waiver-Applications-S5 7-cpdf.pdf Centers for Medicare and Medicaid Services (CMS) Issues Section 1332 State Innovation Waiver Checklist Checklist Aims to Help Stabilize State Health Insurance Markersfor 2018 WASHINGTON, DC, May 16, 2017; - Today, the Centers for Medicare and Medicaid Services (CMS) released new information to help states seek waivers from requirements in the Affordable Care Act (ACA). The new tool is intended to help states complete waiver applications that allow them to establish high-risk poolsl state-operated reinsurance programs. Section 1332 waivers, generally can be used by states to opt-out of some mandated provisions under ACA. CMS is helping to provide guidance to states who want to pursue solutions to help lower costs and increase coverage choices for Americans struggling with unaffordable premiums and reduced competition in the insurance market, brought on by the ACA. Individuals obtaining coverage in the ACA marketplace have faced double-digit premium increases and insurance issuer exits. HHS 2017?00722-00001 Nationally, premiums on Healthcaregov have increased by an average of 25 percent for 2017. The state of Arizona saw insurance costs go up more than 100 percent and one third of counties in the U.S. currently only have one insurer participating in the exchange. Two insurance carriers in Iowa recently announced they were exiting the market, leaving Iowans in jeopardy of having no insurers participating in the exchange in 2018. ?Today's guidance addresses the impact in driving up insurance costs and reducing choices," said CMS Administrator Seema Verma. ?State initiated waivers that implement hi gh-risk poolx? state-operated reinsurance programs will help lower premiums, stabilize the health insurance exchange, and meet the unique needs ofeach state.? States have unique sets of challenges within the health insurance exchange and in the broader individual health insurance market. In Alaska, for example, initial rate information showed the state could face a potential 40 percent increase in premiums in the 2017 plan year. In an effort to stabilize premiums, the state introduced a reinsurance program to offset the projected increase. The move helped to steady premiums, and Alaska is now requesting a 1332 State Innovation Waiver in order to continue the program for future plan years. If approved, the state could receive federal funding to offset a portion of the costs. Federal law requires the 1332 reinsurance program to be budget neutral, so it will not increase costs for taxpayers. U. S. Health and Human Services (HHS) Secretary Thomas E. Price sent a letter to all states encouraging them to use innovative strategies to strengthen their health insurance markets. For more information on 1332 State Innovation Waivers, see the March 21) 7 lelter from Secretary Price. More information on section 1332 State Innovation Waivers is also available HHS 2017?00722-00002 From: Palmer, Ashley Sent: 30 May 2017 20:47:02 +0000 To: jeff.bisho_ Cc: Ara manda, Alec Subject: FW: 1332 waivers Hi Jeff?Thanks again for walking us through your questions on the NY Essential Health plan. On the question as to whether NY would have to apply for a 1332 waiver, the answer is yes they would have to apply. These waivers were first available on or after January 1, 2017, and are separate from the Section 1331 BHP provisions. The Secretary and Administrator Verma sent a letter to States in March and an application checklist was just published in May. I?m inquiring into your second question, but wanted to send these resources in the interim. - General Information: waivers/section 1332 state innovation waivers-.html - March 2017 letter to Governors: - 1332 Checklist for States: Applications-55 Please tell Patrick I said hello! Sincerely, -Ashley Ashley M. Palmer Office of the Assistant Secretary for Legislation (ASL) U.S. Department of Health and Human Services libii?i {53(5) (direct) rots) (cell) Non?Responsive Record HHS 2017-00722-00003 Non-Responsive Record HHS 2017?00722-00004 From: Palmer, Ashley Sent: 18 Jul 2017 19:34:12 +0000 To: emily.murr_Stephanie.Parks W5) Cc: Fitzsimons, Maura Subject: FW: Sec. Price Letter RE: Direct Enrollment Attachments: DE Response Letter Tiberi.pdf fyi From: Fitzsimons, Maura (HHSIASL) Sent: Tuesday I PM Tu: Cc: Palmer, Ashley (HHSIASL) Subject: Sec. Price Letter RE: Direct Enrollment Hi Abby, Thank you for Representative Tiberi?s letter to the Secretary regarding Direct Enrollment. The Secretary?s response is attached, and a hard?copy was placed in the mail today. Please let me know if you have am,I additional questions. Thanks, Maura Maura Fitzsimons Legislative Analyst Office of the Assistant Secretary for Legislation Department of Health and Human Services ?has: HHS 2017?00722-00005 THE SECRETARY OF HEALTH AND HUMAN SERVICES WASHINGTON, D.C. 20201 JUL 17 2917 The Honorable Patrick J. Tiberi U.S. House of Representatives Washington, DC 20515 Dear Representative Tiberi: Thank you for your letter requesting that web-based entities (WBES) be permitted to enroll consumers via the Direct Enrollment Broker Pathway and encouraging the development of the ?enhanced? Direct Enrollment pathway. I appreciate your raising this concern. We are pleased to report that the Centers for Medicare Medicaid Services (CMS) recently released guidance that enables web?based agents and other Direct Enrollment partners the option of using a Direct Enrollment ?proxy? method to more seamlessly enroll some consumers. The guidance can be found here: Guidance/DownloadslGuidance- for?the-Proxy-Direct-Enrollm ent-Pathway-for?ZO 1 8-Individual - Over the next 18 months, CMS has planned continuous Direct Enrollment program improvements, including the proxy pathway that will be enabled before the next Open Enrollment Period. Overall, these improvements focus on providing more ways for c0nsumers to access coverage, lowering Federal costs to administer the program, and ensuring integrity and accuracy within the eligibility and enrollment processes. You are correct that issuers and broker partners who currently leverage the Direct Enrollment functionality have reported decreased levels of consumer engagement, as well as general consumer dissatisfaction and confusion with the ?double-redirect? process. You are also correct that several private online web-based agents had previously developed methods to enroll consumers without being redirected to HealthCare.gov. Upon further investigation, CMS discovered that agents and Direct Enrollment partners used custom copies or ?proxies? of the enrollment application process to sign up consumers, utilizing software to enter the consumer information into HealthCare. gov instead of a human agent or broker. Further investigation into the accuracy of the custom applications revealed inconsistencies which created significant program integrity and operational challenges. To address these risks, CMS disabled access via the proxy method for the 2017 Open Enrollment Period, and Direct Enrollment partners were required to use the double redirect to enroll applicants. However, several partners reported a resolting signi?cant decrease in business. As a result, CMS is currently making several improvements that will simultaneously enable Direct Enrollment partners to use a proxy Direct Enrollment pathway while implementing HHS 2017-00722-00006 The Honorable Patrick J. Tiberi Page 2 safeguards to mitigate the risks that were identi?ed. Speci?cally, CMS is implementing an enforcement structure under which independent third party auditors will provide up-front certi?cation that Direct Enrollment partners have appropriate processes and controls in place to ensure Direct Enrollment partners approved to use the proxy method correctly mirror the application language and ?ow throughout the enrollment process. This structure will increase engagement with Direct Enrollment partners, prior to enabling proxy and after, to further understand impediments to operations and increased participation. The recently published guidance gives Direct Enrollment partners the option to seek approval to implement the proxy method in time for the next open enrollment period. Again, thank you for your interest in this matter. We look forward to working with you to enable Direct Enrollment partners to improve the consumer experience related to shopping for and enrolling in health care coverage. Should you or your staff have any questions, please do not hesitate to contact the Of?ce of the Assistant Secretary for Legislation, at (202) 690-7627. Yours truly, 1% Thomas E. Price, MD. HHS 2017-00722-00007 From: Palmer, Ashley Sent: 17 May 2017 14:22:15 +0000 To: Adam Buckalew Subject: Fwd: CMS Releases Guidance for Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Hi! Wanted to make sure you saw this was live. -Ashley From: Katherine (bit?i Subject: CMS Releases Guidance for Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Date: 17 May 2017 10:14 To: Hello Today, the Centers for Medicare 8; Medicaid Services announced a new streamlined and simplified direct enrollment process for consumers signing up for individual market coverage through Exchanges that use HealthCare.gov. Consumers applying for individual market coverage during the upcoming open enrollment period through direct enrollment partners will now be able to complete their application using one website. The guidance can be found here: Please let me know if you have any questions. Kore Director, insurance Analysis Group CMS Office of Legislation 200 independence Avenue, SW Washington, DC 20201 (bill?!) HHS 2017-00722?00008 From: Palmer, Ashley Sent: 13 Apr 2017 20:36:44 +0000 To: steve.waskiewicz (W5) Subject: Fwd: Hill Notification: CMS Releases Final Market Stability Rule This may be helpful. From: "Boulanger, Jennifer L. Subject: Hill Noti?cation: CMS Releases Final Market Stability Rule Date: 13 April 2017' I6233 To: U.S. House and Senate Noti?cation Thursday, April 13, 201':l To: Congressional Health Staff From: Of?ce of Legislation Centers for Medicare Medicaid Services Re: CMS Releases Final Market Stability Rule The Centers for Medicare Medicaid Services (CMS) today issued the ?nal Market Stabilization rule. to help lower premiums and stabilize individual and small group markets and increase choices for Americans. The final rule makes several policy changes to improve the market and promote stability, including: 2018 Annual Open Enrollment Period: The ?nal rule adjusts theannual open enrollment period for 2013 to more closely align with Medicare and the private market. The next open enrollment period will start on November 1, 2017. and run through December 15, 2017, encouraging individuals to enroll in coverage prior to the beginning of the year. 0 Reduce Fraud, Waste, and Abuse: The ?nal rule promotes program integrity by requiring individuals to submit supporting documentation for special enrollment periods and ensures that only those who are eligible are able to enroll. It will encourage individuals to stay enrolled in coverage all year, reducing gaps in coverage and resulting in fewer individual mandate penalties and help to lower premiums. HHS 2017?00722-00009 I Promote Continuous Coverage: The ?nal rule promotes personal responsibility by allowing issuers to require individuals to pay back past due premiums before enrolling into a plan with the same issuer the following year. This is intended to address gaming and encourage individuals to maintain continuous coverage throughout the year, which will have a positive impact on the risk pool. 0 Ensure More Choices for Consumers: For the 2018 plan year and beyond, the ?nal rule allows issuers additional actuarial value ?exibility todevelop more choices with lower premium options for consumers, and to continue offering existing plans. I Empower States Reduce Duplication: The final rule reduces waste of taxpayer dollars by eliminating duplicative review of network adequacy by the federal government. The rule returns oversight of network adequacy to states that are best positioned to evaluate network adequacy. CMS also made a number of other announcements today regarding the process that issuers must follow to meet the law?s requirements for the 2018 plan year. The additional guidance released includes updates that would make the guidance consistent with today?s ?nal rule and information needed by issuers in order to have their plans certified for 2018, including: a Key Dates for 2017 I Issuer Guidance on Uniform Rate Review Timeline 0 Good Faith Compliance Guidance - QHP Certi?cation Guidance for States I Final Actuarial Value (AV) Calculator for 2018 and Methodology The final rule can be found, here: The guidance can be found here: If you have any questions, please contact the CMS Of?ce of Legislation. Thank you. HHS 2017?00722-00010 HHS-17-0133-A-00001O From: Palmer, Ashlei,?r (HHSXASL) Sent: 6 Apr 2017 13:32:37 -0400 To: M5) FatigmeyeFth?) 039(6) _ames.pa uskiewicz m?auledattel (W5) emilymurryl? -StephanieParkslime Ijav_khosla?E I c. Myrie, Simone Katherine Jennifer L. Subject: Notification of forthcoming guidance Good afternoon, As a heads up, CMS is releasing guidance this afternoon announcing that, consistent with our practice in prior years, after March 31, 2017', we will no longer accept new requests for special enrollment periods with retroactive coverage effective dates in 2016 for consumers in states with Federally-facilitated Marketplaces, FFMs where States perform plan management functions, or State-based Marketplaces using the Federal Platform. The guidance will be posted on the CCIIO website this afternoon. Please reach out if you have any questions. -Ashley {bli?l (direct) llii?li'i?J (cell) HHS 2017?00722?00011 HHS-1 7-01 33-A-000011 From: Palmer, Ashlel,?r (HHSXASL) Sent: 14 Apr 2017 00:14:19 +0000 To: Arbes, Sarah Elizabeth Committee} Cc: Seidman, Lindse'glr (HELP Committee] Subject: Re: *Alexander: Secretary Price is Taking an Important Step to Begin Stabilizing Collapsing Individual Insurance Market Yes, thank you for ?agging this for us. {bli?} WFOIEI On: 13 April 2017 20:09, "Arbes, Sarah Thanks! i Non?Responsive Record HHS 2017-00722-00012 Non-Responsive Record HHS 2017?00722-00013 Non-Responsive Record HHS 2017?00722?00014 From: Palmer, Ashley Sent: 21 Jun 2017 15:55:18 +0000 To: Seitz, Sarah (Lankford) Cc: Royce, Shannon Laura Subject: RE: Change to HHS mandate rule? Hi Sarah ?Thanks for reaching out. Laura Kemper is back with us and is leading on this policy again. I?m looping her in so she can follow-up with you. Best regards, ?Ashley Non?Responsive Record HHS 2017?00722-00015 From: Palmer, Ashley Sent: 8 May 2017 15:40:03r +0000 To: Kuskowski, Jennifer (Finance) Subject: RE: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Sure thing. Are you free anytime between 1-2:30pm? Non?Responsive Record From: Palmer, Ashley (HHSIASL) [mailto (W5) I Sent: Monday, May 08, 201? 11:31 AM To: Palmer, Ashley Cc: her, Katherine libii?i IArhes, Sarah Pate, Randy dibii?i Boulanger, Jennifer L. (cmsyou iibit?i lAra manda, Alec l> Subject: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally?Facilitated Exchanges Good morning - CCIIO plans to issue new guidance early this afternoon that streamlines and simplifies the direct enrollment process for consumers signing up for coverage through the Exchange. Consumers applying for coverage will now be able to complete their application using one website. This reduces needless regulatory burden for businesses that provide direct enrollment services and offers consumers easier access to healthcare comparisons and shopping experiences. Materials will be available at the following links: 0 Press release II Please reach out if you have any questions. ?Ashley HHS 2017-00722?00016 HHS-17-0133-A-000016 (WES) direct} (cell) HHS 2017?00722?00017 From: Palmer, Ashley (HHSIASL) Sent: 9 May 2017 07:47:21 -0400 To: Buckalew, Adam Subject: Re: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Good morning, Buck. There was a slight hang up on our end. I'll resend the direct link as soon as it's available. Non-Responsive Record On May 8, 20H, at 11:31 AM, Palmer, Ashley wrote: Good morning CCIID plans to issue new guidance early this afternoon that streamlines and simplifies the direct enrollment process for consumers signing up for coverage through the Exchange. Consumers applying for coverage will now be able to complete their application using one website. This reduces needless regulatory burden for businesses that provide direct enrollment services and offers consumers easier access to healthcare comparisons and shopping experiences. Materials will be available at the following links: 0 Press release I Please reach out if you have any questions. -Ashley (We) (direct) (mugs) ice?) HHS 2017-00722?00018 HHS-17-0133-A-000018 From: Palmer, Ashley (HHSXASL) Sent: 9 May 2017 21:01:39 -0400 To: Kuskowski, Jennifer [Finance] Subject: Re: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Hi Jen - no update to report yet. Non?Responsive Record From: Palmer, Ashley [mailto (W5) Sent: Monday, May 08, 2017 11:31 AM To: Palmer, Ashley (W5) Cc: Katherine ?53(5) Arbes, Sarah (H libii?i lPate, Randy libii?i Boulanger, Jennifer L. (CMSUDL) lAramanda, Alec I Subject: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally- Facilitated Exchanges Good morning CCIIO plans to issue new guidance early this afternoon that streamlines and simplifies the direct Enrollment process for consumers signing up for coverage through the Exchange. Consumers applying for coverage will now be able to complete their application using one website. This reduces needless regulatory burden for businesses that provide direct enrollment services and offers consumers easier access to healthcare comparisons and shopping experiences. Materials will be available at the following links: 0 Press release In Guidance Please reach out if you have any questions. ?Ashley HHS 2017?00722-00019 HHS-17-0133-A-000019 (direct) cell} HHS 2017?00722-00020 From: Palmer, Ashley Sent: 8 May 2017 15:50:53 +0000 To: Kuskowski, Jennifer (Finance) Subject: RE: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally-Facilitated Exchanges Great. Talk to you then. Non-Responsive Record From: Palmer, Ashley [mailto (W53 I Sent: Monday, May 08, 2017 11:40 AM To: Kuskowski, Jennifer [Finance] 403115) Subject: RE: Forthcoming Guidance: Direct Enrollment Partners Registered with the Federally? Facilitated Exchanges Sure thing. Are you free anytime between 1-2z30pm? Non?Responsive Record From: Palmer, Ashley [mailto ?33(5) Sent: Monday, May 08, 2017 11:31 AM To: Palmer, Ashley (HHSIASL) {lbll?l Cc: ber, Katherine 4(bl{6l IArbes, Sarah (HHSXASLJ Pate, Randy Cc: Hodgson, Chris Reiser, Martin (him) Subject: RE: MONDAY: Majority Whip Staff Legislative Briefing Hi Ben chatted with Marty this morning about having an HHS representative at the 3pm meeting today to outline the administrative actions that have been taken to date and give the high?level findings of a report that?s coming out this afternoon and to speak to the recent administrative actions taken by HHS on reform. It will be me and a couple of folks from CMS. We?ll try to arrive before you all start the meeting. See you soon! ?Ashley (mm) direct} (WW) I Non?Responsive Record HHS 9017?00777?0002?3 Non-Responsive Record HHS 2017-00722?00036 From: Palmer, Ashley (HHSXASL) Sent: 7 Jun 2017 00:46:31 +0000 To: Mitchell, Katie Cc: Thompson, Dean Subject: Re: quick call Thanks for the heads up, Katie! Non?Responsive Record From: Palmer, Ashley [mailto1lbll5l Sent: Tuesday, June 06, 201? 4:26 PM To: Mitchell, Katie Cc: Thompson, Dean Subject: RE: quick call Hi Katie, thanks for getting back to me. Totally understand it?s still ?early? in the week. I?ll check in with Dean sometime tomorrow morning. Thank you, both! Non-Responsive Record From: Palmer, Ashley [mailto {bii?i Sent: Tuesday, June 06, 201? 3:50 PM To: Mitchell, Katie Subject: quick call Hi Katie miss Team Black and hope you?re doing well! I wanted to touch base quickly as we prepare for Thursday?s hearing with the Secretary. Could you please give me a call when you have a free moment this afternoon or tomorrow morning? HHS 2017?00722-00037 HHS-17-0133-A-000037 Thanks in advance! -Ashley Ashleyr M. Palmer Office of the Assistant Secretary for Legislation U.S. Department of Health and Human Services (W6) '(direct) Kcell) HHS 2017-00722?00038 From: Palmer, Ashley Sent: 7 Jun 2017 15:27:46 +0000 To: Doherty, Katie Subject: RE: quick chat Hi Katie have another call at 1pm - would 1:30pm work? Non-Responsive Record On Jun 6, 2017, at 2:46 PM, Palmer, Ashley ?103(5) wrote: Hi Katie Do you have a few moments for a quick call? We?ve received some inquiries regarding the pending rule at OMB and thought I?d reach out. ?Ash ey (W6) (direct) cell) HHS 2017?00722-00039 From: Palmer, Ashley Sent: 3 Aug 2017 19:46:46 +0000 To: Beal, Mary Dee Cc: Ara manda, Alec Subject: RE: Rep. Ferguson question Links we discussed: 0 Checklist: - Letter to Governors: Take care, -Ashley Non-Responsive Record From: Palmer, Ashley [mailto {bll?l I Sent: Thursday, August 3, 2017 10:15 AM To: Beal, Mary Dee < r?b2ri62r Cc: Aramanda, Alec (osmsu 1mm} Subject: RE: Rep. Ferguson question That?s fine. You can call my direct line - Non-Responsive Record From: Aramanda, Alec I Sent: Thursday, August 3, 201? 9:40 AM To: Beal, Mary Dee 4003(5) Palmer, Ashley 4033(5) Subject: RE: Rep. Ferguson question Excellent-- what?s the best number to reach you, Mary Dee? HHS 2017?00722-00040 Non-Responsive Record From: Palmer, Ashley I Sent: Wednesday, August 2, 2017 9:13 PM To: Seal, Mary 4M6) {blt?l Subject: Re: Rep. Ferguson question Aramanda, Alec Hi Mary Dee! How does 3pm work for you two tomorrow? Non-Responsive Record From: Aramanda, Alec [mailto ?33(5) Sent: Wednesday, August 2, 201? 5:22 PM To: Seal, Mary Dee (bjnj?) Cc: Palmer, Ashley Subject: RE: Rep. Ferguson question Hey Mary Dee, good to hear from you. I?m happy to chat this week. I?ve copied my colleague Ashley Palmer who should join the call since she?s our lead on health reform issues. How does tomorrow afternoon lool-z for you? Non-Responsive Record HHS 2017?00722?00041 ?irt? HHS 2017-00722-00042 From: Palmer, Ashley (HHSIASL) Sent: 31 May 2017 12:22:07 -0400 To: Seitz, Sarah {Lankford} Subject: Re: Rule Under Review To Modify Contraceptive Coverage Mandate Can I give you a call in 5 minutes? Non-Responsive Record Non?Responsive Record From: Palmer, Ashley [mailto (We) I Sent: Tuesday, May 30, 2017 11:11 AM To: Seitz, Sarah (Lankford) 4M5) Subject: RE: Rule Under Review To Modify Contraceptive Coverage Mandate Hi Sarah Thank you for reaching out on this. I?m moving the others to I give you a call to discuss? Please let me know when there is a good time for you. Best regards, HHS 2017?00722-00043 -Ash ev (W53 {direct} cell} Non?Responsive Record From: Clark, Barbara [rnailtoz (W5) Sent: Tuesday, May 30, 201? 10:01 AM To: Seitz, Sarah (Lankford) M6) 1 Palmer, Ashlev