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Upton Votes to Protect Taxpayer Dollars under Mismanaged Health Care Law

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Washington, DC, September 12, 2013 | Lynn Turner / Nick Culp (269-385-0039 / 202-225-3761) | comments

Congressman Fred Upton, R-St. Joseph, voted today to bring greater accountability to Michigan taxpayers by preventing fraudulent and wasteful payments under the Affordable Care Act.

On July 5, 2013, while many Americans were enjoying a long Independence Day weekend with loved ones, the U.S. Department of Health and Human Services (HHS) dumped more than 600 pages of new health care regulations into the public domain. Buried within those pages was the HHS report stating the government would not be able to verify whether individual applicants qualify for taxpayer-funded insurance exchange subsidies. Instead, the administration would resort to relying on self-attestation and sample audits to “protect” the integrity of the new $1.1 trillion entitlement program. Some estimate this change could leave taxpayers on the hook for as much as $250 billion in fraudulent subsidy payments during the next decade.

Today’s House-passed No Subsidies Without Verification Act, H.R. 2775, simply requires that an accurate eligibility verification system be put in place before subsidies are dispersed, thereby protecting taxpayer dollars before they go out the door. H.R. 2775 passed the House in a bipartisan vote of 235-191.

Upton, who serves as Chairman of the House Energy and Commerce Committee, issued the following statement on today’s legislation:

"H.R. 2775, the No Subsidies Without Verification Act, is an important step in reducing government waste, fraud, and abuse while protecting taxpayers from another costly burden of the health care law.

“On Friday, July 5th, as Americans were still celebrating our nation’s independence, the Department of Health and Human Services quietly released more than 600 pages of new heath law regulations. Buried on page 350 was a bombshell announcement that the government would no longer verify that each applicant for exchange subsidies actually qualified for federal assistance. Instead, because the administration was woefully behind schedule and ill prepared despite the law being signed over three years ago, officials decided to rely on self-attestation and sample audits. This lack of oversight for a $1 trillion entitlement program is beyond belief.

“This drastic policy change creates significant problems. Those who self-attest will continue to receive subsidies during audits that could take up to one year. Not verifying applicants’ eligibility could result in potentially hundreds of billions of dollars in fraudulent payments funded by the American taxpayers. As of today, no official changes have been made to the rule and no information regarding the timeframe to verify eligibility has been provided to Congress. 

“This legislation would prohibit the government from offering subsidies until a system is put in place to verify people’s eligibility and requires the HHS Inspector General to confirm subsidies are only issued to those Americans who qualify for them. H.R. 2775 also prevents the ‘pay and chase’ of fraudulent claims that plagues the health care system.

“This is a bipartisan issue we cannot ignore.  Our Senate colleagues are also working to address this problem and passed a similar measure through the Senate Appropriations Committee by unanimous consent.

“Federal agencies continue to lose billions of dollars a year to waste, fraud, and abuse. Enough is enough.  Taxpayers should not have to pay the price for the administration’s failure to get its work done on time. This is the right policy and it makes sense. I thank Diane Black and Renee Ellmers for their leadership.”

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