providers. your scenario where what if the data stored in russia by microsoft, in that situation it's the first of those two things. the executive agreement doesn't get involved. we serve our legal process on microsoft and they comply because now the law is clear that they must if it's within their possession, custody and control. >> the russian courts just required telegram to turn over the encryption keys for that particular service. do you see a situation where a foreign government would be able to use the cloud act to perhaps require a u.s. company to turn over private keys or any hardware encryption in connection with that service? >> the answer is the cloud act does nothing to change the situation with respect to foreign legal process. there's an explicit provision that says these agreements may not enhance the authority or detract, it's neutral and that was made explicit. it's important to understand these executive agreements are designed to lower u.s. blocking statutes in a -- that rare

is associated with providing fewer services. and there's no significant differences in hospital provision of safety net or inpatient care for low income groups or in more facility at that time among low income residents of the hospital's local service area. if you will, it is an indictment. theoretically, i worked in a 340b hospital. some of them are fantastic and patients at the hospital where i worked that only got medicine because of this program. it seems as if there are some issues with lou it's currently being done. i noticed that consumer groups are advocating for it. let me point out something else. last week, memorial sloan-kettering's drug pricing lab reported research or made the suggestion that should 340b hospitals be required to provide charity care totally just 1% of their patient revenue, 9% of 340b hospitals would no longer be eligible for 340b. that is if they provided just 1% of their rev fenue for charity care. secondly, i'll point out that if you say the way the business model works is that the more expensiv

we operate two of which provider base and this past year we provided a 500 hospital visits and 58000 out patient services and over 65000 clinic visits. we are a level three trauma center and the only facility that delivers babies and provide surgery or has any type of specialty care for hundred miles in any direction. we serve veterans, farmworkers, college students, tourists, and her own friends and family. we are resilient and crated team apopka providers. we are the largest employer in the region the staff of over 800. many of them have lived in the community their entire life and the families for generations. as for me i moved to the valley in 1985 and i began my gear career and an entry-level it position back when the personal computer was new technology. i have worked my way into the current ceo role. our staff struggles with the co of meeting regulatory requirements which are often different and sometimes conflicting across payers. our system must report on dozens of measures for the medicare quality and pay-for-performance graham however are private insurers asked us to repor

it holds internet service providers accountable for providing the internet access consumers expect while protecting innovation and competition. it's also one reason the internet has become one of the great american success stories, transforming not only how we kphaoebgt -- communicate with family and friends, but also how consumers buy goods, how we educate our kids. it's an equalizing force because it means kids on tribal lands in minnesota orchids that are in extreme rural areas are going to be able to access the same classes as people in urban areas. it means that a small business in ada, minnesota, is going to be able to sell their goods on the internet just like one of our big companies in the twin cities, like target or best buy. it is an equalizing force. earlier this year the f.c.c. approved chairman pai's plan, unfortunately, to eliminate net neutrality protections despite the millions of comments from the american people asking the f.c.c. to protect a fair and open internet, not to mention a half million comments from russian e-mails, the f.c.c. voted in december to move forwar

the program requires drug manufacturers to provide outpatient drugs to qualified health care providers that serve low income patients. this is just over an hour and ten minutes. >> good morning, the senate committee on health education labor and pension. please come to order. last friday president trump and secretary azar announced a blueprint on drug pricing. seemed to me it was sweeping comprehensive, sophisticated, and appeared to be patients and taxpayers first. the administration is beginning to tell us more about what they have in mind. some are asking in some cases, they're asking for input from the public about some of their objectives. so it may take some time before we know what the specifics of all the proposals are. many of the proposals appear to be in the jurisdiction of other committees, but some of the more important piece wills be in the jurisdiction of this commit -- pieces will be in the jurisdiction of this committee, including over-the-counter drugs, which this committee already has taken some steps on such as legislation we approved last month to make it easier to

unless additional funds are provided. we anticipate how extremely supportive the committees have been of va and we urge congress to pass the va mission act. i have seen firsthand how important flexibility and collaboration between va and community partners is to our veterans. last year on august 23rd 2017, i was on my way to join president trump and leaders of our veteran service organizations in reno for the signing of the appeals modernization acted of 2017. when i received a call from mrs. capielis. i served as the director of veterans affairs for the great state of mississippi. her son was in need of a liver transplant. i called va. and the memphis va center contacted the ellis family. and took the hand off for his care and provided treatment to get him healthy enough to receive a transplant. he was able to receive a liver at vanderbilt and now gets essential follow up care at the memphis va. va saved matt ellis' life because of its ability to coordinate the right care between va and the community at the right time. v

it will provide assistance for our communities and provide the resources necessary to help individuals who are coming off the streets. most importantly, and most substantially connect this budget package will include $50 million for new navigation centres. helping support our new facilities here. we will provide a million dollars for programs for transitional eyes use. a population that has been dramatically affected with homelessness in san francisco. we are specifically wanting to address this. we are providing new access points to provide resources, supports and services for families and residents juggling with homelessness on the streets. this is a comprehensive package. this is about making sure we create new exits off the streets through temporary shelters and permanent supportive housing. it's also making sure we provide the resources necessary to stem the tide of new people becoming homeless in san francisco. we will not solve homelessness overnight in our city. but in san francisco we are investing for the future click as mayor, it has been one of my biggest priority since wee

we also provide job coaching. so for individuals who once we help them find the job if they have difficulties learning the job or need more assistance in what their manager can provide them in training we have someone that comes in and work with them either on site or off site so they can keep their jobs. we also provide assisted technology as people need that to go to work or to participate in schools. there's several services. this is a small list. everything is individualized in terms of what the individual needs to go to work. any questions? >> yeah. how closely do you work with our city's ace program? it's just a great overlap of who you are serving. >> so we're in partnership with them. i have a staff person who does the certification and trains all my staff to do certification. also, when we have openings, every week we get openings for the ace program. we get it out to all of our staff as well as to our community partners to seek qualified applicants and we have to certified that they have a disability so

to exercise proper oversight of community care providers it contracts with in order to provide informed compassion that's earned sex specific health care to women when its facilities to not have the equipment or specialists necessary to care for them. e latest study by the rand corporation confirms that v.a. delivers superior health care to veterans when compared to the private sector. brief independent studies confirm this. for this reason v.a. should orporation confirms that better monitor the quality of care received by women in the community. this bill would require that careful monitoring so that women veterans receive high quality care. v.a. should always remain at the center of managing veterans health care and managing the care veterans receive in the community by only contracting with high quality providers with the competence to provide the treatment to veterans better monitor the quality that's a major part of ensuring they receive the highest quality care. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from tennessee is recog

so the first slide provides some information about what the department has done so far to provide informationabout remote accessible vote-by-mail system. the presentation contains the same material we share at outreach events and will address the following topics. what is remote accessible vote-by-mail system? who is eligible to use the system? when can voters access their ballots through the system? what are the steps to access, mark, print and return the ballots? and how does the system ensure voters' privacy of selections? what is remote accessible vote-by-mail system? it is a new option that allows voters with disabilities to access and mark their ballots in a screen readable format from any computer with internet access. the service provides an opportunity for accessible voting without having to go to a polling place on election day. the department provides accessible voting equipment. it's important to note voters must have access to a compute tory print the ballot. only voters with disabilities and those in the military are eligible to use the system. to be able to access the ballot th

service providers. a clear set of rules. they couldn't violate anti- trade policies are violate the basic rules of commerce. it was a clear set of rules. two years ago, the fcc -- the ftc regulates the internet for two decades. the fcc decided they wanted to regulate, not the content and the internet service providers, just the internet service providers. so, the fcc in an unprecedented ruling that had already gone to court multiple times and failed, they grabbed the regulatory control from the ftc and said we will take the internet service providers and manage them and you keep the content. that is the fight we are in. it's funny to be in a conversation about net neutrality. the implication is the internet will not be free if the government is not regulated with this particular entity, the fcc. when i asked people if it would be okay if they regulated with the ftc they said that would be fine. good, that's what has been for 20 years. >> for 20 years there has been one set of rules on the superhighway o

that is one of the reasons it passed. >> it does provide for -- it does allow for a provider to object or file a motion to object in certain circumstances. describe what are the circumstances or what's -- how does that happen? >> there is this larger question of cop flickeds of -- con flikts of law. ukts of law -- conflicts of law. there's a foreign law which bars them from disclosing that legislation. this is the idea that he was referring to respects to abandoning records. how do we resolve that question. here the conflicts of law question is raised in the -- in the -- legislation and created is a new section that -- addresses -- a fairly narrow set of situations. but never the less is the -- is clearly set out in the legislation. its sometimes called an analysis because its evaluating the a -- that one count are you offerings to another. in a narrow set of cases where there is an executive agreement between the united states and that foreign country whose law might be violated, where that other country offers rights to for the provider to challenge and where there is an actual confl

looking to maximize profits should not restrict access to information if they are unable to provide more particularly during a natural disaster. during the flooding on the island and the ongoing volcanic activity local providers have been a critical lifeline for timely and accurate with understandable information so the hawaii tribune herald as well as other news sources and big island video news to provide the essential service to the public the websites and social media channels they have provided o details about the precise location of hazardous conditions and where evacuees can find shelter and e essential services and where the public can make donations of clothing in nonperishable food. television stations have also used social media platform to live stream that has been a critical lifeline for residents and for their families and friends. internationalri journalists have also drawn on the work of the local chairman through national and international audience. but to be seen by people across the country or around the world or cnn among others. the response to natural disaster

>> no, they did not provide that explanation. i do know that on the 25th, when they were asked to submit their additional information by noon, we did confirm and received confirmation from the committee that they had submitted everything to us and that their submission on april 25th was the complete record, so they may have further comment on that, but we can confi -- did confirm that they had submitted a complete record, and that's what they told us. >> commissioner renne: okay. thank you. >> with regard to the software from netfile, in reading the letter from the alioto campaign and also your memo, but also the -- that was received today, public comment from the ceo of netfile, my understanding is that on april 13th, netfile communicated with the commission about a problem with another candidate's filing and went into the system to fix that problem, but that problem related to software that was maintained or sold by netfile for subscription service and not with the commission's filing system; is that correct? >> yes. >> and so

they provide postoperative care. the sobering center provides a clean safe place for intoxicated people to rest, sober up and also be introduced to other health services. both programs are largely nurse ran and staffed. units will provide compassionate patient centered services to high risk individuals. with the effective collaboration with an investment community partners, the mrsc successfully expanded into a new adjoining building this year and is now functioning at maximum capacity which is 75 respite and 11 sobering beds. with a vision of home care for people without a home, medical respite was founded as a place for homeless people to recuperate after surgery or hospit hospitalization. nutrition and compassionate care are needed in order to make a full recovery. suck duker burg san francisco compassionate hospital is over 30% homeless, having a safe place to which homeless people can be discharged is essential to patient flow at csfg, especially to minimize the number of patients who remain in hospital care but

if the provider says -- and are your preferred providers fee for service based or just a monthly stipend per enrollee. the fee for service benefit. >> right. so, to answer your question, this is -- this is going to be added possibly based on this recommendation just to your active p.p.o., self-funded plan, so your p.p.o., in-network p.p.o., contracted dentist, not your delta care plan. >> not for retirees? >> no, it's not. >> ok, all right. just want to be sure. commissioner sass. >> commissioner sass: we started out talking about how there's been a build-up in the stablization reserves, but reading it correctly, smile way, estimate benefit, all these are reflected in a claim in a premium increase on the very next slide, is that in fact what's happening, so that it actually, although you are increasing benefits, it's also increasing the premium costs. is that correct, therefore, it's not actually having any, necessarily having any impact at all upon the, you know, the build-up of stablization reserves or anything else. when i'm looking at slide ten, it's important to look at that in conj

speeds for providers unable to pay more particularly during a natural disaster or other emergency. during the flooding on kauai the end a wahoo and the ongoing volcanic hippity on the hawaiian islands local newss providers said it was a criticaloc timelie for critical accurate and understandable information. the garden island in the hawaii tribune herald as well as on line sources such as big island now and big island video news have provided an essential service to the public. and social media channels these new sources have provided detailed reporting about the precise location of hazardous conditions , where evacuees can find shelter and essential services and where the public can make donations of clothing and nonperishable foods. television stations like hawaii newsne now hank k. hon have oftn use their web sites as social media platforms to livestream news reports that have been a critical lifeline for local residents and for their families and friends. national and international journalists have also drawn on the works of local hawaii and journalist to report their stories t

content on theon left fighting with the internet service providers that actually provided the fiber to connect content they are fighting over their business in the way the content providers have wordedd it we want the internet to be neutral. h we don't want to have customers pay more for certain content we don't want the isp to charge more based on that. the whole time the content people are charging people they are literally saying we don't want them to do what we do every single day what google does everyday or facebook does every day we don't want to filter the content that facebook puts out every week a new release how they are filtering content and what they don't like. here is what we really want, a fair playing field for everyone. everyone that wants to do free speech can do free speech on theu internet if you want to start a new business start a website you don't have to worry about somebody filtering you out. a place with a will filter or decide if you can consent to get your content out everybody wants their content to go out and not have somebody judge that. that is what we

it says shall be provided. it does not specify how it shall be provided. it does not require that it shall be mailed. >> right, but it says shall be provided. it doesn't say shall be provided to the manager. >> no. >> 'cause on the one hand, you're asking for a strict interpretation and yet, you're interpreting something that i don't quite see there. >> sure. i'm saying that the understanding of the employees from dph, and they can speak to this better than i can is that providing this written notification to the property manager who's there in person was going to be provided to the property owner because that's the role the property manager plays is to manage the property fore the property owner. >> except the clear language of the statute says shall provide to the property owner, not the property manager to maybe get it to the property owner at some point at some time in the future. >> and i think everyone has conceded here that they did not give it to the property owner, they gave it to the property manager with the understanding that the property owner

the capability and capacity that were provided during the reagan era is coming to an end. we have 11 aircraft carriers. our attack submarine force structure will be reduced by 20%. our fair pores is the oldest, smallest and least ready force in its history. e axiom of quality versus -- quantity has quality will be sorely tested. our military readiness continues to at trophy. and lost 25 airmen. we continually see the impacts of the lack of readiness attention. we review the force structure, it is clear that we need to address both current readiness and future concerns in this bill. mr. chairman, i think our committee does a good job of prioritizing and efficiently acquiring ships and aircraft. h.r. 5515 authorizes 13 ships which includes the original 10 ships in the 2018 budget request nd one four-class aircraft carrier. the bill authorizes two virginia class submarines and authorized multi year procurement for the next class, flight 2. and continues the critical research and development into program. adar these investments continues priorities that will serve to address o

internet service providers, known as i.s.p.'s are basically utility companies that provide internet service to our constituents, to our businesses, and to america. without the protection for net neutrality, these utilities have the ability to block or throttle content in the internet, charging what is known as being in the fast lane, charging more. so this is a debate between whether we are on the side of the big utility-type companies that provide internet service, their special interest, or the individuals and small businesses of america to guarantee them equal access to this critical service. let me just give you one example, and there are many that can be given. i'm sure that in every one of our communities we have a lot of small businesses, and they recognize that they can now do business on the internet, and they have an opportunity to compete with the large companies that do most of their business through the internet. so in baltimore, in maryland, i have small shop owners. one that i am particularly familiar with sells b

the integration of the health care provider. senator wyden: that is so important and chairman roberts is the co-chair of this rural health caucus. and we talked about this constantly. not a week goes by. i say this whole committee of the co-mingling rules that ms. martin is talking about, this ooks like a bureaucratic la-la land. >> strengthening the support to nurse practitioners and p.a.'s and extenders that many times are working in very isolated areas to give them the support, the education the retraining and access. senator wyden: giving them a bigger role. we had it in our bipartisan bill with eight democrats and eight republicans, you ought to practice the top of your license and particularly in these rural areas. why you wouldn't let people practice at the top of their license in a rural area? that is common sense. yes, ma'am. indiscernible] senator wyden: you all have been terrific and been at it for close to 2 1/2 hours. and to me, without rural health care, you cannot sustain rural life. this is not rocket science. th

we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic s

this would be provided around transportation planning services.nd phase one is background research and development and implementation of an evaluation plan. phase two would be initial implementation and evaluation of the strategy. phase three would be implementation of the revised strategy based on the evaluation of phase two. one note, our recommendation is that sfmta may not incur expenses for phases two and three with the viable implementation plan and funds for the phases. with that, i can take any questions. >> this is not really an erequest, but i just have to tell you, i just have a lot of trouble spending $154,000 on a branding campaign. i mean, i say that because we have very talented people in these agencies who are on staff who can work with one another. we have graphics resources. we have all kind of resources in this 30,000 plus person government that this is one of the things where when you are a member of the public or for that matter a member of this body and just think, that is what my government is spending money on? it doesn't w

the services are provided in english, spanish and chinese. and through a three-tiered training module designed specifically for this contract, staff and volunteers from community-based organizations, hospitals and other professional organizations that provide services to lgbt seniors and adults with disabilities will be educated on current issues faced by these populations as well as gaining skills to ensure that their organizations are more safe, inclusive and welcoming to lgbt seniors and adults with disabilities. additionally at the end of the 2018-2019 fiscal year the alzheimer's group will have a meeting to evaluate the progress and to receive recommendations for continuing this particular contract. thank you, and i'm happy to answer any questions that you may have. >> thank you. any comments or questions from the commission? any comments or questions from the public? hearing none call the question, all in favor. >> aye. >> any opposed? thank you. the motion is carried. >> thank you. there is a typo on the agenda and we are now going to

director evanina has provided substantive written questions -- responses to over 55 questions provided by the committee. and today, of course, committee members will be able to ask additional questions and to hear from him in open session. director evanina graduated from wilks university and earned a master's degree in educational leadership from arcadia university, served in government for over 23 years, including service as a supervisory special agent and assistant section chief with the federal bureau of investigation. and prior to joining ncsc, served as chief of counter espionage at the central intelligence agency. director evanina, you're being asked to lead this agency during a period of significant and wide-ranging counterintelligence threats against our nation. i'm hopeful that moving forward, you'll be an influential and forceful advocate for those foreign intelligence tools you believe are necessary to keep our citizens safe while protecting americans' privacy. as i've mentioned to others during this nomination hearing, i can assure you that this committee will faithfully fo

care is being provided by practitioners. the albuquerque system even has shortages and high turnover including nurse practitioners. i've been fortunate to work with andy and address these as problems arise but now he has been reassigned to loma linda to fill a vacancy over there. this needs to be addressed more forcefully. they need a long wait time and the va continues to lose administrators, doctors and nurses. last month it had nearly doubled to ten days. the problem is national. my question to all of you is what additional authorities or resources do you need to get doctors to come and stay in va facilities? medical school debt forgiveness, waivers? salary increases? as many others. please tell me what we need to do to get them in place. >> it's a very interesting question. want to say were hoping to keep the reassignment as short and brief as possible. where you could help us right now is giving us some relief for the three rs of relocation, retention and recruiting incentives. to make the budget fit, we had caps instit

and who also provide opportunities for current youth to do job shadowing and provide mentorship to those folks. the program was founded in 1993. >> thank you. next speaker please. >> sandra davis, john, william, patrick, eva gomez, jackson. tiffany jackson, jacqueline jones. >> i am spencer with boys and girls club. i would like to read a letter. deer chair. i write to urge the committee to support increased fund egfor the services in the 2018-19 budget. one of our cities largest and most influential youth organizations. the city's funding is far too low based on need and high cost of doing business in our city. as you know, the department of children youth and families recently competed competitive process for funding for services over the next five years. it is flawed in three main ways. one, not enough money allocated to out of school time funding. this is for both poor and working class families. two, the funding in several categories with no relationship with families especially public housing. three, too little money to teenagers. the dollars targeted at teens are exclusively for y

they will call out for sexual assault provider to come and provide services. the survivor will meet with the provider and during office hours, we will also have a mental health provider come from the trauma recovery center to support the client. the next thing that happens is that the survivor is given informed concept. so they are told about what rights they have. to get a sense of whether or not they want to get the police involved. to give them an idea of what's going to happen and to prepare them for the next steps. if they decide they want to have a rape kit, those services will be provided and then we will discharge them to either a home or some safe location. and then they are invited, we give an appointment for a follow-up appointment for them to have medical follow-up and also for them to receive some mental health services. i should mention that when they are being seen during the day and we have our mental health support there, we do have mental health assessment. they have a follow-up appointment, they come to the trauma recovery center. and at tha

the direct provider contracting proposal also reflects our interest in reducing burdens on providers, especially those that may be impeding care coordination. as you heard from administrative berm, we are well aware of the burden regulation plays with some many health care professionals. we are looking to reduce the burden. in 2018, cms has been able to pare back regulations that will save providers more than 4 million hours of paperwork. that's just one example. we have been able to do away with quality measures while no longer telling us any meaningful information. over the next several months, you will see continued efforts to reduce burden of those in our medicare and medicaid system, reduce unnecessary burden that doesn't impact price or quality, and put people over paperwork to the tune of billions of dollars of savings to our system. we also want to employ the same price of thinking to lower the high prices of drugs that burden far too many americans. hss is working on working with the president to focus on solving a number of problems plaguing drug markets, including high list

what would you do by provider policy? >> rural healthcare create an environment that is unique in this country. the community cares for each other. the opportunities that are before us that have been demonstrated in some of our aco models create not only an integration of hospitals and physicians, but in all components of healthcare across the continuum. this kind of an environment is motivating. it is inspiring and could create a platform for transforming health care for the country. >> i want to give ms. murphy the chance to wrap up this round. i would like to keep the record open for you all to give us as many concrete ideas for getting more providers to rural america. this is enormously important. we have tried this and that and we all understand that year after year we are faced with this question of whether there's going to be and want to keep the lights on. in other words we have buildings and lights but you have to have people who can run them. ms. murphy your priority for medicare as we use this. where we have fi

relief to rural providers. i'm sure the access is absolutely vital. not doing so can be pennywise and pound-foolish. >> have you established a rate? for most of the rest of this year what to expect to happen after that? >> we want to take -- we have been on track for 2019 but we put a pause on that to make sure we take the learnings from this experience and what we have seen in terms of what happens to rural durable equipment and of course in the ruba came out yesterday we have come up with if it de-50 blended rate that will provide a a lot of relief to these providers. we have also the budget us for two changes in how competitive bidding can work and i hope it gets support from congress on this. the first is what we pay winning bidders, rather the lowest bid there has been bottom feeding behavior that was going on that was make it unsustainable to rural communities to be a supplier even if you won the bid and the second is to expand competitive knitting to all areas so are rural provider is paid on community b

providers. they like the internet, but they don't like the lack of choice and all the hassle and expense that comes with getting on the internet. and so if you ask people if we should get rid of the rules that actually give consumers control over their internet access, if we should give broadband companies even more power over our lives, they say no. providers promise to be good to consumers. and in fact, many of them have said that they don't need the f.c.c. to maintain a free and open internet because they are already officially committed to the idea. but without net neutrality, there is nothing in the law that prevents companies from treating content or websites differently. in fact, many of these publicly traded companies, once the dust settles, once the politics wanes of this net neutrality issue, they will be talking to their chief financial officers, their boards of directors will be asking why are you not maximum phaoeudzing revenue -- maximizing revenue? why are you not charging consume

can use to provide veterans quality of life. one of the witnesses today, mr. john worden is collaborating with the texas a&m university professor on a wearable device to help veterans suffering from posttraumatic stress disorder. and, we welcome dr. -- assistant professor of the department of industrial and systems engineering at a&m. thank you and your team in texas for your hard work and efforts to support our veterans. >> i would also like to thank mr. chris meek and miss martha maccallum for their respective efforts on behalf of soldiers strong. in january, soldier strong donated a robotic exoskeleton to the road l murphy memorial va hospital in san antonio, which i represent. destination will help the facility provide state-of-the- art rehabilitative care to veterans. one of the benefits of hearing from the experts today, is that the fruits of their labor are not limited to helping veterans. although, they do that so well. they can be applied to people all over the country, and the world, who suffer from similar ailments an

we are delighted to have you today and appreciate the service that you've provided. first i want to associate myself with the senators, and give you rethink to emphasize one point, he talked about the idea of being able to create an alternative reality and if you add to that the powers of social media it is the perfect storm of disinformation because you can create the false reality and circulate it in a way that is easy to counteract and see. if somebody puts a negative ad about you on television you can put up your own to rea read of t and in this case you are chasing smoke all over the place, the e-mails, twitter, facebook. it's very difficult, so this is a very serious challenge and that brings me to your comment on question 16 of the hearing question. you said i remain concerned we still may be estimating the russian capabilities and plans to influence the midterm in future election. that is chilling statement can you elaborate? >> i don't think anyone in my profession or the committee will underestimate the potential of the russian privation, putin or the capab

it would provide the city to establish, fund run a program to provide legal representation for all tenantsn the san francisco facing eviction and provide a lawyer for tenant with 30 days following an eviction notice or immediately upon receipt of a lawsuit seeking a diction -- eviction, whichever comes first. the lawyer would provide legal representation for the tenant through all stages of the process until resolved. and implement this program within 12 months after the measure is adopted. proposition would not require the city to provide legal representation to tenants who reside in the same dwelling units with their landlord. a yes vote means if you vote yes, you want to require the city to establish, fund and run a program to provide legal representation for all residential tenants in san francisco facing eviction. a no vote means if you vote to know, you do not want to create this program. i am here with john snider and a proponent of the proposition. welcome. >> we are also joined by the san francisco apartment association and an opponent of the measure. thank you for being here. i'l

the direct provider contract and proposal reflects our interest in reducing burdens on providers. especially those that may be impeding coordination. we are well aware of the huge burden that regulation places on health professionals. we are working to reduce that burden. alone, cms has been able to pare back regulations that will save providers more than 4 million hours of paperwork. that is just one example. we have been able to do away thatsome quality measures were no longer telling us meaningful information. over the next several months, you will see continued efforts to reduce the burden of those in our medicaid and medicaid system. reduce unnecessary burden that does not impact price or quality and puts people over paperwork to the tune of billions of dollars in savings. we also want to employ the same kind of thinking to lower the high prices of drugs that burden far too many americans. as part of president trump's plan to put american patients first, hhs is working with the president on solving a number of problems that plagues our markets. including eyeless prices, senio