May is Older Americans Month.

Q.  What is Older Americans Month?

A.  Each May, we celebrate Older Americans Month.  Whether you're currently enjoying or are still looking forward to the next phase of life and retirement, this is a time to celebrate the contributions of the current generation and past generations of older Americans.  This year's theme, "Connecting the Community," highlights the ways in which older Americans bring the community together, and celebrates the many ways that technology helps older Americans live longer, healthier, better-quality lives.

Q.  What have you done to ensure younger workers have financial security when they retire?

A.   Workers who have yet to retire should think ahead to ensure they are financially able to give themselves options.  Employer-provided pensions are no longer as common as they once were and, in recent years, some employers who offered pension benefits were exposed as having promised more than they could deliver.  In 2006, after the Enron and United Airlines retirement savings and pension debacles, among others, Congress enacted the most sweeping pension legislation in more than 30 years.  As one of the authors, I was glad to help stop the game playing by which corporations indicated that their pensions were in better shape than they really are.  In addition, the law made permanent the increased amounts that people can put away in their 401(k) and Individual Retirement Accounts and provided for more portability between these types of accounts when workers change employers. Other provisions made permanent are the savers credit for low- and middle-income taxpayers and the ability for individuals over the age of 50 to make "catch up" contributions to increase their retirement income security.   For some helpful tips on preparing for retirement, please visit http://www.dol.gov/ebsa/publications/10_ways_to_prepare.html.

Q.  What have you done to help improve the lives of seniors?

A.  It's important to protect vulnerable citizens, including those who require care from a family member or live in a nursing home.  In 1984 and 2000, I authored updates to the Older Americans Act, including a new program that offers support to family caregivers, including those who care for older family members.  As chairman of the Senate Special Committee on Aging in the late 1990s, I conducted oversight on the quality of care provided in nursing homes.  Predictably timed inspections and lax enforcement of care standards allowed abuse and neglect to flourish in too many cases.  It takes ongoing persistence to make sure quality standards are enforced.  Making inspection information more transparent helps keep nursing homes on their toes.  Beefing up the Department of Health and Human Services' Nursing Home Compare website has helped to empower consumers to choose the right facility.  The Nursing Home Transparency and Improvement Act that Senator Herb Kohl and I got enacted last year will build on prior transparency efforts to give consumers more information about individual nursing homes and their track record of care and give the government better tools for enforcing high-quality standards.

The whistleblower updates of the federal False Claims Act that I first sponsored in the Senate in 1986 and have worked to safeguard and fortify ever since help to ensure that tax dollars meant to care for seniors aren't lost to fraud.  Whistleblowers have helped to recover billions of dollars to the federal Treasury.  In 2003, I authored and helped shepherd through Congress the first-ever Medicare prescription drug benefit.  The drug benefit program has cost 37 percent less than originally estimated and, today, 90 percent of eligible Medicare beneficiaries have prescription drug coverage.  Additionally, a bill which I authored became law last year and will require that, beginning in September 2013, payments by pharmaceutical companies and medical device makers to doctors be made public online.  Transparency of the financial relationships between drug and device makers and physicians will inform consumers and establish accountability.  Every day, advanced technology is improving the quality of life for all Americans, including older Americans, as we mark Older Americans Month.

Prepared Statement of Ranking Member Chuck Grassley

U.S. Senate Committee on the Judiciary

FBI Oversight Hearing

Wednesday, March 30, 2010

Chairman Leahy, thank you for calling this hearing today.  Before I get started, I wanted to take a moment to say a public thank you to Director Mueller for his service to the country.  This is likely to be the last time he comes before this Committee as the Director of the FBI.  While we have had our share of disagreements on a number of issues, I have always appreciated Director Mueller's candor and his willingness to work with us to get answers?even if we don't always agree with what those answers are.

That said, I look forward to raising a number of issues with the Director today.  First and foremost, I want to talk about the PATRIOT Act and the need to extend the provisions that are set to expire in May.  The three expiring provisions of the PATRIOT Act are important tools used by federal law enforcement and the intelligence community to investigate national security threats.  They are vital to our ability to investigate, identify, track, and deter terrorist attacks.  For example, it was recently revealed that the FBI successfully utilized a section 215 order as part of the investigation that prevented a terrorist attack planned by a Saudi national in Texas.  In that case it was revealed that the individual in question purchased bomb making materials such as 3 gallons of sulfuric acid, clocks, chemistry sets, and a gas mask from online retailers Amazon.com and eBay.  This case is the latest of many examples of the successes of the PATRIOT Act provisions.  Given the dangerous threats we face and the fact that the three expiring provisions have not been found to have been abused, the Senate should work to reauthorize the expiring authorities without amendment.

Aside from the critical national security authorities we need to reauthorize, I want to ask Director Mueller about a recent report that was issued by our colleagues in the Homeland Security and Government Affairs Committee.  That committee released a report in February entitled, "A Ticking Time Bomb" that examined the tragic shootings at Fort Hood that occurred in November 2009.  That report highlighted a number of problems at both the Department of Defense and the FBI and found "systematic failures in the Government's handling of the Hasan case."  I was troubled to hear some of the allegations contained in the report including that an analyst on a joint terrorism task force was not provided full access to a key FBI database simply because he was from a non-FBI agency.  I want to hear from the Director whether he agreed with some of these key findings, what is being done to correct any deficiencies in the way terrorism cases are reviewed, and whether information sharing has been improved

I also want to ask the Director some questions about FBI employee personnel matters.  I have long been concerned about the plight of whistleblowers at the FBI.  I appreciate that Director Mueller has made it a priority to instruct all employees of the FBI that retaliation against whistleblowers will not be tolerated.  I think this is an important message for employees to hear from the Director.  Unfortunately, that directive has not always been followed by agents in the field.  I find one case particularly troubling.

In 2007, the Department of Justice Inspector General issued a memorandum finding that a 30-year non-agent employee of the FBI, Robert Kobus, was retaliated against for protected whistleblowing.  The Inspector General found that "FBI Management in the New York Field Division improperly moved Kobus from the position of a senior administrative support manager to several non-supervisory positions."  One of those positions included being demoted to OSHA safety officer.  The retaliation was blatant and included moving his office to a cubicle on the vacant 24th floor of the FBI office building.  The Inspector General ultimately concluded that the decision to move him was in retaliation for disclosing wrongdoing, to the Special Agent in Charge of the Field Office, in this case time and attendance fraud by FBI agents.  This is exactly the type of retaliation against whistleblowers that should never occur

Despite these findings by the Inspector General, the matter was appealed by the FBI to the Department of Justice where the case has now languished for four years.  Four years is entirely too long for an employee to wait for an appeal.  What makes matters worse is that the underlying allegations occurred in 2005.  It is often said that justice delayed is justice denied.  In this case that couldn't be any clearer.  I asked the Attorney General about this case a year ago and just received a reply in December that failed to answer why it has taken so long to review the IG's findings.  I want to hear from Director Mueller what he thinks about this sort of retaliation and why the agents who retaliated against Kobus were promoted.

The Kobus case raises a number of questions about the Department of Justice's process for investigating and adjudicating FBI whistleblower complaints.  So, I am working on a request that I have shared with Chairman Leahy, and I'm hoping we can work together on this, but I want the Government Accountability Office to conduct a top to bottom review of the Department of Justice's process for dealing with FBI Whistleblowers.  Delays like the one in the Kobus case send a clear signal to potential whistleblowers that reporting wrongdoing will only land you in an expensive bureaucratic mess.  Because the DOJ Inspector General is part of the FBI whistleblower process, I feel it is necessary for an impartial arbiter like GAO to look at things and see what is and isn't working.  Given the significant budget deficits we face and the need to cut waste and fraud wherever possible, we can't send signals to whistleblowers that coming forward isn't worth the hassle.  I would hope all my colleagues would join me in this request to make sure the process is working.

Another area of concern I have relates to FBI employee misconduct.  In January of this year, internal FBI Office of Professional Responsibility documents were leaked to the press.  Those documents contained a number of shocking allegations about misconduct committed by FBI employees.  For example, the documents detailed FBI agents who were dismissed because they: were arrested for drunk driving, engaged in improper relationships with FBI informants, leaked classified information to reporters, sought reimbursement for expenditures they never made, and in one instance, bringing foreign nationals back into FBI space after hours.  These are troubling allegations and I am glad that a number of them were accompanied by the summary dismissal of those employees.  However, a couple of the cases raised an old concern I have about whether punishments are handed out uniformly.  For example, two of the cases that were reported in the media involved inappropriate relations between FBI agents and sources.  One agent was dismissed while another was simply given a 40-day suspension.  It appears from the documents that the only difference in the cases was that in one case, the inappropriate relationship also involved improper use of a government vehicle, while the other did not.  I want to know more about how these penalties are determined.  I think this is especially important to know in light of the fact that the Inspector General found in a May 2009 report that there is a perception among FBI employees that there is a double standard for discipline between higher ranking and lower ranking employees.

Director Mueller, over the past eight months I have been investigating systemic problems at the Philadelphia Public Housing Authority.  Outlandish salaries, sexual harassment settlements, and excessive legal billings just to name a few of the problems.  I want to express my appreciation regarding the FBI's ongoing investigation and recent seizure of expensive luggage purchased as gifts by the Philadelphia Public Housing Authority.  I hope the FBI follows through vigorously on any criminal violations that may have occurred at the Philadelphia Public Housing Authority.

Finally, I want to ask the Director about the fiscal 2012 Budget request that was submitted to Congress.  I continue to have concerns with the FBI's agency-wide case management system known as Sentinel.  This project was originally supposed to cost $400 million and be complete no later than 2010.  As it stands today, the prime contractor Lockheed Martin has been removed from the job by the FBI, the project continues, and the projected cost is over $450 million.  I want to know when this is going to end, how much more taxpayer money will be necessary, and how the FBI plans to maintain the older case management database as part of the new system.  After a decade of upgrading the system, not another dime of taxpayer money should be awarded until the FBI can prove the system will work and will be done on time.

There is a lot to cover so I look forward to Director Mueller's testimony and his responses to these important matters.  Thank you.

-30-

WASHINGTON - Sen. Chuck Grassley (R-Iowa) and Sen. Dianne Feinstein (D-Calif.), leaders of the Senate Caucus on International Narcotics Control, today asked the Defense Department to provide testimony at an upcoming hearing on synthetic drugs known as "K2" or "Spice," among other names.

The drugs are marketed as harmless, when in fact they are dangerous, and the deceptive marketing and easy availability have made them attractive to young consumers, including members of the military. Recent reports indicate increased disciplinary action by the Defense Department among members of the armed forces due to synthetic drug use.  The senators asked the Defense Department to provide written testimony for a hearing of the Senate Caucus on International Narcotics Control on April 6, 2011, titled, "The Dangers of Synthetic Cannabinoids and Stimulants."

Earlier this month, Grassley, Feinstein and fellow senators introduced legislation to ban the chemicals used to make K2.  The legislation is called the Dangerous Synthetic Drug Control Act of 2011 and the David Mitchell Rozga Act, S. 605, named for the 18-year-old Iowan who took his own life soon after using K2 purchased from his local shopping mall. The father of David Rozga, Michael Rozga, will testify at the upcoming hearing.

Grassley is Co-chairman and Feinstein is Chairman of the Senate Caucus on International Narcotics Control.  Both senators serve on the Judiciary Committee, which has jurisdiction over the K2 legislation.  Grassley is ranking member of the committee.

The text of the Grassley-Feinstein letter to the Defense secretary is available here.

###

Q.  In Washington, how much time do you spend meeting with Iowans, compared to work on the Senate floor, in committee meetings and in other discussions and work?

A.  When I'm in Washington, D.C., for Senate business, I meet with many Iowans who are visiting the nation's capital.  Because mornings are taken up by committee business, policy discussions and oftentimes Senate votes, I have appointments and conference calls with Iowans at least every Monday through Thursday, from 3 p.m. to 5 p.m., and any other time the schedule will allow.  Some of the Iowans I meet with in Washington are business groups such as chambers of commerce and trade associations; state, county and local officials; policy and issue advocates; student groups; and families on vacation.  The families and students often tour the Capitol and want to see a Senate office to learn more about the workings of the legislative branch of government.  Trade association members and others are usually interested in conveying their views about pieces of legislation or issues currently before Congress that affect their operations, including their ability to create and maintain jobs for Iowans, for example.

Q.  Do you meet with Iowans when you're in Iowa?

A.  If the Senate isn't in session, I'm almost always in Iowa.  I have visited each of Iowa's 99 counties at least once every year since I was first elected to the United States Senate in 1980.  My meetings with constituents include holding my own town meetings, speaking to service clubs and school groups, and touring and meeting with employees at local businesses and factories.  The 99-county tradition ensures that I get to every part of the state every year.  A lot of people know they can catch me then, or if they can't see me in person, they can at least read in the local paper that I spoke with their friends and neighbors who brought up issues of concern in the local community.  For information on upcoming meetings, please visit the events page of my website at http://grassley.senate.gov/events/index.cfm.  Iowans can also find out where I've already been this year by clicking on the interactive map located at http://grassley.senate.gov/iowa/interactive_map.cfm.

Q.  Why is it important for you to meet with Iowans?

A.  The seat I occupy in the United States Senate belongs to the people of Iowa, and I never forget that I work for them.  The honor of representing Iowans in Congress comes with the responsibility to be in touch with as many Iowans as I can, any way I can.  The essence of representative government is communication between those of us elected and our constituents.  There are a lot of ways to communicate.  In addition to face-to-face meetings, I communicate with Iowans using Twitter, Facebook, YouTube, Skype, a webcast, email, the telephone and postal mail.  Each of those options helps foster a stronger dialogue between me and the Iowans I represent.  Not everyone can get to a town meeting or visit Washington to tell me what's on their mind, so the more means of communication, the better.  Iowans can schedule a meeting with me in Washington or Iowa by visiting the scheduling page of my website, http://grassley.senate.gov/info/scheduling_requests.cfm.  It helps when requests are made with as much advance notice as possible.  My office also provides tour information and arrangements for popular tourist destinations, such as the Capitol and the White House.  Tour arrangements can be made by visiting http://grassley.senate.gov/info/tour_information.cfm.  Questions about meetings or tours also can be directed to my Washington office at (202) 224-3744.

by U.S. Senator Chuck Grassley

In the last half-century, U.S. farmers have answered the call to help feed, clothe and fuel a growing world population. In 1960, a U.S. farmer on average fed 25 people. Thanks to a blend of advances in mechanization, pest control, biotechnology, animal husbandry and veterinarian medicine - along with conscientious stewardship of soil, water and resource management -- each U.S. farmer today feeds more than 144 people.

Even as farmers respond to marketplace demands for affordable, abundant supplies of food, leaner cuts of meat and wholesome grains and produce, an ever widening disconnect exists between production and consumption. From grocery shoppers to public policy makers, fewer people share an appreciation for the supply chain that exists from the farm to fork, let alone from the farm to fuel pump.

That's right. The fuel pump. The farmers hitting the fields this spring are not only working to feed an expanding world population, they are helping to displace U.S. dependence on foreign petroleum. For decades, political instability in the Middle East has influenced U.S. public policy. Taxpayers support strategic military and foreign policy decisions to protect U.S. national, economic and energy security, stemming in part from our dependence on foreign petroleum.

The risks to U.S. economic growth also are growing, especially as developing heavyweights, such as China and India, increase their consumption of the world's finite fossil fuels.

The simple truth is that the United States must take bold steps to sever foreign petroleum's stranglehold on America's economy and security. From my leadership position in the U.S. Senate, I have long championed public policy that would increase energy efficiency and conservation; support domestic energy production; and, develop alternative and renewable energy sources, including wind, biomass, hydroelectric, solar, geothermal and biofuels.

Consumers in the United States - who anticipate $4 per gallon gasoline by the peak summer driving season - understand how important it is to diversify and expand access to reliable, affordable energy. The extra money spent at the pump, now averaging about $3.56 per gallon for gasoline (I paid $3.39/gallon in Cedar Falls this week), shrinks consumers' purchasing power. That's bad news in a U.S. economy driven by consumer spending. Higher fuel prices also drive up the costs for goods and services throughout the U.S. economy, making it harder for businesses to expand, increase wages and create new jobs.

Congress has supported public policy to encourage growth in homegrown biofuels, such as ethanol. A federal tax incentive, called Volumetric Ethanol Excise Tax Credit - or VEETC -- was created to get the domestic ethanol industry off the ground. It's paired with an import tariff to prevent foreign ethanol producers from taking advantage of the domestic tax break.

Critics of America's domestic biofuels industry, who spew anti-ethanol propaganda, are putting America's energy, economic and national security at risk. Not to mention thousands of U.S. jobs. When the biodiesel federal tax credit lapsed in 2009, nearly 23,0000 jobs were wiped out. The U.S. ethanol industry supports nearly five times as many jobs.

Congress also created the Renewable Fuels Standard to get more biofuels at the pump. In 2010, nearly 90 percent of all gasoline sold in the U.S. contained ethanol. And the 13 billion gallons of homegrown ethanol reduced oil imports by 445 million barrels of oil.

Despite the long-term good investments clean-burning ethanol brings to the American public, from reducing dependence on foreign oil; creating jobs; protecting national security interests; helping the environment; and, diversifying U.S. fuel supplies, critics are still bad-mouthing ethanol.

In recent years, Big Oil has teamed up with Big Food Manufacturers to spread bad publicity about ethanol. They'd like to make ethanol a scapegoat for bigger grocery bills and higher prices at the pump. It's rather incredulous to consider they are playing into the hands of the likes of Hugo Chavez and Moammar Kadafi.

America's farmers understand that corn-based ethanol is better than dirty fossil fuels any day of the week. Would the taxpaying public rather support energy policies that support American agriculture's efforts to increase U.S. energy independence, or would taxpayers rather support policies that maintain the stranglehold of foreign petroleum?

In the United States Senate, I will continue my crusade in Washington to champion homegrown biofuels. Corn-based ethanol is just the beginning to even more biofuels breakthroughs. Just consider the first generation of ethanol, made from corn, has made possible the development of biofuels from cellulosic materials such as switch grass, corn stover and wood waste.

Rolling back the clock on the amazing contributions American agriculture has made to U.S. energy independence, a cleaner environment and national security would be a tragic mistake.

Friday, March 25, 2011

Prepared Statement of Ranking Member Chuck Grassley

U.S. Senate Committee on the Judiciary

Hearing on Oversight of the Department of Homeland Security

Wednesday, March 9, 2011 

Chairman Leahy, thank you for calling this hearing today.  I share your concerns about the activities of the Department of Homeland Security.  This Department was created eight-and-a-half years ago to consolidate the various functions and agencies intended to defend our nation's borders and infrastructure.  Yet as we look at the Department of Homeland Security today, we see agencies failing to coordinate with one another, breakdowns in judgment, and failures to protect our government's own agents on the frontlines.  In short, what I see is approaching a level that some might call chaos.

With Mexican President Felipe Calderón visiting President Obama at the White House last week, it highlighted some problems that more and more Americans are becoming aware of every day.  Violence on our southern border has escalated as gangs and drug cartels acquire more weapons and more expertise.  Further, our lack of defenses and their ability to evade justice has emboldened these criminals, who are becoming a greater and greater threat.

In just the last three months, the Department of Homeland Security has seen two of its own agents murdered while in the line of duty: Border Patrol Agent Brian Terry and Immigration and Customs Enforcement Agent Jaime Zapata.  Both were tragedies, and my heart goes out to the families and loved ones of Agent Terry and Agent Zapata.

Most troubling is the fact that agencies of our own government have contributed to this violence by intentionally allowing thousands of guns to be trafficked from the U.S. to Mexico. The Bureau of Alcohol, Tobacco, Firearms, and Explosives decided to let thousands of guns "walk" after being purchased by straw buyers intent on reselling them.  Many of those guns ended up in the hands of bandits who operate on the border, trafficking drugs and other illicit goods back into the United States.

This risky strategy of letting guns "walk" did not occur in a vacuum.  There are serious questions to be answered about the role played by the Justice Department and agencies within the Department of Homeland Security.  This ill-conceived policy has clearly affected the lives of countless individuals who may have been victims of crimes perpetrated as a result of letting guns into the hands of criminals.  Agents on the ground were ignored when they questioned the wisdom of this decision, and that just pours salt on the wounds of the families who lost loved-ones.  When the agents came forward with concerns, they were shunned and retaliated against.

If the federal agencies charged with protecting America and its borders were not working together, I have to question why the left hand didn't know what the right hand was doing.  If they were working together, then that raises the question of whether any other agencies objected.  Who else knew?  How high up was it approved?

The American people deserve answers.  The families of those who may have died as a result deserve answers.  Our government is organized precisely so that Congress can require accountability and provide oversight of the activities of the U.S. government in situations like this.

I continue to be concerned about the federal government's inability to secure our borders.  According to the Government Accountability Office, half of the U.S.-Mexican border is not operationally controlled.  The department just put a halt to the billion dollar virtual fence effort known as SBInet.  The violence continues, and lives are being sacrificed.

In the interior of the United States, the department refuses to acknowledge that undocumented immigrants are lawbreakers.  The Secretary says their approach to interior enforcement is guided by common sense, but Americans continue to shake their heads in amazement that the laws on the books are being ignored.

It's no secret that this Administration supports an amnesty program, or putting millions of people on a path to citizenship.  Even the head of the enforcement agency, Assistant Secretary Morton, pressed Congress to pass the DREAM Act.  Insiders say that he refused to endorse the legislation but was strong-armed to go public the morning that the Senate voted on the bill.  His support for such legislation really undermines the department's credibility on enforcement.

Their credibility is also questioned when they tout record-breaking statistics but use "unusual methods" in calculating their numbers.  As the Washington Post noted on December 6, 2010, the department has been cooking the books so they can say deportations are at an all-time high.  While they're inflating their numbers, they institute policies that allow attorneys to dismiss removal proceedings, sometimes for criminal aliens.

I'm looking forward to asking the Secretary about the internal memos written by officials in her department that outline ways that the Administration can circumvent Congress and provide legal status to millions of people who are in this country illegally.  Staff at U.S. Citizenship and Immigration Services wrote one such memo last spring, stating the purpose of their document is to "reduce the threat of removal for certain individuals present in the United States without authorization."  In July of last year, many members of the Senate sent a letter to the department, asking for information on how the department was using its "deferred action" and "parole" authorities, which were created and reserved for individual cases that present "unusual, emergent, or humanitarian circumstances."  We asked for specific data, only to be ignored and told that such data was not collected "in the way we requested."

Every Republican member on this committee sent the Secretary another letter on September 21 of last year inquiring about the internal amnesty memos and the use of the special discretionary authority granted to the Secretary.  We asked the Secretary to come before Congress, to meet with members and explain the memos.  The letter we received in response was unbelievably frustrating, to say the least.  The Secretary responded to this very serious issue by suggesting that the "record-breaking enforcement statistics speak for themselves."  The response barely touched on the internal memo that outlined administrative options to keep undocumented individuals in the country.  The Secretary said the department would be available for briefings on enforcement-related issues, but when asked, the department refused to allow a briefing for committee members with U.S. Citizenship and Immigration Services or the authors of the memo.  The department assured the public that deferred action and parole would not be granted to the entire illegal immigrant population.  But they were unable to assure us that plans were not being drawn up to benefit certain segments of the undocumented population.

I'm still very disturbed that the department, and specifically U.S. Citizenship and Immigration Services, refuse to provide answers to Congress and the American people.  I'm frustrated by their lack of straight-talk, and by their dismissal of our concerns that backdoor plans are being devised.  I'm annoyed that this department apparently disregards the spirit of our immigration laws, and will go to great lengths to abuse the special authority Congress provided to the Secretary.

I was also disappointed to hear that the Secretary has again extended the deadline for states to comply with the REAL ID Act.  Congress passed this law in 2005 in an effort to improve driver's licenses and require verification of an individual's identity.  We passed this law because 18 of the 19 hijackers on 9/11 acquired some form of fraudulent ID.  They had a total of 17 driver's licenses from various states.  This law was specifically recommended by the 9/11 Commission.

The extension approved last week by the Secretary will now give states until January 2013.  They delayed the deadline at the same time we heard about the Saudi student who was arrested on February 24, 2011 and charged with an attempt to use a weapon of mass destruction.  This foreign student had laid out an elaborate plan that included obtaining false documents and driver's licenses.  On page 10 of the criminal affidavit, it outlines how the student planned to get a forged U.S. birth certificate and then apply for a passport and driver's license.  The suspect wanted to use different driver's licenses for each car he planned to rent, in hopes of detonating his bombs in different places during rush hour.

The Secretary has publicly stated that the terrorist threat facing our country continues to evolve.  She says that we are seeing an effort by terrorists to recruit people who are already in the United States.  Having secure standards for driver's licenses is one way to impede a terrorist's mobility.  So I'd like to know why the Administration refuses to make sure driver's licenses are more secure, and why the Administration refuses to provide funding to help states comply with the law.  I want assurances from the Secretary that she's committed to the law, and will not push to water down the requirements we put in place 6 years ago.

I also want assurances from the Secretary that the department will finalize a process to check outbound passengers who are leaving the United States.  Another initiative that has been mandated by Congress but ignored is the entry/exit system created in 1996.  After 15 long years, the executive branch refuses to keep track of foreign nationals who depart the United States.  The exit system is an integral part of knowing who is in our country and ensuring that foreign nationals depart when they are required.

Secretary Napolitano, I appreciate you coming today, and I look forward to hearing what you are doing to address these issues that I have outlined.

-30-

WASHINGTON - House Judiciary Committee Chairman Lamar Smith (R-Texas) and Senate Judiciary Committee Ranking Member Chuck Grassley (R-Iowa) today introduced legislation to reduce frivolous lawsuits that plague our legal system.  The Lawsuit Abuse Reduction Act imposes mandatory sanctions for lawyers who file meritless suits in federal court. Federal rules mandating sanctions for frivolous suits were watered down in 1993, resulting in the current crisis of widespread lawsuit abuse. The Lawsuit Abuse Reduction Act restores the mandatory sanctions which hold attorneys accountable for lawsuit abuse.

 

Chairman Smith said, "Lawsuit abuse has become too common in American society partly because the lawyers who bring these cases have everything to gain and nothing to lose. Plaintiffs' lawyers can file frivolous suits, no matter how absurd the claims, without any penalty.  Meanwhile defendants are faced with the choice of years of litigation, high court costs and attorneys' fees or a settlement. Our legal system encourages frivolous lawsuits while defendants are left paying the price even when they are innocent.

 

"The Lawsuit Abuse Reduction Act restores accountability to our legal system by reinstating mandatory sanctions for attorneys who file meritless suits. Though LARA will not stop all lawsuit abuse, it encourages attorneys to think twice before filing a frivolous lawsuit."

 

Senator Grassley said, "Without the serious threat of punishment for filing frivolous lawsuits, innocent individuals and companies will continue to face the harsh economic reality that simply paying off frivolous claimants through monetary settlements is often cheaper than litigating the case.  This perverse dynamic not only results in legalized extortion, but it leads to increased costs for businesses that instead could be using that money to create new jobs."

Every year, billions of dollars are wasted on frivolous lawsuits, costing jobs and damaging the economy.  According to one analysis, the 2002 tort system's direct costs were $233 billion, the equivalent of a 5 percent tax on wages.  Today that number is even higher; the annual direct cost of American tort litigation exceeds $250 billion. 

The Lawsuit Abuse Reduction Act takes three strong steps to help thwart frivolous lawsuits.

  • Reinstates the requirement that if there is a violation of Rule 11, there are sanctions (Rule 11 of the Federal Rules of Civil Procedure was originally intended to deter frivolous lawsuits by sanctioning the offending party).
  • Requires that judges impose monetary sanctions against lawyers who file frivolous lawsuits.  Those monetary sanctions will include the attorney's fees and costs incurred by the victim of the frivolous lawsuit.
  • Reverses the 1993 amendments to Rule 11 that allow parties and their attorneys to avoid sanctions for making frivolous claims by withdrawing them within 21 days after a motion for sanctions has been served.

 

A copy of the bill can be found here and below is a copy of Grassley's prepared introduction statement.

 

Prepared Floor Statement of Senator Chuck Grassley
Introduction of the Lawsuit Abuse Reduction Act of 2011
Wednesday, March 9, 2011

 

Mr. President, I rise today to introduce important civil justice legislation.  This legislation is desperately needed for several reasons - the most important of which is to cut down on the costs and expenses that are preventing private businesses from creating jobs for our fellow citizens during these difficult times.

 

The billions of dollars wasted on frivolous lawsuits cost Americans jobs and severely damage our economy.  The precise cost of America's lawsuit culture is staggering.  The tort system's direct costs in 2002 were $233 billion, the equivalent of a 5 percent tax on wages.  Today that number is even higher; the annual direct cost of American tort litigation exceeds $250 billion.

 

Indeed, frivolous lawsuits are helping to prevent the "innovation" that the Obama Administration is touting as the key to "job creation" and economic recovery.  For example, firms with recent initial public offerings are most at risk to be sued.  In fact, companies are most likely to be sued in their second year of public trading.  In other words, the very corporations most likely to be the source of significant new job creation are at the highest risk of being sued just when they are seeking expansion capital through public offerings.

 

In particular, frivolous lawsuits hurt small businesses.  Small businesses rank the cost and availability of liability insurance as second only to the cost of health care as their top concerns, and both problems are fueled by frivolous lawsuits.

Our front-line defense against frivolous lawsuits and the misuse of our legal system is Rule 11 of the Federal Rules of Civil Procedure.  This rule is intended to deter frivolous lawsuits by sanctioning the offending party.  The power of Rule 11 was diluted in 1993.  This weakening is unacceptable to those of us who want to preserve courts as neutral forums for dispute resolution.

That is why I'm introducing the Lawsuit Abuse Reduction Act of 2011, which amends Rule 11 to restore its strength and ability to truly deter frivolous lawsuits.  Senator Mike Lee of Utah is cosponsoring this bill. Representative Lamar Smith, the Chairman of the House Judiciary Committee, is introducing an identical bill today in the House of Representatives.

Specifically, the Lawsuit Abuse Reduction Act takes three strong steps to help thwart frivolous lawsuits.

First, the Lawsuit Abuse Reduction Act reverses the 1993 amendments to Rule 11 that made sanctions discretionary rather than mandatory.

One of the most harmful changes that took effect in 1993 was to make sanctions for proven violations of Rule 11 discretionary.  This means that if a party files a lawsuit simply to harass another party, and the court decides that this is in fact the case, the offending party still might not be sanctioned.  This is unacceptable.  The offending party might not be punished at all, which provides no deterrence for the offending party or anyone else who wants to misuse the courts. My bill reinstates the requirement that if there is a violation of Rule 11, there are sanctions.

Second, the Lawsuit Abuse Reduction Act requires that judges impose monetary sanctions against lawyers who file frivolous lawsuits.  Those monetary sanctions will include the attorney's fees and costs incurred by the victim of the frivolous lawsuit.

 

Finally, the Lawsuit Abuse Reduction Act reverses the 1993 amendments to Rule 11 that allow parties and their attorneys to avoid sanctions for making frivolous claims by withdrawing them within 21 days after a motion for sanctions has been served.

 

Because of Rule 11's "safe harbor" provision, many frivolous claims are never fully reviewed by federal judges.  Under the "safe harbor" provision, a person who is victimized by a frivolous claim must hire an attorney to draft a motion for sanctions.  That motion cannot, however, be filed immediately.  Rather, under Rule 11(c)(2), the motion is served on the offending attorney 21-days before it is filed.  During that period, the offending attorney can withdraw the frivolous claim and thereby avoid any sanction.  The Lawsuit Abuse Reduction Act would prevent such injustices by eliminating the "safe harbor" provision.

 

Although the Lawsuit Abuse Reduction Act would only amend Rule 11 of the Federal Rules of Civil Procedure, the procedural rules in state courts are often amended to track changes in the federal rules.  Consequently, it is our hope that many states would amend their rules governing frivolous lawsuits to reflect the changes implemented by the Lawsuit Abuse Reduction Act, just as they did when Rule 11 was last changed in 1993.

 

Without the serious threat of punishment for filing frivolous lawsuits, innocent individuals and companies will continue to face the harsh economic reality that simply paying off frivolous claimants through monetary settlements is often cheaper than litigating the case.  This perverse dynamic not only results in legalized extortion, but it leads to increases in the insurance premiums all individuals and businesses must pay.  That's money that could be going to create new jobs.

 

I want to work with those who are willing to be reasonable.  I know that some have expressed concerns with similar bills in the past.  We have considered those concerns and have drafted a bill that takes them into account.  For example, this bill expressly provides that nothing in it "shall be construed to bar or impede the assertion or development of new claims, defenses, or remedies under Federal, State, or local laws, including civil rights laws."

 

Requiring mandatory sanctions is not an extreme position.  It is a reasonable and effective solution to the problem of runaway frivolous lawsuits.

 

Indeed, a mandatory sanctions requirement is currently the law in the area of securities litigation.  In 1995, we enacted the Private Securities Litigation Reform Act (PSLRA) over President Clinton's veto.  It essentially reinstates the 1983 version of Rule 11 for the purposes of securities litigation that falls within its coverage, and makes the imposition of sanctions mandatory.  Upon a final adjudication of a case, the PSLRA requires courts to make written findings on whether the parties have complied with Rule 11.  In other words, no motion for sanctions needs to be filed.  At the conclusion of the case, a judge must review the case for compliance with Rule 11 and, if he finds that there has been a violation, he must impose sanctions.

 

So addressing the damaging impact of frivolous lawsuits has had bipartisan support in the past.  That bipartisan support should be even greater during these difficult economic times.

 

Let's look at a few examples of the type of lawsuits that businesses must contend with:

 

In July 2009, three New Jersey residents, backed by an advocacy group, filed a class action lawsuit against several hot dog manufacturers claiming they were exposed to carcinogens by eating hot dogs.  None of the plaintiffs had actually developed cancer.  The lawsuit sought damages in the amount of the total cost of the plaintiffs' hot dog purchases and a requirement that the companies place a new label on packages and advertising reading: "WARNING: CONSUMING HOT DOGS AND OTHER PROCESSED MEATS INCREASES THE RISK OF CANCER."

 

The case was dismissed on a Rule 12(b)(6) motion.  Thus, a federal court held that the plaintiffs had failed to even allege a claim, as a matter of law.

 

In another case, a customer alleged that a wild bird "attacked" her while in a Lowe's outdoor garden center, causing her head injuries.  She claimed negligence and a violation of the Illinois Animal Control Act.  She maintained that the wild birds created a dangerous condition on the property and that Lowe's failed to exercise ordinary care to ensure that the premises were reasonably safe and failed to prevent the birds from entering the garden center.

 

A federal court entered summary judgment in favor of Lowe's holding that a "reasonable plaintiff" either would have noticed the birds or understood that contact with them was possible in any outdoor area with plants.  The court also held that Lowe's was not the "owner" of the birds, a necessary element of the customer's statutory claim.

 

These are just two examples of the scores of frivolous lawsuits that American businesses must contend with each year.

 

Requiring sanctions when judges find lawsuits are frivolous will deter these types of cases from being brought.  The savings will result in cost savings for businesses and new jobs for American workers.

 

The time for words and rhetoric has long since passed.  If the President means what he is saying about creating jobs, then we must take action.  We need to help private business spur job creation.  The Lawsuit Abuse Reduction Act is action and is a step in the right direction.

 

I urge all of my colleagues to work with me and to support this legislation.

 

Mr. President, I yield the floor.

 

 

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Floor Speech of Sen. Chuck Grassley

Ethanol and Energy Independence

Delivered Monday, March 07, 2011

The American economy remains on unsettled footing.  While there are some small signs of an economic recovery, it is still fragile.

The consumer confidence level seems to be increasing.  U.S. factory activity is up.  But, the housing market remains weak.

The nation's unemployment rate stands at nine percent.  And now, our economy is facing a significant headwind due to rising energy prices.

Since the unrest began in Tunisia, our energy markets have been rocked by the uprisings in Egypt, and now in Libya.

Libya produces only roughly two percent of the world's crude oil, with much of that going to Europe.

The uncertainty and fear about supplies, according to oil speculators, has driven crude prices to more than $100 a barrel.

Prices at the pump were already high before the unrest in the Middle East.  The events just worsened the problem.

According to the Energy Information Administration, gas prices jumped 19 cents during a one week period at the end of February. This is the second largest one-week jump in more than 20 years.

American's are now paying an average of $3.38 a gallon for gasoline.  This is 68 cents higher than this time last year.

The average cost to fill up a tank of gas is likely around $50.  For a family struggling to make ends meet, these are valuable dollars spent at that pump, going overseas.

Our country is at risk.  Our economy is at risk.  Our nation's security is at risk.

Our ever-increasing reliance on foreign sources for energy is undermining our nation's economic and national security.

The activity in the Middle East over the last six weeks should be an alarm bell going off.  It should be a wake-up call.

Let me be clear.  I know that for our economy to grow and for business and individuals to thrive, we need access to reliable, affordable energy.

I support an energy policy of all of the above.

First, we must have access to oil and gas resources here at home.

The idea that we limit access to our own resources, which in turn leads us to go hat-in-hand to foreign dictators and oil sheiks, is ludicrous

We currently import more than 60 percent of our crude oil needs.  It doesn't have to be that way.

I know we can't get to energy independence by drilling alone.

But isn't it a little foolish to have our economy held hostage by events in Libya, where only two percent of the world's oil comes from?

The Obama Administration needs to put an end to the existing policy of a de facto moratorium through permitting.

We need to make sure that we're doing everything we can to protect workers and the environment.

But, permitting delays and obstacles should not prevent our nation from moving forward to developing resources here at home.  I also support efforts to expand the use of clean coal and nuclear energy.

I also support conservation efforts.  I agree that the cheapest form of energy is the energy that doesn't have to be used.

Here in the Senate, I've supported polices aimed at reducing energy use in homes and buildings through conservation and energy efficient technologies.  I see the value in reducing overall energy consumption.

I've also been a leader in the senate in promoting alternative and renewable energy.

The supply of fossil fuels is finite.

We must look to alternative and renewable resources so we can improve our energy and national security.

This includes supporting energy from wind, biomass, hydroelectric, solar, geothermal and biofuels.

I'd like to focus on the effort to develop homegrown biofuels.

For many years, Congress has realized the need to develop an alternative to fossil fuels, particularly as a means of reducing our dependence on fossil fuels.

One of the first policies was a tax incentive to encourage the use of homegrown ethanol.

For over a hundred years, the fossil fuel industry has had a monopoly on our transportation fuel.

They built the market.  They own the infrastructure.  They weren't about to use a product they didn't manufacture, own, or profit from.

So, Congress created a tax incentive to encourage big oil to use the product and make it available to consumers.  It was paired with an import tariff to make sure that only domestic ethanol receives the benefit of the tax incentive.

The tax incentive and the tariff work together to do two things.

The incentive exists to encourage the use of domestic ethanol.

The tariff exists to ensure we aren't giving a tax incentive to already-subsidized foreign ethanol.

Together, they ensure that we don't replace our dependence on foreign oil with a dependence on foreign ethanol

So, the incentive was created to encourage big oil to use the product.

In 2005, Congress created the Renewable Fuels Standard.  This standard was created to ensure that a minimum amount of renewable fuels was used in the fuel supply.

It was strongly opposed by big oil, but it was enacted over their opposition.

In 2007, it was greatly expanded.  It mandates the use of 36 billion gallons of renewable fuel annually by 2022.

It also limits the amount that can come from corn starch ethanol at 15 billion gallons.

One of the criticisms I hear occasionally is that ethanol receives both an incentive and a mandate.  I'd like to address this point.

First, while the mandate requires that the fuel be used, it does not mandate that the ethanol be produced domestically.  The incentive acts as encouragement to use a homegrown product.

It increases economic activity at home and works to reduce our dependence on foreign oil.

Secondly, the mandate acts as a floor to ethanol use. Without the incentive, we would consume the bare minimum.  The incentive encourages ethanol use beyond the mandate.

Some in the environmental community are quick to raise objections to the biofuels mandates and incentives.

This is a clear example of the limitless hypocrisy and intellectual dishonesty in Washington.

Many of the loudest voices against these policies are same voices who lobby me for tax incentives and mandates for wind, solar, geothermal and other renewable energy.

I'm a strong supporter of electricity generated from wind and other renewable sources.  I first authored the production tax credit for wind in 1992.

Over the years, it has been expanded to include other types of resources.

Since as far back as 2003, environmental advocacy groups have been pushing for a renewable portfolio standard, which is a mandate.

So, they want the production tax credit for wind and other renewable electricity, and a mandate that it be produced.  Yet, they oppose those same policies for biofuels.

It's clearly a double standard and inconsistency that undermines their credibility on these issues.

I've been a champion of ethanol and biofuels for a long time.  I'm well aware of the positive role ethanol is playing to create a cleaner environment.

It's improving our economic and national security.  And, it's creating jobs and economic activity in rural America.

In 2010, nearly 90 percent of all gasoline sold in the United States contained some ethanol.  The 13 billion gallons of ethanol produced in United States reduced our oil imports by 445 million barrels of oil.

After domestic oil production and imports from Canada, U.S. ethanol production is the third largest source of transportation fuel.

U.S. ethanol production is larger than what we import from Saudi Arabia or from Hugo Chavez's Venezuela.

Without domestic biofuels, we'd be on bended knee even more than we are today begging others for oil.

Ethanol is the only reliable, legitimate alternative to crude oil.  Domestic ethanol currently accounts for nearly 10 percent of our transportation fuel.

There is no other renewable fuel that comes close to achieving the economic, environmental and national security benefits currently delivered by ethanol.

Mr. President, there are other well-funded misinformation campaigns under way to undermine the only alternative to imported crude oil.

Big oil has been joined in recent years by opportunistic grocery manufacturers who hope to find a scapegoat in their desire to increase profits and raise food prices.

They continue to perpetuate the same tired, baseless arguments to try and undermine our efforts toward energy independence.

They're more interested in protecting market share and profits than national and economic security.

Over the next few weeks, I'm going to do everything I can to educate my colleagues and the public on the benefits of domestic biofuels.

I'm not going to sit quietly while the energy, environmental and national security benefits of ethanol are scoffed at.  I intend to beat back every false attack.

The American public deserves an honest, fact-based discussion about the benefits of reducing our dependence on people like Hugo Chavez and Moammar Kadafi.

They deserve to hear the benefits of reducing our dependence on dirty fossil fuels.

I look forward to continuing this education and dialogue.

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Q.  What are service academies?

A.  U.S. service academies educate and train officers for the Army, Air Force, Navy, Merchant Marine and Coast Guard.  Service academies give students the opportunity to serve while earning their college degree.  Upon graduation, alumni serve in the active or reserve components of the military, the Merchant Marine or the U.S. Coast Guard for a minimum of five years.

 

Q.  What is required to be considered for an appointment to a service academy?

A.  Appointment to a U.S. service academy is an honor reserved for the most accomplished young men and women.  Consideration for appointment to the U.S. Military Academy in West Point, N.Y., the U.S. Air Force Academy in Colorado Springs, Colo., the U.S. Naval Academy in Annapolis, Md., and the U.S. Merchant Marine Academy in King's Point, N.Y., requires a congressional nomination.  The U.S. Coast Guard Academy in New London, Conn., does not require applicants to obtain a congressional nomination.

Each year, Members of Congress can nominate 10 students to the Military, Air Force, Naval and Merchant Marine academies.  Every fourth year, Members of Congress can nominate 20 students to the Military, Air Force and Naval academies.  Interested Iowans can request nominations from their Representative in the U.S. House of Representatives, Senator Harkin or me.

Applications are highly competitive.  Applicants should rank in the top half of their high school class and have ACT scores in the 25-36 range in math and science, and in the 22-36 range in English.  They should also have extensive extracurricular activities, such as participation in school clubs, academic or athletic teams, community activities, volunteer service or work.  Applicants must be legal residents of Iowa or dependents of members of the military who are legal residents of Iowa.  Applicants must be unmarried with no children or legal obligation for a child, and at least 17 years of age but not past their 23rd birthday on July 1, 2012.

 

Q.  How can interested Iowans apply for your nomination?

A.  Iowa has such a large pool of impressive students that it gets more difficult to choose who to nominate for the few available slots each year.  The young people chosen are outstanding representatives of Iowa.  Interested students should complete and submit the form located on my website at http://grassley.senate.gov/info/academy_nominations.cfm.  The following materials are also required:  four letters of recommendation from Iowans -- one must be from the applicant's high school guidance counselor and one must be from a teacher; the applicant's ACT scores (SAT optional); the applicant's school transcript; the applicant's class size and rank; and an essay of no more than 300 words, written by the applicant.  The essay should describe what the applicant hopes to gain from an appointment to a service academy and how the experience would be used in the future.  Applications for nominations for the 2012-2013 school year must be submitted to my Cedar Rapids office by October 1, 2011.  Nominations will be made by February 2012, and appointments will be announced when they are offered by the academies.  I suggest that interested students start the application process in the spring of their junior year of high school.

Grassley Fights Fraud in Medicare and Medicaid

 

WASHINGTON - Senator Chuck Grassley today introduced legislation to build on key reforms to fight fraud in Medicare and Medicaid.  The measure comes the day of a Senate Finance Committee hearing exploring ways to fight health care fraud.

 

"These are huge programs with billions of dollars going out in fraud 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 says a lot when you hear organized crime has gotten into health care fraud because it's so profitable.  It's time to try new things.  Stopping bad payments before they go out instead of trying to collect them after the fact is common sense.  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.  Congress should act quickly to pass the reforms out of respect for taxpayers and on behalf of program beneficiaries."

 

Grassley said his bill includes provisions that would:

 

  • limit tax dollars lost to fraud by giving the government more time to pay Medicare providers when fraud, waste and abuse are suspected than is allowed under the existing pay-and-chase model;
  • enhance coordination among federal agencies responsible for fighting medical identity theft, in which thieves use personal and health insurance information to bill for medical treatment and prescription drugs fraudulently;
  • stop payments for illegal, unapproved drugs;
  • beef up enforcement capabilities by expanding the range of individuals subject to penalties; and
  • require Medicare claims and payment data to be available to the public by provider name for the first time, similar to other federal spending disclosed on www.USAspending.gov.

 

Grassley said the Strengthening Program Integrity and Accountability in Health Care Act of 2011 is comprised of reforms with bipartisan support.  Grassley led the development of a number of fraud-fighting provisions during the bipartisan work in the Senate in the last Congress on comprehensive health care legislation.  Some of the items were enacted, but others were not and are included in Grassley's new bill.  He also introduced the Medicare payment reform measure in the last Congress.

 

The federal government spent $502 billion on Medicare and $379 billion on Medicaid in fiscal year 2009.  It is estimated between $40 billion and $70 billion was lost to fraud that year.

 

The federal False Claims Act is one of the most effective tools against health care fraud.  Grassley authored a major update of this law, in 1986, with Rep. Howard Berman of California.  Since then, the law has recovered more than $28 billion and deterred billions of dollars in additional fraud against the taxpayers.  The whistleblower provisions that were created by the 1986 update are among the most successful elements of the False Claims Act.   This year, the False Claims Act brought in $3 billion in recoveries, with $2.5 billion from health care fraud cases, and nearly $2.4 billion of the recoveries thanks to the qui tam whistleblower provisions.

 

Grassley also is working to ensure that the civil recovery of public dollars that otherwise would be lost to fraud is buttressed by a robust criminal prosecution.  At the end of last year, he asked the Attorney General and the Secretary of Health and Human Services to account for the falling number of criminal prosecutions.  He also intends to introduce legislation this year to require the Attorney General to report details of False Claims Act settlements to Congress.  "It's a matter of accountability," Grassley said.

 

Grassley is Ranking Member of the Judiciary Committee, with jurisdiction over the Justice Department and federal False Claims Act matters.  He is a senior member and former Chairman and Ranking Member of the Finance Committee, with jurisdiction over federal health care programs.

 

A summary of the Strengthening Program Integrity and Accountability in Health Care Act follows.

 

Video of Grassley's floor speech on the legislation is available here.

 

The bill text is available here.

 

Grassley's statement at today's Finance Committee hearing is available here.

 

 

The Strengthening Program Integrity and Accountability in Health Care Act of 2011

Summary of Provisions*

 

Sec. 1. Short Title; Table of Contents

Sec. 2. Enhanced Medicare and Medicaid Program Integrity Provisions

Payment Suspensions CMS and its contractors currently have the discretionary authority to withhold payment in whole or in part if there is reliable evidence of an overpayment or fraud. CMS regulations stipulate the procedures CMS and its contractors must follow when deciding to suspend payment. The provision would make this discretionary authority mandatory and require the Secretary to suspend payments to a provider or supplier pending a fraud investigation, except in cases when there is a determination that such a suspension is not supported by good cause.

Extension of Time to Pay Claims Under current law, payments must be made for clean claims within 14 to 30 days.  This is known as the "prompt payment rule."  The provision would require the Secretary to extend the time that Medicare payments must be made to providers if there is a determination of the likelihood of fraud, waste and abuse.  OIG would also have to make recommendations at least annually on what categories of providers would warrant an extension of the time period in the prompt payment rule, and CMS would have to respond to these recommendations.

 

Sec. 3. Requirements for the Transmission of Management Implication Reports by the HHS OIG

A Management Implication Report (MIR) is a document the HHS Office of Inspector General (OIG) produces identifying systematic weaknesses or vulnerabilities in federal programs to fraud, waste, or abuse, and recommending ways to correct or minimize them.  Often detected in the course of an investigation, these identified weaknesses can exceed the parameters of the investigation and represent fraud, waste, or abuse across the federal healthcare system.  This provision would require the OIG to inform Congress when it transmits MIRs to the Secretary and requires the Secretary to respond to OIG within 90 days.

 

Sec. 4. Medical ID Theft Information Sharing Program and Clearinghouse

Medical identity theft contributes to a significant portion of health care fraud.  This provision would require the Secretary to establish an information-sharing program with the Federal Trade Commission (FTC), which maintains identity theft complaints received by both the FTC and the Social Security Administration. The Secretary would be required to establish methods to identify and detect medical identity theft and establish responses to warning signs of medical identity theft.

Sec. 5. Permissive Exclusion from Federal Health Care Programs Expanded to Individuals and Entities Affiliated with Sanctioned Entities

HHS OIG has the authority to exclude health care providers from participation in Federal health care programs. Exclusions are mandatory under certain circumstances, and permissive in others (i.e., HHS OIG has discretion in whether to exclude an entity or individual). This provision would subject individuals who have had past ownership or control interests with sanctioned entities or past ownership or control interests with an affiliated entity of sanctioned entities to the OIG's permissive exclusion authority.  The provision would explicitly apply to MA, PDP, and Medicaid managed care plans as well as their participating providers and suppliers

 

Sec. 6. Public Availability of Medicare Claims Data

This provision would require the Secretary to issue regulations to make Medicare claims and payment data available to the public in accordance with privacy, security, and disclosure laws in a manner similar to other federal spending disclosed on www.USAspending.gov.

 

Sec. 7. Medicaid Exclusion from Participation Relating to Certain Ownership, Control, and Management Affiliations

Medicaid law requires states to exclude individuals or entities from Medicaid participation when a state is directed to do so by the Secretary, and to deny payment for any item or service furnished by the individual or entity. States are required to exclude these individuals and deny payment for a period specified by the Secretary.

 

The measure would require Medicaid agencies to exclude individuals or entities from Medicaid participation if the entity or individual owns, controls, or manages an entity that: (A) has unpaid or unreturned overpayments during the period as determined by the Secretary or the state; (B) is suspended, excluded, or terminated from participation in any Medicaid program; or (C) is affiliated with an individual or entity that has been suspended, excluded, or terminated from Medicaid participation during the period. This provision would be effective January 1, 2011.

 

Sec. 8. Payment for Illegal Unapproved Drugs

This provision would ensure that the Medicaid program does not provide reimbursement for covered outpatient drugs that are not approved by the Food and Drug Administration (FDA) under a new drug application (NDA), an abbreviated new drug application (ANDA), or drugs grandfathered under prior FDA determinations.  The Social Security Act currently prohibits the reimbursement of illegal, unapproved drugs which fall outside the definition of a "covered outpatient drug".  However, Medicaid continues to make payments for illegal, unapproved drugs.  For example, in 2008 it was reported that nearly $198 million were paid in reimbursements for unapproved drugs from 2004-2007.

 

This provision would prohibit a state from making a payment for any covered outpatient drug unless the state first verifies with the FDA that such a covered outpatient drug is being legally marketed.  It also would require the FDA to establish a public registry of all drugs that are not approved under an NDA or ANDA and include the drug, the person who listed the drug, and the authority that does not require the drug to receive approval via an NDA or ANDA.

 

Sec. 9. Requiring Individuals or Entities that Participate in or Conduct Activities under Federal Health Care Programs to Comply with Certain Congressional Requests

This provision would require individuals and entities that participate in federal health care programs to comply with requests for documents, information, or interviews by the chairmen or ranking members of committees of jurisdiction.

 

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