On the recordApril 13, 2011
Madam Chair, the Castor amendment directs the Government Accountability Office to make assumptions on the economic impacts of providing prevention, wellness, and public health activities under section 4002 of the PPACA. However, section 4002 gives the Secretary of HHS complete discretion to spend this slush fund with little limitation. The amendment asks the GAO to determine the economic impact of spending when no one except the Secretary knows how those dollars will be spent. What will GAO base their assumptions on? Does placing signage for bike paths produce economic activity or does advocating higher soda taxes benefit the economy? These activities have been financed by programs eligible for funding under section 4002. Members and the GAO cannot determine the economic impact of the fund because the Secretary controls how it is to be spent. Will GAO be charged with determining whether borrowing 42 cents of every dollar this fund spends has a positive economic impact? This amendment underscores the major problems with section 4002. Rather than letting Congress weigh the relative value of programs through the annual appropriations process, my friends on the other side of the aisle have decided to throw dollars to a political appointee at HHS to spend billions on any program with no oversight. The amendment also places an unrealistic timetable on the GAO to issue a report within 90 days of enactment.…





