Hope For The Deficit

Yesterday The Daily Caller reported that the Trump administration’s budget for fiscal year 2021 will take steps to curb what it calls “wasteful” government spending, including cutting funds for, and in some cases outright eliminating, dozens of federal programs, grants and endowments, documents reviewed by the Daily Caller show.

The article reports:

For the first time, the budget features an entire chapter devoted to saving taxpayers’ money and defines five clear categories of waste requiring attention.

The administration used new guidelines to identify fiscally inefficient programs. The cuts will target agencies with overlapping and similar goals, agencies that provide similar or identical services to the same group of recipients, programs without a clearly defined federal role, federal programs that mirror state-level initiatives and erroneous payments.

The budget calls for eliminating the following programs entirely:

    • National Institute for Occupational Safety and Health’s Education and Research Centers
    • Department of the Interior’s Highlands Conservation Act Grants
    • National Park Service’s Save America’s Treasures Grants
    • National Endowment for the Arts Endowment for the Humanities
    • Corporation for National and Community Service (including AmeriCorps)

The administration also identified several categories of government spending in desperate need of additional government oversight, including travel, employee conferences or workshops, subscriptions, marketing, entertainment, office refreshments and end-of-year “Use It or Lose It” spending. The chapter cites expenditures by 67 federal agencies from December 30-31, 2018 which totaled $97 billion and included more than $15 million worth of fine china, lobster, alcohol, recreational, musical, and workout equipment.

The article notes that the President has had assistance in setting out his program:

The nonprofit group Open the Books, which assisted OMB in calculating spending inefficiencies, lauded the administration for “declaring war on federal waste.”

“The president’s budget to Congress is the first step toward defending the American taxpayer and stopping egregious waste, fraud, duplication, and taxpayer abuse. It’s a target rich environment,” said Open the Books CEO Adam Andrzejewski when asked about the cuts. “Our team of auditors at OpenTheBooks.com is very proud that our oversight reporting and examples of federal taxpayer abuse are being used by the president and the Office of Management and Budget to spearhead cuts. We applaud the president for taking action.”

Getting this done would be an incredible accomplishment and eventually a real benefit to American taxpayers.

This Sort Of Thing Might Be Part Of Washington’s Budget Problem

The Gateway Pundit reported yesterday that there were some serious problems with the audit of the Department of Housing and Urban Development.

The article reports:

The 2015 and 2016 Fiscal Years HUD audit needed to be restated and reissued.  The auditors were not able to initially perform the audit because there were too many material issues and the audit needed to be redone –

…The restated audit report shows the following –

The total amounts of errors corrected in HUD’s notes and consolidated financial statements were $516.4 billion and $3.4 billion, respectively. There were several other unresolved audit matters, which restricted our ability to obtain sufficient, appropriate evidence to express an opinion. These unresolved audit matters relate to (1) the Office of General Counsel’s refusal to sign the management representation letter, (2) HUD’s improper use of cumulative and first-in, first-out budgetary accounting methods of disbursing community planning and development program funds, (3) the $4.2 billion in nonpooled loan assets from Ginnie Mae’s stand-alone financial statements that we could not audit due to inadequate support, (4) the improper accounting for certain HUD assets and liabilities, and (5) material differences between HUD’s subledger and general ledger accounts. This audit report contains 11 material weaknesses, 7 significant deficiencies, and 5 instances of noncompliance with applicable laws and regulations.

It’s time for HUD to straighten out its books. It might be a good idea to put someone with an accounting background in charge of the agency at least temporarily. The irony here is that if a business had financial records that were this much in error, its owners would be talking to the Internal Revenue Service and possibly sitting in jail.

I’m Sure There Is Another Side To This Story, But I Haven’t Heard It

On Friday, The Wall Street Journal posted an article about Medicare cutting back the work of the auditors that oversee the program.

The article reports:

Recovery audit contractors, as they are known, recouped $2.4 billion in improper payments in 2014, down from $3.7 billion in 2013 before the agency scaled back other audit activities and temporarily suspended the program for several months, according to a Medicare report.

Starting in January, the auditors will be able to review only 0.5% of the claims the agency pays to each hospital or provider every 45 days, according to an Oct. 28 letter to the contractors. That is a quarter of the prior threshold: 2% of claims.

The article concludes:

Those recoveries represent just a fraction of the total amount Medicare estimates it spends on incorrect payments. The Medicare program made $58 billion in improper payments to medical providers and health plans in 2014, according to PaymentAccuracy.gov, a federal website that tracks agencies’ estimates of waste.

Separate contractors and the Justice Department separately pursue fraudulent payments from the program.

I hate to be difficult here, but $58 billion is not pocket change. As federal budget deficits increase, we need to look at the places where we are spending money needlessly. Fraudulent claims made to various agencies might be a really good place to start.

Here is another thing to think about when you consider budget deficits. According to a Huffington Post article from 2013:

According to the U.S. Census about 57 million, or 1 in 5 Americans, live with disabilities, and about 38 million or 1 in 10 has a severe disability. The Social Security disability programs provide vital support only to those with the most significant disabilities — about 14 million children and working-age adults.

I am not ready to believe that 1 in 5 Americans is disabled or that 14 million Americans are disabled. That number seems extremely high to me. That might be another thing to look at when examining the budget.

Why The Government Needs To Get Out Of Healthcare

CBS Local in New York is reporting today that the New York State Health Exchange gave out  $325,000 in overpayments to the deceased throughout the 2013 fiscal year.

The article reports:

Auditors said flaws in the eligibility process also resulted in New York enrolling 21 dead people for Medicaid, while continuing government-funded health coverage for 333 others who died.

The state comptroller’s office says its auditors found overpayments of $3.4 million in total for the year starting Oct. 1, 2013.

The Health Department says it’s been awaiting a new federal system to verify deaths. It confirmed 321 people cited in the audit were dead, four are still alive and it’s checking the other 29.

This might be one way to cut the cost of Medicaid–make sure the people claiming to be covered under it are alive.

The article further reports:

The NY State Health Exchange launched in Oct. 2013, but many faced confusion and other issues like lost insurance coverage and high premiums though the initial enrollment process.

The exchange was established under the Affordable Care Act in an effort to extend coverage to uninsured New Yorkers.

Medicaid now covers about 6 million New Yorkers and costs $60 million annually.

The department notes state enforcement efforts in 2011-2012 recovered $1.73 billion.

It’s time to get the government out of healthcare!