charlene frizzera's flight was delayed this morning. since she was scheduled to cover the aca's changes to medicare and ship, we are very lucky that we have another person, one of the world's foremost experts diane rowland. she has graciously agreed to fill in for charlene. there will be a video recording of this briefing available monday or tuesday on the kaiser website. thanks for a much to the foundation taking care of the important aspect of our work a few days later there will be a transcript that you can look at on the website. those of you watching on cspan you may, if you have access to a computer, go to the website, it has all of the speaker presentations, you can follow along as we go. for those of you in the room you can go back to the materials, the presentations the bios, and biographical sketches as well. those of you in the room can ask our panel of presenters by filling in the card, it can be brought forward, or you can go to the microphone and ask or -- orally. at the end of the briefing there is an evaluation form, we