which i understand cms is starting todo . fraud exists when there is the incentive, opportunity or pressure to commit fraud . focusing on and mitigating fraud risk in medicare, cms can reduce the likelihood and impact of fraud in the neighborhood, preventing it before it occurs. the government accountability office developed the fraud risk framework in 2015 in order to guide agency's efforts to combat fraud. congress likes the framework so much that we passed the fraud reduction and data analytics act of 2015 requiring fellow agencies to incorporate leading practices from the fraud risk report. as it stands, there's no comprehensive risk based strategy for combating fraud and medicare and cms has not conducted an assessment of medicare using a framework that would allow it to develop such a strategy. that strategy implies it is difficult to address fraud. today's hearing will cover ways in which cms can improve its anti-fraud efforts including the development of a comprehensive anti-fraud strategy . this panel will provide he

but the problem is it's not just cms. making the decision for the administration. >> come on, we are supporting theresa may this morning. it changes in 24 hours. >> i think i saw handing back. >> hello. i'm a long-time health policy analyst, probably too long. i read in this great report about overall cost increases being in the single digits. i think this requires more inquiry. in a bit of thinking and community, it tends to right itself on costs by looking back at itself instead of the rest of the economy. a single digit cost increase, whether in the individual market or a whole of healthcare should be three times the growth of the economy or four times inflation. that is the biggest instability in the whole thing. just the cost of care can't be supported by the economy, at the rate it's growing. the question is, if you are going to have a policy that's going to create universal coverage, but you really need some kind of administered of pricing at some point? to stabilize costs? and certainly building on the weakest par

cms has rejiggered the program over time, and it's not a perfect formula by any means. the court, when the new mexico co-op sued, the court agreed with the co-op in part but disagreed in part but one of the things they said in their decision was cms, you have to provide a public rationale for why you chose the formula you did. we don't necessarily if your formula was right or wrong. you just have to publish, through notice and comment rule making, your reasoning. so, there's some odd things about the way the doj, which is representing the government in that case, has approximapursued litigation strategy. the most logical thing to do would have been to file an appeal and ask for a stay pending determinant decision on that appeal. instead, they filed a motion to reconsider with a district court. you know, i'm not a litigator. i can't explain the thinking there. and then, of course, earlier this week or this saturday, they announced the decision that they would just suspend all payment under the risk adjustment program, not just in new mexico, which would be one thing that

the same goes with cms testing and optimization. there are always ways to optimize it and understand if there are certain deficiencies or ways that we can optimize the cms. so these two things will be something that we are constantly maintaining and moving forward with. >> any questions for the board? >> thank you for the presentation. it was great. i had a question about the ada features or design considerations. will there be for visually and hearing impaired interacting usage of these signs or static for some of those folks? >> we have been -- we are working on the push to talk functionality for the hearing impaired. based on our interactive finding way systems we use an ada compliant structure. when you touch the wheelly man all of your controls drop to the bottom of the screen so any meal chair assisted consumers can -- wheelchair assisted consumers can use it. >> thank you so much. >> thank you. >> okay. that does conclude your regular calendar for now and at this time you are scheduled to go into closed session. i believe kim

equipment that companies make and sell to laboratories to do their tests and then on the other hand cms, the centers for medicare and medicaid services, which is the main overseer of laboratories in the united states. and there's this gray area between these two regulators known as laboratory developed tests, which are tests that are fashioned by labs with their own methods, which means they are not made with -- they are not performed with the diagnostic equipment makers that the fda refused and those ltds, as they're known, are not closely overseen by cms either. and elizabeth holmes argued her tests were done on proprietary technology and therefore fell in this gray's zone and she exploited that expertly, drove a truck through that loophole. >> and of course what we said, to a large extent, a fawning press helped to build her up. when you started to pick holes in it, she was pretty angry. this is what she said. we'll play a little bit about what she said about your reporting. >> my dad was a reporter with the san francisco chronicle. i told you this before we were going on stage. and

cms has rejiggered the program over time and it's not a perfectformula by any means .hen the new mexico co-op sued the court, they agreed with the co-op but one of the things they said in their decision was cms, you have to provide a public rationale or why you chose the formula you did. we don't know if the formula was right or wrong, you just have to publish anotice of comment your reasoning . so there's some odd things about the way the doj was representing thegovernment in that case . the most logical thing to do would have been to file an appeal and ask for a stay pending their decision on that appeal. instead they filed a motion to reconsider with the district court. i'm not a litigator, i can't explain the thinking there and of course earlier this week or this saturday, based on announced a decision that they would suspend all payments under the risk adjustment program, not just in new mexico which would be one thing they could do but nationwide. this is a big deal. there are insurers like blue cross blue shield of florida that are owed in excess of $660 million

but the problem is not just cms making the decisions for the administration. we are supporting to resubmit this morning. it changes in 24 hours. i think i saw the hand there and back first. >> him health policy analyst. reportin this great about overall cost increases being the single digits and i think this lies some more inquiry. it's a bit of sloppy thinking the health policy community and tends to rid itself on cost by looking back at itself to the rest the economy. the single cost increase whether in the individual market or the thee can be three times growth of the economy or four times inflation and stability in the whole thing. we have just the cost of care that can't be supported by the economy of the rated growing. if you're going to have a policy that will create universal coverage, don't you really need some kind of administrative pricing at some point? to stabilize costs? certainly building on the weakest are the market to do the job is not enough. i don't have strong views honestly on what the right year-over-year change in overall health spendin

cms kicked off this effort by releasing a request for information which prevents physicians from making referrals to other doctors or practices with which they have a financial relationship unless the enumerated exemptions apply. secretary eric martin, hhs will be releasing requests for information on the statutes, hippa and part two, following those requests, we will be taking regulatory actions to reform these rules . as it happens, our interpretation of the two privacy laws are not just impeded value arrangements in healthcare. they can also get in the way of communities working together. the laws that i've mentioned like our healthcare program hard at the old and the cost of healthcarehas kept rising without a measured increase in quality . it's time to start talking about fixing them and get down to doing it. one of the ironies of our politics is that we call ourselves consumers are the ones who recognize the need for change. the political era of those no longer believe in progress instead proposing expanding programs that they have more than half a century ago. fixing american hea

before i start my questions i want to urge your staff at cms to carefullyly consider the requests of the entire bipartisan new jersey delegation to extend the imputed rule. it is critical to new jersey hospitals both democratic and republicans administrations have extended it and i hope you will have your staff be critical attention to it. cms predicts prescription drug price growth in 2018 will be double what was in 2017ha county to the president's pronouncement that there would be a quote voluntary massive drop in prices in early june. one of the reasons that we are not seeing reduced risk of drug prices is because some bad actors continue to gain the system to prevent cheaper drugs from coming to market. in fact, the fda recently named and shamed some of the worst actors who were deliberately blocking the development of cheaper generic drugs. congress is working to pass the create act which will be a bipartisan bill that would go after the abuse of some companies that areththip preveng cheaper drugs coming to market. with the administration support the create act? >> we don't have

habÍa espacios de 30 cm de diÁmetro donde a duras penas pasaba un cuerpo.cara y corrían el riesgo su vida y la de los buzos que los iban a asistir. por eso fueron medicados pero nada grave,algo simplemente para que bajaran un poco la espectativa y para que fueran un poco de la mejor manera posible asÍ como fue ocurriendo. carolina: despuÉs de haber estado fuera de esta cueva a los padres estaban desesperados esperando saber quÉ lÍneas habÍa. --niÑos habÍa. en un principio no se sabÍa que niÑo estaba saliendo. borja: dile que ser un desahogo para todo el mundo y tambiÉn para el presidente donald trump. a travÉs de su cuenta de twitter felicitÓ a la marina tailandesa por este exitoso rescate. tuvo un final feliz. carolina: comentarios que hizo en su camino a la cumbre de la otan. mÁs adelante estuvimos hablando con el doctor contra que nos hable especÍficamente de las enfermedades. se habla del mal de la cueva, algo que podrÍa ocurrir cuando una persona estÁ dentro de estos lugares expuesto a diferentes hongos y cosas. cambiando de tema, es historia estÁ por

if that bullet had hit bobby kennedy 1 cm to the right, 1 cm, he would have left the hospital in a week or two and finished his campaign. as i sat thinking about that, 2018, the 50th anniversary, that was my inspiration. three years later, to write the book on chicago, rediscovering robert f kennedy and the campaign of 1968. i should tell you it is not a biography of robert kennedy. he is a protagonist in the story but he is one of tween 9 protagonists, a comprehensive history of the 1968 democratic campaign, the republican campaign and the general election but looking at it from a historian's perspective, what would really have likely happened if bobby kennedy had left that hospital as the doctor said and gone on and finished his campaign. it is not based on sentimentality. when i started writing this book i did not have a preconceived notion of how it was going to come out. my research with extensive. if you look at the inside jacket of the book the author's photo is not a typical author's photo. usually they want to head shot. they asked for head shot as i said no. what i did when i

if a state applies for a 1332 waiver and cms approves it. and they have a state based reinsurance program and the amount of money getting from the federal government is equal to the amount they are saving the federal government through reduced -- the amount of the money isn't changed. >> well, so at least on the reinsurance side you're taking the worst claims out of the system and pulling them out. so you're obviously dropping the biggest drivers of claims cost out so you can drop your premiums. if you've got lower premiums then the second lowest cost, silver plan cost drops and therefore the subsidy is not as high. and therefore you've got a lower subsidy coming but you can do an actuarial study and show through use of the reinsurance what would have happened had you not pulled the claims out of the experience. and what would have happened versus you anticipate happening. and there's that gulf there. and that's the savings and they pass the savings back. did that answer you question? >> kind of. specifically what i'm trying to get at is if

cms looks at it and they use some calculation and i don't know what it is to determine what the actual savings are, but it may not be a dollar for dollar match. >> i see. thank you. >> i think we have time for one more question. >> hi. i'm ben lambert, i'm with the alliance for retired americans. i just wanted to ask there has been a lot of discussion of parts of the aca that aren't working as well as intended or as intended at least, but one people right now that does seem to be working more or less as intended is the 80/20 medical loss ratio. so particularly for the commissioners on the stage i was wondering if any of you are anticipating changes, policy changes, like less vigorous enforcement or anything along those lines, and if so how you're preparing for it? >> well, it's somewhat interesting, you know, in the state of washington when it came to the medical loss ratio, the 80/20 stipulation, 80% being paid in premiums -- or for medical services and 20% for administrative costs, we had almost no pay-back to insurers because we were already meeting the standard. part of that is hav

i think there's always in a wall between the fda and the cms.nk the cms should be a major part of discussing about the future, especially when it comes to precision medicine. dr. gottlieb, throughout several comments -- but there was really ofdata support on the value precision, gene editing. there's no data presented. host: can you explain for those that don't follow this and don't have a background in medicine about gene therapy? when they hear that word, what are doctors talking about? what our researchers talking about? caller: well, i'm a surgeon, but generally what they talk about is that they want to look at the cells.tent of cancer cancer cells have something wrong with the dna. right now we can monitor and record the dna. cells and to tumor there may be something that sticks out, that there is a medication to specifically target that specific defect. that is what he's talking about, the ramifications. these are dna defects. so drug companies have, for a long time, used clinical trials to determine what drug will work with a group of peo

or in last month, cms said, well, we're not sure these adjustment payments are done right, so we're going to suspend $10 billion in payments. we'll get back to you on that later, and of course, this week's news on navigator funding. who knows what's next. part of the problem is the experience insurers had last year is they just don't know what shoe is going to drop next. and this adds to not only their reluctance to enter the market but also their pricing decisions. they have to price for what they know as well as what they don't know and the known/unknown and to go back to that or the unknowns and all that. you know, what is an actuary to do, actually? it's hard enough in terms of the cycling of your enrollees and your risk pool, but then you throw into this an unstable set of market rules. and not just not knowing what the rule is, but the time is going to take to know the rule's effect. the point is you have to fire roughly six months in advance of the next full year. you won't get the data from the change for at least another year. and sometimes that data is not in until you can do th

the f cm alsoes amazon's size and scale of investment. 2% to ck rose another $1796.62.ony was named the best idea long at heji. the analyst says the stock is set for arn ound after more than a decade of losses and the firm sees the shares rising 35 to 55%. the stock rose to 52.21. >> still ahead, why the tray silence tos deafening. ♪ ♪ >> >> admittedly, it was relatively quiet on the tradeew front and developments out of washington or beijing, but it may be the silence t tt's sendinghe biggest message right now. eunice jung has that story. sflo >>> the prospects of a good resolution to the trade war does not look good. the two sides aren't talking to each other and that china has ar't reached out. at a regular press briefing the ministry said the premise ofio negoti is mutual trust. there's no communication on re-startingnegotiations. when asked about china's next step, the spokesperson wouldn't say. other than that, beijing is in the right to fight what it believes would be an unjust move by the united states. eamerican companies h have been concerned that china will c

fir cms in maine, souolina and massachusetts have done so as well. several offer housing, and one medical device maker in warsaw, indiana, even provided their new hires with cars. coxhealth medical center, the branson area's largest healthcare system, just hired 20 new nurses from puerto rico due to a nursg shortage. in addition to providing housing assistance and some moving expenses, the hospital will assign each new hire with a mentor. william mahoney is the branson hospital's president. when yoabu first heart the idea to recruit from puerto rico, what did you think? >> i thought it was a grt idea. and think about this, you can come here and make over $40,000 a year, up to $100,000 a year. we're helping pay for certifications they can gain. and the more certifications you gain, the more pay that you can earn. o we take care of our people well, they take caour e hospital provide the here at opportunity for year-round work. you're not like a hoteti you need ful, 12-months-a- year coverage. >> we want you to move here. not ally-- we want your family

of the things that was raised in our public meetings with regard to the reinsurance application with cms was if you have risk adjustment that deals with unhealthy people compensate carriers at an insured level for handling the unhealthy people. you have reinsurance handling their claims. hhs had looked at that previously when they had federal transitional rate insurance but they didn't ever try to go to great lengths to quantify that as it's difficult and their transitional reinsurance was temporary. so the federal government is very interested in that action. we received comments. we are starting to study that in trying to quantify but the extent of that interaction isn't trying to figure out how we can use reinsurance regulations which we have to write by the end of the year. exchange is writing them and m.i.a. is consulting with them. we are trying to figure out how we can actually take those regulations into the reinsurance calculation working with the adjustment and then apply really some sort of meeting factor for the reinsurance payments to make sure or at least to minimize any so

we also believe it's essential that we work with cms to gain more flexibility. you know, for example i know governor bevan touched on this about the number of beds you can have a facility when you may need more beds or how many days and individual can stay in a facility even though they need to be there more. we found that has been very helpful, but the medicaid rulemaking that we can do at the state level to impact the initial acute pain was critically important for us. i was very pleasantly surprised to find out that the number of prescriptions in the number of pills prescribed in our state actually decreased after we expanded medicaid and made prescription drug coverage available to 460,000 adults. i'm not to say where we need to because we have a lot of work to do. one of the questions i've got is what is the right number of days for that initial acute pain? is it three days, five days, seven days, is a national standard because in other states are all over the place. i was proud of our seven day matt started talking about his three and maybe we need to do b

you can add the cost of csr and out to all your plans because they weren't sure at that point if cms would let them attitudes over plans and they didn't want to leave the insurers hanging. so even though was a broad load what helpe know now consumers as much this overload, it helped to stabilize our market because we knew there was a strategy. then colorado was also very early out of the gates announcing they would extend open a roman for 2018. they kept it all the way through must mid-january. our enrollment did end up slightly higher than it was in 2017. 2019, ourlooking at rates are being published today. our insurance commissioner has said that the rate filings indicate a stable market. the risk adjustment issue could be an issue with that. for now, it does look stable and we are switching to a silver loading strategy for 2019 which will first are -- stabilize the market. people find their bronze plans and gold plans of digital most -- gold plans are the most expensive. it's looking pretty good but it's not all sunshine and roses. there are still issues with affordability for peo

cms looks at it and they use a calculation to the term in with the actual savings are, but it may not be dollar for dollar. >> icy. -- i see. sara: i think we have time for one more question. >> hi. ben lambert. i wanted to ask, there has been a lot of discussion on parts of the aca that are not working as pieces intended, but one that seems to be working more or 0-20 as intended is the 8 ratio. particularly for the commissioners, i was wondering if any of you were anticipating policy changes, like less vigorous enforcement or anything along those lines, and if so, how are you preparing for it? mike: it is interesting, in the state of washington when it came to the medical loss ratio, that stipulation for medical services, with 20% for administered of costs, we had almost -- administrative costs, we had almost no payback to insurers because we were meeting the standard. part of that was having a very competitive market. and being very vigorous in how we regulated the market to make sure that all insurers played by the same set of rules. they could not come and global and make money at

now, due to the publicity a lot of pbms have dropped these, and the head of cms has also sent out a letter saying that they are no longer acceptable. but we want this to be law, and we've introduced two bills come one that that will go to finance and apply to medicare and medicaid programs, one to the h.e.l.p. committee that will apply to the affordable care act programs, private healthcare programs, to make sure that this pernicious practice is ended once and for all. a common thread in all of our investigations and hearings is a lack of transparency in the pharmaceutical system. what we've noticed is that price varies on a number of factors. it includes a list price set by the manufacturer, the fees charged by gates -- distributes compulsive and other middlemen such as the pbms, and a lot of times the negotiated price is not passed on to the consumer. sometimes it is used to lower premiums. that may be a good thing in some cases, but a lot of times the consumer is not seeing the results of the impact of those negotiations. we also found that these overlapping relationships have created a

reaching the chipmaker an agreement to purchase cm technologies. that would be branching out into a software to diversify the business and also we have comcast after hours coming in with a sweetened bid for sky plc valuing the company at 34 billion. it beats the bed by its rival things in complicates terms of fox and comcast. stay tuned. >> thank you, sue. not the first world news. pushedident trump chinese markets to the biggest selloff in three years. beijing said it would be forced to retaliate against proposed tariffs. stop felt deeply into a bear market. in the past month so-called chinese investor in society risen the most in the world. closedmodities a deal is for the world's gold deposit. they are expected to sign an agreement thursday with indonesia. the deal relates to crawford which is a giant gold and copper mine. although the counts of not been released. for more than a year the two sides of been discussing the long-term presence in the country. new world bank data shows india has overtaken france to become the world's sixth biggest ec

cms kicked off this effort by releasing requests for information regarding the stark law which preventshysicians from making referrals to other doctors or those which they have a financial relationship and numerous exemptions apply. coming up under eric hargan, there will be the anti-kick back statute, hipaa and a federal privacy law. 42, cfr port part 2. >> following the requests for information we will take regulatory action to reform these rules. as it happens, current interpretations of the two privacy laws i mentioned are not just impeding value-based arrangements in health care, they can get in the way of communities and families coming together to combat our countricountry tri's crisis of ipo addiction, another of president trump's issues. and talking about increases in quality, it shouldn't have taken this long to talk about fixing it and doing something about it. one of the irony, we who call ourselves conservatives recognize the need for change. the political errors of those who call themselves progressives, too often no longer believe in progress and standing and osteopathi0s

when the british cm has these drawings put on the light table low and behold under the patch 50 miles west of roanoke island they saw the image of a float. you could say they cover that up or it didn't happen. but on top of the patch he noticed a faint mark said that they determined it was invisible he made with herein which is very common and it is the image so clearly they were hiding something maybe found the spanish wanted to wipe out the colonists but then they began their so then they uncovered lots of pottery they claim to be elizabethan it is very controversial and archaeologist reject the notion that they are from the 1580s they say it could be the 1640s or or 50s when north carolina was settled by the english so it is highly contentious even today i got an e-mail from the person who was digging that night and complaining that we didn't say they found the remnants of the lost colonist but based on my interviews with a number of archaeologist they don't think they have the goods yet. >> i am wondering about your reading your book? >> the question is about the audiobook i got t

. -- thetalk to the cmo of e.o of cm where do you see this going?u are seeing the continuing legitimization of the space. when i mean by that is that we cmdthe exchange here at with institutional investors take the futures and physical bitcoin as an exchange. that is the first time we have ever seen that in the crypto space. when you see that, you also see mastercard getting into the space as well. some of these initiatives will continue to help the price of a, moving forward. caroline: talk to us about oil. much of this is about saudi arabia and how much is about iran? >> it is a combination of a few things. and also demand. pushing oil prices higher. have a lot of things limiting the supply right now. for supply.tation so short-term demand is supporting this price movement which is why we see the oil price rally compared to a few weeks ago. caroline: great insight. time for the stock of the hour. it is visa. these a-shares are lower. highest analyst estimates amid rising spending on the credit card products. joining us now with more is taylor rigg

school superintendent addressing everything from stemming school violence to expanding vocational prog cms succe also moan i'm going to go into the military or go directly into the workforce. >> reporter: success for ddr dr.hutchings comes with a homecoming. >> i got the job and i was really excited. >> reporter: a dream job that he said ganl in alexandria in kindergarten with his teher, miss dorothy mckenzie. >> she i believe instilled in mow tpot anything wasssible. >> reporter: growing up in a single parent household hutchings graduated from t.c. williams high school. after college he pursued education, first as aeaer and then as a principal. >> i said i want to do more than just, you know, touch the lives of 25 kids. i want to touch the lives of an entire school building. >> reporter: in 2003 he took over an entire school system in shaker heights, ohio and invited miss mckenzie, kindergarten teacher and trusted mentor and incident. >> for me to have taught him and for him toome back and be my leader and pour back into me. >> reporter: i'm your superintendent. >> he brings his family an

ahead and add the cost of csr, add it to all your plans because they weren't sure at that point whether cms would allow them to just add it to silver plans and they didn't want to leave the insurers hanging if that ended up being the case in october. but so even though it was a broad load, which we know now doesn't help consumers as much as a silver load, it definitely helped to stabilize our market because it gave the insurers, you know, they knew there was a strategy. and then colorado was also very early out of the gates in terms of announcing they would extend open enrollment for 2018. they kept it through mid-january, and our enrollment ended up higher in 2018 than 2017. so if you -- if we're looking at 2019 now, our rates are actually -- rate filings are being published today in colorado, and our insurance commissioner has said that the rate filings indicate a stable market going for 2019. now, the risk adjustment, you know, the risk adjustment issue could be an issue with that, but for right now, for what we have, the rate filings, it does look stable. we are switching to a silver lo

according to data from cms and in 2014 with prescription prescription drugs have jumped by 1100%. 1550% increase but in the last ten years to increase the profit margin by nearly 600%. i'm not opposed to anybody making money but what is that mission to control prescription drug prices. how is that working out? what the president of hhs right now to lower prescription drug prices. they are hiding and this is what we look to do am i wrong? is that not the responsibility should i talked to another agency? >> it is partially our responsibility. we look at any competitive conduct that they are engaged then we should be challenging i it. >> a quick story a pharmacist filled a prescription for his wife who is covered. that night he got a call at his home from cvs saying if you get it filled at our pharmacy you can have a lower co-pay. isn't there supposed to be a firewall? that is the kind of behavior that is going on and we look to you to help us with this. not because of the pharmacy but because of the consumer the consumer is suffering because as you do away with independent retail season c

>> according to a law passed in 2015, the medicare access and chip reauthorization ak, cms, the agencye is required to remove the social security numbers from existing medicare cards and replace it with a unique and randomly generated number in order to protect our seniors' identity from identity theft. >> i fought for this for years and years. you're having to live with my wants. show us an example of the card. what looks different and what looks the same? >> just like the old medicare cards, this new card is red, white and blue. you will see the person's name at the top like the old card. you'll see down here when the medicare coverage started and what their coverage includes. all that is the same. what's different is this number right here. it's an alpha numeric number and it replaces the social security number. >> okay. now i've got to ask. my social security number, i can rattle it right off. am i going to have to remember that? >> you don't have to remember this number. we are asking folks that when they receive this card in the mail, they protect it like a credit card. don't sho

with respect to odors and i think, the other thing is, one of the reasons we need the cm augmentation, because we plan to have a lot of inspectors on board, not just to inspect the job, but to meet our requirements we laid out as part of the eir, to make sure for example, there is no idling cars, or that traffic is minimized or efficient. so all those tools are already being built in to hopefully negate issues that -- i mean, construction elements we know exist, but sort of soften the impact all around. >> supervisor kim: will there be a site that the puc will maintain so neighbors are aware of the construction schedule? >> turned out we've implemented -- it's basically a construction website where we e-mail to inform biweekly. and obviously that can ramp up depending on the effort, but there is also a call-in number, that people can call in and say, what is going on? >> is it a voice mail service? >> depending on at the peak construction, i see it a live voice during the work hours. and our lead of the projects will be in the front line of answering a lot of those calls. >> superviso

. >> are you expanding the current cm contract? >> yeah. we need our contract to continue for phase 2. we need to have a seamless transition. >> thank you. >> call your next item, item 6 is the construction update. >> good morning directors. jeff peterson. right now we will present the june construction update. a lot of activity to present. a lot of pictures to show. ron will cover the schedule and budget and rifts as we get to the finish line and then jess will talk to the tco for substantial completion update. the picture here that we've been carrying for a long time continues to get groeener and greener. it's greener from this picture because they added a lot of sod from a couple of days ago. all that sod is in place at the western end. so making some great progress. with our graphic here, that we'll probably pretty soon be retiring is. coming -- is coming along nicely. the main part left is building out the amphitheater area. once they finish out the sod they are also doing the paving of the pathway which has been a major operation. hal

at that time i talked to cms, the agency that actually considers those waiver applications and i waskentucky was told that this couldn't possibly be approved because it violated the medicaid law. they told kentucky how they could recraft it so it would be approved. they decided not to do that. they basically went ahead with their initial plan with slight tweaks and now we've seen what happened. a different administration approved it because sema rverma who helped kentucky write this, and you have to either change the law or go along with the provisions of the law. they've decided to just try and blast through these protections of these programs and do it arbitrarily. so this is a very, very sad thing for kentucky that governor bevin has threatened to rescind the entire medicaid expansion program if this happened, which means up to half a million people in kentucky could lose their health coverage. so it's potentially a very, very sad situation in kentucky. i hope it doesn't come to that. >> okay, i'm glad we went through it, though. kentucky congressman john yarmuth. thank you for be

ii want to go to jeff flock at the cm. >> you talk about buying soybeans and tariffs off, beans will is what they did do. i checked the hot board, beans up nine cents at the close. i want to do a three-month on beans but first let's run through other agricultural commodities quickly. corn unchanged. trading around 3.0 a bushel. wheat up six cents. oh looks like down fraction ahn ahn -- fractionally. this is why the concern. three months ago before all this mess ensued on tariffs, 10.67 beans. we're now at 8.69. that is down $2 a bushel. if you have 500-acres, you lost 50 grand. you now pushed the price below break-even mark. we're hoping buying from europe will have positive impact on beans. a lot of guys lose a lot of money. those are trump supporters in soybeans. latest from the cme, trish. trish: thank you so much, jeff. shifting gears, president trump blasting former attorney michael cohen that president trump claims he president trump knew about the infamous meeting between the his son and the russian lawyer in 2016. president trump says he has no evidence backing up the claim.

cm decides not to go. - listen, when you have enough political courage to do what shirley chisholm hashich i never had this much of it, i'm not prepared to give advice as to what she should've done. - and chisholm chose not to go because one, she had already announced that she was gonna run for president she didn't feel like catching flak and she didn't want to be there when there was a vote of non-supportor her. - i went to the gary, indiana, black political convention, and we tried to get an endorsement from the black political convention delegates for shirley chisholm for president. we couldn't et it there. i mean, the guys had it so sewed up. - they could not stand the fact that a black woman kind of leapfroggeover them and made the decision for herself toun. for many, they thought a black should do this first. - she sees black men as often extremely hosti to her candidacy. the bigger part of the joke for them isn't that she's a african-american running, but, like, she's a girl running. we're never gonna have some girl president, right, much less a black girl president. - the conve

that portal will get them to the appropriate federal agency, be it labor, be it cms, be it treasury. we're pleased about that. we also provide guidance. samsa last summer did a 30 state parity policy academy where we train on issues related to parity and how states can make sure that appropriate attention is paid so people at their states can get the services that they need. >> thank you. those are my two questions and i appreciate you being here and i yield back. >> thanks. the chair recognizes the gentleman from new jersey, ranking member of the full committee. five minutes for questioning. >> thank you, mr. chairman. doctor, the cures act included provisions that specifically addressed child trauma. as i noted in my opening statement, i continue to have grave concerns about the children forcibly separated from their parents or guardians as a result of the trump administration's zero tolerance policy. i've sought information from the administration on whether children in the office of refugee settlements care may have experienced trauma and my resolution of inquiry that was debated

cm and global markets work very closely to provide services to our clients. we are up 17%.really bright spot for us. francine: if there is a strong market downturn, what happens to that you assets? >> you can have up flows. what happens is, our revenue shift. you're going to see us make much more money from derivatives. compared to what you see today, it's a little bit in global markets. a lot of it is structured products. it's the nature of what we do. we may earn a little less in net income but more recurring fees, recurring income, and transaction income. francine: how much do you worry about the markets? the beauty of the strategy we have adopted, when we started three years ago, markets trading were 59% of our office. now it's 19%. moving from a to b was absolutely because now we look at markets and trading as a bonus. the key is wealth management. it's more stable and grows very nicely. team isell our markets that good to be at credit suisse because we can grow. i.t. as has grown 17% and that's good. -- its hashas grown grown 17%. that's good. we had 40 billion of lev