glenn steele, president and ceo of geisinger health system. then we have a medicare trustee and former director of the congressional budget office and urban institute. community catalyst. several other members who were not able to be with us today include simon stevens from cohen,health, jay , and lloyd dean with dignity health. say a specialo thanks to our two major funders. first, kaiser permanente. a special appreciation to george halverson. second, to the robert wood johnson foundation represented by andy. i would like to turn the program over to bill ritter, who will outline the role of states in health care cost control and the huge number of policy levers available to states to enhance quality and reduce cost of rate increases over time. governor ritter. [applause] thank you. good afternoon. talking about the state's role and policy levers to moderate health-care cost increases, i want to make a few enteral points. are chapters in our report on the health care problem, health care act, and what the federal government can do to help stat