as you know, the president has been consistent ever since the budget control act was signed and not conceding the sequester was right for the there's budget is no different in that respect. >> if you can follow up on the contingency operation. you are asked about this but considering there is only supposed to be about 5000 troops in afghanistan, still an awful lot of money associated with those operations. over $40 billion for afghanistan missions. to what degree is that money directly related to operations in afghanistan and to what degree is the $16 billion for other theater operations like in the gulf? is this the true cost of the war

or are there other costs as well? >> we follow the same rules. this is no deviation from that. it. it includes costs from the missions we are doing. as has been the case for many years. >> those bases will presumably stay a while. after next year, right now the number of troops is supposed to go down to nothing. but, we are still going to see overseas contingency operations until at least 2020? >> what you will see in the budget documents released which i have not had a chance to review myself is a proposal that we work together in the executive branch and congress to move some of those costs for what takes place in the command

region to the budget if circumstances allow us to do so. the department is not able to absorb those costs within a big topline however. >> if the war ends, why can't that be done quicker -- the transition? >> it can be done quickly as a larger budget negotiation allows. but, if sequestration is not lifted, it is not doable to shove all those costs of back into the base budget without a transition. >> what we are doing in afghanistan, the drawdown, you are talking about the boots on the ground. some other things we are providing to the troops that are left there is isr. we have not brought down the number of isr orbits because even though the troops are inside the wire, helping them build their force, we're still out there trying to make sure the troops inside the garrison are safe. there is no linear direct linkage.

>> you have mentioned the deputy secretary has mentioned the importance of the initiative. not everything is about money but is there a way to get a big picture of this which is a very high priority? >> as you know, we have more b lunt instrument type figures on how much we spend on research and development with the tech base. we have not attempted to put a figure just on what we call innovation because one man's innovation might be another man's more incremental change. we will get back to you if there is a number we want to put on that, but it was more of -- the deputy describes it as a particular set of issues he works on, but i don't think we have a dollar figure.

>> wasn't created by the program we have already seen? >> we will have to get back to you on that. >> thank you. a couple of questions. will an unfunded priorities list be submitted to congress this year? number two, on the compensation reform question, is there anything in this budget that are out of sync with the frorms of the commission? >> let me answer the second one first. as you know, the compensation commission works independently of us. we respected that. we have had the same idea as you have. it was briefed and they held their press conference. i think are some areas they addressed and we did not and areas we addressed that they did not. there are a couple of areas

together. we did the primary ones that we've addressed. we, the department, gives the president our views and analysis and then he gives an opinion on these recommendations to the congress. i believe it is 60 days. you are not going to see a lot of comment from the department leadership prior to that until we have a chance to do some analysis. and then make a recommendation for the president and work with him on what the ministrations position will be. i think there will be some differences but what position we will take on areas where they have made a different proposal than us or just something we have not is premature for us to say today. i believe your first question was -- i would assume the chiefs continue past practice. for me, on the day we are releasing the budget, it is too early to comment on what people do not like about it already.

>> there has been a lot of changes since the last budget. i'm curious. there were two launches earmarked in your booklet that are going to be put up for competition. what are those launches? can you give us an idea of when you do your planning in the future years how much are you able to save by including new interests over what you would have estimated had you only had one provider? >> the air force is coming up later today to give you more precise information that i would be able to on launches. >> ok. do you have anything? >> you said there are two? >> that is what the book said. >> thank you. mr. secretary, do you have an estimate on the reforms? how much money that is worth and it is that in the budget or is

that something you would incorporate into the budget once congress approves? >> i think there were three parts to the answer to that. first, there had been efficiencies in every budget i have been here. especially starting with fy12 when secretary gates was here. where the money was taken out by the comptroller organization upfront. in fy16, the budget we are submitting now, there are billions of dollars of either efficiencies or harvesting or making tough choices and spending less on things that are a priority. that could be maybe recapping our facilities, for example. efficiencies is the word i will describe loosely to get money as

well as doing without something because it is a lower priority and you don't have the funding. using that broader definition, the budget has from the four previous rounds come about $70 billion to use. i described on one of the slides a number of institutional reform efforts that are trying to make this place run better. whether it is response reorganizeing the office, a number of things like that that are not tied to a dollar target percent. say. e. on institutional reform, it made a brief reference to the effort the deputy secretary has undertaken to look at some crosscutting areas of our enterprise like human resources, financial management, this obliging. that is still in development and there is not a dollar target taken out of or assumed in this budget for those efforts.

the deputy and his leadership are moving towards trying to have that ready for the fy17 budget. >> what about the compensation reforms? is that baked into the budget? >> i was not characterizing that as my answer as opposed to policy proposal but yes, those kinds of things are baked into the budget because those are things we routinely put a price tag on doing them or not doing them. how many people they apply to, etc. those things as in last year's budget have dollar assumptions on cost or savings built into the budget that stretch throughout the department's accounts. >> thank you. is there a current estimate on how it access base infrastructure there is and you anticipate congress will expect another round of it? >> the estimate on nexus capacity, you probably have heard figures in the low 20% in

the result would a bit of a catch 22. we have been enjoying from doing really detailed updates on that which is basically it. the figure is a few years old because we are constrained but doing the kind of work we do to get a more precise number. do i think congress will eventually agree? i do. i worked on capitol hill for many years and i spent five years working with senator mccain's staff at the time to get authority -- the turned into the 2005 one. we started back in 1997 so it took -- it does not necessarily happen overnight. in this case, it has not. i think the case is still compelling. any person running a business or a company large or small would say aevery 10 to 12 years it is time to look at your physical footprint and see if it is the relevant to your needs.

it has now been 10 years since the last round. we are for the round of 2017. this is just a number of things i think the department has proposed. whether it is on the a-10, looking at something that is older, not single mission assets. whether it is trying to control compensation cost or for that matter prioritize for structure. i think these are the kinds of things you would expect an organization is trying to stay competitive to do. we have had a more challenge than most organizations do. we continue to propose things that are the right and rational thing to respond to a changing world. to redirect resources to hire priorities. >> also like to point out

overseas infrastructure. we just announced european infrastructure in the last few months. we are very comfortable with what that is. >> two things. $135 billion. for ohio. is that for ship construction? congress agreed to create a separate fund but there was no money in it so how are you funding that? you indicated you are continuing the modernization program. the budget does not reflect that. they show 22 operational cruisers. i'm were confused on that. collects>> let me answer the order. the ohio replacement program is funded in the research account. we are still a couple of years out from buying the first ships. that is still in the r&d

account. on the cruiser modernization the navy is proposing, as i understand it, to do what is consistent with the legislation last year with the restrictions. it is less than everything they asked for last year but still includes modernization. again, the navy's following later today and can probably explain with greater fidelity. >> transitioning into the base -- you mentioned it was contingent upon sequestration. what a short-term deal motivate you to do the plan? [indiscernible] >> i don't know how likely a full repeal is. sequester has about six more years to live on the books. the period of time we are talking about is almost under that time. in my mind, i view them as a

common timeframe. >> no two-year set-aside would make it enough? >> i cannot rule out what congress might agree to if there was another short-term deal which is certainly a possibility. what we had in mind so far, and we are still early in discussion between ourselves and onb is the longer term. something that gave us confidence on a way ahead which is something we have been lacking. >> the budget documents talk, and you mentioned, investments in space and protecting american assets in space. the budget request for space seems to go down from 7.4 last year to 7.1 this year. i'm wondering if you could talk broadly about why that money is

going down and also what you are trying to do here to sort of protect space assets in this budget. >> thank you. this is probably the first of many awkward answers you will get on the subject. [laughter] the vast majority of the efforts we are undertaking in this area are highly classified. we are going to struggle to explain them, i fear, other than to our committees behind closed doors. i can say in general terms we are looking at resilience, better situational awareness securing both can indications -- communications. mark at her know if you want to add anything here. the other thing i will describe is the mission we are describing is a multiyear thing. the funding is relatively flat.

more investments will phase in overtime. many assets are developed one-of-a-kind. there is usually research involved in changing the space architecture. collects at the risk of an up -- >> is there more to protect existing assets or more to improve protections for future assets? >> is really both. -- it is really both. it is a range of programs. >> i noticed the political challenges you mentioned. you put russia and ukraine above the rise of isil. >> i would not say it is a relative judgment just by the placement. i think would general ramsay could speak to is that sort of taking on board what russia's activities means going forward.

it is still a work in progress and is budget is not meant to find a final answer on what changes are to be necessitated by russian activities. the initiative we have this year tracks pretty closely what we had last year in terms of presence in europe and giving us additional time to develop policies further. >> i mentioned the european infrastructure announcement a few years ago. all of that was permitted infrastructure. -- permanent infrastructure. >> we did the european consolidation. we have done a lot of work on that and recycled back to it again where we needed to be given russian activity to make sure we are happy with all the proposals. one or two were taken off the table that would've been agreed

to otherwise. >> does it factor into your reassurance budget? >> let us respond directly on that. i don't believe there is any. >> one a billion was requested as classified. 16% of the whole request. >> i would say if you look over time, there has been a healthy and steady intelligence component to spending. for years. this is no different. >> would you give an awkward answer in terms of what the spending is on? >> no. [applause] [laughter] >> for a budget that is warning of sequestration the details in

terms of what the specific impact would be. to which are the services crafted in a detailed plan b for the joint staff or for you and what to -- and to what extent will of the public so you might be able to mobilize some public support to pressure congress to roll back sequestration if they have a better handle on consequences than just saying it is going to be a manageable risk? >> i will ask mark to comment on a couple of parts of this. we did last year and the year before asked to do some work on developing an alternate level. the year before, we had a full five-year plan as well as the level we actually supported. we got a lot of complaints that we were crushing the workforce with multiple levels of detail while people were dealing with sequester in the real world. every other kind of challenge financially -- getting ready for audit.

this year, we tried to be a little more streamlined and focus a little more than just 16. but, as opposed to having a full alternate reality five-year plan for everything. so the budget we are cementing today is not about sequester, it is about what we think is the right answer. there is a time and place to talk about sequester as an alternative battle thing today is that day. -- but i don't think today is that day. senator mccain had a hearing the other day where people had a chance to talk about sequester to some degree. last year, the department released a publication giving examples of major moves. not every single line items but major differences. that document will be forthcoming this year. it is not a budget document per se. the president has only approved one funny profile and that is what we are here to explain.

i think if and when -- this will come up at future hearings -- there may be even future hearings devoted to sequestration beyond the one that was held last week. i think at that time hopefully we will have a chance -- i know the vice-chairman expressed himself that a joint war fighting impact would be useful to what you would buy and how much people you would have to cut. >> it is probably worth going back to look at the 2014 document. we are doing a refresh now. >> realistically, when my to come up with a refresh document? otherwise, it is an " alice in wonderland" one. >> every year, we have asked for something higher than sequester and every year we have

gotten something higher than sequester. we have not gotten everything we asked for but we believe it has been useful and productive. it is the right place to start. >> the vice-chairman said it is a strategy. this is what we need to defend the country. >> we have time for just two more. >> if you talk about the airspace initiative and if there is a need for a new type of fighter with capabilities? why continue to buy the f-35? >> of the undersecretary can do better justice than i can. there are classified and unclassified elements to it. i would say we are talking about pretty far down the road. not as an alternative to the joint strike fighter but what follows the joint strike fighter . i don't think there is a

conflict in looking at what type of manned, unmanned vehicles you my dude on the road. -- you might do down the road. >> it is beyond the fighter aircraft. it really is. it is the future of air dominance. there is a whole host of things tucked underneath that that are all about driving and developing technology for 15 to 40 years down the road. if we don't do that today, we will not stay ahead of our potential adversaries. >> ok. >> i have a question about the strategy and the challenge for the rise in china. can you tell us anything about the strategies priorities? >> the rebalance to the asia-pacific strategy?

sure. we don't predict a budget exhibit which is why you asked specifically describe these items are part of it and others are not. let me describe some of the major things that have been consistent in our budget. i think we first describe this in our 2013 budget so this is something we have been pursuing for many years. just to hard fact to the opening theme, pretty consistent. shifting the assets we have from being 50-50 to 60-40 are some of the major constructions in modernization footprints move we have had anywhere in the world. the last couple of years have been at camp humphreys and the movement with the government of japan from okinawa to guam. those continue. we have some progress to report on that front. there was a budget last year in

terms of the landfill permit and other clinical processes -- political processes. i know we went very quickly through what we are buying with his budget. the aircraft, submarines, long-range bomber. it is all applicable worldwide but particularly in the area of large distances. mark you want to add more? >> i think you got the high points. we have a very robust diplomatic effort and our military engagement with the western pacific for several years now. that is not going to be abated anytime soon. we want to keep the rebalance ontrack. >> that is a good point. the agreements with the australians in the philippines. >> that is all the time we have. the army brief starts in about 10 minutes. thank you. >> president obama's nearly $4

billion budget request includes discretionary spending for the defense department. $25 billion for agriculture. $9.8 billion for the commerce department. and more than 70 billion for education spending. on the next washington journal new jersey congressman bill pascrell talks about the president $4 trillion budget request. idaho representative raul labrador would discuss his membership in the freedom caucus,'s role in immigration reform and his legislative priorities. bloomberg businessweek staff writer claire suddath talks about maternity leave in the u.s. in comparison to other countries. as always, we will take your calls and you can join the

conversation on facebook and twitter as well. washington journal live at 7 a.m. eastern on c-span. health and human services secretary sylvia burwell and her department budget request for 2016. the white house is requesting 88 point $3 billion. -- $88.3 billion. >> good afternoon, everybody. please welcome sylvia burwell. [applause] >> good afternoon, everybody and good afternoon to our team. good afternoon everybody and good afternoon to our team. as a former onb director, i know yesterday was the super bowl,

but i consider budget day the real super bowl, the only difference is you won't be hearing katy perry today. [laughter] as a former budget director, i believe the president's are just shows what we can accomplish together if we invest in our nations future and commit to building an economy that rewards hard work. an economy that drives up income and allows everybody to share in the prosperity of a growing america. the budget lays out a strategy to strengthen our middle class and allow hard-working families to get ahead. the proposal positions us to continue making historic strides toward priorities we all share. providing americans with the opportunity to live healthy and productive lives.

it makes critical investments in health care, science, innovation and human services. it maintains our commitment to be responsible stewards of the taxpayer dollars. it strengthens our work to address key challenges at home and abroad. the president is requesting $83.8 billion in discretionary edge it authority for hhs. this investment will allow our department to deliver impact today and lay a strong foundation for tomorrow. a tomorrow where communities are healthier and middle-class families are more financially secure. a tomorrow where people are protected from the threats posed by pandemics and other public health challenges. a tomorrow where medical breakthroughs open up the promise of an innovation

economy. the president's budget is a fiscally responsible proposal. it would save taxpayers a net estimated to $.5 billion -- $250 billion in the next decade. we would secure $423 billion in net savings as we build a smarter, better health delivery system. i want to give you an overview of how this budget impacts our key policy arcs. providing all americans with access to affordable quality health care. in the past year alone, 10 million uninsured americans finally gained coverage. we announced last week that nationwide, 9.5 million consumers have selected or work

automatically reenrolled in coverage to the health insurance marketplace during open enrollment. this budget predicts the prospect -- progress we are making on affordability and quality. it fully funds coverage for newly eligible adults in the 28 states plus d.c., that have expanded medicaid. it has improved access to health care for native americans. to support communities throughout this country, including underserved immunities and to invest $4.2 billion in health centers to bolster our health workforce. the latter investment will support more than 15,000 courses supporting 60 million patients. -- 16 million patients.

millions stand to lose access to primary care services and providers if we do not take action. as we build a better, smarter and healthier delivery system for health care, this budget supports our work to improve the way care is delivered, providers are paid and information is distributed. for example, it replaces the medicare sustainable growth formula and supports a long-term policy fix. the administration supports a type of bipartisan, bicameral efforts that congress undertook last year. to advance our shared vision for leading the world, we are requesting an increase in nih's funding of $1 billion, to advance i/o medical and he hated ural research.

-- to advance biomedical and behavioral research. this research is critical to maintaining our country's leadership and innovation economy and could result into wrote life-changing breakthroughs -- could result intra--- in life-changing breakthroughs. it is a reminder of what these investments can mean. the president is requesting $215 million for the precision medicine initiative. it will have new strategies tailored to the individual characteristics of individual patients. the problem is it gives us the ability to develop medical treatments that are highly

tailored to the individual characteristics of patients. it is in the interest of our health and our children's future. it is in our economic interest to make sure these rakers happened here. in 2013, the average cost of full-time care for in infant was $10,000 per year. higher than the average cost of in-state tuition at a public four-year college. as we seek to provide americans with the building blocks of healthy and productive lives this budget outlines an ambitious plan to make affordable quality childcare available to working middle-class families. the budget request expand access to early learning opportunities through headstart and early head start. it also funds voluntary

evidence-based home visiting initiatives that leaves long-lasting impacts on parenting skills, development and school readiness. to protect children in foster care, it advances interventions that are evidence-based, designed with the goal of reducing the over prescription of psychotropic medications. there are a number of investments dying to help older americans to live with dignity in their own homes and communities as well as investments to protect seniors from identity theft. the budget strengthens our public health infrastructure with $970 million for domestic and international preparedness, including critical funds to implement the global health agenda and to enforce strategies of prevention, detection and response. it also invests in behavior

health services and substance abuse prevention. >> for millions of americans who rely on prescription painkillers, they are prescribed by their doctors, these strokes can be the difference between constant chronic pain and some relief. these drugs can be deadly. in 2009, drug overdoses overtook every other cause of injury death in the united states. outnumbering car crashes for the first time. the budget includes $99 million in new funding for this year. finally, as we leave our department stronger, the budget invests in program and integrity

initiatives. these initiatives are projected to yield $22 billion in gross savings from medicare and medicaid over the next decade. taken together, the budget request for hhs, make investments that impact millions of americans for the better. investments that are good for the health of our families, the middle class and the nation's economy. they support the broad goals of making the economy work for the middle class. helping working families to be more secure, with paychecks that go further, to keep generating new jobs for our workers and fulfilling our most basic responsibility -- to keep america safe. we will make these investments and and the horrible spending cuts by cutting inefficient

spending and reforming tax benefits. thank you very much, and i will take some of your questions. >> do we have a microphone? >> yes. >> i had a question for commissioner margaret hamburg of the fda, my name is sue darcy. i had a question about the lab developed test regulations. do you think they will be final in 2016 at have you made room in the budget to implement that? >> as you know, the period ends today and we have received considerable comments we will be reviewing and are taking seriously. this is an important issue and an important discussion about

how the fda should exercise regulatory oversight of these lab developed test. i cannot say the timeline for sure, that it is in everyone's interest to take a consider thoughtful approach. we do plan to be thinking ahead of time about the resources and the organizational structure to support implementation. this will be something we discussed as part of our user fee negotiations with the medical device industry. it is part of our broader inking. >> you guys project that spending for medicare part d will grow by about 30% in 2016, which is something like four times as fast as in 2017.

can you explain what's going on in that program and to what extent to drug prices turn to that and also why have you requested authority to negotiate drug prices? >> why don't i start with the end and either andy or ellen murray can do the first part of the question. i'll do a little bit on that as well. with regard to those authorities, i think it's something that we believe will help with the issue of drug prices which i think is part of the first part of your question in terms of making sure that we can make progress both on quality as well as affordable in healthcare. with regard to the delta in that particular year, i will defer to my colleagues but having been at o.m.b. my guess the date in the year will be one of the elements if it is that large of change as well as other things but i'll let andy speak to that.

>> i'm going to endorse what the secretary said. first smart comment. so there's a couple of things -- >> i think he's referring to his own not mine. >> and yours. there is a timingish issue and that is a significant driver and we can take you off line and go how that works. second, specialty drugs, there's -- that's a driver there and then i think there's a small factor for growth in population but i think the first two factors will be the biggest driver in part d. >> you'll actually -- i think we'll be able to take you off line but we'll cover that there's a couple of spots there's reassurance and overall costs. >> thank you. yeah ricardo in ap.

you can provide detail on how you envision these negotiations to work and should they be limited to medicare. medicare is very important. it's a biggest payer, but what about the medicaid programs as well? could you -- >> so i think with regard to this type of proposal as with our entire budget this is a conversation we'll be having hopefully with the united states congress. as we work through how they are thinking about it as well as how we're thinking about it. in the earlier response i think this is about us trying to find ways that we can continue with what we have talked about as a real priority for us. delivery system reform and thinking about how we improve quality and cost efficiency and we believe this would be a tool that would help us on both of those front. >> how would you define high cost drugs? >> i think that is something that we would work out. as i said this will be a

statutory provision in terms of getting the authorities and that is something that we would work with congress to define and determine. >> thank you. >> hi. melanie. i want to know a little bit more about the funding request for unaccompanied miner children and how that trigger for $100 million how that was decided upon to address the issue. >> i'll have mark continue the answer. what we were trying to do with the contingency fund is meet the two objectives that sometimes in terms of budgeting one thinks about how can you meet the objective of making sure that you're appropriately prepared for an extreme situation at the same time you're budgeting together in a fiscally

responsible way. the concept of the contingency fund is our approach of meeting the needs of the congress to be clear when you would need money. we're hopeful they'll never come to pass in terms of the numbers that would trigger that type of fund and that's what we were going to work against. based on experience we apt to make sure that we are putting forward the required needs if we have a change. mark, did you want to add anything? >> very quickly. so as the secretary indicates, we're seeking to both prepare for our best expectations what's going to happen but also recognizing that there is inherent uncertainty in the prior three years that have been very dramatic growth in the

unaccompanied children peaking in the summer. since that time numbers have declined in a significant way. it is based upon what we see at this point that we believe our budget proposal would be sufficient for what we would anticipate at the same time the experience of the program has been one where sometimes unexpected things have happened and so we feel that it's crucial to build in the ability to prepare for contingencies. >> the secretary has time for one more question and after that ellen will take over moderating. >> that's mark greenberg. make sure you have that. happy to take another question. you you i was curious about funding for any new emerging viruses like the ebola virus.

and are they going towards emerging viruses flu or anything else like that. so the answer to that question in terms of that type of preparedness is centered in three different places in the department. doctor will come -- nicki i'll invite you to say a few words. and in terms of our work at the epidemiological work and dr. collins would have a few comments on exactly in each of those budgets we have levels to work on the issue of prepare edness. >> the '16 budget puts a strong foot forward when it comes to bio threats. and these are to deal with the

bio threats that are traditional threats and microbial disease. whether it's ebola or another pandemic or something we haven't seen before. there are substantial funds and good increase in 2016 to an address those different categories. we continue to see that mother nature plays tricks on us and it's own bio terrorist and we have to be prepared to meet her wherever she shows up. >> not only viruses and biological events but man made events. it's very important focus of this budget and substantial initiative to combat in fact across u.s. initiative to combat

the rise of it and allow us to establish protection in every state and the amount of testing that's done for drug resistance and organisms and to have rapid response in this country to improve infection control to stop outbreaks of drug resistant organisms of bacteria and viruses in the u.s. and drug resistance globally because it's an area where if a resistant strain emerges it may be a threat to us.

$238 million putting to good use in terms of therapeutic trials even as we speak. with regard to the anti-microbial resistance we have an important role to play with wonderful collaboration with our colleagues so there is $100 million of additional funds proposed in fy '16 for research to help us with the effort to set up a clinical trials network that would be ready to test a new anti-biotic that might be developed and we hope and expect that will happen. but you have to have that network in place with access to individuals who may have pneumonia with resistant organism and you can't do that on the fly. you have to have that set up ahead of time. we'll continue to work intensively on the effort to develop an influenza vaccine.

we are in the early stages of stage two trials to develop vaccines that don't work for this season or next season but would work for all influenza viruses that have the shared structure of the hemogloben and protein. >> dr. hamburg, you can see this is a real cross -- your question hits it. what is an h.s.s. we have to take it through the epidemiological part of cdc when we're developing those vaccines in terms of future development and as part of that fda. so doctor, do you want to say a word? >> we play a critical role in the chain of activities that will lead to better answers treatments and strategies against resurging infections

disease threats. we obviously play a role in the development, review and hopefully availableability of new products, diagnostics vaccines and with respect to the huge challenge of anti-microbial resistance that the doctor touched on fda has a broader role. we're very involved in helping to achieve the most efficient development plans for new diagnostics, drugs and vaccinees, but we also are involved on the animal health side in terms of the use of anti-biotics in animal husbandry and agriculture and moving forward with a program to remove apt tie anti-biotics from animal

agriculture in terms of their use of growth promoters and to bring this important class of drugs under the oversight of veterinarians. so that's a very exciting activity in this proposed budget will allow us to continue those activities >> i think you can see the broad range of what we do in the department. i'll leave you in the capable hands of ellen murray and the team. ellen, i'll ask to you come up and moderate for us. >> do we have any other questions? i'll leave it to the microphone people. >> jeremy with cnn. talking about vaccinees, governor christie and senator paul talked about vaccinees should be optional or voluntary for parents to give to their

kids with the recent outbreak of measles and mumps. >> i think i'll ask dr. freeden to response. >> vaccinees are tremendously important in protecting children. while we understand the concerns of parents that they're understandably concerned for the safety and ethicasy of vaccinees, part of the challenge we have is that the vaccinees have been so effective, the diseases they protect against are less familiar. 92% of american kids are effectively vaccinated against measles, however there are communities where a large proportion of parents are not getting their kids vaccinated or in a timely way. what that means is there's a gradual build-up of those susceptible of measles. it can be quite serious,

although some children get over it quickly. it cause severe illness or even death. the vaccine is safe and effective and choosing not to vaccinate your child also endangers the health of others in your community. neighbors whos children may bend the age of six months or medical condition that prevents them from being vaccinated. in the year 2,000, united states eliminated measles ever since that year every case of measles in this country has ultimately been traced back to spread of mels somewhere else in the world. that emphasizes our need to continue to strengthen vaccination programs throughout the world but also emphasizes that we are all connected and that not vaccinating your child has implications not only for your family but also for families around you. the science on this is very clear. there was one study that has since been shown to have been

fraudulent that alleged to show problems but review after review by independent agencies emphasizes of course a vaccine can make your arm hurt and give you a slight fever. there are no long term adverse consequences from the mels vaccination. it's also as one last point to make important that although there are some parents who are not getting their kids vaccinated, the vast majority haven't gotten around to it yet and not the small number who have strong beliefs of the vaccine and what it it may lead to. we hope increasing number of parents, especially in communities that have had increasing refusal rates get vaccinated for their own sake and the sake of their community.

>> are they intended for the medicare savings program? >> you can take that? >> sure. i think the question is about the a. c.o. items inside the pwupbl et. we have i think released very positive results over the last year which have shown we can improve quality while managing costs in a number of communities around the country there. is more of this inside this year's budget and i think there's also bubbedled payments incredibly important and primary care demonstrations and state based initiatives. all those things are a big part of the budget this year. >> just to follow up on an earlier question on the negotiations. just to follow up on the drug price negotiations, is that

going to be a statutory proposal or is this more in the nature of an invitation to a dialogue? >> it's a statutory propose until >> when will that be available? is that available now? >> andy, do you know? >> i don't. >> i do not know. >> thank you. >> question for dr. collins. is there still funding in the 2016 budget for the brain initiative? where is that at now? >> there most certainly is and we're delighted about that. in fact the fq '16 budget proposes an increase of another $70 million on top of the 65 million which is included by the time you get to 15. this is in a ramped projection which is very much what this initiative needs in order to see the full opportunity realized. this is one of the more excite

things going on putting together the expertise from a variety of disciplines to understand how the circuits in the brain do what they do. and the first go round of grant applications nor which we just funded a few years ago produced just the kind of scientific excitement that we had hoped for and we want to see that continue to grow over the course of the next 12 years because that is the plan that was put forward by this remarkable panel of experts led by cory band bill. if it want to see more about it it's up on the web in the advisory page. >> what is it? >> 135 million. 70 that's new and 65 that was there from '14 and '15. >> probably the first time in 4 or 5 years an afford press conference hasn't led off the

press conference. how much money are you asking for next year to implement to with the affordable care act and go through the exercise where you tell us where you managed to scrape up money to run the law last year? >> by last year you mean 2015? >> right. >> well, again, as in most years we will use program management. we have more fee income in '15 than we did '14 and more in '16 than '15. we could use the secretary of transfer and the expense fund. i think as time goes on, funding for these exchanges will be funded by the fees. some of the activities can't legally use fee income to do so like running the hub which is a federal responsibility. but the need for prop rated

dollars will be less as the years go on. but, andy, you can add to that? >> thanks for the question. yeah what allen said is exactly right. i give a couple of highlights. i believe in this year coming budget 70% or so will be taken care of by user fees and we think that's going to continue to grow. as it gets close to its natural limit. the other thing that happened is our ask for major expense items like information technology are going down year to year. we'll see rediction of close to $200 million. so i think between getting the program to third fourth year of stability as well as the stability of user fees and so forwards, i think we'll see a sustainable path funding the exchanges going forward. >> any other questions? >> yeah, hi.

sara from "nature" magazine. i was intrigued by consolidating food services. you can talk a little bit about what the authority of that new agency would be and what it would not be and if that would would have any regulatory -- >> we hope to work with congress to develop this proposal. right now there's no details in our budget money for food safety. but this is something we hope to work with congress through the year. >> it seems that fda oversight for drugs and medical products relies more than half on user fees and that seems like a

larger percentage than it has been in the past and i'm wondering if that represents a significant increase and if that's permissible under the current user fee arrangements. >> we have as you know a kpwupblgbudget that reflects the contribution of budget authority and user fees and they're negotiated on a regular basis with the relevant industry and then codfied in legislation and several years ago the bill was passed which laid out a five year plan for user fee spending. the at the present time our user fees are different in different programs within the medical products area and there are some areas of activity that are not paid for by user fees but strictly by budget authority and others where user fees play a critical role. in all honesty i don't know what

the specific percentages are in the different domains and we could get that to you if the president's proposed fiscal year '15 went forward. but i can assure you that the numbers reflect a careful consideration both of critical needs and problematic areas of activity and also of course the requirement that's are put upon us as part of the user fee program and the various tar gets and triggers that are components of that legislation. >> any other questions? >> i see none. thank you all very much. look forward to seeing you all next year.

>> the political landscape has changed with the 114 dsst congress. keep track of the members of congress using congressional chronicle on c-span.org.

"washington journal" continues. host: we take a look at how your money is at work in a different federal program. this week is the federal budget coming out. it's now on capitol hill. joining us to talk about it is william hoagland, from the bipartisan policy center. we have lots of details to go through. this is a $4 trillion budget. it includes a deficit and one

that spends above sequestration levels. your reaction to those numbers? caller: this is a budget that is not dead on arrival on capitol hill. it's probably going to be on heavy life support when it arrives a peer. it does have an opportunity to engage the president and the congress in some serious debates that have been lacking over the last few years. i have concern as we look out into the future, you gave the number right for 2016. the budget shows the deficit would go up in the out years under his proposal. it is $640 billion over 10 years. congress has interest in reducing the budget, that is going to be a difficult task for congress to take on.

it continues to show a deficit in debt. the budget assumes that with economic growth that the proportion of the deficit relative to the economy is flat. the second concern i have after glancing at it is the accumulation of deficits from the beginning of the republic to today as a share of the economy remains relatively high. the budget stabilizes that around 75%. that's well above historical average. we used to run about 40% of gdp. it's a good start. it's as exciting as the super bowl was for budgeteers.

host: he will be taking your questions. phone lines are open for the next 40 minutes until the end of the show today. a lot of experience that you have in reviewing the budgets and the process they go through, what happens today? what is the timeline for getting if there is some agreement? caller:guest: this begins the process. by law, the president issues of the first monday in february. this will be his day for his agencies and officials at his omb erector -- director. he will be making a presentation. as early as tomorrow, the two

budget committees will begin the process of taking testimony from cabinet officials and others on the broad outlines of this budget. under the process that we are operating under, regular order the budget committees will take the budget and go through it and they will come up with their broad blueprint of what they would like to see fiscal policy be for the next year, 10 years or longer. the committees will report out of their committees. they will go to the senate and house floors and for the first time in five years, they intent could conference -- to conference.

this will become the basis on which guides the committees of jurisdiction on filling out the blueprint and building the house and moving forward. if everything works the way it's supposed to, this is not always the case, it will be april 15 when congress has its answer to the budget in terms of its own fiscal blueprint. then the real work begins with the committees building around that budget and reporting legislation to the president to be signed into law. host: this is the 2016 legend that will begin october 1. -- budget that will begin october 1. he served as a staff member on the senate committee from 1982 until 2003. he served as the staff director of that committee for several years.

he now works for the bipartisan policy center and will take questions and comments. we will start with sharon in ohio. good morning. caller: good morning. thank you for taking my call. i just wanted to ask the gentleman what the american people can do? what can we do? the stupid mistake has been made to put the republicans in control of the congress. every decision they make has a big business hank on it. they don't care about social security. they don't care about what we have paid into, our retirement plans. they only care about the egg business and -- big business and the rich. guest: i think the fact you were calling into c-span is an

indication that you are an active individual in the process. that's good. i think what we need is people such as yourself and others to study, understand, when with your -- wayeigh in with your congressman as we are in this preparatory stage. i encourage you to do what you're doing, which is participating and continuing to do that with your elected officials. host: what is your group? what are you trying to do? guest: we were established in 2007. it was established by four former majority leaders of the united states senate. these were democrats and republicans.

we are not nonpartisan. we work hard to find solutions to these issues, such as the debt and deficit and issues of health care and immigration. we want to find solutions with bipartisan issues. these are usually high-level people. many have served in congress or in statehouses. we bring these individuals together and we conclude that if you can find bipartisanship, we ought to be able to find bipartisanship on capitol hill with these issues. host: we are chatting with william hoagland. robbie is up next. good morning. caller: good morning. i would like to say that i think the major reason for the $18 trillion debt that we have is the ability that congress has to raid the social security trust fund.

people are very much misinformed about what is going on with social security. the vast majority of years it's been in existence, it's operated on a surplus. congress has been able to get a hold of that money. if we change that, they would be more responsible. i would like to know his opinion on this. host: what do you think? guest: i don't want to get too far into the weeds. you are correct. when the social security -- when you are a in more on an annual basis in your taxes to social security, we build up a surplus in the trust fund. when the social security trust fund has a surplus, what does it do with those surpluses?

it rights and iou to the treasury so they don't have to go out and aro from the public. it becomes available for operational government. you are absolutely correct. the difficulty is we are moving into a situation where we are not running a cash surplus and we are paying down that debt that was accumulated in social security. as the congressman previously on pointed out is that trust fund will exhaust by 2033. we will have to go into a pay-as-you-go system. the revenues will only pay benefits. that will be a 20% reduction in what people will expect. this is a complicated issue. i apologize for going into all of the numbers. we have to look at ways to reform the system. we are not talking about cutting benefits for those who are in

retirement. in order to make the program sustainable in the future, we have to look at ways to improve it. we have to modify the program for the future. host: john is on our line for democrats. caller: good morning. i would like to ask a question. senator rand paul made a remark a week or so ago. i was listening on the television that he wants to cut social security disability by 20% because most evil -- people are scamming the system. i would like to say i worked for 35 years with one company. my lungs went bad and i had to go out on disability. i do know about most people scamming the system. what do you think about cutting disability by 20%? guest: thank you for the call.

let me point out that we have launched about a year ago a commission made up of a number of highly respected individuals including kent conrad and former undersecretary at social security jim lockhart to look into this issue. we set up a task force on disability. we are looking at the issue of disability. one of the things i have noticed in today's numbers, i have not seen what the president reposes to do about the disability insurance program. the reason i raise it is we have to trust funds. we have one for retirees and one for disabilities and the issue

is the disability trust fund will exhaust its resources at the end of 2016 probably november. what senator paul was suggesting, i think, is not that he was proposing to reduce benefits by 20%. if congress does not address the disability insurance trust fund in this congress, this is in this congress, under the current law as it exists, those benefits would have to be reduced by 20%. the issue before congress how does he propose to deal with that budget?

there are proposals out there. i don't think fraud is a major issue. there is some inefficiencies. we know there were some in new york with some of their disability programs. the vast majority of people deserve the benefits you are getting. the question is whether those who want to work can find work and not be disenfranchised by the disability program by the way it set up. this is a big issue. it's one that i did not see addressed this morning, at least in the initial release of material the president put out. host: lots of numbers will still be coming out today. we will be chatting about them tomorrow as well as new details come out. we are talking with william hoagland. joe is in kentucky on the line for democrats. you are up joe. caller: we keep talking about the budget every year.

whatever has happened to the plan? guest: the commission was set up , the president wanted recommendations in 2012 to move forward to find ways to reduce the long-term debt of the country. the commission had to have a super majority and they did not reach that goal. the recommendations did not become formal recommendations. the president himself did not take some of those recommendations and bring them forward. the commission, all of those commissions that were set up to look at the long-term debt of the country that has been set aside.

this is for budgeteers, this is an important day for us. we are going to reengage on a number of proposals. a number of proposals that congress is considering our part of those proposals. we will see some of that. the president's budget is released today, without looking high numbers myself, it suggests there will be a 1.8 trillion dollar deficit reduction over the next 10 years. it is said that there will be $400 billion from reforms of the health care system. when i checked this morning, it was about the same number. it is the same proposals of last year that focus on pharmaceuticals and increasing

premiums for part b and part c. a lot of that was in the original commission report. host: we see these things pop up down the road. andrew is up next on the line for republicans. caller: good morning. i was one the hearing -- wondering about that waste spending. -- wasteful spending. what about getting rid of planned parenthood? the grants they give out to artist that give out statues nobody wants. that's just wasteful spending. bridges to nowhere. i would like to see what he has to say about that. host: it depends on your

definition of wasteful spending. guest: it's the eye of the beholder. $4 trillion of spending, there probably is inefficiencies in that budget. the question is does this indicate areas of consolidation of agencies and review of programs and look to ways to consolidate and move forward. there has to be ways. the previous caller, i believe there is fraud in the disability program. there probably is in the defense department and on down the line. it behooves us as managers and executives to weed out that as

much as possible and make the government the most efficient for the limited dollars we have. how much is there? it's in the eyes of the beholder. is a program that funds artists a wasteful program? maybe it has lower priority. for that artist, it is his sustenance and livelihood. it is a challenging issue. that is why we elect officials who tried to make these hard decisions of setting priorities on how taxpayer dollars should be used efficiently. host: let's head to new york. this is the line for democrats. caller: good morning. i want to ask a couple of questions. one is in the health care program. it seems like the middle class is when someone goes to the

hospital and can't pay, it comes back on the rest of us. the health care they have now covering everyone is more sensible. it would be more sensible to have a public option plan like other countries have. i think that would be an easier way out. another question i have is why are we spending so much money overseas, i know we have to protect our country. we need to protect the people here. we need to feed and close the people here. you are supposed to help the poor and needy and anyone who says you aren't, i don't know what kind of heart they have. guest: the issue of the public option was debated at the time the aca was going through congress. it was not an option we could move to at that point. the bottom line is we have a very complex health care

delivery system that includes public and private involvement. the public option elimination making it all public option was something a democratic congress felt they could move forward with. i do believe you are going to have a debate. there is going to be a debate over the affordable care act. making changes and modifications to it, i think the house today will vote on a repeal of the entire affordable care act. with all do respect to congress, that is unlikely to get sufficient votes to overcome a filibuster in the senate. modifications to the affordable care act will be negotiated and maybe successful. on overseas investments and

expenditures, it's a function of the budget function 150 we are in a global economy, but in this budget of $4 trillion, less than 2% of it is actually going for what we would refer to as overseas assistance. host: the rules committee is having a hearing on the rules for that vote on the affordable care act. we are covering that on c-span today for those who might want to watch that. i've got about 20 in its left with william hoagland. vick is in peoria. did morning. caller: we always have a problem controlling congress. i have a solution. when i tell people, we have candidates and they will vote 97% of the time what their constituents say.

the way we will do it is an has to come in the form of cards. they have to be registered voters. if they say they want stoplights , let's say 51% of the cards come in, that's what they will get. we can hold their feet to the fire. i want them to give up their office if they want hold to that. call some of these people up. lobbyists, businesses, people with money, we would have control instead of a republic where we are not represented. what would you think of that idea? vote 97% of the time like your constituents or leave office. host: i will let you weigh in on that. guest: i'm not a political scientist.

it's an interstate proposal. i would suggest that there are 535 members of congress. it could be, difficult to manage administratively. let me say that i am more concerned about voters are dissipating and just voting. it does seem to me that we have seen a decline in anticipation in harlot process. i think that is a concern -- our dissipation process. i think that is a concern. we will be better informed in the decision-making process. host: myrtle beach is next. tim, you are on with william hoagland on budget day. caller: good morning, john. i would like to say about social

security, people should be more informed. i found out more about social security in these last 13 months that i knew before. he mentioned at one time we had a surplus and they rated it. -- raided it. we are looking at the lowest gas prices in a long time. we are looking at a windfall right here if we keep the gasoline in the united states. what would you think about a $.50 a gallon for everybody and what it would do for the economy? we could do all the things that everybody wants to do. host: are you talking about a gas tax? or lowing the price -- lowering the price?

caller: think if it was $.50 a gallon. guest: first of all, you raise a good question. when the price of gasoline comes down, is this the time to establish a gas tax? the budget today has a very big effort as it relates to infrastructure. his proposal to fund the highway trust fund, which expires at the end of may of this year, establish a proposal that includes a tax, a 14% tax, on profits that are being held overseas. that is his way of funding it. i'm not anticipating. i think that sets up the good debate. there are some rivers of congress that are starting to focus on a gas tax.

host: the president is looking to raise money for those public works projects over the next six years. guest: it includes a 14% tax on overseas profits. a 19%, at his current, an interesting point, the way it is phrased in the documents that were put out today, it is a tax now. 14% on $2 trillion, i'm not quite clear on how that $280 million comes in. we would not be looking at a deficit. we would be looking at something much less than that. it's not clear how this is set up. for future profits overseas, the

proposal is 19%. i think what the president proposed today will engage a discussion about is that the way to fund infrastructure in this country or is a gas tax, that has been at the normal way historically. should it be out of general revenues? from a budgeteers perspective is this is a wonderful opportunity to talk about our funding needs. host: tennessee is up next. ray is on our line for republicans. good morning. caller: good morning. i have a question. he said that there isn't much fraud in the disability.

i have a number of younger people in my family that are disabled. one is 45 years old. she has never worked a day. she is drawing disability benefits. now she is drawing disability. she has ruined her health. she eats. how can he say before they make this decision? guest: if i lead you to believe i don't think there are issues in the insurance program in this area of fraud, i am sorry. i did not mean to suggest that. i meant to suggest that the program of this magnitude, that is an element of it, but there

are clearly individuals who really did have a disability and it impacted their work. what i would suggest to you is one of the things that concerns me is not so much whether you r relative is eligible and receiving benefits. what is a problem at this point is she has no incentive to go off that disability to gain work. i feel that is one of the issues are commission is working on. we have a task force in this area. the way the program is set up, your disability and if it's our reduced by 50% after a dollar

amount. that is a disincentive to work. we need to find ways to incentivize people to work. there are a number of disabled who still want to work if it's available to them and the system does not disenfranchise them from working. host: we bring up stephanie on the line for democrats. good morning, stephanie. caller: i just have one simple question. actually, i have a bunch of questions, but i won't argue with them. the cap on social security, it is $118,000. guest: yes. caller: if you make $1 million you keep paying. guest: that is a very good

question. there are people who have suggested it's one way to provide funding to the social security trust fund. when the cap was established, it was supposed to cover 90% of wages. today it is much less than that. i can't remember the exact figure. there is a sense that the cap should be raised if not taken off completely. there is no civil answers to these very good questions. the reason you don't just take the cap off completely as it does have an interactive affect with the benefits. if you take the cap off, then warren buffett and bill gates will be paying, but they will qualify for larger benefits. that is not the intent. this is a balancing act. i think some mechanism for

modification could be part of the solution for increasing the solvency of the program going forward. host: jan had a question on our twitter page. how does that process work? if you think there is fraud? guest: i am not a lawyer and i don't know what the procedure would be. you can go to the social security office if you have a concern. you can highlight to them to look at this case in more detail. host: napier phil, illinois is next. morning. caller: i would like to ask the gentleman just a couple of issues. we already pay a high gas tax in illinois. it seems like they are not using it for its and if it. the other thing is social security, they use the surplus

for other programs. now we are paying interest on those other programs. they raided the social security program and the middle class is paying the interest. the third thing is, the gentleman where his policy center, is he paid by the taxpayers? guest: the policy center is a 501(c)(3) organization. it is a nonprofit organization. our funding comes from foundations, about 70% is from foundations, contributions. we solicit help to deal with individual projects. we are not a pay for play organization. we do have some corporate

funding that comes into our organization. we do have some individual contributions. no packs to -- taxpayer dollars are involved in our work. host: surely is next in california. caller: good morning. i am a 79-year-old woman. i have worked from the time i was 17 until i was 69 years old. i raised three children on my own. i never asked for any help. i was put on ssi and i moved to kentucky for one year. i came back to california and it took a year and a half of appeals to get my ssi back. i had to call my congressman. they would never return my calls. i turned it over to my congressman.

we own you a year and a half back pay. they said it would be deposited in my account. no money. they sent it to the wrong bank account. every third of the month, i get my deposit. what in the world is going on with social security, the whole organization? guest: again, we have a huge system. it's 50 million people receiving benefits. i am unclear as to why your ssi benefits would have changed or that there was a disconnect as you move from one state to another. i have no good answer other than

this is a management issue. now i am going to be a little bit bolder than i should to say one of the problems is as we control spending, particularly on nondefense, one of the areas where we have reduced spending in this country, a lot of that is administrative funding. a lack of employees because of the reduction in funding, the irs, the social security disability insurance administrators, we have to rebuild those management structures to handle the growing caseload that is out there. if we are going to keep faith with the people who need the benefits they have paid for. caller: good morning. thank you for taking my call. this is a two-way street.

we need supply and a man. the guy that is on here right now. he is a supply side are. right now, it's working people and poor people who create the demand in our economy. that is 95% of the people in this country. the problem is our wages have been suppressed because the unions have been fading away. a lot of it has to do with republican policies. we don't have the workers. we don't have enough money to pay all of our bills and have money to spend back into the economy. a good infrastructure project would be a start. that would provide jobs for construction workers as well as increase productivity of workers. you won't be stuck in traffic as long. guest: first of all, i'm not

sure i'm a supply sider or a demand sider. i am a hoosier from indiana that's how i look at it. the bottom line is i was not suggesting at all that there is a need for investments, we discussed the budget today will put that fourth. we need to do investment. there is a need for creating that demand through government. government does have a role to play in making the economy grow and making it wages grow. at the same time, for the future and for my grandchild right now and the future generations out there, we have to be cognizant. we should not overspend and create more debt. that is a tax burden levied on future generations. i like to be serious about looking at our's ending in revenues to make sure balances

going forward. that is not to suggest that there is not a role for government to play in increasing demand. host: we have just a minute or two left. we have david from philadelphia. caller: good morning. good morning. i understand financing a little bit different. there is a tax that is zero. $4 trillion was invested, that would be the starting gate. i look at the year 2016, which is leap year. monday is the 29th. you have a zero for social security. under that, you have no tax. then you have a plus plus. host: we just have a minute left. what is your question for william hoagland.

caller: there was a question of starbucks in germany. then you had the japanese banks. you want to do a monopoly statement. watch fortune 500 -- guest: i'm not sure i follow the arguments. the funding is very complicated. i am not sure i understand the question. host: if you want to follow william hoagland

as always we'll take your calls and you can join the conversation at facebook and twitter as well. "washington journal" live at 7:00 a.m. eastern on c-span. now, officials from the state department offer their department's budget request. this briefing is 25 minutes.

good evening everyone. i just want to note that this is actually his last budget rollout. as i'm sure you know in a couple of weeks he will be moving on. i want to take this opportunity to thank him for his service. he has been a really effective and dynamic leader. he has pushed forward innovative efforts like feed the future, empower africa. he has galvanized our response to unexpected crises and we're really going to miss you. two weeks ago in his state of the union address president obama said if there's one thing this new century has taught us is that we cannot separate our

work at home from our challenges from the shores. that is deeply understood by secretary kerry and the men and women of state and usaid. our budget makes critical investments in diplomacy and development that will secure peace and stability for the american people, strengthen the u.s. economy and global markets and support u.s. citizens and our diplomatic and presence overseas. so first the state and usaid budget request totals $05.3 billion. our base budget request is 43.2 billion. this will allow us to address national security challenges, carry out our development missions, advance the president's signature policy and development initiatives honor our commitments to allies and partners and carry out peace keeping activities around the world.

we've also requested $7 billion in overseas contingencies operations funds to respond to immediate and extraordinary national security environment. oako funds will support critical operations in afghanistan, pakistan, and iraq. as well as exceptional costs related to our fight with isil, responses in syria and support ukraine. as vice president biden pened in an op ed our budget invests $1 billion in central america. these funds will address the underlying social governance and economic factors that drove last year's crises in child migration while helping mexico secure its southern border. our goal is to partner with our neighbors in central america to mitigate these underlying factors before their youth risk the dangerous journey north.

afghanistan, our request includes $1.5 billion in assistance which will support the government as it strives to implement key reforms improve its economies and work with us. our budget request also provides $963 million to secure and support embassy operations including $125 million to harden embassy kabul. all of which will enable a significant reduction in our military presence. with a new reformed-minded afghan minded government in place we have the opportunities to solidify the progress we have made in afghanistan over the last decade. our request continues the security economic, and civilian programs necessary to do so. as part of the administration's collaboration with coalition partners to degrade and ultimately destroy isil our request includes $3.5 billion to provide humanitarian

assistance and strengthen syria. the request also includes an additional $1.1 to support diplomatic engagement with iraq to engage our strategic partnership. last week president obama announced the creation of a counter terrorism partnership fund that will enable us to train build capacity and help facilitate partner countries. our request includes $390 million to support the ctps through security and stabilization assistance and through efforts to counter extremism and terrorist ideology. also includes support to ukraine. this includes $275 million to support an additional loan guarantee of up to $1 billion if ukraine continues to make progress on its imf program and if other conditions warrent. our request also supports democracy and anti-corruption measures, european integration, energy security, and public

diplomacy strategies to counter russian propaganda throughout europe and central asia. the request also provides over $5 billion for international organizations and peace keeping efforts. these funds strengthen our strategic relationship across the globe and enable us to advance global security while sharing the burden with other nations. our assessed contributions support 17 u.n. peacekeeping missions in africa and the middle east and satisfy obligations to the u.n. and 44 other organizations. at the same time, our request will address urgent and growing humanitarian needs around the world. we are now facing four large scaled crises in syria, south sudan, the central african republic and iraq. to address this unprecedented challenge we are seeking a total of $5.6 billion in humanitarian funding. shifting gears a bit we're investing over $800 million in

clean energy through the global climate change initiative. this includes $350 million of department -- state department contribution to the green climate fund a new fund that will help developing countries gain access to public and private finance to reducing carbon pollution and strengthening resilience to climate change. secretary kerry firmly believes that our people the state department and usaid personnel are our greatest resource and this budget makes significant investment in the people and plamplsd that make all of this work possible. the budget includes $6.9 billion to support personnel around the world. these funds sustain our relations with foreign governments and international organizations the work of our development experts here in washington and abroad and vital overseas services to citizens and businesses. in order for our diplomats and professionals to do their work they must be safe and secure.

secretary kerry is committed to doing what it takes to make sure they are. our request includes funds to support key security requirements such as protection of diplomatic personnel and new infrastructure such as the foreign affairs security training center. within the embassy security construction and maintenance account the budget includes $1.4 billion for worldwide security upgrades which includes support for the cost sharing programs and construction maintenance and security upgrades for diplomatic facilities as recommended by the benghazi accountability review board. the facts remain that american leadership is needed now more than ever but our global leadership and our leverage depends on our resources. our budget request reflects what is needed to ensure that the united states remains powerfully engaged on the myriad issues that directly impacted the security prosperity and values of the the american people. we look forward to working with

congress. with that i turn it over. >> thank you. good afternoon. and thank you. i appreciate your kind comments and your incredible leadership on behalf of ensuring that state and aid have the resources required to carry forth president obama and secretary kerry's strong commitment to american leadership around the world. heather likes to point out and she is right that most americans think our collective budget is greater than 20% of the federal budget. and in fact it is somewhat smaller than that. clocking in at just under 1%. i would also like to thank the leadership of president obama and secretary kerry and bipartisan members democrats and republicans in both houses in congress that have relatively strongly supported us aide and our country's development and humanitarian missions around the world. 2015 is an important year for

our collective partnership to addressport and promote resilient democratic societies often in the most difficult parts of our world. but no matter where we work across the globe the men and women of the state department and us aid work on behalf of the american people. and the modest yet critical investments we make in improving the quality of life for the world's most fortunate in fact contribute directly to american strength, security, trade, and prosperity. and above all, over the last years we have refocused our investments to make sure that we are doing our work in a way where over time our aid and assistance is no longer necessary, where self-sufficiency can replace the need for outside assistance. the president's budget request this year includes 22.3 billion that u.s. aid will manage or partly manage. these critical resources allow us to advance our country's

interest in a far ranging context. by leveraging and harnesting the power of technology and innovation we are now able to deliver clear focused and measurable results with these resources. since 2010 u.s. aid missions have reduced the number of programs and program areas in which we have worked from nearly 800 in total around the world to just over 500 today. for a reduction of greater than 35%. this has meant that our global health program for example, has been phased out of 23 countries. our agricultural support programs have been phased out of 25 countries. as a result, we're able to deliver better resources where we concentrate our investments and our effort. staid all of our major programs are independently evaluated by third-party evaluators and ts results, which are often

important but not the most exciting documents to read are available on i phone ap, an unprecedented level of transparency. when i started five years ago, just 8% of u.s. aid's global investment focused on public-private partnerships. today, it is about 40%. and the 2016 budget request will take that number to 46%. nowhere has this focus on delivering real measurable results been more significant than in our work in global health. the foreign assistance budget includes $8.2 billion for funding for global health including hiv aides malaria childhood and maternal survival and tropical diseases including ebola. this underscores our commitment to helping to realize the goal of ensuring that every child survives until the age of five and thrives beyond that

timeframe. to achieve this goal we have already narrowed our focus of investment in our child surprivel program to 24 countries that account for 70% of under five child death and maternal we have delivered and 8% reduction in child mortality more than doubling the baseline rate of reduction in child deaths. another notable example of this new model is president obama's commitment to africa. this year's budget includes 134 million dollars in resources to take that initiative forward.