Role of Health-Law 'Navigators' Under Fire - There would be no criminal background checks for navigators or requirements that they hold a high-school diploma.

From The Wall Street Journal:

Lawmakers across the country are tussling over the Obama administration's plans to create a small army of assistants to guide millions of Americans as they sign up for new health-insurance options available this fall.

Backers of the health-care overhaul face an uphill battle to spread the word about the law, in the face of consumer research that suggests most uninsured people know little about it and are skeptical about the value of health insurance generally. Some Democrats have openly worried that the administration is doing too little to make sure the enrollment process goes smoothly.

That is where the "patient navigators" are supposed to come in. But their role has come under question from Republicans who have criticized the administration's plans to educate people on the new legislation. Health and Human Services Secretary Kathleen Sebelius has already drawn fire for conversations with health-industry executives in which she encouraged them to help the nonprofit organization leading the campaign to publicize the law's benefits. Critics said that it was inappropriate for the government to turn to outside groups.

The health-care law envisioned each of the 50 states running a marketplace where people without insurance could comparison-shop for policies and apply for subsidies to help them pay premiums. To smooth the process, each of the states was to set up a program that would enlist nonprofits, professional associations and unions to act as navigators.

Part of the plan has already changed because 34 states won't be running their own marketplaces and are leaving part or all of the job to the federal government. In those states, Washington took on the task of granting money for hiring navigators.

Critics see the navigators as potential competitors to insurance brokers, and say that they are effectively federal government employees who should be subject to rigorous screening.
At a private briefing with federal officials last month, committee aides say they were told there would be no criminal background checks for navigators or requirements that they hold a high-school diploma.

"Because navigators and assisters will have access to personal and sensitive information such as Social Security numbers and tax returns, we believe they should be held to the same hiring standard as U.S. Census and [Internal Revenue Service] employees," who get Federal Bureau of Investigation background checks, wrote Rep. Darrell Issa (R., Calif.), the chairman of the committee, and two other Republican members in a letter to the department.

Backers of the health-care law say the navigators will largely be working with lower-income people, and in many cases helping them to sign up for federal subsidies or government programs such as Medicaid—not the typical work of a health-insurance broker.