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Yes, Ex-Convicts Could Help You Sign Up For Obamacare

Yes, Ex-Convicts Could Help You Sign Up For Obamacare

Written by Igor Volsky

Texas Sen. John Cornyn (R) grilled Health and Human Services Secretary Kathleen Sebelius about the Affordable Care Act’s ‘Navigator’ program during a Congressional oversight hearing on Wednesday, suggesting that the health care law would grant convicted felons access to sensitive medical information and jeopardize Americans’ privacy.

“The president is in Dallas, Texas, today touting the navigator program, which as you know are people who are hired to navigate the [Affordable Care Act], but I would just like to ask you this question,” Cornyn said to Sebelius. “Isn’t it true that there is no federal requirement for a navigator to undergo a criminal background check, even though they will receive sensitive personal information for people they help sign up for the Affordable Care Act?”

Sebelius responded that while the federal government does not require recipients of the so-called Navigator grants to conduct background checks on their employees, “states can add an additional background check and other features.”

Indeed, several states — including Cornyn’s Texas —have either enacted or are considering additional privacy protections, though the new mandates could actually complicate Navigators’ efforts to sign up low-income uninsured Americans in health care coverage.

Federal rules already require Navigators to receive 20 hours of training, including instruction in client privacy, and impose fines of up to $25,000 for violations of confidentiality. Grant recipients must also abide by 45 C.F.R. § 155.260, “the statutory provisions providing for the privacy and security of personally identifiable information under the Affordable Care Act,” and many organizations perform additional privacy trainings for their employees.

Recipients of the grants are typically experienced and trusted community centers that have a long history of helping seniors or children enroll in government programs like Medicare, Medicaid and the Children’s Health Insurance Program without incident. A state like Texas currently doesn’t even require “criminal background checks of the state eligibility-determination workers” who help residents learn about other federal assistance, but would suddenly demand additional checks for Obamacare Navigators.

The change would significantly impact a group like Community Council of Greater Dallas, which has decades of experience connecting low income populations to federal benefits. The group has hired 75 navigators to help guide Texans through Obamacare. “We’ve been through all of these issues, such as privacy and confidentiality,” Martha Blainethe director of the Council said. Under new rules proposed by Rick Perry, Navigators would have to get an additional 40 hours of training, undergo a rigorous state-administered exam [and] submit to background checks. The organization would then pay a fee to cover the cost of enforcing the regulations and report the names of the people they enroll to a state database.

The additional screenings also come as private companies and some states are moving away from discriminating against employees based on their past criminal records. The big box retailer Target announced last month that it will stop asking prospective employees about their criminal records on job applications, reasoning that the question weeds out many qualified candidates. Starting next year, the company will wait until making a provisional job offer before inquiring about a prospective employee’s record, giving potential hires the chance to make their case before an employer passes judgement. Last month, California enacted a law banning government employers from asking job applicants about their criminal record until later in the hiring process and at least “a half-dozen states have similar laws.”

Still, Republican legislatures and officials “in at least 17 states across the country” have thrown away their anathema to government regulations and set-up “all manner of bureaucratic roadblocks in front of the program.” Navigators are expected to help millions of uninsured Americans sign up for health insurance coverage and learn them about their options. But if states continue to raise the threshold for certification, the groups may have a hard time reaching the “minorities, low–income individuals, individuals with mental illnesses or substance abuse problems, and other vulnerable populations” that they’re meant to serve.

This post was originally published in ThinkProgress

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Photo credit: Thinkstock

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7:38AM PST on Dec 9, 2013


12:06PM PST on Nov 12, 2013

Lea H.: You state "I have a hard time believing that a criminal check is to discriminate against all who have had a criminal record but rather, to weed out those who have been incarcerated for identity theft or similar crimes." The bottom line is that whatever the INTENTION may be, criminal checks are used exclusively to discriminate against ex cons. I work in the field of restorative justice. Ex cons who apply for jobs in furniture warehouses loading furniture on trucks get screened. MOST jobs now require background checks even when the task involved is menial and completely safe for these people to work at. People who apply to work at a car wash get screened! And those with criminal backgrounds do NOT get hired. The problem is that so many people are applying for jobs employers need reasons to 'filter' the applications. Therefore application noting a criminal history goes right to the trash can - regardless of how qualified the applicant is. MOST of the convicts I have worked with want to change for the better and be good workers. What typically happens is these people search and are rejected hundreds of times over the course of a year or 2. They finally say "Screw it" and realize that society will never allow them to overcome their mistakes and they fall back into old habits. WE bear a large share of the responsibility for that!

8:49AM PST on Nov 11, 2013

There is So Much I.D. theft today, People are so concerned when stores want any info. and yet they will put their most intimate information on a site that has known security risks and/or hand it over to an ex con?

7:33AM PST on Nov 11, 2013


10:43PM PST on Nov 10, 2013

This article is pure rubbish. There is not one damn thing the Navigators' criminal background check, qualifications or lack thereof or have anything to do with impeding a poor person from utilizing the Navigator. It is such an amateur attempt at blaming Republicans for a corrupt and incompetent President and atrocious law. Clearly the people buying this b.s. are victims of the crappy education system we have, thanks to the Teachers' Union. Reading comprehension is important, kids. This article scores an A+ for utter bullshit.

8:00PM PST on Nov 10, 2013


10:38AM PST on Nov 10, 2013


5:25AM PST on Nov 10, 2013

1) they should have thought of this prior to the start of aca.
2) i don't know what the big deal is about background and criminal checks. i have had this done on almost every job i applied for as well as a urine check for drugs and in one case, fingerprinting.
3) i have a hard time believing that a criminal check is to discriminate against all who have had a criminal record but rather, to weed out those who have been incarcerated for identity theft or similar crimes. i don't think the practice of selecting who would get a job of this type should be targeted to -- examples -- drug dealers, pedophiles, etc.

4:59AM PST on Nov 10, 2013

Seems to me several intelligent people have said it al ...and very well at that..... say's a good idea.....everyone needs to be feel you are useful and productive....they've paid thier Repubs. shut up !!!

9:18PM PST on Nov 9, 2013

Not against ex-cons getting jobs but a job involving personal info may not be a good idea.

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