Special Inspector General for Monitoring the Affordable Care Act (SIGMA)


Special Inspector General for Monitoring the Affordable Care Act (SIGMA)

Image courtesy of [Grant Cochrane] / FreeDigitalPhotos.net

Congressman Peter Roskam (R-IL) introduced H.R. 4158, legislation that would create a Special Inspector General for Monitoring the Affordable Care Act (SIGMA).

“From the time the bill was being drafted in secret in then-Speaker Nancy Pelosi’s office to the healthcare law’s current implementation, the public has been largely kept in the dark about a law that puts the federal government in charge of one sixth of the economy and is wreaking havoc on Americans’ personal healthcare decisions,” said Roskam.  “Congressional oversight of the law has been dogged, but the Administration has repeatedly stonewalled investigators and been less than forthcoming with the public.  The American people have a right to a fair and full accounting of the healthcare law, including what decisions are being made, how the law is performing and how it will impact them and their families.  Only an independent, Congressionally-authorized Special Inspector General with the authority to reach into the many federal departments, state governments, outside contractors and a deeply involved White House can provide the much-needed transparency and accountability in a way that no single oversight official currently can.”

H.R. 4158 would require the Special Inspector General for Monitoring the Affordable Care Act to provide a report to Congress within 120 days after appointment, followed by quarterly reports and audits that would span every aspect of the healthcare law, from the impact on out-of-pocket costs, to shrinking provider networks, contracting, the role of the Independent Payment Advisory Board in cutting Medicare benefits and much more.  SIGMA would also be equipped with the same investigative and law enforcement authority as standing Inspectors General, including subpoena and audit powers to compel responses from the Administration.

“With the president’s legacy so closely tied to the success of the healthcare law, the Administration is operating under a win-at-all-costs mindset,” said Roskam.  “The White House is changing rules and bending policy to serve their political needs, without regard to the uncertainty and new costs such moves create for Americans forced to live under the law.  Only yesterday the Administration waived the minimum coverage requirements for insurance policies-an aspect of the law the Administration describes as foundational–for the express purpose of preventing a wave of health policy cancellations from hitting Americans just before the midterm elections.  With a SIGMA in place, examining the healthcare law in real time, the Administration’s PR machine will no longer be the only source of information on the healthcare law and its performance.  Finally, we will be able to get real answers for the public.”

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