i was reading someone describe how it's revolutionized cystic fibrosis treatment are you saying thisp yet more opportunity for them? >> they have really been working for decades to expand treatment options for cf patients. the first to get approval for the drug that targeted the underlying cause of the disease, genetic disease, and had to go piece meal to extend treatment options this would reach almost 990% of patients these are mid-stage studies and still need to take the regimens, whichever they are choose, into a pivotal trial but this is a pretty big moment for cf. >> meg, thank you. meg tirrell there on vertex. >>> earnings are starting to come at us and let's get to csx. looks like a beat there. susan? >> solid results and solid volume right now trading higher, csx shares let's start with top line because that's really driving the growth and productivity gains and also helping in the corner in terms of top line a both there. bottom line, 64 cents adjusted coming out ahead of analyst adjustments. calling for 59 cents and they have also topped up their share, repurchase program

the only one bigger is vertex up on the cystic fibrosis trial. >> those of us that tried mightily to contribute to the cause have to feel great and those of us that have friends, many of them very close, this is 90% possible 90% of the people with this triple combination could have a much better life, let's say that. >> upgradesof barclays. >> deserving the company has to be bought by another company. gilead should have bought them this is remarkable and just hearts go out to these people. what a horrible disease and it's been, people so tough to try to cure and people who are so dedicated to trying to cure it so let's hope. >> let's hope. >> we did mention one of the larger m&a deals of the morning. in fact the largest one because it's a purchase of a private company by a large public company. crown castle which is the largest operator of wireless towers and small cells in the united states is buying light tower. 7.1 billion in cash. take a look at shares not being used here as the currency to purchase light tower which is a private company. a lot of other investors as well they're

american actioni network, american diabetes association, american heart and lung association, cystic fibrosis foundation, march of dimes, national ms society, national health council, national coalition for women with heart disease. all of these individuals do not like this idea of junk insurance, of saying you can have a compliance plan and a marketplace where there are things that are not really insurance because then people will buy a bunch of things that are not really insurance ann have the ability to get caught up in care and runoff uncompensated care and then you're going to make the markett unsustainable and unsupported and the rates will go so high people are just going to pull out. a group with ten of the leading advocacy groups also wrote about this when it was proposed as an amendment people were saying under the amendment, insurance companies would be allowed to charge higher premiums to people based on their health status in addition to opting out of the protections in the koran small such as a guarantee of the health benefits of those things i was going over a few minutes ago.

adrianna: among the diseases doctors could possibly treat with this gene silencing method includes cystic fibrosis and hemophilia. there's a new way kindness is inspiring others, the ask arlington app in texas lets you report potholes and messy yards but there's another option, people can report random acts of kindness and each dot tell as different story, someone mowing a neighbor's lawn or a colleague picking up a check at lunch and many more. >> see what other people are doing and maybe can you do it, hand. adrianna: the city has had more submissions since that program began but that's just a start. officials hope to have more than 400,000, one for every resident in arlington. abc 7 news at noon will be right adrianna: bobo set a record for biggest unboxing. joe jovine was asked to help open this 80 foot by 14 f 18 foot box. inside is volvo's new long haul truck. to be official, guinness wanted volvo to have it completely installed in a box and it had to be opened by hand and truck removed without destroying the box. all right. well, former nasa engineer mark rober has constructed the world's b

space by the idb, but we see the action in the small an co we just saw a big cystic fibrosis discovery, xvi moved up on that. it was a holding. there's a lot of future in bio tech and it's going to be the future and that's where we want to go. we want to go to the future. they dropped significantly last year, so there was an opportunity starting around january to get in here. it's got a long way to go. >> let's move the to your second pick, google. tell me about why yo we just heard from meg about verily. google's in a lot of businesses. you think about it. android, youtube. youtube, downloads 300 hours of video per hour. they are the future. they're into artificial intelligence, machine learning, they're smart management. we've got to look to the future. google's part of that future. >> it's a good >> and your third pick is bah bah. alibaba and you said it is amazon on steroids. tell me why. >> full disclosure, we were down for a whole year own iing that stock. market monitor's year ago. it's up 89%. still, i brought it back because it's got a long way to go. 57%. they're the amazon o

that especially if it is early diagnosis or treatments to talk about a couple of situations with cystic fibrosis we would never see now because the treatments are so good or diabetes remaking big advancements but children and development that compliance as kids are so different than adults whether they take their medicine and stick to would die it or not feel different and the whole psychology if you don't have that team in place with the care and the outcome will not be there. so it is that holistic approach what is central to that team is a great mother and a father but parents and family and don't forget about the siblings. this is the approach that you need to get the best outcomes. [applause] >> i do want to add incase you think there will be a millionaire and retire all proceeds go to the charity that supports research and children most of that will go to children's national but also other worthy institutions. thinks for being here with your support and spread the word. [applause] [inaudible conversations] . .

. >> these kids suffer from chronic illnesses including respiratory diseases like cystic fibrosis and>> they attend the special school at the hospital called mortgage academy where they learn how to manage their health in addition to getting regular >>assroom lessons. >> many come from disadvantaged hoemtz and neighborhoods where access to fresh produce is limited and dinner is often fast food. gard believes better food can mean better health. >> some of them may not have financial background, go eat fast food it is cheaper. quicker, easier to get. but this is going to help their body too. >> jennifer mccolor is director of education and remembers a child telling her how doritos were a health food. >> why would you think they're healthy? >> buecause you eat them with ranch dressing like a salad to. go from that to what the kids are doing is pretty phenomenal. >> gard then takes the children from garden to grill. and one of his 11 restaurants. >> so it is really good for you. >> it is a weird meat loaf. >> teaching them to find, or for them, more like the fun art of cooking. >> we made

vertex pharmaceuticals of 25% after combination treatments for cystic fibrosis beat bank estimates.hose shares on pace for their best today since june 2014. morgan stanley up 3%. beating estimates and trade revenue as well. apple not a huge gain. up for a ninth session in a row. the longest such winning streak since 2014. reports investors seem to be bullish ahead of that. a stock on paper it's best day since 2008. scripps networks interactive 17%. attentional takeover talk. it has met separately with viacom along with discovery. they did meet with discovery in 2015. rejected a potential bid. paul sweeney told our team this that shares could be pretty attractive. very big gains for scripts of and discovery. let's have a look at where equities are right now. we are not seeing record highs in europe. we are seeing a rebound for the stoxx 600 after it dropped more than 1% in yesterday's session. up about .5%. tech stocks leading where they were lagging yesterday for a bit of a turnaround. you can see green across the screen in equities. ftse 100 higher as well. seeingfx space we were s

weighting to the nasdaq, --v-- vertech soaring today as the data around the company's combined cystic fibrosis treatments have surpassed street estimates. has downgraded shares to a neutral saying now the company has to contend with valuations. nonetheless, these chairs are having a good run so far this year. julie: that downgrade not slowing it down and we will talk more media later in the show with alex sherman. republican senators are getting ready to leave capitol hill en route to the white house for a lunch with president trump. let's get the latest from our chief washington correspondent, on capitolli and hill where the members of congress are set to board buses to head to the white house. we see some of those buses behind you right there. what is -- from the senators' perspective, what is the goal of this lunch? there are a variety of opinions about what they want to do with this bill and the whole point of this meeting was president trump has been frustrated and tweeting and expressing his frustrations with the fact the republican-led senate has not been able to agree on a health care

adr type trading >> vertex shares soaring the drugmaker seeing positive trial results for cystic fibrosis treatment >>> and bp is considering spinning off some of its u.s. pipelines into a master limited partnership. the oil giant is evaluating an ipo of an mlp that could include crude oil, natural gas and refined petroleum product pipelines in the midwest and the gulf coast shares are just marginally lower. >>> and semiconductor equipmentmaker asml says second quarter net income rose 3% that topped estimates the company announcing it will resume the share buyback program. shares higher by about 4%. >> the applied materials of europe the chip company that makes the chipducinproducing. jim kram hecramer has been tweeg about it this morning. he will talk about it later. >> he's watching those chips, nvidia >> all of them. >>> on to today's wall street agenda another big day from earnings, results from morgan stanley, u.s. bancorp and mark&t bank before the opening bell after the close we will hear from american express, qualcomm and t-mobile usa june housing starts and billiuin permits are

it is early diagnosis and there is treatment now -- i talk in the book about situations with cystic fibrosis that we would never ever see now because the treatments are so good. diabetes were making big advances. you need that perspective of children, development, compliance and kids is so different than adults, whether they will take their medicine, whether they'll stick to a diet, whether they won't feel different in the whole psychology of it. if you don't have that team in place than the care and the outcomes are not going to be there. it really is that holistic approach and central to that team is a great mother and probably a father, also a father out there too. great parents, siblings, this is the kind of approach you need to get the best outcomes. thank you. [applause] i did want to add that in case you think i'll be a millionaire and retire, all the proceeds go to the charity that supports research in children, most of which will go to children's national but also other worthy institutions. thank you all for being here and your support in spread the word. [applause] [inaudible conve

kevin burke from belmont worry said his sister kathleen, who has a pre-existing condition of cystic fibrosis, may not be fully covered if republicans allow insurers to impose possible lifetime limits on care. >> my family might be exposed to a limited amount of medical liability, and we might go bankrupt caring for my sister. >> the republican party caucus still does not agree on what should be in the health care repeal bill that would have enough support to win senate approval. >> and protests against the effort to repeal obamacare are taking new twists like this one in san francisco. artist allen marling used bright lights to project anti-repeal messages onto san francisco's federal building on mission street. they included messages like trumpcare kills and the hashtag, #killthebill. >> the controversial issue of drones and how they're used will be discussed when the fire commission meets. privacy advocates say strict policies have to be in place to prevent invading someone's personal space. the fire department has to balance that against its need to look at things from above, whether it b

this is ritta al-jalees, whose children suffer from cystic fibrosis. >> the electricity shortage affects their treatment very much because they need a machine to help them breathe and they need a cool place. they can't use a machine to breathe because we are mostly without electricity. when we have it, i can't deal with the three of them because it comes for a short time. amy: in 2012, the world health organization warned that gaza would be uninhabitable by 2020 , but now the u.n. says living conditions in gaza have deteriorated faster than expected and the area has already become unlivable. we'll have more on the humanitarian catastrophe in gaza later in the broadcast would we speak with the human rights lawyer raji sourani. the u.s. state department on tuesday announced new sanctions against iran over alleged support for terrorism and iran's ballistic missile program. the move will blacklist 18 people accused of having ties to iran's military, freezing any of their u.s. assets. the sanctions came one day after president trump begrudgingly certified that iran has complied with its oblig

he is battling cystic fibrosis and kidney disease.as a welcome break from the hospital. >> came into the locker room. took a lot of pictures. hung out. see what we do before the game. got to hang out in the dugout. got to play with the inflatables. it was a good time. we put a smile on his face. that's what this is about. >> that's what this is about. looks like jake loved the vip treatment. the tour was set up by the umps care charities. >> a little scary. >> yeah. the inflatables are big. >>> this afternoon, reality tv star and celebrity mom kris jenner will stop by "ellen." >>> the punishment for a woman who kidnapped an infant. she's in a courtroom waiting for the sentence to be handed down. >>> the weather this afternoon, look out for storms. >> we have a chance for thunderstorms late afternoon and into tonight. then we see improvement. spot shower possible tuesday. wednesday is very nice. >> keep the app handy today. thanks for watching. >> thank you very much for watching. ♪ we buy any car ♪ any make, any model, any age, any pr

. >>> shares of vertex pharmaceuticals soaring on positive cystic fibrosis trials.ll joins us with the details. $32 billion company all of a sudden >> it was already a $32 billion market company adding about 27 premarket with about an $8 billion move on these results. these were highly anticipated data they had two cystic fibrosis drugs on the market already. those can only treat a portion of patients with cystic fibrosis, just less than half because of the genetic mutations that drive this disease. they've been working on triple combinations of drugs to extend treatment up to 90% of patients. you can see the drugs they already have on the market getting to about 30,000 of the 75,000 patients with this disease. so, these are mid stage study results that came out late yesterday. surpassing wall street expectations improving a measure of lung function by way more than people expected between 9.6 percentage points and 12 percentage points to put that into context, jefferies said anything about 2.5 percentage points would be considered a success here. so that's why you'

kevin worries his sister's pre-existing condition of cystic fibrosis may not be fully covered if republicans allow insurers to impose possible lifetime limits on care. >> my family might be exposed to a limited amount of medical liability and we might go bankrupt caring for my sister. >> the republican party caucus still does not agree on what should be in the health care repeal bill that would have enough support to win senate approval. >> and protests against the effort to repeal obamacare are taking new twists, like this one in san francisco. artist allen marlin used bright lights to project anti-repeal messages on mission street last night. they included lines like trumpcare kills and the hashtag #killthebill. >> attorney general jeff sessions is upping the stakes in the trump administration's battle against sanctuary cities including san francisco, oakland, and richmond. they could lose federal grants if they fail to comply with new conditions from the justice department. they include giving federal immigration agents access to local jails and notifying federal officials two days before

people need it cyst cystic fibrosis is an expensive disease. most companies don't make any money.y don't have products on the market and it gives life to the sector we own bristol-myers it's in the space and we own a smaller one, ultragenics >> ibb, xbi, both having great years. >> yes >> biotech is having a great year. >> just health care in general, ripping. a lot of this has to do with people making asset allocations decisions based ohhn what they think the picture is they look at what are the type of stocks that are secular growers and, of course, tech and buying these etfs, you're driving up the whole sector. good and bad biotech alike and then separate themselves based on phase 2 and 3 data. i think that's the story going on here. i'm long amgen, is my pick in the space. >>> coming up, aui bak qckre, we'll do final trades. i'm here at the td ameritrade trader offices. steve, other than making me move stuff, what are you working on? let me show you. okay. our thinkorswim trading platform aggregates all the options data you need in one place and lets you visualize that informa

federation of american hospitals, the catholic health association, the american lung association, the cystic fibrosis foundation, the march of dimes, the national m.s. society, and the american nurses association. in other words, virtually every major health care organization does not want to see this bill passed. the american people overwhelmingly do not want to see this bill passed. how come it might pass? people don't want it. health care organizations don't want it. who wants it? i'll tell you who wants it. people who are going to get tax breaks, they think it's a great idea. billionaires who got $200 billion in tax breaks from the house bill, they think it's extraordinary. so what if 23 million people lose their health insurance from the house bill? the top 1% will get $200 billion in tax breaks. large health care corporations like it. the insurance companies, the drug companies, they're going to get combined hundreds of billions of dollars. and i'll tell you who else likes it. those people associated with the koch brothers who are spending hundreds and hundreds of millions of dollars on electio

one of nevada conscious one -- one nevadan traveled from lass s vegas to talk to me who have cystic fibrosis. in total, over 631,000 people in nevada are covered by the medicaid program. that is low-income children, pregnant women, seniors, and people with disabilities. and it's -- and it's why i have -- i have said since the beginning of the health care debate that i will only support a solution that protects nevada's most vulnerable. the house bill didn't go far enough to do that and neither the senate's bill. and that's why i voted against it last night. nevada faces unique challenges when it comes to health care. i spent the past few months trying to find ways to protect the nevadans who depend on medicaid, protect those with preexisting conditions, all the while bringing down costs and improving quality and access to care. i had discussions with nevadans in washington and back home to hear from them how potential changes could impact their care. whether it's a mom in reno with a son -- who has a son with a heart condition or the nurses from las vegas who came all the way to d.c. because

drug cut sales made by vertex helped improve reading and patients with a form of cystic fibrosis thatifficult to treat. investors like that news. >> breaking news on bp. your member rumors back in november of last year that bp was looking to sell midstream assets here. bp is evaluating information in an ipo. there talking about potential assets including crude. bp saying in a statement -- obviously they are going to be reporting results on august 1. it will be a question of what else -- >> "what'd you miss?" economists have been scratching their heads over the slow u.s. wage growth in signs of being close to employment. there's actually no mystery here at all. are right where they should be, and may be headed higher. >> joining us now from west chester, pennsylvania, what are we missing here, adam -- people say this doesn't make sense does it make -- explain. >> you have to be looking at the right wage growth numbers. you looking in employment cost index. wages haven't slowed. given slowly gradually excelling. there are 2.5% now. down, noping up and volatility like you see another wag

however, the forecast for a cystic fibrosis medication revenue for the full year came in below estimates. netflix getting caught in the downdraft as well. after we talk about low volatility, remember that tech volatility has remained, at least on the relative basis, elevated. the via femme, that looks at nasdaq volatility. , thate seen -- the bfm looks at nasdaq volatility. over the past 11 sessions, with a spiked today, a spike above 10, remember, the fix has been so low, the lowest since 1993, and holding below 10 , historically, a very low level. right now it is spiking to 11. it's all relative with the lack of volatility we have seen recently. this is quite liked. julia: thank you for the check on that. let's get a check on news with mark crumpton. mark: a tough warning for president trump from a top republican senator. south carolina's lindsey graham was blunt in discussing actions the president might take against attorney general jeff sessions and special counsel robert mueller. senator graham: there will be no confirmation hearing for a new attorney general in 2017. jeff sessions

cystic fibrosis foundation. march of dimes. the national m.s. society. the american nurses association. one might think that when virtually every major national health care organization in this country is opposed to legislation, that maybe, just maybe, our republican colleagues might think twice about go forward. but they have not had in this process the opportunity, amazingly enough, to hear from doctors, to hear from hospital administration, to hear from patient advocates, because, mr. president, as you may well know, despite the fact that we are dealing with an issue that impacts every single american, which is what health care does, an issue that impacts one-sixth of the american economy, over $3 trillion a year, there has not been one hearing, one public hearing on this bill. this bill has been written behind closed doors. anyone listening to senator mccain the other day made that point. now, how do you deal with one-sixth of the economy and their desire to transform the american health care system without listening to one doctor without listening

the cystic fibrosis association and american nurses association. in other words, virtually every major health care organization does not want to see this bill passed. the american people overwhelmingly do not want to see this bill passed. so how come it might pass? people don't want it. health care organizations don't want it. who wants it? i tell you who wants it? people are going to get tax breaks. they think it's a great idea. billionaires who got 200 billion in tax breaks from the house bill, they think it's extraordinary. so what if 23 million people lose their insurance from the house bill. 1%, 200 billion in tax breaks. large health care corporations like it. the insurance companies, the drug companies, they're going to get combined hundreds of billions of dollars, i tell you who else likes it. those people associated with the koch brothers spending hundreds of millions on elections, they like it because their philosophy and that the government should play no role in the concerns of the american people. mark my words, mark my words, if this

is at a one-year high ahead of its earnings release, and vertex after positive results for a cystic fibrosispresident putting the pressure on, saying they need to make good to the promise they made to the american people that this he would repeal obamacare eamon. >> reporter: you're right. he even chided those republican senators saying he change his mind from yet. to come to republicans to negotiate, today he put the pressure on the republicans to, instead, pass, repeal and replace. here's how he expressed himself just a little while ago. >> i'm ready to act, for seven years you promised the american people you would repeal obamacare. people are hurting, inaction is not an option. frankly i don't think we should leave town unless we have a health insurance plan. >> reporter: the president hammering home that point about not leaving town that's something sacrosanct. the senators go home to campaign and take a bit of a vacation, but the president said they shouldn't do that unless this mess has been sorted out. >> we have to stay here. we shouldn't leave town, and we should hammer this out an

it's cystic fibrosis. >> yesterday. >> that will be approved by everybody. everybody wants that. >> that's my dog enough said. >> activision. >> he's doing a fabulous job. >> well, that's china. so this is what i'm talking about. it is just, people and i am stopped every day about this. >> had something to do with anything going on in washington. >> right and that's why you can still have a rally and the reason why the rally is still happening is people keep thinking well he has to pull these stocks back but it has nothing to do with these stocks. it's tpg celebrating their ipo at the nasdaq. another ipo. we haven't hit qualcomm too hard here jim. >> i felt that the key quote was they talked about apple, we had a strong relationship with am for many years we intend to continue and there was a short story spread rapidly by the bears if you take qualcomm at their word. >> pretty strong and of course not getting paid by the suppliers to apple. remember the licenses were actually there and there's other customers. >> it's hard for analysts to estimate where that

. >> reporter: these kids suffer from chronic illnesses including respiratory diseases like cystic fibrosis the hospital called the academy where they learn to manage their health in addition to getting regular classroom lessons. >> a is for apricot. >> reporter: many come from disadvantaged homes and neighborhoods where access to fresh produce is limited and dinner is often fast food. guard believes better food can mean better health. >> some of them may not have financial background. they go eat fast food because it's cheaper, quicker e easier to get, but this is going to help their body too. >> reporter: jennifer is director of education and still remembers a child telling her how doritos was a health food. >> i was like why would you think they're healthy? because you eat them with ranch dressing. it's like a salad. so to go from that to doing this what the kids are doing behind me is phenomenal. >> reporter: guard then takes the children from garden to grill at one of his 11 restaurants. >> so it's really good for you. >> this is a weird meat loaf. >> reporter: teaching them the fine,

then finally, we're looking at sage of course working in cystic fibrosis over the years, expand theirnd more patients we're going to look for a trickle combination set of studies later this year to tell us how well those drugs work trying to expand their drug treatment options for more and more patients with cf and finally for sage, big events coming in epilepsy and post partum depression. lots of catalyst to watch from here guys, back over to you. >> investors clearly excited, clearly the performer in the first half >> thank you, meg. joining us now with other names investors could see rally in the other half of the year and david nelson here with us from bell point asset management all right. david, let's just start with you here elsewhere do you think people should be looking for strong picks in the back half >> sometimes it's a zero sum gain and you have to play out in june where the money from tech went into financials, and, you know, this is, it's got two prongs here first on the short end, janet yellen and company, then mr. whatever it takes, mario lifting up the long end in ge

suffers from a rare genetic condition that has led her to live with near constant seizures and cystic fibrosis. she needs intensive around the clock care and is able to get that care because of a special medicaid waiver that helps her parents afford it. but with trumpcare, she would have lost that waiver. and i heard from jay and eugene who reached out to share his story about his battle with leukemia and stage four colon cancer. he was told he could only expect to live another three months unless he received treatment. that was two years ago and he's alive because he was able to access treatment. he's been able to fight the battle with cancer and fight the battle with leukemia. and he was able to do so because the insurance he had through obamacare, through the affordable care act. and kerry from carvalas wrote to me terrified about all of the members of her family who would be uninsurable if we passed trumpcare. her husband because he had a blood-clotting disease, her son who suffers from epilepsy, her 87-year-old mother who has alzheimer's. that fear of being unable to access health care be

a strong trial for cystic fibrosis treatment, which may be the most effective treatment for patients.es come from older drugs. this is potentially a game changer for the company. jonathan: thank you very much. stock investors took the death of the gop bill and stride yesterday. the nasdaq rose for an eighth straight day. both closing at record highs. the s&p 500 has now gone to 67 days without a five percent pullback -- to mcc seven days without a 5% pullback. for now, we bring in paul ,hristopher and from st. louis the chief market technician that joins us around the table in new york. paul, let's begin with you. that streak of a 5% pullback, is that relevant in your world? paul: very much so. it's a remarkable streak and being held up a liquidity. there have been some other sources are games or support for the market in recent months. both of those have faltered a bit. it is liquidity that remains the main driver. jonathan: looking at the technicals, jonathan, what are they saying to you. ? >> the trend has been unequivocally bullish. we have not had a pullback in 267 days. that's a

medicaid dollars should be spent on a child with cystic fibrosis who needs a blockbuster drug. or a person with severe mental illness should be able to rely on medicaid for care. medicaid cannot continue to be a limitless credit card to the states to spend money without any accountability to the people who need it. so i aside partisan dogma and work to solve this problem for the american people. i yield the floor. mr. mcconnell: mr. president. the presiding officer: the majority leader. mr. mcconnell: i want to start this afternoon by offering deepest condolences to the marine corps and all those who lost loved ones in the tragic plane crash yesterday in mississippi. we're still learning details about the incident, but we know that at least 16 on board the plane perished as a result of the crash. our hearts break for all those impacted and the many lives cut short in this tragedy. we're reminded of the bravery that our voluntary service members exhibit, putting their lives on the line both at home and abroad, in order to defend our communities and our freedom. we're indebted to

american action network, american diabetes association, american heart and lung association, cystic fibrosisndation, march of dimes, national ms society, national health council, national coalition of women and heart disease, all of these individuals do not like this idea of junk insurance, of saying you can have a compliant plan that's real insurance and a marketplace where there are things that aren't really insurance. because then people are going to go buy a bunch of things that aren't really insurance and not have the ability to get cost and care and run up uncompensated care and then you're going to make the real market unsustainable and unsupportive, and the rates are going to go so high, people are just going to pull out. a group of the ten of the leading patient advocacy groups also wrote about this when it was proposed as an amendment. people were saying, quote, under the amendment, insurance companies would be allowed to charge higher premiums to people based on their health status in addition to opting out of patient protections in the current law, such as a gain dee of essential