this budget is the budget of the koch brothers. it is the budget of the billionaire class and the american people understand it. this is a budget which will make it harder for our children to get a decent education. harder for working families to get the health care they desperately need. harder to protect the air that we breathe and the water we drink, and harder for the elderly to live out their retirement years with dignity and respect. this is not a budget as candidate donald trump talked about that takes on the political establishment. this is a budget of the political establishment. this is the robin hood principle in reverse. it is a budget that takes from the poor and gives to the very wealthy. during the campaign, as we will all recall, donald trump told us that quote, the rich will not be gaining at all, end quote, under his tax reform plan. rich will not be gaining at all. but as president, the tax reform legislation trump signed into law a few weeks ago provides 83% of the benefits to the top 1%, raises taxes on million

the resin just one budget you can have a discretionary budget also social security budget and the medicare budget but those two trust funds go at zero in 13 years. if we have something now i promise the data have to tell social security recipients we have been responsible there will be something done then. actually they just dissolve the government to bring in another government and other countries. we don't do that but we will have dramatic ramifications. >> part of the problem we don't focus on the long-term they just say let me put my head down just to get through this year because they leave us when there are so many challenges we are not prepared to deal with. so one thing i'm curious is when you go home to your state , what do you hear from your voters? it is alienating and nobody can engage but what about the fiscal situation? if it is leadership driven if they don't care and the politicians tell them to care there is less discussion than before i think it will come back but do they understand? >> that condition of the populace of america to solve every problem and find every proble

that is the 18 budget. we've taken the 18 budget and added $117 billion worth of nondefense spending to 18 to spend up to the cabs in 18 in addition to the $26 billion to our 18 budget for defense spending. you have the administration's two positions. you don't have to spend it all and if something happens between now and the appropriations bill you pass in march or the appropriations bill you pass in 19 between the end of march and september of this year, if you decide not to spend up to the cap's you have the ministry shuns guidance on how we would prefer to do that and that is in our 19 budget. if you decide in 18 or 19 or both to stand up to the cap's and you are curious as to how the administration would prefer to spend that money, that is the 18 budget. we do believe that message still folkslue, even though you changed the numbers in the last three days and we signed it. we all did it together. interestingly, folks have asked us if the 19 budget is evidence of the administration reneging on the implie

this budget is an opportunity and this budget comes around once a year. it's an opportunity for this commission to stand up and say this is the direction we want to see this department go because where money flows, things get done. it's not our duty to every year rubber stamp what the department is handing us and say yes, department, you're doing a great job, we're going to do the same thing again next year. i don't believe when someone says playing within the rules or a box, i don't think that this is not about rules, it's about playing within the box. i don't think there is a box. i think our job as commissioners is to deliver a state of the art fire department to the people of the city. and this is where we do it in this budget. the health department has a $2.5 billion budget and they anticipate they will be $400 million in deficit this year. we have a 300 -- i believe $336 million budget and as we saw, we're losing $100 million, almost a third, $100 million a year because our station 49 is doing an amazing job at providi providing 911 service to peopl

the president's budget marks the beginning of the federal budgeting process or budget season as we like to call it in the white house officially kicked off on monday. the budget request is important for both makers to consider along the way. each fiscal year the administration's budget documents and spending priorityg priorities. these recommendations to congress are important for the budget committees in both chambers to consider as work crafting the budget resolution begins in earnest. without question there are plenty of worthwhile ideas included in the president's budget this year. first i am encouraged that the administration prioritizes and boosts the investment in our national defense with mounting threats to our security both at home and abroad it is critical that we provide for a strong and capable military. we must ensure they have the necessary resources into training to complete their missions with which they are tasked today and those with which they will be tasked in the future. i'm also glad to see the administration confront the issues of opioid abuse that has turned int

we had sort of broken the budget into two pieces, a skinny budget and a discorrectionary budget and a fuller budget late last spring which is unusual in a transition year. this year has been another unusual year in that the congress and the white house negotia negotiated and signed a caps deal as recently as i think early friday morning, which as you can imagine through all of the budget process in a good bit of turmoil. what we have brought to you today is almost two buckets. what we have submitted to congress is an addendum to the 2018 budget which purports to take the budget we have previously submitted to you in the spring and add back, bring back the spending, bring up the spending to the level of the caps deal that was executed a couple of days ago. in addition, we've also sent you the original' 19 budget we were working on until friday that went through last year's caps level. however, that changed as well. we have decided not to write an addendum to the '19 budget that takes us all the way up to the caps, but instead spend less than the caps. why is that? because this is, as e

one is the budget process starts with a budget committee putting a budget out. it is not a budget that anybody has supporting except for the majority party. it is not a law. it's a resolution. so the majority party can cram down the throat of the minority its version of the financial future of the country. anyone you go to an authorization process. guys, we got $315 billion of expenditures today. they're not authorized. the state department, i was on foreign relations, the state department until two years ago had not been authorized in 15 years. so it's a joke. the minority party says you didn't ask our opinion in the budget process so we won't help you in the authorization process, nothing ever gets to 60 votes. then they go to appropriations, all the appropriations bills pass in committee. can't get them to the floor. i'm not talking about democrats. go back a few years, republicans did the same thing. there's enough blame for this $20 trillion of debt up there for both parties. this is insane. that it's taken 44 years to get to this point. other attempts have

the whole city budget. so what you see on this side of the chart is a representation of the city budget, and it's broken up into slices of a pie that represent the major areas of expenditure, and then, on the right side is the hsa budget, of which you can see daas represents roughly a third. i should tell you that when we talk about the city budget, we tend to talk about a number of $10.2 million. the other thing, though, that happens whenever we look at an agency budget is we include, sometimes in many agencies, a lot of money, sometimes smaller amounts that are called interagency transfers. so, for example, in the daas budget, we receive from the department of public health about $19 million which goes into providing health benefits for ihss workers, just as an example. and so the $10.2 million does not include transfers of that sort, so if you added up all of the dollar amounts on the left side of this chart, you would actually get to a number of about $12.1 million, so the individual slices include the

for fiscal year 19-20, the budget is 161.3 million. that's a 31.3 million decrease from the proposed 18-19 budget, and that's because you'll see that our capital program tends to be sort of lumpy, that we're spending down accumulated finances from previous year in the first year of the budget. we're requesting general fund support in the first year of the budget, and so in the second year, you see a drop in those sources. and it's important to note the ongoing sources primarily support our operation, so we really look to obtain funding sources to keep that going. so these pie charts show total funding over the two-year proposed budget. as you can see, the largest source really are our operating revenues. fund balance is the next largest source. just quickly to note, fund balance supports or capital program and it's the source for our operating reserve, but for our operating fund, that biggest piece, it's mostly compromised of commercial and industrial rents from our 500 some-odd leases along the waterfront, parking, and then our variou

budget. this is the way the process is supposed to work with the way to approach thehe task ahead is to focus on what i call for 80% rule. rather than the 20% we've been fighting over for years that we are not sidetracked only the results that's the way ted kennedy and the formerd shoe salesman were able to get things done in years past. the american people are working on -- counting on us. ignoring the problems will not make them disappear. every year we spent $4 trillion. i don't think anybody knows how much that is but it is a lot of money if we try to spend that amountmo of every year. we really don't make changes we just increase for inflation and what i call thege panic factor. we add new programs but we do it without eliminating or consult dating the existing programs or even updating the old programs. the spending deal has a provision for fixing the broken budget process. the budget is supposed to be the roadmap to the future. we talked about the need forpo infrastructure. budget is o

we will reach a budget agreement with the budget and legislative analyst budget and be approved by the budget and finance committee to go to the full board to approve if final balanced budget. the fiscal 18-19 budget is coming in currently at $611 million. this slide represents the sources side of the budget. we are primarily general fund. almost $481 million of the budget is general funds. that is pooled money shared by the entire city, sales tax and things like that. we himself have 523 -- also have $52 million in state revenue we receive as a result of the public safety sales tax. the combination of state allocations and grants for various public safety programs. we have a very small one tenth of 1% that is $744,000 in federal revenue that is really our products enforcement and crime lab testing and pedestrian safety. additional revenue and i will skip inter department mental services because i have a separate specific slide on those funds. other revenue is represented this is from city reserved to fund planning for the 2020 bond and it is a target corporation grant of $10,000. we r

the budget process starts with the budget committee putting a budget, it is not a budget anybody has support except the majority party. it is a resolution so the majority party crammed down the throat of the minority, gets a version of the financial future of the country and then you go to the authorization process, we have $315 billion expenditures today that are not authorized, the state department until two years ago had not been authorized in 15 years so it is a joke. the minority party says you didn't ask our opinion in the appropriation process and nothing gets a vote, then you go to appropriations, passing committee, the minority party, not just talking about democrats, go back a few years they did the same thing. there is enough blame for both parties. this is insane that it has taken all these years to get to the second. other attempts have been made, ryan murray in 2011 failed and ended up in sequester. the bottom line is one thing. there are a number of systems in the federal government, the number one requirement, responsibility of congress, the budget act created omb and

efficient, effective, accountable, an american budget. with best wishes, i am, signed sincerely, karen l. 2019 budget. haas, clerk of the house. the speaker pro tempore: the clerk will read the message. the clerk: to the congress of the united states. in one year of working together we have laid the foundation for a new era of american greatness. we have boosted the economic growth, created more than two million jobs and added nearly $5 trillion to new wealth to the stock market. unemployment is at a 17-year low, wages are rising, and jobs are returning to america. starting this month hardworking americans are going to see increased take-home pay because of the massive tax cuts and tax reform legislation we enacted at the end of last year. america's back to winning again. great spirit of optimism continues to sweep across our nation. americans can once again be truly confident that our brightest days are ahead of us. this year's budget built upon our incredible successes over the past year and rests on the following pillars of reform. end

in the proposed budget request. that budget by point in the staff program, by 2014, there is a relationship between nutrition and health and i don't have to go in tothe specific details . in the rest of the budget cuts, what $.4 trillion in medicaid which is a very basis of any state helping opioid victims and trying to prevent them and trying to respond to those? it eliminates and cut spending and medicare by 494 billion. good luck to you. i'm not defending stuff but from your reputation, you could rise above this. i hope that happens. i want to talk about the hiv-aids program, it's close to me for 30 years of my life. working with people who first no one wanted to work with. secondly, to get the federal government to understand its responsibility. this administration, i personally believe as abandoned people living with hiv. it wasn't enough the president had to shut down the presidential advisory council on hiv-aids and close the white house office for national aids policy but it's also attempted to get funding f

on the daa is budget this year. we reach out to the program offices throughout the agency to ask them to identify areas of new need, changing regulation, changing law. changes in the patterns of consumption of services. and then potentially innovations to make in program areas. and we collect all of that. we begin to analyze it, we begin to cost things out. and then we do this in the late autumn typically. we start then. and then in december, right at the beginning of december typically, the mayor's office provides budget instructions and the mayor's budget instructions typically are based on forecasts of city revenues and city expenses. and they are sometimes based on special areas of focus that the mayor wants agencies to take. those agencies, those areas of focus often tend to be at the instruction phase, very broad. and you know, in the mayor's office gets to specific things that the mayor is actually interested in him or herself as we move through the process. and then at the beginning of january, what happens

mulvaney, i'm incredibly troubled by this budget, budget cuts to domestic programs. just to name a few, this budget calls for 10.5% cut to the department of education, including eliminating the subsidized student loan program and the public service loan forgiveness programs. a 34% cut to the environmental protection agency, which is yet another attempt to undermine environmental safeguards. 1.4 trillion, and actually more than $2 trillion if you include medicare, cutting medicaid over the next ten years. i $214 billion cut to s.n.a.p. over ten years including the new food box proposal that takes choices away from households to buy groceries that they need. this budget pretends to make infrastructure of priority by highlighting the presidents 200 billion infrastructure proposal with one hand, taking white infrastructure funding with the other hand. the budget assumes that 122 billion cut in highway program after the expiration of the current highway bill. it also cut discretionary expurgation accounts including reductions in amtrak and the elimination of tiger grants

a balanced budget. whiche stabilization law, is a toggle, if you will, it makes us control spending, spending as needed to make sure it mirrors our revenue picture, a few things the can learn ernment from this, it is really a good model. though, overh that, and above the balanced budget, i say, let's don't spend it all. actually budgeted for a surplus this year, which is conservative tool to make sure we're prepared for the future. host: you've served in congress, you think that model could work for the federal budget? week in which we look at the president's fiscal 2019 it is not expected to out?nce even 10 years governor: well, i did serve in congress, i've served in the bush administration, so i understand the federal government is different. we have to take some steps to really control the growing blossoming federal deficit that we have. n fact, the last time i was in congress was the last time we had a balanced budget in the station. you can't take arkansas's model and say that is a perfect example

welcome to the committee on the budget hearing on the congressional budget office's economic assumptions, baseline construction cost estimates, this is the second of five hearings the committee plans to hold on oversight of the congressional budget office. as we discussed during our first hearing, cbo was created 40 years ago as part of the congressional budget act of 1974. since then cbo has been a vital congressional support agency providing nonpartisan budgetary analysis and directly assist the house and budget committees. these hearings with cbo are intended to help us learn how much the agency carries out its mandate supporting congress in the federal budgeting process and what the agency can improve. cbo has not undergone a comprehensive review since it was founded but demand on the agency have undoubtedly changed since 1974. we are here to make sure the agency has everything it needs to effectively and efficiently fulfill its mission in the 21st century. last week during our hearing with cbo director doctor keith hall, and the organizational structure, and staffing assumptions, pr

. >> draft operating budget, 2019-2020, operating budget for 2018-2019, 2019-2020. >> welcome, mr. corseau. >> good morning, commissioners, happy valentine's day. finance and planning here with the next item. which is continuation and potentially action on the department's budget submittal for this year. i have a short slide show and happy to answer any questions you may have. >> first want to highlight some of the documentation provided you in your packets. you should have received a budget book for the department, along with an outline of enhancement requests, i'll detail shortly later. in addition, a few pages paper clipped together an update to the book. they deal with some of the department revenues and i'll highlight those changes, a replacement to the corresponding pages previously provided. brief overview of the items i wanted to discuss. brief review of the instructions and timelines that we have highlighted at previous commission meetings. some of the assumptions and changes included in the budget before you, update on the department's budget committee that was reconvened

budget. e 3% growth rate that no economist thinks is reasonable. i could go on and on. in essence your 3% growth projections were fantasy land projections or a pipe dream. so now we know despite very costly natural disasters we're basically now at that pipeline pipe dream fantasy that was so impossible but, again, i thank you for your leadership and for actually coming up with real projections. he administration -- the leadership of the administration and your action reversed unnecessary regulations that were choking small and mid-sized businesses and that's a factor of that 3% growth. to that in mind, i want talk to you about an industry, a rich industry, the cigar industry. they have burdensome regulations imposed by the f.d.a. it's my understanding, mr. director, that the f.d.a. is reviewing these regulations and plans to release an advanced notice of proposed rulemaking in the coming months. how i may very quickly, is your office making sure that the f.d.a. is supported by cost benefit an

enthuse analyze the budget and work with departments and that's where the budget negotiations and budget hearings come into play. we work very closely with the mayor's budget office over the next few months until the mayor's submittal and then there's the controller's budget office that handles more of the technical side of the process, but also termly with the fire department committee, and then, in past years, we've worked with the mayor's budget office as well. >> and getting back to the grant writers, how do we get the grant writer's position into this budget? >> so in line with -- i mean, outside of a -- an additional request as part of our overall list of items with the instruction of no new positions, we'll look at if there's potentially a current existing position that can fulfill some of those duties, but just in general overall we don't have a very large civilian workforce to do a reclassification to that, unfortunately, but we'll be working -- i imagine it will come up as a priority during the budget committee process, and we'll be communicating that as we have in the past wit

last year, i thought the administration budget was mean and spiteful as it tried to balance budget on the back of the sick, the elderly and working families. i hope and pray that members of this administration will search their souls. instead, you propose yet another budget that helps a select few or puts a select few ahead of the good of all of our citizens. instead, you target those struggling to find food to eat, to keep a roof over their heads, and heat in their homes. instead, you attempt to balance the budget on the back of those living paycheck to paycheck. once again, this budget strikes fear in the hearts of those who rely on medicaid. once again, this budget slashes billions from social security. once again, this budget seeks to dismantle the social safety net. that is not right. it is not fair. and it's not just. every person watching at home should understand that this budget is dangerous and unrealistic. mr. secretary, people across the country expect their elected representative to call it as it is, to speak truth to power. history will not honor those who try the preten

so for our budget innstructions, we have the budget instructions. we are on a two year budget. this year it is 18-19, 19-20. the 18-19 budget was approved last year. it serves as the base for this budget, for the new two year budget. the mayor's office projects similar fund deficit similar to last year. general fund departments were instructed on 2.5 general fund reductions for the next two years. dbi is self-sufficient so we don't have to meet that directive. we don't worry about those reductions. the mayor instructed the departments to maintain the current ft, not increase the number of full-time. as special revenue department we are required to do that. let's just get into it now with the actual budget. first chart here are you are revenues. it shows the historical what they have been. fiscal year 11-12. as you can see, we are projecting next year for revenues to be lower than prior years, but we talked about this during the monthly meetings. revenues are still strong. we expect it to go down a little bit. we had unprecedented growth in the past few years. a little more deta

operating budget. a brief presentation and then happy to answer questions. with regards to the capital and it budgets, the approval process is a little different than the normal operating budget. departments submit budget requests, this year by january 12th which is friday. submittals are to the capital planning committee, the cpc. those are in advance of the operating budget. they're vetted through the separate committees independent of the overall budgets and then they both develop various funding scenarios, levels of funding and those funded under the scenarios and work with the mayor's budget office to come with a budget number and depending on that budget number, it would be funded and proposed as part of the mayor's overall budget on june 1st. so last year as part of the two year budget, we had two years of capital funding, the current year and the next year, the first year of looking at here. this is what we're currently funded this year, approximately 3.4 million and currently in the budget nex

it's zero in the budget. in fy '18, the congressional justification was that the department believe the same services could be provided to the states with the maternal and child health care grip is at the same recent? >> that challenges we have is where prioritizing direct care service delivery speeded up asking a specific question. is it your view that the congressional justification for fy '18 that the services can be provided to states for maternal and child health blocker is a a reason yet zero in this budget? >> no. i do not know if that's the reason why the budget was prepared with the program zeroed out. it more likely is the fact that if it's not a direct care service delivery program or was viewed as being less effective than other expenditures of money in a scarce physical environment, top choices have to be made. >> the autism community doesn't need those tough choices. they have a tough life as it is already with her children were trying to fill their god-given capabilities and families that are e

all in favor of the budget as -- all in favor of the fiscal year budget presented by dan kaplan. motion to approve? >> motion. >> second? >> second. >> all in favor, aye. any opposed? none. motion carries. thank you to the staff for providing very, very good, useful information, and bringing clarity to a process that is frequently opaque. okay. back to the rest of the agenda. item a, review and approval of the medicare improvements for patients and providers act, contract mi-171806, associated budget and subsequent amendments. welcome back, michael. >> hello, again, commissioners. the item before you today, the department of aging announced they made funding available for area agencies for the mippa program. we have to enter into a contract with california department of aging to access the fund. that contact has been added to your packets. part of the execution of that contract requires it coming before the commission for e approval. again, mippa sounds for medicare improvements for patients and providers act. there are two main things, increase low-income subsidy, and that's sub

-- proposed budget.- i know that it's basically intent in policy, but i want to talk through some of the detail about what the administration is suggesting just to give you an idea of where they're going. so eddyesterday, the president sent his vision of the 2019 budget. it does layout priorities for discretionary programs and the trajectory of mandatory programs over ten years. much like last year, the budget request includes steep increases for defense discretionary programs and deep cuts to nondefense discretionary programs. it funds those programs at $60 billion below what congress intends to spend. also, the president would cut discretionary spending by 2% over the next decade, which would slash current domestic spending to 42% below current spending levels by 2028. he also proposed deep cuts to medicaid, medicare, snap and food stamps programs. it includes a $6 million boost for lunch programs. unfortunately, his program proposes to eliminate the state insurance assistance program, which we call sh

. >>> now, a house budget committee hearing examining the congressional budget office. this hearing focuses on the agency's federal budgeting process for cost estimates, scoring, and baseline construction. >> the hearing will come to order. welcome to the committee and the budgetary on the congressional budget office baseline scoring. this is the second of five hearings the committee plans to hold the spring on oversight of the congressional budget office. e as we discussed, cbo was created more than 40 years ago as part of the congressional budget and since then they been a vital support agency that provides nonpartisan budget analysis and the hearings are intended to help us learn more about how the agencies carries out mandates of supporting congress and the federal budgeting process and to consider areas in which the agency can improve. cbo has not undergone a comprehensive review since it was founded. the demands have changed since 1974. we want to make sure the agency has what it needs to fulfill its mission in the 21st century. last week during the hearing with t

as you know from our budget process, we think in 10-year increments in the budget process. so this green area is the 10-year budget window from 2018 through 2027. d in that period, we reduced anticipated federal health care costs by $3.3 trillion according to those estimates. now, i don't know how that happened. i've got a terrific staff but they are not like your staff. i think it should be a matter of urgency to try to really think hard about why that happened. i hope that you will take a look. because if we can find $3.3 trillion in federal health care savings without inflicting pain on seniors and other beneficiaries, that is a goal worth fighting for. now, my sense of it to go from the global scale down to local is it has a lot to do with delivery system reform and payment reform. i want to focus on the group that i mentioned to you i think also in our meeting, the coastal medical provider group, a primary care provider group in rhode island which was one of the early pioneer ac omps. in the five years that they have been an aco they have reduced their cost per patient

, budget decrease.ational heart, lung and blood institute, decrease. national dental and cranial research, a decrease in funding. national allergy and infectious diseases, decrease. most of the national institutes see a decrease in funding. and some of the numbers you have here are just movements of responsibilities that were at other parts of hhs, moving them to nih. talk aboutoing to nih being a priority and increasing its budget, which i agree with, i do not think this does that at all. i hope we will be straightforward about the numbers going forward, and prioritize the research at nih. mr. secretary for being here. congratulations on your appointment. we appreciate your willingness to serve. it seems sometimes we operate in a situation where people put themselves forward because they are patriotic, and they go through an awful lot to do that. my concern, there is a transition to a single accreditation system that will one a negative impact smaller residency programs. i have strong concerns there we

this budget is the budget of the koch brothers. it is the budget of the billionaire class.nd the american people understand it. this is a budget which will make it harder for our children to get a decent education. harder for working families to get the health care they desperately need. harder to protect the air that we breathe and the water we drink. and harder for the elderly to live out their retirement years with dignity and respect. , as is not a budget candidate donald trump talked about, that takes on the political establishment. this is a budget of the political establishment. this is the robin hood principle in reverse. it is a budget that takes from the poor and gives to the very wealthy. amy: pramila jayapal, your response? >> i completely agree with them. donald trump campaign as a populist. he is governing as a plutocrat. that is what this budget is. as i said earlier, it is a love letter on valentines day to millionaires and billionaires. you know what offends me so much is, what does it say about working people, some of whom gave trump their support because

one budget. it will speed the permit approval process from ten years to two years and maybe even to one year. >> dana: john roberts is standing by. john? >> reporter: let's go through the highlights of the infrastructure plan so that everybody at home can be sure they know what it is that the president's proposing. first of all # 1$.5 trillion in total. however the federal contribution of that is about 13%, $200 billion. that will be in federal seed money, grants and loan. $50 billion for rural infrastructure. those will be block grants to governors. stream line the permitting process to a period of two years. that's at the federal level. then changes to trade, education and licensing, expanding pell grants to allow those to be used toward two year degrees and as well if you are say an electrician licensed in maine, you will be able to take that license to arizona without having to get a specific arizona license. the president is meeting with state governors saying the federal government stands b

today is about president trump's 2019 budget, and the two dozen 20 appropriations budget. it's very strong. it reflects the president's commitment to veterans and their families. it provides the resources to continue v.a. modernization and respond to changing needs, with increasing investments in our foundational services, greater access to care, better management practices, and modernizing infrastructure and our legacy systems. in the written statement i've willred, i detail how we target certain areas for innovation and improvement. the presidents 2019 -- the president's 2019 budget request billion, and.6 includes medical care inlections, $109.7 billion mandatory benefits. the discretionary budget represents an increase of 6.8 billion dollars, 8.3% over the 2018 request. this request -- has two point $4 billion more, now available due to legislation to raise discretionary spending caps. the recent addendum to the budget request are important to fully fund the community care and choice program. although we are talking about fiscal 2019 today, i would ask for your support