Business meeting to consider the nomination of Mehmet Oz, of Pennsylvania, to be Administrator of the Centers for Medicare and Medicaid Services

Benefits Fraud and Improper PaymentsSenate Finance · March 25, 2025 · 119th Congress
This Senate Finance Committee meeting had two parts: first, a business meeting for members to state their positions before voting on Dr. Begins at ▶ 0:18:58
Transcript
Highlights

Title

Senate Finance votes on Oz for CMS, then hears Bisignano for Social Security

Purpose

This Senate Finance Committee meeting had two parts: first, a business meeting for members to state their positions before voting on Dr. Mehmet Oz's nomination to lead the Centers for Medicare and Medicaid Services (CMS), and second, a confirmation hearing for Frank Bisignano, nominated to be Commissioner of the Social Security Administration (SSA). Democrats used both sessions to attack the Trump administration's approach to Medicaid and to DOGE's activities inside SSA, while Bisignano fielded extensive questioning about staffing cuts, office closures, error rates, and DOGE's data access. Begins at▶ 0:18:58

Who spoke

• Chair Mike Crapo (R-ID)▶ 0:18:58: Opened by praising Dr. Oz's qualifications and announced he would vote to confirm him▶ 0:19:50; later opened the Bisignano hearing, introduced the nominee's background at Fiserv and JPMorgan Chase▶ 0:57:48▶ 1:10:09, administered the standard four nominee questions▶ 1:11:41, and closed by stating the president has pledged no cuts to Social Security, Medicare, or Medicaid▶ 3:23:52.

• Sen. Ron Wyden (D-OR), Ranking Member▶ 0:20:07: Said Oz dodged yes/no questions on protecting Medicaid and called nurse-staffing questions "complicated"▶ 0:20:36▶ 0:21:02; cited a whistleblower statement alleging Bisignano personally approved DOGE hires at SSA despite denying involvement▶ 0:24:41▶ 1:25:11; pressed Bisignano to commit in writing to locking DOGE out of SSA databases▶ 1:28:45; closed by asking Bisignano to grade DOGE's performance, which Bisignano declined to do directly▶ 3:19:47▶ 3:20:15.

• Sen. Maria Cantwell (D-WA)▶ 0:25:13 *(captioned as "Senator Cap O")*: Argued the House GOP budget's $880 billion Energy and Commerce cut can only be met by slashing Medicaid, citing a Seattle hospital (Harborview) that gets 39% of revenue from Medicaid▶ 0:26:06▶ 0:27:05; later described a constituent wrongly flagged as dead by DOGE who had payments clawed back▶ 2:20:11▶ 2:20:43.

• Sen. Maggie Hassan (D-NH)▶ 0:28:31: Said Oz refused to commit to following the law over presidential directives▶ 0:28:31; warned up to 30,000 NH children could lose coverage under proposed cuts▶ 0:29:01; later pressed Bisignano on the same rule-of-law question▶ 1:46:15 and on the Littleton, NH field office closure▶ 1:50:02.

• Sen. Raphael Warnock (D-GA)▶ 0:31:37: Criticized Medicaid work-reporting requirements, noting Georgia's pilot enrolled only 6,500 people after five years▶ 0:34:13; later pressed Bisignano on reported plans to close five Georgia SSA offices, getting a commitment that Bisignano—not Musk—will decide closures▶ 3:04:25▶ 3:04:56.

• Sen. Tina Smith (D-MN)▶ 0:35:16: Said 1.2 million Minnesotans rely on Medicaid and shared the story of a constituent, "Hope," whose psychosis treatment was covered by Medicaid▶ 0:36:43; later declined to question Bisignano, saying nothing could change her assessment that DOGE is dismantling SSA▶ 2:40:39▶ 2:41:12.

• Sen. Ben Ray Luján (D-NM)▶ 0:38:09: Described a New Mexico mother fearing loss of her son's hemophilia coverage▶ 0:38:09; later pressed Bisignano on rural office closures and DOGE's access to personal data, getting him to say he isn't comfortable with anyone having unauthorized access to sensitive information▶ 2:45:51▶ 2:50:32.

• Sen. Sheldon Whitehouse (D-RI)▶ 0:40:39: Said 60% of older Rhode Islanders and 45% of NH births are Medicaid-funded▶ 0:41:08; raised regional Medicare payment disparities affecting Rhode Island hospitals▶ 0:42:36; later laid out a theory that Trump/Musk are deliberately discrediting and disrupting Social Security to justify privatization, asking Bisignano to commit to opposing it▶ 1:31:04▶ 1:34:53.

• Sen. Roger Marshall (R-KS)▶ 0:44:14: Said Republicans intend to "save" Medicaid and cited a 50% rise in Medicaid spending over five years▶ 0:44:39; later questioned Bisignano on improper payments and IT modernization, ending with "you are hired"▶ 1:57:32▶ 2:02:02.

• Frank Bisignano, SSA Commissioner nominee▶ 1:11:48: Answered the four standard nominee questions▶ 1:11:48; in his opening statement described his career at Citigroup, JPMorgan, First Data, and Fiserv, and his commitment to reducing SSA's error rate and phone wait times▶ 1:12:52▶ 1:18:03; repeatedly said the 1% improper-payment error rate is too high and should be "five decimal points to the right"▶ 2:05:02; said he was not involved in onboarding anyone "in the middle of the night" and had spoken only to Mike Russo, not DOGE's Leland Dudek▶ 1:26:05▶ 1:27:14; said Social Security is "a promise to pay," not a Ponzi scheme▶ 1:52:06; said he has never discussed privatization▶ 1:34:53; committed to being the decision-maker on office closures▶ 3:04:56.

• Sen. Sherrod Brown[?]/unlabeled Senator — *(a colleague introduced only as "Senator" who deferred to Sen. Young's remarks; likely a Colorado senator)*▶ 2:35:23: Pressed Bisignano on consulting constituents before restricting phone services and cutting staff, citing an estimated 75,000–80,000 additional weekly in-person visits▶ 2:36:08▶ 2:36:38.

• Sen. Bill Cassidy (R-LA)▶ 1:35:22: Complimented Bisignano's payment-processing scale relative to SSA and asked about serving homebound seniors and reducing overpayment recoupment burdens▶ 1:36:23▶ 1:39:15.

• Sen. James Lankford (R-OK)▶ 1:40:35: Raised the SSA identity-verification portal issues in Oklahoma and asked about disability determination reform and the Death Master File's ~915,000 unresolved records▶ 1:41:08▶ 1:45:01.

• Sen. Catherine Cortez Masto (D-NV)▶ 1:52:06: Asked whether Social Security is a Ponzi scheme and pressed on comments that only "fraudsters" complain about missed checks▶ 1:52:36; raised the Maine newborn enrollment contract reportedly cancelled over a governor dispute▶ 1:53:17.

• Sen. Ron Johnson (R-WI)▶ 2:02:09: Praised the nomination and asked Bisignano to compare Fiserv's payment systems to SSA's▶ 2:03:08; defended DOGE's efficiency efforts▶ 2:06:28.

• Sen. Steve Daines (R-MT)▶ 2:07:46: Recounted a staff member's hour-long, thrice-disconnected call to the SSA hotline▶ 2:09:12; asked about ensuring rural Montanans' access▶ 2:10:43.

• Sen. Bernie Sanders (I-VT)▶ 2:13:15: Pressed Bisignano on Trump's State of the Union claim about "millions" of very elderly beneficiaries, getting him to affirm the true error rate is under 1%▶ 2:13:59▶ 2:15:21; asked whether laying off half the SSA staff makes sense, and Bisignano said no▶ 2:16:32▶ 2:17:33; raised the payroll tax cap and Bisignano's own compensation▶ 2:18:13.

• Sen. Elizabeth Warren (D-MA)▶ 2:24:11: Cited Musk calling for eliminating Social Security and walked through a hypothetical benefit-delay scenario, calling delays effectively benefit cuts▶ 2:25:25▶ 2:26:52; got Bisignano to commit to adequate staffing▶ 2:29:22.

• Sen. Todd Young (R-IN)▶ 2:29:46: Relayed his mother's concerns about SSA customer service and asked about AI's potential to improve operations▶ 2:33:56.

• Sen. John Barrasso (R-WY)▶ 2:51:08: Disputed press reports of a Rock Springs, WY office closure▶ 2:52:59; discussed his bipartisan bill to end the five-month waiting period for terminally ill disability applicants, noting 30,000 died awaiting decisions last year▶ 2:53:51▶ 2:54:19.

• Sen. Peter Welch (D-VT)▶ 2:56:52: Argued DOGE is "shooting first and aiming later" without studying agency functions before firing staff, and got Bisignano to agree that's not how he'd operate▶ 2:59:20▶ 3:00:11; raised increasing the $255 death benefit▶ 3:01:37.

• Sen. Marsha Blackburn (R-TN)▶ 3:08:51: Criticized Democrats for tolerating problems under the Biden administration and pressed Bisignano on protecting retirees over union interests and using AI/quantum tools▶ 3:09:08▶ 3:11:29.

• Sen. Thom Tillis (R-NC)▶ 3:14:21: Said he already decided to support the nomination and asked about key performance indicators for field offices▶ 3:15:14.

Key moments

• Wyden introduced a whistleblower statement alleging Bisignano personally approved DOGE hires and received frequent briefings, contradicting Bisignano's denial of involvement in SSA operations before his nomination▶ 0:24:41▶ 1:25:11.

• Bisignano repeatedly refused Wyden's request to commit in writing to "lock DOGE out" of SSA databases, saying only that personally identifiable information "will not be exposed"▶ 1:28:45▶ 1:29:07.

• Sanders got Bisignano to confirm the SSA's true improper-payment error rate is under 1%, directly undercutting President Trump's State of the Union claim about millions of very elderly Americans receiving checks▶ 2:13:59▶ 2:15:21.

• Sanders asked whether it makes sense to lay off half of SSA's staff amid a service crisis; Bisignano answered "no"▶ 2:16:32▶ 2:17:33.

• Cantwell described a Seattle constituent wrongly flagged as dead, who had prior payments clawed back and had to wait in line at the office slated for possible closure to prove he was alive▶ 2:20:11▶ 2:20:43.

• Warnock said DOGE posted plans on its own website to close five Georgia SSA offices, then denied it after he raised the issue publicly; Bisignano committed that he, not Musk, would make closure decisions▶ 3:03:11▶ 3:04:56.

• Whitehouse laid out a theory that the administration is discrediting Social Security to justify an eventual private-equity/"tech bro" takeover; Bisignano said he has "never thought about privatizing" and gave his "guarantee" against it▶ 1:31:23▶ 1:34:53▶ 1:35:18.

• Welch got Bisignano to agree that DOGE's practice of firing employees before studying agency functions is not how he would run an organization▶ 2:59:20▶ 3:00:11.

• Hassan cited Musk's call to cut up to $700 billion from Social Security and Medicare and asked if that meant cutting benefits by a third or dropping a third of recipients; Bisignano answered "neither"▶ 1:47:21▶ 1:47:25.

• On Medicaid, Cantwell (labeled "Senator Cap O") said the House Energy and Commerce Committee's $880 billion target could only realistically come from Medicaid cuts, even eliminating every other program in the account▶ 0:26:06.

Metadata

CommitteeSenate Finance
Chamber / CongressSenate · 119th Congress
DateMarch 25, 2025
TypeMeeting
Witnesses
(none listed in event metadata)
Videosenate-isvp
Transcript584 caption blocks · 24,077 words · 3:25:05 runtime
EventCongress.gov 336763