Schatz, Booker, Murphy Question Funding, Legality Of HHS Efforts To Promote Trumpcare And Undermine The Affordable Care Act

July 24, 2017

Contact: Mike Inacay (Schatz), (202) 224-3123 Kristin Lynch (Booker), (202) 224-3224 Laura Maloney (Murphy), (202) 228-1056

SCHATZ, BOOKER, MURPHY QUESTION FUNDING, LEGALITY OF HHS EFFORTS TO PROMOTE TRUMPCARE AND UNDERMINE THE AFFORDABLE CARE ACT

WASHINGTON - Following a new report on the possible misuse of taxpayer dollars at the Department of Health and Human Services (HHS), U.S. Senators Brian Schatz (D-Hawai'i), Cory Booker (D-N.J.), and Chris Murphy (D-Conn.) asked HHS Secretary Tom Price to provide information about the Department's advertising and public relations efforts to undermine the Affordable Care Act (ACA) and promote pending legislation before Congress.

In their letter, the senators ask Secretary Price to detail the amount of federal funding the Department spent to produce and distribute the dozens of anti-ACA videos available on the Department's official social media accounts. The senators also questioned the legality of the advertisement campaign, noting several laws that prohibit using public resources to lobby for pending legislation or for partisan political purposes.

"We are concerned that the use of appropriated funds to promote legislation pending before Congress violate both HHS's constitutional responsibility to implement existing law, and legal prohibitions against using taxpayer dollars to lobby in favor of pending legislation," the senators wrote. "The ACA is the law of the land, and HHS officials have an obligation to uphold and implement it."

A PDF copy of the letter is available at: https://www.schatz.senate.gov/download/price-letter-7-21-17.

The full text of the letter follows:

Dear Secretary Price,

We write to request information about the apparent use of taxpayer dollars by the Department of Health and Human Services (HHS) to produce advertisements on social media that promote opposition to the Affordable Care Act (ACA) (P.L. 111-148). We are concerned that the use of appropriated funds to promote legislation pending before Congress violate both HHS's constitutional responsibility to implement existing law, and legal prohibitions against using taxpayer dollars to lobby in favor of pending legislation. The ACA is the law of the land, and HHS officials have an obligation to uphold and implement it.

HHS maintains several official social media accounts that have published anti-ACA content in recent months, including on Twitter (@HHSGov, @SecPriceMD, and @HHSMedia) and on the official HHS Facebook account (www.Facebook.com/HHS). These accounts have posted and reposted content that promotes repealing the ACA and have repeatedly used the partisan political slogan of #RepealAndReplace (Appendix 1), which represents a partisan legislative strategy in opposition to the ACA. Indeed, throughout the period of time that HHS has posted this content, the House and Senate majority parties have been pursuing specific legislation to repeal the ACA.

These official HHS accounts have also shared videos of testimonials by individuals who oppose the ACA (Appendix 2). For example, the @SecPriceMD account posted multiple video testimonials through ten tweets regarding the ACA on June 6-9, 2017. These ads have been retweeted over 2,700 times, including by the @HHSGov Twitter handle. Some of these tweets and videos include references to the partisan #RepealAndReplace strategy.

Other graphics posted on HHS' social media accounts include an official "HHS.gov" or "CMSGov" logo accompanying anti-ACA propaganda (Appendix 3). Some of these posts explicitly state that they used taxpayer funds. For example, on June 21, 2017, the @SecPriceMD account posted multiple videos noting that they were "Produced at U.S. taxpayer expense" (Appendix 4).

Other images using the HHS.gov logo are linked to conservative political organizations that directly urge the public to contact members of Congress in support of pending legislation. The @HHSMedia Twitter handle, which describes itself as the "official account of the public affairs office at the U.S. Department of Health and Human Services," retweeted a tweet by the American Action Network (@AAN) (Appendix 5). The American Action Network advertises on its website that it paid for $2 million in advertisements in support of the House's ACA repeal-and-replace bill, The American Health Care Act (Appendix 6). Additionally, the American Action Network has several prominent links on its website that direct people to contact Congress (Appendix 7).

These uses of social media raise questions about who produced the videos, where the production took place, and what government resources were used to produce them.

Under the Constitution, the president--by way of the executive branch--is required to "take care that the laws be faithfully executed." The obligation to faithfully execute the laws passed by Congress precludes executive branch officials from using public resources to lobby for pending legislation or partisan political purposes. There are several laws that aim to prevent this kind of misuse of public funds. Specifically, the Anti-Lobbying Act (18 USC 1913) states:

No part of the money appropriated by any enactment of Congress shall, in the absence of express authorization by Congress, be used directly or indirectly to pay for any personal service, advertisement, telegram, telephone, letter, printed or written matter, or other device, intended or designed to influence in any manner a Member of Congress, a jurisdiction, or an official of any government, to favor, adopt, or oppose, by vote or otherwise, any legislation, law, ratification, policy or appropriation...

The Anti-Lobbying Act precludes federal employees from participating in "substantial grass roots" lobbying campaigns designed to encourage the public to contact members of Congress and pressure them on legislative matters. The Hatch Act prohibits executive branch employees from using federal resources to advocate or distribute content that advocates for a partisan political party, candidate, or political group.

Furthermore, Section 503(a) of the Consolidated Appropriations Act (P.L. 115-13) bans the use of federal funds to publish electronic communications that support pending legislation. Given Congress's constitutional authority over appropriations, we are concerned that taxpayer dollars went toward the creation of these videos, in violation of the law. To the extent that the origin of the videos is unclear or misleading, such as the videos posted on June 6-9, the videos could also violate the prohibition on agencies engaging in "covert propaganda."

We therefore request the following information about these advertising and public relations activities so that we can assess the agency's compliance with the law, specifically the Anti-Lobbying Act, the Hatch Act, Section 503(a) of the Consolidated Appropriations Act, and other applicable laws and regulations. Please provide the answers to the questions below by August 18, 2017:

1. What was your fiscal year 2017 advertising and public relations budget, and what activities and expenditures in HHS fall under this definition?

a. What account does HHS' social media activities fall into?

b. Which employees have advertising or public relations responsibilities?

2. Please provide the total amount of spending on advertising and public relations by your agency from the day you took office, including for social media, video development and promotion, and graphic design. Please provide information on how those funds were spent, including whether the funds were awarded to outside contracts or spent in-house. Please also provide an accounting of HHS employee time devoted to these activities.

3. What appropriations request did you make to Congress for fiscal year 2018 for the purposes of advertising and public relations?

4. From June 6-9, 2017, @SecPriceMD and @HHS.gov tweeted videos of individuals discussing the negative impacts of the ACA.

a. How was this campaign funded" How much did it cost and what was the source of those funds?

b. Who approved the making of these videos?

c. How much oversight did you have in their content and creation?

d. Who created the videos and where were they created?

e. Were any HHS funds used to promote or disseminate these videos" If so, please provide a complete breakdown of all such expenditures.

f. Under what authority did HHS create these advertisements?

5. In addition to statutory prohibitions against such activities, HHS's ethics rules state that "[a]n employee shall not, either directly or indirectly, use appropriated funds to influence, or attempt to influence, a Member of Congress to favor or oppose legislation." What are the consequences for violating HHS's ethics rules?

6. What actions will be taken to ensure that all HHS spending follows the law and is consistent the agency's appropriations?

Sincerely,