director, center for substance abuse prevention, substance abuse and mental health services administration, u.s. department of health and human services, rockville, md; jane callahan, director, national community anti-drug coalition institute, community anti-drug coalitions of america, alexandria, va; jordan burnham, mental health advocate, active minds inc., washington, dc; dr. wendy greene, assistant director of trauma and critical care and program developer, screening, brief interventions and referral to treatment program, howard university hospital, washington, dc. fran, what is the definition of behavioral health, and how do we distinguish between prevention, early intervention, and treatment within that definition? the definition for behavioral health for samhsa is we are taking the substance abuse and mental health prevention, intervention, and treatment programs, and we are encasing it within the disorder realm. so substance abuse, prevention, intervention, and treatment are exactly the same, same levels, and so is mental health. we are finding that mental health properties for prevention, especially, are very similar

what the department of health and human services is saying they fully expect indiana to comply with thisaw so not directly commenting on the question. >>trace: steve, thank you from chicago. thank you, steve. the debate will likely continue in several other states seek to cut off funding for planted parenthood and now to our senior financial analyst, judge napolitano anchoring freedom watch. judge, great to see you. >>judge napolitano: like the old days, trace. >>trace: like old home school week. the whole issue is about commingling funds. they are saying if planned parenthood could prove it did not use federal funds for abortion would this case be nonexistent? >>judge napolitano: that is a difficult argument to make. you cannot, the government cannot give money to a catholic school if the money is going to be used for communion bafers but it can for math books or school buses but the money saved on the buts would be used to buy the wafers. and the government is not supposed to give money for abortion but the money the government gives to planned parenthood pays for some of the bills in

department of health and human services [music] so, screening and brief intervention is what we call a secondary prevention approach. so, it is a way of intercepting people who might be already engaging in risky substance abuse behavior and trying to reduce their abuse and reduce the harm that they might experience from their substance use. we decided to do our intervention in this mental health clinic. and that's something that hadn't been done before, so we decided to use this very brief screening and brief intervention tool called the assist. it is the alcohol smoking and substance involvement screening test, which was developed by the world health organization. well, we use the assist results in intervention planning quite immediately; that is part of the beauty of the assist, that it has kind of a built-in intervention that, based on the score that is deduced from the eight questions of the assist, you are kind of guided to do a validating response, a brief intervention, or an intervention with kind of a referral to treatment or a discussion about kind of getting further treatme

department of health and human services. >>> hugh burrows back with dr. emmerson interim pastor as san francisco theological seminary. forgiveness, key to the creative life as your book is available now you can probably get it online. tell me about this book it has a preface by the president to have graduate theological unit in berkeley what is it about why did you write it? >> it go backseat to my coming to terms with the coming to terms my parents didn't make it in their marriage. i had to come to terms with that. they were separated a long time they never lived together again but after i had gotten started i am in the east my mother had been -- she took pictures and she was a photographer and coming back for one of her -- from one of her around the world trips stopped to see my dad in palo alto and the call i got was to say i want to tell you that your father and i have forgiven each other. and what that did to free me, to begin with, they had always allowed me to have a good relationship with the other i never got pitted against either one but i got s

i'm very proud to have been in this organization, and the department of health and human services and at the nih during those eerily years when we were struggling from both a scientific and public health template about how we were going to address this pandemic. i referred to it as the dark years of my professional career, because unless you have done that it is difficult to describe what it is like to have people come in who are suffering and dying and you don't have an idea or a clue about what is going on with them. you suspect infection. epidemiology tells you is sexually-transmitted. also later on injection drug use, but yet you don't know what to do with the patients except palliative care. and it was over the period of those three decades with support from so many groups here in the department, through the department at nih, through multiple of administrations and multiple turnovers of congress that we had the resources to put into effect a scientific research, both basic and clinical, attack on this pandemic to the point where we now, 30 years into it, have the capability of r

of nato. then your calls and comments on "washington journal." on sunday, challenging the new health care law. the 11th circuit court of appeals in atlanta hears arguments on the department of health and human services brought by 2k6 states which oppose the law. they argue that the state is infrin -- that it's infridging on states' rights. we'll have that on sunday at 10:30 eastern time on c-span. nato members failed to increase defense spending and their commitment to military operations. he stressed the u.s. is shouldering most of the costs of nato missions in libya and said it would be increasingly difficult to support the transatlantic alliance without its allies. this is about 20 minutes. [applause] >> thank you mr. secretary general and for the opportunity to speak here today. this is day 11 of the 11-day international trip. so you can understand why i am very much looking forward to getting home. but i'm glad at this time and in this venue to share some thoughts with you this morning about the transatlantic security relationship in what will be my last policy speech as secretary of defense. the security of this continent with nato as the main instrument for protecting that security has been t

department of health and human services. poorly rolm james. the dallas mavericks' want a championship for the nba looked last night. he finally gets his first championship ring but after 16 seasons. all the dallas fans had quite a celebration last night. nba championship is the first for dallas. >> the giants have been hit with another big injury sanchez hurt his shoulder or and may need surgery it is now for 20 5:00 a.m. and a look outside don't forget we do have is what state sport father's day is june 19th go our facebook page like us and you can fill out the form to one that i magellan gps system or one of two 50 in. 33 d tv's hot. ♪ cause it's the little things that mean a lot ♪ oh, thank you. you're welcome. a quick update on on on the release of with our place of a serb mehserle. we're finding out he has already been released. a fresh--on mehserle testified that you went to use his stun gun instead of service revolver. small >> more than under a table top to the streets to show shot support for the man that we shot and killed an oscar g

department of health and human services. >> last friday i twitter of thought of myself too old woman hiding spot was a joke. i then continued to that did say that story and tell that story. >> congressman anthony wiener at a news conference yesterday. he did state the sent out inappropriate pictures to a young woman. winters said he will not resign. and there will be an investigation into his " twitter actions verrazano wildfires continue thousands more rim must be prepared to leave here in and this video is a surveillance video of the twister or that happened in springfield mass. last weekend and. frightening close-up pictures at the wind as it twisted and turned. move and onto our weather forecast when warmer temperatures on the white morning >> i guess i think you'll like today's forecast a dry shot of downtown san francisco cloudy conditions as we step outside the door and we will tell you what is on tap for the next 24 hours. as we head into the afternoon a lot more sunshine. five degrees warmer than we had yesterday. as we take a look at the temperatures outside the door we're p

and we've got three more departments to go on our budget hearing process. the final departments that are left are the juvenile probation department, department of public health and the human services agency, so we'll begin with the juvenile probation department and chief zimmerman. >> thank you, madam chair, committee members. chief proa big officer. it's my pleasured to a vance before this body my seventh budget on behalf of all of our dedicated staff, particularly allison mcgee and katherine mcgwire who are here that had a lot to do with directing and preparing a very thoughtful and responsive budget. but most importantly, i am here on behalf of the youth and families who rely upon the work otojuvenile probation -- of the juvenile probation department. i have a presentation and i have provided folks with copies of the power point but i'm going to proceed with this. the work of the juvenile probation department essentially is designed to hold youth accountable while facilitating opportunity for them to develop pro-social competencies that ensure long-term safety and identify and utilize the lease restrictive placements and quite honestly, the least expensive placements and interv

public safety programs, police and fire departments, the sheriff, the cork county programs that are basic social safety net programs of the health department and human services agency. all of the department's here are affected in some way by the pressure on the city's finances even if they are not part of the general fund departments. we've bounced departments to propose ideas -- we have asked the departments to propose ideas about how we can reduce things. we announced them to add 10% reductions. we are in the process of looking at the ideas they put on the table to make decisions about which of those we can and cannot live with as we balance the budget. that is the process happening now. the long-term outlook for the city -- the economy is beginning to recover. when we look at the longer-term horizon, we see a familiar picture. even as the economy recovers and the revenues get better, costs will continue to grow at a faster rate. a lot of that is attributable to the growth in employee costs. the numbers of the bottom of the screen are the deficit projections for the next three years. they are projected to grow. it is not just that we have continuing proble

department and agency plans? >> happy to do that. there's been a lot of discussion in the last decade for participation from the department of health and human services which are conditions imposed on hospitals and doctors and a lot of these vice president been rescrutinized in light of what's happened on the ground and possible redundancy and changes in medical practice and hospitals over time. hospitals are often concerned that the federal government is too hard on them, hammering them a little bit with respect to regulatory requirements, and hhs has a very detailed discussion of steps that they are taking to reconsider those requirements. we have in the context of has discard communication from the -- hazard from the department of labor and ocean in particular, there's been suggestion from employers in particular that they need to be harmonized across international lines and things are simpler and less burdensome for them. they proposed the rule and the plan says they're going to finalize it in a hurry. there's been a great deal of discussion about med -- medical devices and innovations in the united states which often these small companies are fr

health policy with the heritage foundation, the center for policy innovation. he was director of heritage health policies center for many years. before that he served in the reagan administration both in the department of health and human services and also at the office of personnel management what he would have a good close look at a program that we all have thought actually a model to give people actually consumer choice. in purchasing their health insurance. bob moffit, i welcome you, one of our again valued co-authors. the fact that we are also speaking to each other shares that we start out very much in the same place and have worked for equality. >> thank you very much, grace-marie. i, too, would like to thank my colleagues for this wonderful collaboration and the wonderful staff in new york, the harpercollins publishing team your they did a truly great job. but i would be remiss if i would not extend a deep appreciation, sincere appreciation for house speaker nancy pelosi. she told us that it was important to pass the law so we did find out what was in it. ends the book. it was one of the most profoundly prophetic declarations in america and local history. we're finding out a great deal. in the book what we decide to do

so when i take a look of this and think about it from a health care standpoint isn't it interesting just friday afternoon the health and human service department came out with more laborers. another 116,000 weaver's were granted friday afternoon. these ongoing waivers takes you to a total of 3.2 million beavers for the health care law. why are they giving all these wafers? because the policy of the set fenestration. this has been a nightmare for this administration, and frankly it's embarrassment. so the additional think the administration has done after announcing the 116,000 to weaver's we are not going to be able to continue doing this. these are waivers for a year and the real lives then they are going to have to renew these waivers another year which would put it in the election so they said we don't want to give waivers during the election, how do they do that? let's make everybody that has a waiver apply and careful way for all the way through 2014. 2014. they also realized that to qualify for a waiver they have to offer an amount of insurance up to $2 million in 2013 to a lot of companies aren't going to be about to do that so a lot of

and say they're willing to talk about touching the program. medicare is likely going to have some sort of impact there. in 2009 we spent $502.3 billion on medicare according to the department of health and human services. what kind of impact is that going to have and who is going to be impacted? >> ed in i care to be honest with you is really the entire debate right now. the inflation in health care costs is dramatic and persistent that's the time bomb in the federal budget. what that means is probably people are going to have higher deductibles, they have to pay more for medicare. it might not be an all-you-can-eat health care plan. the government will fesht things like prescription drug contracts. i do think right now medicare i think almost has to become less generous for people who are not yet collecting medicare. >> the stock market, if the debt ceiling does get raised but you don't see these cuts, what happens in the stock market? >> i think it's a foregone conclusion the debt ceiling is going to get raised. we're not talking about the u.s. government defaulting on its debt. i think the stock market wants to see sincere gestures for long-term deficit reduction, not so much next year. next year i

of our budget. and what is -- what's in that $1.2 billion that we have to work with are our public safety departments, our police department, our sheriff's department, and our public health department, health and human servicesgency, department of children, youth and their families. these are the critical services that i think our residents depend on. that's what makes up the vast majority of that $1.2 billion we're looking at when we're trying to solve our budget budgt deficit. we have difficult decisions ahead of us to make over the next few weeks. and you may have heard just earlier this week the nine-month budget status update for the current year, that showed good news. there's no doubt that we're seeing some stabilizing in our economy, and our revenues are looking up, and that's a good thing. that's a good thing. we have $45 million more than in the current year we thought we had to work with, that's certainly welcome news, but it doesn't fundamentally change the picture we're facing for next year, the fact we have difficult decisions to make in balancing the budget. i want have people keep in mind that even though next year is looking a little bit better than we had thought, we also, in addition to th

and social safety departments, the police apartment, sheriff's department, and fire department. health department and human services agency are our core county functions. those five departments together are about 3/4 of our discretionary general fund city in the city. we have asked the departments to make expenditure reductions or increase revenues totaling 10% and another 10% contingency. none of us or none of the department heads here on the stage are enjoying this process, but those are the instructions that we have had to issue to meet this challenge. we are trying to do it in every way possible to minimize the impact on services to residents as we do that, but it is a big challenge, so we are really hoping to hear your thoughts and feedback on how we can do that and on the proposals that are out there tonight. just one last point, to emphasize again, even though the economy is recovering, we do have some longer-term financial challenges for the city, and we're working very hard to try to address these as the mayor said, so that we are not back here every year, doing the same thing, going through budget deficit after budget deficit, and that will mean we will have to look at some long-term approa

of these meetings to make sure that we kept our city say it was critical core services. [applause] in addition to that, i want to especially thank the directors of our public health department and human services agency because without their effort, we also would not have found some $39 million in new federal dollars to expand our capacity for our health care system in preparation for the president's health care changes that are forthcoming, and an additional $16 million in state and federal revenue for basic safety net programs like food stamps, foster care, adoption and aplomb of programs for low-income adults and families. this will keep our city safe. [applause] as we went about figuring out how to make sure our city was solvent, we spent some time making sure that everybody understood this was no longer a budget for one year, that we are starting to plan with five-year financial planning. even as we know that our economy may be recovering, we understood that costs were going -- growing faster than revenues, and that is why we set about looking at our financial planning for five years. to address this, we have asked for shared sacrifices, and that is why you heard earlier a few we

of those special people who make the senate a great place to work. now, mr. president, gerry is moving on to a new career with new responsibilities and new opportunities at the department of health and human services in rockville, maryland. with his departure we're saying goodbye to a standout senate staffer and great friend. we will miss him very much. there are not many things that republicans and democrats agree on in this body these days, but our love for gerry counihan is bipartisan, and indeed i can say this without any fear of contradiction, unanimous. the senate family joins together in wishing gerry happiness and success in his new career. mr. president, with that i yield the floor and note the absence of a quorum. the presiding officer: the clerk will call the roll. quorum call:

of the states. this is two and half hours. >> we are here this morning in the case of the state of florida versus the department of health and human services. before we put you lawyers on the clark -- on the clock, we want to make some comments on the direction you need to go in your arguments. >> clearly, we believe the most difficult issue in the case is the individual mandate. but equally difficult is the medicaid expansion issue. so we would ask you to direct your arguments there. i would ask counsel for the appellants, when you first get up, i would like you to speak to us briefly about standing. at one point in this case, you challenged standing as well as some of the miki challenge standing. it seems to us that there is clearly standing in the case as to the individuals as far as the individual mandate issue and there's clearly standing as to the states in regard to the issue of medicaid expansion. with that, we will hear from you first. >> thank you. if i could, how the two frannie marriage issues first and then get to your questions about standing. congress made specific findings in the act, including first that the minimum covera

of our flexible general fund are our core city functions -- public safety, police, sheriffs, and the fire departments. and then our core county functions, which are the human services agency and the health department. those are the departments, the parts of our city that have the biggest share of our general fund dollars, closely following on the list are dcyf, the rec and park department, and others. as supervisor cohen said, we have asked our departments to propose 10% reductions to their general fund support an additional 10% contingency to put ideas on the table, to think about how we are going to be able to close this deficit. we are in the process right now of looking at those ideas and thinking them through. as the mayor said, we want to hear your thoughts about these ideas as we are in our decision making process. just to kind of put the challenge in perspective, if we took the full 20% from every department and said we were going to put that in our budget, that would only save us about $180 million from this point forward. we are working on other solutions, but the point of this is to illustrate the challenge in front of us and the reason we are having discussions that we have