Feds Spent $29 Million on Prescription Drugs for 4,139 Individuals “Unlawfully Present” In U.S.

Photo Credit: APThe Centers for Medicare and Medicaid Services (CMS) spent almost $29 million to cover Medicare Part D prescription drugs for 4,139 individuals “unlawfully present” in the U.S. and thus ineligible to receive federal health care benefits, according to an audit by Daniel Levinson, inspector general of the Department of Health & Human Services. (See Medicare prescription drugs.pdf)

CMS “inappropriately accepted 279,056 PDE [prescription drug event] records with unallowable gross drug costs totaling $28,990,718” between 2009 and 2011, Levinson reported. Total federal expenditures under Medicare Part D during that same two-year time period came to $227 billion.

Medicare Parts A and B cover hospitalization, skilled nursing care, doctor visits, and other medical services and supplies. The IG previously reported in January that CMS had also paid $91.6 million to health care providers to cover 2,600 ineligible illegal aliens.

The unallowable payments were made by CMS despite the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, which prohibits illegal aliens from receiving federal health care benefits, and CMS’ own 2003 memo warning: “Make no payments for Medicare services furnished to an alien beneficiary who is not lawfully present in the United States.”

Medicare Part D is a voluntary program that requires individuals who are entitled to benefits under Part A or enrolled in Part B to opt in by filling out a form to enroll in a federally approved prescription drug plan that has a contract with CMS. Enrollee premiums cover about a quarter of the overall cost, with Medicare picking up the rest.

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Alaska’s Catholic Senators have Backed Bill Aimed to Enshrine LGBTQ Rights; Believed to Violate Religious Freedoms

Photo Credit: catholicanchor.orgA bill that would make it a federal crime to “discriminate” against homosexuals, bisexuals, and transgender people — including forbidding men to use the women’s restroom or locker room – passed a key vote in the Senate Nov. 4.

The Employment Non-Discrimination Act (ENDA) passed a test vote by 61-30, a critical margin that will allow the controversial bill to overcome any potential filibuster. Senate rules require 60 votes to cut off debate. The vote means the bill will almost certainly pass the full Senate without delay.

Photo Credit: catholicanchor.orgAlaska Sen. Mark Begich voted for the measure, while fellow Alaska Senator Lisa Murkowski was absent for the test vote. However, Murkowski, who supports same-sex marriage, helped Democrats vote the bill out of the Senate Health, Education, Labor and Pensions (HELP) Committee earlier this year.

Opponents, however, say the bill (S. 815) would deny traditional religious business owners the right to practice their religion. Its religious exemption is excessively narrow, according to a letter from the U.S. Conference of Catholic Bishops.

In an Oct. 31 letter to Congress, three leading U.S. bishop explained that they do not support the Employment Non-Discrimination Act because it “does not justly advance the dignity of all workers and authentic non-discrimination.”

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Student Loan Debt Owed to Federal Government Up 463% Under Obama

Photo Credit: Ali Meyer/CNSNews.comSince President Barack Obama took office in 2009, the amount of outstanding federal student loan debt owed to the government has skyrocketed, increasing by 463 percent. The balance owed currently stands at $674,580,000,000.00 compared to $119,803,000,000.00, where it stood in January 2009, according to the Financial Management Service’s latest monthly treasury statement.

Direct federal student loan spending began to rise rapidly in fiscal year 2010, when the Health Care and Education Reconciliation Act – one of the two laws that make up Obamacare — gave the federal government complete control over federal loans for education, the Direct Student Loan (DL) program. This aspect of HCERA became effective July 1, 2010, when the amount of outstanding loans stood at $178,806,000,000. Since then, the balance has increased by 277 percent.

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Gunman Found Dead After Trapping Hundreds In NJ Mall Overnight

Photo Credit: MPD01605A 20-year-old man wearing a motorcycle helmet and dressed in all black walked into a busy New Jersey mall minutes before it closed Monday night and began shooting, sending terrified customers running and trapping hundreds more in the building overnight as police searched for him.

Hours later, he was found dead of an apparent self-inflicted gunshot wound in a remote area of the building, officials said Tuesday morning. His brother spoke outside the family’s home later and said it was all “an act of self-indulgence.”

No one was injured in the gunfire at Westfield Garden State Plaza Mall in Paramus, and authorities said there was evidence to suggest the gunman, identified as Richard Shoop, never had any intention of shooting anyone.

Shoop fired six rounds, striking an elevator, escalator and several store facades along a 300-yard path at about 9:30 p.m. Monday. He was using a Sig Sauer rifle modified to look like an AK-47 that he stole from his brother earlier in the day, officials said.

Paramus Mayor Richard LaBarbiera said he was told that Shoop said to people in the mall “don’t worry, just get out of the way.”

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The Military ‘Purge Surge’ Continues – Another General Fired, Nine So Far This Year

Photo Credit: WND After multiple top generals described to WND what they regard as a full-scale “purge” of the U.S. military by the Obama administration, the commander of U.S. Army Garrison Japan was summarily relieved of duty and his civilian deputy reassigned, pending a “misconduct” investigation.

Nine generals and flag officers have been relieved of duty under Obama just this year – widely viewed as an extraordinary number – and several sources put the total number of senior officers purged during the five years of the Obama administration as close to 200.

In response, prominent retired generals – ranging from Army Maj. Gen. Paul E. Vallely, a Fox News senior military analyst, to Lt. Gen. William G. Boykin, a founder of the Army’s elite Delta Force, to Medal of Honor recipient Maj. Gen. Patrick Henry Brady – have all gone on the record with WND, characterizing Obama’s actions as nothing less than an all-out attack on America’s armed forces.

According to U.S. Army Japan, Col. Eric Tilley was suspended from his job by Maj. Gen. James C. Boozer Sr., commander of U.S. Army Japan and I Corps (Forward) for a “lack of confidence” based on the results of an inquiry.

A spokesman for U.S. Army Japan, Maj. Kevin Toner, would not elaborate on what prompted a “lack of confidence,” saying it would be “inappropriate to make public the allegations because the investigation did not lead to findings of criminal misconduct.”

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GOP Can Win by Waiting: Make Democrats Clean Up their Own Mess

Photo Credit: National Review Democrats are pleading for help, in the face of the implosion of Obamacare. House Republicans confronted with these pleas should listen to those who say: “Don’t do something; just stand there.”

It was Obama and the Democratic Senate who caused the disaster now unfolding. Specifically, Democratic red- or swing-state senators such as Mary Landrieu (La.), Kay Hagan (N.C.), Mark Begich (Alaska), Mark Pryor (Ark.), and even Al Franken (Minn.) provided key votes to adopt the monstrosity without a single ballot to spare. Let them face the music; let them reap the consequences. And let them try to fix what’s utterly unfixable.

If they want to delay the individual mandate, fine: They can go first. If they want to fix the grandfathering rules so that people who want to keep their plans really can do so, fine: They can go first on that, too. Let them figure out the details. Let them try to make it work. The House can always vote to add its assent once the Senate has acted — all while noting, accurately, that even the delay or the grandfathering fix won’t make the whole of Obamacare successful or popular.

But with each fruitless effort to correct the uncorrectable, the vulnerable Senate Democrats effectively will be acknowledging that they were wrong to begin with.

The likelihood is that the Senate won’t act. It’s likely that the White House won’t let it happen. It’s likely that the vulnerable senators won’t even be able to get the more liberal members of the Senate Democratic caucus to go along with them. It’s likely that the Hagans and Pryors will be left to look both wrongheaded for having passed Obamacare and ineffectual for being unable to convince their leaders to try to improve it.

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Press Secretary Jay Carney to ABC News Reporter: “I Give Up” (+video)

Photo Credit: APFresh questions about whether the White House deceived Americans with claims they could bypass the broken HealthCare.gov website by using the phone or mailing in an application provoked an exasperated response Monday from White House press secretary Jay Carney.

“I give up,” Carney told ABC News reporter Jonathan Karl, accusing the White House reporter of speaking “in tones of dramatic revelation” to inflate a story.

The exchange centered around documents released by House Oversight Committee Chairman Darrell Issa (R-Calif.) on Monday.

Meeting notes from the administration “war room” handling the rollout of ObamaCare showed that consumers who called the ObamaCare hotline or applied for insurance would still have their information eventually entered on the glitchy HealthCare.gov website, which has been plagued by technical problems since its launch on Oct. 1.

“The paper applications allow people to feel like they are moving forward in the process and provides another option; at the end of the day, we are all stuck in the same queue,” one official wrote.

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Mark Begich’s Lie Costs 5,360 Alaskans Their Insurance

Premera Blue Cross Blue Shield, Alaska’s Largest Health Insurer, Is Cancelling More Than Half Of Its Individual Policies Due To ObamaCare. “The largest health insurer in Alaska has sent cancellation notices to more than half its individual members in the state because their existing policies do not meet requirements of the new federal health care law. Premera Blue Cross Blue Shield spokeswoman Melanie Coon said Friday that of its more than 9,000 individual members in Alaska, fewer than 3,800 were on “grandfathered” plans. Those are plans that were in existence before March 23, 2010, and have changed very little.” (Becky Bohrer, “Premera Sends Alaskans Health Policy Cancellation Notices, Will Offer New Plans,” Anchorage Daily News, 11/1/13)

5,360 Alaskans Will Lose Their Existing Plans. “Coon said discontinuation notices have gone to about 5,360 other members, who have been told they will be matched to new plans that are closest to what they had before in an effort to keep anyone from losing coverage.” (Becky Bohrer, “Premera Sends Alaskans Health Policy Cancellation Notices, Will Offer New Plans,” Anchorage Daily News, 11/1/13)

BEGICH PROMISED ALASKANS THEY “CAN KEEP” THEIR CURRENT PLANS; BUT REFUSED TO HONOR THAT PROMISE WHEN GIVEN THE CHANCE

On July 27, 2009, As Health Care Reform Was Being Debated, Begich Promised Constituents That “If You’ve Got A Doctor Now, You’ve Got A Medical Professional That You Want, You Get To Keep That.” BEGICH: “If you got a doctor now, you got a medical professional you want, you get to keep that. If you have an insurance program or a health care policy you want of ideas, make sure you keep it. That you can keep who you want. That we keep that patient-doctor relationship very strong.” (Sen. Mark Begich, Remarks At iTownHall, 7/27/09)

After Voting To Pass ObamaCare, Begich Claimed “Alaskans Who Have Health Insurance Now, And Are Happy With It, Can Keep It.” “Alaskans who have health insurance now, and are happy with it, can keep it. While the thousands of Alaskans who do not have health insurance, or have insurance they can’t really afford, will have access to an insurance exchange offering affordable health insurance choices. An estimated 52,000 Alaskans will quality for tax credits to help purchase affordable health coverage.” (Press Release, “Sen. Begich Statement On Passage Of Health Reform Bill,” Sen. Mark Begich, 12/24/09)

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Gingrich: GOP Must Stop ‘Stumbling Into Next Crisis’

Photo Credit: Gage SkidmoreNewt Gingrich urged House Republicans to stop “stumbl[ing] into the next crisis” and instead seize the policy initiative by seeking “breakout” policies in healthcare, education, and other major policy areas.

Although the 2014 midterm elections already look to be fought over raising the debt ceiling or defunding ObamaCare, the former Speaker said Republicans must look in a different, more future-oriented direction.

“Instead of sitting around, passively waiting to stumble into the next crisis, we ought to be out there looking at new ideas,” Gingrich told The Hill in an interview.

These new ideas, said Gingrich, cover everything from promoting regenerative medicine to the potential benefits of online schooling and self-driving cars.

Gingrich’s new book “Breakout,” published Monday, argues that America is on the cusp of major technology-driven innovations in most major policy areas. But such a “breakout” requires overcoming the political and bureaucratic “prison guards of the past” who benefit from stagnation, Gingrich says.

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Centers for Medicare and Medicaid Services Sets Record for Annual Spending by a Federal Agency

Photo Credit: APThe Centers for Medicare and Medicaid Services, which runs the federal government’s major health-care programs as well as the Obamacare insurance exchange, spent $1,113,178,000,000 in fiscal 2013, according to the Monthly Treasury Statement for September, which was released last week.

That sets a record for the most money ever spent by a federal agency or department in a single year.

It also means CMS spent more in inflation-adjusted dollars than the entire federal government spent in 1965, when President Lyndon Johnson signed the legislation creating the Medicaid and Medicare programs.

In 1965, the entire federal government spent $118,228,000,000 in 1965 dollars, according to the Office of Management and Budget. That converts to $878,824,380,000 in 2013 dollars, according to the Bureau of Labor Statistics inflation calculator.

In 2010, CMS became the first federal agency to spend more than a trillion dollars, when it spent $1,035,783,000,000. In 2011, CMS spent $1,095,406,000,000; in 2012, it spent $1,052,799,000,000; and, in 2013, it spent a record $1,113,178,000,000.

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