1. United States
2. Mich.
3. Letter

I am writing to request that your committee hold public hearings on Oracle's expanding role in federal healthcare infrastructure and AI services, applying the same level of scrutiny Congress gave to TikTok over several years of public testimony. On February 27, 2026, Oracle received new federal security approvals authorizing its cloud services, including generative AI capabilities, for sensitive government work. Earlier that month, the Centers for Medicare and Medicaid Services selected Oracle Cloud Infrastructure to begin migrating internal systems from government servers to Oracle's cloud platform. As of March 3, 2026, no major public congressional hearing has been held specifically focused on CMS's move to Oracle or Oracle's new AI approvals. This stands in stark contrast to the TikTok oversight process. Congress held extensive public hearings where TikTok's CEO testified about data storage commitments, third-party monitoring, and independent expert inspections under Project Texas. Yet Oracle now has access to federal healthcare infrastructure through CMS modernization, operates Top Secret classified cloud regions for defense and intelligence customers, and offers its OCI Generative AI service in those regions, including access to xAI's Grok models built by Elon Musk's company. Medicare data includes diagnoses, prescription histories, treatment records, billing information, personal identifiers including Medicare Beneficiary Identifiers, and financial details. When AI tools are authorized in environments storing this data, potential applications extend beyond fraud detection to identifying patterns that could lead to coverage denials or making predictions about patient risk affecting care approval. Oracle historically operated a massive advertising and data business that built marketing profiles using third-party data sources. Industry reporting indicated Oracle's systems once involved billions of identifiers, later reduced to approximately 700 to 800 million targetable identities. This demonstrates Oracle's historical capacity to assemble data profiles at massive scale. If Congress demanded hearings for a social media app, similar scrutiny should apply to Oracle's position in federal healthcare, defense, and intelligence infrastructure. I urge you to schedule public hearings that establish a governance framework, independent oversight structure, and third-party audit requirements for AI in federal healthcare systems.