I 

113TH CONGRESS 

2D SESSION H. R. 4158 

To establish the Office of the Special Inspector General for Monitoring the 

Affordable Care Act, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 6, 2014 

Mr. ROSKAM (for himself, Mr. JORDAN, Mr. HENSARLING, Mr. MULVANEY, 

Mr. MEADOWS, Mr. RICE of South Carolina, Mr. STUTZMAN, Mr. YOHO, 

Mrs. BACHMANN, Mr. FLEMING, Mr. GRAVES of Georgia, Mr. GOWDY, 

Mrs. LUMMIS, Mrs. BLACK, Mrs. BLACKBURN, Mr. CHAFFETZ, Mr. 

KELLY of Pennsylvania, Mr. LAMBORN, Mr. LANCE, Mr. MURPHY of 

Pennsylvania, Mr. MCHENRY, Mrs. NOEM, Mr. RIBBLE, Mr. ROE of Tennessee, Mr. ROONEY, Mr. TIBERI, Mr. WALBERG, Mr. WEBSTER of Florida, Mr. SOUTHERLAND, Ms. ROS-LEHTINEN, Mr. HARRIS, Ms. HERRERA BEUTLER, Mr. MESSER, Mr. DUNCAN of South Carolina, Mr. RODNEY DAVIS of Illinois, Mr. BYRNE, and Ms. JENKINS) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Natural Resources, Education and the Workforce, Ways and Means, Oversight and Government 

Reform, House Administration, the Judiciary, Rules, and Appropriations, 

for a period to be subsequently determined by the Speaker, in each case 

for consideration of such provisions as fall within the jurisdiction of the 

committee concerned 

A BILL 

To establish the Office of the Special Inspector General 

for Monitoring the Affordable Care Act, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Special Inspector Gen3 eral for Monitoring the ACA Act of 2014’’ or the ‘‘SIGMA 

4 Act of 2014’’. 

5 SEC. 2. SPECIAL INSPECTOR GENERAL FOR MONITORING 

6 THE AFFORDABLE CARE ACT. 

7 (a) OFFICE OF SPECIAL INSPECTOR GENERAL.— 

8 There is hereby established the Office of the Special In9 spector General for Monitoring the Affordable Care Act 

10 (in this section, referred to as the ‘‘Office’’) to carry out 

11 the duties described under subsection (e). 

12 (b) APPOINTMENT OF INSPECTOR GENERAL; RE13 MOVAL.— 

14 (1) APPOINTMENT.—The head of the Office is 

15 the Special Inspector General for Monitoring the Af16 fordable Care Act (in this section referred to as the 

17 ‘‘Special Inspector General’’), who shall be appointed 

18 by the President, by and with the advice and consent 

19 of the Senate. 

20 (2) QUALIFICATIONS.—The appointment of the 

21 Special Inspector General shall be made solely on 

22 the basis of integrity and demonstrated ability in ac23 counting, auditing, financial analysis, law, manage24 ment analysis, healthcare expertise and financing, 

25 public administration, or investigations. 


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1 (3) DEADLINE FOR APPOINTMENT.—The ap2 pointment of an individual as the Special Inspector 

3 General shall be made not later than 30 days after 

4 the date of the enactment of this Act. 

5 (4) COMPENSATION.—The annual rate of basic 

6 pay of the Special Inspector General shall be the an7 nual rate of basic pay provided for positions at level 

8 IV of the Executive Schedule under section 5315 of 

9 title 5, United States Code. 

10 (5) PROHIBITION ON POLITICAL ACTIVITIES.— 

11 For purposes of section 7324 of title 5, United 

12 States Code, the Special Inspector General shall not 

13 be considered an employee who determines policies 

14 to be pursued by the United States in the nation15 wide administration of Federal law. 

16 (6) REMOVAL.—The Special Inspector General 

17 shall be removable from office in accordance with 

18 the provisions of section 3(b) of the Inspector Gen19 eral Act of 1978 (5 U.S.C. App.). 

20 (c) ASSISTANT INSPECTORS GENERAL.—The Special 

21 Inspector General shall, in accordance with applicable laws 

22 and regulations governing the civil service— 

23 (1) appoint an Assistant Inspector General for 

24 Auditing who shall have the responsibility for superVerDate Mar 15 2010 04:47 Mar 07, 2014 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4158.IH H4158

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1 vising the performance of auditing activities relating 

2 to the duties described under subsection (e); and 

3 (2) appoint an Assistant Inspector General for 

4 Investigations who shall have the responsibility for 

5 supervising the performance of investigative activi6 ties relating to such duties. 

7 (d) SUPERVISION.— 

8 (1) IN GENERAL.—Except as provided under 

9 paragraph (2), the Special Inspector General shall 

10 report directly to, and be under the general super11 vision of, the Secretary of Health and Human Serv12 ices. 

13 (2) INDEPENDENCE TO CONDUCT INVESTIGA14 TIONS AND AUDITS.—No employee or officer of any 

15 of the following entities shall prevent or prohibit the 

16 Special Inspector General from initiating, carrying 

17 out, or completing any audit or investigation related 

18 to the duties described under subsection (e) or from 

19 issuing any subpoena during the course of any such 

20 audit or investigation: 

21 (A) The Executive Office of the President 

22 and the Office of Personnel Management. 

23 (B) The Department of Health and 

24 Human Services. 

25 (C) The Department of the Treasury. 


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1 (D) The Social Security Administration, 

2 the Department of Homeland Security, the De3 partment of Veterans Affairs, the Department 

4 of Defense, the Department of Labor, and the 

5 Peace Corps. 

6 (E) Any other Federal agency involved in 

7 implementing or administering the Affordable 

8 Care Act. 

9 (e) DUTIES.— 

10 (1) OVERSIGHT OF THE IMPLEMENTATION AND

11 ADMINISTRATION OF THE AFFORDABLE CARE ACT.— 

12 It shall be the duty of the Special Inspector General 

13 to conduct, supervise, and coordinate audits and in14 vestigations of the implementation and administra15 tion of programs and activities established under, 

16 and payment system changes made by, the Afford17 able Care Act, including by collecting and summa18 rizing the following: 

19 (A) A description of the individual man20 date requirement for applicable individuals to 

21 maintain minimum essential coverage or pay a 

22 penalty under section 5000A of the Internal 

23 Revenue Code of 1986, including a description 

24 of the number of individuals maintaining such 


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1 coverage and the number of individuals paying 

2 such penalties. 

3 (B) A description of any increases or de4 creases in— 

5 (i) premiums for qualified health 

6 plans (as defined in section 1301 of the 

7 Patient Protection and Affordable Care 

8 Act (42 U.S.C. 18021)); 

9 (ii) deductibles under qualified health 

10 plans; and 

11 (iii) cost-sharing under qualified 

12 health plans, including by co-payments and 

13 co-insurance, 

14 affecting individuals enrolling in coverage under 

15 such plans through an Exchange established 

16 under title I of the Patient Protection and Af17 fordable Care Act (including a State-run Ex18 change, a federally administered Exchange, and 

19 a Small Business Health Options Program). 

20 (C) A description of any increases or de21 creases in the maximum out-of-pocket costs af22 fecting individuals enrolling in qualified health 

23 plans through such a State-run Exchange, a 

24 federally administered Exchange, and a Small 

25 Business Health Options Program. 


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1 (D) A description of any increases or de2 creases in the size of physician and other health 

3 care provider networks affecting individuals en4 rolling in qualified health plans through such a 

5 State-run Exchange, a federally administered 

6 Exchange, and a Small Business Health Op7 tions Program. 

8 (E) A description of any type of health in9 surance coverage lost because of the treatment 

10 under title I of the Patient Protection and Af11 fordable Care Act of grandfathered health plans 

12 (as defined in section 1251(e) of such Act (42 

13 U.S.C. 18011(e))). 

14 (F) A description of any credits under sec15 tion 36B of the Internal Revenue Code of 1986 

16 (and the amount (if any) of the advance pay17 ment of the credit under section 1412 of the 

18 Patient Protection and Affordable Care Act (42 

19 U.S.C. 18082)) and any cost-sharing reduction 

20 under section 1402 of the Patient Protection 

21 and Affordable Care Act (42 U.S.C. 18071) 

22 (and the amount (if any) of the advance pay23 ment of the reduction under section 1412 of 

24 such Act (42 U.S.C. 18082)) provided to indi25 viduals enrolling under qualified health plans 


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1 through an Exchange established under title I 

2 of the Patient Protection and Affordable Care 

3 Act. 

4 (G) A description of any projections, esti5 mates, analysis, goals, or targets made by any 

6 employee of the Federal Government or any 

7 contractor of the Federal Government in car8 rying out duties associated with the Patient 

9 Protection and Affordable Care Act with re10 spect to the enrollment of individuals in a quali11 fied health plan through an Exchange estab12 lished under title I of the Patient Protection 

13 and Affordable Care Act. 

14 (H) A description of the employer mandate 

15 requirement that applicable large employers 

16 provide eligible employees with minimum essen17 tial coverage or pay a fine under section 4980H 

18 of the Internal Revenue Code of 1986, includ19 ing a description of the type and number of em20 ployers providing such coverage and the type 

21 and number of employers paying such fines. 

22 (I) A description of any projections, esti23 mates, analysis, goals, or targets made by any 

24 employee of the Federal Government or any 

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1 rying out duties associated with the Patient 

2 Protection and Affordable Care Act with re3 spect to employers providing minimum essential 

4 coverage to applicable employees. 

5 (J) A description of any reports, meetings, 

6 discussions, or materials of any employee of the 

7 Federal Government or any contractor of the 

8 Federal Government in carrying out duties as9 sociated with the Patient Protection and Af10 fordable Care Act relating to any employers 

11 converting full-time employees to part-time em12 ployees or hiring new part-time employees in13 stead of full-time employees for the purposes of 

14 avoiding the fines provided for under the em15 ployer mandate requirement described in sub16 paragraph (H). 

17 (K) A description of any reports, meetings, 

18 discussions, or materials of any employee of the 

19 Federal Government or any contractor of the 

20 Federal Government in carrying out duties as21 sociated with the Patient Protection and Af22 fordable Care Act relating to any employers hir23 ing no more than 50 employees for the purposes 

24 of avoiding the requirement to provide min25 imum essential coverage or pay a fine under the 


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1 employer mandate requirement described in 

2 subparagraph (H). 

3 (L) A description of any reports, meetings, 

4 discussions, or materials of any employee of the 

5 Federal Government or any contractor of the 

6 Federal Government in carrying out duties as7 sociated with the Patient Protection and Af8 fordable Care Act relating to any employers 

9 dropping the health insurance coverage offered 

10 to their employees, or employees’ spouses or de11 pendents, for the purposes of avoiding the re12 quirement to provide minimum essential cov13 erage or pay a fine under the employer mandate 

14 requirement described in subparagraph (H). 

15 (M) A description of the transitional rein16 surance program established under section 

17 1341 of the Patient Protection and Affordable 

18 Care Act (42 U.S.C. 18061), including a de19 scription of reinsurance contributions collected 

20 or required to be collected under such program, 

21 a description of any reinsurance payments 

22 made or required to be made to health insur23 ance issuers under such program, a description 

24 of the health insurance coverage and related 

25 costs for high-cost individuals for plans related 


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1 to such program, an explanation of the impact 

2 of such reinsurance program on adverse selec3 tion in the marketplace, and an explanation of 

4 any premium-stabilizing effects of such pro5 gram. 

6 (N) A description of the temporary risk 

7 corridors for qualified health plans established 

8 under section 1342 of the Patient Protection 

9 and Affordable Care Act (42 U.S.C. 18062), in10 cluding a description of participating plans and 

11 the allowable costs and target amounts of such 

12 plans, a description of risk corridor ratios of 

13 such plans, and a description of payment ad14 justments made under such program. 

15 (O) A description of the permanent risk 

16 adjustment program established under section 

17 1343 of the Patient Protection and Affordable 

18 Care Act (42 U.S.C. 18063), including a de19 scription of any plans participating in such pro20 gram, a description of any risk adjustment pay21 ments made or required to be made under such 

22 program, a description of the health insurance 

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1 verse selection in the marketplace, and an ex2 planation of any premium-stabilizing effects of 

3 such program. 

4 (P) A list of all contracts awarded under 

5 the Affordable Care Act and an analysis of 

6 whether Federal contracting procedures were 

7 followed when awarding any contract associated 

8 with such Act. 

9 (Q) A description of the development of 

10 the health insurance marketplace for the Inter11 net portal established under section 1103 of the 

12 Patient Protection and Affordable Care Act (42 

13 U.S.C. 18003), including a description of the 

14 design, features, and security systems of such 

15 web portal and a description of all costs associ16 ated with such development. 

17 (R) A description of any threats, risks, 

18 problems, or functionality issues identified by 

19 any employee of the Federal Government or any 

20 contractor of the Federal Government in car21 rying out duties associated with the Patient 

22 Protection and Affordable Care Act prior to the 

23 launch of such web portal on October 1, 2013. 

24 (S) A description of any decisionmaking or 

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1 ernment or any contractor of the Federal Gov2 ernment in carrying out duties associated with 

3 the Patient Protection and Affordable Care Act 

4 in response to such threats, risks, problems, or 

5 functionality issues. 

6 (T) A description of the systems (on the 

7 Federal and State levels) in place or in develop8 ment to allow health insurance issuers and 

9 plans and government entities to verify infor10 mation is accurate for purposes of enrollments 

11 in qualified health plans through Exchanges es12 tablished under title I of the Patient Protection 

13 and Affordable Care Act, including that data 

14 verification and validation can occur with re15 spect to information provided or stored by indi16 viduals, the Department of Health and Human 

17 Services, the qualified health plans, States, and 

18 other applicable Federal agencies, including for 

19 purposes of credits under section 36B of the In20 ternal Revenue Code of 1986 (and the amount 

21 (if any) of the advance payment of the credit 

22 under section 1412 of the Patient Protection 

23 and Affordable Care Act (42 U.S.C. 18082)) 

24 and any cost-sharing reduction under section 

25 1402 of the Patient Protection and Affordable 


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1 Care Act (42 U.S.C. 18071) (and the amount 

2 (if any) of the advance payment of the reduc3 tion under section 1412 of such Act (42 U.S.C. 

4 18082)). 

5 (U) A description of the development of 

6 the Federal Data Services Hub, including its 

7 design, features, and security systems, and a 

8 description of the type of data accessed through 

9 such data hub, and a description of the actual 

10 storage location of such data accessed through 

11 such data hub. 

12 (V) A list of the duties and responsibilities 

13 assigned to the Internal Revenue Service as a 

14 result of the enactment of the Affordable Care 

15 Act, a description of any plans of the Internal 

16 Revenue Service for how to carry out such du17 ties, and an explanation of the resources and 

18 personnel required to carry out such duties, in19 cluding a description of any new resources or 

20 personnel required to carry out such duties not 

21 already available to the Internal Revenue Serv22 ice. 

23 (W) A description of any plans of the In24 ternal Revenue Service to verify the eligibility of 

25 individuals enrolling in qualified health plans 


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1 for any credits under section 36B of the Inter2 nal Revenue Code of 1986 (and the amount (if 

3 any) of the advance payment of the credit 

4 under section 1412 of the Patient Protection 

5 and Affordable Care Act (42 U.S.C. 18082)) 

6 and any cost-sharing reduction under section 

7 1402 of the Patient Protection and Affordable 

8 Care Act (42 U.S.C. 18071) (and the amount 

9 (if any) of the advance payment of the reduc10 tion under section 1412 of such Act (42 U.S.C. 

11 18082)), including a description of any such 

12 verification completed and a description of any 

13 such individuals determined to be ineligible. 

14 (X) A description of any plans by the In15 ternal Revenue Service to calculate the amount 

16 of overpayment of any such credit or reduction 

17 for which an individual enrolled in a qualified 

18 health plan was determined to be ineligible, in19 cluding a description of any such calculations 

20 completed. 

21 (Y) A description of any plans by the In22 ternal Revenue Service to notify individuals de23 termined to be ineligible for such credits or re24 ductions, including a description of such notifi25 cations completed. 


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1 (Z) A description of any plans by the In2 ternal Revenue Service to recapture such over3 payments of such credits and reductions for in4 dividuals determined to be ineligible, including 

5 a description of such recapturing completed. 

6 (AA) A description of the impact of the Af7 fordable Care Act on the right of conscience, in8 cluding on— 

9 (i) religious employers and institutions 

10 that were not exempted from the mandate 

11 issued by the Department of Health and 

12 Human Services requiring individual and 

13 group health plans to cover sterilization 

14 and Food and Drug Administration ap15 proved contraceptives; 

16 (ii) individuals; and 

17 (iii) medical professionals. 

18 (BB) A description of abortion coverage 

19 offered under qualified health plans purchased 

20 through State-run Exchanges, federally admin21 istered Exchanges, and Small Business Health 

22 Options Programs, including costs associated 

23 with such coverage. 

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1 ment to delay the programs or activities author2 ized by the Affordable Care Act, including an 

3 explanation from the head of such department 

4 or agency of the specific authority used to im5 plement such a delay. 

6 (DD) A description of the Independent 

7 Payment Advisory Board under section 1899A 

8 of the Social Security Act (42 U.S.C. 1395kkk) 

9 and any actions taken to alter or reduce the use 

10 of medical products, treatments or procedures, 

11 including an explanation from the Independent 

12 Payment Advisory Board of the reasons for tak13 ing such actions, whether such actions could be 

14 expected to result in worsened medical out15 comes for individuals effected by such alter16 ations or reductions, and an explanation of the 

17 medical information used to determine whether 

18 such alterations or reductions could be expected 

19 to result in such worsened outcomes. 

20 (EE) A description of individuals enrolled 

21 in the Medicaid program under title XIX of the 

22 Social Security Act through an Exchange estab23 lished under title I of the Patient Protection 

24 and Affordable Care Act, including a descrip25 tion of the cost of health care services utilized 


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1 by such individuals and a description of the cost 

2 to States and the cost to the Federal Govern3 ment to provide health care services to such in4 dividuals. 

5 (FF) Any additional topic related to the 

6 implementation and administration of the Af7 fordable Care Act, the inclusion of which helps 

8 to provide the public a full and objective ac9 counting of such law. 

10 (2) DATA TO BE INCLUDED.—In carrying out 

11 the duties described under paragraph (1), the Spe12 cial Inspector General shall collect and summarize 

13 data described under such paragraph according to 

14 each type of insurance marketplace and according to 

15 the age and gender of individuals enrolling in cov16 erage under qualified health plans through an Ex17 change established under title I of the Patient Pro18 tection and Affordable Care Act. 

19 (3) OTHER DUTIES RELATED TO OVERSIGHT.— 

20 The Special Inspector General shall establish, main21 tain, and oversee such systems, procedures, and con22 trols as the Special Inspector General considers ap23 propriate to discharge the duties described under 

24 paragraph (1). 


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1 (4) DUTIES AND RESPONSIBILITIES UNDER

2 THE INSPECTOR GENERAL ACT OF 1978.—In addition 

3 to the duties described under paragraphs (1) and 

4 (2), the Special Inspector General shall also have the 

5 duties and responsibilities of inspectors general 

6 under the Inspector General Act of 1978 (5 U.S.C. 

7 App.). 

8 (f) COORDINATION OF EFFORTS.—In carrying out 

9 the duties, responsibilities, and authorities of the Special 

10 Inspector General under this section, the Special Inspector 

11 General shall coordinate with, and receive the cooperation 

12 of each of the following: 

13 (1) The Inspector General of the Department of 

14 Health and Human Services. 

15 (2) The Inspector General of the Department of 

16 the Treasury. 

17 (3) The Inspectors General of the Social Secu18 rity Administration, the Department of Homeland 

19 Security, the Department of Veterans Affairs, the 

20 Department of Defense, the Department of Labor, 

21 and the Peace Corps. 

22 (4) The inspector general of any other Federal 

23 entity, as determined by the Special Inspector Gen24 eral. 

25 (g) POWERS AND AUTHORITIES.— 


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1 (1) AUTHORITY TO ACCESS MATERIALS, RE2 QUEST INFORMATION, COMPEL RESPONSE, AND

3 OTHER AUTHORITIES UNDER THE INSPECTOR GEN4 ERAL ACT OF 1978.—In carrying out the duties de5 scribed under subsection (e), the Special Inspector 

6 General shall have all of the authorities provided 

7 under section 6 of the Inspector General Act of 

8 1978 (5 U.S.C. App.). 

9 (2) EXEMPTION FROM REQUIREMENT FOR INI10 TIAL DETERMINATION BY ATTORNEY GENERAL.— 

11 For purposes of section 6(e) of the Inspector Gen12 eral Act of 1978 (5 U.S.C. App.), the Special In13 spector General shall be considered exempt from the 

14 requirement of an initial determination of eligibility 

15 by the Attorney General under paragraph (2) of 

16 such section. 

17 (3) AUDIT STANDARDS.—The Special Inspector 

18 General shall carry out the duties specified under 

19 subsection (e)(1) in accordance with section 4(b)(1) 

20 of the Inspector General Act of 1978 (5 U.S.C. 

21 App.). 

22 (h) PERSONNEL, FACILITIES, AND OTHER RE23 SOURCES.— 

24 (1) PERSONNEL.—The Special Inspector Gen25 eral may select, appoint, and employ such officers 


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1 and employees as may be necessary for carrying out 

2 the duties of the Special Inspector General, subject 

3 to the provisions of title 5, United States Code, gov4 erning appointments in the competitive service, and 

5 the provisions of chapter 51 and subchapter III of 

6 chapter 53 of such title, relating to classification and 

7 General Schedule pay rates. 

8 (2) EMPLOYMENT OF EXPERTS AND CONSULT9 ANTS.—The Special Inspector General may obtain 

10 services as authorized by section 3109 of title 5, 

11 United States Code, at daily rates not to exceed the 

12 equivalent rate prescribed for grade GS–15 of the 

13 General Schedule by section 5332 of such title. 

14 (3) CONTRACTING AUTHORITY.—To the extent 

15 and in such amounts as may be provided in advance 

16 by appropriations Acts, the Special Inspector Gen17 eral may enter into contracts and other arrange18 ments for audits, studies, analyses, and other serv19 ices with public agencies and with private persons, 

20 and make such payments as may be necessary to 

21 carry out the duties of the Special Inspector Gen22 eral. 

23 (4) RESOURCES.—The Secretary of Health and 

24 Human Services shall provide the Special Inspector 

25 General with appropriate and adequate office space 


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1 at appropriate locations of the Department of 

2 Health and Human Services together with such 

3 equipment, office supplies, and communications fa4 cilities and services as may be necessary for the op5 eration of such offices, and shall provide necessary 

6 maintenance services for such offices and the equip7 ment and facilities located therein. 

8 (5) ASSISTANCE FROM FEDERAL AGENCIES.— 

9 (A) IN GENERAL.—Upon request of the 

10 Special Inspector General for information or as11 sistance from any department, agency, or other 

12 entity of the Federal Government (including 

13 any entity listed under subsection (d)(2)), the 

14 head of such entity shall, insofar as is prac15 ticable and not in contravention of any existing 

16 law, furnish such information or assistance to 

17 the Special Inspector General, or an authorized 

18 designee. 

19 (B) REPORTING OF REFUSED ASSIST20 ANCE.— 

21 (i) REPORTING TO HEALTH AND

22 HUMAN SERVICES AND CONGRESS.—In ac23 cordance with clause (ii), as the case may 

24 be, whenever information or assistance re25 quested by the Special Inspector General 


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1 is, in the judgment of the Special Inspector 

2 General, unreasonably refused or not pro3 vided, the Special Inspector General shall 

4 report the circumstances to the Secretary 

5 of Health and Human Services and to the 

6 appropriate congressional committees with7 out delay. 

8 (ii) REPORTING TO THE PUBLIC ON

9 REFUSAL OR NONCOOPERATION IN TRANS10 PARENCY.—Whenever any information de11 scribed in clause (i) is requested by the 

12 Special Inspector General and unreason13 ably refused or not provided, the report to 

14 the Secretary of Health and Human Serv15 ices and the appropriate congressional 

16 committees shall be titled ‘‘Notice of Re17 fusal or Noncooperation in Transparency’’ 

18 and shall be published on a publicly avail19 able website in an accessible format with20 out delay. 

21 (6) USE OF PERSONNEL, FACILITIES, AND

22 OTHER RESOURCES OF THE OFFICE.—Upon the re23 quest of the Special Inspector General, an Inspector 

24 General— 


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1 (A) may detail, on a reimbursable basis, 

2 any of the personnel of the Office for the pur3 pose of carrying out this section; and 

4 (B) may provide, on a reimbursable basis, 

5 any of the facilities or other resources of the 

6 Office for the purpose of carrying out this sec7 tion. 

8 (i) REPORTS.— 

9 (1) INITIAL REPORT.—Not later than 120 days 

10 after the date of the enactment of this Act, the Spe11 cial Inspector General shall submit to the appro12 priate congressional committees and the Secretary of 

13 Health and Human Services a report summarizing, 

14 for the period beginning on the date of the enact15 ment of the Health Care and Education Reconcili16 ation Act of 2010 and ending on the completion of 

17 a fiscal year quarter after the date of enactment of 

18 this Act, the activities during such period of the 

19 Special Inspector General required under subsection 

20 (e). 

21 (2) QUARTERLY REPORTS.—Beginning with the 

22 first full fiscal year quarter after the date of the en23 actment of this Act, not later than 30 days after the 

24 end of each fiscal year quarter, during which the Af25 fordable Care Act is in effect, the Special Inspector 


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1 General shall submit to the appropriate congres2 sional committees and the Secretary of Health and 

3 Human Services a report summarizing, for the pe4 riod of that quarter and, to the extent possible, the 

5 period from the end of such quarter to the time of 

6 the submission of the report, the activities during 

7 such period of the Special Inspector General re8 quired under subsection (e). 

9 (3) COMMENTS ON REPORT.—Not later than 30 

10 days after receipt of a report under this subsection, 

11 the Secretary of Health and Human Services shall 

12 submit to the appropriate congressional committees 

13 any comments on the matters covered by the report. 

14 (4) PUBLIC AVAILABILITY.—The Special In15 spector General shall publish on a publicly available 

16 website each report described under this subsection 

17 and any comments on the matters covered by the re18 port submitted pursuant to paragraph (3). 

19 (5) PROTECTED INFORMATION.—To the extent 

20 possible, information submitted in any report re21 quired under this subsection shall be in a form that 

22 is not prohibited from disclosure under section 552a 

23 of title 5, United States Code (commonly known as 

24 the Privacy Act of 1974). 


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1 (6) AGGREGATED INFORMATION.—The Special 

2 Inspector General shall, to the maximum extent pos3 sible, aggregate any personally identifiable informa4 tion submitted in a report required under this sub5 section. 

6 (j) TERMINATION.—The Office of the Special Inspec7 tor General shall terminate on the date on which the final 

8 report required by subsection (h) is submitted for the last 

9 year the Affordable Care Act is in effect. 

10 (k) DEFINITIONS.—In this section: 

11 (1) AFFORDABLE CARE ACT.—The term ‘‘Af12 fordable Care Act’’ means the Patient Protection 

13 and Affordable Care Act and title I and subtitle B 

14 of title II of the Health Care and Education Rec15 onciliation Act of 2010. 

16 (2) APPROPRIATE CONGRESSIONAL COMMIT17 TEES.—The term ‘‘appropriate congressional com18 mittees’’ means— 

19 (A) the Committees on Appropriations, 

20 Budget, Education and the Workforce, Energy 

21 and Commerce, Homeland Security, Judiciary, 

22 Oversight and Government Reform, Small Busi23 ness, and Ways and Means of the House of 

24 Representatives; and 


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1 (B) the Committees on Appropriations, 

2 Budget, Commerce, Science, and Transpor3 tation, Finance, Health, Education, Labor, and 

4 Pensions, Homeland Security and Govern5 mental Affairs, Judiciary, and Small Business 

6 and Entrepreneurship of the Senate. 

Æ 


smartinez on DSK6TPTVN1PROD with BILLS