such alterations or reductions could be expected 
to result in such worsened outcomes. 
(EE) A description of individuals enrolled 
in the Medicaid program under title XIX of the 
Social Security Act through an exchange estab-
lished under title I of the Patient Protection 
and Affordable Care Act, including a descrip-
tion of the cost of health care services utilized 
by such individuals and a description of the cost 
to States and the cost to the Federal Govern-
ment to provide health care services to such in-
dividuals. 
(FF) Any additional topic related to the 
implementation and administration of the Af-
fordable Care Act, the inclusion of which helps 
to provide the public a full and objective ac-
counting of such law. 
(2) DATA TO BE INCLUDED.—In carrying out 
the duties described under paragraph (1), the Spe-
cial Inspector General shall, to the greatest extent 
possible, collect and summarize data described under 
such paragraph according to each type of insurance 
marketplace and according to the age and gender of 
individuals enrolling in coverage under qualified 
health plans through an exchange established under 
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title I of the Patient Protection and Affordable Care 
Act. 
(3) OTHER DUTIES RELATED TO OVERSIGHT.— 
The Special Inspector General shall establish, main-
tain, and oversee such systems, procedures, and con-
trols as the Special Inspector General considers ap-
propriate to discharge the duties described under 
paragraph (1). 
(4) DUTIES
AND
RESPONSIBILITIES
UNDER 
THE INSPECTOR GENERAL ACT OF 1978.—In addition 
to the duties described under paragraphs (1) and 
(2), the Special Inspector General shall also have the 
duties and responsibilities of inspectors general 
under the Inspector General Act of 1978 (5 U.S.C. 
App.). 
(f) COORDINATION OF EFFORTS.—In carrying out 
the duties, responsibilities, and authorities of the Special 
Inspector General under this section, the Special Inspector 
General shall coordinate with, and receive the cooperation 
of each of the following: 
(1) The Inspector General of the Department of 
Health and Human Services. 
(2) The Inspector General of the Department of 
the Treasury. 
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(3) The Inspectors General of the Social Secu-
rity Administration, the Department of Homeland 
Security, the Department of Veterans Affairs, the 
Department of Defense, the Department of Labor, 
and the Peace Corps. 
(4) The inspector general of any other Federal 
entity, as determined by the Special Inspector Gen-
eral. 
(g) POWERS AND AUTHORITIES.— 
(1) AUTHORITY
TO
ACCESS
MATERIALS, RE-
QUEST
INFORMATION, 
COMPEL
RESPONSE, 
AND 
OTHER AUTHORITIES UNDER THE INSPECTOR GEN-
ERAL ACT OF 1978.—In carrying out the duties de-
scribed under subsection (e), the Special Inspector 
General shall have all of the authorities provided 
under section 6 of the Inspector General Act of 
1978 (5 U.S.C. App.). 
(2) EXEMPTION FROM REQUIREMENT FOR INI-
TIAL
DETERMINATION
BY
ATTORNEY
GENERAL.— 
For purposes of section 6(e) of the Inspector Gen-
eral Act of 1978 (5 U.S.C. App.), the Special In-
spector General shall be considered exempt from the 
requirement of an initial determination of eligibility 
by the Attorney General under paragraph (2) of 
such section. 
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(3) AUDIT STANDARDS.—The Special Inspector 
General shall carry out the duties specified under 
subsection (e)(1) in accordance with section 4(b)(1) 
of the Inspector General Act of 1978 (5 U.S.C. 
App.). 
(h) PERSONNEL, FACILITIES, AND
OTHER
RE-
SOURCES.— 
(1) PERSONNEL.—The Special Inspector Gen-
eral may select, appoint, and employ such officers 
and employees as may be necessary for carrying out 
the duties of the Special Inspector General, subject 
to the provisions of title 5, United States Code, gov-
erning appointments in the competitive service, and 
the provisions of chapter 51 and subchapter III of 
chapter 53 of such title, relating to classification and 
General Schedule pay rates. 
(2) EMPLOYMENT OF EXPERTS AND CONSULT-
ANTS.—The Special Inspector General may obtain 
services as authorized by section 3109 of title 5, 
United States Code, at daily rates not to exceed the 
equivalent rate prescribed for grade GS–15 of the 
General Schedule by section 5332 of such title. 
(3) CONTRACTING AUTHORITY.—To the extent 
and in such amounts as may be provided in advance 
by appropriations Acts, the Special Inspector Gen-
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eral may enter into contracts and other arrange-
ments for audits, studies, analyses, and other serv-
ices with public agencies and with private persons, 
and make such payments as may be necessary to 
carry out the duties of the Special Inspector Gen-
eral. 
(4) RESOURCES.—The Secretary of Health and 
Human Services shall provide the Special Inspector 
General with appropriate and adequate office space 
at appropriate locations of the Department of 
Health and Human Services together with such 
equipment, office supplies, and communications fa-
cilities and services as may be necessary for the op-
eration of such offices, and shall provide necessary 
maintenance services for such offices and the equip-
ment and facilities located therein. 
(5) ASSISTANCE FROM FEDERAL AGENCIES.— 
(A) IN
GENERAL.—Upon request of the 
Special Inspector General for information or as-
sistance from any Department, Agency, or 
other entity of the Federal Government (includ-
ing any entity listed under subsection (d)(2)), 
the head of such entity shall, insofar as is prac-
ticable and not in contravention of any existing 
law, furnish such information or assistance to 
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