oneida is split into six school know that last year, 85% of the districts, public school people in the system received districts plus our tribal school district. the subsidies and were able to benefit from those to get the care that they need and make it it's a very difficult task for educational gather affordable. that is what we are focused on right now. one can create any kind of beta so we can do appropriate hypothetical for about anything, programming and i want so much but i think what we are focused to bring all of our districts on is where we are right now and together. the reality that we are working on. it has been a long-standing problem and it is a subtle way >> thank you for doing this. of saying gerrymandering did occur for our tribe. follow-up, what is access.give us your reading of what the law requires in terms of states being designated as a state we can't do it without your placed -- state-based help. thank you. marketplace? though are concerns about the renewal process of medicare. [applause] >> two issues and i will come back and hopefully you can there are concerns that hundreds of thousands maybe dropped from medicaid because of not return paperwork and things of that nature. to maggie smith. i'm wondering what you're or sevenof six hearing about the renewal

process on medicaid. >> that something where focused districts trying to solve these problems by themselves when the on on a state-by-state basis. we been working with the states problems are much more common throughout the year to reduce in than unique, everybody trying to some cases what were the blogs reinvent the wheel and nothing that resulted from last year, gets answered. working to do two things. captain styles helps us maintain one, reduction of the backlogs that existed in a number of states, and each state has that privacy and share important ada. it is a fine line there trying blogs for different reasons, to walk. generally speaking. some different reasons. , to share best sureocus has been to make that were getting rid of that back wall, and to improve the process of communication between practices and stop what doesn't and the system between. work. i could not support that more. we have made progress. it is a place where we need to >> thank you. continue to focus and it's something we do continue to >> good afternoon. focus on a state-by-state basis my name is joel nelson and i'm am including conversations at the chairman of the board of all levels of the state to make sure that we are communicating directors. during the day, i'm the vice clearly and listening well, chancellor of the university because we want to help states southeast and you know. get through these backlogs. often these are issues that are new regulations that just came state eighth in terms of their out -- first i want to thank you

systems, they are not our systems, but because we have the for making this day count. opportunity to work with a number of systems, we tried to oute are new regulations use the best case practices. related to teacher training and preparation. were going to continue to focus our native serving institutions on it. are turning out a lot of when i'm out visiting teachers with a hard and fast stakeholders, and in the mission to put native teachers business i've done, that's one of the more important things. in the classroom. that's a high priority that i i always try to meet with stakeholders because that's how we hear what people are actually know they are behind. one concern is that how they experiencing on the ground. might impact the institutions >> what would be required in and our ability to do that with terms of designating a state-based marketplace? adequate requirements and the context is a constricting would there be some way to simplify that process? quick status a hypothetical. budget, rising tuition, and state education standards that again, right now we have a system, we have the federal don't align very well with our native indigenous ways. marketplace, and that's the system that we are working in. it's a tough environment to add another burden. >> many of the state exchanges i wonder if you have a response things.re for these new , so whyrting numbers

>> i hope it's not an additional doesn't washington have those written. numbers? aen will you be releasing what we fundamentally believe is deserve better report for the whole country? >> it's our expectation that teacher training than they are receiving today, so they entered the classroom to be successful next week we will have the monthly report. and confident. >> why don't you have them now? -- i continue to work think what you hear is when we we are challenging close to 2000 get the numbers, we continue to work. any states extended their schools of education to make sure their training is vigorous and not just academic. timetable, so part of it is making sure we get the right numbers from the states and the teachers get practice working with real students and have numbers that they have. access to technology. we are working with the states we need the next generation of and plan to add that next week. teachers to enter the classroom with the baby boomer generation retiring. i want that new wave of talent to reflect the diversity students. >> i believe it was last month we need more men and again, the the administrator said numbers would be coming out breaking down honey people that are newly

eligible for medicaid had pipeline is it for nearly helpful. we want to reward colleges. enrolled as part of the whole teachers working and number. i believe she said they would be hard to staff communities and we coming out soon, within a month. want to reward folks where they i'm wondering if you have any sort of timeline. would not just go to work in >> i will have to go back and those areas but where they stay see what the director was with those commitments. at the and of the day, that referring to in terms of that. in terms of the medicaid numbers colleges are doing a great job and determining who is newly producing fantastic talents that that is something i is well prepared. will have to understand what she we want to see them get more resources. was referring to. was thehad focused on let us know. we just put out a draft. give us your comments. percentage increase as of october last year in terms of we take those very seriously. knowing who was eligible or not, to have the kind of based on the expansion. education we need for children, we talked about expansion as terms of when they do it at a we need teachers who enter the classroom on day one ready to be point in time. successful. pennsylvania had between 400000 the nation, and it's more and 500,000 that would be eligible but because the the exception than the norm and that's what we are trying to challenge.

>> thank you. population moves their income basis, you have to go at a particular point in time. >> honorable tribal leaders, i will look to see what the director was referring to in that specific comment. president ofast thank you, and happy holidays. american indians and current the tribes located >> tonight at 8:00 eastern, economic writers. in the heart of the redwoods at the pacific coast. battlesfurniture maker native american students have not experienced success in our all ofsystem and almost off shoring and help to save an american town. them located on the reservation, theuding the ones on at 9:30, steve forbes and elizabeth haines on money, how the destruction of the dollar threatens the local economy and reservations are the lowest performing schools will stop what we can do about it. then michael lewis and flash these schools are so dilapidated boys, a wall street revolt do it at times that it impedes learning. all tonight on book tv starting at 8:00 eastern on c-span2. least fundedre the and do not have the necessary educational tools compared with others. students deserve access to a >> irq in a program is 10 years

quality educational theory and old. we are showing you conversations ,aid intertwined our culture over that time. here's one from july 2006. language and curriculum and that has adequate funding to allow our children to have access to equal educational opportunities, especially given the government's trust and treaty obligations to us. the obama administration and tribes have made great progress in advancing tribal sovereignty and education and the tribal >> this week on q&a, our guest education partnership and is lonnie bunch. education grants. the director at the national nativeemonstrate museum of african history and culture. american students perform better in public state and high schools lonnie bunch, how do you tribes are prevalent in define your job? >> my job is to make a dream of schools, increasing tribal many people a reality. my job is to craft a national sovereignty is a priority for tribes and must be a priority for you. we need an assistant secretary museum that takes a subject that many of indian education to maintain momentum and focus on indian education beyond this

administration and we need an interior budget that reflects the commitment being made through these reforms. can you commit to this? >> i'm not sure -- i think i've got the mic. thank you for the question and for driving at the heart of the issue we are trying to solve. thanks for recognizing the sovereignty and indian education grant. relatively small. up for it have signed and without calling out names, one tribal chairman was being challenged by staff members for accepting that money because mere are people who work for , who work in your schools, who should be working for your children. that is what we are trying to address with the structure of indian education. there's not enough money in our

budget to deal with school construction, not even close. schools are ine poor condition. i visited a number of them. i have not yet visited a school that is in good condition other than a handful and many of those have been supported in tribal resources. yes, we are advocating in the budget process. have a boss that gets it very reporting those efforts. advance to inr in the budget get stun you work very hard for a budget not to get done. we are in fiscal 15 and we don't have a budget and we will be running out of money to operate this place if congress does not act. 2015 is not where i would like it to be.

we need to keep working on that and the pressure and voices you all have are important stop the minneapolis star tribune is doing a piece on the challenges and indian education. it is painful to hear. that i went out to the school and did not fix it. hard with ang very lot of light and members of congress on both sides of the aisle and both chambers on building the kind of momentum to address we need the challenges in indian education because it's going to take money, but it is also going to take you, as our tribal ambassador suggested. all of you saying we want to do the right thing for the children of our nation. as we become a provider of support for what are the bright spots and why and

what do we learn from that and how can we help you build a school system you like so those teachers are accountable to you and accountable to your children and when the teachers or the staff or the board are not serving your children, you are going to hear about it and be able to do something about it. it's very hard for me to do because of the way we are structured. you do the asking, we will do the work. true there's no reason -- particularly the conversation about funding should be part of the conversation. this is an area and you have allies on both sides of the aisle. those are important conversations to be having. we have the same sense of

urgency. next question? >> good afternoon. i'm the chairwoman of the band of mission indians in california located in the foothills of the san bernardino mountains 60 miles northeast of los angeles. be here todayo with all of my friends and distinguished tribal leaders. thank you for being here. it makes me happy to see the young ambassadors here who we will mentor generation after generation to make sure we tell our kids don't forget who you are or where you came from. thank you for being here. i want to address the question to secretary perez. as you probably know, on the reservations, a lot of younger

people want to go through the areation and training and interested in staying on the reservation, helping with economic diversification, working to help and mentor all the other generations to come in the future. to complete their training and education, the challenge is to create a workforce opportunity for our people while preserving our fundamental right of tribal sovereignty. decisions the tribal should be left with the tribal government. policy believe federal should reflect our right of tribal sovereignty. with this in mind, would you support federal legislation that areifies tribal governments under the national labor relations at?

--the department of labor and this is something people are thentimes unaware of -- national labor relations board and forces the national labor relations act. the spirit of what you are saying is something i very much agree with and i mentioned the grantmaking we are doing -- why aren't we having more competitive grants being awarded in indian country? part of the reason -- and i learned this from my outreach to all of you, we were not making tribal nationsat were eligible to apply for these grants and shame on us. have fixed that and we have issued very explicit

guidance. in a week or two, we are going important grant solicitation to encourage help build that will that. this is all about you. the 17, 18, 20-year-old that can go into these high demand occupations on the reservations that can help build that type line to the middle class. what we have attempted to clarify through our guidance is you are eligible to apply and i hope you will in theecause apprenticeship context and so many other contexts, what we do -- what arnie does for our young we are doing for young adults and so many others. my mother started college the

same year i started college and she taught me learning is lifelong. people who are 19 years old get access to an apprenticeship and we help people who are 58 years old whose job has them lost and may to retool andback punch their ticket to the middle class and i want to make sure as we give out these competitive grants that tribal nations are absolutely at the table exercising their sovereignty to figure out what is in the best interest and then putting together those proposals. >> thank you. i know it's always an education to us as tribal leaders educate the general public on sovereignty and if it is ongoing , if it in our own states or on the federal level with the house of representatives in congress. we will continue to do that.

it is our inherent right and we will continue to be out there to be what we have to do sovereign nations. thank you very much. >> this will be our final question. >> thank you. my name is russ parks and on the vice chairman of the telly let drive in washington state. i want to say to the youth ambassadors that we like to raise our hands and say thank you to the use ambassador. we have one use ambassador sitting over here and i think she feels like she's already a tribal leader because she's on the side of the room. i'd like to raise my hands to her. [applause] support education, just like everyone does in indian country. is before belief

school and our afterschool programs are very critical to learning. operate the boys and girls club of america on our reservation and we were the seventh boys and girls club. we were very successful with that club. coming tout 400 kids this club per day. across indian country, it's not the same. we were at an apex at one time about 250 boys and girls club's and we are down in indian country to about 175. i don't know whether any of you to how do we increase the before school and after school programs, one of them being the boys and girls club of america by finding ways to get that into indian country. that question, but i'm having a coughing attack over here.

i have been to a lot of tribes. boys and girls club's community safe place for young people to go and is absolutely critical to the lives of kids i've seen across the country. gym facility and it had become a focal point with just a couple of staff members who had become the fathers and the mothers for these young people because of what they find at home. partnering with organizations like the boys and girls club is airy helpful. a lot of the rural and tribal clubs don't have the financial support. one thing we are working to do is to re-energize the philanthropic arm around indian education. the kellogg family foundation

has supported the work we are doing with a $400,000 grant. we think there are others out there who could do that you are supporting boys and girls club's who can become that safe gathering place where young people can interact with each other and support each other when they may not have the kind of support structure they have at home. is looking at schools as a focal point to provide a good education. if we build it so they can become places where people can learn parenting skills, where people can come for counseling , we believe that school becomes a magnet in a positive way. that's part of the vision. vision is a long way from the current reality and we will have to employ all of these things to get there, but the boys and

girls club, the ymca, things like that are critically important and many of you have supported that kind of community center, so thanks for pointing that out. [applause] >> if i could just quickly add, trying to do is exactly the right thing. schools being open six hours a days a week makes no sense. academic enrichment, arts, parents,lasses for schools made into physical resources that are schools have and we need to fully utilize them. and see if they can do more. funding is always a challenge but the idea of school being part of the community, being community centers, not just the academic piece, open 12, 13

hours a day, that exactly the right vision and whatever we can do to help that, we need that desperately. >> thank you. we have the final final question, comment. >> high. -- ithe use ambassador know one of the things we really need is like extracurricular for accelerated students. right now, all we have is activities for youth like or mentorships were students who are struggling in school. i know i brought this up yesterday but i didn't get an answer.

[applause] they said something about jl m, -- i'm really scared. [laughter] >> you are doing great. [applause] >> j. lo m, i'm not allowed to use it.

gos weird because when i home, i can do certain activities. that's what i have to say. [applause] >> first of all, i will try to give you an answer. i appreciate you having the courage to speak up and having a to speak up and do better. we have to do academic enrichment for kids who are behind and struggling and give more opportunities for children to learn native language for all of our young people, but we need to make sure students who are accelerating have an opportunity to do that as well and that's not the first time i've heard the question. young people who are academic young achievers don't have opportunities to change, grow and expand.

not that it is the magic solution to everything, but this access toving technology can be a game changer and the young people are starting to take college level learning for languages, learning oceanography when they live thousands of miles on the ocean is extraordinarily powerful. technology can be a great equalizer or it will exacerbate the divide between haves and have-nots. we want technology to be the equalizer and we want young people to be able to learn want, anytime, anywhere. the faster we can increase access, we will be empowered to do that. we are not there yet and we are hopeful in the next couple of years, a fundamental change and shift is going to happen.

>> thank you for your courage in speaking up. oftentimes, we think about the enrichment activities we have had that make a difference. young people have a natural curiosity and i see it with the youngest people, the best hugs i get are from the five and six year old. i got enough hugs there to last month. the little kids set tone and they were in the zs deck can they had amazing questions. that gets stomped on for a lot of reasons. nurture that curiosity in kids so they continue to yearn to learn? that's what we are all about here. opportunities to engage in

culture and language and engage with elders in your community is one type of extracurricular givingy that we will be for generations to come. one of our youth ambassadors asked the group what can we do as use? answers fromf the you and goussell was back to those elders and your parents who said i said this was so because i said it just because and keep pushing them until they give you the answer. for young people, extracurricular activities are not always left up to adults to do. some of it is your responsibility to ask, but there are things we can do to really make a difference will stop when i was with the city manitou taught and met with the people building the solar car they are

racing across australia, that's one heck of an extracurricular activity. they were competing and winning against some of the most elite schools in the united states. that tribal leadership and tribal control of schools is carrying teachers. in an urbana school area or rural area, it can be done. [applause] thek you for showing us right light and showing us the way. it's up to all of us, not just all of us on the podium, but you as tribal leaders to say what , if it's a school doing well or a school not doing well, what are we doing to engage our young people so they feel challenged? that's what we are going to need to do to take the curiosity we see in every young person. the important thing is dr. russell said to me they don't

know yet how the deck is stacked against them. thought,pretty scary so it's up to all of us to make sure the odds are in their favor as opposed to against them. you can help. in fact you must help because we cannot do it without your help. [applause] >> in concluding, chief anderson has been such a tremendous leader in indian country. she was the original moderator for this panel and it was my honor to fill in for you. think you so much. forthank you panelists participating and being true partners with indian country. sally, i believe this is the last time you will be on stage in front of this money leaders thomas so just a special recognition for sally and all

she's done for indian country. thank you. [applause] >> q&a is 10 years old now and we are one interview from each year of the season for the holiday season. the director of the smithsonian museum of history and culture is currently being built on the national mall here in washington. at 7:00 eastern, here on c-span.

at 8:00 eastern on >> how one furniture maker help save an american town. at 9:30, it's steve forbes and money, howayne on the destruction of the dollar threatens the global economy and what we can do about it. then michael lewis and flash boys, a wall street revolt. it's all tonight starting at 8:00 eastern on c-span two. are washington journal office series for this week continues tomorrow at 8:30 a.m. with shane harris, on the rise of the military internet complex. bayles.s day, martha then on friday, its author clarence page, rider of culture

warrior, selected columns 1984-2014. reflections on race, politics, and social change. health and human services secretary sylvia burwell says 1.9 million new people have enrolled in the health insurance of 6.4lace, with a total million consumers today. she made these remarks today at a news conference where she provided an update on the open enrollment period, which ended december 15. >> good morning. when it comes to the affordable care act, my focus is on access, affordability and quality. today, i want to speak with you most about the substance on access and affordability, with an update for you on open enrollment in the federal marketplace: through december

15th, approximately 3.4 million americans had selected plans. about 1.8 million renewed their coverage and about 1.6 million signed up for the first time. last tuesday, we began the process of automatically renewing the vast majority of consumers who chose to not come back to the marketplace by december 15. i'm pleased to announce that we completed re-enrolling nearly all of these individuals by december 18th. approximately 2% of people were unable to automatically re-enroll because they had discontinued plans or who otherwise could not go through reenrollment. it's important to note that if a consumer who was re-enrolled automatically decides in the coming weeks that a better plan exists for their family, they can make that change at any time before the end of open

enrollment on february 15. through friday december 19th, nearly 6.4 million consumers selected a plan or were automatically reenrolled into their current plan or one with similar benefits. more than 1.9 million signed up for the first time. we still have a ways to go and a lot of work to do before february 15, but this is an encouraging start. now, each of these numbers tells a story. i recently met a woman in arizona named donna gratehouse. for seven years, she couldn't get insurance because she has a pre-existing condition. she looked into signing up through a state high risk pool, but couldn't afford the $1,100 monthly premium. but when the marketplace opened last year, she found coverage for $155 a month.

that is after tax credit. after reviewing her options this year, she chose to stay in the same plan. i want to share with you some of donna's own words -- "literally i'd be walking around outside and think that if i fell and tripped on a curb i'd be in big trouble financially. i have the peace of mind now knowing that if i fall down and break my leg i'll be taken care of and won't go bankrupt. that was a constant fear i had before." when i first joined the department, many of the questions i received reflected a skepticism about how the marketplace would perform. today we have more clarity consumers are interested. issuers have invested. a month ago, people were raising questions about whether consumers would actually want marketplace insurance. today, after doing things like reading the news, working out their family budgets at the

kitchen table and talking to friends, 1.9 million americans chose to come to the marketplace and obtain marketplace coverage for the first time. there were also questions about whether insurers would decide the marketplace is a good place to do business. there are 25% more issuers offering marketplace plans to consumers, who can now choose from an average of 40 health plans, which is up from 30 in 2014. there were also concerns about whether these plans would be affordable and they are. while some predicted that premiums would skyrocket, in fact, while not all, most premium growth has been relatively modest. and nearly 8 in 10 returning consumers can get covered for $100 a month or less. there were also questions about the technology. and today, while our work is not done and we must continue to be vigilant, the consumer

experience on healthcare.gov is considerably better thanks in large part to our team which is working very hard to restore trust in a product folks had questions about. again, we still have a ways to go but we're headed in the right direction. the marketplace is stable. people have chosen to shop. insurers have chosen to invest. there is choice. there is competition. people are shopping for coverage and people are signing up. i maintain that the reduction in the uninsured is the metric that matters most. last week, we released the cdc's latest national center for health statistics report. it found that as of this past spring, roughly 10 million americans gained health coverage since last year the largest increase in four decades. as part of that number, millions of americans have access to medicaid because 27 states plus

dc have expanded. pennsylvania has joined the fold, and the governors of wyoming, tennessee, and utah have expressed an interest in expanding. as i close, i want to say a word about the kitchen table. because i like to think of our progress in terms of what this means to moms and dads as they sit down at the kitchen table and plan for tomorrow. thanks to the affordable care act, working families have come to count on the financial security that comes with having quality, affordable health coverage that's there when they need it whether they're able to get covered because of the marketplace whether they have better coverage than before because of the affordable care act. they're working out their family budgets with affordable health coverage built in. they're able to look across the table during this holiday season, knowing that their 25-year-old son or daughter has the security of being able to stay on their family's insurance plan. they have the security of knowing that if they lose their

job, they won't necessarily have to lose their health coverage with it because of a preexisting condition. and they don't have to worry about losing their home or going bankrupt just because they get sick. some are finding they no longer have to choose between saving for a medical emergency and saving for college. all of these benefits are welcome changes for working class families. thanks to the affordable care act, finding quality, affordable health insurance is one worry they can cross off the list and this can be a great thing for a family's piece of mind, in addition to their financial security. while we have more work to do, we're moving in the right direction. working together, we're expanding access. we're delivering affordable choices to consumers. and, in terms of health care quality, we're moving forward toward our goals for better care, smarter spending, and healthier people. the numbers and the stories show that this law is working, and families, businesses, and taxpayers are better off as a

result. and really that's what this is all about. with that, happy holidays, and i am happy to take your questions. yes. us of the tell reenrolled, how many people came to the exchanges and reenrolled themselves and how many people auto reenrolled? >> i didn't include that number in my initial comments because we are still in a preliminary phase with that number. preliminarily, we think we are in the mid to high 30% of folks who came back in, but that is still unclear. a do want to give you indication of where we think that will end up but we are checking and double checking. that is the percentage that came back. 30%, if we work off the 15

number or it's probably better to work off actually the 19 is 1.9 of the 64 signed up for the first time, so it is the remaining portion approximately in the mid to high 30's of that will be what came in, and then the rest were auto enrolled. >> so 30% of 4.5 million, or what? >> yes. back was 30% that came of the 4.5? >> i want to be clear. preliminarily it is in the mid to high 30's. we have not settled on that number, so i just want to be clear. >> i know earlier there was a few issues in terms of some

people who were stuck in waiting rooms and had to provide information to get a call back. large aexplain how number that was and what you learned from that before the crunch you expect around february 15? expectof the things we at crunch time, the number of people one would need to hire to not have a waiting room is something that any business would not analyze that you would want to do. the numbers are in the tens of thousands. the number is approximately 500,000 people. all those people have now been reached out to. in other words, you are given a message that said you're going to reach out to you. so you know, you now will have coverage january 1. so all those folks will have coverage as of january 1. we reached out to all of them and were in the process of working through with each of those people. some have already come back in

using the technology. everyone has been reached out to. the other thing that is important about those folks is that they will all have their coverage start january 1. if you got in that queue, you are covered for that period. >> one point of clarification, i think that you set of the auto renewals, something like 2% were not able -- can you just clarify that? it's a little difficult to fully tell what is going on without some baseline data. can you tell us how many of the 6.7 enrolled as of october 15 were ffm customers versus states? >> can you clarify the second part? the first part is the 2%. around the 2%, that's the number of people that went through but were not auto reenrolled.

a number of those people, like in oregon, that didn't happen because you know they came in. those are the kind of categories that are in the 2%. which number are you looking for? >> on october 15, you said there were 6.7 million people enrolled nationwide. so far we only have data on current enrollment for january 1 .rom the ffm >> a 6.7 includes the state-based marketplace. today our conversation is on the federal marketplace. until we get the state-based marketplace numbers, we will be able to build up to those numbers. >> i'm just asking how much of the 6.7 million was only ffm. >> we will have to get back on what part of the number the 6.7 was based.

>> you referred to the three governors who are talking about expanding medicaid with certain opposite -- conditions and thresholds. as you your timeframe can best tell us for when you might have a decision, and what are the absolute thresholds? >> with regard to the timetable, it is dependent on each state, and each state in their interaction and engagement. hands --able is in the there's a set of processes but right now in terms of the timetable, that sits with the state. with regard to medicaid and how we think about it, the thresholds really come to implementation of the statute that we were given with regard to how and the conditions of expansion. different states are doing things differently, as we see in terms of whether it's arkansas or pennsylvania or even the

conversation and was a governor of tennessee has expressed. so providing flexibility but making sure within the statute in terms of the types of coverage, essential health benefits and the things that were in the statute. but how concerned are you about arkansas and it possibly unraveling their? >> we will continue to have conversations and be in touch and want to work with every state. for those states that are are ready and, we want to make sure they stay in. for other states such as the three we mentioned, we want to have a conversations when the states are moving. for other new states, we will continue to try and open conversations. are going to continue having the conversations to make sure we are doing two things, predicting and trying to find a way we could have as many of these uninsured get access to affordable coverage and do it in a way that works with each state.

>> thanks for doing this. i'm wondering as you look ahead at 2015, you have a republican has been for more enrollment at the end of 2015. what are you looking at as the ?iggest challenges ahead >> we tend to try to think about in terms of the key goal. access to affordability and quality, and the key things one is working on in that space. in terms of medicaid, continuing on a path of medicaid expansion and a successful marketplace. we focus deeply obviously on both of those right now. i'm speaking to the issues of offense because that is how one focus andhink about objectives. the second is delivery system reform and the concept of making coverage and care more affordable and of a higher

quality, and taking the steps needed to do that. buckets, wallet he and affordability, and the last element is making sure that the access we are creating actually translates to care and wellness. elements, andany it's one of the things that you see, even for people who have the employee based care, many people don't know or take advantage of some of the prevention efforts that you can do, or they discovered when they take their child in for a wellness visit and you don't have to do the co-pay for the annual visit. the last categories making sure that the access translates. with regard to the others and the defensive part which is part of your question in terms of the things that will be incoming over the next year, think about it in terms of keeping the eyes on the ball of offense in

keeping the conversation focused on the substance. cans the place where one have the policy conversations and debates to make progress. i keep repeating myself, but it is affordability, access, and quality. if we keep focused on those issues, that is how we can continue -- continue to improve the results we have now and improve the affordable care act. >> thanks for doing this. --terday the supreme court i'm wondering if you're continuing -- thinking about contingency plans ahead of the changes in case it goes against you guys. are you talking with states on this? >> where in a position where openng has changed in our enrollment. is important to reflect that nothing has changed in terms of the subsidies and assistance people can get to have oracle care. the second thing is, we believe our position is the position

that is correct and accurate. , one isravel to states in new york and one is in florida, the idea that the congress intended for the people of new york to receive these ,enefits for affordable care but not necessarily the people of florida, i think we believe we have the right position, and that is what we're doing. with regarding to our planning and focus, it is as i described previously with a special focus right now on open enrollment and making sure as many folks as we can have that access and enrollment in and for -- affordable coverage. considering the preliminary estimate you mentioned a few minutes ago, about 30 some odd percent of current customers taking some active steps to tonroll, does that conform your expectations, or was it higher or lower? did you have any notion of how many would automatically enroll

and how many would take steps? >> because we are all experiencing the market lace for the first time, the question of having an analytic -- analytical basis and knowing how people are going to behave is something we are all learning as we go through process. the second thing i will say is just in looking at what happens with people and employer-based plans and other things, would probably would not have expected a number that high in terms of people's behavior, in terms of most people just let what happens go. we will see where it is. one thing that is important, and i think you all know this, we emphasize very strongly and try to communicate with people in a very strong way about coming in. most people receive anywhere onm 3-10 touches, depending where you were or what you were

doing, what access we had. so we were deeply focused on , in our communication is directly as possible and in our broader communication. as manyd to maximize on people as possible because we believe it is important to shop and compare, to come in and make sure many people like the plan. as the example i gave from arizona last week, she liked her plan. i met a gentleman in philadelphia who went in, compared, same thing. the idea that people actually take the initiative to make sure that they are getting that they need and deserve -- we want to make sure everybody does that. and second they make choices and come in and find the best plan for them in benefits and affordability. >> i appreciate your statement about king and your belief that

the law is on your side. but given the inherent unpredictability of a supreme court challenge, it seems somewhat even irresponsible not to do some contingency planning or to discuss with states what they could or should do in the event that potentially hundreds of thousands or millions of people could lose access to subsidies if the court rules a certain way. are you not having any of her stations are doing any contingency planning in the event the court rules not in your favor? >> what we are doing is focus deeply on what is in front of us right now. that is the open enrollment that asand focusing on well as the medicaid expansion and other issues. we believe we are in a place where our position will prevail. i'm going to stick with where i am.

we are focused on open enrollment and we are focused on the issue that we have a position that we believe is the position that will prevail. >> a bit of a follow-up question to that. one issue republicans have raised as a concern is that if the court rules against the affordable care act that the subsidies people are depending on the we yanked from them. is there a possible world in the future where people lose subsidies, assuming -- i know this is not what you are expecting, but if the supreme court rules against the affordable care act, is there a place where people could lose their subsidies midyear? >> with regard to hypotheticals, i think anyone can create any kind of hypothetical in life and in policy and anything. what we're doing now is focusing on where we are right now, which is the law of the land is, that

is where we are right now. the subsidies are available, people are shopping, they are coming in and getting their we