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GOP leaders demand accountability from groups getting navigator grants


The groups receiving navigator grants from the Dept. of Health and Human Services -- $67 million in awards overall are being asked to brief GOP members on how they intend to spend the money, reports Kaiser Health News:

"In a move one leading health law expert has described as "intimidation," 15 Republican members of the House Energy and Commerce Committee sent an Aug. 29 letter directing the grantees to schedule a meeting no later than Sept. 13 and to provide additional documentation, including a written description of the work they intend to do, the number of employees and volunteers, their duties and how much they’ll be paid.

"The committee members are also requesting information about how the navigators will be trained and monitored.  “All documentation and communication” related to the grant, including application materials, are requested, including any communication between their organization and federal agencies involved in the health law, such as the Department of Health and Human Services and the Centers for Medicare and Medicaid Services, according to the letter.

"In addition, the letter asks for documentation of any contact with Enroll America, a group with close ties to the Obama administration. The organization is trying to educate consumers about new insurance options and drive enrollment in the new marketplaces opening this fall for coverage that takes effect in January.

"Navigators will provide assistance on the phone and in person to individuals signing up for coverage in the health law’s insurance marketplaces, as well as for public programs including Medicaid and the Children's Health Insurance Program. They will receive 20 hours of online training and have to pass a test before they can start working. Their efforts could include help in evaluating health plans for sale on the marketplaces, also known as exchanges. They are not, however, allowed to expressly tell people which policy to choose.

"A spokesperson for the Department of Health and Human Services said, 'This is a blatant and shameful attempt to intimidate groups who will be working to inform Americans about their new health insurance options and help them enroll in coverage, just like Medicare counselors have been doing for years.'

"The navigator program has raised controversy among opponents of the health law. Critics see navigators as potential competitors to insurance brokers, and some want the navigators to receive more rigorous screening before they can work with consumers. 

"According to a Commonwealth Fund assessment in July, 14 states, including Florida have passed laws setting requirements for navigators and five others are considering such action.

"Navigators will be required to adhere to strict security and privacy standards, including how to safeguard a consumer’s personal information, according to HHS. All types of enrollment assisters – including navigators – are subject to federal criminal penalties for violations of privacy or fraud statutes, in addition to any relevant state penalties." Read the full story.



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