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Today is Wednesday, November 12, 2008

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Did GOP Break Law

Republicans Won't Answer About Hiding Medicare Cost

April 2, 2004 - Republicans on Thursday shut down efforts to learn if  the Bush administration acted illegally last year when it withheld its estimate of the "real" cost of the Medicare prescription drug bill from Congress.

“At issue are allegations that then-Medicare administrator Thomas A. Scully threatened to fire his top actuary if he gave lawmakers his analyses showing the costs would be higher than administration officials were saying publicly. Thursday's conclusion of a Ways and Means Committee hearing all but ensured that two individuals central to the controversy -- Scully and White House aide Doug Badger -- will not testify before Congress,” according to Vicki Kemper, writing for the Los Angeles Times.

Bush administration officials said they acted legally in ordering the nation's top Medicare cost analyst to keep from lawmakers his estimate that the new Medicare prescription drug benefit might cost more than $100 billion over what Congress was willing to pay, according to Tony Pugh, reporting for Knight-Ridder Newspapers.

Former Medicare administrator Thomas Scully, now a health-care lobbyist, declined to appear before the House Ways and Means Committee to defend himself, but did release a written statement, reported by Pugh.

Richard Foster, chief actuary at the Centers for Medicare and Medicaid Services, believed, according to Scully, that "he was free to make decisions about when or how to respond to congressional inquiries relating to cost estimates generally, and, in particular, the Medicare Reform bill."

"Simply put, I disagreed," Scully wrote, "and there is no question whatsoever that I made it very clear to Mr. Foster, both directly and indirectly, that I, as his supervisor, would decide when he would communicate with Congress."

Scully did not address Foster's assertion that he threatened to fire the actuary if Foster shared his data with lawmakers, which Knight Ridder first reported March 11.

The Health and Human Services Department is also conducting an internal investigation into the matter and Democratic lawmakers have requested civil and criminal probes.

Ways and Means committee Democrats had asked Scully and Badger to answer questions about when President Bush and other top-ranking officials were told that internal estimates of the Medicare bill's cost were more than one-third higher than the $400 billion Bush had set aside, and why those analyses had not been shared with lawmakers.

But White House counsel Alberto R. Gonzales, in a letter to committee chairman Bill Thomas, R-Calif., cited "long-standing White House policy" against having White House staff testify before Congress as the reason Badger would not appear.

And Scully, now a private consultant, said in a letter to Thomas that he was unable to appear before the committee because "unfortunately, for the past ten days I have been traveling."

Committee Democrats rejected both explanations. In the case of Badger, they said that at least 45 high-ranking Clinton administration officials had testified before Congress; in the case of Scully, they offered to let him appear at a later time. But Republicans squashed the Democrats' attempts to subpoena the men.

Republican committee members accused the Democrats of trying to capitalize on the controversy, which erupted last month when Medicare actuary Richard S. Foster told reporters that Scully had threatened to fire him if he responded to Democratic requests for analyses of the pending legislation.

As for preliminary estimates by Foster indicating that the Medicare bill could cost as much as $551 billion over 10 years, Thomas said the information "probably would not have enlightened Congress as much as confused Congress." Thomas chaired the House-Senate conference committee that finalized the legislation.

In January, the Bush administration revised the estimated cost of Medicare overhaul to $534 billion.

Democrats, who noted that the original Medicare bill passed the House in June by just one vote, charged that a broader constitutional issue was at stake: How far can the executive branch go in withholding information from Congress that could affect the outcome of a vote?

Information from Knight-Ridder Newspapers, Associated Press and the Los Angeles Times was used in this report.

 

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