Wednesday, February 26, 2014

Congressional Research Service: Obama Admin. Does Not Have The Authority to Fund Insurer Bailouts

The Nonpartisan Congressional Research Service

... [T]he risk corridor program directs payments to be made by the Secretary of HHS to certain insurers that have underestimated their premiums for a given plan year through 2016.  However, statutory and constitutional provisions prohibit federal agencies from making payments in the absence of a valid appropriation.  Under longstanding GAO interpretations, an appropriation must consist of both a direction to pay and a specified source of funds.  While the language of ACA § 1342(b)(1) establishes a directive to the Secretary to make such payments, it does not specify a source from which those payments are to be made.  Therefore, § 1342 would not appear to constitute an appropriation of funds for the purposes of risk corridor payments under that section. ...

[T]here does not appear to be sufficient statutory language creating a revolving fund that would make amounts received under § 1342(b)(2) available to pay amounts due to eligible plans under § 1342(b)(1). ...