Patient Protection and Affordable Care Act
Contracts Awarded and Consultants Retained by Federal Departments and Agencies to Assist in Implementing the Act Gao ID: GAO-11-797R July 14, 2011In Process
This report provides information on contracts awarded (including to consultants) by HHS to help implement PPACA. We identified one consultant in our review retained by HHS's Assistant Secretary for Administration. This consultant is listed in a separate table following the Assistant Secretary's table of contractors. This report provides similar information for contracts awarded by the Department of Labor, the Department of the Treasury, and OPM, respectively. We did not find that the Department of Labor, the Department of the Treasury, or OPM had retained any consultants. In addition, no firms were retained by HHS, the Department of Labor, the Department of the Treasury, or OPM to facilitate contracting. All of the enclosures include the names of the contractors and descriptions of the contracts (including contracts with consultants) and obligations and expenditures as of April 15, 2011, the date for which these data were most readily available.
GAO-11-797R, Patient Protection and Affordable Care Act: Contracts Awarded and Consultants Retained by Federal Departments and Agencies to Assist in Implementing the Act
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GAO-11-797R:
United States Government Accountability Office:
Washington, DC 20548:
July 14, 2011:
Congressional Committees:
Subject: Patient Protection and Affordable Care Act: Contracts Awarded
and Consultants Retained by Federal Departments and Agencies to Assist
in Implementing the Act:
The Patient Protection and Affordable Care Act (PPACA), as amended by
the Health Care and Education Reconciliation Act of 2010 (HCERA),
contained provisions to increase access to health insurance coverage
through: health insurance market reforms; an expansion of Medicaid
eligibility; and the creation of health insurance exchanges to provide
small employers and individuals access to coverage.[Footnote 1] In
addition, PPACA contained provisions designed to improve the quality
of health care, reduce expenditures, and provide incentives for
preventive and primary care. To help implement PPACA, federal
departments and agencies awarded contracts, including contracts for
consulting services. Contractors and consultants perform a variety of
tasks, including research, market reviews, actuarial support,
logistics and technical support, data management, and information
technology support.
As required by the Department of Defense and Full-Year Continuing
Appropriations Act, 2011, this report provides information on
contracts awarded by the Department of Health and Human Services (HHS)
and other federal departments and agencies related to authority
provided by PPACA, including information on firms retained to
facilitate contracting and consultants retained by HHS and other
federal departments and agencies to assist in PPACA implementation.
[Footnote 2]
To complete this report, we asked HHS, the Department of Labor, the
Department of the Treasury, and the Office of Personnel Management
(OPM) to provide data on all contracts awarded and consultants
retained to assist in implementing PPACA.[Footnote 3] While the
statute required us to report on the general expertise of the
contractors and consultants, such information is not generally
contained in the databases maintained by HHS, whose contracts
constitute the majority of those reported. In lieu of information on
general expertise, we provide a description of the contracts reported,
regardless of department or agency. We also obtained data on firms
retained by federal departments and agencies to facilitate contracting
related to PPACA implementation. We did not audit the data reported to
us. Through our discussions with HHS and other department and agency
officials and quality-control checks we performed on the data, we
determined that the data provided were sufficiently reliable for our
purposes.
We conducted our work from June 2011 to July 2011 in accordance with
all sections of GAO's Quality Assurance Framework that are relevant to
our objectives. The framework requires that we plan and perform the
engagement to obtain sufficient and appropriate evidence to meet our
stated objectives and to discuss any limitations in our work. We
believe that the information and data obtained, and the analysis
conducted, provide a reasonable basis for any findings and conclusions.
See enclosure I for information on contracts awarded (including to
consultants) by HHS to help implement PPACA. We identified one
consultant in our review retained by HHS's Assistant Secretary for
Administration. This consultant is listed in a separate table
following the Assistant Secretary's table of contractors. Enclosures
II, III, and IV provide similar information for contracts awarded by
the Department of Labor, the Department of the Treasury, and OPM,
respectively. We did not find that the Department of Labor, the
Department of the Treasury, or OPM had retained any consultants. In
addition, no firms were retained by HHS, the Department of Labor, the
Department of the Treasury, or OPM to facilitate contracting. All of
the enclosures include the names of the contractors and descriptions
of the contracts (including contracts with consultants) and
obligations and expenditures as of April 15, 2011, the date for which
these data were most readily available.
HHS, the Department of Labor, the Department of the Treasury's
Internal Revenue Service, and OPM reviewed a draft of this report. HHS
and the Department of Labor provided technical comments, which we have
incorporated as appropriate.
We are sending copies of this report to the Secretaries of HHS and
Labor, the Commissioner of Internal Revenue, and the Director of OPM,
as well as interested congressional committees. In addition, the
report will be available at no charge on the GAO Web site at
[hyperlink, http://www.gao.gov].
If you or your staffs have any questions regarding this report, please
contact me at (202) 512-7114 or kingk@gao.gov. Contact points for our
Offices of Congressional Relations and Public Affairs may be found on
the last page of this report. Key contributors to this report were
Robert Copeland, Assistant Director; Lori Achman; Ramsey Asaly; Lisa
Motley; and Laurie Pachter.
Signed by:
Kathleen M. King:
Director, Health Care:
Enclosures - 4:
List of Committees:
The Honorable Max Baucus:
Chairman:
The Honorable Orrin G. Hatch:
Ranking Member:
Committee on Finance:
United States Senate:
The Honorable Tom Harkin:
Chairman:
The Honorable Michael B. Enzi:
Ranking Member:
Committee on Health, Education, Labor, and Pensions:
United States Senate:
The Honorable Tom Harkin:
Chairman:
The Honorable Richard Shelby:
Ranking Member:
Subcommittee on Labor, Health and Human Services, Education, and
Related Agencies:
Committee on Appropriations:
United States Senate:
The Honorable Fred Upton:
Chairman:
The Honorable Henry A. Waxman:
Ranking Member:
Committee on Energy and Commerce:
House of Representatives:
The Honorable Dave Camp:
Chairman:
The Honorable Sander Levin:
Ranking Member:
Committee on Ways and Means:
House of Representatives:
The Honorable Dennis Rehberg:
Chairman:
The Honorable Rosa DeLauro:
Ranking Member:
Subcommittee on Labor, Health and Human Services, Education, and
Related Agencies:
Committee on Appropriations:
House of Representatives:
[End of section]
Enclosure I:
The following tables provide information on contracts awarded,
including for consulting services, by the Department of Health and
Human Services (HHS) to help implement the Patient Protection and
Affordable Care Act (PPACA).[Footnote 4] This includes the following
within HHS: the Assistant Secretary for Administration; the Centers
for Disease Control and Prevention; the Centers for Medicare &
Medicaid Services; and the Health Resources and Services
Administration.
Table 1: Contracts Awarded by the Assistant Secretary for
Administration for Implementation of the Patient Protection and
Affordable Care Act (PPACA):
Contract description (award number/order number, if applicable): PPACA-
related support and services to Alaska's Pre-Existing Condition
Insurance Plan (PCIP) (2010AKHRPC);
Name of contractor: Alaska Comprehensive Health Insurance Association;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $361,523;
Expenditures (as of 4/15/2011) (dollars)[B]: $361,523.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Arkansas's PCIP (2010ARHRPC);
Name of contractor: Arkansas State Comprehensive Health Insurance Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,884,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $310,145.
Contract description (award number/order number, if applicable):
PPACA- related support and services to California's PCIP (2010CAHRPC);
Name of contractor: California Managed Risk Medical Insurance;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $28,934,875;
Expenditures (as of 4/15/2011) (dollars)[B]: $4,562,631.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Colorado's PCIP (2010COHRPC);
Name of contractor: Rocky Mountain Health Maintenance Organization;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,617,681;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,617,681.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Connecticut's PCIP (2010CTHRPC);
Name of contractor: Connecticut Department of Social Services;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,003,732;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,258,638.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Iowa's PCIP (2010IAHRPC);
Name of contractor: Iowa Comprehensive Health Association Federal, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,151,552;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,071,749.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Illinois's PCIP (2010ILHRPC);
Name of contractor: Illinois Department of Insurance administered by
Health Alliance Health Plans;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $18,877,800;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,119,304.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Kansas's PCIP (2010KSHRPC);
Name of contractor: Kansas Health Insurance Association;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,482,792;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,482,792.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Maryland's PCIP (2010MDHRPC);
Name of contractor: Maryland Health Insurance Plan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $489,700;
Expenditures (as of 4/15/2011) (dollars)[B]: $489,700.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Maine's PCIP (2010MEHRPC);
Name of contractor: Dirigo Health Agency;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $2,168,630;
Expenditures (as of 4/15/2011) (dollars)[B]: $119,175.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Michigan's PCIP (2010MIHRPC);
Name of contractor: Physicians Health Plan of Mid Michigan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $724,362;
Expenditures (as of 4/15/2011) (dollars)[B]: $724,362.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Missouri's PCIP (2010MOHRPC);
Name of contractor: Missouri Health Insurance Pool PCIP;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $5,667,600;
Expenditures (as of 4/15/2011) (dollars)[B]: $633,723.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Montana's PCIP (2010MTHRPC);
Name of contractor: Montana Comprehensive Health Association in care
of Blue Cross Blue Shield of Montana;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,183,236;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,183,236.
Contract description (award number/order number, if applicable):
PPACA- related support and services to North Carolina's PCIP
(2010NCHRPC);
Name of contractor: North Carolina Health Insurance Risk Pool, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,028,597;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,621,792.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New Hampshire's PCIP
(2010NHHRPC);
Name of contractor: New Hampshire Individual Plan Benefit Association
doing business as New Hampshire Health Plan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,142,161;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,142,161.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New Jersey's PCIP (2010NJHRPC);
Name of contractor: Individual Health Coverage Program Board;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $17,171,624;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,563,108.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New Mexico's PCIP (2010NMHRPC);
Name of contractor: New Mexico Federal High Risk Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,133,192;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,133,192.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New York's PCIP (2010NYHRPC);
Name of contractor: Group Health, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $6,573,668;
Expenditures (as of 4/15/2011) (dollars)[B]: $6,573,668.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Ohio's PCIP (2010OHHRPC);
Name of contractor: Medical Mutual of Ohio (Medical Mutual Services,
LLC);
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,882,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,882,000.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Oklahoma's PCIP (2010OKHRPC);
Name of contractor: Oklahoma Health Insurance High Risk Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,588,100;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,809,028.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Oregon's PCIP (2010ORHRPC);
Name of contractor: Oregon Health Authority Private Health Partnership;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,010,104;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,010,104.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Pennsylvania's PCIP
(2010PAHRPC);
Name of contractor: Commonwealth of Pennsylvania Department of
Insurance;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $14,243,280;
Expenditures (as of 4/15/2011) (dollars)[B]: $7,160,056.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Rhode Island's PCIP
(2010RIHRPC);
Name of contractor: Blue Cross Blue Shield of Rhode Island;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $645,840;
Expenditures (as of 4/15/2011) (dollars)[B]: $122,532.
Contract description (award number/order number, if applicable):
PPACA- related support and services to South Dakota's PCIP
(2010SDHRPC);
Name of contractor: South Dakota State Bureau of Personnel;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $610,332;
Expenditures (as of 4/15/2011) (dollars)[B]: $610,332.
Contract description (award number/order number, if applicable):
PPACA- related Support and Services to Utah's PCIP (2010UTHRPC);
Name of contractor: Utah State Insurance Department;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,058,854;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,058,854.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Washington's PCIP (2010WAHRPC);
Name of contractor: Pre-Existing Condition Insurance Plan - Washington
State, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,275,913;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,275,913.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Wisconsin's PCIP (2010WIHRPC);
Name of contractor: Wisconsin Health Insurance Risk Sharing Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $5,943,755;
Expenditures (as of 4/15/2011) (dollars)[B]: $755,811.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Alaska's PCIP (2011AKHRPC);
Name of contractor: Alaska Comprehensive Health Insurance Association;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,535,381;
Expenditures (as of 4/15/2011) (dollars)[B]: $521,890.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Arkansas's PCIP (2011ARHRPC);
Name of contractor: Arkansas State Comprehensive Health Insurance Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,243,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $210,799.
Contract description (award number/order number, if applicable):
PPACA- related support and services to California's PCIP (2011CAHRPC);
Name of contractor: California Managed Risk Medical Insurance;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $171,811,721;
Expenditures (as of 4/15/2011) (dollars)[B]: $5,826,855.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Colorado's PCIP (2011COHRPC);
Name of contractor: Rocky Mountain Health Maintenance Organization;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $10,053,652;
Expenditures (as of 4/15/2011) (dollars)[B]: $3,756,424.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Connecticut's PCIP (2011CTHRPC);
Name of contractor: Connecticut Department of Social Services;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $8,124,094;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Iowa's PCIP (2011IAHRPC);
Name of contractor: Iowa Comprehensive Health Association Federal, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,585,156;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Illinois's PCIP (2011ILHRPC);
Name of contractor: Illinois Department of Insurance administered by
Health Alliance Health Plans;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $17,352,788;
Expenditures (as of 4/15/2011) (dollars)[B]: $68,798.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Kansas's PCIP (2011KSHRPC);
Name of contractor: Kansas Health Insurance Association;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $4,613,601;
Expenditures (as of 4/15/2011) (dollars)[B]: $540,575.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Maryland's PCIP (2011MDHRPC);
Name of contractor: Maryland Health Insurance Plan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $12,824,800;
Expenditures (as of 4/15/2011) (dollars)[B]: $664,154.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Maine's PCIP (2011MEHRPC);
Name of contractor: Dirigo Health Agency;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $2,749,566;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Michigan's PCIP (2011MIHRPC);
Name of contractor: Physicians Health Plan of Mid Michigan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $22,717,163;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,136,798.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Missouri's PCIP (2011MOHRPC);
Name of contractor: Missouri Health Insurance Pool PCIP;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $7,926,713;
Expenditures (as of 4/15/2011) (dollars)[B]: $78,760.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Montana's PCIP (2011MTHRPC);
Name of contractor: Montana Comprehensive Health Association in care
of Blue Cross Blue Shield of Montana;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $4,767,954;
Expenditures (as of 4/15/2011) (dollars)[B]: $835,364.
Contract description (award number/order number, if applicable):
PPACA- related support and services to North Carolina's PCIP
(2011NCHRPC);
Name of contractor: North Carolina Health Insurance Risk Pool, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $13,666,694;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,911,593.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New Hampshire's PCIP
(2011NHHRPC);
Name of contractor: New Hampshire Individual Plan Benefit Association
doing business as New Hampshire Health Plan;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $6,017,232;
Expenditures (as of 4/15/2011) (dollars)[B]: $3,581,932.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New Mexico's PCIP (2011NMHRPC);
Name of contractor: New Mexico Federal High Risk Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $7,525,672;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,074,724.
Contract description (award number/order number, if applicable):
PPACA- related support and services to New York's PCIP (2011NYHRPC);
Name of contractor: Group Health, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $44,939,297;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,252,824.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Ohio's PCIP (2011OHHRPC);
Name of contractor: Medical Mutual of Ohio (Medical Mutual Services,
LLC);
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $22,615,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $4,350,829.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Oklahoma's PCIP (2011OKHRPC);
Name of contractor: Oklahoma Health Insurance High Risk Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $13,469,343;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Oregon's PCIP (2011ORHRPC);
Name of contractor: Oregon Health Authority Private Health Partnership;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $15,224,887;
Expenditures (as of 4/15/2011) (dollars)[B]: $3,458,267.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Pennsylvania's PCIP
(2011PAHRPC);
Name of contractor: Commonwealth of Pennsylvania Department of
Insurance;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $33,702,786;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Rhode Island's PCIP
(2011RIHRPC);
Name of contractor: Blue Cross Blue Shield of Rhode Island;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,536,651;
Expenditures (as of 4/15/2011) (dollars)[B]: $500,751.
Contract description (award number/order number, if applicable):
PPACA- related support and services to South Dakota's PCIP
(2011SDHRPC);
Name of contractor: South Dakota State Bureau of Personnel;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,894,376;
Expenditures (as of 4/15/2011) (dollars)[B]: $123,482.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Utah's PCIP (2011UTHRPC);
Name of contractor: Utah State Insurance Department;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $9,876,111;
Expenditures (as of 4/15/2011) (dollars)[B]: $422,258.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Washington's PCIP (2011WAHRPC);
Name of contractor: Pre-Existing Condition Insurance Plan - Washington
State, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $10,190,113;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,007,219.
Contract description (award number/order number, if applicable):
PPACA- related support and services to Wisconsin's PCIP (2011WIHRPC);
Name of contractor: Wisconsin Health Insurance Risk Sharing Pool;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $6,459,768;
Expenditures (as of 4/15/2011) (dollars)[B]: $626,469.
Contract description (award number/order number, if applicable):
Medical loss ratio - audit planning (GS24F0040T/HHSP233201000695G);
Name of contractor: Invotex, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $502,576;
Expenditures (as of 4/15/2011) (dollars)[B]: $502,576.
Contract description (award number/order number, if applicable):
Actuarial support (GS10F0289P/HHSP233201000331G);
Name of contractor: Actuarial Research Corporation;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $746,795;
Expenditures (as of 4/15/2011) (dollars)[B]: $746,795.
Contract description (award number/order number, if applicable):
Surveillance, Epidemiology and End Results data - assessment of
insurer (HHSP233201000217A);
Name of contractor: Sherlock Company;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $37,780;
Expenditures (as of 4/15/2011) (dollars)[B]: $37,780.
Contract description (award number/order number, if applicable):
Commercial health insurance and public sector health coverage -
technical assistance (HHSP23320095647WC/HHSP23337024T);
Name of contractor: National Opinion Research Center;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $961,208;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable): Early
retiree reinsurance program/information technology (IT) operations
(HHSP233201000001EE);
Name of contractor: VIPS, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $31,469,442;
Expenditures (as of 4/15/2011) (dollars)[B]: $14,767,056.
Contract description (award number/order number, if applicable): Early
retiree reinsurance program/contact center (HHSP23320100008EC);
Name of contractor: Maricom Systems, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $3,664,653;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,101,352.
Contract description (award number/order number, if applicable): Data
collection and management for Web portal for private sector data
(GS35F4797H/HHSM500201000157G);
Name of contractor: CGI Federal;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $7,938,931;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,542,904.
Contract description (award number/order number, if applicable):
Exchange IT support (GS06F0148Z/HHSP233201000588G);
Name of contractor: QSSI;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,416,566;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,803,057.
Contract description (award number/order number, if applicable):
Modernization support for the Office of Consumer Information and
Insurance Oversight to support the development of enrollment standards
specified in Section 1561 (TIRN099D00005/HHSP233201000138W);
Name of contractor: Mitre Corp.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,149,522;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,305,899.
Contract description (award number/order number, if applicable):
Technical assistance on exchange development (HHSP233201000215A);
Name of contractor: Wakely Consulting;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $432,062;
Expenditures (as of 4/15/2011) (dollars)[B]: $432,062.
Contract description (award number/order number, if applicable):
Exchange analytical support (HHSP23320095635WC/HHSP23337006T);
Name of contractor: George Washington University;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $695,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $89,725.
Contract description (award number/order number, if applicable):
Market conduct review (GS35F0040T/HHSP233201000685G);
Name of contractor: Invotex, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,160,979;
Expenditures (as of 4/15/2011) (dollars)[B]: $3,831.
Contract description (award number/order number, if applicable): HHS
health plan data collection and software services (HHSP233201000010EC);
Name of contractor: eHealth Insurance Services;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $9,960,933;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,905,805.
Contract description (award number/order number, if applicable):
Actuarial support (GS23F0058T/HHSP233201100180G);
Name of contractor: Actuarial Research Corporation;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $144,356;
Expenditures (as of 4/15/2011) (dollars)[B]: $70,867.
Contract description (award number/order number, if applicable): PCIP
third-party administrator (HHSP23320100007EC);
Name of contractor: Government Employees Health Association;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $53,897,550;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Administrative personnel support for the Community Living Assistance
Services and Supports Program (HHSP23320100003WB);
Name of contractor: FM Talent Source;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $35,453;
Expenditures (as of 4/15/2011) (dollars)[B]: $5,881.
Contract description (award number/order number, if applicable): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $706,492,228;
Expenditures (as of 4/15/2011) (dollars)[B]: $105,919,565.
Source: GAO analysis of HHS data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
Table 2: Consultants Awarded Contracts by the Assistant Secretary for
Administration for Implementation of the Patient Protection and
Affordable Care Act (PPACA):
Contract description (award number): Consumer assistance expert
(HHSP233201000755P);
Name of consultant: Robin Bradley;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $24,875;
Expenditures (as of 4/15/2011) (dollars)[B]: $24,875.
Contract description (award number): Total;
Name of consultant: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $24,875;
Expenditures (as of 4/15/2011) (dollars)[B]: $24,875.
Source: GAO analysis of HHS data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
Table 3: Contracts Awarded by the Centers for Disease Control and
Prevention (CDC) for Implementation of the Patient Protection and
Affordable Care Act (PPACA):
Contract description (award number): General oversight and national
prevention strategy funding for project management, planning/
implementation, evaluation/reporting, communication, training, and
special project support related to Prevention and Public Health Fund
(PPHF) funded projects (Section 4002), and the national prevention
strategy (Section 4001), from all PPHF funding sources (2002010F36545);
Name of contractor: Deloitte Consulting, LLP;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $201,358;
Expenditures (as of 4/15/2011) (dollars)[B]: $193,593.
Contract description (award number): Total;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $201,358;
Expenditures (as of 4/15/2011) (dollars)[B]: $193,593.
Source: GAO analysis of HHS data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
Table 4: Contracts Awarded by the Centers for Medicare & Medicaid
Services for Implementation of the Patient Protection and Affordable
Care Act (PPACA):
Contract description (award number/order number, if applicable):
Section 4202 - Community Prevention and Wellness Programs - evaluation
demonstration to improve care (GS10F0261K/HHSM500201100002G);
Name of contractor: Altarum Institute;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $566,198;
Expenditures (as of 4/15/2011) (dollars)[B]: $94,366.
Contract description (award number/order number, if applicable):
Section 3026 - Community-based Care Transition Program, technical
assistance (HHSM500200500024I/HHSM500T0005);
Name of contractor: Lewin Group;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,280,436;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Section 3026 - Community-based Care Transition Demonstration design
and implementation (HHSM500200500025I/HHSM500T0004);
Name of contractor: Mathematica Policy Research;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,574,547;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Appeals review for Medicare Advantage quality bonus payments and
Medigap (GS10F0141U/HHSM500201100008G);
Name of contractor: Provider Resources, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,250,806;
Expenditures (as of 4/15/2011) (dollars)[B]: $16,559.
Contract description (award number/order number, if applicable):
Maintenance of internal and external CMS websites to implement the
Part D Coverage Gap, specifically changes to the online complaint form
for Part C and Part D complaints and inclusion of Nursing Home Compare
health care reform enhancements (HHSM500200700015I/HHSM500T0007);
Name of contractor: CGI Federal, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $476,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $270,000.
Contract description (award number/order number, if applicable):
Develop and maintain software modules for Health Plan Management
System to incorporate changes related to Part D (GS35F4052G/
HHSM500200800356G);
Name of contractor: Fu Associates, Ltd.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $614,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Report to Congress - Home Health Setting - evaluating home health
agency value-based purchasing models to implement the hospital value-
based purchasing provisions in PPACA (HHSM500200800019I/HHSM500T0001);
Name of contractor: Acumen, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $499,830;
Expenditures (as of 4/15/2011) (dollars)[B]: $225,137.
Contract description (award number/order number, if applicable):
Develop and re-evaluate hospital outcome efficiency measures -
contract modification to add requirements on hospital value-based
purchasing pursuant to PPACA (HHSM500200800025I/HHSM500T0001);
Name of contractor: Yale New Haven Health;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $235,343;
Expenditures (as of 4/15/2011) (dollars)[B]: $10,348.
Contract description (award number/order number, if applicable):
Development and implementation of quality measures related to the
hospital value-based purchasing provisions in PPACA
(HHSM500200800024I/HHSM500T0002);
Name of contractor: Quality Resource Systems, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,005,269;
Expenditures (as of 4/15/2011) (dollars)[B]: $284,116.
Contract description (award number/order number, if applicable):
Hospital value-based purchasing measures support (HHSM500200500020I/
0003);
Name of contractor: Brandeis University;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $453,884;
Expenditures (as of 4/15/2011) (dollars)[B]: $247,841.
Contract description (award number/order number, if applicable):
Implementation/evaluation of Physician Group Practice Demonstration -
implementation and evaluation of Medicare Shared Savings Program
(HHSM500200500029I/0007);
Name of contractor: Research Triangle Institute;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $800,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Section 6201 - survey and certification long term care background
checks under health care reform (GS23F8096H/HHSM500201000250G);
Name of contractor: The CNA Corporation;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $6,599,666;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,749,860.
Contract description (award number/order number, if applicable):
Analysis services: Part D rebate and discount (GS10F0133S/
HHSM500201100038G);
Name of contractor: Acumen, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $987,905;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable): Part
D Coverage Gap - teleconference support contracts (GS35F0654N/
HHSM500200800374G);
Name of contractor: Intercall, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable):
Section 2601 - state demonstrations to integrate care for dual
eligibles (HHSM500201100030C);
Name of contractor: California Department of Health Care Services;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $1,000,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, if applicable): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $20,346,884;
Expenditures (as of 4/15/2011) (dollars)[B]: $3,898,227.
Source: GAO analysis of HHS data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
Table 5: Contracts Awarded by the Health Resources and Services
Administration for Implementation of the Patient Protection and
Affordable Care Act (PPACA):
Contract description (award number/order number, If applicable):
Provide technical assistance for personal and home care aid state
training grantees (GS10F0285K/HHSH250201000100G);
Name of contractor: JBS International;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $381,024;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number/order number, If applicable):
Provide logistics support for tribal home visiting grantee meeting
(HHSH250201100012P);
Name of contractor: Roomers, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $29,118;
Expenditures (as of 4/15/2011) (dollars)[B]: $29,118.
Contract description (award number/order number, If applicable):
Provide logistical support services for face-to-face objective reviews
for the nurse managed health clinics collaborative (HHSH250200976006I/
HHSH25034017T);
Name of contractor: EduTech, Ltd.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $418,211;
Expenditures (as of 4/15/2011) (dollars)[B]: $289,926.
Contract description (award number/order number, If applicable):
Provide logistics support for teleconference and field objective
reviews for state health care workforce development planning
(HHSH250200976001I/HHSH25034217T);
Name of contractor: Humanitas, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $46,804;
Expenditures (as of 4/15/2011) (dollars)[B]: $46,804.
Contract description (award number/order number, If applicable):
Provide logistics support for teleconference and field objective
reviews for state health care workforce development planning
(HHSH250200976001I/HHSH25034218T);
Name of contractor: Humanitas, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $2,291;
Expenditures (as of 4/15/2011) (dollars)[B]: $2,291.
Contract description (award number/order number, If applicable): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $877,448;
Expenditures (as of 4/15/2011) (dollars)[B]: $368,139.
Source: GAO analysis of HHS data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
[End of Enclosure I]
Enclosure II:
The following tables provide information on contracts awarded by the
Department of Labor to help implement the Patient Protection and
Affordable Care Act (PPACA).[Footnote 5] This includes the following
within the Department of Labor: the Employee Benefits Security
Administration and the Bureau of Labor Statistics.
Table 6: Contracts Awarded by the Employee Benefits Security
Administration for Implementation of the Patient Protection and
Affordable Care Act (PPACA):
Contract description (award number): Large group health plans report
(DOLB109330728);
Name of contractor: Deloitte Financial Advisory Services;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $457,555;
Expenditures (as of 4/15/2011) (dollars)[B]: $225,782.
Contract description (award number): Self-insured group health plans
report (DOLB109330993);
Name of contractor: Deloitte Financial Advisory Services;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $879,993;
Expenditures (as of 4/15/2011) (dollars)[B]: $241,998.
Contract description (award number): Development of first annual
report on self-insured plans per Section 1253 of PPACA (DOLB109330994);
Name of contractor: Actuarial Research Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $74,164;
Expenditures (as of 4/15/2011) (dollars)[B]: $44,498.
Contract description (award number): Wellness programs study
(DOLB109330988);
Name of contractor: RAND Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,204,096;
Expenditures (as of 4/15/2011) (dollars)[B]: $114,044.
Contract description (award number): Large group health plans report
(DOLB109330991);
Name of contractor: RAND Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $1,098,036;
Expenditures (as of 4/15/2011) (dollars)[B]: $950,000.
Contract description (award number): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $3,713,844;
Expenditures (as of 4/15/2011) (dollars)[B]: $1,576,322.
Source: GAO analysis of Department of Labor data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
Table 7: Contracts Awarded by the Bureau of Labor Statistics for
Implementation of the Patient Protection and Affordable Care Act
(PPACA):
Contract description (award number/order number): Study for the
Department of Health and Human Services on 12 selected medical
benefits within employer-sponsored health insurance plans
(DOLU102J14550/1138);
Name of contractor: BAE Systems;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $242,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $242,000.
Contract description (award number/order number): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $242,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $242,000.
Source: GAO analysis of Department of Labor data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
[End of Enclosure II]
Enclosure III:
The following table provides information on contracts awarded by the
Department of the Treasury to help implement the Patient Protection
and Affordable Care Act (PPACA).[Footnote 6] This includes the
following within the Department of the Treasury: the Internal Revenue
Service.
Table 8: Contracts Awarded by the Internal Revenue Service (IRS) for
Implementation of the Patient Protection and Affordable Care Act
(PPACA):
Contract description (award number/order number, if applicable): PPACA
core systems - PPACA information returns prototype (TIRNO03D00003/
0142);
Name of contractor[A]: Northrop Grumman Information;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $797,112;
Expenditures (as of 4/15/2011) (dollars)[C]: $398,556.
Contract description (award number/order number, if applicable): 1
month extension of season customer voice portal for anticipated 2010
calls (Spring 2010) (TIRNO04Z00007/0123);
Name of contractor[A]: AT&T Corp.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $74,143;
Expenditures (as of 4/15/2011) (dollars)[C]: $74,143.
Contract description (award number/order number, if applicable):
Market segment survey to support PPACA business teams, demographic
research on customer service behaviors/preferences
(TIRNO05Z00014/0063);
Name of contractor[A]: Booz Allen Hamilton, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $95,635;
Expenditures (as of 4/15/2011) (dollars)[C]: $89,100.
Contract description (award number/order number, if applicable): PPACA
compliance-document matching - PPACA employer and individual coverage
computation engine prototypes (TIRNO06D00005/0003);
Name of contractor[A]: CGI Federal, Inc.;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[B]: $1,389,806;
Expenditures (as of 4/15/2011) (dollars)[C]: $117,399.
Contract description (award number/order number, if applicable): PPACA
program strategy and integration services with federal working group
(TIRNO06D00013/0011);
Name of contractor[A]: Lockheed Martin Management;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $863,183;
Expenditures (as of 4/15/2011) (dollars)[C]: $237,148.
Contract description (award number/order number, if applicable): PPACA
compliance-document matching - PPACA branded prescription drugs
database design/development (Release 1) (TIRNO06D00013/0024);
Name of contractor[A]: Lockheed Martin Management;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $3,385,054;
Expenditures (as of 4/15/2011) (dollars)[C]: $866,606.
Contract description (award number/order number, if applicable):
Annual tax administrative changes for e-services (PPACA portion)
(TIRNO06D00013/0029);
Name of contractor[A]: Lockheed Martin Management;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $20,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable):
Systems acceptability testing for the PPACA (TIRNO06D00014/0005);
Name of contractor[A]: Northrop Grumman Information;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $972,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable): PPACA
Program Management Office (PMO) follow-on support - strategic
planning, program and project assessments, business/technical support,
and test case development (TIRNO06D00020/0020);
Name of contractor[A]: SAIC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $2,425,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable): PPACA
core and compliance data analysis, PPACA requirements crosswalk,
prototype support and database design (TIRNO06D00024/0006);
Name of contractor[A]: Information Systems Consulting;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $5,136,928;
Expenditures (as of 4/15/2011) (dollars)[C]: $721,257.
Contract description (award number/order number, if applicable): PPACA
PMO security services (security assessment and authorization artifact
development) (TIRNO06D00026/0016);
Name of contractor[A]: Booz Allen Hamilton, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $849,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable): PPACA
compliance-document matching - PPACA premium tax credit computation
engine prototype (TIRNO06D00026/0037);
Name of contractor[A]: Booz Allen Hamilton, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $1,850,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $443,051.
Contract description (award number/order number, if applicable):
Software development and maintenance of Electronic Fraud Detection
System - portion allocable to PPACA (TIRNO06D00026/0040);
Name of contractor[A]: Booz Allen Hamilton, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $72,449;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable):
Fiscal year 2011 minimum background investigations/fingerprint costs
for vendor support (TIRNO08M00003);
Name of contractor[A]: Office of Personnel Management;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $50,384;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable):
Support for Modernization and Information Technology Services (MITS)
PPACA stand-up activities, includes initial development of Internal
Revenue Service (IRS) strategic plan, facilitation services, review/
analysis of legislative provisions, research on business/technical
requirements (TIRNO08Z00017/0016);
Name of contractor[A]: McKinsey & Company, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $808,091;
Expenditures (as of 4/15/2011) (dollars)[C]: $726,178.
Contract description (award number/order number, if applicable):
Support for information technology (IT) and operational leadership in
the development of overall implementation planning, framework, short/
long-term risk assessment to core tax operations, sequencing of short/
long-term implementation initiatives (TIRNO08Z00017/0017);
Name of contractor[A]: McKinsey & Company, Inc.;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $6,869,426;
Expenditures (as of 4/15/2011) (dollars)[C]: $6,354,806.
Contract description (award number/order number, if applicable): PPACA
core system support (conceptual solution architecture, core roadmap,
requirements matrix) (TIRNO08Z00025/0007);
Name of contractor[A]: Deloitte Consulting, LLP;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $1,292,705;
Expenditures (as of 4/15/2011) (dollars)[C]: $369,344.
Contract description (award number/order number, if applicable): PPACA
compliance, branded prescription drugs transition management office
support (TIRNO09Z00005/0018);
Name of contractor[A]: Kilda Group, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $96,342;
Expenditures (as of 4/15/2011) (dollars)[C]: $10,411.
Contract description (award number/order number, if applicable): PPACA
PMO integrated master schedule support (TIRNO09Z00030/0005);
Name of contractor[A]: Chevo Consulting, LLC;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[B]: $1,051,092;
Expenditures (as of 4/15/2011) (dollars)[C]: $276,027.
Contract description (award number/order number, if applicable): PPACA
tax law books for legislative analysis and implementation team
(TIRNO10P00391);
Name of contractor[A]: Thomson Reuters;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $4,650;
Expenditures (as of 4/15/2011) (dollars)[C]: $4,650.
Contract description (award number/order number, if applicable): Books
for PPACA PMO staff - law, explanation and analysis of PPACA, Vol. 1
and 2 (TIRNO10P00770);
Name of contractor[A]: CCH Incorporated;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $4,640;
Expenditures (as of 4/15/2011) (dollars)[C]: $4,640.
Contract description (award number/order number, if applicable):
Services and enforcement support for analysis, design, and
implementation planning and project management set-up (TIRNO10Z00015/
0003);
Name of contractor[A]: Accenture Federal Services, LLC;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $2,719,938;
Expenditures (as of 4/15/2011) (dollars)[C]: $0.
Contract description (award number/order number, if applicable):
Unified Work Request (UWR) tax administration changes to Integrated
Submission and Remittance Processing (ISRP) (individual masterfile tax
year change) (TIRNO94D00028/0306);
Name of contractor[A]: Lockheed Martin Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $34,760;
Expenditures (as of 4/15/2011) (dollars)[C]: 34,760.
Contract description (award number/order number, if applicable): UWR
tax administration changes to ISRP (business masterfile tax year
change) (TIRNO94D00028/0314);
Name of contractor[A]: Lockheed Martin Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $24,516;
Expenditures (as of 4/15/2011) (dollars)[C]: $24,516.
Contract description (award number/order number, if applicable): PPACA
PMO technical and program management support for branded prescription
drugs (TIRNO99D00001/0150);
Name of contractor[A]: Computer Sciences Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $590,534;
Expenditures (as of 4/15/2011) (dollars)[C]: $278,772.
Contract description (award number/order number, if applicable):
Coordination of PPACA changes in support of filing season 2011
(TIRNO99D00005/0237);
Name of contractor[A]: The Mitre Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $195,000;
Expenditures (as of 4/15/2011) (dollars)[C]: $164,443.
Contract description (award number/order number, if applicable): MITS
support to Small Business/Self-Employee division for therapeutic grant
implementation (TIRNO99D00005/0267);
Name of contractor[A]: The Mitre Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $539,950;
Expenditures (as of 4/15/2011) (dollars)[C]: $519,256.
Contract description (award number/order number, if applicable): PPACA
PMO support (acquisition, interim architect, IT and business
assessment and IRS/Department of Health and Human Services
coordination) (TIRNO99D00005/0286);
Name of contractor[A]: The Mitre Corporation;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[B]: $2,598,977;
Expenditures (as of 4/15/2011) (dollars)[C]: $1,343,545.
Contract description (award number/order number, if applicable): Total;
Name of contractor[A]: [Empty];
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[B]: $34,811,316[D];
Expenditures (as of 4/15/2011) (dollars)[C]: $13,058,608.
Source: GAO analysis of Department of the Treasury data.
[A] Contractors include other federal agencies with whom the Internal
Revenue Service has interagency agreements.
[B] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[C] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[D] Amounts obligated do not sum to the total amount obligated because
of rounding.
[End of table]
[End of Enclosure III]
Enclosure IV:
The following table provides information on contracts awarded by the
Office of Personnel Management (OPM) to help implement the Patient
Protection and Affordable Care Act (PPACA).[Footnote 7]
Table 9: Contracts Awarded by the Office of Personnel Management (OPM)
for Implementation of the Patient Protection and Affordable Care Act
(PPACA):
Contract description (award number): Provide health policy and
analytical support as OPM identifies and develops a plan for
implementing the Multi-State Plan Option (OPM3011G0003);
Name of contractor: Booz Allen Hamilton;
Total amount obligated for PPACA- related activities (as of 4/15/2011)
(dollars)[A]: $200,000;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number): External reviews of certain
appeals by private individuals denied urgent care coverage by insurers;
medical review (OPM3310P0007);
Name of contractor: Maximus;
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $114,821;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Contract description (award number): Total;
Name of contractor: [Empty];
Total amount obligated for PPACA-related activities (as of 4/15/2011)
(dollars)[A]: $314,821;
Expenditures (as of 4/15/2011) (dollars)[B]: $0.
Source: GAO analysis of OPM data.
[A] An obligation is a definite commitment that creates a legal
liability of the government that will give rise to a payment
immediately or in the future. An agency incurs an obligation when it
awards a contract, and the obligated amount is generally the amount of
the agency's liability at the time of award. We did not audit reported
amounts.
[B] Expenditures are outlays or funds paid to a contractor. We did not
audit reported amounts.
[End of table]
[End of Enclosure IV]
Footnotes:
[1] Pub. L. No. 111-148, 124 Stat. 119 (2010); Pub. L. No. 111-152,
124 Stat. 1029 (2010). For purposes of this report, references to
PPACA include the amendments made by HCERA.
[2] Pub. L. No. 112-10, div. B, tit. VIII, § 1856(a), 125 Stat. 38,
167 (2011). The act required us to report on the contracts entered
into by departments and agencies to provide services related to
authority under PPACA that was not previously authorized, firms hired
to facilitate contracting, and consultants hired to assist in
implementing PPACA. Consultants were retained to help implement PPACA
solely through contracts.
[3] To determine which federal departments or agencies had awarded
contracts and retained consultants as part of implementing PPACA, we
reviewed regulations that implement PPACA to identify the federal
department or agency that had issued the regulations. We also asked
officials at HHS for other federal departments or agencies responsible
for implementing PPACA.
[4] For purposes of this enclosure, references to PPACA include the
amendments made by the Health Care and Education Reconciliation Act of
2010 (HCERA). Pub. L. No. 111-148, 124 Stat. 119 (2010); Pub. L. No.
111-152, 124 Stat. 1029 (2010).
[5] For purposes of this enclosure, references to PPACA include the
amendments made by the Health Care and Education Reconciliation Act of
2010 (HCERA). Pub. L. No. 111-148, 124 Stat. 119 (2010); Pub. L. No.
111-152, 124 Stat. 1029 (2010).
[6] For purposes of this enclosure, references to PPACA include the
amendments made by the Health Care and Education Reconciliation Act of
2010 (HCERA). Pub. L. No. 111-148, 124 Stat. 119 (2010); Pub. L. No.
111-152, 124 Stat. 1029 (2010).
[7] For purposes of this enclosure, references to PPACA include the
amendments made by the Health Care and Education Reconciliation Act of
2010 (HCERA). Pub. L. No. 111-148, 124 Stat. 119 (2010); Pub. L. No.
111-152, 124 Stat. 1029 (2010).
[End of section]
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