I think one of the better initiatives that came out of the George W. Bush Administration was the idea of the Improper Payments Information Act.

What can we do at the Congressional level, this Subcommittee, this Committee, the Senate, the House, to address some of those vulnerabilities?

We need to find ways to have them actually come forward and tell us they found a problem.

Those three estimates, as Senator Carper pointed out, are roughly about 50 percent of that $72 billion in improper payments.

I think one of the things we did in Sarbanes-Oxley is literally the CEO of the company, when a company verifies or certifies that they have scrubbed their books, they have done the right thing. The CEO has to sign his or her name on the…

Thank you so much. Ms. Taylor, you are recognized.

Senator Coburn and I worked on changes to the Improper Payments Act.

We advocate strengthening enrollment standards and making participation in the Federal health care programs a privilege, not a right.

All too often, however, agencies are failing to meet their responsibilities in this regard.

Getting our budget deficit under control is not going to be an easy task. It will require tough choices and discipline.

The idea of post-payment review and recovery audits are all sensible approaches, but one of the things that we are not doing is payment reform.