The "patient navigators" who will be charged with helping uninsured Americans sign up for health coverage under the Affordable Care Act have come under fire from critics concerned that navigators might compete with insurance brokers. "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," Rep. Darrell Issa, R-Calif., and two other Republicans wrote in a letter to the Department of Health and Human Services.

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