Internal report finds no laws broken
over
Medicare estimates kept from
Congress
By Mark Sherman; Wednesday, July 07,
2004.
The Associated Press WASHINGTON - Bush
administration officials broke no laws in withholding from Congress estimates of
the cost of the new Medicare law, says an internal investigation made public
yesterday.
The Health and Human Services Department inspector general,
the agency's internal watchdog, said its
three-month investigation found that administration officials used aggressive
tactics to keep from Congress its much higher estimates of the legislation's
cost - $100 billion more than the president and other officials were
acknowledging.
Yet the effort - including threats by
Thomas Scully, the administration's Medicare chief until December, to fire chief
Medicare actuary Richard Foster - did not violate federal law, the inspector
general said.
Scully, the administrator of the federal Centers
for Medicare and Medicaid Services, had "the final authority to determine the
flow of information to Congress," the unsigned report said.
That conclusion contradicted the
findings of the nonpartisan Congressional Research Service, which said in May
that threats against Foster designed to keep him from giving Democratic
legislators his projections of the bill's cost probably broke the
law.
The General Accounting Office, Congress' investigative
arm, also is looking into whether the gag order violated federal law.
Bill Pierce, an HHS spokesman, said yesterday's report showed the administration
acted properly. "We hope that with the release of this report we can put behind
us the political squabbling and move on to the important work of implementing
the new law," he said.
Democrats, however, said the inspector
general's inquiry underscored the need for an independent investigation that
looks at what role the White House played in suppressing information.
"It sounds as though the Bush administration examined itself and found it did
nothing wrong," said Rep. Pete Stark, D-Calif., senior Democrat on the House
Ways and Means health subcommittee.
The investigations highlight the
trouble the Bush administration has had in promoting the new Medicare
prescription-drug law, thought to be an election-year boon for the GOP. In
addition, the law's first widely available tangible benefit, the
Medicare-approved discount-drug-card program, has gotten off to a slow,
confusing start.
The Associated
Press reported a year ago that Scully threatened to fire Foster if Foster
released his calculations to Democrats. Scully said his comments were "heated
rhetoric in middle of the night."
The matter took on a new life when the
administration projected in the budget it submitted to Congress that the 10-year
cost of the bill would be $534 billion, instead of the $395 billion estimate
used in writing the legislation.
Foster's estimates, written
during consideration of the bill, have yet to be made public or turned over to
congressional Democrats who have requested them. In March, Thompson promised to
release them and said the inspector general's investigation would clear the
air.
But he since has refused to release the documents in
question.