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 Ten-
nessee, Mr. ROONEY, Mr. TIBERI, Mr. WALBERG, Mr. WEBSTER of Flor-
ida, Mr. SOUTHERLAND, Ms. ROS-LEHTINEN, Mr. HARRIS, Ms. HER-
RERA BEUTLER, Mr. MESSER, Mr. DUNCAN of South Carolina, Mr. ROD-
NEY DAVIS of Illinois, Mr. BYRNE, and Ms. JENKINS) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committees on Natural Resources, Edu-
cation 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Special Inspector Gen-
eral for Monitoring the ACA Act of 2014’’ or the ‘‘SIGMA 
Act of 2014’’. 
SEC. 2. SPECIAL INSPECTOR GENERAL FOR MONITORING 
THE AFFORDABLE CARE ACT. 
(a) OFFICE OF SPECIAL INSPECTOR GENERAL.— 
There is hereby established the Office of the Special In-
spector General for Monitoring the Affordable Care Act 
(in this section, referred to as the ‘‘Office’’) to carry out 
the duties described under subsection (e). 
(b) APPOINTMENT
OF INSPECTOR GENERAL; RE-
MOVAL.— 
(1) APPOINTMENT.—The head of the Office is 
the Special Inspector General for Monitoring the Af-
fordable Care Act (in this section referred to as the 
‘‘Special Inspector General’’), who shall be appointed 
by the President, by and with the advice and consent 
of the Senate. 
(2) QUALIFICATIONS.—The appointment of the 
Special Inspector General shall be made solely on 
the basis of integrity and demonstrated ability in ac-
counting, auditing, financial analysis, law, manage-
ment analysis, healthcare expertise and financing, 
public administration, or investigations. 
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(3) DEADLINE
FOR
APPOINTMENT.—The ap-
pointment of an individual as the Special Inspector 
General shall be made not later than 30 days after 
the date of the enactment of this Act. 
(4) COMPENSATION.—The annual rate of basic 
pay of the Special Inspector General shall be the an-
nual rate of basic pay provided for positions at level 
IV of the Executive Schedule under section 5315 of 
title 5, United States Code. 
(5) PROHIBITION ON POLITICAL ACTIVITIES.— 
For purposes of section 7324 of title 5, United 
States Code, the Special Inspector General shall not 
be considered an employee who determines policies 
to be pursued by the United States in the nation-
wide administration of Federal law. 
(6) REMOVAL.—The Special Inspector General 
shall be removable from office in accordance with 
the provisions of section 3(b) of the Inspector Gen-
eral Act of 1978 (5 U.S.C. App.). 
(c) ASSISTANT INSPECTORS GENERAL.—The Special 
Inspector General shall, in accordance with applicable laws 
and regulations governing the civil service— 
(1) appoint an Assistant Inspector General for 
Auditing who shall have the responsibility for super-
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vising the performance of auditing activities relating 
to the duties described under subsection (e); and 
(2) appoint an Assistant Inspector General for 
Investigations who shall have the responsibility for 
supervising the performance of investigative activi-
ties relating to such duties. 
(d) SUPERVISION.— 
(1) IN GENERAL.—Except as provided under 
paragraph (2), the Special Inspector General shall 
report directly to, and be under the general super-
vision of, the Secretary of Health and Human Serv-
ices. 
(2) INDEPENDENCE TO CONDUCT INVESTIGA-
TIONS AND AUDITS.—No employee or officer of any 
of the following entities shall prevent or prohibit the 
Special Inspector General from initiating, carrying 
out, or completing any audit or investigation related 
to the duties described under subsection (e) or from 
issuing any subpoena during the course of any such 
audit or investigation: 
(A) The Executive Office of the President 
and the Office of Personnel Management. 
(B) The Department of Health and 
Human Services. 
(C) The Department of the Treasury. 
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(D) The Social Security Administration, 
the Department of Homeland Security, the De-
partment of Veterans Affairs, the Department 
of Defense, the Department of Labor, and the 
Peace Corps. 
(E) Any other Federal agency involved in 
implementing or administering the Affordable 
Care Act. 
(e) DUTIES.— 
(1) OVERSIGHT OF THE IMPLEMENTATION AND 
ADMINISTRATION OF THE AFFORDABLE CARE ACT.— 
It shall be the duty of the Special Inspector General 
to conduct, supervise, and coordinate audits and in-
vestigations of the implementation and administra-
tion of programs and activities established under, 
and payment system changes made by, the Afford-
able Care Act, including by collecting and summa-
rizing the following: 
(A) A description of the individual man-
date requirement for applicable individuals to 
maintain minimum essential coverage or pay a 
penalty under section 5000A of the Internal 
Revenue Code of 1986, including a description 
of the number of individuals maintaining such 
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coverage and the number of individuals paying 
such penalties. 
(B) A description of any increases or de-
creases in— 
(i) premiums for qualified health 
plans (as defined in section 1301 of the 
Patient Protection and Affordable Care 
Act (42 U.S.C. 18021)); 
(ii) deductibles under qualified health 
plans; and 
(iii) 
cost-sharing 
under 
qualified 
health plans, including by co-payments and 
co-insurance, 
affecting individuals enrolling in coverage under 
such plans through an Exchange established 
under title I of the Patient Protection and Af-
fordable Care Act (including a State-run Ex-
change, a federally administered Exchange, and 
a Small Business Health Options Program). 
(C) A description of any increases or de-
creases in the maximum out-of-pocket costs af-
fecting individuals enrolling in qualified health 
plans through such a State-run Exchange, a 
federally administered Exchange, and a Small 
Business Health Options Program. 
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(D) A description of any increases or de-
creases in the size of physician and other health 
care provider networks affecting individuals en-
rolling in qualified health plans through such a 
State-run Exchange, a federally administered 
Exchange, and a Small Business Health Op-
tions Program. 
(E) A description of any type of health in-
surance coverage lost because of the treatment 
under title I of the Patient Protection and Af-
fordable Care Act of grandfathered health plans 
(as defined in section 1251(e) of such Act (42 
U.S.C. 18011(e))). 
(F) A description of any credits under sec-
tion 36B of the Internal Revenue Code of 1986 
(and the amount (if any) of the advance pay-
ment of the credit under section 1412 of the 
Patient Protection and Affordable Care Act (42 
U.S.C. 18082)) and any cost-sharing reduction 
under section 1402 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18071) 
(and the amount (if any) of the advance pay-
ment of the reduction under section 1412 of 
such Act (42 U.S.C. 18082)) provided to indi-
viduals enrolling under qualified health plans 
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through an Exchange established under title I 
of the Patient Protection and Affordable Care 
Act. 
(G) A description of any projections, esti-
mates, analysis, goals, or targets made by any 
employee of the Federal Government or any 
contractor of the Federal Government in car-
rying out duties associated with the Patient 
Protection and Affordable Care Act with re-
spect to the enrollment of individuals in a quali-
fied health plan through an Exchange estab-
lished under title I of the Patient Protection 
and Affordable Care Act. 
(H) A description of the employer mandate 
requirement that applicable large employers 
provide eligible employees with minimum essen-
tial coverage or pay a fine under section 4980H 
of the Internal Revenue Code of 1986, includ-
ing a description of the type and number of em-
ployers providing such coverage and the type 
and number of employers paying such fines. 
(I) A description of any projections, esti-
mates, analysis, goals, or targets made by any 
employee of the Federal Government or any 
contractor of the Federal Government in car-
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rying out duties associated with the Patient 
Protection and Affordable Care Act with re-
spect to employers providing minimum essential 
coverage to applicable employees. 
(J) A description of any reports, meetings, 
discussions, or materials of any employee of the 
Federal Government or any contractor of the 
Federal Government in carrying out duties as-
sociated with the Patient Protection and Af-
fordable Care Act relating to any employers 
converting full-time employees to part-time em-
ployees or hiring new part-time employees in-
stead of full-time employees for the purposes of 
avoiding the fines provided for under the em-
ployer mandate requirement described in sub-
paragraph (H). 
(K) A description of any reports, meetings, 
discussions, or materials of any employee of the 
Federal Government or any contractor of the 
Federal Government in carrying out duties as-
sociated with the Patient Protection and Af-
fordable Care Act relating to any employers hir-
ing no more than 50 employees for the purposes 
of avoiding the requirement to provide min-
imum essential coverage or pay a fine under the 
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employer mandate requirement described in 
subparagraph (H). 
(L) A description of any reports, meetings, 
discussions, or materials of any employee of the 
Federal Government or any contractor of the 
Federal Government in carrying out duties as-
sociated with the Patient Protection and Af-
fordable Care Act relating to any employers 
dropping the health insurance coverage offered 
to their employees, or employees’ spouses or de-
pendents, for the purposes of avoiding the re-
quirement to provide minimum essential cov-
erage or pay a fine under the employer mandate 
requirement described in subparagraph (H). 
(M) A description of the transitional rein-
surance program established under section 
1341 of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18061), including a de-
scription of reinsurance contributions collected 
or required to be collected under such program, 
a description of any reinsurance payments 
made or required to be made to health insur-
ance issuers under such program, a description 
of the health insurance coverage and related 
costs for high-cost individuals for plans related 
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verse selection in the marketplace, and an ex-
planation of any premium-stabilizing effects of 
such program. 
(P) A list of all contracts awarded under 
the Affordable Care Act and an analysis of 
whether Federal contracting procedures were 
followed when awarding any contract associated 
with such Act. 
(Q) A description of the development of 
the health insurance marketplace for the Inter-
net portal established under section 1103 of the 
Patient Protection and Affordable Care Act (42 
U.S.C. 18003), including a description of the 
design, features, and security systems of such 
web portal and a description of all costs associ-
ated with such development. 
(R) A description of any threats, risks, 
problems, or functionality issues identified by 
any employee of the Federal Government or any 
contractor of the Federal Government in car-
rying out duties associated with the Patient 
Protection and Affordable Care Act prior to the 
launch of such web portal on October 1, 2013. 
(S) A description of any decisionmaking or 
activities by any employee of the Federal Gov-
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ernment or any contractor of the Federal Gov-
ernment in carrying out duties associated with 
the Patient Protection and Affordable Care Act 
in response to such threats, risks, problems, or 
functionality issues. 
(T) A description of the systems (on the 
Federal and State levels) in place or in develop-
ment to allow health insurance issuers and 
plans and government entities to verify infor-
mation is accurate for purposes of enrollments 
in qualified health plans through Exchanges es-
tablished under title I of the Patient Protection 
and Affordable Care Act, including that data 
verification and validation can occur with re-
spect to information provided or stored by indi-
viduals, the Department of Health and Human 
Services, the qualified health plans, States, and 
other applicable Federal agencies, including for 
purposes of credits under section 36B of the In-
ternal Revenue Code of 1986 (and the amount 
(if any) of the advance payment of the credit 
under section 1412 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18082)) 
and any cost-sharing reduction under section 
1402 of the Patient Protection and Affordable 
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Care Act (42 U.S.C. 18071) (and the amount 
(if any) of the advance payment of the reduc-
tion under section 1412 of such Act (42 U.S.C. 
18082)). 
(U) A description of the development of 
the Federal Data Services Hub, including its 
design, features, and security systems, and a 
description of the type of data accessed through 
such data hub, and a description of the actual 
storage location of such data accessed through 
such data hub. 
(V) A list of the duties and responsibilities 
assigned to the Internal Revenue Service as a 
result of the enactment of the Affordable Care 
Act, a description of any plans of the Internal 
Revenue Service for how to carry out such du-
ties, and an explanation of the resources and 
personnel required to carry out such duties, in-
cluding a description of any new resources or 
personnel required to carry out such duties not 
already available to the Internal Revenue Serv-
ice. 
(W) A description of any plans of the In-
ternal Revenue Service to verify the eligibility of 
individuals enrolling in qualified health plans 
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for any credits under section 36B of the Inter-
nal Revenue Code of 1986 (and the amount (if 
any) of the advance payment of the credit 
under section 1412 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18082)) 
and any cost-sharing reduction under section 
1402 of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18071) (and the amount 
(if any) of the advance payment of the reduc-
tion under section 1412 of such Act (42 U.S.C. 
18082)), including a description of any such 
verification completed and a description of any 
such individuals determined to be ineligible. 
(X) A description of any plans by the In-
ternal Revenue Service to calculate the amount 
of overpayment of any such credit or reduction 
for which an individual enrolled in a qualified 
health plan was determined to be ineligible, in-
cluding a description of any such calculations 
completed. 
(Y) A description of any plans by the In-
ternal Revenue Service to notify individuals de-
termined to be ineligible for such credits or re-
ductions, including a description of such notifi-
cations completed. 
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(Z) A description of any plans by the In-
ternal Revenue Service to recapture such over-
payments of such credits and reductions for in-
dividuals determined to be ineligible, including 
a description of such recapturing completed. 
(AA) A description of the impact of the Af-
fordable Care Act on the right of conscience, in-
cluding on— 
(i) religious employers and institutions 
that were not exempted from the mandate 
issued by the Department of Health and 
Human Services requiring individual and 
group health plans to cover sterilization 
and Food and Drug Administration ap-
proved contraceptives; 
(ii) individuals; and 
(iii) medical professionals. 
(BB) A description of abortion coverage 
offered under qualified health plans purchased 
through State-run Exchanges, federally admin-
istered Exchanges, and Small Business Health 
Options Programs, including costs associated 
with such coverage. 
(CC) A description of any actions by de-
partments or agencies of the Federal Govern-
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ment to delay the programs or activities author-
ized by the Affordable Care Act, including an 
explanation from the head of such department 
or agency of the specific authority used to im-
plement such a delay. 
(DD) A description of the Independent 
Payment Advisory Board under section 1899A 
of the Social Security Act (42 U.S.C. 1395kkk) 
and any actions taken to alter or reduce the use 
of medical products, treatments or procedures, 
including an explanation from the Independent 
Payment Advisory Board of the reasons for tak-
ing such actions, whether such actions could be 
expected to result in worsened medical out-
comes for individuals effected by such alter-
ations or reductions, and an explanation of the 
medical information used to determine whether 
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 
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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 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 cov-
erage under qualified health plans through an Ex-
change established under title I of the Patient Pro-
tection 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). 
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(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. 
(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.— 
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(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. 
(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 
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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-
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 
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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 (including 
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 
the Special Inspector General, or an authorized 
designee. 
(B) REPORTING
OF
REFUSED
ASSIST-
ANCE.— 
(i) REPORTING
TO
HEALTH
AND 
HUMAN SERVICES AND CONGRESS.—In ac-
cordance with clause (ii), as the case may 
be, whenever information or assistance re-
quested by the Special Inspector General 
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is, in the judgment of the Special Inspector 
General, unreasonably refused or not pro-
vided, the Special Inspector General shall 
report the circumstances to the Secretary 
of Health and Human Services and to the 
appropriate congressional committees with-
out delay. 
(ii) REPORTING TO THE PUBLIC ON 
REFUSAL OR NONCOOPERATION IN TRANS-
PARENCY.—Whenever any information de-
scribed in clause (i) is requested by the 
Special Inspector General and unreason-
ably refused or not provided, the report to 
the Secretary of Health and Human Serv-
ices and the appropriate congressional 
committees shall be titled ‘‘Notice of Re-
fusal or Noncooperation in Transparency’’ 
and shall be published on a publicly avail-
able website in an accessible format with-
out delay. 
(6) USE
OF
PERSONNEL, FACILITIES, AND 
OTHER RESOURCES OF THE OFFICE.—Upon the re-
quest of the Special Inspector General, an Inspector 
General— 
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(A) may detail, on a reimbursable basis, 
any of the personnel of the Office for the pur-
pose of carrying out this section; and 
(B) may provide, on a reimbursable basis, 
any of the facilities or other resources of the 
Office for the purpose of carrying out this sec-
tion. 
(i) REPORTS.— 
(1) INITIAL REPORT.—Not later than 120 days 
after the date of the enactment of this Act, the Spe-
cial Inspector General shall submit to the appro-
priate congressional committees and the Secretary of 
Health and Human Services a report summarizing, 
for the period beginning on the date of the enact-
ment of the Health Care and Education Reconcili-
ation Act of 2010 and ending on the completion of 
a fiscal year quarter after the date of enactment of 
this Act, the activities during such period of the 
Special Inspector General required under subsection 
(e). 
(2) QUARTERLY REPORTS.—Beginning with the 
first full fiscal year quarter after the date of the en-
actment of this Act, not later than 30 days after the 
end of each fiscal year quarter, during which the Af-
fordable Care Act is in effect, the Special Inspector 
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General shall submit to the appropriate congres-
sional committees and the Secretary of Health and 
Human Services a report summarizing, for the pe-
riod of that quarter and, to the extent possible, the 
period from the end of such quarter to the time of 
the submission of the report, the activities during 
such period of the Special Inspector General re-
quired under subsection (e). 
(3) COMMENTS ON REPORT.—Not later than 30 
days after receipt of a report under this subsection, 
the Secretary of Health and Human Services shall 
submit to the appropriate congressional committees 
any comments on the matters covered by the report. 
(4) PUBLIC
AVAILABILITY.—The Special In-
spector General shall publish on a publicly available 
website each report described under this subsection 
and any comments on the matters covered by the re-
port submitted pursuant to paragraph (3). 
(5) PROTECTED INFORMATION.—To the extent 
possible, information submitted in any report re-
quired under this subsection shall be in a form that 
is not prohibited from disclosure under section 552a 
of title 5, United States Code (commonly known as 
the Privacy Act of 1974). 
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(6) AGGREGATED INFORMATION.—The Special 
Inspector General shall, to the maximum extent pos-
sible, aggregate any personally identifiable informa-
tion submitted in a report required under this sub-
section. 
(j) TERMINATION.—The Office of the Special Inspec-
tor General shall terminate on the date on which the final 
report required by subsection (h) is submitted for the last 
year the Affordable Care Act is in effect. 
(k) DEFINITIONS.—In this section: 
(1) AFFORDABLE CARE ACT.—The term ‘‘Af-
fordable Care Act’’ means the Patient Protection 
and Affordable Care Act and title I and subtitle B 
of title II of the Health Care and Education Rec-
onciliation Act of 2010. 
(2) APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committees on Appropriations, 
Budget, Education and the Workforce, Energy 
and Commerce, Homeland Security, Judiciary, 
Oversight and Government Reform, Small Busi-
ness, and Ways and Means of the House of 
Representatives; and 
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(B) the Committees on Appropriations, 
Budget, Commerce, Science, and Transpor-
tation, Finance, Health, Education, Labor, and 
Pensions, Homeland Security and Govern-
mental Affairs, Judiciary, and Small Business 
and Entrepreneurship of the Senate. 
Æ 
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