josh sharp steen, maryland's health secretary, dan durham, america's health insurance plans and ron pollack, family executive director of families usa. and before we get started, i'd really like to thank cvs caremark for making these events possible, our partner on all of these events. we're really thankful to them for allowing these events to be possib possible. so i'd like to bring out larry burton, the senior vice president of government affairs and cvs caremark to say a few remarks. >> thank you very much. it's great to be here and thank you for having this breakfast with politico pro. i'm larry burton, vice president of the government relations team. a lot of us are looking at the supreme court decision and what happens, what's going to happen at the state level? what's going to happen to health exchanges? and so in spite of all the coverage and dialogue about it, there's uncertainty and confusion about what's out there in terms of choices. our own cvs consumer research has shown 78% of the consumers we interviewed who would be eligible for the new health care insurance coverage have n

we're really pleased to have, again, dan durham, executive vice president at america's health insurance plan; bill hazel, virginia's health secretary; ron pollack, the founding executive director of families usa, and josh sharfstein, maryland's health secretary. thanks so much. i guess let's, we'd like to start out with the state health secretaries and, bill, we'll start with you a little bit. if you can just give us, you know, kind of a bullet summary of where virginia is right now because the state just had a little bit more of a complicated history with the affordable care act than some of the others. >> i think complicated's probably the upside statement of the year -- understatement of the year. where we are is, basically, the governor, his instructions to me two years ago after the signing of the act was to prepare virginia. the general assembly passed a section i bill that said if there's an exchange, virginia will build and operate its own exchange. so under that authority we continue to plan even though it probably is a little unpopular. ask so it makes it -- and so it makes it

we are pleased to have again dan durham, a state of vice president at american health insurance plan,l is a, virginia's health secretary, ron pollack, founding as editor, families usa, joshua sharfstein, maryland's health secretary. thank you very much. i would like to start out with the state health secretaries, and, bill, we will start with you. give us kind of pay a summary of where virginia is right now, because the state has had more of a complicated history with the affordable care at than others. >> "complicated" is the understatement of the year. the government under -- the government was to prepare the general assembly, which said if there is an exchange, virginia will build and operate their own. under that authority, which continue to plan, even though it is of little unpopular, so it makes it very interesting. we clearly are waiting for the supreme court to decide what happens. we are challenged by things by the budget, but there are significant budget cuts to medicaid, affecting our match, and we have an influx of individuals in 2014 related to the medicaid match, and vir