dr. cassidy asked why should we have a public information requirement if that is already out there? can we not put it in a separate category? a think the answer is obvious. there's a big difference between someone breaking into a database to get someone's home address and someone finding the home address in a publicly accessible file. the reason, of course, is that there is intent behind the break-in to go after the person whose home address has been obtained. the fact that it might be accessible somewhere else should hardly make people feel good about the fact that it can be characterized as public information. i would stick with that exception, that somehow companies get a free pass that can be obtained somewhere else. therefore they do not have to worry about people breaking in. i think the home address information makes obvious the problem. there is some discussion on how 02 define personal of affirmation. it is a difficult problem. of in almost every privacy bill. information that identifies or could identify a person includes, by way of illustration, but not limited to many of

dr. cassidy for five minutes. >> sir, the star plus program, now, i'm just trying to understand it. ms. bella said that 70% of the costs of dual eligibles in medicaid is related to the custodial -- not custodial, but the long-term care aspect of it. but, and most of the medicaid acute medical expense, if you will, the wrap around for that which medicare does not cover. it seems like your savings are quite substantial if -- and i'm not challenging you, i'm just trying to learn -- that the provider or the medicare organization, managed care organization with which you are contracting the only place they can lower cost is in the medicaid component of the acaught care -- acute care. is that correct? >> that's not the only place they have to manage cost and achieve effectively better utilization. it's through a number of mechanisms, acute and the long-term care service and support sides. remember, we're talking in star plus about the entire age blind disabled population. it's not just a model for dual eligibles. so about 40-50% are -- >> i see, i see. >> so you have an acute care model of ca

dr. cassidy for 5 minutes. >> examples of health information that is not covered, can you give me those? >> let me give you an example from one of the matters that the sec had built. the matter of the vault the release of information about individuals that have used prozac. that only covers particular entities. a non-covered entity. >> i am trying to understand this. you have two sets of data, one with unique identifiers and the other that is gained from publicly accessible affirmation that you have a similar concern even though it may not have a unique had been to fire? >>? comes to public record, are concerned is that once you compile a formation, it might have been very difficult to collect. it can raise very serious concerns. >> what are those concerns? a >> deck repairs that are all of this data about mortgages being sold in washington d.c.. dodge they may have information that could be given to a paid a lender because it may reveal income level. that information can be used by a lender or someone that aims to engage in some kind of fraudulent activity. >> a palin there is not inher

dr. cassidy. >> thank you, chairman.edicare and medicaid are important programs that are unfortunately unsustainable in their current form. medicare for the actuaries who own the program has gone bankrupt in ten years hastened by $500 billion extracted by obamacare. medicaid is bankrupting states, and this is before the obamacare mandate that usurped state rights. as a doctor who still teaches and treats the and injured in a public hospitals though, my primary concern is patient welfare. and fortunately there's an opportunity for improvement. as we know, the dual eligibles oftentimes have poor outcomes. republicans have proposed be free the states from the rigid medicaid rules which make it difficult to coordinate and medicaid and medicare. we also put forward a plan to save medicare from bankruptcy to preserve medicare as it has been known for those who are on it and to preserve it for those who will be on it. .. >> i will say the off assists staged officer like that the one part i applaud even a blind hog finds an acor

dr. bill cassidy, congressman from babson rouge, louisiana, representing our sixth congressional district♪ [applause] >> thank you all for being here. that is a good southern way of saying it. he did say i'm a doctor. some of deal heard my last line, i'm a guest serologist, and after that -- prepared me very well for washington, d.c.. on a serious note, let me start this by taking you back three years and telling a story. the issues before our country are so important, and i would like to begin with this. i have just been elected to congress, but not yet sworn in. i went to breakfast with a friend of mine, a pastor in batson rouge, and as we go into the international house of pancakes, there is a woman sitting next to me that is sold the form, her face so different, she could not eat without the help of her assistant. i thought to myself, my gosh, if it were not for things like medicare and medicaid, she would not be able to live. i sat down, and to my left there was a father with three young children, and two of the little boys were in their parochial school uniforms, and the third was b

dr. cassidy for five minutes. >> ms. ramirez, example of health and those not covered by hipaa, can you give me those? >> let me give you an example of one of the matter is that ftc handled. the eli lilly matter which involved the release of information about individuals who had kozak. hipaa only covered particular entities such as hospitals, doctors offices, not covered entities. >> so this may answer my next question. i'm trying to understand this, you in effect have two debts of seven. one with unique identifiers, and the other this came from publicly accessible information that you have a similar concern even though it may not have a unique identifier, is that correct? >> well, it's not the unique identifier. when it comes to public records, our concern is that once you compile information come you gather information that in past my been very difficult to collect. once it's collected in one place, that can then raise very serious concerns. >> so what are those concerned? >> when you have data aggregators that are gat

cassidy, thank you for your testimony from belfast, ireland -- northern ireland. i would like to close with this statement that dr. shih made and i think again it capitalizes why we're concerned. he note in his testimony as child mortality decreases, simple math predicts an increase in the number of children with developmental disabilities. so instead of seeing mortality and developmental disorders like autism as two distinct challenges they should be tackled as parts of the same problem. continuing in his statement, you said just a few moments ago, autism speaks and our partners around the world believe that by addressing autism and related disorders now, south africa and other developing countries can get ahead of the curve, help maximize outcomes for affected individuals and families and minimize long-term cost to society. we have a pandemic with autism. hopefully we can launch and do much more with the global health initiative and all the other related efforts at the u.n. that and the country-specific level to mitigate this devastating developmental disorder. i thank you and we are adjourned. [inaudible conve