dr. burgess or you or the committee staff did not receive that, we will get another copy to you. >> dr. burgess? >> in fact, i did not receive it, but would be anxious to look at it as and see if it answers the question as was asked. mr. chairman, if i could have the indulgence of a brief follow-up. >> real brief. >> when this thing went live the back end part of the system was not built. is it built and available and ready to use? the part that pays providers? >> the part that pays the issuers, the issuers are getting paid today. >> doctors and hospitals? >> they get paid by the health plans, not by the marketplace. >> the back end part of the system is up and fully functional? >> no the back end part of the system is going through continuous releases. today we are paying the issuers on an estimated basis that would be a coming release this year where by the end of this year they'll begin to get paid and a policy level basis and next year continued automation will occur to tie everything to do with the back end of cms' systems. >> have the right people been paid the right amount of mone

dr. burgess. now, we have a discussion about china, and i think it's informative, but i don't think it's dispositive, and to the panel in general, as i understand the system in china. it's quite different from the system here. here we rely on governmental funding. we rely on the nonprofit sector so ably represented by a great university and great charitable trust, and we rely on the for-profit sector, including the drug companies, many of which are headquartered in the district i serve. and we rely on venture capitalists so i would ask mr. leff, that three-legged stool on the for-profit sector, what should we be doing, recognizing we have a greater responsibility with more stable funding for the nih, recognizing regarding various universities we need to make the system better so that only the -- the fact that only one in six grants is awarded should change. we ought to make that system better. regarding the for-profit sector which to me is an indispensable part of a larger hole, what should we be

dr. burgess or you or the committee staff did not receive that, we will get another copy to you. >> dr. burgess? >> in fact, i did not receive it, but would be anxious to look at it as and see if it answers the question as was asked. mr. chairman, if i could have the indulgence of a brief follow-up. >> real brief. >> when this thing went live the back end part of the system was not built. is it built and available and ready to use? the part that pays providers? >> the part that pays the issuers, the issuers are getting paid today. >> doctors and hospitals? >> they get paid by the health plans, not by the marketplace. >> the back end part of the system is up and fully functional? >> no the back end part of the system is going through continuous releases. today we are paying the issuers on an estimated basis that would be a coming release this year where by the end of this year they'll begin to get paid and a policy level basis and next year continued automation will occur to tie everything to do with the back end of cms' systems. >> have the right people been paid the right amount of mone

dr. burgess or you or the committee staff didn't get that we'll get another copy to i you. >> dr. burgess? >> i did not, in fact, receive it and would be anxious to look at it and see if it answers the question as it was asked. mr. chairman if i could have the indulgence of one brief , follow-up? >> yes. >> mr. slavin, we had a lot of questions about when this thing went live, the back end part ofh the system was not built.ystem is it now built and available and ready to use? the part that pays providers? >> the part that pace the that issuers, issuers are getting paid today. >> how about the doctors and hospitals? >> the doctors and hospitals get paid by the health planning noth by the exchange, not by the marketplace. >> so the back end part of thea system is up and fully functionu something. >> no, no, no. the back end p part of the systt is going through continuous tody releases. today we're paying the issuers on an estimated basis. a coming release this year wherebs the end of this year where they'll begin to get paid at a policy level pay sbis and next year continued automati

dr. cheryl burgess if it's pizza or something else causing your breakouts. here i >>> chuck brown's final album, week-long tribute to the godfather of go go. you can download it on itunes. the district will celebrate chuck brown day on friday, which would have been brown's 75th birthday. a ribbon cutting ceremony will be held for the new chuck brown memorial day park on 17th and franklin streets in northeast washington. the chuck brown band will play at the howland theater. he died two years ago. >>> the redskins are trending nationally on twitter this morning. partially for their preseason win last night, but mostly for this. browns quarterback johnny manziel gave the middle finger to the redskins bench after an incomplete pass. of course, it was caught on camera. in fact, it was broadcast live. manziel later said it was a mistake. >> i felt like i did a good job of holding my composure of judgment and slip up. >> being young, things happen. sometimes you don't know no better. we're all here playing, competing with each other. so, hopefully, he will learn f

dr. burgess for five minutes. >> thank the chairman for the recognition. thank you, mr. slavitt, for joining us again. our subcommittee throughout us development and the rollout of o healthcare.gov, this subcommittee had repeated assurances that the systems werh and would be ready to go and that implementation was on track at a hearing in october literally days before the launch of healthcare.gov. we had repeated assurances from the director of consumer lt information and insurance oversight, mr. gary cohen, he said unambiguously that on october 1stun americans would b able to go online, would be able to see premium net of subsidy and be able to sign up. we all know now that those assertions were fact challenged. the center for medicare and medicaid services undertook thi mammoth project without effectively planning for its development or its oversight. this has led to hundreds of millions of taxpayer dollars being wasted. again, gary cohen, other hhs officials told us time and again that the website was working. that was factually incorrect.aly it was not working and it

dr. cheryl burgess made especially for those lines around our mouth.ee you. >> good to see you. >> we're talking about laugh lines. you're talking more etched-in wriveng wrinkles? >> most people refer to them as smoker's lines even though they don't smoke. etched in around the mouth area. so, they're present -- yeah, when you're at rest. you see them when you smile. and so this is a new product called belotera balance that addresses just the lines. it doesn't give you volume like you've heard me talk about in the past where we lose the fat in our face and we have to plump it back up. this is more for that fine finish work. >> is this a filler, though, in the traditional sense? is it injected? >> it is injected. but it's right under the skin.

dr. burgess for five minutes. >> thank you to the chair and thank you, mr. slavitt, for joining us again. our subcommittee throughout development and the rollout of healthcare.gov, this subcommittee had repeated assurances that the systems were and would be ready to go and that implementation was on track. we had a hearing in september lifrl literally days before the launch of healthcare.gov. we had repeated assurances from the director of consumer information oversight, mr. gary cohen. he said unambiguously that on october 1st, americans would be able to go on line, would be able to see premium net of subsidy and would be able to sign up. we all know now that those assertions were fact challenged. the center for medicare and medicaid services undertook this mammoth project without effectively planning for its development or its oversight. this has led to hundreds of millions of taxpayer dollars being wasted. again, gary cohen, other hhs officials told us time and again that the website was working. that was factually incorrect. it was not working and it sti

dr. cheryl burgess tells us there are things you will probably forget to put in your suitcase.hat's an emergen kit for your skin. welcome. >> welcome. >> i know this can happen. i just saw it happen to one of my kids. i just saw you say you should take with you. let's start from the beginning. you say an antibiotic ointment is really important. why? >> you know, all the infections that are going around, we have ebola scare. we have so many things happening. it's really important to keep your environment clean. automatically, i would recommend some of the hand san advertisers. these are all trade sizes, travel sizes. bed, bath and beyond and some of the local pharmacies have the mini sizes. this is one i carry on my key chain but can be refilled with a hand san advertiser. >> cleaning the surfaces. >> and where you're going, particularly like hotel rooms. you may rent a house or what have you. these are clorox wipes that are easily placed in your suitcase or baggage to wipe things. >> good idea. >> so i think keeping people safe as far as germs and things like that are really im

dr. burgess is now here. he has come out of -- did they take the needles out of you, mike? i'm glad you are here. so that is why we're here, and this is what we are going to do. we are going to get this work done. does the gentlewoman have any statements she would like to make? >> well, i appreciate you are between a rock and a hard place, and as i look at this, i got to say i'm somewhat surprised to see that this martial law goes to september 5. this means that without anybody seeing anything you could call something any time between now and vote on it. you would not do that, would you? >> i want to provide us with a maximum amount of flexibility. if it is not tonight or tomorrow, or whatever it is, saturday, that we are prepared so we do not have to call you back and we can get this done. the we are trying to just give us the flexibility. there is nothing cute or clever about this flexibility. >> last night we could have done it or today, when we did the other martial law -- >> i'm sorry. >> that is ok. i am saying if we had done the martial law to cover it tomorrow, whic