and there are many more colman members who were not able to make it today. there is something that is very much needed in san francisco, but is not actually happening. that is the reality that all students have the right and desire to learn in quality schools. right? depending on how you define a quality school, is the schools on our side of the committee -- our side of the city lack resources to be considered high- quality. i participate on the task force as the co-chair. the reality is the agency is not rolling things out as smoothly as we all hope for. there are students that are not on track, even as freshmen and sophomores, because of a lack of access, or because they need to make up for classes there were not able to pass. the reality is that while we hope we continue to pay attention to this issue, it is not just a district issue. it is a city and county of san francisco in show. it is a collective responsibility to ensure that all students have the opportunity to be successful in these programs. what the implementation lacks is the additional resourc

colman. professor feder? >> chairman kohl, ranking member corker, i'm delighted to be with you today to -- thank you -- i still am delighted to be with you today to discuss ways to improve the quality and efficiency of services for people who need long-term care. chairman kohl, you started by asking about ways we can reduce unnecessary hospitalizations for this population, and that is the focus of my testimony. i specifically want to explain why it is so important that the medicare program give top priority in delivery reform initiatives to people, beneficiaries who need long-term care, and that those initiatives extend care coordination beyond medical care to include the coordination of long-term care services. the data that i present in my testimony developed with the support from the scan foundation will tell you why this is so important. and i'm hoping that you have my testimony in front of you, but if you don't, i'm going to tell you to look for in the data when you have that, when you look at the pictur

colman? >> i think initially we have to look at what is the consumer want and what does the consumer have the ability to have as choice. and the number one thing we hear from older people in minnesota is they want to remain in their homes. and if we can provide low-cost interventions, we can delay the need for more expensive services for some period of time. and that's what we're really focusing on is delaying the need for more expensive services. we have a -- we have a tracking in minnesota. 92% of long-term care in minnesota is provided by families right now. and they want to continue to do so. and the more we can support families to continue to help their older family member, again, it will conserve dollars for those that truly have higher needs. >> is that 92% lead the nation? >> mr. chairman, i don't know. i don't know what other states are tracking. >> are you imagining? because you've been in this field a long time. that that's among the very highest in terms of percentage? >> i think

one of the things that struck me is how bizarrely and colman and respectful the whole proceedings seems to be. did you find that? >> yes. i was in court today -- contrast that panic and screams and sheer horror of what happened here in what oslo when he carried out his attacks with the court room and anders breivik comes across as very polite. the exchanges between him and a judge and other members of the courtroom have been held on very cordial terms. perhaps that sounds the wrong word to use but it does not feel the wrong word to use having seen it happening. even if there is some debate about whether he should cut down on the submissions is making to court, the length of his statement was questioned by the council for the victims, both the prosecution and defense lawyers that he needs to have his time to say what he did and why he did it and he was allowed to continue. so yes, it has any huge contrast from the violence of the crimes he carried out, but it has been striking how sympathetic, if you like, the court has been in terms of allowing him to have his say. >> i can't help but t

colman? >> thank you for the opportunity to share the efforts minnesota is making to provide the best possible long-term care system for older adults and persons with disabilities. the structure was built over many years of long-term services and support for older adults and people with disabilities. last fall, we were proud and gratified to see the quality of minnesota's long-term care system recognized by the aarp. we write number one on the first ever aarp scoreboard. the best we ranked number 1 on the first ever aarp scoreboard. -- we ranked number 1 on the first ever aarp scoreboard. this enologist minnesota's effort in providing comprehensive -- this acknowledges minnesota's effort in providing comprehensive service. it provides evidence base support for family caregivers. not that long ago, most people were served by medicaid in minnesota received long-term care services in institutions. we have developed the support needed to survey the best serve people in their homes and communities

colman? >> thank you, mr. chair and members of the committee. on behalf of commissioner jesseun, i thank you for the opportunity to share with the efforts that minnesota is making to provide the best possible long-term care system for older adults and persons with disabilities. minnesota has a strong infrastructure built over many years of long-term care services and supports for older adults and people with disabilities. last fall we were very proud and gratified to see the quality of minnesota's long-term system recognized by the aarp and the scan foundation. minnesota ranked number one among all states in the first ever aarp scoreboard on long-term care services and supports for older adults, people with disabilities, and family caregivers. the report validates the direction that minnesota has been moving for the past 25 years. to reduce reliance on institutional care and encourage access to services in home and community-based settings. it acknowledges minnesota's efforts in providing comprehensive phone and web-based information and referra

colman, right there, we all know that medicaid was never intended to be the primary provider of long-term care coverage, yet medicaid is the largest pair of long-term care services. with long-term care accounting for almost half of national long-term spending, as a former governor, i know that giving our states the plexability and resources they need to innovate is a first and critical step toward controlling spending in the medicaid program and improving long-term care outcomes. we will never achieve quality and savings with a one size fits all approach that ignores the differences and medicaid population from state to state. as you noted in your testimony, minnesota is applying waivers under medicaid to improve the way to deliver and pay for services and to make sure that services go to the most in need, which i agree with. with that being said, sir, what steps could congress take to improve and increase the flexibility to states like west virginia and minnesota to maximize the value in long-term care in their medicaid programs? >> thank you for the question. i too believe that states c

colman. >> ms.der. >> i'm delighted to be here today to assess -- i am still delighted be with you today to discuss ways to improve the quality and efficiency of services for people who need long-term care. chairmanchairman kohl, you stary asking about ways can -- my we can reduce unnecessary hospitalization for those populations and that is the focus of my testimony. i specifically want to explain why it is so important that the medicare program is top rarity in delivering reform initiatives. two people, the end of fisheries who need long-term care and those initiatives extend kourtney to care beyond medicare to include the coronation of long-term care services. the data that i presented in my testimony and support from the scan foundation will tell you why this is so important and i'm hoping you have my testimony in front of you. if you don't i'm going to tell you to look for in the data when you look at the picture. the first light we show you, figure 1, shows that despite the fact that we are fo

and this love letter from joe colman says: i love your show.greatest respect for you and your crew. i think you and stephanie miller are such a perfect tandem i dvr both shows so i can watch them after work. i love your show because you gets so many of your guests inhouse. a real plus especially for current viewers and stiff instead of knee is great for finding the human in politics. there it is, bill press and stephanie miller. what a great team. >> this is the bill press show. ♪ >> here we go. it is thursday april 26th. good morning everybody. welcome to the full-court press, your new morning show here on current tv. i am bill press, liberal and proud of it and so proud of you and so happy that you have all joined us this morning as we tackle the big issues of the day, whether they are happening in our nation's capitol, around the country or around the globe. how about this? yesterday, with no fanfare, with no great big protest, connecticut ended the death penalty, abolished the death penalty becoming the 17th state plus the district of colum

colman, and the follow-up on what senator manchin pursued and what particular focus and the will turn to dr. feder as well in rural parts of the county. in colorado with every eastern region of the state is very rural. we create a lot of fruit and fiber and fuel for the country. we have western regions in colorado that are very rural. what have you found a unique challenges in long-term services in those parts of your state? dr. feder, how medicare itself could work with that dynamic? >> minnesota has greater minnesota also. population density is a challenge in providing services to older adults and people with disabilities. what we found is we need flexibility. relying upon the communities and the community infrastructure with which to based long-term care service and support. we need to acknowledge the drive time, differences that we need to accommodate in our policies to allow poor people to have some choice but maybe not as much choice. it is a challenge to divide policies that accommodate those distinctions and differences but it can be done. we are also learning the value of tec