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 · 2025-03-25 · 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 at0:18:58

Who spoke

Chair Mike Crapo (R-ID)0:18:58: Opened by praising Dr. Oz's qualifications and announced he would vote to confirm him0:19:50; later opened the Bisignano hearing, introduced the nominee's background at Fiserv and JPMorgan Chase0:57:481:10:09, administered the standard four nominee questions1:11:41, and closed by stating the president has pledged no cuts to Social Security, Medicare, or Medicaid3:23:52.

Sen. Ron Wyden (D-OR), Ranking Member0:20:07: Said Oz dodged yes/no questions on protecting Medicaid and called nurse-staffing questions "complicated"0:20:360:21:02; cited a whistleblower statement alleging Bisignano personally approved DOGE hires at SSA despite denying involvement0:24:411:25:11; pressed Bisignano to commit in writing to locking DOGE out of SSA databases1:28:45; closed by asking Bisignano to grade DOGE's performance, which Bisignano declined to do directly3:19:473:20:15.

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 Medicaid0:26:060:27:05; later described a constituent wrongly flagged as dead by DOGE who had payments clawed back2:20:112:20:43.

Sen. Maggie Hassan (D-NH)0:28:31: Said Oz refused to commit to following the law over presidential directives0:28:31; warned up to 30,000 NH children could lose coverage under proposed cuts0:29:01; later pressed Bisignano on the same rule-of-law question1:46:15 and on the Littleton, NH field office closure1:50:02.

Sen. Raphael Warnock (D-GA)0:31:37: Criticized Medicaid work-reporting requirements, noting Georgia's pilot enrolled only 6,500 people after five years0:34:13; later pressed Bisignano on reported plans to close five Georgia SSA offices, getting a commitment that Bisignano—not Musk—will decide closures3:04:253:04:56.

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 Medicaid0:36:43; later declined to question Bisignano, saying nothing could change her assessment that DOGE is dismantling SSA2:40:392:41:12.

Sen. Ben Ray Luján (D-NM)0:38:09: Described a New Mexico mother fearing loss of her son's hemophilia coverage0:38:09; 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 information2:45:512:50:32.

Sen. Sheldon Whitehouse (D-RI)0:40:39: Said 60% of older Rhode Islanders and 45% of NH births are Medicaid-funded0:41:08; raised regional Medicare payment disparities affecting Rhode Island hospitals0:42:36; later laid out a theory that Trump/Musk are deliberately discrediting and disrupting Social Security to justify privatization, asking Bisignano to commit to opposing it1:31:041:34:53.

Sen. Roger Marshall (R-KS)0:44:14: Said Republicans intend to "save" Medicaid and cited a 50% rise in Medicaid spending over five years0:44:39; later questioned Bisignano on improper payments and IT modernization, ending with "you are hired"1:57:322:02:02.

Frank Bisignano, SSA Commissioner nominee1:11:48: Answered the four standard nominee questions1:11:48; 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 times1:12:521:18:03; 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 Dudek1:26:051:27:14; said Social Security is "a promise to pay," not a Ponzi scheme1:52:06; said he has never discussed privatization1:34:53; committed to being the decision-maker on office closures3:04:56.

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 visits2:36:082:36:38.

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 burdens1:36:231:39:15.

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 records1:41:081:45:01.

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 checks1:52:36; raised the Maine newborn enrollment contract reportedly cancelled over a governor dispute1:53:17.

Sen. Ron Johnson (R-WI)2:02:09: Praised the nomination and asked Bisignano to compare Fiserv's payment systems to SSA's2:03:08; defended DOGE's efficiency efforts2:06:28.

Sen. Steve Daines (R-MT)2:07:46: Recounted a staff member's hour-long, thrice-disconnected call to the SSA hotline2:09:12; asked about ensuring rural Montanans' access2:10:43.

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%2:13:592:15:21; asked whether laying off half the SSA staff makes sense, and Bisignano said no2:16:322:17:33; raised the payroll tax cap and Bisignano's own compensation2:18:13.

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 cuts2:25:252:26:52; got Bisignano to commit to adequate staffing2:29:22.

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 operations2:33:56.

Sen. John Barrasso (R-WY)2:51:08: Disputed press reports of a Rock Springs, WY office closure2:52:59; discussed his bipartisan bill to end the five-month waiting period for terminally ill disability applicants, noting 30,000 died awaiting decisions last year2:53:512:54:19.

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 operate2:59:203:00:11; raised increasing the $255 death benefit3:01:37.

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 tools3:09:083:11:29.

Sen. Thom Tillis (R-NC)3:14:21: Said he already decided to support the nomination and asked about key performance indicators for field offices3:15:14.

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 nomination0:24:411:25:11.

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"1:28:451:29:07.

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 checks2:13:592:15:21.

Sanders asked whether it makes sense to lay off half of SSA's staff amid a service crisis; Bisignano answered "no"2:16:322:17:33.

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 alive2:20:112:20:43.

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 decisions3:03:113:04:56.

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 it1:31:231:34:531:35:18.

Welch got Bisignano to agree that DOGE's practice of firing employees before studying agency functions is not how he would run an organization2:59:203:00:11.

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"1:47:211:47:25.

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 account0:26:06.

Metadata

CommitteeSenate Finance
Chamber / CongressSenate · 119th Congress
Date2025-03-25
TypeMeeting
Witnesses
(none listed in event metadata)
Videosenate-isvp
Transcript584 caption blocks · 24,077 words · 3:25:05 runtime
EventCongress.gov 336763