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SEC proposal would bar ratings firms from strong-arming issuers

April 9, 2007 Financial Week

In a little-heralded move, the Securities and Exchange Commission has proposed a new credit rating rule that could lower CFOs’ costs of borrowing, but the Big Two credit rating agencies—Moody’s and Standard & Poor’s—are fighting hard against it.

The proposal would eliminate notching, in which a credit rating agency automatically adjusts downward the ratings on structured finance bonds if it didn’t originally rate the underlying assets. Lower-rated bonds cost companies more to issue.

“The practice of notching increases costs to CFOs, so this should matter quite a bit to them,” said Christopher Ricciardi, CEO of Cohen & Co., an alternative fixed-income asset manager with $32 billion in assets under management.

Notching is one of the more objectionable actions allegedly practiced by Moody’s Investors Service, and the Standard and Poor’s unit of McGraw-Hill, the two credit rating giants that were the targets of the Credit Rating Agency Reform Act (CRARA), which Congress passed last year.

In the proposed rule issued in February, the SEC prohibited notching, period. It said that a Nationally Recognized Statistical Rating Organization—be it Moody’s, S&P or anyone else—could not threaten to modify an existing or prospective credit rating based on whether the rated entity, or its affiliates, buys that NRSRO’s credit rating for other products. That prohibition, the SEC said, would prevent an NRSRO from exerting unfair “leverage.”

But as a sop to the Big Two, the agency said that an NRSRO could refuse to rate a structured product if the NRSRO had rated less than 85% of the market value of the assets underlying that structured product. Nearly everyone involved has assailed that 85% standard, which the SEC apparently pulled out of thin air, based on what it called “anecdotal” data. John Heine, an SEC spokesman, declined to elaborate on the language in the Federal Register notice.

Charles Brown, general counsel of Fitch Ratings, the distant No. 3 industry player, said the SEC should cancel the 85% yardstick and force all NRSROs to recognize the ratings of one another.

Moody’s and S&P vehemently oppose the ban on notching and the SEC plan to force them to accept another agency’s rating on even 15% of a collateralized debt obligation’s underlying assets.

Jeanne M. Dering, executive vice president of global regulatory affairs and compliance at Moody’s, said her company “strongly objects to any measure that would compel an NRSRO to use other NRSROs’ ratings interchangeably with its own.” Ms. Dering was echoed by Vickie Tillman, executive vice president at Standard & Poor’s. She said the 85%-15% split “would flatly prohibit NRSROs from incorporating their own analyses into ratings on structured products, and other products as well, where they have not rated all the underlying assets.”

She added that calling the proposal radical would be an understatement. “It would also leave NRSROs no choice but to accept blindly the rating opinions of not only Fitch, but any other rating agency that meets the threshold for designation under the [credit rating agency reform] act,” she said.

Moody’s and S&P are getting support in their campaign from the Financial Services Roundtable. Richard Whiting, executive director and general counsel for the FSR, said the section of the SEC’s proposed rule dealing with notching is “ambiguously drafted and can be interpreted as mandating that NRSROs use the ratings of other NRSROs interchangeably with their own.” He said such a mandate would contradict the Reform Act and undermine rating agency independence to the detriment of the financial markets. He said notching should be prohibited only if it is due “to coercive or anti-competitive intent.”

But other industry players think notching is, per se, anti-competitive. “Notching appears to be designed to restrict competition,” said Sean J. Egan, president of Egan-Jones Ratings. “If a rating firm has proven that it has timely, accurate ratings, there should be no notching.”

For CFOs, “notching can hurt CFOs by potentially raising their borrowing costs,” according to Cohen & Co.’s Mr. Ricciardi.

For example, take a hypothetical case where corporate debt is not rated by either Moody’s or S&P and that debt becomes part of a structured credit product that will be rated by Moody’s. If any of the 15% of the underlying assets are rated by Fitch, then Moody’s could notch or downgrade that corporate debt—if the SEC allows it—from, say, BBB to BB, thus increasing corporate costs of borrowing by up to an extra 1.0% a year.

March 2007 Pipeline & Gas Journal

House Bill Threatens
Gulf Gas Production

The Oil and Gas Royalty Retaliation Act (note to readers:
just kidding, it isn’t really called that) the House passed on Jan.
18 would impose a new conservation fee on natural gas pulled
out of the Gulf Coast and cancel royalty relief for natural gas
companies which was included in the 2005 energy bill.
The House bill, when it was passed, was seen chiefly as an
attack on oil companies that are reporting huge profits which
raise questions about the necessity of the tax breaks for them in
the 2005 energy bill. But also motivating passage of the Creating
Long-Term Energy Alternatives for the Nation Act of 2007
(CLEAN Act) is the recouping of some of the federal revenue
losses stemming from the Department of Interior’s failure to
include royalty relief thresholds in Gulf leases awarded oil and gas
companies in 1998 and 1999.
The department’s carelessness with those 1998-99 leases,
where the absence of trigger prices has cost the federal government
as much as $950 million to date — with the loss potentially
running as high as $10 billion — is driving the bill politically.
Those leases were awarded under the 1995 Deep Water Royalty
Relief Act (DWRRA) which requires gas producers to pay the
government fees for gas taken off federal land when gas prices in
the commercial market rise above a certain trigger price.
That trigger price was inadvertently left out of the 1998-99
leases which were signed with 45 companies, said Interior
spokesman Gary Strasburg. Interior has recently renegotiated
those leases with six companies.
An investigation by the Inspector General at Interior found
an inordinate amount of buck-passing and called the failure
of the department to include trigger prices in those leases the
result of “a shockingly cavalier management approach to an
issue with profound financial ramifications, a jaw-dropping
example of bureaucratic bungling…”
Congressional anger at Interior for that sloppiness combined
with embarrassment over huge oil company profits in the wake
of the petroleum tax cuts in the 2005 energy bill helped House
Democrats ram the CLEAN Act through as a first order of
business in January. The 264-163 vote was short of a two-thirds
majority needed to override a presidential veto which is likely
if the Senate passes the exact same bill.
The CLEAN Act (H.R. 6) will impose a fee on the holders
of the royalty-free 1998 and 1999 leases unless the companies
agree to renegotiate them to include royalties. According to
Congressional Budget Office (CBO) projections, these provisions
would raise $6.3 billion over 10 years – funds which can be
used to finance renewable and alternative energy initiatives.
However, while H.R. 6 was motivated in part by the Interior
calamity with offshore leases, the bill itself goes far beyond those
leases. It cancels royalty relief given to gas and oil companies by
the Energy Policy Act of 2005, including a provision in that law
which extended royalty relief initially established administratively
by the Minerals Management Service in January 2004.
The MMS program extends royalty relief to natural gas wells
drilled in less than 200 meters of water and which produce gas
from intervals below 15,000 feet. This program specifies a trigger
price for natural gas of $9.91 per million Btus in 2006, substantially
exceeding the average NYMEX futures price of $6.98 for 2006, and
ensuring that all gas production is exempt from royalties in 2006.
Section 344 of the Energy Policy Act expanded that program
from waters less than 200 meters deep to waters less than 400
meters deep. Although the act does not specifically cite the
amount of gas to be exempt from royalties, it provides that this
amount should not be less than the existing program, which
currently ranges from 15-25 Bcf. H.R. 6 cancels royalty relief
for gas from wells in that 200-400 meter deep water.
Mark Stultz, vice president industry and public affairs at the
Natural Gas Supply Association, says the House bill will discourage
investment in U.S. resources at a time when leaders in
Congress are hoping to put a greater emphasis on energy production.
production.
“With regard to the 1998-99 leases, the bill would strike a
blow at contract sanctity,” he adds. —Stephen Barlas


Rules Of Conduct

FERC is revising its standards of conduct for natural gas
pipelines, essentially putting them back to where they were
prior to FERC issuing Order 2004 in October 2004. The purpose
of Order 2004 was to unify separate electric utility and
natural gas standards, and to make them a little more far-reaching,
too, most notably by extending their application beyond
marketing affiliates to non-marketing affiliates.
However, natural gas companies filed a lawsuit and the U.S. Court of
Appeals for the District of Columbia Circuit in the National Fuel decision
(Nov. 2006) agreed that FERC had overstepped its boundaries.
The court in National Fuel Gas Supply Corporation v. FERC
(National Fuel) indicated the Commission could seek to justify
application of the expanded scope of the Standards of Conduct
rule on natural gas pipelines if it could provide new record
evidence or a compelling theoretical argument. But on Jan. 18,
FERC said it wouldn’t go that route, although it has proposed
some tweaks to the pre-Order 2004 standards for natural gas.
In the proposed rule it issued on Jan. 18, FERC said the standards
would only apply to marketing affiliates. The standards
require employees engaged in transmission services to function
independently from employees of its marketing affiliates and
impose prohibitions restricting transmission providers from
sharing certain information with their marketing affiliates.
However, the Commission wants to expand the definition of
“marketing, sales and brokering” to include entities that manage
or control transmission capacity, such as asset managers or agents.
Another issue up for consideration is when a natural gas transmission
company should first become subject to standards of conduct.
Under Order 497, which was in effect until Order 2004 hit the
streets, the standards applied as soon as the pipeline began transportation
transactions with its marketing or brokering affiliate.
Order 2004 changed that so that the standards clicked in
when the transmission provider began soliciting business or
negotiating contracts; that was further modified by Order 2004-
B which kicked in the standards when the pipeline is granted
and accepts a certificate of public convenience and necessity.
That was one of the issues at the heart of the National Fuel
appeal, but the court did not address it in its final decision.
In an interim rule FERC issued on Jan. 9, it relocated the start
date for the standards to when the pipeline company began transportation
transactions with its marketing affiliates. Then in the
proposed rule issued on Jan. 18, it made another change, which
it is asking for comment on, suggesting that the standards begin
applying within 30 days of the transmission provider becoming
subject to the Commission’s jurisdiction. —Stephen Barlas

‘Natural’ claims on RTE food packaging

March 2007 Packaging World magazine

USDA has a beef with some ready-to-eat deli packages. Companies are being forced to ditch “natural” copy on packaging.



Ready-to-eat deli meat marketers are clearing room in their garbage cans for packaging and labeling they will have to toss out if the U.S. Department of Agriculture (USDA) moves forward with its intention to change its rules for use of the term “natural” on labels of meat and poultry.

The USDA’s Food Safety and Inspection Service (FSIS) sent out letters in December to numerous companies such as Farmland Foods giving them a couple of months to prove that the sodium lactate they add to products labeled “natural” is used only for flavoring, not as a preservative.

Jesse Waller, manager of labeling at Farmland Foods, a division of Smithfield Foods, acknowledges that the sodium lactate in the company’s eight ham products does indeed function as a preservative. “All types of things will be precipitated with regards to packaging as a result of this,” he states. “We have no choice, our packaging will be rescinded.”

Randy Huffman, vice president, scientific affairs, American Meat Institute Foundation, does not know exactly how many other companies are in Farmland’s boat. “But it is definitely more than one or two,” he adds. The growth in use of sodium lactate in deli meats to control Listeria has been quite significant in recent years. The FSIS encourages its use as an anti-microbial. Companies can continue to use it for that purpose, but they will not be able to put a “natural” label on their package.

The FSIS’s impending cancellation of some “natural” labels reverses a policy the agency announced in August 2005 when it said companies could use sodium lactate in products labeled “natural.”

Hormel Foods forced the reversal by submitting a petition to the USDA in the fall of 2006 arguing the FSIS had erred in allowing sodium lactate because it is a refined chemical synthesized using a separate chemical manufacturing process that therefore corrupts an otherwise natural product.

The original 1980 FSIS policy memo on use of the term “natural” says that an ingredient that has been “more than minimally processed” cannot be included in a product with a “natural” label on it. But as sodium lactate became popular over the past few years, the FSIS started approving its use in natural products on an ad-hoc basis. It translated those ad-hoc decisions into formal policy in August 2005, and is now reversing it under pressure from Hormel.

Hormel’s alternative

Hormel has competitive reasons for pressing the FSIS to withdraw approval of sodium lactate. The company uses an anti-microbial process called high-pressure pasteurization (HPP) to increase shelf life of its natural products. HPP, a post-packaging pasteurization step, uses approximately 87,000 pounds-per-square-inch of water pressure to denature pathogens such as Listeria monocytogenes.

It is the technology behind the “all natural, no preservatives” claim on Hormel’s new Natural Choice line of luncheon meats that were rolled out last May. Perdue Farms also uses HPP in some of its Short Cuts line of ready-to-eat sliced turkey and chicken breast strips.

The FSIS’s response to the Hormel petition is just the first step in an upcoming rulemaking which will plumb numerous other issues related to a “natural” claim. This rulemaking could have even wider packaging implications, according to Bob Hibbert, a Washington attorney for flavor manufacturers and a former top FSIS official.

Hibbert says that the carbon dioxide added to meats when companies use modified atmosphere packaging (MAP) could be ruled an unnatural chemical ingredient, on a par with sodium lactate.

Effects on processors

The immediate concern, though, is to companies that use sodium lactate, and indicate that fact on their labels and packaging. All meat and poultry retail labels need to be pre-approved by the FSIS, which has threatened to cancel all past approvals for all labels for “natural” products that include sodium lactate.

Robert Post, the current director of the FSIS labeling and consumer protection staff, declined to be interviewed about this issue.

Farmland’s Waller explains that his company has eight active product codes devoted to all-natural classic ham products that use pressure-sensitive labels and are vacuum-packed. All are formulated with sodium lactate.

The products are only a small part of the company’s 3,000 active codes, but an increasingly important part, as Farmland and its rivals bid for the expanding demand for those products, especially from the giant “club” stores. “We will have to get rid of all our current labels and packaging for those eight codes if the FSIS goes ahead with this,” says Waller.

Other new techniques

Explaining the agency’s change of heart on sodium lactate, the FSIS’s Post, at a meeting in Washington, DC, on December 12, 2006, cited a growing number of requests by manufacturers to permit the “natural” claim on products that are made via processing techniques that were not available in 1980 when the
original FSIS policy allowing only minimal processing was written.

“For example, techniques have evolved such as high-pressure processing, packaging methods such as modified-atmosphere packaging and multiple-function ingredients such as sodium citrate and sodium nitrate that are regulated as flavoring agents and have anti-microbial effects,” he explained.

Now that Hormel has opened up this can of worms, the company itself is likely to come under scrutiny. Deb O’Donnell, director of research and development for Kayem Foods, wonders whether Hormel’s HPP process violates the “more than minimally processed” policy. This is a question asked by a number of other attendees at the FSIS December meeting.

Kayem markets an Al Fresco line of all-natural chicken-based sausages, and has for eight years. The product does not contain sodium lactate, nor does the company use HPP. O’Donnell says the company has extended the shelf life of its vacuum-packed line of Al Fresco sausages from 18 days initially to 35 days today without adding chemicals, but by altering cooking temperatures, handling procedures and by tweaking its packaging line, which it declined to identify.

“But now we have a lot of pressure on us to have more shelf life as we grow across the country,” she concedes. “A product can get lost in a warehouse for a week. Customers want shelf life that is endless


Business demands still more SEC give

March 5, 2007 Financial Week

Lobbies Congress to ease SarbOx burden on small companies’ internal controls

By Stephen Barlas

Business groups and individual companies have viciously attacked the SEC’s reform proposals for Section 404 of Sarbanes-Oxley, with some actively pushing for Congress to ease the regulatory burden.

And Congress is ready to act.

Rep. Greg Meeks (D-N.Y.), teaming up with fellow House Financial Services Committee member Rep. Tom Feeney (R-Fla.), is preparing legislation to make changes to Section 404. In an interview, Mr. Feeney said the bill will be introduced this week.

“Even chairman Frank admits something needs to be done,” Mr. Feeney emphasized. “The question is whether the SEC and PCAOB are prepared to completely resolve the problem, or whether corrective legislation is necessary. I prefer a comprehensive legislative fix.”

Chairman Frank is Rep. Barney Frank (D-Mass.), head of the House Financial Services Committee.

One business group, the Biotechnology Industry Organization, backs the efforts of Messrs. Meeks and Feeney.

“We have been supportive of the intents and goals of congressmen Meeks and Feeney,” said Alan Eisenberg, an executive vice president at BIO, “and look forward to working with them as they get their legislation introduced.”

BIO has been a leading trade association pleading with the SEC to change the Section 404 requirements. Public companies with market capitalizations below $75 million currently enjoy a reprieve, which has been extended a number of times, from filing 404 reports and having the auditor attestations done.

In addition to businesses, consumer groups weighed in loudly against the reform proposals, which could push the Democrat-controlled Congress even further toward stepping in and changing SarbOx. After all, Democrats consider themselves consumer-friendly.

“The guidance is so vague as to be unenforceable,” said Barbara Roper, director of investor protection at the Consumer Federation of America, in her comment letter to the SEC. “As a result, and particularly if the SEC brings that mind-set to its enforcement, managers are likely to be able to claim compliance with the guidelines, and the safe harbor that it provides, for even the shoddiest of internal control assessments.”

A preponderance of the public comments from the business community griped that proposed SarbOx changes—from both the Securities and Exchange Commission and the Public Company Accounting Oversight Board—don’t really clarify the vagueness of the official guidance for small and large companies and come up short on whittling away at Section 404 costs.

Marie K. Lee, counsel and director of finance and tax policy at the American Electronics Association, said the proposals will not be effective “in their current form in significantly reducing the excessive compliance burdens our member companies, and in particular smaller companies, face.”

The association’s office in Washington, D.C., was the venue for a visit by incoming House Speaker Nancy Pelosi (D-Calif.) a few days after the November elections. During that visit, Ms. Pelosi emphasized the Democrats’ determination to fix problems with Section 404 now that they were in power on Capitol Hill.

Asked whether Ms. Pelosi plans to make good on that promise in the wake of the negative comments flooding the SEC and PCAOB, a spokesman replied: “We’re reviewing comments, as is the Financial Services Committee, and we’ve seen a mix of reaction. We want to thoroughly review these comments before we decide possible next steps.”

Last April, an SEC advisory committee recommended the commission develop “scaled” or proportional regulation for companies deemed small-cap or micro-cap, to offer some relief to smaller companies. Instead, the SEC attempted to move ahead and inject its Section 404 guidance with scalability, an effort which, at least in the view of many small business groups, failed miserably.

Thomas M. Sullivan chief counsel of advocacy at the Small Business Administration, said that based on comments from small business executives at an SBA roundtable in January, the SBA believes “the Section 404 requirements will still impose large and disproportionate costs on small public companies.”

The SEC’s attempt to sharpen its definition of “material weakness” fell flat too, particularly in light of the PCAOB definition, which seems miles apart from the SEC’s.

David Chavern, chief operating officer of the U.S. Chamber of Commerce, prefaced his comments, as did many others, by saying both the SEC and PCAOB proposals represent a legitimate and significant attempt to address the widespread concerns of the business community and the difficulties that public companies have faced.

But then he lowered the boom, calling the definition of “material weakness,” which is central to Section 404 analysis, “unnecessarily vague.” He added that the PCAOB has reworded its standard for material weakness from “more than a remote likelihood” in Auditing Standard 2 to “reasonable possibility” in Auditing Standard 5.

Other commentators cited the disconnect between the Interpretative Guidance and AS2.

“We believe that the proposed standards, although improved from the existing PCAOB Audit Standard No. 2, are still more detailed and prescriptive than the proposed guidance,” explained Arnold C. Hanish, executive director and chief accounting officer at Eli Lilly, in his comment letter.

“These differences,” he continued, “will result in external audits that are more conservative than management assessments, which will cause companies to incur unnecessary costs to remain aligned with their external auditors.”

Mr. Chavern of the U.S. Chamber added that because the SEC guidance is “vague as to the specific procedures that companies should follow to establish and evaluate their internal controls,” the proposed safe harbor—companies would be safe from enforcement if they follow the guidance—“does little to reduce the uncertainty that has been inherent in the compliance process to date.”

At least one chief financial officer admitted that the SEC and PCAOB proposals will result in costs that will in fact be lower than what they would have been minus the proposed changes. Question is, would it be a big enough savings?

“We think the implementation of the [guidance] may result in a reduction in issuer compliance costs on a rough order of magnitude of 10% savings in the initial year of adoption and a potential savings of 15% to 20% in subsequent years,” stated Michael E. Keane, vice president and CFO of Computer Sciences Corp.

“Since compliance costs under 404 have been widely reported to approximate $1 million per $1 billion of revenue,” he said, “we estimate this potential savings at 0.02% of public company revenues.”







Barney`s New Pulpit

March 2007 Financial Executive Magazine

By Stephen Barlas



Rep. Barney Frank, the new chairman of the House Financial Services Committee, has a reputation as one of Congress’ wittiest members. Observers say his rhetoric may be harsher than his strategy, but his approach to issues like executive compensation and Sarbanes-Oxley reform may not be welcomed by business executives.



Rep. Barney Frank (D-Mass.), the new chairman of the House Financial Services Committee, is the Robin Williams of Capitol Hill. He piles witty quips on top of one another like some counterman at a kosher deli heaping sliced meat on rye. At the same time, though, Frank is a serious politician, in many ways the heart and mind of the liberal wing of the Democratic Party. So, his one-liners are often fortified with substantial intellectual protein. Sometimes, though, there is also a lot of ham between the bread.

When the Securities and Exchange Commission (SEC) quietly put out a news release a few days before Christmas last year announcing a change in its reporting rules for executive pay, Frank went into shtick mode. “I didn’t even know they had a chimney at the SEC, and then all of sudden this came slipping down it,” he complained.

The SEC’s change to the pay reporting rules was done to align corporate disclosure requirements with disclosure requirements as laid out in FASB standard FAS 123(R). Soon after delivering his jibe, Frank spoke to SEC Chairman Christopher Cox, who allayed his concerns.

The Massachusetts Democrat, who is widely respected by both Democrats and Republicans as probably the smartest, quickest member of the House, immediately quieted down. But within days, he was off again, lampooning Republican economic theology positing that tax cuts result in a “rising tide that lifts all boats.”

Frank, who represents the very liberal Fourth District in Massachusetts, just west of Boston, has always championed affordable housing above all else. At the National Press Club that day, he joked, “If you think about that analogy, the rising tide is a very good idea if you have a boat. But if you are too poor to afford a boat and you are standing tiptoe in the water, the rising tide goes up your nose.”

Twenty-six years after taking a seat in the House, Frank is still a wise guy, in both senses of that word. His hair is gray these days, and his face is a touch jowly. But age has not cooled his passion. While the contemporary glasses which occasionally slide down his nose may make him look a touch professorial, his rhetorical style is anything but academic.

The openly gay Democrat is a dominating, combative verbal presence, his fingers twining and unfolding in front of him as he talks, hands slapping the table in front of him, karate-style, for emphasis. With the Democrats taking control of Congress, the 66-year-old Harvard-trained lawyer — who worked for former Boston Mayor Kevin White before coming to Washington, where he started as a Capitol Hill staffer — has real power. But as the 110th Congress gets underway, he faces the challenge of morphing from Robin Williams into Ted Williams, the laconic Red Sox great who always let his actions speak louder than his words.

Frank’s performance over the next two years could have a big impact on corporate financial executives, even though corporate issues with SEC ramifications are not at the top of Frank’s agenda. But they may rise quickly. Already, the Senate Finance Committee has begun to address the issue of executive compensation, one of Frank’s big issues. He will not want to be left behind.

Frank, who was unavailable for an interview, now has the power, as committee chairman, to pass his pet bill from 2006, the Protection Against Executive Compensation Abuse Act, which would give shareholders a say on executive pay. Whether he has the legislative skill to ferry such legislation through the House is another question. Business groups have been highly critical of the bill, and some even refused to appear at a hearing Frank held last May. Other issues that could quickly appear on the Financial Services Committee’s agenda include changes to Section 404 of the Sarbanes-Oxley Act, stock options accounting, hedge funds and terrorism insurance.

These kinds of issues hold a lower priority for Frank than some of the others over which his committee has jurisdiction: housing, banking and insurance. Rick Lazio, a former Republican congressman from New York who served with Frank on the committee when it was called Banking, Housing and Urban Development, explains that most Democrats who joined that committee did so because of their desire to have a positive impact on inner-city housing.

Lazio is now executive vice president for public policy at JP Morgan Chase & Co. When he left Congress at the end of 2001, he was chairman of the housing subcommittee. Frank was the top Democrat there. Lazio says he and Frank worked on a bipartisan basis to move bills out of committee on such things as home ownership and housing assistance for seniors and the disabled.

Lacking any deep personal interest in corporate financial reporting issues, Frank has tended to take positions there, and elsewhere, for that matter, aligned with liberal and labor interest groups. The AFL-CIO rated Frank as voting “right” on 93 percent of “their” votes in 2005, a slight drop from his 95 percent lifetime rating; this lifetime rating is two percentage points higher than Sen. Edward Kennedy’s.

Frank certainly won points with the AFL-CIO in 2002, when the Sarbanes-Oxley bill came to the House floor for a vote. Rep. Dennis Kucinich (D-Ohio), one of the Democrat’s most outspoken liberals, proposed an alternative bill that would have substituted a federal regulatory agency for what became the Public Company Accounting Oversight Board (PCAOB). It also included provisions holding CEOs accountable for their financial statements and subjecting them to criminal penalties for knowingly lying.

The bill required those who make false or misleading statements to surrender their stock bonuses, and it also barred guilty officers and directors from serving at other public companies. Only 39 House members voted for the Kucinich alternative, called the Investor, Shareholder, and Employee Protection Act of 2002. Frank was one of them.

More Willing to Listen

It is only fair to note, however, that Frank’s rise to the top spot on the committee has, over the past four years, resulted in a greater willingness to listen to business groups, and for a number of reasons. “I have seen Barney over the years evolve to be very competent pragmatic leader,” says Lazio. “He is very quick to point out what he would view as hypocrisy, and has this acerbic wit. But over the last few years, as the top Democrat on the committee, Barney developed an effective partnership with Mike Oxley, the former Republican chairman. He knows how to get things done.

“He’s been successful in effectively organizing Democrats on the committee,” Lazio adds. “And, he has become for many in financial services, someone who understands the substance, accepts the basic requirements of a market system and with whom you can have an intelligent discussion about reasonable solutions.”

That pragmatic streak was on display in March 2006 when Frank, doing somewhat of an about-face, advocated at committee hearings that the SEC and PCAOB be allowed to ease the Sarbanes-Oxley rules they had written. At hearings at which officials from FASB, the AICPA and former FEI President Colleen Cunningham testified, Frank stated: “I hope they will be willing to make some appropriate adjustments — not exemptions, but adjustments — in how this applies, particularly in part, based on size. And I hope we would tell them that if there were any things that they thought made sense, that they thought they might like statutory authority to do, they should ask us.”

Barney Frank reasonable? Well, he is certainly trying to sound that way. Witness his speeches and television interviews in the wake of the 2006 congressional elections, as he began to lay out his concept for a “grand design” between business and labor in the legislative arena, offering business concessions on such issues as free trade in exchange for its concessions to the labor unions on such things as health care.

“He is trying to reassure the markets that he is not a wild-eyed liberal. That is what is important about his comments, setting aside the particulars,” says a public policy director for a major business lobby who confessed he is not sure what Frank has in mind.

But as Frank attempts to become a little less of a liberal lightening rod, there are questions about whether he can become more of a legislative lightning bolt. His record as a legislator is spotty. Despite considerable public outrage over executive pay, Frank was unable to get a single House Republican to support his executive pay bill last year, a fact he bemoaned in November.

The bill would allow shareholders to review and approve a company’s comprehensive executive compensation plan. One of its more controversial proposals allows for a company to recapture incentive compensation paid in past years to an executive if the company is forced to issue a financial restatement. Frank noted that if just three Republican members of the Financial Services Committee agreed, there would be enough support to force committee consideration of the bill. Not a single Republican member of the committee has come forward to do so.

Republicans steered clear of Frank on pretty much everything. In the 2005-06 Congress, Frank introduced 32 bills and resolutions, according to Thomas, the online congressional research service. None of them was passed by any committee, which may not be surprising, particularly given Republican control of the House. Besides the bill on executive pay, the only other legislation Frank introduced that was relevant to financial executives had to do with extending the Terrorism Risk Insurance Act (TRIA).

Financial Services Committee Chairman Rep. Mike Oxley, who has now retired, included very little of Frank’s bill in the measure the House eventually passed. In December 2005, Congress adopted a very different Senate bill that extended the TRIA program for two years, meaning Frank will have another shot in this session at influencing the terrorism insurance program. Late in January this year, Frank announced that he expects the House to vote to extend the program by April, and that he favors making it permanent.

It’s worth noting that Frank, through his wit, intellect and passion, can on occasion get things done. In 2006, he managed to convince Chairman Oxley and many of the other GOP stalwarts on Financial Services to allocate some of the profits earned by housing juggernauts Freddie Mac and Fannie Mae to public interest groups who advocate for public housing.

Some of the more conservative Republicans on the committee heatedly opposed Frank’s amendment to the Federal Housing Finance Reform Act, which passed the House but never got through the Senate. Still, Frank’s amendment passed the committee by a vote of 16-6.

Rep. Tom Feeney (R-Fla.) was one of the recalcitrants. He was amazed at Frank’s chutzpah. Feeney and his band of conservatives looked at Frank’s gambit as a thinly disguised effort to funnel money to groups such as ACORN (Association of Community Organizations for Reform Now), a nonprofit housing group with an active political arm, which is seen as an appendage to the Democratic Party.

But Frank convinced Oxley to sign on to ostensible “firewall” language in the housing bill that disallowed any spending of what was expected to be a $500 million honey pot for political uses. “Could you imagine if I had proposed an amendment to give $500 million to the National Rifle Association and said they could not use it to educate school kids on guns?” Feeney asks. “What do you think Barney Frank would have said?”

But Feeney was as amazed as he was appalled. “He hoodwinked everyone on the committee,” he says. “And while I was the loser, I admire a successful manipulator.”

As committee chairman, Frank could become an intimidator, too. The chairman’s sharp wit can draw blood, making some colleagues hesitant to challenge him. “While he knows how to make a point, you might be a little bit hesitant to engage him in debate,” states former Rep. John LaFalce, who worked with Frank for many years on the Financial Services Committee and retired at the end of 2004 as the panel’s top Democrat. “His wit can be a double-edged sword. But, it far more often works in his favor than not.”

What will definitely work in his favor is his influence with the House Democratic leadership. House Speaker Rep. Nancy Pelosi (D-Calif.) greatly enhanced his public stature when she shot down Rep. John Dingell (D-Mich.), the incoming chairman of the Energy & Commerce Committee; Dingell had floated a trial balloon right after the November election advertising his intention to take back jurisdiction for the SEC from Frank’s Financial Services Committee.

SEC jurisdiction had been in Energy & Commerce for many years prior to 2002, when Republicans made a switch as a sop to Rep. Oxley. But Dingell’s suggestion obviously fell on deaf ears, despite the fact that Frank had supported Rep. Steny Hoyer (D-Md.) for majority leader over Rep. John Murtha (D-Pa.), Pelosi’s chosen candidate. But Frank paid no price for that challenge to Pelosi, which, in his normal fashion, he made loud and clear.

Maintaining his prominent place in the House Democratic firmament, however, mitigates, to some extent, Frank’s ability as a legislator to channel organized labor legends like Samuel Gompers. That’s because the congressman receives hundreds of thousands of dollars each two-year election cycle from corporate political action committees (PACs). This was true despite the fact that he has either nominal or, as was the case in 2006, no one challenging him for his congressional seat.

During the 2005-06 cycle, JP Morgan Chase & Co. was Frank’s biggest contributor, chipping in with $13,500. Ernst & Young was at number three with $10,000. Right behind Ernst was the Securities Industry Association, UBS AG and the Bond Market Association. Labor unions gave him money, too, but considerably less.

In addition, Frank raked in heavy contributions from business people in his district and outside it. John J. Brennan, chairman of the Vanguard Group, tossed him $1,000, as did Aryeh Bourkoff, managing director of UBS Securities. In total, Frank raised $1.56 million in 2005-06, $721,000 from PACs, $818,000 from individuals. He was a half-million dollars in front of the next-closest House colleague in the Massachusetts delegation.

One might wonder why Frank needs to solicit, or even accept, business PAC contributions when his seat is as safe as Tom Brady’s job as quarterback of the New England Patriots. If he is not spending that money on campaign advertising and consultants, what is he doing with all that money? Well, he is using it to support Democrats running for House seats.

In 2006, Frank contributed $326,000 to the Democratic Congressional Campaign Committee, which was run by Nancy Pelosi. Frank contributed more to the DCCC than any other House committee chairman, and almost as much as Rep. Steny Hoyer, the House majority leader. Frank even out-donated Pelosi.

With Democrats in power, and his hands on the traffic light controls for the first time in his career, Frank can ill afford to jeopardize either his leverage with the leadership or the flood of campaign contributions from business groups which, in part, allow him to make a big splash with House Democrats. And besides the contributions, Frank also needs from business some legislative cooperation if he is to make good on his “grand design” agenda. So, he cannot be seen to be in labor’s vest, much less their pocket.

With that, business groups are waiting to see whether the new Financial Services Committee chairman will continue to show maturation in the form of compromise on issues such executive compensation.

Says J.P. Morgan Chase’s Lazio: “It’s impossible not to see why Barney would be concerned about executive compensation. But the challenge for him is to develop a compelling legislative response — one that doesn’t damage competitiveness and still creates incentives for restraint that would be applauded by shareholder advocates. To be comfortable, public companies will want the Frank bill to acknowledge the limited information which shareholders have on which to base their views on compensation, as well as to have it apply only to key management positions, not non-management employees who may be highly compensated.”

Frank also may have to take a position on a Sarbanes-Oxley reform bill. Two members of the committee, Rep. Gregory Meeks (D-N.Y) and Florida’s Rep. Feeney, plan to introduce a revised version of their COMPETE Act, which would make significant changes to Sarbanes-Oxley Section 404. That section has occasioned a much-debated SEC rule, as well as Auditing Standard 2, which deals with attestation on the corporate controls report, from the PCAOB.

Both the SEC and PCAOB proposed changes to their rules last December, and the agencies have been mulling over comments from the business community on whether those changes go far enough. The Meeks-Feeney bill goes beyond those December changes. If high-tech groups decide to push the bill, as they did when its first iteration was introduced in 2006, Speaker Pelosi, whose “Innovation Agenda” includes support for a Sarbanes-Oxley fix, may push Frank in a direction he has said he does not want to go.

No one herds Barney Frank, of course, not even Nancy Pelosi. He doesn’t necessarily listen to his staff, either. David Eppstein, director of state affairs for the National Association of Professional Insurance Agents, says during his years as a Republican staffer on the Financial Services Committee, the Democratic staff could never commit to a deal on behalf of Frank.

Even labor groups cannot always count on his allegiance. “We are looking forward to working with Chairman Frank, even though we know we won’t agree with everything he says, and he won’t agree with everything we say,” says Damon Silvers, assistant general counsel for the AFL-CIO.

Told that some people might be surprised to hear him say that, given Frank’s stratospheric AFL-CIO rating, Silvers laughs. “Chairman Frank doesn’t agree with anything anybody says,” he answers. “He is an independent thinker.”

Indeed, in an era in which politicians are criticized for being overly beholden to PACs, Frank has sometimes not just bitten the hand that feeds him, he has chewed on it. It is a neat trick, but those corporate PAC contributions, in truth, reflect the desire of business interests to at least keep Frank’s door open.

It is a considerably weightier door now, though. In this new Congress, business groups hope that once Frank makes a decision on an issue, and slams the door closed, they won’t still have their fingers on the jamb.

Controlling Drug Prices

Human Resource Executive magazine online

January 22, 2007


Congress is offering several variations on ways for Medicare to lower drug prices -- a process that may reverberate in the corporate sector.

By Stephen Barlas

An attempt by House Democrats aimed at forcing drug manufacturers to lower prices charged to Medicare could well have an impact on corporate health-insurance spending as well.

Though the bill, which passed the House on Jan. 12, requires the federal government to negotiate directly with drug companies, odds are it will not pass Congress. Nevertheless, it may pave the way for a federal role that perhaps could include a new requirement for drug price "transparency."

Any downward pressure on Medicare drug prices would reverberate in the corporate sector, says Cara Jareb, director of retiree medical consulting for Watson Wyatt Worldwide, which is headquartered in Bethesda, Md.

She cites statistics from the Center for Medicare and Medicaid Services, the agency which administers Medicare, showing that of the 38 million Medicare participants in Part D, 6.9 million are corporate retirees in corporate plans for whom each company gets a subsidy from Medicare.

Another 16.4 million Part D participants actually get their drug benefits from one of the Medicare plans, but those individuals also get payments from their former employers to underwrite their Part D participation.

If drug companies are forced to cut their prices to Medicare, they are likely to raise them to private payers, a phenomenon called "cost shifting."

Steve Wojcik, vice president of public policy at the Washington-based National Business Group on Health, which represents Fortune 500 companies, says, "There is a legitimate concern that cost shifting could occur."

Senate leaders from both parties have all but declared the House bill dead on arrival, and even if it somehow passed the Senate, President Bush has threatened to veto it. J.D. Piro, a principal at Lincolnshire, Ill.-based Hewitt Associates, says the House does not have the votes to override a veto.

That bill aside, however, lowering Medicare drug costs remains a potent political issue.

Jareb points to a recent Kaiser Permanente survey which showed 85 percent of people questioned said Medicare can get lower prices from drug companies than it currently obtains.

Given that political pressure, the Senate may opt to pass a more limited approach, such as the one taken by Sens. Ron Wyden, D.-Ore., and Olympia Snowe, R.-Maine. Their bill requires the secretary of Health and Human Services to negotiate prices when there is one brand-name drug in a therapeutic category or when a drug was created with substantial taxpayer funding for its research and development.

Another approach was suggested by Gerard Anderson, professor of health policy and management at Johns Hopkins University, who testified at hearings in the Senate Finance Committee on Jan. 11.

He wants drug-price transparency. "Unfortunately we do not know the prices that the Part D plans are paying for individual drugs," said Anderson, noting that the Center for Medicare and Medicaid Services "collects the data on prices, price concessions, rebates, and discounts but is prohibited from sharing this data or even analyzing it internally."

The Bush administration has pushed price transparency in tandem with its advocacy for health savings accounts, which give an individual tax advantages in conjunction with high-deductible health plans.

So the White House might find it politically difficult to oppose transparency in Medicare drug pricing.

"That is certainly a possibility if the Bush administration felt it had to compromise," says Piro.

But Mark Merritt, president of the industry trade group, Pharmaceutical Care Management Association, says if the prices PBMs pay drug companies for individual drugs become public, "it would be like playing poker with our cards face up."

Congress opens the SarbOx box

Financial Week

House legislation could go beyond federal regulators’ proposed relief

By Stephen Barlas

Not content waiting for the Securities and Exchange Commission to revise Sarbanes-Oxley, some Congressmen are taking things into their own hands by preparing to rewrite the law—opening opportunities for change and even lobbyist mischief.

Two House members are readying a version of a Sarbanes-Oxley reform bill as business groups consider whether proposed changes to Section 404 of that law, announced in December, go far enough.

Rep. Gregory Meeks, D-N.Y., and Rep. Tom Feeney, R-Fla., two mid-level members of the House Financial Services Committee, are making substantial changes to the Compete Act, a bill they introduced last year that included provisions to revise Sarbanes-Oxley.

Their bill will prove a test for the new Democratic House leadership, whose two kingpins made promises going into and following the 2006 congressional elections that they would pursue legislative changes to Sarbanes-Oxley.

Jameel Johnson, Mr. Meeks’ chief of staff, said he has been working with groups such as the Institute of Management Accountants, the Financial Services Roundtable and the Biotechnology Industry Organization on the bill’s provisions.

In 2006, BIO helped organize a coalition that sought significant changes to Sarbanes-Oxley. Many of those changes are absent from the interpretive guidance on Section 404 that the Securities Exchange Commission proposed in December and the Public Company Accounting Oversight Board’s proposed revisions to its auditing standard for 404.

The BIO coalition, which includes semiconductor, telecommunications and medical-device trade associations, wants smaller companies to be able to test their financial controls every second or third year, not annually as SarbOx now requires. The Meeks-Feeney bill will include such a provision that applies to companies of all sizes.

Mr. Johnson said the 2007 version of the bill would combine new provisions with some of those included in the bill when it was originally introduced on May 17, 2006. Sen. Jim DeMint, R-S.C., introduced the bill in the Senate at the same time in 2006.

He will reintroduce the bill in 2007, but details haven’t been worked out, according to a spokesman.

“Obviously, their efforts are well placed, and we want to encourage them to move forward,” said Alan Eisenberg, executive vice president of capital formation and business development at BIO.

Political pressure from high-tech companies led Rep. Rahm Emanuel, D-Ill., chair of the House Democratic caucus and ramrod of the Democratic Congressional Campaign Committee, to pledge at an off-the-record meeting of a major business group last September that the Democrats would “relegislate” SarbOx if they gained control of the House, according to someone who attended that meeting.

Then House Speaker Nancy Pelosi, D-Calif., made Mr. Emanuel’s promise public when she unveiled the Democrats’ “Innovation Agenda” at the National Press Club on Nov. 16. That agenda includes a proposal to require specifically tailored guidelines for small public companies to ensure Sarbanes-Oxley requirements are not overly burdensome.

Ms. Pelosi underscored that commitment the next day at a meeting with companies that are members of the American Electronics Association.

A Pelosi spokesman said she wants to see the public comments about the SEC and PCAOB proposals before deciding on a next step. A spokesman for Mr. Emanuel did not return phone calls or e-mails seeking comment.

Over a period of seven days beginning about a month after Ms. Pelosi put forth her party’s agenda, the SEC and PCAOB unveiled their packages of changes to SarbOx rules that were meant to dampen efforts by high-tech groups and the U.S. Chamber of Commerce to force the Democrats’ hands.

The PCAOB then proposed pulling Auditing Standard 2 and substituting a new AS5. PCAOB Chairman Mark Olson presumably echoed Ms. Pelosi by referring to his effort to “scale” audits to the “size and complexity of each company.”

But the Meeks-Feeney bill would go far beyond the SEC and PCAOB changes, which business groups have been busy analyzing.

Mr. Johnson said the 2007 bill would allow companies of all sizes to test their internal controls just once every two or three years after getting a good grade from auditors on their initial accounting review.

“Auditors who come in to test those companies’ financial controls as part of the attestation required by SOX should be able to rely on the analysis done by the federal regulators,” explained Mr. Johnson.

“The outside auditors should not have to test the controls again, as long as the company makes the federal or state review available to the outside auditor.”

This year’s bill may also include some provisions from the original bill, one of which exempted small businesses with a total capitalization under $700 million or product revenue under $125 million from complying with Section 404.

Another provision would allow small companies that hire internal consultants to do the management report and testing to talk with the company’s outside auditors before doing the testing so as to better focus their efforts. That provision will reappear in 2007, said Mr. Johnson. FW

Business Awaits Labor Dept. Rule on Default Pension Investments

December 2006 Financial Week

Some corporate pension fund fiduciaries will soon know how the Roman mythological god Janus felt. Treasurers and financial officers will be looking backward and forward simultaneously when the Department of Labor issues its final rule on default investments for automatic enrollment 401(k) plans. Mutual funds and investment firms will storm the front door offering investments. But trial lawyers may just as aggressively pursue fiduciaries through the back door.

Those changes, which corporate America hoped the DOL would publish by January 1, in time for the earliest company announcements on changes for 2007 plan years, implement a provision in the Pension Protection Act (PPA) of 2006, which President Bush signed last August. That law was the most significant change in pension law since the passage of the Employee Retirement Income Security Act (ERISA). The proposed rule issued late in September, the first of many expected to originate with the PPA, listed the types of investment vehicles companies could use as defaults for individual 401 (k)s in automatic enrollment plans.

However, many companies are worried that the final rule will expose them to past liability. That is because companies who now offer automatic enrollment heavily favor, as default investments, stable value and money market funds. Those plans could become legally problematic if the DOL excludes them as QDIAs, as it did in the proposed rule, injecting them with a whiff of imprudence.

Judy Schub, managing director of the Committee on Investment of Employee Benefits, says that she has heard considerable consternation from corporate officials about the potential rise of litigation based on past fiduciary decisions. That fear is heightened by the recent initiation of lawsuits by trial lawyers alleging some companies overcharged employees on fees for 401 (k) plans.

“There is a concern about potential lawsuits from employees alleging that a particular pension investment was imprudent,” agrees Jan. M. Jacobson, director, retirement policy, American Benefits Council, the main corporate pension lobby in Washington.

Lewis Freeman, president, Employers Council on Flexible Compensation, is one of many in the business community who want the DOL to bless capital preservation funds. “Such a vehicle may also be an appropriate default option for an employer with a very young population, or a high rate of turnover, where many of the plan's participants will terminate in short order and roll their account balances out of the plan,” he says.

But while support for inclusion of capital preservation products within the QDIA safe harbor is broad, only the life insurance industry wants the DOL to bless annuities. Ann B. Cammack, senior vice president, taxes & retirement security, American Council of Life Insurers, says, “The failure to include guaranteed insurance products, such as fixed annuity contracts, annuities with a fixed component, guaranteed investment contracts, stable value funds and other guaranteed products in the list of products eligible for QDIA status is an unacceptable shortcoming in the proposed regulation that must be addressed.”

But one financial industry executive, who did not want to be quoted, says that life insurance products are extraordinarily expensive. “I can’t imagine anyone would think they are an appropriate default investment,” she states.

Cammack responds, "Annuity products are a bargain when you consider what they offer, which is a guarantee of lifetime income. The fact is that you should not be building your retirement security on the cheap."

Not only are there disagreements about what kind of investments are appropriate for default 401(k) choices, but there is considerable unhappiness over the DOL’s preliminary decision to require a QDIA to either be managed by an investment manager or an investment company registered under the Investment Company Act of 1940. Schub says that requirement may greatly limit the ability of plan sponsors to offer independently-assembled “best in class” target-date or target-risk funds, which can be considerably cheaper than those offered by a mutual fund family.

The proposed rule also may limit the kinds of mutual funds which can be included in a QDIA. That is because it says a QDIA may not impose financial penalties or otherwise restrict the ability of a participant or beneficiary to transfer, in whole or in part, his or her investment alternative to any other investment alternative available under the plan. So would that exclude the many mutual funds who impose a redemption fee or a back-end sales load? That is the question Gail B. Mayland, vice president and associate general counsel, Charles Schwab & Co., Inc., is asking.

Given the lawsuits against Lockheed Martin, General Dynamics and some other companies on pension fund fees, companies are also nervous about what the DOL says about fees for automatic enrollment 401(k)s. The DOL proposed rule doesn’t address fees, except to rule out “financial penalties” when a participant transfers funds from one QDIA to another.

But the AARP, the lobby group for seniors, says that if QDIA fees are higher than for other comparable investments available on the market, then the plan fiduciaries must be able to justify choosing that investment for the QDIA. David Certner, legislative counsel and director of legislative policy for AARP, also wants DOL to publish fee disclosure guidance.

Health Insurers to Expand Offerings of Personal Health Records

December 2006 Digital Healthcare & Productivity.com

At a time when Nike's new Air Zoom Moire shoes send fitness data to a runner’s iPod Nano, the announcement on December 13 that health insurers were creating a portable, Web-based personal health record (PHR) was hardly revolutionary. In fact, speakers from the America’s Health Insurance Plans (AHIP) and Blue Cross and Blue Shield Association (BCBSA) at a press conference in Washington, D.C. used an infinite variety of rhetorical versions of the term “first step.”

The real significance of the announcement was as an impetus to the software industry to begin cranking up applications which could be used by consumers to maximize the value of these PHRs, and as a spur to convince physicians and hospitals to make a long-delayed start on ramping up office-based electronic health records systems which ultimately will be the prime beneficiary of these PHRs in a new era of real-time medicine.

The PHRs to be made available by AHIP and the Blues will cover 200 million individuals by the end of 2008. The data will be based primarily on claims received by the insurance company and consumer inputs on such things as immunization and family medical history. Scott Serota, CEO of the BCBSA, emphasized that the PHRs offered by individual companies will have tweaks beyond the core data elements, and will be “branded” for use as marketing tools. The PHRs depend for their portability on Health Level 7 and ANSI X12 protocols.

A plan member will be able to dictate what data is transferred from one health plan to another, or if that data should be provided to his or her physician. The data in the PHR will have all the privacy protections authorized by HIPAA and relevant state laws.

These PHRs are seen by the insurance industry as a way to help consumers improve their own health care, and as a way for the companies to cut costs associated with medical care that could otherwise be avoided. So a key component of these PHRs will be a constant sifting of medical claim, laboratory and pharmacy data against best practices and evidence-based guidelines, a process Aetna will do via what it calls its CareEngine. Aetna has actually offered that service, provided by a company called Active Health Management, to plan sponsors since 2002.

The challenge, of course, will be to get consumers to use these PHRs and, maybe more importantly, give physicians access to them, which is not technologically possible at the moment, given the low rates of electronic health record infrastructure adoption by the nation’s physicians and the absence of interoperability standards. As to the first challenge, AHIP and BCBSA have partnered with the National Health Council, which through its member groups has about 100 million members with various chronic illnesses. The NHC will be conducting pilot projects in an effort to educate its members on these PHRs, and stimulate their use.

The major benefit of the PHRs, however, is getting them into the hands of a patient’s physicians in real time, at the time of an examination, or when someone ends up in an emergency room. “But we are a ways away from creating an interoperable system,” acknowledged Bill Marino, CEO of Horizon Blue Cross Blue Shield of NJ.