Grassley, Wyden Introduce Bill Making Medicare Claims Data Public

WASHINGTON - April 7, 2011 - Sen. Chuck Grassley of Iowa and Sen. Ron Wyden of Oregon today introduced legislation to make Medicare claims data public for the first time.  The legislation is the product of the senators' combined efforts - each was working on a method of making the data public and combined approaches in the bipartisan legislation introduced today.

"Medicare is a $500 billion program with billions of dollars going out in error each year," Grassley said.  "The bad actors are getting bigger and bolder all the time.  They 're able to stay out of law enforcement's reach too often.  It's time to try new things.  More transparency about billing and payments increases public understanding of where tax dollars go.  The bad actors might be dissuaded if they knew their actions were subject to the light of day."

"Hiding information on how taxpayer dollars are being spent is not something we do in this country," Wyden said.  "Moreover, if taxpayer dollars are being spent responsibly there is no reason to hide.  Shedding light on Medicare claims will be helpful to those making medical decisions, offer insight into how Medicare dollars are being spent and prevent wasteful spending and fraud.   All of which begs the question 'why isn't this information already available?'"

Last month, Grassley introduced legislation requiring the Department of Health and Human Services to make Medicare claims and payment data available to the public in a manner similar to other federal spending disclosed on www.USAspending.gov.

Wyden was developing an approach to make the data public through the federal Freedom of Information Act.

The joint bill, called the Medicare Data Access for Transparency and Accountability Act (Medicare DATA Act), contains both elements.  The bill would require the Secretary of Health and Human Services to issue regulations to make available a searchable Medicare payment database that the public can access at no cost.  The bill also clarifies that data on Medicare payments to physicians and suppliers do not fall under a Freedom of Information Act exemption.

Grassley and Wyden said health care fraud remains a pervasive problem in federal health care programs.  It has been widely agreed that between 5 percent to 8 percent of federal health care expenditures is lost to fraud.

In a recent series, The Wall Street Journal used limited access to Medicare billing data to identify suspicious billing patterns and potential abuses of the Medicare system. The Wall Street Journal found cases where Medicare paid millions to a physician, sometimes for several years, before those questionable payments stopped.  While volume alone doesn't automatically mean there's fraud, waste, or abuse, accountability and transparency are powerful preventive tools, Grassley and Wyden said.

Grassley and Wyden serve together on the Senate Finance Committee, which has jurisdiction over Medicare.  Grassley is a senior member and former chairman and ranking member.  Toward the cause of transparency and good government, Grassley and Wyden earlier this year achieved success in their long-time effort to end the Senate practice of placing "secret" holds on legislation.

The text of their legislation introduced today is available here.  Grassley's statement on the bill introduction is available here.

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Prepared Floor Statement of U.S. Senator Chuck Grassley

Opposition to Coburn Amendment

Wednesday, March 30, 2011

Mr. President, I'd like to express my strong opposition to amendment #220 offered by Senator Coburn.  Senator Coburn's amendment would raise the tax on domestic energy production by repealing an incentive for the use of homegrown ethanol.

I'm astonished that given our current situation, there are some who would prefer less domestic energy production.  With conflicts in the Middle East and crude oil more than $100 a barrel, we should be on the same side.  We should all be on the side of more domestically produced energy.  The tremendous cost of America's dependence on foreign oil has never been more clear.

In light of this threat, we should have an energy policy of "all of the above."  I support drilling here, and drilling now.  I support renewable energy.  I support conservation.  And, I support nuclear energy.  It's counterproductive for senators from Big Oil country to single out energy that comes from American agriculture.  I didn't pick this fight.  I support energy from all sources.  I support traditional oil and gas.  And so do American taxpayers with tax incentives, for an industry that's 100 years old.

So, the attack on homegrown energy is really remarkable.  We shouldn't be fighting each other over domestic energy sources.  We should be fighting OPEC and foreign dictators and oil sheiks that hold our economy hostage.

The author of the amendment has argued that the production of clean, homegrown ethanol is fiscally irresponsible.  It's important to remember that the incentive exists to help the producers of ethanol compete with the oil industry.  And remember, the oil industry has been well supported by the federal treasury for more than a century.  President Obama, in his budget request for 2012, has advocated repealing a dozen or so subsidies to big oil.  He's argued that a century-old industry no longer needs tax breaks.  With oil prices at one-hundred dollars a barrel and record profits being made, some could certainly question why this industry needs any taxpayer subsidies at all.  President Obama's proposal would repeal about $44 billion in oil and gas subsidies over 10 years.

I'd like to remind my colleagues of a debate we had last summer on an amendment offered by Senator Sanders.  The amendment he offered would have, among other things, repealed about $35 billion in tax subsidies enjoyed by the oil and gas industry.  Opponents of the Sanders amendment argued that repealing the oil and gas subsidies would reduce domestic energy production and drive up our dependence on foreign oil.  Opponents also argued that it would cost U.S. jobs, and increase prices at the pump for consumers.

I tend to agreed with these arguments.  All of my Republican colleagues and more than one-third of Democrats did as well.  But, a repeal of the ethanol tax incentive is a tax increase that will surely be passed on to American consumers.  Repealing incentives for ethanol would have the same exact result.

I know that removing incentives for oil and gas will have the same impact as removing incentives for ethanol.  We'll get less domestically produced ethanol.  It will cost U.S. jobs.  It will increase our dependence on foreign oil.  It will increase prices at the pump for American consumers.  Mr. President, we're already dependent on foreign sources for more than 60 percent of our oil needs.  Why do my colleagues want to increase our foreign energy dependence when we can produce it here a home?

So, I'd like to ask my colleagues who voted against repealing oil and gas subsidies but support repealing incentives for renewable fuels:  why the inconsistency?  Where are the amendments from fiscal conservatives and deficit hawks to repeal the oil and gas subsidies?  The fact is, it's intellectually inconsistent to say that increasing taxes on ethanol is justified, but that it's irresponsible to do so on oil and gas production.  If tax incentives lead to more domestic energy production and good paying jobs, why are only incentives for oil and gas important?

It's even more ridiculous to claim that the 30 year-old ethanol industry is mature and thus no longer needs government support, while the century old oil industry still receives $35 billion in taxpayer dollars.  Regardless, I don't believe we should be raising taxes on any type of energy production or on any individual, particularly during this weak economy.

The senator from Oklahoma insists that because the renewable fuel is required to be used, it doesn't need an incentive.  But, with oil prices at $100 a barrel, oil companies are doing everything they can to extract more oil from the ground. There isn't a mandate to use oil, but it has a 100-year monopoly on our transportation infrastructure.  When there is little competition to oil and it's enormously profitable, wouldn't he argue that the necessary incentives exist to produce it without additional taxpayer support?  Oil essentially has a mandate today.  The economics of oil production are clearly in favor of the producers. Why do they need taxpayer support?

It's also important to understand the hidden cost of our dependence on foreign oil.  A peer-reviewed paper published in 2010 concluded that "....$27 to $138 billion dollars is spent annually by the U.S. military for protection of Middle Eastern maritime oil transit routes and oil infrastructure, with an average of $84 billion a year."  Mr. President, this is $84 billion in American treasure spent on the defense of shipping lanes to quench our thirst for foreign oil.  It's not reflected in the price at the pump.  It's a hidden cost.

Milton Copulos, an advisor to President Ronald Reagan and a veteran of the Heritage Foundation, testified before Congress in 2006 on this issue.  He testified that the hidden cost of imported oil is equivalent to adding $8.35 to the price of a gallon of gasoline from the Persian Gulf.  There is no hidden U.S. military cost attributable to homegrown ethanol.

Let's have the debate on ethanol.  But, let's debate it in the context of a comprehensive energy plan.  This debate should include the subsidies for all energy production. Don't single out ethanol.

Nearly every type of energy gets some market distorting subsidy from the federal government.  An honest energy debate should include ethanol, oil, natural gas, nuclear, hydropower, wind, solar, and biomass.  It's hypocritical to put our economic and national security at risk by targeting ethanol, while disregarding the subsidies for all other energy sources.  Repealing the ethanol tax incentive will raise taxes on producers, blenders and ultimately consumers of renewable fuel.  This amendment is a gas tax increase of over five cents a gallon at the pump.

I just don't see the logic in arguing for a gas tax increase when we have so many Americans unemployed or underemployed and struggling just to get by.  I know we all agree that we cannot and should not allow job-killing tax hikes during this time of economic uncertainty.  Unfortunately, those members who have called for ending the ethanol incentive have directly contradicted this pledge because a lapse in the credit will raise taxes, cost over 100,000 U.S. jobs at a time of near nine-percent unemployment, and increase our dependence on foreign oil.

The taxpayer watchdog group, Americans for Tax Reform, considers a repeal of this incentive to be a tax hike.  Americans for Tax Reform states, "Repealing the ethanol credit is a corporate income tax increase."  I agree with them.

Now is not the time to impose a gas tax hike on the American people.  Now is not the time to send pink slips to ethanol related jobs.  Ethanol currently accounts for 10 percent of our transportation fuel.  A study concluded that the ethanol industry contributed $8.4 billion to the federal treasury in 2009 -- $3.4 billion more than the ethanol incentive.  Today, the industry supports 400,000 U.S. jobs.  That's why I support a homegrown, renewable fuels industry.

I'd like to conclude by asking my colleagues: If we allow the tax incentive to lapse, from where should we import an additional 10 percent of our oil?  Should we rely on Middle Eastern oil sheiks, or Hugo Chavez?  I'd prefer we support our renewable fuel producers based right here at home, rather than send them a pink slip.  I'd prefer we decrease our dependence on Hugo Chavez, not increase it.  And I certainly don't support raising the tax on gasoline during this weak economy.

WASHINGTON - March 28, 2011 - Senator Chuck Grassley met this month with Bettendorf resident Jeff Kling and his daughters Madison and Allison during their family trip to Washington, D.C. 

The Kling family and Grassley discussed the ongoing federal budget debate, the most recent Senate vote for a continuing resolution to prevent a government shutdown, and the daily responsibilities of a U.S. senator. 

"I'm glad that so many Iowa families, including the Kling's, make arrangements for a meeting when they're in Washington," Grassley said.  "This kind of dialogue, between elected representatives and the people we represent, is a big part of making the process of representative government work." 

Grassley makes it a priority to sit down with Iowans when they're in Washington.  In addition, in Iowa, he has had at least one constituent meeting in every one of Iowa's 99 counties every year since he was first elected to the Senate in 1980.  In addition to regular meetings, Grassley responds to every constituent letter, email and phone call.  He communicates with Iowans on facebook, twitter and at http://grassley.senate.gov.  He is a regular guest on public affairs programs statewide, where he responds to questions from Iowans. 

Meetings can be scheduled with Grassley at http://grassley.senate.gov.  Click on Info for Iowans and select Scheduling Requests.

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WASHINGTON - Friday, March 11, 2011 - Senator Chuck Grassley today congratulated four Iowa high school students for winning 1st and 2nd prizes in C-SPAN's national 2011 StudentCam competition.  The honors were announced by C-SPAN on Wednesday.

Matthew Wicks, a junior at Aplington-Parkersburg High School, won a 1st prize, including a $3,000 award, for his documentary titled "After the Storm," about the role of the Federal Emergency Management Agency in helping Parkersburg recover from the tornado that hit the community in May 2008.

Three juniors at Cedar Falls High School, Sara Gabriele, Jarek Bakken and Daniel Yehieli, won 2nd prize, including $1,500, for their video titled "The Price Tag of the American Dream," about education.

Nationwide, C-SPAN recognized one grand prize winner, two 1st prize winners, eight 2nd prize winners, 16 3rd prize winners and 48 honorable mentions in this year's competition.  There were 1,481 entries total, according to C-SPAN.  In its seventh year, the StudentCam competition invites middle school and high school students to produce five-to-eight minute documentaries.  This year, the topic was "Washington, D.C., through my lens."  Information about all of the winners is at www.c-span.org/studentcam.  The winning entries can be viewed there

Grassley was interviewed online, via Skype, for both of the Iowa documentaries that won prizes this week.  "I really enjoyed the opportunity to talk with the students and see their enthusiasm and energy for gaining a better understanding of public policy and its impact on the lives of Americans," Grassley said.  "It's wonderful for all of us in Iowa to see these students gain national recognition and from an organization like C-SPAN, which has enhanced the process of representative government by making government more accessible."

C-SPAN said it plans to air the top 27 videos from the competition, one a day, starting April 1, at 5:50 am (CT), followed by an interview with the winning student at 7:30 am (CT) on "Washington Journal," which is C-SPAN's morning call-in program.

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Wednesday, March 9, 2011

Senator Chuck Grassley issued the comment below about the Senate budget votes today.  Grassley voted for the House-passed proposal.  It was defeated in the Senate by a vote of 44 to 56.  He voted against the substitute offered by the Senate Democratic leadership.  It was defeated by a vote of 42 to 58.  Both measures needed 60 votes to pass.  Grassley is a senior member of the Senate Budget Committee.

Grassley comment:

"Today's votes emphasize that there are no more excuses for the Senate Majority Leader.  His proposal for a mere $4.7 billion in spending reductions is clearly not credible.  It's time for the majority party in the Senate to get real about the federal budget and lead an effort to pass meaningful spending reductions.  The $61 billion in cuts adopted by the House comes from government spending programs that saw a 24 percent increase from 2008 to 2010.  What's more, $61 billion is just 1/25th of this year's $1.5 trillion federal deficit.  Forty cents of every dollar spent in Washington today is borrowed.  The Senate needs to do its part in responding to the clear message from voters last November.  Washington can't continue to spend money it doesn't have, at the expense of future generations."

WASHINGTON - Senator Chuck Grassley said today that the U.S. Department of Transportation's National Highway Traffic Safety Administration has awarded a $182,029 grant to the Iowa Department of Transportation.

The Iowa Department of Transportation will use the funds to implement and enforce occupant protection programs to reduce deaths and injuries from riding unrestrained or improperly restrained in motor vehicles.

According to the Department of Transportation, the National Highway Traffic Safety Administration was established by the Highway Safety Act of 1970 to carry out safety programs previously administered by the National Highway Safety Bureau.  The agency is charged with improving motor vehicle and highway safety.

 

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WASHINGTON - Judiciary Committee Ranking Member Senator Chuck Grassley and House Oversight and Government Reform Committee Chairman Darrell Issa today sent a letter requesting information from the former general counsel of the Securities and Exchange Commission on seemingly obvious, significant conflicts of interest in the Bernie Madoff fraud case.

"Given the anger that victims justifiably felt for the SEC's failure to catch Madoff sooner, it is difficult to understand how you and other SEC officials would not realize the strong appearance of impropriety created by your participation in Madoff matters after receiving proceeds from a Madoff account," Grassley and Issa wrote to former general counsel David Becker.

Grassley and Issa's letter follows their letter earlier in the week to SEC Chairman Mary Schapiro on the case.

Based on a staff review of SEC documents and an interview of Becker, it appears Schapiro allowed Becker to advise and represent the SEC in the Madoff case without fully, properly examining the conflicts of interest presented by Becker's personal financial interest, among other concerns.

The text of the Grassley-Issa letter to Becker is available here.

Prepared Floor Statement of Senator Chuck Grassley

S. 23, The America Invents Act

Monday, February 28, 2011

Mr. President, at this time I want to speak in support of S. 23, the America Invents Act.  I appreciate all the hard work that Chairman Leahy, Senator Hatch, Senator Sessions, Senator Kyl and others have put into this bipartisan bill.

Over the past 5 or so years that the Senate Judiciary Committee has been considering comprehensive patent reform, Chairman Leahy has engaged Senators on both sides of the aisle as well as a wide range of groups.  His efforts have been pivotal in bringing together diverse views and crafting a reasonable compromise bill.  In fact, the bill is supported by a large number of industries and other stakeholders from the United States patent community.  I commend the leadership of Chairman Leahy, as well as the leadership of Senator Hatch, for getting us to where we are now.

Intellectual property rights are extremely important to our nation's economy.  An effective and efficient patent system will help promote innovation and technological advancements in America, and make life better for us all.  An effective and efficient patent system also will help provide a stimulus for businesses and generate new jobs.

Everyone agrees - we need a well functioning Patent and Trademark Office so that it can complete its work in a timely manner.  We should find ways to help the Patent and Trademark Office speed up the patent application process and eliminate the current backlog it is experiencing.  We should reduce costs and decrease abusive litigation, and improve certainty in the patent process and strengthen patent quality.

The America Invents Act will help do all these things.  The bipartisan bill before us will update and upgrade the United States patent system.  It will enhance transparency and patent quality.   And, it will ensure that the Patent and Trademark Office has the tools and funding to cut its backlog and process patent applications more quickly.  The improvements to the patent system contained in our bill will help spur economic prosperity and job creation.  I'm pleased to support it.

Specifically, the bill would improve patent quality by establishing the opportunity for third parties to submit prior art and other information related to a pending application for consideration by a patent examiner.  By allowing prior art to be submitted earlier in the process and explained to the Office, patent examiners will be able to issue higher quality patents.

The bill would create a "first window" post-grant opposition proceeding open for 9 months after the grant of a patent.  This would allow the Patent and Trademark Office to weed out patents that shouldn't have been issued in the first place.  This new post grant review process - which was recommended in a 2004 Report issued by the National Academy of Sciences - would enable early challenges to patents, but also protect the rights of inventors and patent owners against endless litigation.  The reason we want to ensure that the Patent and Trademark Office issues high quality patents is to incentivize investment in truly innovative technological advances and provide more certainty for investors in these inventions.

In addition, the bill would improve the current inter partes administrative process for challenging the validity of a patent.  It would establish an adversarial inter partes review, with a higher threshold for initiating a proceeding and procedural safeguards to prevent a challenger from using the process to harass patent owners.  It also would include a strengthened estoppel standard to prevent petitioners from raising in a subsequent challenge the same patent issues that

were raised or reasonably could have been raised in a prior challenge.  The bill would significantly reduce the ability to use post-grant procedures for abusive serial challenges to patents.  These new procedures would also provide faster, less costly alternatives to civil litigation to challenge patents.

The bill would institute a gate keeping role for the court to assess the legal basis for damages and jury instructions.  This would provide more certainty in damages calculation and promote uniformity and fairness.  The bill also would transition the United States to a first-inventor to file system, simplifying the application process and coordinating it with our trading partners.  This change will reduce costs and help improve the competitiveness of American inventors abroad.

Further, the bill would provide fee setting authority for the Patent Trademark Office Director to ensure that the Patent and Trademark Office is properly funded and can reduce its current backlog of patent applications.

The bill also would mandate a reduction of fees by 50% for small entities and 75% for micro-entities.

I want to particularly thank Chairman Leahy for working with me and Senator Baucus on a provision that would curtail patents on tax strategies.  These patents encumber the ability of taxpayers and their advisors to use the tax law freely, interfering with the voluntary tax compliance system.  Tax strategy patents undermine the fairness of the Federal tax system by removing from the public domain ways to satisfy a taxpayer's legal obligations.  If firms or individuals hold patents for these strategies, some taxpayers could face fees simply for complying with the tax code.  Moreover, tax patents provide windfalls to lawyers and patent holders by granting them exclusive rights to use tax loopholes, which could provide some businesses with an unfair advantage.

Our provision would ensure that all taxpayers will have equal access to strategies to comply with the tax code.

This provision was carefully drafted with the help of the Patent and Trademark Office not to cover software preparation and other software, tools or systems used to prepare tax or information returns or manage taxpayer's finances.

In conclusion, the America Invents Act will protect inventors' rights and encourage innovation and investment in our economy.  The bill will improve transparency and third party participation in the patent application review process.  This, in turn, will strengthen patent quality and result in more fairness for both patent holders and patent challengers.  The bill will institute beneficial changes to the patent process to curb litigation abuses and improve certainty for investors and innovators.  It will help companies do business more efficiently on an international basis.

The bill also will enhance operations of the Patent and Trademark Office with administrative reforms and will give the Office fee setting authority to reduce backlogs and better manage its business.

I'm pleased to support this hard fought bipartisan legislation, and I urge my colleagues to support it as well.

 

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WASHINGTON - Senator Chuck Grassley said today that the U.S. Department of Transportation's Federal Transit Administration has awarded a $5 million grant to the Iowa Department of Transportation.

According to the U.S. Department of Transportation, the funds will be used to replace Iowa's 50 oldest state-wide vehicles.  The nine buses and 41 vans that will be replaced are part of 17 of Iowa's transit systems.

The Federal Transit Administration administers grants totaling more than $10 billion to support a variety of locally planned, constructed and operated public transportation systems throughout the United States.  Transportation systems typically include buses, subways, light rail, commuter rail, streetcars, monorail, passenger ferry boats and inclined railways.

 

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WASHINGTON - February 17, 2011 - Senator Chuck Grassley has asked the Commerce Secretary to ensure a full accounting and appropriate discipline for abusive spending of asset forfeiture funds collected by federal law enforcement officials at the National Oceanic and Atmospheric Administration.

Grassley's request is based on questionable purchases including a $300,000 luxury boat purportedly for undercover operations.  The law enforcement office was unable to provide documentation that the boat had ever been used for an undercover operation when the Inspector General began inquiring, but indications are that it was used by executive staff for fishing trips.  Other expenditures include the unauthorized purchase of 200 vehicles for a 172-person law enforcement office, and $580,000 in international travel, with only 17 percent of the travel directly related to law enforcement investigations.

"Nothing's being done to fully account for what happened, and no one's been held responsible for wrongdoing," Grassley said.  "Turning a blind eye is license for more of the same and continued disregard for the public trust held by these public officials.  In this case, it's at the direct expense of average Americans."

A report issued by the Inspector General for the Commerce Department found that as much as $96 million may have gone through this fund in the last five years.  The amount of money could not be verified because the books were in such disarray.  The fund also was unusual in that it wasn't created through the sale of assets seized as a result of their use in criminal enterprises.  Rather, it consisted of money collected through administrative fines and penalties imposed with little oversight or judicial review.

In a letter to Commerce Secretary Gary F. Locke, Grassley said the nature of the fund "has led to allegations of questionable conduct on the part of enforcement officers who had an incentive to impose exorbitant penalties and fines on fisherman."

Grassley said that while an outside auditing firm has been brought in to determine the balance of the fund and audit the most recent fiscal year, that fails to account for what went on since 2005.  "The public deserves to know, and the abuse needs to be stopped," Grassley said.  "If heads don't roll, nothing's likely to change."

http://www.cbsnews.com/video/watch/?id=7356343n

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