Congress and CMS should consider reverting to an earlier time, that before October 1st, 2013.

Is that openness towards getting to a system where again the reimbursement to the hospital is based upon a more simplified methodology, and the methodology that is tied to the nature of the service that is provided, not an arbitrary time…

Thank you, Mr. Chairman.

The amount of fraud and abuse in the program is staggering.

You ought to be embarrassed for the agency you work for and for the American people.

It ought to just remind you, as you sit here today, how important these issues are.

Sir, did you do a study, independently, to determine what the increased cost would be on those over 50 employees to determine what they would experience under these mandates?

Did you do any independent assessment as a department about what the increased burdening of this mandates would have on those employers of over 50?

Did you ever seek then to try to independently assess what the implication, what the increased cost would be on the employer community that is affected by this employer mandate?

Representative Jim Gerlach had first raised the issue in a letter to the secretary requesting information.

the Enforce the Take Care Clause Act puts a procedure in place for the House or the Senate to authorize and bring a lawsuit