and about half the states have moved forward with the expansion, other states have decided against expansionbut some states are pursuing an altogether different path. the third way in the briefing title and in the hashtag if you're going to tweet about this event. and they're enrolling target low income population from the affordable care act and private insurance using federal medicaid dollars. and to do that, they needme federal approval in the form ofv aat medicaid waiver. three states already have their waivers in hand and are operating their new programs. and today we're going to take ae look at the experiences of two of those states and a broader look at what some other states o are proposing to do. we'll also look at the balance between on the one hand exposinn these same low income people to, say, additional premiums or cost sharing and on the other, additional -- i'm sorry, additional premiums in coverage as a condition of getting it. and on the other hand, not getting coverage at all. so we're pleased to have as al. partner today the commonwealth fund, essentially old philanthropy,

states. the medicaid expansion has largely been talked about as a red state, blue state issue. real divide and the real obamacare medicaid battleground is inside the republican party. if you look only at red states, you might be surprised by which states decided to take billions of federal dollars to give poor people health insurance and who decided simply out of spite to give the president the finger. for example, jan brewer, arizona's tea party governor, of presidential finger-wagging fame, the very person who triumphantly signed into law the infamous papers please, anti-immigration law. jan brewer is expanding medicaid. but head on over to kansas, the land of rock-ribbed eisenhower republicans and bob dole pragmatist skpps not only is republican governor sam brownback not interested in expanding medicaid, he signed into law a bill designed to prevent any future governor from expanding medicaid without going through the legislature first. >> it's illogical, it's unreasonable, and it's immoral, what they're doing. >> there are so many examples and so many stories that we hear,

about 23 states have not decided to move forward on their expansions. because of the way the law is drafted to people with incomes in states that are expanding their medicaid programs who earn 100% of poverty or more are eligible for the subsidies through the marketplaces. people with incomes under 100% of poverty are not eligible and this was because congress basically assume that everyone in that income range would have access to medicaid. consequently an estimated 5 million currently uninsured people in states across the country that aren't expanding their programs don't have access to any of the new coverage options under the law and states are leaving a considerable amount of federal dollars on the table by not expanding their programs. today we are going to focus as ed mentioned on five states that face political barriers to expanding their medicaid programs and were able to find a way forward through alternative approaches to very different from what is laid out in the affordable care act. in order to pursue an alternative states have to get permi

other states have decided against expansion. but some states are pursuing an altogether different path, the titleway in the briefing in the #and you are going to tweet about this in the event. a target lowlling income population in private insurance using federal medicaid dollars. that, they need federal approval in the form of a medicaid waiver. three states already have their waivers in hand and are operating their best programs. today, we are going to take a look at the experiences of two of those states and a broader look at one of -- at what the other states are proposing to do. ,he balance on the one hand exposing these same low income people to additional premiums or --t-sharing or on the other additional premiums and coverage is a condition of getting it. on the other hand, not ending coverage at all. we are pleased to have as a partner today the commonwealth fund, a century-old philanthropy established to promote the common good and we are definitely pleased to have as the co-moderator, sarah collins the moderator for th

>> i started by reminding you all that the vast majority of states that have done the expansion did it just through a state plan amendment. so you have to sort of -- this conversation only begins in a state where that's not a viable approach for political reasons. in my goings around the country i would say the defining message i hear from those who are looking for another way to do this, is a sense that medicaid and certainly its part of the broader politics of the affordable care act that medicaid is a one-size-fits-all program that the federal government, after the court opinion, the federal government was not open to states doing partial expansions, not open to limited benefits, and that it sort of a take it or leave it. and they want to shape this program in a way that fits with their values and with their -- the structure of their market and with the resources they have, acknowledging that they'll pick up a share of the costs in a couple of years and that a lot of thus is just about a sense that the -- they want to construct something that fits them, not something that was writte

they served 22% of all of the states uninsured, suddenly, with insurance expansion, a now serve 38% of the state's uninsured. of course, i want to talk about growing and sustaining health centers. health centers tend to have very slim operating margins. nationally, they hover around zero percent. i want to talk about health center funding because this is another critical piece. ins funding is very critical new communityng health centers and leverage other resources within communities -- within existing communities and also new communities. health centers are facing a iff because of the trust fund in the affordable care act will sunset soon. it will be a 70% cut in funding. close sides,ve to they would have to lay off staff, it would have to have fewer hours and it will reduce the number of patients they can serve. every community would experience this differently and have to apply the cuts differently. this might be a great question for brooks and vernita. while demand is increasing for care, they are experiencing gaps in other revenue payment. federal funding is critical for supportin

they include -- the largest income tax cuts in state history. an expansionf gun rights, restrictions on abortion, sharply-reduced welfare rolls, increased voter registration scrutiny and a parg of state government bureaucracy and that's putting it all pretty diplomatically. these choices don't seem to be working out very well for kansass and their governor wkans kansasians, and the tax cuts led to state revenues plunging to 45% falling $92 million short of projections. this month, the kansas supreme court ruled the state's megger public education funding was unconstitutional and ordered the state to restore those funding cuts. and when it comes to public health, brownback's opposition has gone beyond the usual public refusal to expand medicaid to 78,000 of his state residents. last month, he signed a law ensuring that win or lose this november, any decisions relating to medicaid will be put in the hands of the solidly republican kansas legislature. which is the focus of tonight's all in america series. >> head over to kansas, the and whether of eisenhower re

details on netflix's expansion. state "in the loop," i will see you in two. ♪ >> welcome back.k. pressure reached a deal to supply natural gas to china. the accord, signed during a two to shanghai putin will allow gazprom to develop .as fields in eastern siberia joining me on the phone is ryan chilcote from st. petersburg. deal.s a pretty big how would you characterize the scope of this? billion massive -- $400 is what we estimate and what gazprom estimates it might be worth over the next 30 years. does not get much bigger than that. >> what are the politics here behind this? >> gazprom, the world's largest gas producer, sells almost all of its gas outside of russia to western europe. you have the western europeans and the eu saying they want to diversify away from russian imports. so the russians are saying fine, if you want to diversify, we have a place where we can diversify our exports. that the western europeans really do not have a viable alternative to russian moment.he certainly not for the next few years. what the russians would be selling to the chinese is not going t

c-span, a discussion on state expansion of medicaid under the health care law. that is live at 12:15 p.m. eastern. >> each issue should be handled differently, but i have a general philosophy. economics is my guiding principle. from that comes four factors. as the commission have authority to act on particular issue? consumers?rm to is the solution tailored to the particular problem we are addressing? even with all of those three elements, do the benefits of regulation outweigh the cost? that is how i'm approaching each issue individually. you tend to take each issue as they come before you with my overall philosophy. >> new fcc commissioner michael o'reilly monday at 8:00 eastern on c-span 2. you can now take c-span with you wherever you go with our free c-span radio app for your smartphone or tablet. listen to all three c-span tv channels or c-span radio anytime . there is a schedule of each of our network so you can tune in when you want, play podcasts of .ifferent shows take c-span with you wherever you go. download your free app online for your iphone, andr

expands on the national drug control strategy to bring together federal-state local and tribal partners to support the expansionf states based programs and more environmental with bids to remove expired or unneeded medication and educating patients about opioid drones and instructing health care providers into reduce the prevalence of kill bills and doctor shopping this has been trying to redress trafficking and use for also focusing on opioid overdose including educating the public with intervention and increasing access with the emergency overdose information the police are often the first on the scene the administration has strongly encouraged local law enforcement to train and equip personnel with the life-saving drug. 22 states plus the district of columbia has implemented a law or pilot program to allow the administration of this medication to reverse the effects of the opioid related overdose also was good samaritan laws of bystanders will take appropriate action to help save lives. their current 17 states has now adopted good samaritan laws. it is critical to save lives we need a comprehensive response

pipeline expansions in states like pennsylvania where production has ramped up over the past two yearsringing more gas online, reducing cost and feeding consumer demand across the east. >> were it not for the additional natural gas coming in, a few years we wouldn't be able to meet demand. >> reporter: switching can cause problems, in cities where many pipelines date back to the turn of the century. >> they have cast iron pipes, and they are much more likely to leak than newer plastic pipes. so that is one of the concerns. >> reporter: one spark is all it takes for an explosion after a leak. more than 6,000 miles of pipelines carrying natural gas run beneath new york city, nearly half were installed before 1940, when cast iron and unprotected steel were the order of the day. and that raises questions about how the infrastructure will handle the energy boom. the big problem is cost. in big cities like new york, you have got these layers of underground pipeline from water mains to phone, to election, that all make for a very expensive process of removing and replacing. here in manhattan

okay, so the next program area that we're seeing expansion and the state again recognizing the growth in case load and has allocated funds to support case workers to deal with the increased case led is the cal fresh program, formerly known as food stamps. we've seen, as you can see with the case load graph, a significant increase largely during the recession years but we still continue to see an uptick but more importantly we're going to see a significant increase as we target individuals who we have enrolled in medical through the affordable care act chl there's one of the requirements of the affordable care act discusses what they call horizontal integration and the requirement that counties or states provide the tublt for recipients of affordable care act of medicaid or medical be offered public benefits to which they may be eligible. notably here it's cal fresh. so what we intend to do for the tens of thousands of people we have enrolled in medical is target those who are not yet on cal fresh and do we colleen an in reach strategy and get them to avoil themselves of the cal fresh

so you could take the money that would provide medicaid expansion in her state.ot of your critics said mike pence betrays america and expands health care. taking the money and running with it. and a lot of them are saying that some are starting to fold on obamacare by enforcing having your cake and eating it too. what is your stands? can you clarify what you did? >> we have been say no to obamacare here in the state. i was one of the leading voices against the affordable care act. so from the outset of our administration we said no to this state-based extension we ruled out expanding traditional medicaid. i think traditional medicaid is a deeply flawed that is bureaucratic and service people that are enrolled in a and in fact there is recent studies that show the people on medicaid have no health outcomes in people who have no coverage at all. that being said we still have about 350,000 people in indiana that follows in that coverage gap in the good news is here in indiana for the better part of the last six years we have had a better plan. it's called the health

state senate. they were demonstrating for medicaid expansion and they shut the state senate down, shouting and prayings police led them away. what kind of effects do these kinds of protests have? >> well, let's look at the makeup of who the protesters were. for the most part, they were reverends, clergy people saying we need to provide to the poor e of the poor. if you're talking about being your brother's keeper and providing for the poorest of the poor as often times the republicans state that's what they're for, you have to make sure you're providing them with basic necessities. in this case, medicaid expansion. i think what we're going to see is just like we saw in missouri is a bit of a by-product of what we've seen in north carolina with moral mondays. we're going to see that type of protests of organizing from grassroots, evangelicals, from labor and from just ordinary americans saying we need to have certain criteria in order to make sure that we are fulfilling our american dream. one of them is having health care, and it's up to the states and those people that represent the american people t

the well-funded, newly emboldened republicans in the state of missouri, they blocked medicaid expansion, which led to this dramatic protest in the state capital yesterday. the protesters actually shut down business in the state senate over the medicaid decision. republicans in missouri are trying to enshrine strict scrutiny for gun rights into the state constitution. and that may not sound like much, but that is such a fundamentalist approach to gun rights that it has really wide implications that have scared other states that have tried this. but missouri is steaming straight ahead to put that in their state constitution. missouri is down to one last abortion clinic in the entire state. this year, republicans in the missouri legislature can introduced 32 separate pieces of legislation against that one clinic. they've got one abortion clinic left, 32 bills this session to try to shut down or curtail the activities of that one last clinic. with no campaign finance limits the anymore and with an eager conservative godfather funding every step they take further to the right, missouri is do

expansion piece for one second. this, i feel like, as jonathan points out, there are a lot of red state democrats vulnerable on the issueamacare. the expansion of medicaid is broadly popular. people understand what medicaid is. there are people -- millions of people who now qualify for this program and need it. there's been a whole back and forth about what mitch mcconnell would do on the medicaid expansion. and i must read the whole of this response from his spokesperson because it deserves some parsing. medicaid existed before obamacare and will exist if we are able to repeal it. obamacare loosened eligibility requirements for medicaid recipients and in the process helped find many who are already eligible but not enrolled. these people would even remain eligible even after a repeal. the federal government does allow states flexibility in setting requirements and kentucky could be able to keep many of the newly enrolled in the program if we decided to. who is he talking about? how would you pay for this? some people estimate it would cost half a billion dollars if kentucky lost the federal subsidies to expand medicaid

state exchange. and of course success in kentucky with their program is very well documented. democrats need to highlight the advantages of medicaid expansionoint out millions of low income americans are going without health care coverage because of gop resistance in some states. researchers at harvard and city university of new york estimate that in 24 states who rejected medicaid expansion which 7,000 and 17,000 people may die due to lack of care. now, i don't know who taught you math, but in my world, 17,000 people, that's no small number. what are the conservatives doing? not to say that what happened at benghazi and the death of americans on foreign soil isn't important, but conservatives now in hearing number nine, they are obsessing over the incident in benghazi where four americans lost their lives. we know what happened. but republicans are ignoring thousands of americans who are putting lives at risk by not having the opportunity to enroll in medicaid because some ideological pushback in certain states is hurting these folks. they're on the wrong side of history. that should be the rally cry for democrats. we're on the right side

something great this is the strongest prevailing wage law perhaps in the western united states and beyond now an expansion of the successful local hiring model that guarantees success for the community and it's been a lot of work, work eave proud to be part of that i want to shout out administers naomi kelly she's been working with the staff and working with supervisor avalos and rochelle that's not much to add you have the organizations first, the warriors he made a mandatory local hiring commitment and waterfronts through this process they've made the ordinance better and upped the commitment to supervisor avalos said to increase that to thirty percent meaning more jobs dedicated for the community members thank you for doing that. one thing he's going to get embarrassed but a lot of us have been through here for pat mulligan thank you to city director pat mulligan a round of applause. thank you all supervisors this is great >> just in time. >> next speaker. >> jake representing forest city with the development working on pier 70 we're proud to be following the leadership of the board of supervisors in p

comcast business built for business. >>> will governors blocking medicaid expansion in their states reverse said yes. 68% said no. and jenell was one of those "no" votes. she says, "not here in texas for sure, until and unless enough people get educated and stop voting for these tea party republicans that are strongly running on platforms to repeal obamacare and keep obamacare medicaid out of texas." meme is optimistic, though. no one likes to be excluded from a good deal, especially one that can save lives. public pressure will cause them to cave. thanks to all who voted, and please keep the conversation going on our facebook page. the day we rescued riley was a truly amazing day. he was a matted mess in a small cage. so that was our first task, was getting him to wellness. without angie's list, i don't know if we could have found all the services we needed for our riley. from contractors and doctors to dog sitters and landscapers, you can find it all on angie's list. we found riley at the shelter, and found everything he needed at angie's list. join today at angieslist.com if yand you're

bring up the point about the predatory lending practicetion and the denial of med case expansion and poorer statesdisproportionately affection african-americans. let me ask you. in terms of having a black president, who is not guiding these policies but is present at a moment when policies that are not specifically racial but have decidedly, racial outcomes and racial biases, should he be doing things differently? shouldn't he be talking about race differently? >> i ask you this because in the piece you say, he's an outlier. barack and michelle obama were exceptions. but certainly there's meaning there. >> i've been pretty hard on, i think if there's anything he should be doing differently when he talks about african-americans which i think he has a lot of genuine care and concern about the fate of anniversafrican-amen this country i think the president is too vulnerable in the belief of this rugged individual ichlg. you see that in the cultural arguments he makes. but having is said that i do not think it would be a good idea for the president to stand up and demand reparations. i don't think tha

. >> the problem, i guess, would be in southern states they've actually rejected the medicaid expansionhose states don't have the same success stories to prove it, but i think you're completely right. once the narrative gets out there, you know, people -- it will be hard to deny. >> does the dovr nor attribute his success rate, does he connect it to kynect and the health care bill? >> he does, not exclusively, but yeah, he points to that as a big success. >> do the people like it? do the people of kentucky like it? >> that's the sense i get. 1 out of 12 kentuckyians signed up by the time the first enrollment period ended, which is pretty huge. yeah, you know, it's working. >> that's "the ed show." "politics nation" with reverend al sharpton begins right now. >>> tonight's lead is a roll down dirty shame. we're more than two years away from the next presidential election. but karl rove is already digging into his bag of dirty tricks. the new york post says that loolast week, rove suggested that r hillary clinton may have brain damage from when she fell, suffered a concussion and develope

elected governor, i said then that i did not believe indiana should set up a state-based exchange, and i ruled out expansion of traditional medicaid in the state of indiana, for all the reasons i stated today, and i have stood by that decision. early in our administration, we reached out to officials to seek to renew our existing healthy indiana plan. our waiver was running out, and as i reached out to officials at health and human services, and i spoke to the secretary and our team met with them, we said we have a two step process here. first, because the healthy indiana plan had been such an unambiguous success for the people of indiana, some 40,000 hoosiers enrolled in this today, 40,000 that are all medicaid eligible. my first objective was, i wanted to preserve the healthy indiana plan. and frankly in the wake of the 2012 elections, there were some that speculated we wouldn't be able to do that with traditional medicaid expansion available, there was a lot of skepticism whether the administration would be willing to extend waiver, but we made very clear what our position was and that if we were able to

under dewhurst's leadership the senate passed an expansion of in state tuition and free health care to illegal immigrants. >> one of the reasons texas republicans have swept statewide offices as long as they have, is they have not alienated hispanic voters. some republicans in texas are nervous. new hearst has suggested patrick changed his name to avoid debt after personal bankruptcy in the 80s. patrick was born danny gohe. he legally changed his name in 2003. the dewhurst campaign posted a parody of "let it go" that featured an animated dan patrick. ♪ we won't let them in, won't let them see ♪ ♪ that i'm a phony radio disk jockey ♪ ♪ danny goeb, danny goeb, i can't lie to you anymore ♪ ♪ that's my name, danny goeb >> all right. that's on the lighter side of things. the nastiest episode happened just days before early voting. jerry patterson, who ran fourth in the lieutenant governor primary and endorsed dewhurst distributed hundreds of pages of patrick's mental health records from decades ago showing that he was hospitalized twice in the '80s, once after an apparent suicide attempt an

tremendous pushback and energy among democrats around this idea particularly of the medicaid expansion in the statesre it's not happening, and even in a state where it is, where you would think that the affordable care act would be a -- take a look at that -- this in kentucky. in kentucky obama care very low favorables. it is 33% favorable, whereas connecticut is a little better off where people actually prefer connect to obama care. they are the same thing. do you have the possibility where the affordable care act ends up being a motivating issue in a sense for democrats? >> maybe. one thing you could see in north carolina, there were hire than average sign-ups there, even though there was not a lot of help from the state legislator there and obviously the governor who is a republican. the other issue is that it's not necessarily democrats really excited about the affordable care act, but republicans are less excited about it because it seems to be going smoothly. the white house took this victory lap. there's a lot we still don't knowing about some of the sign-ups and costs and how much people are

expansion. >> and right now, republican governors and legislators in 21 states are blocking medicaid expansion. >> republicans just aren't on the right side of american people. >> blocking basic health care, health insurance. >> every governor has got two critical decisions. >> whether to accept federal money to expand medicaid. >> do we set up these exchanges and expand medicaid? >> 8 million people signed is up. >> obamacare is not working. >> 4.8 million people enrolled through medicaid. >> medicaid is a failed program. >> i don't think it makes sense to do those. >> how much longer can republicans deny that this law is working? >> blocking the implementation of obamacare will cost lives. >> we're talking about roughly 5 million americans in these specific states that could actually benefit. >> now, the citizens of the state who turned down that federal money feel about that? >> obamacare is going to save and is right now saving people's lives. >> i bet they feel good. >> expand! >> expand! >> medicaid! >> medicaid! >>> good evening. i'm ari melber in for lawrence o'donnell. it has been fou

it refers to the state's online health insurance exchange and the medicaid expansion. it was created by the state of kentucky for the people of kentucky and the people like them. >> and if you want to know the real impact this law is having, talk to governor steve bashir of kentucky. >> this is working. >> more than 413,000 residents have signed up for kynect coverage, causing the unemployed rate in the state to plummet some 43%. and while recent polling shows kentuckyians don't so much care for obamacare, they seem to really like kynect. >> i think it's going to be a really good thing. >> so what is mitch mcconnell to do? what does he tell the hundreds of thousands of kentuckyians who have gotten care under kynect? well, he tells them he wants to repeal obamacare, but, you know, keep kynect. >> should kynect be dismantled? >> hmm, take away health care coverage for nearly half a million kentuckyians or hand the microphone over to rand paul. >> should kynect be dismantled? >> i think that's unconnected to my comments about the overall question here. >> with six months u

plantation of that policy the stems and gearing up to participate in them and expansion of sharp last production in the united states. technology improvements have led to the rapid rise in gas production and deep underground in the last month this is as as estimated by the estimate was among four hundred dollars this includes companies that build pipelines and tax. japan's and not just a stalemate and the bonus deal ends meet on the mattel has bumped up its production of specialists low as steel kinds. i'm so used to drill the natural fats ultimately less money factor any traditional learning creeks shipment of compound find back by about twenty percent of its announced this to see and compare too late and the act that the material bases to rain forest tenants that transport the gas. he started out production of gas is pushing down the price of natural gas in the us. this is prompted leading family she it's a chemical to announce its plan to construct a tree in the southern us state of louisiana to good use the main improvement natural gas. a stone bridge under construction has collapsed in china's southern punjab p

earlier today about the access to medicaid for example that some veterans would have in some states and that expansion of medicaid has been denied by governors and legislatures and benefits -- veterans would have access to medicaid in many of these states if their income level qualifies but being denied those benefits because those states have chosen not to expand medicaid under the affordable are act. [inaudible] > what the u.s. reaction about a nuclear iran? united olation of nations security council resolutions would be viewed very dimly by the united states, our allies and partners around the world and in the region. we certainly take the provocations that north korea has engaged in very seriously. the president focused on ptsd and joblessness and other problems, but we are told he was told or his team was told during the transition that the v.a.'s wait times were unreliable. did he look into that? did someone in the white house look into that? >> i think you heard the president of the united states and you were sitting there, i recall, talk about the fact that the issue of veterans having to ait