WASHINGTON - Sen. Chuck Grassley of Iowa and Sen. Orrin Hatch of Utah are asking the Centers for Medicare and Medicaid Services (CMS) to account for how much federal money it has given to each state health care exchange, how much money it has identified as misused, what it can do to recover money for unallowable activities, and how much money for unallowable activities it has recovered.

"Given the continuing failure of SBMs (state-based marketplaces or exchanges) and the use of taxpayer funds for unallowable activities, CMS has an elevated responsibility to ensure that any future funding to SBMs is appropriate and that SBMs fulfill all grant terms and conditions," Grassley and Hatch wrote to CMS Acting Administrator Andrew Slavitt.  "With the ongoing risk that more SBMs will shut down or partially transition to the federal IT structure, and the continuing threat that SBMs will use taxpayer funds for unallowable activities, it is imperative to determine the full cost to the taxpayer of the failures thus far, and what funds the federal government has been able to recover."

Grassley and Hatch described the failure of Maryland's exchange as an example of a murky outcome for federal taxpayers.  As a result of a lawsuit, the Maryland exchange's prime contractor settled with the state for $45 million.  That amount appears to contain federal funds, since the federal government provided $179 million to create the Maryland exchange.  Grassley and Hatch said Slavitt wrote in a prior response that CMS is working with the Maryland SBM so that funds are returned to the Treasury.  The senators wrote, "but it is not clear what specifically the federal government is doing to recoup these federal monies."

The Grassley-Hatch letter to Slavitt is available here.  Their prior letter to Slavitt is available here.  Slavitt's response to the prior letter is available here.

Hatch is chairman and Grassley is former chairman and a senior member of the Finance Committee, with jurisdiction over federal health care programs.

 

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The course is interactive and breaks down money management into five key steps including goal setting, evaluating current spending, and making and following a spending plan. Each step provides one or more tools for participants to use in completing that step for themselves. The five steps are logically connected and it is easy to advance from one to another. It is possible, however, to jump around in the material according to individual needs and interests.

"The Take Control of Your Money course is especially useful for people whose finances are changing, who are just starting out on their own or who want to turn over a new leaf with stronger financial management," Wollan said. "It also can help people who are having financial difficulties, although it is not designed to solve serious financial crises."

Special topics covered in the course include dealing with debt, building financial security and family communication about money.

"Take Control of Your Money is practical and adaptable," said Wollan. "It isn't a strict regimen you have to follow. Rather, it's a set of strategies and an overall philosophy you can adapt and personalize."

To enroll in Take Control of Your Money, a free Web course, please visit www.extension.iastate.edu/humansciences/take-control.

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Davenport, IA: On November 1st, 2015, Quad-City based company Medix Dental received national PACE (Program Approval for Continuing Education) approval from the Academy of General Dentistry (AGD). The AGD is the second largest dental association in the world, behind the American Dental Association (ADA).

Medix Dental, a dental technology company, is one of nine total PACE providers in the state of Iowa. They join a select group of providers committed to offering quality continuing education programs to dentists all over the country. The programs provide dentists with educational credits required for their ongoing state licensure renewals.

"We've long noticed a significant lack of resources and guidance in the dental technology industry," says Tom Terronez, President of Medix Dental. "We look forward to offering dentists the tools they need to make informed decisions about practice technology, data security, and HIPAA compliance. We're truly inspired to provide thoughtful educational programs to help dental professionals navigate the ever-changing technology landscape."

Dentists interested in upcoming CE courses should refer to the AGD website at agd.org, or Medix Dental's website at medixdental.com. New courses will be posted frequently, so check back regularly for CE course options.

About Medix Dental

Medix Dental (medixdental.com) partners with dental practices all over the nation to manage their IT as well as advise strategically on practice technology decisions and compliance. By becoming an extension of their clients' practices, Medix Dental is able to minimize technology issues, increase practice profitability, and improve practice contentment.

Prepared Statement by Senator Chuck Grassley of Iowa

Chairman, Senate Judiciary Committee

Hearing on "Puerto Rico's Fiscal Problems:

Examining the Source and Exploring the Solution"

December 1, 2015

 

Good morning. The purpose of today's hearing is to learn more about the origin of Puerto Rico's fiscal problems, and what's needed to help restore fiscal balance and economic growth.  It's my hope that we'll have a valuable discussion based on facts, and informed by our witnesses' expertise.

Puerto Rico's debt crisis didn't happen overnight. It's been years in the making. Fundamentally, the starting point for any solution is to first identify the problem and understand its size and scope.  Unfortunately, confusion reigns as Puerto Rico has failed to provide audited financial statements for the past two years.

What we do know is that for many years as Puerto Rico's economy suffered, debt and spending increased to the point where the Island lost investor confidence. Puerto Rico has defaulted on certain debt obligations, lost access to the normal markets, and now faces a liquidity crisis.  The Governor and others have stated that the Island's current debt "is not payable."

Puerto Rico's economy has suffered for decades in part because of barriers to job creation and labor force participation. The federal minimum wage mandate, generous entitlement programs, bureaucratic red tape, and a bloated public sector have stifled business activity. This has a direct impact on Puerto Rico's residents, who are our fellow U.S. citizens. High unemployment rates have resulted in a declining population as Puerto Ricans have left the Island in search of jobs. A diminished population means lower tax revenues to fund government spending.

Despite these long-term economic challenges, for many years Puerto Rico maintained a balanced budget and high credit ratings on its debt. What, then, led to the fiscal crisis the Island faces today? While the economic challenges may be debatable, it's clear that since 2000, Puerto Rico's public debt has risen from 60 percent of GDP to now more than 100 percent. This is an indication of serious fiscal mismanagement.

Thanks to the highly attractive triple-tax exempt status of its bonds, it was easier for Puerto Rico to borrow and paper over deficits, rather than address financial shortcomings and economic realities in order to balance its budget.  The consequence of this decision is an accumulation of approximately $72 billion of debt, arising from roughly 17 different debt issuers.  This includes more than $18 billion in constitutionally protected general obligation debt.  And, also around $24 billion in debt issued by public corporations, like the Puerto Rico Electric Power Authority (PREPA).

Moreover, because of its triple-tax exempt status, a wide array of investors own Puerto Rican bonds. According to Bloomberg, Puerto Ricans alone hold $20 billion of the debt.  And nearly 60 percent of Puerto Rico's debt is held largely in the individual retirement accounts and 401(k)'s of regular folks throughout the U.S.  I'm told that approximately 16,000 Iowans are invested in funds that hold PREPA bonds. These folks aren't vultures. They're middle-class Americans who probably knew little about Puerto Rico's finances. They simply invested in one of many tax-exempt municipal bond fund's containing Puerto Rico's bonds.

Notwithstanding all of this, we're told that Puerto Rico's debt needs to be restructured in order to address its fiscal challenges.  Puerto Rico, though, lacks access to an orderly debt restructuring mechanism, like Chapter 9 of the bankruptcy code. Thus, Congress has been called upon to extend Chapter 9 to Puerto Rico's public corporations. Or to create a broad new bankruptcy regime, dubbed "Super Chapter 9," to restructure all debt, including the Island's constitutionally guaranteed general obligation bonds. According to a recent New York Times article, "advisers to the island's government have been urging the governor to default on the debt, saying that only a catastrophe would move Congress - especially Republicans - to help." I hope the Governor will tell us whether this is accurate. It would trouble me greatly if true.

This isn't the first time Congress has been asked to help address a situation like Puerto Rico now faces. In the past, we've provided help in a bipartisan way. During the 1990s, the District of Columbia faced its own fiscal crisis, as it was insolvent and unable to pay its bills. Congress worked with District and Clinton Administration officials to pass the District of Columbia Financial Responsibility and Management Assistance Act in 1995.  We'll hear more about the response to that crisis and others from our witnesses today.  I'll note that Congress considered extending Chapter 9 to the District of Columbia, but decided that there was "little practical significance or advantage to such a legislative gesture."  As the committee report to the bill stated, "the issues facing the District of Columbia . . . require political and structural, as well as financial remediation."

One of the reasons extending Chapter 9 to the District was rejected is because it's designed primarily to restructure and decrease municipal debt. The idea being that relief from creditors is what's needed in order to gain a fresh start. But Chapter 9 cannot bring about financial rehabilitation. It does not increase economic growth or alter the fundamental fiscal trajectory.  In short, Chapter 9 cannot address the root causes of fiscal problems, but instead pushes them off to future generations.

As for "Super Chapter 9," this is something that no State can do, and has been described as "unprecedented in the American context."  It would be a bad idea, with negative consequences, for Congress to permit Puerto Rico to walk away from its constitutional debt obligations.  Unlike other bonds, constitutional debt, whether issued by Puerto Rico or a State, has that government's full faith and credit commitment to repay the debt.

Let's not forget that Puerto Rico issued its bonds with the knowledge that Chapter 9 bankruptcy wasn't an option in the event of a default.  Is it fair to retroactively change the rules at the expense of these investors, if other options exist for addressing Puerto Rico's debt problems?  At the very least, this is an idea that should be at the end of the line, not the front.

The challenges Puerto Rico faces are great and require more than just short-term solutions that don't provide long-term relief. The debt is a symptom of a bigger problem.  Merely extending debt restructuring authority, absent tools to address the fundamental causes of the fiscal problem, is not a long-term solution that will help Puerto Rico.

Puerto Rico has struggled to make the difficult decisions to cut spending and balance its budget. If Congress is to act, then we must ensure that Puerto Rico has the tools to help itself out of this situation. Today's hearing can help us identify what may, or may not, need to be looked at for Puerto Rico to get its balance sheet back in order.

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DES MOINES, IA (12/01/2015)(readMedia)-- Earlier this fall, my office launched a new financial literacy initiative introducing families across Iowa to the benefits of using a 529 plan to save for a loved one's higher education. College Savings Iowa InFocus is an interactive learning experience that serves as a testament to our message: by starting early, saving regularly and making smart investment choices, families can make their savings work for them.

Our 10 minute tutorial explores the ins-and-outs of 529 plans and details the specific benefits of College Savings Iowa. Along with this great learning opportunity, we are offering even more ways to grow your college savings: anyone who completes the tutorial is automatically registered to win a $1,000 College Savings Iowa account. For those families who take the first step towards saving, we are also contributing an additional $10 to the first 500 people who complete the tutorial and open a College Savings Iowa account. The newly established accounts must have a minimum $25 contribution and be opened within seven days of tutorial completion to be eligible for the $10 contribution. Visit Iowa529InFocus.com to complete the tutorial and see the official rules.

An investment in your children's education is an investment in their future. I encourage you to make time to evaluate your college savings strategies today. With the cost of higher education rising faster than inflation, nearly every family will face the question of how to pay for it when the time comes. Thankfully, the answer is quite simple - start saving today!

Also, be sure to join the college savings conversation by following us on Facebook and Twitter (@Iowa529Plan) to learn about future giveaways, college savings tips and events.

Help make college a reality for the children in your life by starting to save today - you will be glad you did!

Michael L. Fitzgerald

Treasurer of State

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Investment returns are not guaranteed and you could lose money by investing in the plan. Participants assume all investment risks as well as responsibility for any federal and state tax consequences. If you are not an Iowa taxpayer, consider before investing whether your or the designated beneficiary's home state offers any state tax or other benefits that are only available for investments in such state's qualified tuition program.

For more information about the College Savings Iowa 529 Plan, call 888-672-9116 or visit CollegeSavingsIowa.com to obtain a Program Description. Investment objectives, risks, charges, expenses and other important information are included in the Program Description; read and consider it carefully before investing.

MRA - The Management Association, 3800 Avenue of the Cities, Suite 100 in Moline, Illinois will hold several training events in January 2016. All sessions are from 8:30 a.m. to 4:30 p.m.

Jan. 14 & 28: Principles of Leadership Excellence Module 1: Trust and Influence. Cost is $505 for MRA members, $670 for nonmembers. (Special pricing for entire six-session series).

Jan. 19: Coaching for Development: An Integrated Approach for Managers.  Cost is $335 for MRA members, $445 for nonmembers.

Jan. 22: Problem Solving Techniques. Cost is $305 for MRA members, $405 for nonmembers.

Jan. 27: Supervisor & The Law. Cost is $305 for MRA members, $405 for nonmembers.

To register, or for more information, contact Kathy Riley at 309-277-4186 or Kathy.riley@mranet.org, or visit mranet.org/Training-Events.

About MRA-The Management Association
Founded in 1901, MRA-The Management is a not-for-profit employer association that serves more than 4,000 employers throughout the Midwest, covering 800,000+ employees. As one of the largest employer associations in the nation, MRA helps its member organizations thrive by creating powerful teams and safe, successful workplaces. MRA conducts more than 2,000 learning events each year. Members of MRA also receive access to expert guidance, best practices, professionally facilitated roundtables, essential tools, and dozens of business services in the areas of human resources and training. MRA is headquartered in Waukesha, Wis., and has regional offices in Palatine, Ill.; Moline, Ill.; and Plymouth, Minn. To learn more and to become a member of MRA, visit www.mranet.org.

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(DES MOINES)  - Gov. Terry E. Branstad and Lt. Governor Kim Reynolds announced today that they will be holding the annual public budget hearing on Wednesday, Dec. 2 at 4:30pm.

Wednesday, December 2, 2015

4:30 p.m.                           Gov. Branstad and Lt. Gov. Reynolds attend public budget hearing

Governor's Office-Robert D. Ray Conference Room

Iowa State Capitol

Des Moines, IA

 

Note: Due to limited space, credentialed media should RSVP to ben.hammes@iowa.gov.

 

The hearing will also be livestreamed at www.youtube.com/GovernorBranstad.

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Sen. Chuck Grassley of Iowa is investigating the compressed natural gas station in Afghanistan that cost the U.S. taxpayers $43 million, as much as $42.5 million more than it should have, and the Pentagon task force that oversaw the construction.  The task force spent $800 million in total on the gas station and other similar projects.  The Special Inspector General for Afghanistan Reconstruction reported on the gas station cost over-run and cited a lack of cooperation from the Pentagon with its auditors.  Grassley is seeking full cooperation from the Pentagon with SIGAR.  SIGAR confirmed to Grassley that it has "several ongoing criminal investigations" related to the task force, called the Task Force for Business and Stability Operations (TFBSO).  SIGAR cannot discuss the specifics of those investigations.  Grassley made the following comment on this development.

"Everybody responsible for the tremendous waste of U.S. tax dollars on the gas station and any other projects ought to be held accountable.  That includes any warranted criminal cases.  I expect the Pentagon to cooperate fully with the inspector general and with my office in all inquiries involving the task force.  With the poor track record reported on the auditing side, there's reason to be skeptical on the level  of cooperation with the inspector general on the criminal side."

Temkin Group ranks Hy-Vee seventh out of nearly 300 companies across 20 industries

WEST DES MOINES, Iowa (Nov. 23, 2015) – Hy-Vee, Inc. recently ranked seventh in the 2015 Temkin Loyalty Index, which evaluates the loyalty of 10,000 consumers to 293 companies across 20 industries. The annual index was released last week and is based on evaluating consumers' likelihood of repurchasing from the company, recommending it to others, forgiving it if it makes a mistake, trusting it and trying its new offerings.

Overall, the nationwide analysis found that grocery chains, fast food chains and retailers were the most likely to inspire high loyalty levels. Hy-Vee, which has 240 stores across eight Midwestern states, outperformed the industry average with a score of 70 percent. The evaluation also found that Hy-Vee led across all industries in consumers' likelihood to recommend the company to others.

"We are proud to be recognized for the loyalty our customers show," said Sheila Laing, executive vice president and chief customer officer for Hy-Vee. "At Hy-Vee, our brand promise is to provide customers with exemplary service through our employees' helpful smiles. We feel that we have the best customers in the industry, and this honor further demonstrates that they believe in us."

The Temkin Group is a customer experience research and consulting firm. For more information about the 2015 Temkin Loyalty Index, visit http://www.temkingroup.com/research-reports/2015-temkin-loyalty-index.

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Hy-Vee, Inc. is an employee-owned corporation operating 240 retail stores across eight Midwestern states with sales of $9.3 billion annually. Hy-Vee ranks among the top 25 supermarket chains and the top 50 private companies in the United States. Supermarket News, the authoritative voice of the food industry, has honored the company with a Whole Health Enterprise Award for its leadership in providing services and programs that promote a healthy lifestyle. For more information, visit www.hy-vee.com.

Learn about 529 plans and be registered to win a $1,000 College Savings Iowa Account!

DES MOINES, IA (11/19/2015)(readMedia)-- State Treasurer Michael L. Fitzgerald wants to encourage online shoppers to give the gift of college savings this Cyber Monday. "Take a 10 minute break between virtual shopping sprees to learn the ins-and-outs of 529 plans, and be registered to win a $1,000 College Savings Iowa account!" Fitzgerald said. "College Savings Iowa InFocus is an interactive learning experience that introduces the benefits of saving for the higher education of a loved one." Visit Iowa529InFocus.com to complete the tutorial and see official rules.

"As a way to make your Cyber Monday a little sweeter, College Savings Iowa is also offering an additional $10 contribution to the first 500 people who complete the tutorial and open a College Savings Iowa account," Fitzgerald added. "This is a great way to get a jump start on your child's future!" The newly established accounts must have a minimum $25 contribution and be opened within the first seven days of tutorial completion to be eligible for the $10 contribution.

College Savings Iowa offers families a tax advantaged way to save money for their children's higher education. It only takes $25 to open an account, and anyone - parents, grandparents, friends and relatives - can invest in College Savings Iowa on behalf of a child. Iowa taxpayers have the additional benefit of being able to deduct contributions up to $3,163 per beneficiary account from their 2015 Iowa adjusted gross income.*

Investors do not need to be a state resident and can withdraw their investment federally tax-free to pay for qualified higher education expenses, which includes tuition, books, supplies and certain room and board costs at any eligible college, university, community college or technical training school in the United States or abroad.**

. For more information about future giveaways and events find College Savings Iowa on Facebook and Twitter (@Iowa529Plan).

*Adjusted annually for inflation. If withdrawals are not qualified, the deductions must be added back to Iowa taxable income.

**Earnings on nonqualified withdrawals may be subject to federal income tax and a 10% federal penalty tax, as well as state and local income taxes. The availability of tax or other benefits may be contingent on meeting other requirements.

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Investment returns are not guaranteed and you could lose money by investing in the plan. Participants assume all investment risks as well as the responsibility for any federal and state tax consequences. If you are not an Iowa taxpayer, consider before investing whether your or the designated beneficiary's home state offers any state tax or other benefits that are only available for investments in such state's qualified tuition program.

For more information about the College Savings Iowa 529 Plan, call 1-888-672-9116, or visit CollegeSavingsIowa.com to obtain a Program Description. Investment objectives, risks, charges, expenses, and other important information are included in the Program Description; read and consider it carefully before investing. Vanguard Marketing Corporation, Distributor.

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