state and dod. are there official notices going out on the risk and the warnings of? >> yes. we've been working closely with the other departments. >> we've got families and everybody all around the globe. i've got over my time. we will come back as we have got plenty of time as you can see with the members that are here. ms. duckworth, i will yield to you and thank you. >> thank you, mr. chairman. dr. schuchat, i wonder if i could deliver the chairman was like but in terms of notifying travelers as they coming back. i'm wondering about the travelers in the united states committee on the way out of what information is being provided. what the guidance was provided to devastated communities in the continental u.s. regarding zika? >> we been working closely with the clinical community including obstetricians. we have developed joint guidance. we accused the obstetrician's website. in fact, has destroyed our guidance water that we been able to to the city 5000 obstetricians in america. we've held calls

did you want to, any more on dod? i just saw here that there's research outside the united states with the british technology company, the name i don't know but there currently testing genetically modified mosquito named oh ex 513 a in brazil. are you aware of this? are we doing anything with these folks? >> yes we are. the idea of genetically modified mosquitoes, which you make a male sterile and release it into the environment is something we've done. the release of genetically modified mosquitoes, in order to prevent the procreation of other mosquitoes is something that has been tried in the local ways where you go into a relatively restricted geographic area and it seems to be rather effective at a local level. the challenge with genetically modified mosquitoes and in addition to the societal pushback about anything dramatically modified being released into the environment is that it's difficult to scale it up on a country ride basis. that's one of the problems we have with that. >> okay and so i'm just trying to

state and dod. have they -- are there official notices going out on the risks and the warnings and all of that? >> yes. we've been working closely with the other departments for the americans overseas. >> we have families and everybody out all around the globe. i've gone over my time. we'll come back, as we've got plenty of time, as you can see with the members that are here. miss duckworth, i'll yield to you, and thank you. >> thank you, mr. chairman. dr. schuchat, i want to speak about notifying travelers coming back into the united states. i'm wondering about the travelers in the united states who might be on their way out. what information is being provided? what guidance has the cdc provided to the obstetric community in the continental united states regarding zina? >> we've been working closely with the community including obstetricians. joint guidance and the website has distributed our guidance to the 65,000 obstetricians in america, and we've held calls and sessions for question and answers

my office supports the efforts of the dod ig and those of cigar to make sure they the requirements to secure the requirements. our priority is to prevent afghanistan from becoming a safe haven where attacks against the homeland can be planned. in pursuit of this objective we are conducting two complimentary missions. the counter terrorism mission against the remnants of al-qaeda and other extremist groups such as the islamic state. and the nato-led trained advise and assistance program known as resolute support. president obama announced we would retain up to 9800 afghanistan personal throughout most of 2016 drawing down to the 5500 personal by january of 2017. importantly this presence will thought just be based in kabul but other locations. this decision provides u.s. forces with sufficient capabilities to develop the afghan capacity and key capabilities in aviation, intelligence, special operations, logistics, and maintenance. this presence will allow the united states to pursue counterterrorism targets and assist us in further developing the counter terrorism capabilities that are

future dod ig work in 2016 will include assessments of u.s. efforts to build an independent afghanistan security forcess and intelligence capabilities. we will soon evaluate the progress of u.s. special operation forces in training, advising, and assisting the afghan security forces. we will send a team of intelligence specialist to assess progress this month in developing effective afghan intelligence operations. looking forward my office is engaged in a review of current programs and operations to identify future oversight work as lead inspector general for operation freedom sentinel. as you recall congress created the call for overseas operations in the 2015 national defense authorization act. the ig's of the department of defense, department of state, and united states state agency for international development execute the lead ig plan mandate which was enacted to improve all of government oversight and contingency operations. we appreciate the support of this committee, subcommittee, as we discharge our oversight responsibilities and i lo

and in order to optimize the dod budget those networks should be priced at market rate.and fourth, are we optimally promoting health and effectively and efficiently supporting those whose unmet health individuals are both bad for the individual and presenting avoidable expense to the taxpayer. optimally supporting health starts with effectively supporting the patient which my colleagues have addressed previously. when done right it also results in cost avoidance so the two go hand in hand. segmenting the population and focusing on those that benefit most from the assistance and management of their conditions is just smart and annually reviewing the analysis of the population's health is critical to doing this right. developing and deploying an integrated approach to disease management for that specific profile of conditions is also critical. something that we tried in tricare when i was doing it and we failed to focus in on the right spaces where opportunity exists. you want the treatment to be coordinated and well managed, regardless of where the care's delivered, wheth

in order to optimize the dod budget those networks should be priced at market rate. fourth, i we optimally promoting health and effectively and efficiently supporting those whose unmanaged health individuals are bad for the individual and avoiding the preventable expense for the taxpayer? promoting health starts with effectively supporting the patient which my colleagues have addressed previously. if done right, it also results in cost avoidance so the two go hand-in-hand with a segment thating the population and focusing in on those who benefit most from assistants in management of their conditions is just smart. annually reviewing the analysis of the population's health is critical to doing this right. developing and deploying an integrated approach to disease management for that specific profile of conditions is also critical, something we tried in tricare when i was doing and we failed to focus in on the right spaces where opportunity exists. you want the treatment to be coordinated and well-managed regardless of where the care is delivered whether it is in the d

dod has already done a lot of work. how do we, how have we been coordinating with dod, the department of defense? can you tell us? >> maybe i can begin. there's quite a bit of intergovernmental coordination across the leadership to do the planning, both for protection. there's a lot of research that dod does and they are part of our countermeasures -- >> so we are not duplicating? >> no. same with ebola research. one of the promising vaccines was developed originally for military work. i would say the coordination is good. >> what which is a? >> i totally agree. in fact, we worked with dod on a number of issues, the most recent of which was ebola which we will be doing to do. we have good coordination and it comes essentially. we coordinate within hhs but we coordinate among all the agencies. >> at this point with your permission, i'll enter into record and we are trying to get everybody who's involved here their testimony. we ask dod who is not a witness, with testimony from the department of defense, testimony from u.

. >> can you give a breakdown of the contribution that dod's giving to the new background check system. the resources. have a figure behind that and the rationale for that and how long that's going to stretch out in the future. >> the resource level, in terms of the scope of the size of our budget, is not enormous. in the $100 million a year range. we also have, at least for '17, we have the pre-existing cost of the identity protection service also that we have to offer to all the people, again, 80% of the people affected by this were in the dod family, either employees and contractors, past employees. so we have probably the biggest bill there. omb gave us the resources for the projected cost of this increase ii.t. costs. important to remember we will be doing this as a service provider. we would be doing this and expecting to be reimbursed. we're not subsidizing other people in that sense. we will have a cost, some of which we got from onb. some of which we expect legislation. which we'll be sending up to make this happen to be able to receive the moneys back from other agencies. >>

open to the armed forces, the dod and their families. navy federal credit union. vago: we are back with mike mcco rd. while the obama administration's 2017 budget request is in line with the spending caps, dod is planning to get $20 billion to $30 million more in funding over the coming years. that optimism is why the administration had to make up a $20 billion shortfall between what it planned to spend and what the deal allowed. ord whether it is sent to get more realistic to avoid making lasmi and delays that often only increase costs. >> welcome i think we are in a reasonable realm. there is not a lot of criticism that our budget requests are too far off, or for that matter, most of the choices we have made . these two has been over the last three or four years -- we have never gotten 100% of what we have asked for since the budget control act was adopted. but we have never gotten the worst case either. every year there has been some adjustment and we end up in the middle. that does argue that our position is a reasonable one. we could just for some other numbe

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still are a very small percentage of the overall dod workforce.rms of a driver of the budget, the benefits and pay for those people are not really a budget driver because the numbers are in the tens of thousands and not the 100s of thousands of people. it still is a big issue and folks in congress are picking up on this now. in recent legislation, they mandated reductions and the size of those headquarters staffs. , that hast mandate not taken effect yet. dealare working on how to with that. it is already in the works. they are also looking this year reform,ming, nichols which refers to the goldwater nichols act that passed 30 years ago. they are looking at doing a similar restructuring this year. things they are talking about our maybe combining headquarters. do some delay airing, take out layers of bureaucracy and headquarters, change some of the roles within the department. at all ofs looking these things this year and a department of defense itself has started a group looking at the changes. we may see legislative activity on that later this y

including dod funded security assistance for the andsf.have daily contact with key personnel in theater at the combined security transition assistance command, afghanistan, which has primary responsibility for the execution of the dod security assistance mission. we also work closely with other office within dod, the intelligence community and the department of state as we continually assess the status of our efforts in afghanistan. my office supports the efforts of the dod ig ensuring they have the information and importantly the context required to fulfill their mandates to review our efforts. now our priority in afghanistan remains to prevent it from once again becoming a safe-haven from which terrorists can plan attacks against the united states homeland, u.s. interests abroad and our international partners. in pursuit of this objective we're conducting two complimentary missions in afghanistan. a counterterrorism mission against al qaeda such as the islamic state and nato-led train and advise and assist mission. in october 2015 follow

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we'll show you the pop star's tribute to david bowiee ammyi su h a lmy mwhen oute ho ft a dod c whut mmily? bu whatis hd again? givearin thetalasab s trvt a blots and res th of th ing ai t ly diquieat dvand od c but eliquis also had significantly less ndard treatment. ing s had both ed a nkin doop eis unlur or tou t or abnormal bleeding. e e oulylor eengo opare nualblakdi ydolll pelo had less bleedi th mitch eliquis right for me. n >>> just whenht the"sta" fe had broke the jas rned fansirst at oducf eso ag, fye stowniingaprge moto a i h o i c mp amapp it will be located aacfau. a le ians e csuo o lhe'stda>>ayswif shahe ersit mes on ement oung women. ms wbecaur isn'ing (watling ou50 p ofple diog wing) thinrs ottinnosebut s sog n do to octot hefaileatmtion eep itping >>> here's a look at today's the country. startsed working for me >> the cast performing at last night's grammy awards. the broadway won for best album. teri okita has more of the high lights from music's biggest night. good morning, teri. >> good morning, anne-marie. taylor swift is the first woman ever to win two album o

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open to the armed forces, the dod and their families. navy federal credit union. vago: we're back with dr. jonathan woodson, assistant secretary of defense for health affairs. sir, i want to take you to the overall health of the force. several years ago there was a concern that military health care cost were on an endless rise. a few years ago we saw it really significantly flatten and we have seen declines in some places in health care costs. last week we met with the him that question and one of the to it he said contributed was the affordable care act are the chief medical officer of the pentagon. why are we seeing some of these trends in terms of health care costs for the department? dr. woodson: that is a great question and it is multifactorial. nationwide we saw a decline in the health inflation index. this has many reasons. but also coming on with the affordable care act and other initiatives were many quality initiatives that reduced utilization of health care services. i think people are making smarter choices as well. one of the things we saw in the pent

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i certainly understand its motivation between dod's decision to assume more funding in the out years. however i am worried that that assumption may not come to fruition. i assure you that i am committed to working with my colleagues to find a lasting solution to our fiscal problem. in conclusion, i would simply also observed that i appreciate the much anticipated plan for the closing of guantanamo bay detention facility was transmitted to congress earlier this week. i hope the plan is considered on its merit rather than to be rejected. mr. chairman, think you for holding the hearing. gentleman i look look forward to your testimony. >> thank you. mr. rogers, chairman rogers. >> thank you mr. chair. mr. secretary, thank you for being here. thank you more importantly for your years of service to your country. we appreciate that very much and we thank you for being here this morning for what is the first hearing of this subcommittee for fiscal 17. we have 21 hearings across the committee this week and you are one of which that we think it's very important. the fifth-year and the role of t

in my view, the government can put this in dod or hhs or fda. the government should develop a curated bank of diseases about which we are worried so that companies, especially these small fragile companies could come and test their diagnostics against them so that they could much more rapidly give fda usable data on how well their test works. that's one. secondly, i think just as fda has emergency use rules for medical counter measures, during public health emergencies, we ought to think about emergency use schools for diagnostics which i think we can actually create rather rapidly and manufacture quickly during public health -- >> i would just tell you last year or 18 months ago during the peak of the ebola outbreak in september, i went to a hearing in the foreign affairs committee where we heard that the fda had actually put a clinical hold on a drug that was at that time in use in treating patients with ebola. i didn't want to hear about clinical holds. i wanted to hear about clinical trials. it really did seem like they were an obstacle face

is it wt yar,dod t me ameat agn. erichaveoppebeingrt. alsalkebo edov dnes a clearrctfunrominsp. ofoh anr, i a wnimemeag >>>>ttilleheesti e's earls you y, anti-trump i the genaltion willsir bn itselut oreep o rising and risingnd ring? can s sar both sides. and for donald trump,f he gets tpe nonation, can he f a way to reach out bond his core vase of angry voters. >>>>uch an sbesintetesting year. george is going one o one with chris christie, ted cruz, andbern sanrs comg up on "this @eek and no sleep forgeorge. he'll lead our eire tea at 10:0asasrnuesdsupeesda les g t r for a a l a th headnenep>>> gd morni you,da raoo morngo you. >>> rookie pice ficer in virginia who was shot and killed just onene d d after being swo in. responded to call abo an altercatioiott homee w wn hots rargut. this was on saturday. fatally wounded her and woundeded twtw others a suspect has beenresteded > violelee erupting a at a k kluxuxn anti-immigration lly.eyereonfronon t b terptesters.s. ers theworouphed. reopleerbe ir dd d t t of e ceasn a. thrueemsoo be m m mosyl holding.no!san ace tag betenhe sian v

inability of this administrations to provide a site alternative indicate that none of the sites visited by dodurvey team met the demands necessary to hold detainees, and and more important to keep our communities safe. the fact that no site was named, no substance on those visits provided tell me there is no alternative to match what we are now doing safely and securely at gitmo. the so-called planned as outlined by the president and his speech today from the white house, it skims over four steps to closing guantÁnamo bay. first, it articulates the administration's plan to continue moving detainees designate for transfer by the president's national security team to foreign countries. in some instances this may have been successful but with regard to individuals a being rehabilitated about one third of the time d trainees transfer to the host countries a return to the battlefield. these are are just the ones we know about. surely that percentage would increase. this is called recidivism. the rates are too high for this process to be called secure and responsible as the administration has labele

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we are following in fact we ballot selection as recommended by the dod. are maintaining awareness to our partners regarding new intervention as they are identified. we are training for medical team regarding the early recognition and intervention for viral infections such as zika. we are stalking our formulary with the best supportive medical interventions. we are providing we ballot for personnel, issued prior to departure with additional supplies on hand. we are considering pretreatment with kits of all u.s. oc personal clothing we are also considering providing bed nets for all personnel and we're identifying resilient locations for additional support regarding viral pathogens. in conclusion, knowledge about zika virus is growing in almost daily basis. we are following all of the developments. we are incredibly pleased with the support and collaboration we've received from the cdc, the dod and others and are indeed intended to them first during this information so that we can provide the best the most adequate information to our athletes and staff who

there is a proposal in this budget which mentions that the dod is not limited to the system we're going to move to. it is where we will have the new entity created. it will be responsible for investigations. it will not be an admission of opm mixed in with other others. .t'll be a new entity sort of like it is now in terms of agency responsibility. i have a government wide agency to do the investigation. the information produced by them is under the proposal fee. it will possibly protect the information behind our secure system. so, we will become a service provider with information on the i.t. side with the entire government. would remain the service provider for an entire government. proposal will calm and different part of the defense budget. we are a part of it. the last thing i want to talk about before we take questions is the deputy a little bit. we have, continuing and effort in afghanistan. this question was asked before. the average troop strength is 9700. is not the end point is more well-known to people. 5500 is the average number throughout the year dropped throughout the y

in fiscal year 2016, we begin the journey to accomplish military health system reforms requiring dodo establish an published standards to be more transparent in important areas of health care quality, patient safety and beneficiary satisfaction by requiring them to publish measures on public sites mandating a program that allows beneficiaries to get urgent care without need at a time consuming unnecessary preauthorization treatment and requiring unity to implement a pilot program in a based reimbursement whereby health care providers improve health care economic outcomes, patient satisfaction and the experience of care. although the commission published its report over one year ago, we have seen little progress made by dod to fix the many problems and without we get frequent reports of the difficulties military families face every day. here are two examples. an expectant mother with a high risk pregnancy most of their husband to new duty station during the 28th week of her pregnancy. before being assigned to an obstetrician at the new duty station, she had to see a primary care manag

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dod!u re p he. u`da c c crus. don't t t daretay up all ght on the c`cputer. don'yoell s. dot dare rai ur v vce e officially alotted time for an award acceptance speech is 45 seconds. wouldn't that be aot more bearable if it was paired wiwi a m mtage of dedecious@ breakfast food? we think so.sonk you m m, , d, frk ouegg pp. the ew w crack tho eggsfor thegmcmuffininininthankskso idido o rmers. a to o o supngsa k drs and operator tcanada for havin own nd obacon, yoobly`upoht wama. ohnd befororwe get c o e einbrkft togogo m rni w wrs od morning nhtht >> a: an lcomhe lannorleing tress, jmoe. >>>>>>seiv he warded movie-goe with fully dimensnal lharacters, some drawn from real-life, all of them l larger than life. ltono trumbo. the resol astronaut abandod on ms. the vengefulrontiersman, betrayed by s companions. the brillianand colited co-fnder of apple. and one of t fst pplto uneronfirmatio rgery. re a theutanng nominees ferfofoan b tor in aeange. bryayacranono." >> when n u heare woing, you don't knk. >> but it'my birthday. >> you don't knock. ever. >> so,lthe house is on fire

i am not inside the head of everyone who works at dod. the people with whom i have worked are working hard to implement the president's policy. in some ways, i see this as a difficult problem. the state department has its own perspective. the state department negotiates agreements with foreign governments. because of that perspective, they are incentivized to work quickly and aggressively to try to finalize transfers. the dod does not have the same diplomatic pressure. they have a statutory pressure. there is a statute that places the requirement on the secretary of defense and says that he may not use funds to fund the provision. he may not use funds appropriated by congress to transfer a detainee until he concludes that they can be safely transferred. rightly, in my view, they take their time and they are very careful to make sure that every detainee who is presented for transfer meets the statutory requirement. so that is the high level sense of where things are. wells started talking about the overall plan for closing gitmo. i think i

to the president to close the facility, move the prisoners back into a facility in illinois run by dod, understanding that they would be law-aboard detainees. he never reacted to my proposal, so here we are now where the world is falling apart, 30 percent recidivism rate. there' s no appetite by the congress, republican or democrat, to shut down gitmo. there' s a growing appetite to use it. that' s my position. fernando: and moving to the sort of the bigger problem in the middle east, isis and syria -- the hostilities. do you think this a good approach? a first good step? sen. graham: well, i hope we can have a cease fire, but we basically lost syria to the russians and the iranians. secretary kerry was at a hearing this week with me, asking if it was true that the russian president has ordered the bombing of the people we' ve trained in syria to replace assad. and he said, that yes, the russians and the iranians are all in for assad. we' ve abandoned the free syrian army. there is no way to get a peace negotiation now that doesn' t allow russia, iran and assad to dominate the negotiat

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. >> reporter: for the next three the ncaa and dod to study how high school athletes report concussion symptoms and why. >> what we're trying to do is understand what the culture is and how the parents influence the culture, how the coaches and teammates influence the culture. >> reporter: both say one of the biggest problems in sports is the reluctance of athletes to report concussion-like symptoms that can oftentimes lead to more severe injuries down the road. >> we have clinical tools to examine athletes but we need to understand how we can get them to talk about the injury to get to that point. >> reporter: a tough cell considering some sports foster an environment that praises athletes for toughness and playing through 0s. >> people are knowledgeable about what a concussion it but it has not translated to them reporting the symptoms more. >> reporter: the irony of the study is that more concussions of sports but he hopes that the athletes will receive the help they need. >> this is a treatable process. this is a treatable injury. and we want to ensure that athlete who is need trea