Rivermont Collegiate is pleased to announce the following students have been recognized on the Third Quarter Honor Roll:

Upper School Honor Roll (9th - 12th) 

3rd Quarter 2009-10

Headmaster's List (3.85-4.00)

Roshan Babu

Vivek Bobba

Pavane Gorrepati

Alejandra Martinez

Christine Mbakwe

Matthew Newsome

Meghana Pagadala

Kelsey Qu

Darsani Reddy

Asha Tadepalli

Distinction (3.50-3.84)

Vishal Bobba

Souriyo Dishak

Chloe Hall

Basilia Koster

Christopher Mbakwe

Victor Mbakwe

Ramya Prabhu

Darcy Ryan

Joann Weeks

Chi Ieong Wong

Merit (3.00-3.49)

Manas Chimpidi

Archana Chintalapani

Rebecca Cupp

Tristan O'Harrow

Jacob Petre

James Weeks

Middle School Honor Roll (6th - 8th)

3rd Quarter 2009-10

High Honors

(All grades B+ or higher or B or higher for courses designated as Upper School level)

Helena Barber

Katherine Beltz

Madeline Bowman

Sarah Bowman

Adam Dada

Brandon Eckhardt

Christian Elliott

Colin Fly

Michael Garneau

Hannah Hansen

Neha Haque

Summer Lawrence

Victoria Mbakwe

Amanda McVey

Grace Moran

Hayley Moran

Michal Porubcin

Shravya Pothula

Harrison Qu

Suhas Seshadri

Marta Storl-Desmond

Loring Telleen

Honors

(All grades B- or higher or C+ or higher for courses designated as Upper School level)

Jay Dolan

Thatalia Garcia

Karanveer Gill

Abhishek Gowda

Collin Hunt

Lee Meier

Michael Moskaluk

For additional information on Rivermont Collegiate, contact Cindy Murray at (563) 359-1366 ext. 302 or murray@rvmt.org

Rivermont Collegiate is the Quad Cities' only private, independent, non-sectarian, PS-12 college preparatory school, ranked #1 on Iowa's AP Index.

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WASHINGTON - The U.S. Senate tonight rejected an amendment offered by Senator Chuck Grassley to apply the new health care law to the President, Vice President, cabinet members, top White House staff, and the congressional staff who drafted the proposal.

"As a result, President Obama will not have to live under the Obama health care reforms, and neither will the congressional staff who helped to write the overhaul," Grassley said.  "The message to the people at the grassroots is that it's good enough for you, but not for us."

Grassley said congressional leaders have had other opportunities to fix the double standard but have repeatedly opted not to do so.

The health care reform that was enacted on Tuesday includes an amendment Grassley sponsored and got adopted by the Finance Committee, last September, to have members of Congress and their staffs get their health insurance through the same health insurance exchanges where health plans for the general public would be available.  During subsequent closed-door work on a Senate health care bill, Senate committee and leadership staffs were removed from this requirement.

In December, Grassley and Senator Tom Coburn attempted to offer a floor amendment to restore the requirement, but the Senate Majority Leader would not let their amendment come up for a vote.  In addition to Senate committee and leadership staff, the amendment Grassley and Coburn filed during the Senate debate would have made the President, the Vice President, top White House staff and cabinet members all get their health insurance through the newly created exchanges.  It would not have applied to federal employees in the civil service.

Even after the issue was raised through the month of December, Senator Harry Reid's final manager's amendment to the health care reform bill passed by the Senate on Christ Eve still did not restore Grassley's original language, which the Finance Committee approved unanimously.

Grassley said, "It's only fair and logical that administration leaders and congressional staff, who fought so hard to overhaul of America's health care system, experience it themselves.  If the reforms are as good as promised, then they'll know it first-hand.  If there are problems, public officials will be in a position to really understand the problems, as they should."

Grassley said the motivation for his amendments is simple:  public officials who make the laws or lead efforts to have laws changed should live under those laws.  He offered the amendment that was rejected tonight to the reconciliation bill designed to make changes to the health care reforms that President Obama signed into law today.

"It's the same principle that motivated me to pursue legislation over 20 years ago to apply civil rights, labor and employment laws to Congress," Grassley said.  Before President Clinton signed into law Grassley's long-sought Congressional Accountability Act of 1995, Congress had routinely exempted itself.

The Congressional Accountability Act made Congress subject to 12 laws, including the Age Discrimination in Employment Act of 1967, the Americans with Disabilities Act of 1990, Title VII of the Civil Rights Act of 1964, the Employee Polygraph Protection Act of 1988, the Fair Labor Standards Act of 1938, the Family and Medical Leave Act of 1993, the Federal Service Labor-Management Relations Statute, the Occupational Safety and Health Act of 1970, the Rehabilitation Act of 1973, the Veteran's Employment and Reemployment Rights at Chapter 43 of Title 38 of the U.S. Code, and the Worker Adjustment and Retraining Notification Act of 1989.

Grassley also is working to make sure Congress lives up to the same standards it imposes on others with legislation such as his Congressional Whistleblower Protection Act.

As it stands, thanks to Grassley's Finance Committee passed amendment, members of Congress and their personal staffs will be required to obtain their health insurance coverage through the newly created health care exchange.  Members and personal staffs will only be able to use their employer contribution to buy health care coverage in the exchange.  Individuals will receive an age-adjusted contribution from the Office of Personnel Management with which to purchase a plan.

However, because the Senate rejected the amendment offered by Grassley last December and tonight, committee and leadership staff in Congress, as well as the President, Vice President, the President's cabinet and White House staff, will continue to be exempt from many of the reforms facing the rest of the country.

Earlier today, the White House announced that the President planned to participate in the health insurance exchanges that the reform law will begin in 2014.

"This is effectively an endorsement of my amendment to make sure political leaders live under the laws they pass for everyone else, and I appreciate it," Grassley said.  "The principle shouldn't be voluntary for political leaders, though."

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SPRINGFIELD - March 24, 2010. Governor Pat Quinn today issued a statement on the passage of Senate Bill 1946 by the House of Representatives:
"I applaud the Illinois House of Representatives for voting in favor of public pension reform. I am a longtime advocate for pension reform and believe it is crucial for our state to get its public pension costs under control to help save Illinois taxpayers' money now and in the future. The proposed pension reform will stabilize the system, protect current state employees and provide attractive pension benefits to future state workers.  I look forward to the Illinois Senate taking up this important issue and making pension reform a reality in Illinois."
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Rock Island, Ill.-Augustana College will expand its outreach to the Quad-City community this fall with the creation of the Community Engagement Center (CEC). The center will centralize current and new on-campus offices that help students engage in the local, national and international community and provide a center where community partners may access student and faculty expertise.

The CEC will be made up of five offices: the Center for Vocational Reflection, Internship Services, Career Development, Entrepreneurial Development and Off-Campus Programs. The goal of the offices is to prepare and connect students with jobs, internships, and international programs; help build an experiential portfolio through volunteering, service learning and community projects; and meet the needs identified by the Quad-City community and beyond.

Augustana President Steve Bahls sees this new center as a way for the college to continue developing relationships with the community and teaching Augustana students to give back. "By establishing the Community Engagement Center, we seek not only to improve the learning experience of our students through integrative learning, but also to strengthen our continuing efforts in helping students develop personal and social responsibility," said Bahls.

The center is an extension of Augie Choice, an established program which enables students to apply for up to $2,000 to fund an internship, one-on-one faculty-mentored research or international experience. For more information about Augie Choice visit www.augustana.edu/augiechoice.

"The opportunities this new center gives our students -- to be out in the real world and to bring their gifts to the world outside Augustana -- will be a huge benefit to them and to the community," said Dr. Bob Haak, associate dean and CEC director. "We want to offer the resources we have to the great community that we live in."

Community organizations interested in learning more about the Center for Community Engagement and how they can get involved may contact Bob Haak at bobhaak@augustana.edu.

For additional information or requests for interviews, contact Kamy Beattie, director of public relations at (309) 794-7721 or kamybeattie@augustana.edu

About Augustana: Founded in 1860 and situated on a 115-acre campus near the Mississippi River, Augustana College is a private, liberal arts institution affiliated with the Evangelical Lutheran Church in America (ELCA). The college enrolls nearly 2,500 students from diverse geographic, social, ethnic and religious backgrounds and offers more than 70 majors and related areas of study. Augustana employs 287 faculty and has a student-faculty ratio of 11:1. Augustana continues to do what it has always done: challenge and prepare students for lives of leadership and service in our complex, ever-changing world.

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WASHINGTON, March 24, 2010 - In an effort to address childhood hunger and its impact on child development, health and learning, the U.S. Department of Health and Human Services' (HHS) Administration for Children and Families (ACF), and the U.S. Department of Agriculture's (USDA) Food and Nutrition Service (FNS), are notifying states that Temporary Assistance for Needy Families (TANF) funds available through the American Recovery and Reinvestment Act (Recovery Act) can be used to assist families through the Summer Food Service Program (SFSP).

Through this unprecedented collaboration, ACF and FNS are joining forces to help communities provide children with adequate, nutritious meals during the summer. The notice sent to States includes an explanation of how resources under the TANF Emergency Fund provided by the Recovery Act can be used to cover portions of costs associated with running a summer food service site that are not otherwise reimbursed. States can seek 80 percent reimbursement through the Fund for a range of expenditures including the cost of compensation for staff support to provide supervision and programming at summer feeding sites, transportation services to transport food and/or children to feeding sites, recreational activities to attract more youth to program locations and meal preparation costs that are not otherwise reimbursed under the SFSP.

"During these difficult economic times, it is more important than ever to work together across federal, state, and local offices to support children in need.  We look forward to these Recovery Act dollars supporting children this summer since the lack of nutrition for children during summer recess can lead to long term concerns such as illness and other health issues throughout the school year," said HHS Assistant Secretary for Children and Families, Carmen R. Nazario. "HHS and USDA are working diligently to help ensure that TANF funds are available to states to expand participation in the SFSP and ensure that children return to school healthy and ready to learn."

"One of our priorities for reauthorization of Child Nutrition Programs is strengthening the SFSP so that children aren't left out just because school is out. Increasing access to more nutrient-rich foods for our Nation's disadvantaged children is no simple task," said USDA Under Secretary for Food, Nutrition and Consumer Services Kevin Concannon.  "It requires government agencies, the private sector, non-profits and local communities to collaborate to ensure children get the proper nutrition that will help end childhood hunger."

The Summer Food Service Program was created to ensure that children in lower-income areas can continue to receive nutritious meals during long school vacations when they do not have access to school lunch or breakfast.  SFSP encourages communities to provide complete, wholesome meals for children that are served in safe, supervised locations where children can enjoy activities and playing with other children.

For more information and guidance on the TANF Emergency Contingency Fund please visit http://www.acf.hhs.gov/programs/ofa/.

For more information about the SFSP please visit http://www.fns.usda.gov/cnd/summer/.


Regional Surgicenter in Moline has now been honored as a quality endoscopy unit by the American Society for Gastrointestinal Endoscopy (ASGE).  To receive such recognition, an endoscopy unit must demonstrate quality assurance, show proof of accreditation by a recognized accrediting body and complete an ASGE Recognition Course. The Regional Surgicenter is also accredited by the Accreditation Association for Ambulatory Health Care.

As of this time, only 167 endoscopy units have earned the ASGE's recognition throughout the United States.  Earning this recognition is an indication of the high quality of care found at Moline's Regional Surgicenter.

"We are honored to be recognized by ASGE for our efforts to enhance quality and safety in our Surgicenter," said Dr. Rao Movva, President and Medical Director of the Regional Surgicenter and Gastroenterology Consultants, S.C.

The ASGE Endoscopy Unit Recognition Program honors endoscopy units that follow the ASGE guidelines on specialized training, quality assurance, and CDC (Centers for Disease Control) infection control guidelines, as well as completing the training on prin-ciples in quality and safety in endoscopy.

The Regional Surgicenter is an outpatient Ambulatory Surgery Center, providing Gastrointestional endoscopy and related procedures, and also provides multi-specialty surgical procedures.

Sen. Chuck Grassley, ranking member of the Committee on Finance, with jurisdiction over taxes, has worked to hold tax-exempt hospitals accountable for the federal tax benefits they receive.  The health care legislation signed into law yesterday includes provisions Grassley co-authored to impose standards for the tax exemption of charitable hospitals for the first time.  The bill requires that a hospital complete a community needs assessment once every three years and adopt and publicize a financial assistance policy; prohibits billing those who qualify for financial assistance the top rates; and prohibits a hospital from taking extraordinary collection actions if the hospital has not made reasonable efforts to notify patients of its financial assistance policy.   The bill also requires the IRS to review the tax-exempt status of each hospital every three years; requires Treasury and Health and Human Services to submit an annual report to Congress on the level of charity care, bad debt expenses and the unreimbursed costs of means-tested and non-means-tested government programs; and requires Treasury and HHS to provide a report in five years on the trends on the items reported on an annual basis.  Grassley made the following comment on the advancement of these provisions.

"Tax-exempt hospitals don't have many measures of accountability for their special status. The law hasn't given them much direction, and so they've defined standards for themselves.  Sometimes that's resulted in providing very little charitable patient care or other community benefits, failing to publicize charitable care to patients, charging indigent, uninsured patients more than insured patients, and using very aggressive collection practices.  The Government Accountability Office and others, including the former IRS commissioner, have said for a long time that there is often no discernible difference between the operations of taxable and tax-exempt hospitals. These new provisions are modeled after principles and polices that the Catholic Health Association has had in place for years.  I appreciate the association's willingness to have honest, forthright conversations about charitable hospitals' activities. The provisions take steps to differentiate tax-exempt hospitals from for-profit hospitals and provide further transparency about tax-exempt hospitals' fulfilling their charitable mission.  Congress, the IRS, and the public will now have additional tools and information to ensure that charitable hospitals act charitably." 

 

The provisions enacted in the new health care law are the result of Grassley's leadership on tax-exempt organizations' accountability and transparency, including hospitals.   In 2005, he sent letters of inquiry to some of the nation's largest tax-exempt hospitals.  In 2006, he convened a hearing and released a summary of the hospitals' responses.  In 2007, he released a staff discussion draft of potential legislative reforms and convened a roundtable of experts to discuss the potential reforms.  In 2008, he followed up with letters of inquiry to more hospitals and received a report he'd requested from the Government Accountability Office.  In 2009, he drafted legislative reforms and succeeded in persuading the Democratic majority to include several of the reforms in the new health care law.

Financial literacy computer game helps Iowa students learn money management skills

DES MOINES, IA (03/24/2010)(readMedia)-- State Treasurer Michael Fitzgerald introduced a new financial literacy teaching tool to Iowa teachers attending the Future Career and Community Leaders of America (FCCLA) state convention this week in Des Moines. "Financial Football" is an interactive computer game designed to prepare students to make informed personal finance decisions by challenging their knowledge on a host of money topics.

"I think we can all agree that knowing how to manage the money you have is every bit as important as being able to earn it," stated Treasurer Fitzgerald. "Financial Football is a great way to get students interested in personal finances and give them a financial playbook they can use the rest of their lives."

Treasurer Fitzgerald offers "Financial Football" to Iowa schools at no cost, thanks to a special partnership with Visa, Inc. and the NFL. The game comes with individual teaching modules on budgeting, saving and investing, the basics of credit use, and more. "The rules of the money game are complex and subject to change," Fitzgerald stated. "The consequences of poor money management can be costly and leave a lasting impact on a person's life."

The program is already being used across the state to engage students. West Monona High School senior Lauren Fink, part of the FCCLA Financial Fitness peer education team, presented "Financial Football" to 7th graders in her town and received receptive responses from those who participated. "We paired the students up and let them play the game following a structured lesson plan that gave lots of background information to the students," Fink stated. "The kids were having fun without realizing they were learning and were eager to play the game at home with their parents." Fink will be attending South Dakota State University in the fall to study secondary English.

Teachers can request a copy of "Financial Football" by contacting the State Treasurer's Office at 515-281-7003 during normal business hours. An online version of the game is available on the State Treasurer's website at www.treasurer.state.ia.us by clicking on the 'Financial Literacy' tab or by visiting iowa.financialfootball.com.

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WASHINGTON - Senator Chuck Grassley today asked the Special Inspector General for TARP to investigate why the Treasury Department did not follow through on the mandate from Congress in last year's stimulus bill to require that all TARP recipients, including AIG, meet appropriate standards for executive compensation.

"Since the Treasury Department failed to do this, we now see the multi-million severance payments going to departing TARP executives, such as the $3.9 million paid in severance to AIG's former general counsel, who left the job voluntarily," Grassley said.

Grassley also asked the TARP watchdog to determine if Treasury Department officials with potential conflicts of interest were permitted to draft the Treasury regulations that govern executive compensation, including severance at bailed out companies such as Bank of America, AIG and others.

Grassley described his request of the Special Inspector General in a statement placed in today's Congressional Record. The floor statement text is below. Click here to read Grassley's letter of request to the Special Inspector General.

Last week, Grassley questioned the Treasury Secretary about the failure of the Department to act on the congressional mandate to impose appropriate standards on executive compensation. "It seems as if the Treasury Department unnecessarily tied the hands of the Special Master for Compensation before he even assumed his duties," Grassley said. Click here to read that news release and letter.

Floor Statement of Senator Chuck Grassley

AIG Severance Payments

March 23, 2010

Mr. President. I recently asked Secretary Geithner why the Treasury Department is allowing AIG to pay millions of dollars of severance pay to executives given the billions of dollars of taxpayer assistance AIG has received.

At one point I even said that AIG has the American taxpayer over a barrel and that AIG has outmaneuvered the Administration.

Mr. Kenneth Feinberg, the Treasury Special Master for executive compensation, insisted he was not outmaneuvered by AIG.

As it turns out, he was not outmaneuvered by AIG.

Instead, he was outmaneuvered by Secretary Geithner. Let me explain what I mean.

In February, 2009, we enacted the Recovery Act. The law required Secretary Geithner to take control of the runaway executive compensation at companies that the American taxpayer bailed-out.

Congress provided Mr. Geithner with several tools to accomplish this critical job.

By far the most important and most flexible tool Congress gave Mr. Geithner was a general mandate to require bailed-out companies like AIG to meet "appropriate standards" for executive compensation.

This rule was applicable to compensation already in place, compensation in the future, and compensation for all executives, not just a handful of the most senior executives.

What happened to this tool?

Well, even before the law was passed the bonuses, retention awards, and incentive compensation were "grandfathered."

That means that while one part of the statute banned them for a handful of senior executives, another part said they had to be paid if the payments were based on a contract that existed in February, 2009.

We all remember the outrage when people learned that this provision was quietly added by the Senate drafters on the other side of the aisle because it required AIG to pay massive bonuses in March 2009 and again earlier this year.

Secretary Geithner was quoted in the press at the time saying that "Treasury staff" worked with the Senate drafters on the grandfather carve-out.  Well, the damage was done.

The grandfather loophole was law. You might say the American taxpayer was outmaneuvered by Treasury staff too.

The President instructed Secretary Geithner to "pursue every single legal avenue to block these bonuses and make the American taxpayers whole."

The next step required Treasury to implement the law and use the tools Congress gave Mr. Geithner to put the brakes on runaway executive compensation at firms where taxpayers are footing the bill.

What did Treasury do?

One thing Treasury apparently did was hire a Wall Street executive compensation lawyer from a firm that specializes in helping highly paid executives maximize their pay, but more about that later.

Despite the public outcry over the loophole, which permitted AIG employees and others to walk away with millions, Treasury wrote a regulation that actually expands the loophole even further.

That's right, in the face of overwhelming public outrage, Treasury quietly worked to expand the loophole. Let me explain how they did that.

The grandfather provision in the law that Congress enacted protected three things: bonuses, retention awards, and incentive compensation. It did not protect severance. Let me repeat: it did not protect severance.

But in what appears to be an effort to protect severance agreements despite the statutory language, the regulations Treasury drafted expanded the term "bonus" beyond its normal meaning.

Unlike bonuses, severance payments are intended to ease someone out the door, not reward them for doing a great job.  Severance is basically the opposite of a retention bonus.

But, after Treasury drafted the regulation, suddenly, severance payments were also protected by the grandfather loophole, just like bonuses.  Treasury must have known exactly what it was doing.

AIG had an executive severance plan that dated back to March 2008. It was just the sort of contract the grandfather provision would protect if Treasury expanded the loophole.

And what was the impact of the Treasury regulation on the bottom line? What did American taxpayers have to pay?

Because of this regulation, AIG recently paid two of its executives $1 million and $3.9 million in severance pay. We don't yet know how many others have received severance or may receive it in the future.

As the law was passed, these payments would not have been protected by the grandfather provision because they were not a bonus, retention, or incentive payment.

But Treasury officials took care of that. Rather than setting appropriate standards for executive severance payments generally, as the law passed by Congress required, the regulation leaves AIG free to pay excessive severance payments to many of its executives. Then, the American taxpayer gets the bill.

The Recovery Act told Mr. Geithner that he "shall" require each bailed-out company to meet appropriate standards for executive compensation. This command covers all types of executive compensation for all executives, not just bonuses for the most senior executives.

It is a command, not a suggestion. And the grandfather provision that protects certain bonuses does not apply to this more general provision.

But the Treasury regulation almost completely ignores this mandate. It does address one form of executive compensation. The regulation bars tax gross-up payments for senior executives.

That is the practice of allowing the company to pay the executive's income taxes for him. Now don't get me wrong -- tax gross-up payments should be banned for companies that were bailed-out, and I am glad to see that this was done.

But Congress gave Mr. Geithner a powerful tool that should have been used to curb other types of inappropriate executive compensation as well.

That includes tax gross-ups, extravagant severance payments, and other goodies Wall Street thinks it's entitled to.

Secretary Geithner should have used the tool as it was intended.  It's like using a big tractor to plow a little flower garden.

There's nothing wrong with banning tax gross-ups or planting flower gardens, but you could have done so much more with the tool you had.

If Secretary Geithner had done what he was directed to do in the law, we would not be witnessing this spectacle.

AIG is paying multimillion dollar severance payments at taxpayer expense to executives who chose to resign rather than work for the maximum salary of $500,000 per year set by the Special Master.

This is a scandal as far as I am concerned. The American taxpayer, as well as Mr. Feinberg, was outmaneuvered by Secretary Geithner and his staff. And it all happened before the Special Master's first day on the job.

There is another troubling matter that I must address. I mentioned earlier that the Treasury Department hired at least one Wall Street executive compensation lawyer from a firm that specializes in helping wealthy executives maximize their pay.

There is nothing wrong, as a general matter, with hiring talented people with expertise in technical legal subjects to draft regulations and administer the law.

But there are some red flags here that need a little sunshine.  We need to be sure that the people working on these issues at Treasury have dealt with any potential conflicts of interest carefully and openly.

Recently I learned that at least one Treasury official previously worked for Wachtell, Lipton, Rosen and Katz, a top Wall Street law firm.  Wachtell, Lipton has represented at least two former AIG executives.

The firm's job was to look-out for the interests of the executives, not the shareholders.  They were paid to make sure the compensation contracts, including severance provisions, were as generous as possible for their clients.

Wachtell, Lipton also represented Bank of America on its controversial Merrill, Lynch acquisition in 2008.  A Wachtell attorney who worked on that deal joined Treasury in the spring of 2009.

He said that he then worked on the Treasury executive compensation regulations.  These are the regulations I have been describing: the regulations that were to govern AIG, Bank of America and all of the other bailed-out companies.

This situation raises a host of questions, for example:

• How many other Treasury officials have similar potential conflict issues?

• Why wasn't the attorney recused from participating in the drafting of a regulation that was going to have a direct effect on Bank of America, his former client, and AIG executives, his firm's former clients?

• Did the attorney comply with the revolving door provision of the President's Executive Order, which prevents appointees from working on matters that relate to their former clients?

• The President has committed to publicly disclosing all the waivers issued to exempt appointees from his ethics executive order.  If this attorney recused himself, as he should have, why was that recusal not also disclosed so that the public would know about the potential conflict?

At a minimum there is the potential for an appearance of impropriety here.

What we know so far raises serious questions and red flags.  But there also are facts we do not know.

Therefore, I am asking that the Special Inspector General for TARP investigate these issues and report his findings to Congress and the public as soon as possible.

Specifically, I am asking the Inspector General to examine why Treasury did not set appropriate compensation standards pursuant to Section 111(b)(2) of the Recovery Act sufficient to prevent severance payments like those AIG recently paid to its former General Counsel and Chief Compliance Officer.

I am also asking him to determine whether Treasury officials working on executive compensation matters have fully complied with the revolving door provision of the President's Ethics Executive Order.

In the meantime, there are still numerous documents that I have requested that have not been provided to me despite assurance that I was going to get them.

There are many questions I have asked that remain unanswered, and I will continue to seek information on these issues.

I call on Secretary Geithner to stop stonewalling.  Oversight is important.  Oversight is necessary to protect the American taxpayer.  I take that duty seriously, and I am not going away.  American taxpayers deserve to know where their money is going.

WASHINGTON - (March 23, 2010) - Senator Chuck Grassley said today that he will offer an amendment for rural health care equity during Senate debate on the health-care reconciliation bill. Grassley said at issue is how Medicare calculates payments to physicians and unfairly penalizes rural doctors, making it increasingly difficult for rural Medicare beneficiaries to find a doctor.

Grassley said his amendment this week would repeal the special deal for five selected frontier states that became law today when the President signed health-care reform legislation. The higher payments given to these five states, North Dakota, South Dakota, Montana, Wyoming and Utah, come at the expense of every other state and will make it more difficult to secure passage of formula changes to achieve equity for rural states nationwide. The Grassley amendment would improve physician payments for all rural states, not a selected few.

Grassley said his amendment to the reconciliation bill also would make clear that a side agreement reported over the weekend between House members and the Secretary of Health and Human Services for an Institute of Medicine study about geographic disparity cannot interfere with the clear-cut improvement made during Senate debate on the health care bill to improve the accuracy of the data the government uses to factor in physician practice costs in determining Medicare payments. Last September, the Finance Committee adopted a Grassley amendment to make this change. The Senate proposal was much stronger than the health care bill in the House of Representatives because the House bill only had a study to make recommendations.  It didn't make actual improvements to the status quo for rural providers.

"I want to make sure the agreement with Secretary Sebelius that somehow accompanies the House health-care reconciliation bill, cannot un-do the actual formula fix established by the Grassley amendment in the health-care reform bill to secure more equitable payment for doctors serving Medicare beneficiaries in rural areas," Grassley said.

The Grassley amendment that's part of the health-care reform that became law today tells Medicare officials to use accurate data. Grassley said his concern is "if the House reconciliation bill results in the Institute of Medicine coming up with different data and makes recommendations that aren't consistent with the requirements for the practice-expense geographic adjustments that are now law, we could be back where we started, or worse off. It's  unclear what was agreed to between Secretary Sebelius and the House, and what the advantage is for rural health care equity for physicians, so anything could happen."

The senator said that another concern is that descriptions of the study promised by the Secretary of Health and Human Services say it would be part of the work of the new Independent Payment Advisory Board.  "The purpose of that Board is to cut Medicare spending, which likely will not result in improvements for rural areas," Grassley said.

"I hope senators don't let politics get in the way of making sure these important policies are established in a way that is equitable and fair. These formulas determine how well Medicare works, or doesn't work, for beneficiaries in rural states," Grassley said.

Separately, the health-care reconciliation bill passed by the House and pending in the Senate also raises questions by creating a new reimbursement cliff for doctors in Medicaid, on top of the physician payment formula problem that exists already in Medicare. "As bad as the physician payment problem is in Medicare, House members now have set up the same kind of problem in Medicaid. The health care reform bill puts another 16 million Americans in Medicaid, so Medicaid's problems will get even bigger. That's a disservice to beneficiaries in both programs," Grassley said.

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