of this law created the open payment data these at cms.in november, senator blumenthal and i wrote a letter to your department thinking for the support that cms center f program integrity is given. in that lter, we further encouraged prioritization of that funding and administration of the open payments database. now, you may wonder why i'm asking this question before i ask, mr. chairman, i would like to add the blumenthal grassley letter to the university of iowa report put in record. >> without objection. >> a year ago in the appropriation bill a group of doctors in the house of representatives tried to cut this legislation. we prevented that, so simple question to you. will you commit to continuing to collect and post all the data currently available on the open payments websites? >> yes, senator grassley. as you know i'm a big supporter of the sunshine act and your work they are and supported it at the time you first proposed it. i think that transparency is extremely helpful. >> my second and last question, since the epipen misclassif

i look forward to working with him to figure out how hhs and cms can make improvements to save lives. i co-authored the patient access and effective drug enforcement act which was recently, others me in relationship to the opioid epidemic. this requires hhs to submit a report congress regarding obstacles to legitimate patient access to controlled substances and issues. [inaudible] the report is long overdue so i would like to impress the importance of getting this report congress so that we can have an opportunity to review and make any necessary changes to the law that may help to turn the tide of this epidemic. hope to get them to produce this report as soon as possible once confirmed. he has been committed to these believe hisd i records show he is more than capable of leading hhs through these new years. there are some on the committee who have already made up their mind and are committed to opposing his nomination. this is essentially part for the course for the high profile nominees that have come before us, and, as previous cases, none of the attacks are focused on his record,

these are issues all americans face and that cms we want to empower patients. we want to make sure patients and families and women who are making health care decisions for themselves, partners and children that they have the information and tools they need to make decisions that work best for them. we want to get washington out of the way and have that interaction occur between patients and their doctors. another thing were doing is making sure our programs are modernized to deal with the changing evolution of technology and innovation. we're also trying to do it we can to respond to the opiate epidemic. this can be very personal. i remember a few years ago when my daughter was 13 and we attended the funeral for a kid in her class and her older brother. take 70 kids he had gone in for routine surgery and became addicted to pain medications. i remember the funeral in the words of his sister who is only 13 at the time. she talked about the anger she felt with her brother about getting mixed up in it. this is the personal issue for all of us, were trying to do wha

this law created the open payment data base at cms. in november, senator bloomenthal and i wrote a letter to your deputy thanking for the support that cms center for programs for security integrity has given n. that letter, we further encouraged the prioritization of funding and administration of the open payments database. now you may wonder why i'm asking you this question. before i ask it, mr. chairman i'd like to have the bloomenthal grassley letter and the university of iowa report put into the record. >> without objection. >> yeah. a year ago i think it was in the omnibus appropriations bill, a group in the house of rept representatives tried to gut this legislation. we prevented that. a very simple question to you, will you commit to continuing to collect and post all the data currently veil on the open payments website? >> yes, senator grassly. as you know, i am a big supporter of the sunshine act. and your work there, and supported it at the time that you had first proposed it. i think that transparency is extremely helpful. >

and we worked with cms to have in place simultaneous coverage at the same time. and we think going forward this is a panel of cancer markers that will help guide the treatment of cancer patients and help guide the prescription of therapy. and this is an area of a lot of innovation right now, and what cms said in their policy, and i'll let them articulate it more clearly, is that panels that come through fda for voluntary approval now will automatically receive coverage, national coverage determination. so it's a powerful incentive, i believe, for more such tests to try to come through the regulatory process. we can provide, i hope, a greater assurance of the effectiveness of it. >> i think that's a big step forward and i can tell dr. collins agrees. thank you. dr. gottlieb, the last question, and i only have a minute left. senator rubio and i last year worked on the race act for pediatric cancers. and i know you guys put out some guidance recently on developing drugs in rare pediatric diseases. i wonder if you could expand a little bit about that. >> we did, sena

what are you doing, can you give me some specific examples of how fda at nih and cms, which has to do with funding, are working together so that we don't make a lot of progress in research, for example, have sit on the shelf what fda works on something else or make a lot of progress at the fda and have sit on the shelf of cms deciding whether to fund it. dr. gottlieb? >> a lot of our ability to make the development process itself more efficient and lower cost is trying to develop better tools, better scientific tools to evaluate products better that are being brought to develop a process to ascertain their safety and effectiveness and more efficient ways, in ways that are faster, they can be done at lower cost. that is a process of developing better sides, better regulatory science for evaluating technology. there's a lot of work we're doing in concert with the nh ann collaboration with dr. francis, a couple of initiatives i would point to you by the tissue on the chip initiative which is for developing better tools for toxicology and looking at issues of safety and effectiveness in t

and we're trying to do everything that we can at cms to address this issue. we're very appreciative of the president's leadership. because of his leadership, hhs declared the opioid issue a public health emergency, and it's allowed our agency to take immediate action. as kellyanne referenced, one of the things that we're doing is making it easier for state states to provide treatment to individuals facing opioid addiction. one of the things that we found is that when people are ready for treatment, we want to make sure that that treatment is available. they don't want to hear that there's a waiting list or they don't have -- there's not a bed available for treatment. so we've gotten rid of allowing state toss waive certain law that is prevented individuals from getting treatment. and it was really heartwarming for me to go to utah, the state of utah, where we had approved one of these first waivers to allow for individuals on medicaid to seek treatment in certain types of facilities. and they were actually, they had construction going on because they were exp

with heavenly and krkwoood another snowstorm is headed for lake tahoe after more than a foot (30 cm)ow fell overnight at sierra ski resort. the national weather service has cancelled a winter weather advisory for carson city and the reno area, where 6 inches (15 cm) of snow was reported thursday morning in the foothills around verdi.the advisory remains in effect until 4 a.m. friday for the tahoe area where another foot of snow is possible in the upper elevations beginning thursday afternoon.sixteen inches (40 cm) of new snow already has fallen at kirkwood ski resort and heavenly in south lake tahoe. fourteen inches (35 cm) fell at sugar bowl near truckee, california and at the mount rose ski resort near reno.about 12 inches (30 cm) was reported at squaw valley and alpine meadows near tahoe city, california. lawrence karnow: we enjoyed a day of unusual weather with sunshine, heavy downpours, rainbows, hail and lightning. you can see the storms rotating into the bay area with isolated thunderstorms popping up. if you get caught under one of those storms the rain can come down very har

this law created the open payment data base at cms. wrote a letter to your department thinking for the -- thanking you all for the support. in that letter, we further encourage the prioritize asian of the open payments database. you may wonder why i am asking you this question. one year ago, i think it was in , and we prevented that. will you commit to continuing to collect and post all of the data currently available on the open payments website? alex: yes. as you know, i am a big supporter of the sunshine act and your work there. i think that transparency is extremely helpful. >> my second question. the misclassification fiasco, i focused a lot on the medicaid rebate drug program. id because of my oversight, found that during the obama administration, cms did not properly oversee the program which resulted in billions of taxpayer losses. lost outyers may have on more than $1 billion. doj recovered $475 billion. why they did not go after the other billion, i never get an answer. was --mber 2017, the hass released a report on the rebat

before i came to cms i was working with states and i can tell you we had great ideas. sometimes they were not listen to in washington and we had to fight to get reforms. what i think is important is that we listen to local communities and understand what the issues are and test out new ideas and even largely dealing with poverty around the medicaid program. we're willing to try and be a partner with states and local communities and try out innovation and ideas. my pledges to have a new era of flexibility. states are best positioned there on the front lines and they know their frontlines better than we will know in washington. i think we can learn from each other for these things. >> thank you. and thank you for the women here on the stage. thank you for the work you are doing. relisted, president trump is committed to in terms of dealing with the opiate crisis. these wonderful women are working day in and day out to ensure we find the right solution for these families. >> will good break. will reconvene for the national security safety panel at 3:10 p.m. thank

we are going to take you live now over two the new cm in washington for a discussion on russia's investigation on the investigation into russian interference in the 2016 election. this is hosted by the spy museum and "the news york times." >> of course a finer place to put all these people which is a great problem to

they promised that they're moving into an era of innovation, for those of you familiar with cms, you may wonder what that means, but they've pointed out they loosened up the reg from 10 or 15 years ago. so we'll see, i'll be reporting back on that in the coming months. we also heard from lance robertson, the newly confirmed secretary for aging and a >> adaad administrator. one of the things that we do at this meeting that i find interesting is we go region by region, so each region across the country kind of reports in about what the challenges are that they're seeing and how they're dealing with the challenges. but one of the biggest things to emerge, obviously was housing. nobody would be surprised by that. but the second biggest thing to emerge was really challenges with respect to foworkforce. i see those as two different things, one being the workforce that supports people to live in community safely. and the other is just making sure there are opportunities for employment and employment opportunities for older adults and adults with disabilities. that's one of the things we cam

revelar por ser muy gráficas dicen que demuestran a lo que ha llevado la infección >> los ve son como 3 cmuda que hubo negligencia por el personal médico >> en el otro cuarto mesa explicados los había que moverla y ella nunca hicieron >> no solo no comunicamos con el hospital pero dijeron que por razones de leyes de privacidad del paciente no podían dar más detalles sobre el caso afirmaron que el hospital es conocido por la calidad de cuidados que brindan los médicos reconocidos nacionalmente agregaron que están comprometidos en mantener la confianza de los pacientes en la calidad de su cuidado siendo esta su máxima prioridad >> yo pido justicia >> doha dice que si alguien sospecha que hubo una negligencia médica con su ser querido debe actuar rápido es importante que la gente lleve la fecha del ocurrido procedimientos eso ayuda mucho explico agregando que para este tipo de casos solo hay un año para entablar demandas a ana le considera >> pilar noticiero telemundo cuente ocho >> en san josé buscan sospechoso de matar a un hombre a golpes hablamos con los tres y nos dice cómo ocurrió este

bbc.com -- france2 4.cm/inthepress. right. we are going to take a quick break. stay was.he news continues right here on france 24. humble, a hard-working, feet on the ground. we tatake a return ticket to revisit key y people and places over the last 50 years of news. [speaking foreign language] >> in thisis episode, mexicali borderr artist at the provididing educatation, mediaid programmining to the community f mexicali. abo w medium we cared

cms said there would be exemptions including for the disabled, elderly, children, and pregnant women n a tweet the cms director defended the policy by writing, quote, we need to support states and give them more freedom to design innovative programs that get positive results for medicaid beneficiaries. however, critics say this goes way too far. i asked the white house press secretary, sarah sanders, about one of those criticisms. >> critics say you need to be healthy to get a job. how are they wrong? >> secretary sanders: oh, well, look, certainly we want the american workforce to be healthy. and we're focused on helping improve healthcare across the board. but we also want people to have jobs. we're working on both of those things simultaneously, i don't see how that conflicts with one another. >> trish, roughly 70 million americans, that is one in five americans, just about, are dependent or at least receive medicaid. legal challenges no, doubt about this one, are sure to follow. >> trish: indeed, thank you so much, blake berman. 11 states seeking work requirements for medicaid re

residentes lamentan la pÉrdida de masy cm >> el gato se muriÓ y toda la gente estÁn el hospital.estro ocurriÓ cinco dÍas de que 12 personas murieran en otro incendio. ilia: el gobernador de nueva york, presenta una medida respaldada por las organizaciones de defensa a la mujer. locutora: tras la ola de denuncias en las industrias de entretenimiento con respecto a los abusos sexuales, 300 actrices ejecutivas de hollywood anuncian una campaÑa para erradicar esta conducta de todos los lugares de empleo. el centro dominicano de la mujer nos dicen. >> la mujer ha estado soportando este tipo de abusos. trabajan en las fÁbricas, en los hospitales es mucho mÁs difÍcil porque son mujeres de bajos ingresos, normalmente son mujeres solas. Ésas son votadas del trabajo y sufren mÁs. locutora: Éstas son las mujeres a las que se quiere ayudar con 13 millones para asistir a vÍctimas con representaciÓn legal y una propuesta de ley para castigar a compaÑeras que toleren el acoso o emitan acuerdos para silenciar a sus vÍctimas. si de acuerdos se trata, ya no habrÁ más. el gobernador andrew como qui

i can talk later about some of the work we are doing with ncoa and cms to improve access. >> are there additional resources we can help you obtain to make sure you are doing a better job, or more interaction at the state level with individuals on the front line? is there more we can help you with that you could be doing? >> i think we have strong coalitions. for example, with the national council on aging, every year, we -- when we send out our low income subsidy notices out to those who may be eligible for a premiums, pain part d we provide that broken down by zip code to ncoa who provides it to the ships, so they can do specific outreach. and know where people are know what their service demand volume will be. we have strong partnerships and we can always strengthen those partnerships. >> my concern is -- i am running out of time so i will wait until the next round, that first contact is so important. if we lose people by passing them off, we should probably figure out how to stop that opportunity where we lose people in that gap. the first contact to meet is the key and how do we ke

. >> ask cms new policy.y're announcing that to support states in effort to strengthen the medicaid program and getting americans engaged in getting back to work. the policy will allow states to design programs that help beneficiaries improve health and well being. at same time the policy protects the most vulnerable including those determined to medically frail or suffering from substance abuse disorder. that is the focus of program. reporter: many people are interpreting that first tweet from the president to mean he didn't know how fisa works and he wasn't familiar with his own administration's policy. was he familiar with the policy? >> he does. why he issued a presidential memo last week expressing concerns and asking for a review of it which why dni put out a new policy this morning. this is top of mind for the president, top of mind for the administration and he has a full understanding. don't believe me, ask speaker ryan. look to the comments he made, somebody who has been in constant contact, many di

. >> are you referencing the cms new policy?hey are announcing that to support states in efforts to strengthen the medicaid program and getting america engaged in getting back to work. the policy will allow states to design programs that help beneficiaries improve health and well-being. at the same time, the policy protects the most vulnerable, including those determined to be medically frail or suffering from substance use disorder. that's what the focus of that program is on. >> back to fisa if i can. many people are interpreting that first tweets from the president that he didn't know how fisa works. and for that matter that he wasn't familiar with his own administration's policy. was he familiar with the policy? >> he does, which is why he issued a presidential memo last week expressing concerns and asking for review of it. which is also why dni put out a new policy this morning. this is top of mind for the president and for the administration. and he has a full understanding. don't believe me, ask speaker it ryan, look to t

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. >> and cms, the new policy you're referring to?yes. >> they're announcing that to support states in an effort to strengthen the medicaid program and getting america engaged in getting back to work. the policy will allow states to develop programs improving health and well-being and protects the most vulnerable, those medically frail or suffering from a substance abuse disorder, is what the program is focused on. >> and if i can, many are interpreting the first tweet from the president to mean he didn't actually know how fisa works and for that matter wasn't familiar with his own administration's policy. does he know fisa? was he familiar with the policy? >> he does. why he issued a presidential memo last week expressing concerns, asking for review of it. also why dni put out a new policy this morning. this is top of mind for the president and the administration and he has a full understanding. don't believe me, ask speaker ryan. look to the kaunlcomments he ma. in con studeko constant contact president and stated that in his press

a cell therapy for cancer that was recently approved, and the price there is $475,000 per year, but cms will only pay if patients actually respond. another example would be the high priced cholesterol drugs. some companies have deals in place, full price only if patients see the lowering of cholesterol in trials. >> i was also interested in i guess you would equate it to almost an annuity system for drug payments, where you would pay -- the insurer would pay every year a certain amount as long as the patient kept responding. so it almost amortizes out their cost and it allows them to plan and it allows the patient to know that they're going to get their treatment. >> yes, so the installment plan that spark announced today, that's interesting, because it essentially allows payers to spread out the payment over multiple years. rather than paying $850,000 up front, maybe you pay 425 this year and 425 the next year. that's useful because of two reasons. the first is if you're a smaller plan and you may not be able to foot the bill for an $850,000 drug this year, that allows you to space it

we know from cm i, we did a survey with over 100,000 data points.t is very prevalent. it's larger than 18%, almost 27%. on average, male managers are paid 27% more than female colleagues. bonuses, which of course must be disclosed in the new regulations, tell a very sad story indeed. we know that mells put—mac male ceos have bonuses that are 83% higher than those of female counterparts. why? there are many reasons. one is that we tend to reward people in our own image —— we know that male ceos. the thought might be, john has a family support... to support, so he needs a bigger bonus. it is behaviour that holds women back in the workplace. we won't address the gender pay issue until we change the behavioural issue in the workplace. you get the impression that women in those senior position our balls see go—getters. when they understand that they are paid less than their male colleagues, do they go and get it, or is they're still this hesitancy ayes i would encourage all women that transparency is a powerful thing. as the figures are published, and on

al ya was born with a rare progressive disease known as cm cmt-4 j.million dollars. the children first raising $55,000, selling those jars. then, performing for donations, bakesales, sports teams all in the fight. and the video they hoped would go viral. and after you heard talia's at home giving. $65,000 overnight. and to start this new year, those sixth graders were suddenly summoned to the middle school gym today. talia's mother jocelyn revealing the new total. >> over $1 million! >> reporter: with the help of yet another donor, those kids now surpassing the $1 million mark for talia, and they're still going. >> i'm so happy that we finally made it to a million dollars, and that we can go into funding the cure for talia. >> reporter: talia's mother grateful. >> you showed the world what you would do for a friend. >> and talia's million dollar smile right there. i'm david muir. i hope to see you right back here tomorrow. stay safe. ♪ wheel... of... fortune! ladies and gentlemen, here are the stars of america's game -- pat saj