the cms did not allow financial interests of the truck to come before a child. the state should not be an accessory to child maintenance avoidance. self-employed to make the tax system work for everyone should include the child maintenance system as well. my bill correct the failure for the children of traders, directors and those with financially complex ideas, the various things available in the scheme, income is assumed where parrying parents consistent with income should be made available in the new feed. in a variation ground to be made available where the notion of income at a fair rate interest assumed from asset capable of producing a reasonable return, and chosen for such income bearing in mind maintenance responsibility for children. and jurisdiction where the nonresident parent assets consistent with income and cms is unable or incapable of determining the chart maintenance support. it is at the end of this, governments bring the court setting up conclusions in 13 months of the progress of cms for future policy. we make clear intentions or specific re

cms said they were going to do it and then didn't implement any of those. >> yeah. they're still trying to work through doing the risk assessment. we understand it's almost complete. we are looking now at the premium tax credit, the implementation by both cms and irs.we and we should have a report available this summer for the congress. that'll be our first complete look at that whole process from, as mr. george mentioned, russell mentioned, both irs and cms have responsibilities under that credit. we're looking at both. >> thank you. russell, we've talked before about this as well, and the eitc and all the refundable tax credits, often the irs will come back and say this falls on prepares. as mentioned, about half of them actually have a preparer. irs has said if we get a certification on these preparers, then we'll get fewer mistakes, but they've attempted to do that about six years ago and failed, and then they're trying to the come at it again. the recommend's been made to irs before instead of doing a requirement that's a mandatory requirement for all of your p

i know the cms folks there now have been welcoming that.y've sent out letters, come to us with your ideas. and we'll have to wait and see how flexible they are or whether they wend end up putting a lot of situations. waivers are temporary, and perhaps some see that as a good thing, but perhaps others see it as bad thing because political winds change in d.c. and so, oh, i object to that for ideological reasons, take it off. you don't get it anymore in your next waiver request. if it's proven to work, i think we'd want it to continue. i think those are the sorts of conversations we're hearing in state capitols. kentucky already has a waiver in, involves work requirements for their expansion population. arizona is about to put one in, has time limits and work requirements. maine and kansas are working on waiver requests, they're going to come in with a bunch of different, new things. so i think very shortly we're going to see those details flushed out in actual waiver requests. >> but those are all that very narrow part of the medicaid -- [in

and on. “— pacing back and forward with cm and on. —— cnn.g to see inconsistencies. is he dangerous? it is uncertainty dangerous. there was this wild erratic february press co nfe re nce this wild erratic february press conference he gave where at one point he said, "i suppose you will have to call me a politician." to give him credit, no one can accuse this victory of going to his head. it is as if he thinks it is a downgrade from being this business leader because it involves politics and being political. he regards these things as almost with a degree of disdain. it is fascinating because most people, if you become president of the united states, at the very least, you think, it's not bad. i think he now thinks he is involved in politics. he doesn't like failure and he has had a number of huge failures. he will not admit that it of huge failures. he will not admit thatitis of huge failures. he will not admit that it is his fault but he will change his team and i think we are beginning to see that. he is beginning to see that. he is beginni

it says if you are going to be reimbursed under the cms, you have to be recognized by your state with whatever the state requires. if your state says you must have a license you need a license. or the regulation is something less than a license that is all you need. the first thing is to check the premise. then after that if what we say is true there is a way to create a form of special recognition that doesn't restrict the free flow. if you want to be reimbursed through the cms, as an example, they will create a special recognition of speciality license just for those people. everyone else can enter the occupation. it is only those who want to be reimbursed. special recognition can be created for them without restricting free flow. all right. thank you. [applause] >> thank you very much, dick carpenter and institute of justice for the work you do. hopefully we can be successful in getting policy advances approved in the future. keep an eye on georgiapolicy.org for next month's announcements. we are adjourned. [inaudible conversations] here is our prime time lineup: >> a look at the h

you want to be reimbursed, you want to enter into contracts with the government or reimbursed with cms as an example, we'll create a special recognition, a specialty license just for those people so that if you're the type of person that wants to do that contract or be reimbursed you would have to earn this special recognition but, only if you want to be engaged this that type of circumstance. everyone else can still freely enter the occupation. only those that want to be reimbursed or enter into special contracts. so a special recognition can be created just for them without restricting free flow. all right. thank you. [applause] >> thank you, very much, dick carpenter, institute for justice all the great work you do. we admire your work. we use it here in georgia. hopefully we get successful getting policies example in the future. keep an eye on policy website. we'll see you next month. we're adjournedded. [inaudible conversations]. >> so one of the things doctors do, we interrupt patients very quickly, something like eight to 10 seconds. you say i'm having this kind of pain? when di

george mentioned, russell mentioned, both irs and cms have responsibilities. >> thank you. russell, we've talked before about this as well. the fcc and all the refundable tax credits often the irs will come back and say this falls under prepares as you mention about half of them have actually a prepare. irs has said that if we get a certification on these prepares then we'll get fewer mistakes they attempted to do that six years ago and failed and now they're trying to come back at it again. the recommendations been made to the irs before instead of doing a requirement that they mandatorily file your prepares to go through certification, you just say to the prepares, if you're going to get faster returns, you then have to go through the certification. if you are going to be a prepare , your return, if you're not certified, may take three months to get back. if you're certified, it may take 21 days. if you want to be a certified irs tax preparer and get faster returns your clients then you have to do this. then they get training. why would an hour? >> senator, before respond

menstruates are talking to cms about what might be possible in the way they're talking about waivers, what can be done. and so today we'll talk about our -- our goal for this panel is to both talk about where we are going into this next year, so where we are, what the aca did, where we are with medicaid, what is under discussion, and we'll talk about the considerations and possible implications moving forward. so, we are lucky to have with us today three exceptional panelists. there's one empty estate and that belongs to trish riley, but because of the crazy weather in -- trish won't be able to get into town and so she will not be with us but fear not, our three other panelists here watch what is happening in the states closely and will be able to give us a full puck -- picture. first we have diann rowland from the kaiser family foundation. diane was also the inaugural chair of macpack, which at advise congress on medicaid poll sir. then josh from the foundation for government account abilityity. and josh works former gov mitt romney. and the end of the panel we have judith solomon, v

the second part that is a problem is when cms goes to give -- the medicare program goes to give money to hospitals, they don't take into consideration what they have already paid into the medicaid program. you could possibility be compensating more than once for the same cost. we recommended to cms that they collected the actual cost figures for uncompensated care and reimburse the hospital a certain percentage of the actual uncompensated care. with that, butd they do not plan to implement it for 2021. they want to give the hospitals time to adjust. i would encourage the congress given thee quickly unsustainable nature of these two programs and the need to reduce their cost. sen. lankford: you bought up the issue that you talk about before . you brought to them eight recommendations of what to do, cms said they were going to do it and didn't implement any of those. they are still trying to work through the risk assessment. we understand it is nearly complete. a report have available this summer for the congress, that will be the first complete look at that progress -- as mr. george me

figj‘aiffigg frumur (h fruit ‘ur fif-‘u p: ”in f5‘ait1'u5 cm e 55 it-‘u5 ended up fighting china for theth korea. there are lots of reasons why it cannot be avoided. also, the underlying tone of the comments from the president that all options are on the table, potentially, in dealing with this. that carries its own problems, doesn't it? bearing in mind there are so many doesn't it? bearing in mind there are so many missiles that pyongyang has trained on south korea and could even hit japan. has trained on south korea and could even hit japan. i am glad you mentioned japan because that is a lwa ys mentioned japan because that is always a player and the united states has had a long security relationship with japan that would reinforce nervousness about north korea. in terms of the messaging the trump administration, the trump himself, that all options are on the table, but have two disaggregate what is strange and novel from what is continuous in us policy. harry truman put the nuclear bomb on the table and it has always been there. truman and trump are so different. macarthur wanted to u

we are looking at the premium tax credit, the implementation by both cms and irs, and we should have a report available this summer for the congress. that will be our first complete look at that whole process from -- as mr. george mentioned, russell mentioned, both irs and cms have responsibilities under that credit so we're looking at both. >> thank you. russell, we talked before about this as well, and that's the eitc and all of the refundable tax credits. often the irs will come back and say this falls on preparers. as is mentioned, about half of them actually have a preparer. irs said if we get a certificate he have indication on these preparers, then we'll get fewer mistakes but they attempted to do that about six years ago and failed, and then they're trying to come back at it again. the recommendation has been made to irs before, instead of doing a requirement that's a mandatory requirement for all of your preparers to go through a certification, you just say to preparers, "if you're going to get faster returns, you then have to go through this certification." if you're going

forecast after a break. ,, there will be performances from >>> the stars are getting ready for tonight's a cm awards. performances from some of the biggest names in country music. keith urban is leading with a total of 7 nominations. catch the excitement right here on kpix 5 at 8:00 p.m. >>> excitement shore side. beach hazard warnings. fairly impressive breakers out there at the coast. if you are at the beach tonight or tomorrow, there is a threat of rip tides, heavy breakers at the shoreline. winds up tomorrow too, 20 miles per hour. the numbers, 79 degrees concord. livermore 77 degrees. in san francisco, 69 right now. san jose 75. with mostly sunny skies bay area wide. that is how we start monday morning with some fog along the shoreline. around the bay, partly cloudy skies. sunny and warm after that and temperatures near 80 degrees in the warmest spots. here is how it looks. west coast, high pressure is being booted from low pressure over the desert southwest. things cool down tomorrow but not till mid-week we get that chance of rain. so it will be sunny and cooler. breezy tomorrow. sunny

sog distetem qu i tse weesul qtonen bancose cm cae anieon e mastos prbeyto ue l nuk ao en laiondueiidayldme s portiy mbién gun c sutosdeflaun la loe cma ecibea s ciuda ensar. 1:1smento por no pedir asiscm cdede vcomida me ayuda parimea blanca ---en santa cruz, las autoridades estn ofreciendo una recompensa ---en santa cruz, las autoridades estn ofreciendo una recompensa de 5 mil dolares para quienes ayuden a deshacer una banda que opera ilegalmente "peleas de gallos". take vo ---las autoridades encontraron cerca de 80 aves muertas y torturadas en una zona de watsonville. ---nuestro colega ''david gonzlez'' investiga el caso sobre este reciente hallazgo...y hoy a las 5:30 nos revelar ms datelles de esta prctica licita. vo/lorena --en santa rosa, las autoridades buscan a un quiropractico que estaba siendo procesado por supuestamente violar a cuatro mujeres entre ellas, dos menores de edad... --se trata de ''darious bunyad'' quien no se present a corte , para la audiencia por los 11 cargos que tiene en su contra... su desaparicin es un misterio y no se sabe si se fug o algo le pas... lorena --

the cms folks there now have been welcoming that. they've sent out letters saying we'd like flexibility. come to us with your ideas. we'll have to wait and see how flexible they are and whether they have stipulations. waivers are temporary, perhaps some see that as a good thing. but perhaps others see it as a bad thing. political winds change in d.c. and so oh, i object to that for ideological reasons, take it off you don't get it anymore in your next waiver request. if it's proven to work we would want it to continue not be ideologically driven. thoughts what we're hearing in state capitols. you've started to see -- kentucky has a waiver in that involves work requirements for their expansion population. arizona is about to put in one. has time limits and work requirements. maine and kansas are working on waiver requests that will come in with a bunch of different new things. i think very shortly we'll start to see those details fleshed out in actual waiver requests. >> those are all of that very narrow part of the role medicaid play

cyrus mewawalla is managing director of the global technology research company cm research.e you, thanks for coming in. you know that question, let's use google and amazon as an example, are they to big, too dominant? they have produced a very big good product and not a lot of competitors out there, it's not theirfault, is it? competitors out there, it's not their fault, is it? absolutely. there is article in the financial times about anti—trust concerns as well. microsoft already have that, they had to take away microsoft from" windows. amazon has two businesses. the real issue is government tax regulation needs to be performed because high street retailers pay too much tax and amazon, which sells digital goods can avoid tax. on the cloud business of amazon, there's no issue because amazon invented the cloud. it was an internal product. sorry to interrupt, amazon makes most of its money... from the cloud. we talk about microsoft and rachel explained that we used to think microsoft has gone now because nobody is buying pcs but it got into the cloud, why are they making so mu

but you will only get one 70 cm strip at a time, and you will have to wait nine minutes if you want more point, but he goes on to say that it is actually pretty useful. and then there are those unmentionable moments where one needs, well, a lot more. a park spokesman says there are staff on hand with extra paper. after all, desperate times call for desperate measures. after some teething issues during the trial, the cleaner here says the new electronic dispensers have solved the problem. they have gone from replacing 1a rolls a day to just four. the ratings are in. it seems the authorities think the idea is flushed with success. now to the movie trailer that has sent star wars fans into a frenzy. this clip released on the internet is the first look at the latest star wars film, the lastjedi. it follows on from the force awakens, and will feature the late carrie fisher. the trailer was unveiled at a star wars celebration, in florida, and thousands rushed to watch it online in just the first few minutes. earlier i spoke to scott casanova, a huge star wars fan and contributor to the boba fe

when i was running cms he was the leader of the democratic senate. shockingly we talked to each other and he was very nice. i would advocate that. we were also in the same law firm for a while. i assume my reason for being here is to give the republican side. i'm not saying i agree with all this, i think republicans look at it as they were angry in 2010 that this thing passed on a party line vote. they said you should have been more bipartisan. now they're going roughly back the same way and trying to repeal it on a party line vote. it's a better model, if senator daschle remembers we did medicare advantage in 2003 and '04 and we did make a huge effort to pick off ten democrats in the senate. i think there were nine. and a handful in the house to take the edge off it. it's never good to do healthcare policy. creating the aca or repealing it by a party line vote. we're in a much tougher world than we used to be. i wish it was friendlier. the republican point of view, they look at aca is too big. ft y i would have been comfortable with doing 50% of it.

came to the table and we could get a bill that repairs this negative problems of obamacare, we need cmsmed, tort reformed, remove the state lines, but democrats need to come to the table for that. >> jon: so is it the existing law or nothing for democrats? >> i hope not. we have ten red state democrats in the senate up for re-election. we need those seats. maybe there's a chance we can take back control of the senate. people are talking about house races so democrats need to compromise and fend off the far left on this issue. although a growing number of americans especially as they fear what the republicans want to do with healthcare, not only obamacare's popularity growing but report for single payer even from republicans that want to make sure that we have insurance. we know the government isn't going to go away. it's going to be an interesting battle there but let red state democrats do what they have to do. if that requires compromise, so be it. >> jon: so these town hall meeting holders are taking so much heat. is it anger or manufactured? >> well, let's look at it from 2010. in 2

meet the ul certifications, including first alert co 615, a stand alone alarm or the one link sco 501 cmsumer reports amazon says that the two products that failed the tests with no longer available for sale and removed similar looks models that did not list a ul certification. ebay tells cr it removed the specific alarm listings from the seller and requested the seller contact buyers that may have purchased the alarms. and consumer reports are unaware of injuries related to these alarms. >> important information. that does it for "action news" at 4:00, for brian taff, alicia vitarelli, brian and melissa magee, i'm sharrie williams, join me tonight and every night for a full hour of "action news" at 10:00 on phl 17. >> here are rick and monica with a look at 5:00. >> hi there, coming up next at 5:00, the search for a kill ser on after a shooting left three people dead in north philadelphia. the major reward on the table for information. >> coming up the nfl draft is more than three weeks away and reads in fairmount will begin feeling the pinch in the matter of hours. the layoffs and prog

about many people have compared him to obama eight years ago. .cm as a breath of fresh air there is aat deal about -- a great deal of excitement about macron after the failures of the last presidencies. is the think that macron little boy putting his finger in the dike. a positive force in many people's minds. charlie: the idea of the dissolution of the french party system, the parties that have done well and have not done well. >> the parties on the right have always been in flux. we had the rally for the theblic of the union for presidential majority, then the republicans. they are always changing their name and identity. the extreme right party has been around for a long time. it is an entrenched party of the extreme right. there is no question that macron , as obama did in 2008, at least the appearance of alternative politics. it is predicated on the idea that we're less divided than our politics make us seem. it is very hard to substantiate as governing policy. he will have a parliament that does not share a platform with him, nor share any partisan identification. let's say he m

i'm doug swanson and the services manager for the national archives and cms malaise producer within a tight lecture series. before we begin today's program, i would like to remind you of a few other programs coming up in the near future. thursday, march 16th at 7:00 p.m., damion shields will present a lecture on the forgot irish. irish immigrant experiences in america. this will be the u.s. book launch of the book and a book signing following. on wednesday march 22nd at 7:00 p.m. will present a film screening following these switches in partnership with the d.c. environmental own festival. find out more at the center of their programs, please take one of our events which shall find on the racks in the theater lobby or visit our website at www.archives.gov -- calendar. our topic for today is "agent 110: an american spymaster and the german resistance in wwii" by scott miller. scott miller is an author and former foreign correspondent with "the wall street journal." his first book, the president and the assassin, mckinley mckinley commentary in the empire to dine the american century wa

things just coming as the ahs secretary and cms are able to put this in place and who has the best ideasn how to lower these costs. liz: well, listen, you manage almost every piece of legislation, if not every piece that goes through the house of there's a piece of legislation that hasn't even come to your doorstep, and that is a tax reform plan. the president has said eight weeks ago that we would see a phenomenal plan start to take shape within two to three weeks and now there are reports that the window is getting very narrow and closed and a little stuffy in the room we might not see tax reform this year. what do you think? >> that's one thing i love about this president. he's excited. he wants to do work for the american people, and he gets out there, and he's pushing the agenda. that's good for the american people. and i think just a side note there. when you have a president who wants to do the right thing and includes more people frankly in the first two months of his administration, he's included more members of congress than the previous administration did in eight years, i thi

all of that on "washington journal" would we cm -- when we come back. announcer: check out our c-span classroom website at classroom. it is full of free teaching resources. the improved layout give teachers easy access to easy to go resources including short, current events videos the highlight importance events and washington, d.c., social studies lessons plans and on this day in history resources. our search function allow teachers to search and filter by topic andon, keyword, grade level. our bellringer video clips of teacher favors are sure videos paired with vocabulary and discussing questions that make politics more accessible to your students. >> i love the bellringer's. i will use them in conjunction with an activity we are doing that day as a wrapup. >> the new website is something fabulous. my students using regularly. they are working on clipping videos and making questions they can design and turning to their own bellringers. >> probably my favorite is the deliberation page. perfectly set up and ready to go classroom discussion on a variety

people think, the north koreans have threatened to fire one of their iv cm -- ibcm's, so korea couldpotential to hit the u.s. i think that is when the dire.ion becomes scarlet: you said donald trump would win, the markets would take off, that is what happened. crumbled,untry has the white house has not had a very good run with efforts to repeal and replace obamacare. you said that is the best thing to happen to the trump trade since the inauguration. why have odds of tax reform gone up? david: i have been arguing for some time now it is much more difficult to do health care reform than tax care reform. especially with republicans having 52 seats in the senate. has been latep for this. the spirit -- he was confident to get it done this year, but he said we would do health care reform because it is more obligated. think my point of view, when the issues ultimatums, 10 days ago, you will vote tomorrow, or obamacare stays. it is a climb down from the impossible position which is repeal obamacare without being able to replace it. the president did not put forward an idea of his own. sean

april 15th to june 15th at the recommendation of our stat medical agency to allow time for the federal cms to review and fine item 5 at the onset of item 5 replaces item 6 item 6 is a multi year substance abuse services previous contract and, of course, every year has to be adjusted and amended the amendment for this year for 16, 17 is what you see there i'd like to really thank the analysis for a deep review of o items and at their suggestion obtained in writing from the department of health that specifics the end date of contract 267 that will be the red line copy will be available with barbara garcia signatures and director garcia tomorrow i wanted to also comment that the organized delivery service contracted that is number 6 - 5 on your agenda represents about 2 to 2 and a half years of very hard work by the substance abuse disorder my team in terms of some are here and also it represents a tremendous effort by the contracting partners that provide the services in the community to renovate, upgrade and change how they're planning to deliver care this is to bring a beneficiaries more i

guidelines like american college of physicians, used to inform the nih consensus conference and informed cms decisions. this is about treating symptoms of diabetic neuropathy. decisions for cancer treatment. treatment of muscle invasive bladder cancer. as i said, these comprehensive reviews are used as guidelines. this came out just this month. these were guidelines about noninvasive treatments for low back pain. these are the u.s. preventative services task force for screening for colon cancer. this is about treatment and management of gout. again, these are all based on the systematic reviews ended by hr q. i'm a pause for a moment to talk about the key methodologies that we use. we talked about evidence synthesis. that is taking the evidence that exists in the literature and comprehensively synthesizing it so it is useful. certainly we also do evidence generation. so making new evidence. sometimes this uses experimental methods like trial. sometimes it uses observational methods like data from the patient's health record or data from the administrative claims, billing data from patients a

even cm projects are paying solar panels on a weekly basis. what they're saving on kerosene to actually through the mobile phone. and it has only been made possible through mobile phones. that is one issue, productivity. the second issue is most mobile network operators do not even know how many women they have as clients. they don't even know actually what, they do not even have women as a special segment. i think that we really need to be much more customer centric. because there are a lot of mobile bank accounts around in the world, the usage is a big issue. it has to do with digital literacy. the products and not really catered to women. so giving a special service from three to 5 o'clock in the morning is extremely important. to thomas for example, not just a savings account that when they get harvest to really basically advertise. now you can say, you start planting again. so that you can have an increase in yield. it is extremely important. we have to study the needs, the underlying needs of women who really design the products so they

they used to inform the nih consensus conferences and even inform cms coverage decisions. just a couple examples. this is about treating symptoms of diabetic peripheral neuropathy. this vision aids for screenings and treatment, treatment of nonmetastatic muscle invasive bladder cancer. and as i said these conference of reviews are then used as guidelines practice came out just this month. is a guidelines about noninvasive treatments for low back pain. these are the u.s. preventative services task force recommendations about screening for colon cancer, and this is about treatment and management of gout. again it is all based on the systematic reviews funded by ahrq. so let me just pause for a moment to talk about the key methodologies that we use. so we talked some about evidence, so that's taking evidence of that exists in the literature and comprehensively synthesizing it so it is useful. certainly though we also do evidence generation, so making new evidence. sometimes this use is expend mental methods like trials sometimes it uses observational methods. so using existin

cms. the earnings are not there yet. there is going to be in a gang ahead of the earnings. in terms of the performance, stocks are a little bit ahead of themselves. >> from a technical perspective, that's been a pretty good dating endicott dirt. maria: mean a two year versus a 10 year. >> correct. we see that starting to rise. their net interest margins. we are watching it carefully. i would agree financial stocks to look like they are starting to correct. large caps, and it caps-on small-cap names. now they are correcting back to the jury of support. more time is required. i really want to step out. maria: should we be so inherent evangelists? >> is down the sidelines for right now. there's a little more time for names to panel that. you'll get a good buying opportunity. mari at the massive outperformance was broadly speaking a double-digit gain. information technology staff, do they rotate out of tech in the something underperformed, maybe energy at this point? >> tech obviously some of the earning components will have a growth understood the overseas demand. we're a litt

we have a proposal that my colleague victoria houston whose here and i and the law firm cms put together on a jewel regulatory coordination mechanism which is essentially home state prudential, home state recognition -- recognition of your home state regulator as long as you're doing things that are reasonably necessary for prudential regulation and you're not doing things that are anticompetitive. how that is handled in terms of dispute settlement depends on the hardness or the robustness of the economic measure that you have, so something like what is reasonably necessary for prudential, that's a somewhat subjective judgment and lends itself to consultation. things that relate to damage to the market, consumer welfare that can be demonstrated lends itself to a dispute settlement mechanism but the notion that we can't do financial services agreements in trade because of the prudential carve out is nonsense. there is an equivalent prudential carve out in everything we do in trade. in the wto itself there is a defense for human mora forls, human health and animal health. there are these d

will cms grant greater flexibility for states through the 1115 waiver process, and what will be the implications of that for enrollees? will congress return to pursuing policies that would place state caps on federal funding of medicaid, such as block grants, per capita caps, and if so, what are the potential implications for enrollees? and i'll stop there and turn this over to sarah. >> thank you. thank you, sarah. so, we may be -- we may be nonpartisan, but we seem to have a bias towards people named sarah today. gail walinsky is here. while she's getting settled, let me ask, many of you obviously have been following the debate, but for those who maybe need a little refresher, can you just explain the difference between block grants and per capita caps? and i'll let sara rosenbaum chime in this on that, as well. that will help set the stage for the rest of the discussion. thanks. ms. rosenbaum: good morning, everybody. can you hear me? yeah, ok. good morning. so, a block grant is a model of federal funding in which the federal government basically comes up with an aggregate cap on the federal

of medicaid policy, some of the key questions are, will more states move forward on expansion, will cms granted greater flexibility for states through the 1115 waiver process and what will be the implications of that for enroll ease, will congress return to poilgs that would place state caps on medicaid and, if so, what are the potential implications for enroll ease. and i'll stop there and turn this over to sara. >> thank you. can you explain the difference between bloc grants and per capita grants? i'll let you both chime in. thanks. >> so a bloc grant is a model of federal funneleding in which the federal government basic comes up with an aggregate cap and the federal contribution to state programs. many factors go into that aggregate cap. the congressional budget office has very useful information on some of the factors that go into or could go into estimating an aggregate cap. the commonwealth fund has put out a short piece on how aggregate caps are built, but the point is, it's an aggregate cap and it doesn't necessarily relate to and certainly over time probably would not relate

will cms grant greater flexibility for states through the 1115 waver process, and what will be the implications of that for enrollees? will congress return to pursuing policies that would replace state caps on federal funding of medicaid, such as block grants, and if so what are the potential implications for enrollees? and i'll stop there and turn this over to sarah. >> thank you. thank you, sara. so we may be nonpartisan, but seem to have a bias towards people named sarah today. gail wilensky is here. while she's getting settled, let me just ask for many of you, obviously, have been following the debate, but for those who maybe need a bit of a refresher, can you just explain the difference between block grants and per capita caps? good morning, everybody, can you hear me? good morning. a block grant is a model of fupding in which the factors go into that aggregate cap. the congressional budget office has very useful information on some of the factors that go into or could go into estimating an aggregate cap. but the point is, it's an aggregate cap and it doesn't necessarily relate to, and cer

april 15th to june 15th at the recommendation of our stat medical agency to allow time for the federal cms to review and fine item 5 at the onset of item 5 replaces item 6 item 6 is a multi year substance abuse services previous contract and, of course, every year has to be adjusted and amended the amendment for this year for 16, 17 is what you see there i'd like to really thank the analysis for a deep review of o items and at their suggestion obtained in writing from the department of health that specifics the end date of contract 267 that will be the red line copy will be available with barbara garcia signatures and director garcia tomorrow i wanted to also comment that the organized delivery service contracted that is number 6 - 5 on your agenda represents about 2 to 2 and a half years of very hard work by the substance abuse disorder my team in terms of some are here and also it represents a tremendous effort by the contracting partners that provide the services in the community to renovate, upgrade and change how they're planning to deliver care this is to bring a beneficiaries more i

their stock back by and large back in 2009, and we got them back in business in 2009 in the sanction cmsered cost savings out of the shoot. they came up short in the short run in terms of delivering claims to us. the deal did not look terrific in the early years, and now you see the result of the ten-year contract that management team signed in exchange for that 4.7 billion, and that very different contract than 2 t900 of the oth clients have with us. >> tim, we have to go, wish there was more time, thank you for joining us. thank you very much. the stock opens, hear the market's response to this in two and a half minutes. >> it gets credit for coming on and talking to us about this. >> absolutely. overshadowed earnings. we were going to talk about that, but it was thrown to the wayside. >> 30% of the earnings. >> big time. >> we reach the out to anthem and have not heard back. >> thank you. >> news alert on wells fargo. what's that about? >> hi, bill. so you may remember what wells fargo submitted the living well plans to the fed in 2015, the plans were turned down as not satisfactory.

cs-913 construction management (cm) services - bay tunnel for the extension of 6 months with no changeo the agreement amount. >> so this item is to extend time we have the c m consultant working with us to negotiate with the contractor to close out the last foe change orders as you recall the panel has outstanding issues that needed to be resolved so that's why we need to extend the contract thank you, commissioners so moved. >> been seconded comment. >> all in favor, say i. >> i. >> opposed? >> item 17 carries item 18 approval for the terms and conditions for the golf partners equal to the rent or $83,000.33 in basis rent for a term to exterior no longer than 2017. >> move the item. >> okay there is a motion that has been seconded any public comment thank you very much > all in favor, say i. > opposed? that motion carries also shows the benefit of not only being it but having a well prepared item that covers that the ground very well we have let's see reached the end of regular agenda and items for closed session is there we probably have 10 are 15 minutes nothing i think we'll just t

let's get to the bond pits and check in with isnrick santelli the cm negotiation chicago. >> good morningd. we're really trading in this range aggressively. look at the two-day of tens yesterday it looked like we were going to bee line towards 240. here we sit at 232, down from 2.37. this will most likely be the eighth trading session where we'll have a yield close between 2.32 and 2.38. time will tell, interesting thing about 2.32, open the chart up to december 1st, yes, the low yield close for the year is 2.32, last week, the 3rd of april. november 1st the ten minus twos, under 1.10, glassest since november. is it part of the fed? partially but because our first quarter expected gdp is under 1%. we've had other bouts of this, second or third quarter will make up for it but in the end the average process doesn't seem to take us much over 2%. lingering issue fixed income markets. global sovereigns of the high credit quality have to decipher. if leeact december picture is more aggressive than our picture with regard to rates, hovering above 2.25. contrast that with the issues facing the uk