the affordable care act. so thank you for raising those issues and sharing with the senate the impact of what repeal would do. mr. president, i rise to oppose the nomination of tom price to be secretary of the department of health and human services. and i am very familiar with the views and the policy positions of congressman price and ideas he has with respect to health care and budget issues facing our nation. before coming to the senate, i served as the senior democrat, the ranking member on the house budget committee, and congressman price is the chairman of that committee. and, mr. president, i've said this before and i say it again, that despite our very deep differences over critical issues facing our country and health care policies, representative price did conduct the business of the budget committee in a professional manner, and i respect the intensity with which he argues his case. but, mr. president, it's because of his inflexible and highly ideological positions on critical matters before us th

affordability is a big issue. the 30 years the bravest person you know taking the shots for over 20 years. the cost of the medication was over $30,000 a year i and betwen marketplaces. yes, we do participate in the program to get some people access without charge, but we don't know when it will end. the medicaid expansion protects my children 21 and 23. they continue to have the affordable coverage when they turn 26 november the employment situation. at any time they may find that employer-based insurance but it doesn't work with isn't available to them. the possible replacement with insurance options that are unwise, inadequate and in discriminatory. i don't know what that percentage will be when the purchases become voluntary and insurance can peddle anything it wants. it is perfectly healthy. the cost goes up to 3,000 or more a month how can anyone afford that? i've got to tell you there are few words more frightening than the petronas in his statement. my spouse is not high risk it is healthy or high risk beca

i believe when women have access to quality, affordable health care, when they can afford contraception and exercise their constitutionally protected rights to make their own choices about their own bodies, our country is stronger for it, and that's because access to health care, which includes reproductive health care, is fundamental to women's economic independence and opportunity, and when women have more resources and more freedom and more ability to give back in whatever way they choose, we move forward as a country. but, madam president, congressman price has a long record of fighting to take women's health care in the wrong direction. he has advocated for defunding planned parenthood, our country's largest provider of women's health care time and time again. he has been determined since the start to dismantle the affordable care act, which has really helped millions of women gain coverage and essential benefits, and especially given his background in medicine, he has displayed a shocking lack of understanding when it comes to the need for continued work to help women access birth

that is what the affordable care act is. it is sort of sad that the people who are getting it right or the comedians, who say we have that. it is called the affordable care act in this country. in the six years i have spent making it work, believe me, this is a team sport. it has involved a lot of people across a lot of sectors in this, the mostso is not that a lot of democrats wanted. many of us are single-payer advocates and many of us still are. [applause] but, but we have a plan that is working, and we can't the perfect be the enemy of the good. this plan was romney care in massachusetts, and it was sorenson necker care in california before it was ever a obamacare. this is the market-based plan, so the irony of having it be opposed by the people who designed it is just beyond me. i can understand it, but my job is to follow the law, and we have a law of the land. it is working in california, and it will continue to work if people all across this country on this national day of action will get through the rhetoric to the

they have resources they're going to again even though it faster we're slower in building more affordable housing we don't control the land and when we do we have to talk with 5 entities and agencies to put together the best deal; right? you know that your deal experts your deal experts having to go to a many agencies whether a city or state or federal government and all of this and the private sector so i think we're using the word accelerator we have not be able to accelerate now we need to accelerate because is getting more challenging when you have money nets private sector that abundant enough such that on a site we building should be used for affordability now has over priced speculative pricing people buying it for other things if we're not there that site is gone more dangerly small sites where it is housing that is affordable for people and entities are buying them up for other reasons obviously we have story after story about that we have to accelerate our ability to do this better and finally the word fund you, you know two years ago when i announced that we would start somethi

one important thing to remember about the affordable care act, medicare, medicaid, and the affordable care act are wedded. in the affordable care act we prolong the life of medicare, began closing the doughnut hole for the cost of prescription drugs, we have the free checkup to keep seniors healthier sooner, because the whole bill is about prevention and wellness, it is about a healthy america, not just health care in america. but wellness in advance of that. the medicaid piece of it is very central. while medicaid is thought of to be for poor children and their families and large number of the beneficiaries of medicaid are children, but much smaller percentage of the money is spent on children. 50% of funds spent in nursing homes, on seniors in nursing homes, comes from medicaid. comes from medicaid. and if i said medicare -- from medicaid. and a lot of the long-term care, whether it is in a nursing home or day care for seniors, et cetera, comes from medicaid. so -- and don't take it from me, the governor of ohio, republican, john kasich, he said, he said thank god for medicaid, beca

millions of people now have high quality affordable health care as a result of the affordable care act. one of my constituents wrote this to me and i quote, we are so grateful for the changes brought about by the aca in our situation. they have truly been life-changing for us. for the first time our family has access to dental coverage. this means we actually good to the dentist. before this, was a rare thing and only when in pain. for the first time our preventative care is covered. this means my children are up-to-date on their vaccines and physicals because it is not costing me hundreds of dollars out of pocket. for the first time, we have hope that we may be able to dig out of the mountain of medical debt we have accumulated through a 10,000 a year deductible plan that we were locked into because of preexisting conditions because we now can get reasonable coverage through the marketplace. mr. chairman, there are millions of people with similar stories all across the country and all of our offices are flooded by correspondents relating the same. in addition, as a former small busine

housing you create the far with the affordable units so we have 23 square feet of inclusionary unit and not buy the t dr so you'll not have to buy t dr so no matter what the value of t dr is whether we got them free from inclusionary or whatever. >> what about the portable water number. >> non-portable i should say. >> part of the calculation as what it takes to make that worthwhile with the community testifies an extremely expense not in our portfolio but a negative declaration that was withdrawn when the city decided not to pursue the mid market so there was a subsequent negative declaration that was issued in july and prior to that the staff didn't like the design and debate it to the commission for three or four months and the commission approved the design there was a year of delay with the developer when was decisions of the city so partly trying to get to a point that offsite deal. >> okay again, i wish i could is there is the first time i heard there was delays with the developer in terms of the policy. >> either through planning or the mayor's office of housing or superviso

one important thing to remember about the affordable care act, medicare, medicaid, and the affordable care act are wedded. in the affordable care act we prolong the life of medicare, closing -- beyond closing the doughnut hole of the cost of prescription drugs. the whole bill is about prevention and wellness straight it's about a healthy america, not just health care in america. but wellness. and the medicaid piece of that is very central. -- thoughtdicated medicated to be for poor children and their families and a large portion of the beneficiaries are children, a much smaller percentage of the money is spent on children. 50% of the funds spent in on seniors in nursing homes comes from medicaid. comes from medicaid. and, a lot of the long term care, whether it's in a nursing home or day care for seniors, etc., comes from medicaid. the governor of ohio, republican john kasich, he said thank god for medicaid. that is going to help me fight the opioid epidemic. addiction, opioids, and the rest of that. we do have some republican governors who are helping us who have expanded medicaid in

we must protect the affordable care act. i also got a letter from olivia, a college student from north redding. olivia wrote me about what the a.c.a. means to her, as someone living with multiple chronic illnesses. she wrote, "i am a 22-year-old woman from a middle-class suburb of boston. i attended the university of massachusetts amherst and will be applying to graduate school next year. i eat an anti-inflammatory diet. i exercise regularly, do not smoke, and drink lots of water. i am on my parents' insurance, which they receive through their employer. i am a patient at some of the best hospitals in the world. i am so fortunate to live in a state that protects my right to the affordable health care. i was also hopeful when i heard that president trump was considering modifying obamacare rather than repealing it. however, i am still worried about the actions that will be taken in 2017 by his administration and by congress. if you met me, you would see a young, vibrant, and ambitious woman. in other people's words, not mine.

without the affordable care act. that is my guess. >> let's look at the potential effects of the repeal on your families access, business access to affordable health care coverage. siegel: new york is a state that will do something. i do not know what. i do know that in new york, before the aca private insurers had to take anybody. and you did not have to buy. so only people who need it up on its automated expensive. my fear is that will go back to that and if i can get insurance at all it will probably be, i don't know, but i'm guessing $2600, $2700, $3000 a month. pop back.ing to see a in marketars-old and research that is not easy. in any case, i am tired of being a boss. i am tired of having bosses. i love running a business with a partner i admire, serving clients i like, and taking care of my family that way and i do not want to go back. >> mr. siegel, finally let me ask you about a plan i read about a new republican study committee guide that would replace this long-standing tax exclusion for employer-based co

the existing affordable housing and protecting residents in their units they've also nurtured affordableng developers for decades in order to have them available to do affordable housing and in fact, we have the most sophisticated developers in the country as well the san francisco housing accelerate fund is one new piece to fill a gap in this housing market on steward a tool to add quickly to buy properties vacant and existing property and a key to our investment we are proud to have worked with the city and mayor ed lee to a candidate this and proud to kickoff today and please welcome mayor ed lee. >> (clapping.) >> thank you rich and thank you to you and to all of our partners that are standing with us today and i just, i just spent the last 40 minutes with supervisor safai and he's burned my area yet again we've not done enough in workforce housing, housing housing in san francisco i'm here in the midst of many of our affordable housing developers cbo developers we've got to get to work and need more fund and support and certainly need more collaboration and so rich said easily we're

i cannot afford it without the a.c.a. i will fight for you, senator kaine and please fight for me and my health in washington. corlin hamlin, williamsburg, virginia, senator kaine before the a.c.a., my wife and i did not have nor could we afford medical insurance. my wife is a business owner and i'm a pastor of a small church in virginia. i left my state job that provided full benefits because the ministry needs in my community were so great. i'm grateful for this legislation that allowed us to have peace of mind in knowing that we're covered and able to visit the doctor without going bankrupt. why not just fix the components that need repairing instead of throwing millions of hard-working americans to the wolves? we deserve better. how about the congress and senate repealing their health care and leaving ours alone? thank you, corlin hamlin. sarah spears, prospect, virginia. senator kaine, i have one perfectly imperfect child. he's -- has not one but two existing conditions. he was diagnosed with asperger's syndrome and

housing and with the addition adam one 80 jones street more affordable housing fund and accepting $2 million gift approving an agreement for the property and making appropriate understanding. >> okay thank you very much so this item these items responded by supervisor kim and let her kickoff the conversation. >> thank you chair farrell and thank you to the members of the land use committee and supervisor peskin and supervisor tang i'm excited to be here in the legislation i introduced this gives the land which is currently a parking lot and one of the last developments to create 60 units of step up for single-room occupancy tenants in the neighborhood the project sponsor for market street group i is here in attendance working closely with the community and our office on coming up with an negotiated affordable housing proposal that works for the residents awhile i generally always prefer onsite affordable housing in my market-rate many of the resident in the tenderloin have concerned they'll not afford the homeownership in the 950 market street project so the developer working closely

the number of affordable housing that would be built and provides the units at a deeper level of affordability and includes the step up units available to sro tenants in city supported housing and free up their units for other homeless units needing a home and so for these reasons we believe that the 180 jones street ordinance best serves tenderloin residents and we request that the committee move this item to the full board. thank you. >> thank you. next speaker please. >> hello. my name is josephine rivero and i live across the 550 market project since 1990. i have worked as a hotel housekeeper on the marriott for 16 years and a union representative here. i am representing the civic center -- [inaudible] park center -- [inaudible] and chancellor. i had housekeeping jobs with the union and without a union contract. i can tell you how much better it's for the hotel employees to have the union. the wages are better. we have job security and protection and we get health care and pension when we retire. the developers of 950 market have signed an agreement that will allow workers at the hotel to

housing and with the addition adam one 80 jones street more affordable housing fund and accepting $2 million gift approving an agreement for the property and making appropriate understanding. >> okay thank you very much so this item these items responded by supervisor kim and let her kickoff the conversation. >> thank you chair farrell and thank you to the members of the land use committee and supervisor peskin and supervisor tang i'm excited to be here in the legislation i introduced this gives the land which is currently a parking lot and one of the last developments to create 60 units of step up for single-room occupancy tenants in the neighborhood the project sponsor for market street group i is here in attendance working closely with the community and our office on coming up with an negotiated affordable housing proposal that works for the residents awhile i generally always prefer onsite affordable housing in my market-rate many of the resident in the tenderloin have concerned they'll not afford the homeownership in the 950 market street project so the developer working closely

or otherwise people fear going to doctors and hospitals because they think they'll not be able to afford it prior to the ac a-1 medical episodes will literally put you in jeopardy of bankruptcy no standards and all of that got cleared up with the labor unions and the cbo clinics the system of care people didn't is to tear if what about enrolled and start not just responding to an episode but the more important things to have ongoing coverage to diabetes i've heard two stories about this afternoon or aneurysms that may not have caused dedicated but people to get checked out and treated and ongoing treatment with one treatment so those episodes in fact, they have an 11-year-old that was presented to me with 4 pages of petition signed and a cover letter that will break our heart she hoped she wrote about her brother how they needed this coverage in order to afford the medicine she doesn't want her brother without the coverage to a mother who wasn't there but she got treated and now she wasn't there are she's working i like it i had to hear the stories because prior to the coverage and someo

remembertant thing to about the affordable care act, medicare, medicaid, and the affordable care act are wedded. india for the cure as we prolong the life of medicare, we began closing the donut hole for the cost of prescription drugs. we have the free checkup to keep seniors healthier sooner. the whole bill is about prevention and wellness. about a healthy america, not just health care in america. wellness even in advance of that here in the medicaid piece of it is very central. thought of to is be for poor children and their families, and a large number of beneficiaries of medicaid are children, a much smaller percentage of the money is spent on children. 50% of the funds are spent in nursing homes, on seniors in nursing homes, comes from medicaid. if i said medicare, forgive me. it comes from medicaid. a lot of the long term care, whether it is in a nursing home or day care for seniors, etc., comes from medicaid. and the governor of ohio, republican john kasich, said, thank god for medicaid. that is going to help me fight the opioid epidemic. it's about addiction, opioids, and the

afford it. i've been to the bridgeton hospital. i've talked to people from all of our small -- not all, but many of our small hospitals and 50% to 50e6% of our rural hospitals are -- and 50 for 60% of our rural hospitals are running in the red right now. the affordable care act has provided insurance coverage to people who are then customers of those hospitals and the estimates are that the repeal of the affordable care act without a reasonable replacement would reduce their revenues by anywhere from 5% to 8% to 10%. these hospitals can't stand that kind of cut, and they've told me there are only two choices. one is to shrink their services to their communities and the other is to close their doors. so -- and in maine in our rural state, we only have 16 counties. eight of our 16 counties, the hospital is the largest employer in that county. and i'm sure that's true in all of the states in our country that have these small rural hospitals. the hospital is the major employer. so again when we're t

i am not opposed of having affordable senior building in my neighborhood, we do need affordable housing in the city or even market rate building. any housing in the city we need them, but my major concern is having the project is in a proposed [inaudible] architectural design conflictwise the latino cultural district building in the adjacent area. with the lack of parking space it will have a major impact in this little street. thank you for and among others that were spoken before so i just want to-- >> thank you. if there are any other members who like to speak please come forward or line up to your right. next speaker. >> hello, my name is jane perry and live on the 1100 block of shotwell street and lived there 68 year jz i am a senior citizen asia can see. i have no problem with that building going up, accept for the size of it. it is way too high, way too dense and going to put this on a personal level for the supervisors who probably all live in neighbors not high rises, if you do you are not part of this but if you live in a neighborhood imagine at the corner of your block someon

enemies, we can afford to help americans in need. guest: i don't disagree. the president probably agrees as well. host: tempe, arizona, go ahead. caller: good morning. i thank you for taking the call. something that people should be made aware of is all these discussions about insurance, that 99% of the people have no idea what their insurance actually covers. what they see in their brochures, what they see in their contracts that they sign at home do not explain that the law requires insurance companies to cover. in order to know which are insurance companies cover, you have to mail and write them and document.ur plan your plan document is required by law, if you write and request it. if they don't provide your plan document within 30 days, they are find. -- they are fined. it explains what is covered by law for your insurance company. i used to sell $25 a month health insurance which covered nothing. .t was phony people who claimed they can't stand the current costs are -- that these government established which anyone would ask fo

so that is why it's so important to get afford coverage like the affordable care act has been aiive to provide and to get programs like the basic health care plan that allows to you buy in hulk, like a cosco model. a lot of cheaper product because they buy in bulk, it drives down the price. the consumer wins, the provider wins because they know they'll get big purchases. that provides the flexibility. i mentioned how new york has 600,000 people on the basic health plan and i stead of paying a yearly of $600 and 1,750, they were saving $1 or more on this their annual insurance premiums. why? because the state was able to offer up a bunds of new york -- a bundle of new york residents and drive down the costs. that's the kind of flexibility we need in the health care system. we don't need to just say we're going to cut one-third over a ten-year period of time. what we want to do is make sure we have the flexibility. what would that do? congressman pries bucket would cut $1 trillion in straights over ten years. leaving states with a hole in their budget that i know if you're like our state

we know that greater manchester needs around about 4,800 new affordable homes every year.e past the area has been delivering around 2,000 so we know there is a big demand for affordable housing out there. as an industry, we are keen to meet that demand through appropriate development. today's white paper promises radical action to mend england's broken housing market, but when it comes to a realistic plan to deliver enough affordable homes where people want to live, there are questions as to whether that can be done without some development on the green belt. now central government has decided to dodge that fight, but here in greater manchester it's game on. they are going ballistic. they just won't accept it. in high lane near stockport, locals are preparing for battle, determined to halt plans for new houses in their village. people think you are nimbys, you know that? they can think whatever they want. we're not nimbys, we're not opposed to new housing, but we need it to be done in a balanced and structured way and using brownfield sites first. but you don't want it in

i am not opposed of having affordable senior building in my neighborhood, we do need affordable housing in the city or even market rate building. any housing in the city we need them, but my major concern is having the project is in a proposed [inaudible] architectural design conflictwise the latino cultural district building in the adjacent area. with the lack of parking space it will have a major impact in this little street. thank you for and among others that were spoken before so i just want to-- >> thank you. if there are any other members who like to speak please come forward or line up to your right. next speaker. >> hello, my name is jane perry and live on the 1100 block of shotwell street and lived there 68 year jz i am a senior citizen asia can see. i have no problem with that building going up, accept for the size of it. it is way too high, way too dense and going to put this on a personal level for the supervisors who probably all live in neighbors not high rises, if you do you are not part of this but if you live in a neighborhood imagine at the corner of your block someon

as the affordable care act.hey will hand it over to the insurance companies and i'm a republican and this is one of the issues that gave me pause in voting for donald trump. they better watch out because 2018 is coming really, really quickly. donald trump better watch out because he will be either with a congress that is democratic or with a senate that is democratic host: if this was such a big issue for you and donald trump was clear about what he wanted to do with your portable care act, why did you end up voting for him -- the affordable care act, why did you end up voting for him? caller: every other issue, i was with him. i have concerns about it but did not realize until some of the picks that he made for his cabinet and other things i heard -- i thought he would bring and get a good placement. i still think he will try. . medicare.ncern is i'm very concerned about medicare and i'm also concerned about medicaid being block and i'mto the states very concerned about who he has of managementice and budget, t

the number of affordable housing that would be built and provides the units at a deeper level of affordability and includes the step up units available to sro tenants in city supported housing and free up their units for other homeless units needing a home and so for these reasons we believe that the 180 jones street ordinance best serves tenderloin residents and we request that the committee move this item to the full board. thank you. >> thank you. next speaker please. >> hello. my name is josephine rivero and i live across the 550 market project since 1990. i have worked as a hotel housekeeper on the marriott for 16 years and a union representative here. i am representing the civic center -- [inaudible] park center -- [inaudible] and chancellor. i had housekeeping jobs with the union and without a union contract. i can tell you how much better it's for the hotel employees to have the union. the wages are better. we have job security and protection and we get health care and pension when we retire. the developers of 950 market have signed an agreement that will allow workers at the hotel to

leader, obviously we're very concerned about the affordable care act. also very concerned -- we talked about executive orders on this refugee ban. issued, according to almost everybody, without much consultation with anybody other than within the white house. an order banning muslim refugees from coming into this country even after very strong vetting. i know that the position is, this is not a ban. the complication you have to that representation is the president keeps mentioning it as a ban as he said he was going to do in the election. and he referred to it a ban just a few days ago. but i would point out to you, mr. leader, i'm sure you know this, not a single terrorist act, not one, has been perpetrated by a refugee coming into this country from any one of the seven nations mentioned in the ban. we believe this is not only contrary to the constitution, but it's contrary to our principles. nobody, let me make it clear, mr. leader, so there is no confusion, nobody on this side of the aisle doesn't want to make america's borders security. -- secure, a

now let me turn to thehe affordable care act. when it comes to the affordable care act, for years now there is been a steady drumbeat coming from my colleagues on the other side, repeal and replace, repeal and replace. i think it's gotten to the point where children sing it almost as a jingle, repeal and replace. it's been said so many times. dozens of show boats, hundreds of hearings and press conferences, a government shutdown, all built around that slogan repeal and replace. 1. the president-elect said repeal and replace would happen come in his words, simultaneously. shortly before inauguration, he said they would come within the same hour, and he said congressman price was riding the replacement plan and it was nearly ready to be unveiled. but the public heard a different story. during congressman price's finance committee hearing. at that hearing our colleague, senator brown of ohio asked, asked the president said he's working with you on the replacement plan for the affordable care act, which is nearly finished, and it wil

the question of affordability is interesting in itself because what is affordable?e. we have a different measurement test for old homes in energy efficiency. we have to look at the wide aspect of what is affordable. as you mentioned earlier, regionally, that is imperative because many regions up north don't struggle with the affordability challenge that regions down south do. because the homes built are both affordable to buy and generally affordable to rent. there isa generally affordable to rent. there is a competitive market. you talked about these small and medium enterprises needing to be enabled to build homes, what do you mean? 0ther conditions not right? do you have the right trades men for the job? having the right trades men has been a concern but if you look at the way any business works, if you have business, you can employed skilled workforce and the conservatives, we don't believe they are doing a very good job supporting local and regional house—builders which means housing association struggle because they cannot build on the smaller sites. there's a

i could afford a copayment on treatment. psychiatricultiple sessions. my doctor was ready to dismiss me, and said i was able to stay as long as i could. i was in treatment for a total of 73 days and i have been sober since 2010. [applause] during my seven years of sobriety, i have been program director of a nonprofit, my masters of social work, worked serving minority communities, serving clients with hiv/aids. as well as working at a nonprofit that has worked with youth departments. we helped organize the women's march in san francisco. now, i feel politics is where i can hear -- have my voice heard more strongly. [applause] so if anyone in this room has a tip how to make the transition, i would love to talk to you. [applause] care have73 days of translated into seven years of being a productive member of society. the aca is also meaningful because my uncle helped write it. was president of the american health administration when it passed he sent me an email last remembersng he working with him fondly. am speaking about his legacy and the legacy of th

is not just an affordable price but your ability to have the wherewithal even to access an affordable price. medicare guarantees, as a right, guarantees seniors like my late other who worked in the factories of new jersey as a seamstress, wasn't in the unionized factory, didn't have private insurance. after working a lifetime of hard work to help her family achieve what they did, she faces enormous struggle with alzheimer's at all points of her life. for her, her healthcare security was medicare and without it she would not have lived with the dignity she deserved in the twilight of her life so changing medicare from a commitment and entitlement to vouchers that may hope to create affordability but doesn't guarantee that is in fundamental shift in the nature of how we take care of seniors in this country. that is why i am so passionate about this. i want to explore publicly but your answer doesn't assuage me that in fact you are committed to medicare as we know it today in terms of the guarantee. can we improve it? to guarantee -- that is what i'm concerned about. >> i sure those conc

bay area is higher it's more than doubled the states so while more than half of the americans can affordwer in california and quarter in the bayer and now fewer than a 6th of san franciscans can afford it so why it housing in san francisco so go cheven condition tharz the obviously a high demand to live here the city is known for cultural diversities that attacks new residents and the credible opportunity our city diverse and will daytime committee grows jobs as a result we estimate the number of jobs is at ann an all-time 0 hive of 6 hundred thousand in the 80 the population was 6 hundred and 75 thousand now, it's grown steadily and quickly the recent estimate is 8 hundred and 40 thousand the highest in the city's history and it's not only san francisco it is greek the bay area has $2 million for residents and jobs then in the 80 and the growth is expected to continue by the year 20403.9 million people unfortunately, our housing supply does not keep up with the demand i might not realize the majority of construction is housing that's been suspended for years due to the 2008 recession wh

it's just not affordable.nfortunately, the prices of my services just don't warrant it. >> let me just say this. two things. him number one, as i mentioned earlier, it is absolutely true that the cost of premiums are going up. no aergment. they went up even hire die-- hir in the period of george w. bush. there are fewer part-time employees today than there were before obamacare, okay? so here is the point. the bottom line is with the situation you've described is honestly absurd. you should not be going around without health insurance. your employees should not be going around without health insurance. we should not be spending twice as much per person on health care as do the people of any other nation. please join me. and fight for a medicare for all program. are you looking forward, by the way, i won't ask you your age, won't do that, but are you looking forward maybe when you get to 65 to get medicare? would that be of help to your family? >> i expect that will probably happen. >> good, i hope it does, and

the affordable care act has helped families across our nation access quality, affordable health insurance coverage. we need to come together now and find bipartisan areas in which we can agree to improve the law, but we should not be repealing it. we should not be taking coverage away from millions of people. i have joined a number of my colleagues in expressing our willingness to work across the aisle with our colleagues to improve the law, but, unfortunately, it seems that our colleagues here in the senate are headed down a path to repeal the law without a plan to replace it. repealing the a.c.a. without any replacement is a recipe for upheaval and instability, a recipe for hurting our families, small businesses, and our economic progress. representative price and those who seek to repeal this law have not agreed on any path forward other than repealing and stripping coverage away from millions of americans. repeal would have major consequences for many granite state families and small businesses and my office has heard from constituents about the impact of the affordable care act has h

we must protect the affordable care act. i also got a letter from olivia, a college student from north redding. olivia wrote me about what the a.c.a. means to her, as someone living with multiple chronic illnesses. she wrote, "i am a 22-year-old woman from a middle-class suburb of boston. i attended the university of massachusetts amherst and will be applying to graduate school next year. i eat an anti-inflammatory diet. i exercise regularly, do not smoke, and drink lots of water. i am on my parents' insurance, which they receive through their employer. i am a patient at some of the best hospitals in the world. i am so fortunate to live in a state that protects my right to the affordable health care. i was also hopeful when i heard that president trump was considering modifying obamacare rather than repealing it. however, i am still worried about the actions that will be taken in 2017 by his administration and by congress. if you met me, you would see a young, vibrant, and ambitious woman. in other people's words, not mine.

now, let me turn to the affordable care act. when it comes to the affordable care act, for years now there has been a steady drumbeat coming from your colleagues -- from my colleagues on t the -- n the other side. repeal and replace, repeople and replace. dozens of show votes, hundreds of hearings and press conferences. a government shutdown -- all built around that slogan "repeal and replace." at one point the president-elect said repeal and replace would happen, in his words, simultaneously. shortly before inauguration, he said they would come within the same hour. and he said congressman price was writing the replacement plan, and it was nearly ready to be unveiled. but the public heard a different story during congressman price's finance committee hearing. at that hearing, our colleague, senator brown of ohio, asked "the president said he's working with you on a replacement plan for the affordable care act, which is nearly finished, and it will be revealed after your confirmation. is that true?" that was the question. -- tha

afford it. i've been to the bridgeton hospital. i've talked to people from all of our small -- not all, but many of our small hospitals and 50% to 50e6% of our rural hospitals are -- and 50 for 60% of our rural hospitals are running in the red right now. the affordable care act has provided insurance coverage to people who are then customers of those hospitals and the estimates are that the repeal of the affordable care act without a reasonable replacement would reduce their revenues by anywhere from 5% to 8% to 10%. these hospitals can't stand that kind of cut, and they've told me there are only two choices. one is to shrink their services to their communities and the other is to close their doors. so -- and in maine in our rural state, we only have 16 counties. eight of our 16 counties, the hospital is the largest employer in that county. and i'm sure that's true in all of the states in our country that have these small rural hospitals. the hospital is the major employer. so again when we're t

so now let's fast-afford to august of 2016. the congressman bought another 400,000 shares of inate as part of a private stock sale for u.s. investors. when the private sale took place, inate's shares were trading on the australian stock exchange for the equivalent of 31 american cents. but participants in this private sale got the shares at a steep discount. that discount meant that congressman price paid tens of thousands of dollars less than a typical investor would have paid on the open market. with respect to that purchase, the record remains unclear. it does come down to two issues: how he came to participate in the private placement and whether he got special access that other investors didn't have. on those issues, congressman price tells one story, company officials, congressman collins, and public documents tell another. first, i'm going to examine how congressman price came to participate in this private deal. as he tells it, he decided to make that purchase based on his own research into the company. but the "wall st

they can afford to let this rest. we keep that you talking about how much affordable housing we need to build be we keep doing this on so many levels and we end up with a situation where tennants have to come and beg about how they are worthy to be in this city. long-term residents have to come out here over and over to city hall and to their landlords and to their landlord's lawyers and >> how do we do that. one needed a paramedic in the lobby because it was too much for him. when are we going to stop this? when are we going to hold these accountable. when are we not going to lose anymore units. >> thank you. >> thank you for your advocacy and your work. we appreciate seeing you. >> thank you, supervisors for having this hearing. i want to reiterate those thoughts. steven, the attorneys of the landlord says this is about the equities. damn right it's about the equities. it's about all of these people who have brought heart wrenching stories about how they are going to lose their home in their communities and how irre

what plan is affordable to them. and allows them to make the decisions about their health care and that gives them access to the medications that they need. that doesn't limit that in any way and that is affordable to them. senator wyden: my time is expired. i still didn't get the specific example. i happen to be for a host of things on transparency, on negotiation, on trying to make sure that we squeeze more cost savings out of the middlemen. i'm going to hold the record open, but i have asked you for specifics in two areas -- putting patients first, and how you would hold down the cost of part d. didn't get a ly i didn't specific hold the record open. i think senator grassley, are you going to call out names on your side? senator grassley: i'm next. senator wyden: that didn't take much time. senator grassley: what aim going to talk to you about is things that have happened. c.m.s. in the past. and hopefully coming from an administration that wants to drain the swamp, i think i would expect changes to be made under

with respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. each member of the public may i have one speaker card for georgia wishing and ms. swedish. >> good afternoon. i want to apologize wleerng hear i brought the r d g by commissioner vice president richards in the early winter of 2014 wanted to have a combination i said where does that fit in with the budget i said 25 years that only 14 i apologize it is great you'll be doing this in the fall thank you for that information here is something i kind of go forward it at first but at the top can i have the overhead, please? a demolition well, not a demolition an alteration hello sfgovtv narrow here it is it is not on. >> here i'll give it to you it is - okay anyway an alteration and the 311 i mean on alteration according to the 311 but there it is a thing on the top and nobody - there it is i thought i'll bring it up we'll talk about 317 this year. >> thank you. is there any additional public comment general public comment. >> commissioners good afternoon mary galla

back to affordable housing. to that end i have amendments i will be introducing after public comment that will make the ordinance more functional for them and the permitted use of funds. on page two i will address the language on the policy of restriction of use of developer fees. page three expanded the uses of the funds to include resident or tenant service and clarify the definition of "affordable housing" and clarifying restrictions on developer fees and annual reporting of expenditures and proceeds, so with that unless there are comments i would like to -- mr. chan do you want to speak at all? you can decline at all. >> >> good afternoon supervisors. amy chan from the mayor's house on community development. we support the policy of pre60ing the cash did she commissioner karshmer affordable housing to. >> >> in our agreements and ground let'ses with this legislation we will codify that as you said supervisor and dmaik sure it's in all of all agreements. >> great. thank you very much. any questions? okay. we

as fast as they can secondly, it has come to my attention a discretionary review on 100 percent affordable housing that came before us as a cu i recall that when supervisor scott wiener was exempt 100 percent projects by eliminating the cu he stated to us in the room that the neighborhood and the community and the individual people with grieves could file and dr i never in my mind thought we'll be having a conditional use and a dr i want to say we have it on the action list we looked at ways to avert those things coming back to us twice when we looked at as a cu and not a dr a couple of other things we talked about the health we were very much worried about the amount of square footage coming on the market octavia developments i was hastened to see the coal hardware is opening up a store in north beach. >> they have. >> actually, in the site of the form restaurant that had not taken flight so that's a success and with the bernal heights retails not acquit dead yet and one last thing that will probably come before us that is interesting this the chronicle supervisor scott wieners permit bar

the affordable care act is not a fixed amount. a tax credit is a fixed amount that is universal to americans in the individual market to go buy the health insurance plan of their choosing. it is the opposite of obamacare which is not a patient-centered , system, it's a government-run system. what we're proposing is a patient-centered system where the patient designs their plans. the patient gets to decide what they do. the nucleus is the patient and the doctor versus the nucleus of the system being the government in obamacare's sake. obamacare's case. reporter: thank you, mr. speaker. i know that you heard from secretary price this morning. i was wondering if there are any areas where you think the white house could improve communications with capitol hill? the speaker: i should know. we're doing really well on that front. i don't know what you guys report, but we talk with the white house daily. our teams -- our house and senate teams are in conference -- are in consultations with the white house constantly. we're very excited to