according to cms data approximately 120,000 tennesseeans are enrolled in csr plans. the csr funding issue is the single most important issue and to be clear this issue is not an insurer bailout. csr funding ensures some of our most vulnerable consumers receive assistance for copays and deductibles required to be paid under federal law and has the affect of reducing premium increases and has a direct impact on the amount of subsidy assistance provided by the federal government. as you know last month the cbo reported federal deficits would increase by $6 billion in 2018 if csr funding is terminated. on the other hand should the federal government agree to fund csrs and cms works with the states tennessee we could see proposed increases for 2018 be reduced. beyond csrs conks should establish a reinsurance mechanism that would stop losses for individual claims at a specified amount to increase market participation by carriers. for the most immediate impact this backstop mechanism must be federal. states should have the option and flexibility to set up their own programs

pequeÑos tÚneles, como decÍamos en algunos de estos callosos de no mayor de 50 cm.ecialmente cuando pensamos en esos bebÉs que duraron ocho dÍas bajo los escombros sin agua y sin comida y sobrevivieron y estuvieron bien. marÍa antonieta: y hoy son adultos. los niÑos de la maternidad del hospital general, hospital de asistencia pÚblica para madres de escasos o casi nulos recursos, esos niÑos sobrevivieron, los vimos crecer, nos hemos entrevistado a los pies, a los 15 aÑos del terremoto y por eso es que la esperanza aquÍ no se desvanece. estamos viendo que permiten la entrada de grandes camiones, no lo habÍan hecho hacía rato. todo aquÍ no se permitía. vimos un carro que, incluso llevaba medicamentos, equipos, picos, palas, hachas, madera entrar y saben cÓmo iba? iba empujado por elementos del ejÉrcito. es decir, no es el dieron el motor pero en estos Últimos momentos, hay aquÍ un ruido, estos enormes camiones estÁn transportando cascajo. vamos a pedir la nuestra cÁmara que los muestre. están aquÍ en la total carga y descarga y estÁn pidiendo suero pediÁtrico. más sue

according to cms data, approximately 120,000 tennesseeans are enrolled in plans. the csr funding issue was the single most critical issue you can address to help stabilize insurance markets in 2018. to be clear, this issue is not an insurer bailout. csr funding ensures that some of our most vulnerable consumers receive assistance for co-pays and deductibles and has the effect of reducing proposed premium increases and has a direct impact on the amount of subsidy assistance provided by the federal government. the cbo reported that federal deficits would increase by $6 billion in 2018 if csr funding is terminated. on the other hand,tennessee we could see proposed increases for 2018 be reduced. beyond csrs congress should reestablish a mechanism to stop losses for individual claims at a specified amount. this mechanism must be federal as it would be impossible for many states to develop such a program for the 2018 plan year. states should have the option and flexibility to set up their own programs to reflect our unique dynamics. following these immediate measures, c

our charge is broad with the cdc, cms, nih, remarkable institutions over which we have authority and leadership response abilities. the men and women at hhs, 80,000 employees literally around the world are doing phenomenal work. they are doing everything to make sure the american people are safe and we can improve their health. >> bret: asked congress gets ready to deal with the budget, you're looking at an 18% cut to hhs. >> the president has clearly laid out priorities to reinvigorate the nation's defense. there are real challenges there, it the president's budget made appropriate reductions in spending. areas that will allow us to fulfill the mission of improving the health and safety and well-being of the american people to do so in a way that allows the president's priorities to be kept. >> bret: mr. secretary, we appreciate you coming on and answering these questions.

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but we did submit comments to cms on things that could improve the waiver process. >> thank you. mr. doke, oklahoma faces similar challenges only one insurer offering individual coverage on the exchange. can you talk about the challenge it creates with one carrier. i know wyoming and blue cross sustained some real losses last year. what changes would you suggest that would encourage more competition in the individual markets for states like wyoming? i know you had some answers in your testimony if you could share that with us. >> while blue cross has a huge amount of losses, much like yours. one of the things i think we can do as long as we're under the current framework we're operating under, under obamacare, the 13-32 waiver is the right path to go ahead unless we make some changes in the future. i see many options for oklahomans in the future. i think the association health plan bill, other types of vehicles that can be used. i for one believe that buying across state lines is a possibility. and but again also offering maybe more catastrophic type plans as we talked about earl

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ahÍ tienen a frida, puede entrar por agujeros de unos 50 cm.la historia de leo fue muy significativa. >> ocho aÑos y lo sacan. ya saliÓ del coma inducido. estÁ recuperÁndose. pega el fÚtbol. Él y otro niÑo son los Únicos que sobrevivieron de su salÓn de clases. cÓmo decirle que no sÓlo tiene escuela, sino que tambiÉn murieron sus compaÑeros. su sueÑo era de que leo messi le dieron mensaje. lo hicimos a travÉs de "al punto." el lunes, messi respondÍa con el mensaje. luis suÁrez tambiÉn le hablÓ. carolina: y en "crÓnicas de sÁbado" tambiÉn sufren algo horrible guatemala es. >> dos niÑos raptados por militares. junto a fÉlix, estaremos a las 5:55 p.m. y 10:00 p.m., presentando esta historia "la verdad nunca muere" . con eso regresamos esta servidora de mÉxico y fÉlix desde puerto rico. javier: esto fue algo muy especial. carolina: hay que verlo y estar frente aterrizar maÑana sÁbado para ver este excelente crÓnica. no podemos despedirnos sin decirles que es del dÍa nacional del cafÉ. te gusta el cafÉ? >> si no tomo cafÉ, no empiezo funcionar con l

wisconsin, harveyes el fenÓmeno de inundaciones que se da de 1 en 1000 aÑos. 20 " que terminan siendo 50 cmisto desde hace mucho tiempo. vamos a cambiar de tema. la preocupaciÓn sigue latente. cerca de 800,000 jÓvenes tienen miedopor el daca con el futuro incierto. la continuidad del programa de acciÓn diferida estÁ en manos del presidente. hay rumores de que el mandatario lo dejarÍa vencer. eliminarÍa el beneficio de renovar los permisos de trabajo una vez que vayan expirando. para poder ver este tema vamos a invitara gaby pacheco. muchas gracias por estar con nosotros. para poner en perspectiva este tema. quÉ estÁ pasando hoy? gaby: sabemos que se ha dicho y hay rumores de que hoy puede terminar daca. hemos estado desde el viernes pasado en esto. no se sabe muy bien. javier: han habido diferentes marchas en todo el paÍs. quÉ estÁ pasando? quÉ sucede? gaby: el presidente en su campaÑa dijo que iba a quitar el daca desde el dÍa nÚmero uno que estarÍa la oficina. todavÍa no lo ha hecho. eso creo que es un poder que hemos tenido los soÑadores que no se ha quitado el daca. ahora, vemos que est

those regulations have been changed by cms for nursing homes, not for assisted living. i don't know if assisted living in florida are required to have generators. assisted living is under the radar. so i think the answer is you want to be able to have people stay in the building, but the building has to be hardened, they can't be built in flood areas that routinely in heavy storms continue to flood. and there are building codes to that, that allow that to occur. we also need to have hardened and generator capacities. many nursing homes in this country are very old and i think we need to think about it we're going to allow capitol to be used to replenish them or search the needs, i think we need new buildings to require generators with sufficient capacity to run air conditioning and other support systems for a period. ... i want to use the right. terminology. the combination was terrible. for me it was an eye-opener because i had never been affected personally by a terrible storm or and, even as a public official, i don't think i was as close to it as i was in 2011. in m

one, just the stack some cms on the navigator program. i'm not sure what the right amount of money is for the navigator program but according to cms, in 2016 navigators received 62 million of federal money to enroll 81,000 people come less than 1% of the total enrollees. 17 navigators involve less than 100 people eat at an average cost of nearly $5000 per enrollee. the top ten most costly navigators spent a total of 2.7 million to enroll 314 people in the affordable care act. one grantee received $200,000 and enrolled one person. only 22% of all navigators achieved their own performance goals. so maybe it's an area that needs some oversight. let me go to a point that several senators have made, including senator franken, struggle others -- several others. i've been thinking especially, for seven years we've been stuck in this partisan stalemate on health insurance with most of the argument, not all of it but most of it, about 6% of americans who buy the insurance on the individual market when we really should have been spending more time

so we will be working with cms. and we will be working with insurers to make them better aware of the evidence-based and what is called parity. are people who have behavioral health issues are entitled to the same types of treatments they would get worried a medical illness. behavioral health is different from physical illnesses. so one of our jobs is to make it clear what that evidence-based is and that parity requires the fees and services be compensated so people can get the care they need. [applause] >> thank you all for joining today. i want to say special thank you to all the staff who but this event together. [applause] you tolose, i want invite -- a want to invite you to visit samhsa.gov. you will find access to all of our data resources, educational resources, outreach material, information about treatment, treatment locations as well as crisis hotline. that concludes today's press event. thank you for joining us. thank you for your passion, your energy. happy recovery month. [applause] [captioning performe

so we're going to be working with cms. and we're going to be working with insurers to make them better aware of the evidence base and what is called parody. our people who have behavioral health issues same types of treatments they would get if it were a medical illness. behavioral health is different from physical illnesses. and so one of our jobs is to make it clear what that evidence base is and that parody requires these services be compensated so that people can get the care they need. [ applause ] >> thank you all for joining today. i want to say a special thank you to all the staff that helped to organize and put this event together. [ applause ] >> as we close, i want to invite each of you that are here or watching live to visit samh samhsa.gov where you'll find access to all our data resources, education resources, o o outreach materials, and information about treatment as well as treatment hot lines. thank you for joining us. thank you for your passion and energy. happy recovery month. [ applause ] >>> senate maj

i think the cms, emergency preparedness rule helps but it requires robust implementation. it's not pieces of paper and checklist, it's actually really drilling and paying attention in an ongoing situation. i think the administration should think about creating policy and regulation that can support areas that sometimes forget about for preparedness like building codes. thank you again for raising the profile of the need to better support seniors, older americans in the most vulnerable and our community in times of disaster and i look forward to your questions. >> thank you very much doctor higher. >> the morning. on behalf behalf of my colleague, i want to thank all of you for being here and for giving me the opportunity to testify on a topic i've studied since 2004. when four hurricanes traversed florida. my colleagues and i have studied the effect on frail older adults living in nursing home and assisted living. my remarks reflect a decade of research that have been carried out through several foundations. they only became part of the emergency response system after seve

cms was very helpful but still it was sailing the process. see you could provide us with some suggestions to simplify the process? so those reforms we thought would help an old thing they have been adopted and those eggs that could have that waiver process. oklahoma faces similar challenges as we're practically neighbors only one insurers offering individual coverage of the exchange. can you talk about that challenge with one carrier holding all the of risk? blue cross sustained real losses last year and that was the only carrier offering coverage. what changes would you suggest to encourage more competition in states like oklahoma and wyoming? we do share some similarities with your state while our blue cross has a huge amount of losses like yours one of the things we can do this while we're on that curve rework that 1332 waiver is the path to go ahead of us to make other dramatic changes and in my letter i see many options in the future with small businesses to bear the brunt of those unintended consequences so those other types of debris a

cindy man, former deputy administrator and director of the center for medicaid services at cms.rior to her apartment at cms she was a research professor at the georgetown university health policy institute. there she was the founder and director of the center for children and families. she previously worked as a senior advisor at the kaiser commission on medicaid and the uninsured. she is now a partner at the health. she received her bs from cornell university. last, but not least, dick woodruff, senior vice president for the american cancer society. cancer action network, altogether mr. woodruff has more than 35 years of experience in congress, the executive branch and the not-for-profit world. including serving as the chief of staff and legislative director from the us as well as the senate. he also serves as the director for congressional affairs at the national endowment for the arts. mr. woodruff is a graduate of miami university in oxford ohio. i will think each and every one of you again for taking time out of your busy schedules and coming here today. i look forward to h

. >> right, if you were an official that went to go work for hhs or cms, one of its agencies and you went in because you wanted to implement the affordable care act or obamacare, obviously they're not going to be particularly supportive of the current administration's mission, when it comes to that law. but that being said, you know, i think it's fairly more common when you have republican administrations, i think, compared to democratic ones, just the tensions that they have with people who have been working for the federal government for a long time, because sometimes their politics can be a little different. even if they follow the direction of the, quote, politicals, the people who are setting the agenda. >> so did price -- how long did it take for price to realize what kind of trouble he was in? >> i think probably our best indication is the middle of this week was when, based on our interactions with hhs, that they started to realize it was a problem. because we still had more reporting to do and i think it -- based on their, again, interactions with us, it seemed like they wer

it was cms administrator, it was vice president mike pence coming up there to rally the troops through these repeated obamacare failures. tom price was not really there so i think it's going to be really interesting to see whether he attempts to nominate someone very soon because that senate confirmation will be very difficult. >> it will indeed. thanks to all of you. >>> well, the mayor of san juan is begging for help this morning. there are millions of people who are struggling still to find food, to get clean water, to get medical supplies. we're going to share with you her emotional plea for that island. >> plus, more bad news could be on the way for puerto rico. the threat of flash flooding, mud slides. that is going to be a major issue today. we'll get a live report from the cnn weather center. that's up next. >> and law enforcement going beyond the call of duty to combat the opioid crisis. why one officer hung up his uniform to help save addicts. >> i'm there to convince them to live. i am convincing them that they have a second chance. can i get some help. watch his head. ♪ i'm

and cms in particular, are proprietary there's nowhere else to go to get those data so the governmentrd pressed to use a competitor or find a substitute. that's one of the things that underpins our bullish view, a lot of what the company provides is exceedingly difficult to replicate. >> andrew, thank you for joining us. >> thank you >> andrew jeffrey joining us from suntrust robinson humphrey. >>> fedex out with its earnings. let's get straight over to dominic chu with those results. >> you're going to have to bear with me a couple l seconds we're parsing through a lot of numbers. we have a stock down h 4% in the aftermarket. this after fedex corp reports earnings per share on an adjusted basis of $2.51 per share. on revenues of $15.3 billion now that $15.3 billion revenue figure is just ever so slightly below the consensus analyst estimate of $15.36 billion the earnings per share nouumbers a little more unclear. the average analyst estimate per thompson reuters was $3.09 the $2.51 that they reported on an adjusted basis accounts for a 2 cents per share impact from hurricane harvey,

fox business network hillary vaughn is life outside los angeles memorial communal cm los angeles memorialr ratings taking a hit? >> they are. last night's game, the packers beat the bears, but the nfl hit with ratings, down 13% to last season, but players taking a knee and protesting america's national anthem is not necessarily driving ratings down more than we already expected because people have already been tuning out. viewership for live sports has been down across the board. nielsen estimates that 2 million people that tuned in last year are changing the channel this year but still protest are having a big impact on the nfl as a whole, because companies are pulling out sponsorships, they are pulling their ads. one businessman said he's pulling his company's ads in 29 states for the entire season. >> we have pulled our ads off the air. we are a small player, but also like the car dealer in fort wayne, indiana, will pull his car off the air and all these mom-and-pop shops will pull theirs off the air. that is a big deal when you take this all across the country. >> bars and restaurants

. >> "mostly cloudy tod mostly cm kelly today" premieres today at 9:00. >>> and coming up, a monsterk that won a game, parents' emotional reaction in the stands. >>> and a celebrity sparking a cheesesteak war. can you tell who this is or where he is? 6:45, the facebook post firing up foodies. gps: faster route detected. let me finish downloading this from the cloud. looks like you found a better way to do this, dad. organic, non-gmo feed, 100% veggie diet. if i can raise you two, i can raise anything. perdue. raising more organic chickens than in anyone america. the old man's still got it. oand freedoms that we have and we enjoy today.s ready. aim. fire. and it's important for us to let them know that we will never forget their service. fire. it was steve's idea to have this cemetery. this was supplied to the veterans, giving us a final resting place. we owe everything to steve for what he gave us here. i wanted to make sure that we just didn't say thank you to veterans, we had tangible things to show, and i think we've accomplished that. [ "taps" playing ] >>> right now, sideline un

let's discuss with the founder and ceo of cm research cyrus, good morning to you >> nice to be here >> let's dive into the sector, we discussed this lots before. kick off with apple. big launch last week overall overwhelmed or underwhelmed by that. >> overall they did enough to justify the share price and for us to maintain a buy on the stock. >> in particular why >> in particular they were at risk of falling behind in a number of big technologies, artificial intelligence, the siri system was not as good as other personal assistants. augmented reality, they had not announced anything apart from the ar kit we had not seen much of that we will see that now they caught up in a number of areas. where they're falling behind is internet tv. apple's version of internet tv is a collection of apps, but i think they need to build a pure internet tv, a platform in which they can control ads >> we always talk about the importance of the iphone to their earnings and the loyalty of customers to the iphone, largely because of the ios software, slightly regardless at the margin with whatever upgrades

resources to help with community treatment programs and then to provide more services working with the cms to cut laverty -- collaborate so they can get the resources is that they need. but that requires for the first time the assistant secretary must work with other agencies so with that coordinating committee already the federal partners are working with us with housing and urban development and looking at programs how to better serve people for copings for asking. [applause] >> we have time for one more question. this is a great example of recovery and one of the things you mentioned is my question is twofold self-help support groups are evidence based practice that is underutilized is there an effort to increase in a connection and in l.a. county and they became profit centers for a large agencies with that to roll out difficult from here to fidelity. how do we address those stains?. >> is a tall order evidence based practices have the information we need because many types of programs for pope but to provide oversight and guidance to states in communities of evidence based practices a

the federal government, the cms, or groups like the kaiser foundation, to try and get those numbers.in, to your point, ali, susan collins is not going to get what she wants from the cbo today. she'll get a couple of lines. not a full report about how this affects her state or the rest of the country. she has been very clear all along that she wants that kind of information before she casts such a big vote. >> as does john mccain. garrett, i make this point, if there's something one with learn from obamacare, don't jam it through. >> why do we do this? >> instead of saying push it through by september 30th, forget about getting 50. go for 60 votes. go for bipartisanship. >> yup. >> find a long-term solution. >> there's nobody in the country who doesn't think obamacare could use some repair. you can get 60 votes. you can get more if you really -- >> obama says it. >> -- have hearings, listen to people and take input. this is not the way legislation should work. >> the problem solvers caucus didn't start for giggles. they want to create bipartisan solutions. maybe listen to them. forget

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according to cms, in 2016, navigators receive 62 million of federal money to enroll 81,000 people. less than 1% of the total enrollees. 17 navigators enroll less than 100 people each at an average cost of nearly $5,000 per enrollee. the top ten most costly navigators spent a total of $2.7 million to enroll 214 people in the affordable care act. one grantee received $300,000 and enrolled one person. only 22, it of all navigators achieve their own performance goals. maybe it's an area that needs some oversight. go to a point that several senators have made, including senator franken, several others. and i've been thinking this especially for seven years we've been stuck in this partisan stalemate on health insurance. with most of the argument, not all of it but most of it about 6% of americans who buy their insurance on the individual market. when we really should have been spending more time on the fundamental problems with the american health care system. that have caused it to grow from consuming 9% of the gross domestic product in 1980, about 40 years ago, to nearly 18% in 2015 a

i was talking with the head of cms just yesterday about this, but she said one of the problems was that the demand was so great that people were not able to have complete dialysis. they were hooked up to the machines for two hours when they needed a far longer period of time, but the demand was such that they were just trying to maintain people. in addition, local emergency response teams implemented strategies to identify those most in need and provided designated shelters that offered necessary medical care and support, but that tragically was not always the case. the lack of electrical power apparently contributed to the deaths of those seniors in the nursing home and to the worsening health condition of others, suggesting a very troubling lack of preparedness in some health care centers. while we have made many strides since hurricane katrina 12 years ago, we must ask ourselves, can we better protect the most vulnerable members of our community? what gaps exist that could jeopardize lives in the next catastrophe, whether it's a storm, an earthquake, or some other unanticipated event

experience, and i refer to your time as director of the center for medicaid services for doess, -- four cms, what that mean for the country, the winding down of the medicaid expansion? >> and you, senator. first of all, it is not winding down. basically is20 is one it goes away. -- on1 million people generate first 2020, it will go away. notral people covered will -- the states will not have any ability or legal authority to get more dollars to continue that. that expansion has been and/or misleading valuable to those states who have done it, the states have lowered their uninsured rate to record lows. but more than that, people have been getting care. , keeps asnyder dashboard in michigan of how many people got mammograms, how many people that colonoscopies, preventative care. in louisiana, a dashboard for their tension says that they got for hundred 33,000 people covered under the medicaid asked tension and they can tell you how many people got preventative testing and were found to have illnesses and got treatment for those illnesses. real people and real services. in addition, it has lo

and for 2018, cms tells us that one half of counties will have 1 or 0 insurers on the exchange. in tennessee it's 78 of 95 counties. we have heard from the state insurance commissioners that this by itself, this monopoly in so many counties, drives up premiums because it creates the monopolies. without cost-sharing reductions as has been pointed out by several senators, the congressional budget office, joint committee on taxation and our witnesses have said, that premiums will increase an additional 20% in 2018. so, premiums go up 20%. the federal debt goes up $194 billion over ten years to pay for the higher premiums. and 5% of the people will be living in bare counties after just one year according to cbo and joint tax and our witnesses. so let's keep in mind also that, even if president trump wanted to extend the cost-sharing payments, the courts might not allow him to do that. unless we act. the federal district court of district of columbia has said that the president, whether it's president obama or president trump, does not have the authority to continue cost-sharing redu

an outline of what it is we would like to talk about doing under a 1332 previously to the folks at cms. and one of the innovations that the current administrator brought to this program was to say instead of having you file a waiver and then have us get into a big debate about every element of it, how about you file what she called a pro forma, what it is you would like to do, have us review the game plan in mind, tell you where we think you have soft spots and weaknesses and we will help you make sure by the time you actually submit a formal document we have some agreement about what it is you're trying to do and where we think our opportunity to support that might be. and i thought that was, you know, administratively a terrific reform. the one thing i would say generally about this is there are -- there are things that are program issues, which i think have for all of us consequences in terms of how we deal with our legislature on some of this, but a lot of the administrative stuff that's part of the relationship that goes on between states and the federal government is not particul

and in 2018 cms tells us one half will have those counties a we have heard that this by itself this monopoly because it creates those monopolies the cbo and joint committee on taxation to have additional 20%. in in the federal debt goes up over 10 years. and that is according to the cbo.et's kee so even if president trump wants to expend -- extend the cost sharing payments the courts may not allow him to do that. and whether president obama or president trump does not have the authority to consider to continue those kashering payments because congress never appropriated the funds.and on and then to lower premiums in the future is of flexibility with coverage choices to get a result that many don't want to agree to. and democrats have to agree to something that is more flexibility for states in with a republican president to extend cost sharing payments and then for today's hearing if we don't reach the of compromise about what happens when the insurance plan and then you lose your doctor in the middle of your care.protect we have destabilize the market and have all premiums in the future wit

what adequate and affordable is is up to the cms administrator. >> what i'm saying is that sentence isbill, that's correct. there is no definition of adequate and affordable. more importantly, there is no enforcement mechanism. that says exactly how the federal government will hold the state to that description that they are supposed to provide. health professionals from a wide range of backgrounds have criticized this bill as lacking in effective enforcement mechanism. there's also a provision that suggests it's possible for health insurers to rate, rate beneficiaries differently based on their previous health experience. i have a concern that that suggests that the ban in the affordable care act on the act on discrete nation based on pre-existing conditions will be easily overwritten when states apply for waivers under this cassidy-grand plan. >> bret: do you think they are close? >> yes. i think this will be a very close vote this coming week, and i think frankly everybody should be listening closely to the advocates for america's patients, america's doctors, hospitals when they rai

i'm looking to any campaign on the message like cm was just saying that his campaign as well, that people are going to relate to, and with a positive message that talks about how we're going to move forward from here. i think we both said that come finding those, themes, like other, threats, what we all believe in, how do we want to find progress in the forward together? i'm tired of the negativity as well. we really want to talk about change and moving forward. and as someone who is been engaged in a very nonpartisan fashion as a command activist and candidates that engagement in the community, we've always pushed to work with members on both sides of the aisle when we do leadership development training, we're not many people on being democrats or republicans. we recognize the need to be really represented in both parties, and i think us as individuals just have certain affiliations and a running as democrats for certain reasons, so maybe that's come out as more. i mean, like i said earlier i have many republicans from the community and outside the community who are saying and you change

for 2018, cms tells us one half of counties will have one or zero insurers on the exchange. in tennessee at 75 counties. we heard that this by itself this monopoly drives that premiums because it creates those monopolies. without cost-sharing the congressional budget office, the joint committee on taxation and its witnesses have said premiums will increase 20% in 2018. so premiums go 20%, the deck goes up $194 billion over ten years of 5% of the people will be live in and bear counties after just one year. so let's keep in mind also that even if president trump wanted to extend the cost-sharing payments the courts might not allow him to do that unless we act. the federal district court of columbia has said that the president, whether president obama or trump does not have the authority to continue those payments because congress never appropriated the funds. i want a result. and one that limits premiums and begins to lower premiums in the future is flexibility for states coverage, choices and prices. republicans will have to agree to something that many don't want to agree t

that work informs the inclusion of measures in the adult and child corset that cms uses and there are measures related to labor and delivery and prenatal care in both the adult and child corset. that's obviously a dynamic process and over time measures have been introduced into that and taken out as our understanding increases and i do think it's important we talk about value to the beneficiary and to the taxpayer these programs and certainly the av l availability of valid and reliable measures is an important part of that value equation. >> thank you. senator weiden, i want to thank you and the chairman for supporting our effort for the quality of care for moms an babies act last year. it would add to the strength and the quality of what's before us now. >> i very mooch appreciate what senators are trying to do here. it has been supported in the committee and look forward to working with both my colleagues. >> thank you. >> at this point the also gracious senator karden said it would be fine if senator grassley went. i think senator grassley had a relatively short set of questions. >

>> de 52 cm. el rÉcord lo hizo una persona de california. reportera: es que me encantÓ. >> exacto.que han estado comentando en redes sociales. definitivamente, la oraciÓn tiene un valor incalculable. continuamos orando para que irma se desvanezca. por otro lado, los quiero invitar que vayan a la pÁgina web de nuestro programa. tenemos un capÍtulo nuevo de nuestro reality. el reality tiene que veren cÓmo nos sentimos con todo esto del huracÁn. tambiÉn, tiene un poco de humor para relajarnos. ahora, te voy a pedir que me acompaÑes. llegÓ el momento de jugar. [aplausos] estamos nerviosos, pero vamos a dar un descanso. alan: exacto! se llama "poner el corcho". karla: le voy a poner todo el fin de semana [risas] alan: bueno, empieza la pareja del rÉcord guinness. francisca que es una campeona mundial. [risas] francisca: que empiece el invitado. alan: si no metes el corcho en la copa, eso me lo das a Él y. karla: te tienes que quitar una prenda. [risas] francisca: primero, el invitado. hace el honor. alan: tienes otra oportunidad. [hablan al unÍsono] [gritos] se acercÓ . [gritos] [aplaus

that work informs the inclusion of measures in the adult and child core set that cms uses. and there are measures related to labor and delivery and prenatal care in both the adult and child core set. that's obviously a dynamic process. and over time measures have been introduced into the core set and taken out of the core set as our understanding increases. and i do think it's important we talk about value to the beneficiary and the value to the tax pay, these programs and certainly the availability of valid and valid measures is a certain part of that ekwauquati. >> i want to thank you and the chairman. it is strongly bipartisan. it is noncontroversial and would add to the strength and the quality of what's before us now. and i'm hopeful we could include it in the final bill. >> i very much appreciate what senator -- and senator grassley are trying to do here. at this point the also gracious senator cardin has said that while he's next, it would be fine if senator grassley went. i think senator grassley i think had a relatively short amount of questions. go ahead. >> and i

also, going to the cms, the national group here at hhs to say, you know, what's the impact of this?ther members are doing the same thing we just need to know what the impact is. >> if it came down to it, would you vote no if the entire bill rested on your shoulders like john mccain's the last go-around? >> it's not likely to rest on my shoulders. if we find the numbers to meet what the authors say, it will be okay if not -- this is an opportunity to actually do something to resolve a very real issue. i think a lot of people would prefer just to let this go away, but we can't do that dp you look at the numbers, i mentioned the 34% increase the lack of competition, the fact that our health care system is broken. these skyrocketing costs have to be dealt wheith. we have to do something. this is an opportunity to follow through on what a lot of us have been talking about, which is to give more authority and responsibility back to the states >> senator, i wanted to switch focus swult. a question based on your position on the finance committee. your colleagues in the house financial servi