dr. diane rowland let's stay on the tran -- transition. is the tha necessary now we have the affordable care act? >> i think it depends on the option the state chose to pursue. the states that did opt in there is a way to eliminate but half of the states opted not to get the extension. in those states, transitional medical assistance is particularly important because it lets people get the ability to go in the workforce. >> if i understand you, the extension of transitional medical assistance should be for those states not participating in the medical program? >> this is existing for all states and this is about extended for 12 months which provide states with additional flexibility to do premium assistance. it gives states the ability to move from medicare into private insurance and that is important. >> i think that was a flaw in the affordable care act. we can talk that. but really it seems for continuation, it is only necessary in the states that are not participating in the medicare expansion which was their right under the supreme co