cms does not seem to be taking this seriously or working to implement the law with any sense of urgency. your agency has implemented many other provisions of the health care reform law already. just think of all the ones you have already put out. the longer you delay the provision, the longer consumers will have to wait to learn about financial relationships between their doctors, drug and medical device companies. how can you wait until december 2014 to issue a final regulation when the law requires companies to begin reporting information march 2013? >> senator, i just wanted to clarify. the final rule, as you know, has been -- the rule has been finalized and is out and available. we are talking about a timetable for reporting. this is a balancing act. again, i share your concerns that consumers have the information about relationships that may influence their providers decision. a lot of health care providers are very concerned that additional reporting requirements may indeed impede their ability to practice medicine. so we're trying to have a balance between the public right to kno

and lastly, new jersey currently has an 1115 waiver application pending before the cms. these waivers, comprehensive. they involve major structural changes to a state's medicaid program, affecting hundreds of thousands of the state's most vulnerable residents. new jersey's application was submitted in september of last year and rumor has it that it may be approved as soon as this weekend. and i say rumor, because this entire process, i have to be honest with you, goes behind closed doors, without public notice, certainly without public input. my understanding of the law requires a process that is more transparent, and the rules on that have not been finalized. and i have to say, as a member of the committee with jurisdiction over the medicaid program, and as a senator, it is more than frustrating to be shut out of a discussion affecting not only medicaid beneficiaries in my state, but institutional providers, such as hospitals, skilled nursing facilities, and home health care providers. so if the law was meant to be transparent and a member of the finance committee and a

el hombre mide 54 cm y pesa 12 kilos. >> este reconocimiento compensar de alguna manera el sufrimiento de este hombre huÉrfano desde los seis aÑos. >> el anterior rÉcord lo tenÍa un filipino. con esto se vamos al final con las noticias mÁs importantes de esta hora.

i'm disappointed that cms is taking so long to issue the sunshine regulations. the proposed regulations was two months late. last week the office omb said law would not be fully implemented until, can you believe it, december 2014. in the absence of final guidance companies cannot prepare to comply with the law, cms does not seem to be taking this seriously or working to implement the law with any sense of urgency. your agency has implemented many other provisions of the health care reform law already. just think of all the ones you've already put out. the longer you delay the provision, the longer consumers will have to wait to learn about financial relationships between their doctors, drug and medical device companies. how can you wait until december 2014 to issue a final regulation when the law requires companies to begin reporting information march 2013. >> i want to clarify. the final rule -- the rule has been finalized and is out and available. we are talking about a timetable for reporting. this is a balancing act. i share concerns about relationships tha

our agency on health resources services administration, which has a lot of the workforce issue, with cms to look at the levers we currently have and all the analysis we can do about what is projected to be needed in the future and what ways we have it moving in that direction but i'm hopeful that we can work with congress to get the commission fully fund and operational. >> well, i'll continue to communicate with you on this trks i think this is a very low-cost item in the broad perspective of our health care delivery system but i think it's an important one. let me ask on the insurance exchange senator baucus asked about that, one concern i've had in our zeal to be sure that states can do whatever they want by way of establishing these health insurance exchanges, or do it the way they want, i should say, i'm concerned that the under lying i-t systems that are being developed state-by-state-by-state are not going to be able to communicate with each other, are are not going to be -- they will not have the common elements that they need to really have good information for us nationally on

we're getting this kind of analysis from cms. i think it would be helpful to get it from bo. let me ask you another question about your tool kit. there have been many comments that have argued that choice in competition would actually lower cost and improve quality and we've seen anecdotal evidence of that. a premium support model which we've talked about quite a bit, you have bipartisan efforts that have been made. allison river len former cbo director. my recent work with senator ron wyden would attempt to em ploit a bidding process. do you still enact that? >> we're working very hard to try to fill that gap as well, mr. chairman. in the analysis that we did, for example, your proposal last spring, we were able to incorporate the effect of competition and other factors through the cost of insurance through the medicare around private sector today, but we did not have the tools to try to analyze how the flexibility of the providers that insurers would have in your proposal or proposals like it or how the price pressures people would face would affect the dynamic path of spen

el hombre mide 54 cm y pesa 12 kilos. >> este reconocimiento compensar de alguna manera el sufrimiento

cm punk got into a twitter war with breezy after tweeting he wanted to curb stomp the singer so brown would be fighting someone who could defend himself. it went back and forth as all boring twitter fights do until the current wwe champion challenged brown to a fight with all proceeds going to a woman's shelter. >> chris wants to throw stones my way now. that's fine, but put the gloves on and get in the ring. i will make you feel as weak and powerless and scared and alone than any woman who had the miss fortune of knowing a sad, cowardly little boy such as yourself. >> the fight is with a guy, so of course brown hasn't accepted. the good news is there is a new dance to accompany chris' new song. >> that's the chicken dance just to beat the point. margaret, isn't this proof that love conquers all? the abuser and the abused coming together like an atrial filibration. >> i think you need to start your own twitter war with chris brown jie. twitter wars are silly. >> the thing that is so sad about this, first of all rihanna is a role model for young girls. she is the one who looks weak. lo

el conducto tenÍa 90 cm de diÁmetro y 18 m de largo. se extendÍa desde el sector de los baÑos.enos aires culpÓ a los frenos defectuosos por accidente. fuentes judiciales informaron que marcos antonio cÓrdoba asegurÓ que intentó frenar los veces y luego aplicÓ el freno de emergencia. pero los mecanismos no funcionaron. segÚn Él, advirtiÓ a sus superiores que estaba tenido problemas con los frenos. >> las lluvias en bolivia siguen provocando problemas. un rÍo se desbordÓ e inundó miles de acres del terreno. las peores inundaciones en medio siglo obligaron al gobierno a declarar estado de emergencia. hasta el momento el mal tiempo ha dejado 10 muertos. >> la nieve, aquÍ en los estados unidos, nevadas que azotan el noreste de pennsylvania provocaron accidentes en las carreteras con un saldo a favor de 3 personas muertas y numerosos heridos. se pronostican temperaturas congela antes de en la madrugada de este domingo. >> severas nevadas en algunas zonas han caÍdo hasta dos pulgadas por hora. el trÁfico de vehÍculos se convirtiÓ en un verdadero caos. los meteorÓlogos pronostican temp

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it also means funding the first of its kind cms innovation center, which is funding and partnering withurses, hospitals, and others who have accepted the kanchallenge to develop a new sustainable health care system. in addition, the budget ensures that 21st century america will continue to lead the world in biomedical research by maintaining funding for the the health and we'll support their work with an emphasis on outcomes research that compares the risk benefits and effectiveness of medical breakthroughs so we can get the biggest payoff possible for our research dollars. this administration also recognizes that in order for our country to succeed, we need to invest in tomorrow's scientists as well as tomorrow's teachers, engineers, doctors, and architects. but today too many young children have their futures shortchanged because they start school too far behind and never catch up. we know that high-quality early education programs put children on a path to school success and to a lifetime of opportunity. high-quality early education doesn't just lead to higher test scores and graduat

you're asking whether there has been a response from the cms administrators of medicare? >> yes. >> it would raise costs for medicare. we're in an unusual situation. we're saying that this large entity, this quasi public business, the postal service, ought to have the right to take the same kinds of actions that every private business and moses of the states as far as i know and other municipalities are doing for their employees, which is to take advantage of the medicare program. but in this case, i think our priority has to be to rescue the postal service, even though it may add some cost to medicare. >> very good. thank you. >> senator akaka? >> senator, let me add that the office of personnel management has stated that its health care actuaries do not believe the postal service will save money on this. opm runs one of the largest health care plans in the country. the fehb with 8 million participants at about $40 billion in total annual costs. i have not seen the postal service's analysis for how they believe this program will save money for them. but i trust opm's cos

white house with the president's health policy adviser and deputy chief of staff and also the head of cms, the agency that oversees medicare and medicaid. and we took documentation that we ran through the omb that

the office of the actuary at cms who spoke about the -- spoke about his concern of the viability of the program, it showed $40 billion of net receipts for the government in first decades from the class program. that's less that on 70 something. so they were closer to the ultimate answer of zero. but they didn't put down the zero at this time either. because i don't know. i have not talked with rick about this. i don't want to put words in his mouth but my guess would be they like we weren't sure what was going to happen. since the zero was one end of the possible distribution, that was not the middle of the distribution. we also, as you know, we're very clear to emphasize that the program would turn over a longer period of time and it would become even if it were working in a sense of the way it was intended to work, it would become a drag on the budget and we emphasized that a number of the colleagues that that process was going on. >> but what was the evidence that cbo used in determining its key assumptions and design in the class model? because i understand what you're saying about

investigated speech perception and used brain scanning researchers report that the speech center is actually 3 cmthe front of the brain and is in front of the auditory cortex not behind it >>women with higher testosterone are less cooperative ... a new study finds that testosterone makes people more self-centered. the study led by research at the university of london examined at 34 women to evaluate their levels of corp. those women were paired together and asked to complete a series of tasks on two separate days one day the women receive testosterone supplements the other they did not the women were more cooperative and less egocentric on the day without the testosterone the findings were published in the journal proceedings of the royal society b. we will be right [ woman ] my washer had a foul odor that made the whole room stink. [ woman #2 ] even my laundry started to get a funny smell. [ female announcer ] just three uses of tide washing machine cleaner will help remove odor-causing residues and leave your high-efficiency washer clean and fresh. clean laundry starts with a clean washer. diet

donde está la montaña más alta del mundo, en donde esta el hombre más pequeño del mundo, mide 54,6 cm cuerpo pero no su corazÓn ♪ ♪ >> y les dirÉ que la canciÓn, la compaÑÍa, y la comida de encantaron, es todopor mi pte. >> quÉ bien te la pasas paola! >> ya lo vimos ahÍ! >> mejor no caemos detalles y el regreso, no se pierda el video de la pena ajena, algo que tiene a todos muertos de risa por los pasillos. >> maÑana martes, nos visita comediante y actor will ferrel. >> y alejandro chabÁn dicen sÍ se puede, verÁn con nosotros si pasan la prueba del auto mercado. >> amigos, comienzo de semana y nosotros seguimos de fiesta porque faln dos dÍas para del lanzamiento de univisiÓn telenovela, con telenovelas las 24 horas, y ademÁs todo lo que ocurre detrÁs de las cÁmaras, este miÉrcoles, qué bueno estarÁ! >> mira rosa salvaje, se acuerdan de esa? >> mira nada mÁs! quÉ rico! >> oigan muchachos... a mÍ me encantaba el viernes nos tocÓ ponernos en el alboroto de la capoeira, me contagiÉ, y mientras me divertÍa, que traÍa debajo una blusa. oye que habÍa otras person en univisiÓn que se contagia

our customers, and our clients, large corporations like cms energy which is right here, large pension funds have the same needs today than they had in 2004, 2005 and 2006. pension funds need to invest. corporations need to do strategic acquisitions. they need to do risk management exercises. companies need to do cross-border trade. so the things that we're asked to do as an investment bank in barclays are very similar to the things that we're asked to do then. so i think we'll see as we see a better environment, and as we see a demise of some of the second tier operators, i think the business environment will be much better. >> and of course, this all in the face of low interest rates, which makes things difficult from an investment standpoint. how are you dealing with that, very briefly, in terms of low interest rates? >> well, as the number one in fixed income in the world, we see a lot of client flow. so we can still earn above 10% return on equity at our investment bank. but i will tell you, it's a struggle with zero interest rates. until interest rates start moving up, we will no

the white house with the president's health policy adviser and deputy chief of staff and the head of cms, the agency that oversees medicare and medicaid and we took documentation and ran through the omb and showed that oregon saved $15 billion over the last 20 years on the oregon health plan and we can save $20 billion in the next ten years with our new health care reform and we asked them for several hundred million dollars a year each year for the next five years to make this transition and response was extraordinarily positive. [applause] that means we will have the resources necessary to make this transition. those dollars are not going to come to oregon to prop up the delivery model. they will flow through the coordinated care organization that will actually produce those savings over the next ten years. acting early in february to authorize the bill out of the health insurance exchange and authorize the expansion of coordinated care organization gives oregon the best and perhaps only chance we have got to create health care system that is sustainable. beyond that we have an opportu

the doctor who used to run cms until recently said up to 30% of health care is fraud or unnecessary therapy. well that fraud to you is someone else's income. so if you think about that, suddenly cutting down on hundreds of billions of income that is someone's illegitimate income so there is pushback, lobbyists absolutely. it is not going to be easy and that is the reason our completely broken washington has not been able to adjust this whatsoever. >> ultimately, what i talk -- when i talk to folks, i was with a bunch of folks earlier in lexington. we've been traveling all over the country. i encouraged them to look to those who are actually succeeding in specific hospitals with specific practices and then look to their local hospitals. in other words, i agree on washington. it seems that it's only if we look at the actual hospitals in our own communities here in lexington, back in new york, wherever, and actually apply some of these techniques that we all talk about in specific hospitals that we even stand a chance to do some of this. do you agree with that assessment? >> well, the key, whe

george cms phase vehicle on its roof, said sec has lost its left lanes, frass it is fact tougher for all the way into daily city. slowed traffic as the ed past don daley boulevard. it will add about 8-10 minutes fierce drive time. if you are taking to 85 to 380 on sfo, give yourself an extra few minutes. >>justine: the president will demand today that insurance companies provide free contraception. now, women will still be guaranteed access to birth control without copays or premiums in a matter where they work. we have learned that the president will hold a press conference this morning to talk about the changes. our plan is to cover that live during the kron4 news at 9:00 a.m.. >>mark: occupy protesters have returned to the uc- berkeley campus. at the moment there are about two dozen people there. protesters say they are returning because their original demands like ending tuition hikes have not been met. they're hoping to kickstart a new wave of occupy protests. officials have made it clear that camping is not allowed on campus. >>darya: we are back with more in a couple of minute

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el una lesiÓn pequeÑa de 2 cm de diÁmetro. >> el presidente de nicaragua daniel ortega reaccionÓ a lao de venezuela y al presidente hugo chÁvez. (aplausos) yo habrÉ de seguir acompaÑÁndolo. >> por su parte el dirigente opositor ismael garcÍa dijo que espera que hugo chÁvez se recupere para las internas. >> no le deseo lo mejor, que se recupere. >> chÁvez dice que se siente fuerte para un nuevo mandato,pero la poblaciÓn venezolana no estÁ tan de acuerdo. >> Él estÁ enfermo... >> el gobernante socialista de 57 aÑos hizo un anuncio de su nueva cirugÍa en un programa de televisiÓn. chÁvez dijo que se va a operar fuera de venezuela, porque en cuba hay mÁs seguridad. ya el aÑo pasado se operÓ en la isla. >> tambiÉn el presidente de colombia juan manuel santos hizo votos por la recuperaciÓn de su colega. hugo chÁvez estará ausente despuÉs de la cirugÍa y que no podrÁ continuar con el ritmo como tenÍa hasta ahora. >> muchas gracias, despuÉs hablaremos de la salud de hugo chÁvez con un experto. pasamos a la argentinaa accidente en una estaciÓn de tren, 250 heridos,el tren ingresÓ a toda veloci

>> hay una ecuaciÓn que le vamos a enseÑar, uno, necesitamos el peso en kg, tambiÉn la altura en cm,ates. >> ahora vamos despuÉs de los 20- >> todo empieza a cambiar. >> es muy importante tomar un partido de proteÍnas, que no tienen sabores, ustedes le echan su frutita, su canela, y alho muy importante, puedes comer todo el carbohidratos que quieras, puedes comerlos todavÍa, ok? >> perfecto. muchachos quiÉn quiere? >> aquÍ tenemos. >> ay! y el de usted tambiÉn. bendita pancita. bÉjale después. >> durante el bagazo -embarazo es muy importante porque la mujer se enfoca en comer frutas, y deja las proteÍnas de lado, muy importante el calcio, tenga mucho cuidado de dÓnde sale el calcio, y tambiÉn la vitamina c como la naranja, es muy importante, un dato que quiero dar a las mujeres embarazadas, solamente son 250 calorÍas mÁs de lo que usted comÍa al día. >> Ándele! a ver, vamos a quitar las sardinas que huelen muy bonito. >> despuÉs del embarazo lo que vamos a estar corriendo, en la producciÓn de la leche materna, es muy importante, les voy a barrer el alimento que produce mÁs leche desp

la superficie de la despierta a >> aisionpor eso sÓlo puede utilizarse en los lugares donde tengan 2 cmlen algunas fotos que podrÍa ser la gota que derrame el vaso para paulina rubio. que lo disfruten. ♪ >> la reciÉn estrenada mamÁ recibiÓ la visita de su amigo d mientras britney disfrutaba el s @@conciedespiede americunivn de@ isiontfuenteericantestóunivis É twitter, pidiendo a amerunionden mejodespierta americaunivision@ >> me sentÍ... la mÁs realizada, la mamá @@mÁs... @@ que @@como @@le @@@@llamamos eÉ como la gallina culeca, que tiene los pollitos, fue muy impresionante para mÍ verlo en la pantalla con una de las escenas maravillosas de la n pelÍcula, y escuchar el nombre de mi hijo @@despierta americau en Ésta nominaciÓn. >> en suecia con esta fotografÍa del mundo conociÓ a estela la hija de la princesa victoria y la segunda al trono. en espaÑa como pan caliente se estÁ viviendo la revista "quÉ me dices" que muestra fotos de colate con una rubia mientras paulina se encontraba de gira. y mientras todos siguen comentando la pose de angelina jolie mostrando su pierna, ya su pierna de

en el mismo sitio donde fue extraÍdo el tumor, hace casi un aÑo, es una lesiÓn pequeÑa de cerca de 2 cmnÓ a la noticias. >> reiterar nuestra solidaridad, nuestro saludo, pueblo bolivariano, y al presidente chÁvez, abrÉ de seguir acompaÑÁndolo en la batalla. >> por su parte ismael garcÍa dijo que espera que chÁvez se recupere para vencerlo en las urnas. >> le deseo lo mejor, con la verdad, que se cure, todo lo que tenga. >> chÁvez insiste en que está en condiciones de asumir un nuevo mandato pero la poblaciÓn venezolana no estÁ muy segura de eso. >> , que tiene un huevo encima. >> el gobernante socialista anunciÓ su nueva cirugÍa anoche durante una llamada telefÓnica a un programa de la televisora estatal. ademÁs es la habana se encuentran los mÉdicos que le extirparon el tumor malingno el aÑo pasado. >> tambiÉn el presidente de colombia hizo votos por la pronta recuperaciÓn del presidente venezolano. chÁvez por lo pronto advirtiÓ al pueblo que estarÁ ausente varias semanas y que no podrÁ continuar con el remo de actividades que llevaba hasta el momento. >> mÁs adelante, estaremos hablan

susan g company men fchlt ko cm planned participan planned parenthood back on the list.ed to dump them because they were contesting whether they used tax dollars for abortions. details to come. >>> folks across the central u.s. bracing for a rough weekend. the region is getting pounded by a major storm. colorado getting the worst of if it, 40-mile-per-hour winds. and more than a foot of snow expected by tomorrow. we warned you. parts of the state, under blizzard and avalanche warnings. schools are closed and hundreds of flights are canceled. >>> if you haven't heard it by now, let's me give you the first to give you some good news finally. the january jobs report is out and the unemployment rate has fallen to 8.3%. 243,000 jobs were added in january. hiring sun, firing is down. the improvement surprised the experts who had expected a slight uptick in the unemployment rate. of course president obama chimed in on the jobs numbers during a stop at a fire station in arlington, virginia. here he is. >> these numbers will go up and down in the coming months. and they're still

del piso al asiento 60 cm, mÁs un cojÍn. bÁsico en mi vida reencontrarme con la fe a travÉs de la rendiciÓn, quÉ bonito que vas a tener esa oportunidad pide por todos nosotros. >> asÍ serÁ. para mÍ va a ser un honor de verdad, voy a estar en una de las ciudades mÁs hermosas, no se lo pueden perder pero ahora vamos a pasar las noticias. >> por supuesto que tendremos amplia cobertura de la visita papal, tambiÉn en noticiero univisiÓn y en su cadena, y tambiÉn amplia cobertura todo lo que acontece a nivel nacional e internacional. un grupo de derechos civiles que demandÓ al estado de alabama por una ley considerada la mÁs estricta en la naciÓn, dice que elabora una lia sobre los abusos, narra historias sobre acoso contra latinos, tanto de residentes legales como de indocumentados, estÁ presionando para que esta legislaciÓn sea removida por completo de alaba. despuÉs de la vida en una prisiÓn federal no serÁ tan aburrida, se permitirÁ a los reclusos el uso ipod, si aprueban la idea, podrÁn elegir de una lista de un millÓn de can

white house with the president health policy adviser and deputy chief of staff and also the head of cms, the agency that oversees medicare and medicaid and we took documentation that we ran through the omb and shows oregon say the federal government's $15 billion over the last 20 years and we can save them $20 billion in the next 10 years with her new health care reform. we asked them for several hundred million dollars a year each year for the next five years to help us make this transition and the response was extraordinarily positive. [applause] so what that means this will most likely have the resources necessary to make this transition for those dollars will not come to oregon to pop up the current delivery model. he will pull through the care organizations that will produce savings over the next 10 years. selecting early in february to authorize the full bill of the health insurance exchange and not brace expansion of the coordinated care organization gives the only chance we've got to create a health care system that's actually financially sustainable. we have an opportunity to h

white house with the president health policy adviser and deputy chief of staff and also the head of cms, the agency that oversees medicare and medicaid and we took documentation that we ran through the omb and shows oregon say the federal government's $15 billion over the last 20 years and we can save them $20 billion in the next 10 years with her new health care reform. we asked them for several hundred million dollars a year each year for the next five years to help us make this transition and the response was extraordinarily positive. [applause] so what that means this will most likely have the resources necessary to make this transition for those dollars will not come to oregon to pop up the current delivery model. he will pull through the care organizations that will produce savings over the next 10 years. selecting early in february to authorize the full bill of the health insurance exchange and not brace expansion of the coordinated care organization gives the only chance we've got to create a health care system that's actually financially sustainable. we have an opportunity to h

joining us now, scott nations and rick santelli from the cm negotiation chicago and steve liesman joins greece potentially going into the abyss, not a whole lot of reaction going into the greek vote, pretty decent reaction this morning. as the ltro have we cordoned off greece successfully in europe, have they? >> according to european management we're supposed to plain ltro every time. >> i don't know -- >> long-term refinance operation. >> they lend money for three years. >> it's their version of qe. >> right. >> i this i that backstopped europe and i this that i markets are going to care about greece when they care about greece and at the moment, it strikes me they don't care a whole lot. i was surprised to see futures up this morning. i was surprised -- i thought they were going to look at what was happening in the streets and get a spook and i'm struck by what you said at the break, maybe greece doesn't mat ere anymore and joe has been talking about this a little bit. it's an interesting question. greece has never mattered from a strictly financial point of view in the sense that wh

you need someone at cms for 20 years to see through the kind of changes that need to take place. one of the big frailties is, this was a bill that 535 congress people created. what a disaster. there is no way that you can create something that does not have three or four focus points, and that is what this bill became. my sense is that this bill will definitely ball, there is no question. there is not a thinking person in washington that believes as constructed it will continue. a big part of it will be determined at this summer, but we as a country have placed our sole focus on access and not on the tough work that is necessary to focus on the quality the gentleman just mentioned. >> i am trying to shift back to american power in the 21st century. >> that get to questions, if you don't mind. >> i would like to take on this point about american exceptionalism. it is not the case that as a rhetorical device, american exceptionalism is extremely counterproductive because it is not supported by the facts. america is not at the top when it comes to broadband, health care maternal hea

you need somebody at cms for 20 years to see the kind of changes that need to take place.es is this will a bill that 535 congress people created. i mean, what a disaster, okay? there's no way that you can create something that doesn't have three or four focus points and that's what this bill became. so my sense is that this bill will definitely evolve. there's no question. i don't think there's a thinking person in washington that believes as constructed it will continue. i don't think there's anybody on either side of the aisle but a big part of it will be to determine this summer but we as a country have placed our sole focus on access and not done the tough work that's necessary to focus on the quality that the gentleman just mentioned. >> i'm trying to shift the american power in the 21st century. and the gentleman over here. yes. and maybe i'll take three questions if you don't mind. so we get a sense of the questions on the floor. one from here, one from here, and one from there. >> eric kramer from the u.s. and i would like to take on this point about american excep

white house with the president health policy adviser and deputy chief of staff and also the head of cms, the agency that oversees medicare and medicaid and we took documentation that we ran through the omb and shows oregon say the federal government's $15 billion over the last 20 years and we can save them $20 billion in the next 10 years with her new health care reform. we asked them for several hundred million dollars a year each year for the next five years to help us make this transition and the response was extraordinarily positive. [applause] so what that means this will most likely have the resources necessary to make this transition for those dollars will not come to oregon to pop up the current delivery model. he will pull through the care organizations that will produce savings over the next 10 years. selecting early in february to authorize the full bill of the health insurance exchange and not brace expansion of the coordinated care organization gives the only chance we've got to create a health care system that's actually financially sustainable. we have an opportunity to h