dr. berwick? >> i agree with all of those, yes. >> in my little district in northern california, what would happen to the 10,300 seniors in my district who hit part do do not hold if my republicans are successful in appealing this legislation? >> i would assume that many of them would have to choose between medicine and other things in their lives. i have seen seniors having to choose between medicine and food. i have seen a senior stop their medicines because of that because they cannot afford it and they are scared. >> you may have answered this before. those same seniors -- what would happen to the $250 check that they received to help pay for their medicines during the time they are in the doughnut hole? with a half to send it back? >> i believe we are looking at that issue right now. i fear that might be the case. i do not even want to think about it if i do not have to. >> it was mentioned that primary care doctors get an incentive to be able to provide the health care that we all know has b

dr. berwick to deal with a lot of those specific questions. a lot of implementation is throughout our agencies, everything from increasing training of new providers to new research that is being done. of the agency's have features of the affordable care act that have impacted their budget. we are looking at an increased number of beneficiaries both in medicare and medicaid, and lots of changes in the affordable care act that indicate both of those programs. >> the president's budget has a total of $465 million devoted to implementation of the affordable care act. about $330 million of that goes to cms. the total headcount increase is distributed between some additions due to the incorporation of the office of consumer information and insurance oversight. that murder occurred a few weeks ago. -- that a merger occurred a few weeks ago. this is partly an expansion of normal operations and the incorporation of the center for consumer information and insurance oversight. >> ellen has the details for the sgr. there are mostly to ensure that medicare

dr. berwick testify i forget if it was our committee or ways and means and pointed out areas like medicarentage, we have actually a reduction in premium. we have 12 million more beneficiaries and 5% increase in the programs. this is is success story. we ought to as a congress be focusing on the facts and make it work better. because if we don't do that, if we repeal the reform with nothing in place, we're going to have higher deficits no matter how much we cut. but i want to get to the tax reform. i think chairman campy is very interested in working with you as the last two administrations have been to try to fix the corporate mess. i want to just point to one specific item. in fact, i will be offering an amendment on the floor in a while to implement what the administration called for, closing some of these tax benefits to the oil industry. some dating back to 1916 that most people think makes no difference on the production of oil. but i want to just zero in because you've been in the middle of this debate in a 12 -- in a two to $3 trillion global oil market would the loss of five to eig

dr. ber wick -- berwick who got a recess appointment to have medicare and medicaid without ever having a single hearing in the senate. you remember him. he's the one that said he loves the british health care system and any fair and equitable health care system redistributes wealth. you remember that one. and then you're going to hear from kathleen sebelius. you remember her. she's the waver-granting secretary of health and human services giving wavers to friends in high places. last week, the department of health and human as much as granted more than 500 -- and human as much as granted more than 500 waivers. they don't have to live under the law that everybody else needs to live under. you know who got a lot of the waivers? union members. union members who actually supported, lobbied and contributed to work to get this law passed. ia, why don't they have -- yeah, why don't they have to live under the law? they're the ones with the waivers. union workers are 7% of the private employees in this country yet they've gotten 40% of the waivers. if kathleen sebelius can give waivers to 2.2 mi