Oct 24 2013
Calls on HHS to explain use of taxpayer dollars, true cost of implementing Affordable Care Act
WASHINGTON, D.C. – Today, U.S. Senator Jerry Moran (R-Kan.), Ranking Member of the Senate Appropriations Subcommittee on Labor, Health and Human Services and Education, called on U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius to answer questions about the true cost of implementing the Affordable Care Act (ACA) health insurance Exchanges. Sen. Moran is committed to making certain the Obama Administration is held accountable for its use of taxpayer dollars, especially considering the systemic problems plaguing the ACA website, healthcare.gov.
"Over the past year, $1.7 billion in taxpayer funds have been used to implement the Exchanges. This funding came exclusively from your Department’s internal transfer of funds to the Exchanges – a decision that avoids Congressional approval," Sen. Moran said in a letter to Sec. Sebelius. "Last week, your Department notified my appropriations subcommittee that an additional $450 million would be transferred to fund the Exchanges in Fiscal Year 2014. I am seriously concerned that taxpayers do not have a full understanding of the costs associated with implementing the Exchanges and the costs to fix the egregious technical problems healthcare.gov is currently plagued by."
To shed light on the true cost of implementing the ACA health insurance Exchanges, Sen. Moran asked Sen. Sebelius to respond no later than Nov. 13, 2013, to the following questions:
- How much money to date has been spent on developing and implementing healthcare.gov? Please provide the sources of these funds, both discretionary and mandatory.
- Describe the current technical issues affecting healthcare.gov and how the Department intends to correct these problems. Please include a timeline for resolving the issues.
- Describe in detail (including key dates) the steps that your Department took to test the healthcare.gov website prior to roll-out on October 1, 2013. Please include information on technical issues that arose during the testing and how they were resolved.
- Describe in detail what Department offices were responsible for the current version of healthcare.gov. Please also include what private companies were contracted with, how these contractors were selected, their qualifications, what project specifications for which they were responsible, and the cost of each contract.
- If the contractors responsible for healthcare.gov are determined to be at fault, do you intend to recover payments made to them? Please describe what recourses are available.
- In detail, provide the cost breakout for fixing the technical issues associated with the Exchanges. Please include the sources of funding, the estimated timeline for resolving the issues, and the contracts responsible for paying the recruited technical experts brought in.
- On October 18, 2013, your Department notified the Senate Labor/HHS Appropriations Subcommittee that $450 million will be transferred from the Department’s Nonrecurring Expenses Fund to the Exchanges. Will any of these funds be used to fix the current issues with the Exchanges? If so, how much? If not, what, for what specifically will the $450 million be used?
- If the technical issues with the Exchanges cannot be fixed in time, how will the Administration deal with the ACA individual mandate that requires all Americans to have health insurance or pay a penalty?
- If the issues with the Exchanges cannot be fixed in time, please explain in detail any contingency plans.
- Under the Continuing Appropriations Act, FY2014 (P.L. 113-46) passed on October 17, 2013, Congress requires you to certify that the Exchanges will verify household income before providing tax credits or any cost-sharing reductions. Please describe how the “data hub” will be used to verify an individual’s eligibility.
- The Administration had previously delayed income verification for 2014 due to issues with the data hub. Please explain how your Department will verify income for individuals signing up for health insurance through the Exchanges. Will the verification process occur in real-time? On October 21, 2013, White House Press Secretary Jay Carney stated that if individuals could not get access to insurance, they would not be penalized. Does this statement mean the Administration is considering delaying the ACA individual mandate?
Sen. Moran strongly opposes Obamacare and believes the best course of action is to dismantle the ACA and replace it with practical reforms that are workable and will actually reduce health care costs. In July, President Obama acknowledged that a significant component of Obamacare is broken and delayed enforcement of the employer mandate. The following week, Sen. Moran offered amendments in the Senate Appropriations Committee to delay both the employer mandate and individual mandate. Unfortunately, both amendments were defeated in party-line votes.
Additionally, this week Sen. Moran agreed to be an original cosponsor of the “Delay Until Fully Functional Act,” legislation Senator Marco Rubio is expected to introduce this upcoming Monday. This bill would delay Obamacare’s individual mandate until it can be certified that the ACA website and Exchanges are functional. It is blatantly unfair for the federal government to punish individuals for not doing something the government is requiring them to do when the Administration’s incompetence has made it impossible for them to comply. Sen. Moran believes the entire law should be repealed and replaced, but until that happens American individuals and families must be protected from the disasters created by Obamacare.
Sen. Moran’s full letter to Sec. Sebelius is attached below.
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