it serve as a principal billing system for paying cbo vendors and their services. and this is a particularly important because if the procedure aren't done properly, vendors can't -- may not be reimbursed. they depend upon those revenues to provide the services that they do. and i was very pleased to hear the representative from the department of public health talk about the training that was going on because one of the major complaints that was made by the vendors themselves was the connectivity issues, training was spotty and [speaker not understood]. clearly there was room for improvement there and it sounds like much has been done. the system also documents required federal and state procedures necessary for obtaining reimbursement. so, it's very critical. it ensures that patients receiving mental health services are also receiving basic wellness services which are now required -- this is a requirement under the new affordable care act. and furthermore, provides the department with the comprehensive database for monitoring and measuring the efficacy of the many

what are the new numbers and what do they tell us from the cbo? >> the cbo gives us nonpartisan projecting of how much something should cost. the big word is the health care law will cost less than previously expect. $36 billion, that sounds like a lot but it's $knife billion less -- $5 billion less. helping people pay for their insurance. we're looking at these numbers because -- and we're seeing this reduction in some of the cost expenditures because some of the insurance companies are using tighter cost controls and frankly they're giving their customers fewer options terms of how many doctors they can chootion from but that's -- choose from but the money will come in there and there's some other accounting measures that the cbo is dealing with. now so we're also watching to see of course the response about how people are reacting to this, tony. >> the cbo estimates that about 5 million people will enroll in plans that meets the aca standards outside the marketplace. that is in addition to the millions who have signed up through the marketplace

we would also like to be able to equip more cbo's. we only have one or two with staff doing application assistance. we would like to grow that and asking for $55,000 more in general funds to have larger contracts in that department, so really we would like your financial support with the budget request, your support with the authority and in the big picture say if you have opportunities to leverage your media and give attention to the issues, particularly we hope to focus on the misconceptions, undocumented parents with documented kids and we hope to pull a article on that so if you have ways to help getting attention that is great or host an outreach event may is the calfresh awareness month and we're organizing a lot of activities so please follow up with me or paula and we would be thrilled. thank you. >> commissioner yee. >> i am just curious in regards an outreach team versus cbos doing outreach. >> yeah. >> if you look at the cost -- have you done a cost analysis which one would be more effective? >> so when you look at this it

and this is a variety of jobs, internships and other programs that these various companies also our cbo partners and pron partners institutions that are involved in summer jobs plus with offering opportunities as glen mentioned, these are paid opportunities of various types of summer jobs and inter ships and work base learning and training opportunities. to go into more detail about the outcomes from last year, and we do have outcomes from 2012 available if you're interested in those. i don't have them with me. we can send them to you. last year as glen mentioned, there's over 6800 placed in the private sector and that's over 2200. a lot of the programs that glen was talking about earlier is over 4800 -- i'm sorry, 4600. the age of hires is in the 14 to 18 and then the next level is 19 to 21 followed by 22 to 24. as far as the race and ethnicity, this is the break down. and we believe we served a wide diverse group of young people. and the family income level was pre-dominant low income and 30,000 for the family and lower. a lot of the different programs has different ways of measuring

what are the new numbers from the cbo? >> it expects lest numbers, when it deals with the obamacare, says the insurance cost provision are expelle expected t about $36 billion. $5 billion less than a few months ago. when we look at subsidies the cbo says they're expected to cost lest than expected because the insurance companies are using tighter cost control. and are insurance premiums, how much you have to fork over, there was a real concern that premiums would skyrocket and americans would pay more out of pocket based on who was joining these health care exchanges. the cbo thinks it might go up slightly but perhaps $100 per year for standard plans and may go up in subsequent years, 2016, they're talking about 6% but not the huge skyrocketing that was feared by many in the obama administration, many were worried about. >> all this comes on the heels of can kathleen sebelius stepping down. how is that playing down in washington? >> congress is back home for a two week recess but there is still a lot of chatter around the

the cbo hason is -- done a lot of reports on premium support. i'm asking, you start this in fiscal year 2024 in the 10 year window. all the charts that you showed in the past show all of these savings. i'm asking you would policy up some since -- what policy assumptions are embedded in this? >> this year we moved to the average year model, which has no cap on the competitive aspect. it produces savings relative to the baseline over the long term. >> if i recall from the cbo analysis of that plan, if you are a senior, right now 75% of seniors are in fee-for-service. if you are a senior who stays in fee-for-service under the cbo analysis, you would face fairly significant premium hikes come is that correct? >> it depends on the choice the senior makes. to stay inhoose fee-for-service, what is the cbo analysis show? the policyds on assumptions from the model that you use over the long term, both of which the cbs that are entirely uncertain because they have not designed a model for that. --the one that cbo looked at this is a factual question, you

last year, cbo predicted the u.s. economy would grow on average by 2.9% each year over the next decade. now, they're predicting that's only going to be 2.5%. the economy is shrinking before our very eyes and wrapping up what economic opportunity was left and it is being wrapped in regulatory red tape. also of concern to me as i look at the long-term budget analysis is that only 63% of the american people have a job or are looking for one. that's the lowest level since 1978. they are losing faith and trust in this economy. we can do better and once again this committee is showing the american people that there is, indeed, another way. a better way to move back to preserving the american dream. we don't have to sit back and accept the status quo that's brought us crushing debt, big bloated budgets that never balance and fewer choices when it comes to our own health care. i like the fact that this budget would balance in ten years, provides a simple and fair tax code and strengthens programs like medicare by giving senio

but here's what the cbo said about this.re being offered through the exchanges this year appear to have in general lower payment rates for providers, meaning doctors and hospitals, narrower networks of providers, and tighter management of their subscribers use of health care than employment based plans do. although lower premiums will tend to increase enrollment, narrower networks and more tightly benefits will reduce the attractiveness of the plans and thereby decrease enrollment. the net effect is small. interpreting, they're saying we thought these plans were going to be exactly the same as the employment plans but they're not. so the costs are going to go down and we think premiums will go down too because fewer people will find these attractive. >> yes. although that also -- if fewer people die bye thome, premiums may have to go up because then g them. it's complicated. >> but the cbo has this whole paragraph on this. >> that's right. the nature of the coverage is not what they first assumed. that's one of the reasons w

the cbo puts it at more like 6 million people. but they are doing some bean counting.meone just signed up for health insurance at the end of march, they don't get insurance until may, so the cbo counts them as sort of like half a person and giving a lower number of anticipated coverage, because some people won't pay their premiums so they will get dropped. overall, though, the cbo says 12 million merps -- americans are getting coverage who wouldn't have otherwise. so 12 million americans is a big number. >> all right. libby, good to talk to you. libby casey joining us from washington. >>> time is running out to file your taxes, but i'm here to help you save money. if you work at home and have a kid in college, you are going to want to pay attention. you are watching "real money." keep it right here. one of the great things about working at al jazeera is the amount of space you have to do the kind of stories that take a long time to cover. to have the complete editorial freedom to tell these stories and do so with the adequate resources is amazing. >>> if you have not f

nutritious and less expensive food and some of the people even though they're using the community cbos network, pantry sites and the program is not enough. our programs only provide one hot lunch a day for the congregate meal and many of the seniors save a part of that meal and eat it for dinner, so we look at food security and if they're not getting enough and maybe not the right enough of nutritious food to maximize their health. further down we will share with you a little bit the waiting list for the program and what it costs so right now we have 231 people on our home delivery waiting list. 154 of them are seniors and 77 are adults with disability. and last year just as a fyi our contractors over served the contract by 367,000 meals. this is above and beyond what our department contract for because they're able to fund raise and court things, and currently the waiting time before someone gets served, gets home service is 42 days. the range varies. if you're -- when someone requests a home delivery meal there's intake and assessment done by staff at our department and then dependin

and cbo says fewer than that have. >> 23% are now newly insured. >> that's why the cbo shows at the end of this year there will still be 42 million uninsured and 41 million without insurance ten years from now. starting in 2018, the cbo projects the total getting coverage through the exchange will hit 25 million. >> net you are left with 13 million who end up open private coverage offer the next decade. >> since more than 5 million have already lost their existing coverage, the is it -- 12 million losing their coverage in the future is likely to be much higher. >> i'm hard pressed to believe that only 12 people railroad going to be -- are going to be moved out of the employer market. >> in the meantime, the administration still insists it doesn't know how many have actually paid their first premiums which makes them officially enrolled. analysts however say all they have to do is ask. >> every insurance company knows exactly how many people it has insured who have paid their premiums by the first of every month. >> in fact, georgia's insurance commissioner announce the only 107,000 of a

the cbo puts it at more like 6 million people. but they are doing some bean counting.one just signed up for health insurance at the end of march, they don't get insurance until may, so the cbo counts them as sort of like half a person and giving a lower number of anticipated coverage, because some people won't pay their premiums so they will get dropped. overall, though, the cbo says 12 million merps -- americans are getting coverage who wouldn't have otherwise. so 12 million americans is a big number. >> all right. libby, good to talk to you. libby casey joining us from washington. >>> time is running out to file your taxes, but i'm here to help you save money. if you work at home and have a kid in college, you are going to want to pay attention. you are watching "real money." keep it right here. ca >> the death toll could be much higher than anyone known. >> posing as a buyer... >> ...people ready then... >> mr. president >> who should answer for those people >>> if you have not filed your taxes yet, i can't do that much for you, but i can do something for you. the i

yang yang has details on the cbo's analysis. peter cook and to liana gold on a roundtable toward de-escalation of tensions. let's go to geneva as secretary joinste cary -- kerry discussions on ukraine. said it was kerry just the beginning, these talks today. the four parties, the united states, the european union, legallynd ukraine -- he armed -- illegally armed individuals in ukraine must disarm. they agreed that all government buildings that have been occupied in the southeast of the country must be freed. some interesting agreements today. all of them very easy to verify. said, if he did not see action by the russian side by this weekend, he will introduce more sanctions against russia. thery special guest, foreign minister of ukraine joining us now to talk about this breakthrough, if we can talk about it today. thank you for joining us. how big of aith deal is this. does this mean that everybody can stop worrying about the situation in ukraine? the initial steps in the process of de-escalation of the situation in ukraine. co

we do surveys of every city department and all of the cbo's that serve young people in the city, not just those we serve but city wide. we want to find information in three different areas. what programs are available for those 14-24. what direct hires do either community based organizations or city departments do, so hiring -- you might hire summer counselors or staff for someone up to the age of 24. and finally which of the city departments can serve as work sites such as youth works. last year we found that there were 53 city departments that either funded, operated or served as a work site for our summer programming. this year what we're trying to do, in an effort to get information out to young people about the available opportunities is we're creating a page on the dcf website. this year it will be an opportunity for young people to find out about the training and employment programs, who is eligible for the programs, what the stop and start dates are and what the application process is and to help move forward, we created a searchable page to help those other city programs fun

mark, this was a fascinating development, the cbo report.emocrats pouncing on it, really pumping it up. one thing that struck me is while it was certain lly positi news for democrats, it's so wonky, it can get lost in the minutia. those are difficult numbers to explain and a difficult premise to explain. sort of overall reduction of a deficit in a 30-second attack ad when you're getting all this outside money being poured on that the health care law is the destruction of freedom in the united states. >> this entire health care debate, everyone has their own set of statistics they can point to and say i can point to these things to make my case premiums are skyrocketing. but if you're a democrat and you say the congressional budget office says premiums are lower than expected. i think it's important to take a step back and look at the health care law. it's probably enjoying its west two weeks since its passage in 2010. you had at the beginning of the month the news 7.5 million americans have signed up. now you have a cbo report to blunt any r

i mean, there are numerous cbos all over san francisco that provide incredible services, but there are also challenges that some cbos -- and it is really difficult to measure what success is in some instances and i do think that by making sure that our systems are, you know, up to par technology wise, but more importantly that our systems are able to actively engage with one another. we need to figure out a better way to make it more efficient. right now we're member of the cbo community are expressing a desire ~ to receive additional support to do work in public housing development. but no one can tell me exactly whether or not any of the residents of public housing are actually using other services. it takes work for an individual to go into a household and figure out, are you getting help from, you know, these various departments, whether it's social services, child care, state support. i mean, all of this stuff should be centralized. we shouldn't have to add additional dollars to serve an already vulnerable population, because what the organizations that are fund today do this are

last year, cbo predicted the u.s.economy would grow on average by 2.9% each year over the next decade. now, they're predicting that's only going to be 2.5%. the economy is shrinking before our very eyes and wrapping up what economic opportunity was left and it is being wrapped in regulatory red tape. also of concern to me as i look at the long-term budget analysis is that only 63% of the american people have a job or are looking for one. that's the lowest level since 1978. they are losing faith and trust in this economy. we can do better and once again this committee is showing the american people that there is, indeed, another way. a better way to move back to preserving the american dream. we don't have to sit back and accept the status quo that's brought us crushing debt, big bloated budgets that never balance and fewer choices when it comes to our own health care. i like the fact that this budget would balance in ten years, provides a simple and fair tax code and strengthens programs like medicare by giving senior

a lot of people and advocates for obamacare jumped on this cbo report.ration touted it, saying that premiums will rise less than the cbo said they would just a couple of minutes ago -- couple of months ago. and then the cost overall of obama care will, as you mentioned, be $100 billion less. the problem is that in the fine print, as often is the problem in washington, a lot of people don't go down into the weeds and see why that is. and the reason why that is is because health care providers, in other words, doctors and hospitals, are going to be paid less by the plans that are offered in the exchanges now, according to the same report, the cbo. also that people are going to be in narrower networks, meaning they're not going to have the same access to doctors that they did or they're going to have to go to another part of the state. not access that they're used to in their current environment. that is going to reduce the attractiveness of all of these plans, thereby reduce the cost overall. but that's not a positive if you look at the fine print. >> it's

by 2024 according to cbo, three programs, medicaid, medicaid air deficit consumes the revenues. we see it comes. it is not a democrat, republican thing. it's a dlem graphics thing. when you have so many baby boomers retiring, 10,000 a day for 10 years and far fewer people following them into the work force and the cost of the programs goes up by 5% to 8% a year, this's a problem. the sooner we tackle this problem, the sooner we get ahead of it the sooner we apply tried and proven ideas and reforms, fixing these things the better off we are going to be. i hope we take it into perspective as we use our rhetoric and think about the next generation, those people who don't consent to this debt that's coming to them. and i hope that we can think about, you know what? maybe the design of some of these programs in the 20th century could be kind of improved. maybe we have learned a new thingless of how to make the goals for accomplished. how to focus on outcomes and results instead of just inputts and spending. that's what we're trying to accomplish here. we're trying to get this debate

the cbo, the nonpartisan cbo, the conservatives say they love when it favors their particular numbers're going to save $109 billion over the next ten years. deficit will go down that much. more people are signing on. the numbers are there. they've been verified by independent entities. >> we'll have to wait and see whether or not people continue to pay their premiums and if they can even get into patients they want to see. have a fantastic weekend, guys. >>> scandals and political intrigue, the inner workings of the clinton presidency could be revealed in new documents just being released right now. >>> and why a major college football program prayer under fire from an atheist group accused of unconstitutional behavior. the day we rescued riley, was a truly amazing day. without angie's list, i don't know if we could have found all the services we needed for our riley. for over 18 years we've helped people take care of the things that matter most. join today at angieslist.com you really love, what would you do?" ♪ [ woman ] i'd be a writer. [ man ] i'd be a baker. [ woman ] i wanna be

we also work closely with sfpd in constant communications with them as well as park patrol and our cbo partners to find new ways of not only patrolling and policing our facilities, but again activating them in a healthy way. recreation, jumping to employment. our summer jobs for youth and adults, we have over 500 summer hires this year. recreation is the city's oldest standing youth program. we're hiring 235 youth this summer and we've also ramp up an additional 132 leaders which are the folks who lead our courses and programs to help with the camps. we hired 103268 coordinators which help lead those camps and we have an additional 100 life guards, and cooks et cetera that we employ for the summer. we also have the 20 kids that participate in the green agers program. it's pretty extensive. how do we outreach and market all the things we do. we do collateral material, the fliers and post cards and we try to get those up in our facilities including our pools and rec centers and any of the businesses or our cbo partners that we can. we have banners that we use. we send out an e news to 50

and well we have a lot of cbos helping with the enrollment and all i thought that part of the message was that we have the two weeks to actually follow up to make sure that was done, and that is, so, is that actually part of the program? that we have asked our cbos is our enenrollment to work with that public that had complete applications. >> it has not been done to date and that news just came out and so it is not something that we have acted on but we can certainly do that. >> we will look at it. >> thank you. >> and in terms of the, oh,, you have a further comment? >> sure. >> commissioner. >> hello, and director of san francisco, we did send out a notice this morning to all of the san francisco medical homes and it went out to all of the centers, and to let them know that please, that the circumstances have until april 15th, so that went out this morning. >> and that will be the publicity as well and thank you for that update. >> that was dena lawn, whispered to me that the member clinics are also doing the same thing. >> and that is the current response and talk about the curren

and well we have a lot of cbos helping with the enrollment and all i thought that part of the message was that we have the two weeks to actually follow up to make sure that was done, and that is, so, is that actually part of the program? that we have asked our cbos is our enenrollment to work with that public that had complete applications. >> it has not been done to date and that news just came out and so it is not something that we have acted

according to the cbo but the vast majority enrolling would be previously uninsured deterrents out is previously insured and that is the key difference between but the cbo projected in what has happened. lou: what was projected as a ratio was inverted from the actual projections. and maryland is now shutting down its steel, it's insurance exchange because it is so screwed up. to get the software to start again adding another 30 million. >> and many other states also. massachusetts, hawaii, minne sota that have spent several hundred million dollars of taxpayer money to build the web site that has blown up and to enroll anyone to process the applications by paper but when you cannot even run a website our people supposed to have confidence they can reengineer 1/6 of the american economy which is what they are trying to do. lou: one other aspect is the effort of obamacare to register voters that people have talked about it. it turns out it is of major motivation. >> a story today in california of a couple that was a registered republican who got a notice in the mail after signing up that

the cbo systems that might be in worst of it. the premiums planned in the public exchanges will be lower in the fewer. here's the reality now. ain't happening yet. and those enrollees the president was crowing about. she says a lot of them are in for a serious case of premium sticker shock. >> that's right. >> explain. >> well, first of all, let me point out that way back in 2009 and 2010, when the obama administration sold their health plan by claiming that health expenditures were skyrocketing and spiraling, those were lies idea to sell it. in fact, just like the other lies. at that point in 2008, 2009, and 2010, health expenditures were increasing at their slowest pace in 50 years. but despite that fact, they lied and claimed it was a big problem. now you will see halve expenditures incareering but you'll see premiums increasing far faster. in fact the ceo of blue cost blue shield warned about double and even triple digit premium increases in the next few months. >> what is the cbo looking at? limiting it to what they estimate

>> cbo was telling us to. the architecture of this law is so fundamentally wrong that it will -- the sooner those of us who want reform can show a better way forward, the faster we can repeal it. i believe that the next administration, with a better congress, will replace the law and save the health care system. >> what are the things you will replace it with? there are some provisions that are popular. insurance companies cannot discriminate for pre-existing conditions. you are allowed to stay on insurance with your parents until you are 26. it closes a doughnut hole for seniors. will those all survive? >> we can go through each one of those. if you look at the kinds of reforms like the state of kentucky, you basically make it impossible for insurance. you crank up the cost and you make it hard people to get affordable health care. we can have in this country universal access to affordable health insurance for everybody, including people with pre-existing conditions, without a blow to our economy. there are b