job he's given me, and that is to make sure we fulfill the mission of the department of health and human services and that is the health of the american people. there is a whole array of activities we're undertaking. one of them is this piece of legislation in the senate right now, but my job is consumed with making sure we fulfill the mission of the department. >> i'm asking as a father, if your son tweeted to a woman like that, what would you say to him? >> chuck, this is really remarkable. we have incredible challenges across this nation, incredible challenges around the world. the challenge i've been given is to address the health care issues, and your program, a program with the incredible history of "meet the press," and that's what you want to talk about? the american people want to talk about -- >> mr. secretary, with all due respect, you're blaming me for what the president of the united states has spent his entire week focused on? >> no. listen to me. with all due respect. the american people are concerned about a health care system that is not providing choices, where premiums are goin

what we're doing over at health and human services is going through all the rules and regulations that were promulgated pursue ed pursuant to -- does it help patients or harm pashs? increase costs or decrease costs? where the sans wrong, we'll move it in a better direction. >> i saw a picture of you talking to governor brian sandoval. republican of nevada. if you look at the governors. i understand you have the governor of kentucky saying he supports the bill with reservations. there's not a single government in the country saying they're on the record unequivocally supporting the the bill. >> what they'll tell you, the vast majority of them, almost to a person, is that what they need is flexibility. they need to be able to design a medicaid program that works for their population. don't dictate to us from washington, d.c., what you're telling us to do. we know how to do it better than you. nevada knows how to take care of nevada citizens better than washington, d.c. and it's true across the country. so what we have heard from the governors is virtually ewe name anymorety on that kind

and so today the department of justice in conjunction with the department of health and human services is announcing the largest healthcare fraud takedown operation in american history. the department of justice coordinated efforts between the criminal divisions, u.s. attorneys offices, health care, health and human services and more than 1,000 state, local and federal law enforcement agents including 56 doctors. it's approximately $1.3 billion in as a result of this operation, 205 healthcare providers are now in the process of being suspended or banned from participation in any federal health care programs. 120 have been charged with opioid related crimes making this also the largest fraud takedown in american history. one group of defendants including six doctors are alleged to have operated a scheme in michigan to prescribe patients with unnecessary opioids some of which ended up for sale on the street. these defendants allegedly billed medicare for $164 million in false and fraudulent claims. one facility for drug addicts in palpalm beach is alleged to have recruited addicts with g

and the role of the health and human services department is to improve the health, the safety and the well-being of the american people. and what we understand, what the american people understand is that their health and well-being is being harmed right now by the current law. and so our goal is to make -- is to put in place as well as the president's goal, is to put in place a law, a system that actually works for patients. you can't do that under the current structure. you can't do that just with regulation. it requires an act of congress. that's why the president has been so passionate about making certain that the congress of the united states repeals and replaces obamacare. >> but secretary price, i understand that. but it's clear the votes aren't there. so if they come up with a fix that helps essentially gives some certainty to the insurance companies to go into rural markets, are you then going to implement the affordable care act as it was meant to be, including encouraging people to sign up, encouraging enrollment, encouraging medicaid expansion? >> well, our -- as i said,

scout oath, helping to keep millions of americans strong and healthy as our secretary of health and human services and he's doing a great job. and hopefully he's going to get the votes tomorrow to start our path toward killing this horrible thing known as obamacare that's really hurting us today. as the scout law says, a scout is trustworthy, loyal, we could use some more loyalty, i will tell you that. so when they said, there is no way to victory, there is no way to 270, you know, he went to maine four times because it's one vote. and we won. but we won. >> he was speaking in front of boy scouts. >> yeah. >> by the way. >> the largest boy scout. >> did the president win the election? you know? i haven't heard that one before. >> i just remember being a boy scout and wanting -- i didn't necessarily want to hear about politics. does he know how to speak to an audience or does he just give campaign style rally noes matter who the audience is? >> he seemed happier. i guess that means something. wait till you hear the speech he gives to the girl scouts. i'm not quite sure what to say to you at this st

rick perry sitting there along with tom price, health and human services secretary and jeff sessions in the room. significant, of course, since it's the first time he's meeting face-to-face with president trump since the president called him beleaguered and slammed his ag. mattis and tillerson, interestingly. and then in the background there, jared kushner. we're told ivanka trump was also in the room. very notable. and john kelly, the new chief of staff. someone who knows general kelly very well, general mccaffrey. what stood out to you as shannon and chelsea join us on staff. from that cabinet meeting high praise from president trump on general kelly. on day one saying he is going to go down in history for being the best ever chief of staff. >> sure a lot of babble in washington, d.c. recently. it's astonishing. look, john kelly is one of the finest people i ever encountered in public service. he's got a tremendous amount of time in washington, d.c. for i think seven years in two different jobs he was the marine corps's congressional liaison person. he's organized. he's got integri

there are also things that the department of health and human services can do to make things easier for people buying insurance off the exchange. for example, in alaska, health and human services funded a big reinsurance package that really allowed premiums to not increase so much. last year -- alaska is a big state. it has few residents. it was going to face massive premium hikes. because it set up a reinsurance program that the department of health and human services accepted, they were able to see lower rates in the state. the question is how will it work with states to allow more flexibility so they can implement systems that are less expensive and perhaps give people better access. >> before we get to the politics with david kimberly, as many fears on the far right as there are hopes on the far left that this leads to a single-payer system, are we a step closer to that? >> it's difficult to say. again, when it comes down to it, a lot of people are comparing the status quo to what it could be replaced with. they're seeing stories in other countries where access might be limited. whe

in front of 40,000 scouts ages 12 to 18 he also issued this morning to his secretary of health and human services, tom price, who has been working to sell the bill to his former congressional colleagues. >> by the way, you going to get the votes? he better get them. he better get them. otherwise i'll say, tom, you're fired. i'll get somebody. >> reporter: part of the reason that hard sell isn't working that well is because obamacare's popularity is actually going up as president trump's popularity goes down. he can only afford to lose two republican votes today. >> nancy, thank you. >>> president trump is taking aim again this morning at his own attorney general, jeff

. >> joining me now is health and human services tom price. mr. price, welcome back to "meet the press." >> good morning, chuck. happy independence day weekend. >> absolutely, and same to you. let me start with where the add administration is right now on this health care bill, the president suggesting repeal now, now? is that an acknowledgment that the senate bill is essentially unworkable as it stands? >> no, we don't think so. we think leader mcconnell and his senators within the senate are working to try to get this piece of legislation on track. their conversations are ongoing as we speak, so we look forward to hopefully them coming back after this fourth of july recess and getting the work done. >> okay. what changes need to be made that you will accept? is it more opioid funding? is that what it's going to do to pass this? is it to scale back the proposed reduction in medicaid spending? what is it that you're comfortable with, that the president is comfortable with that you would like to see in the senate bill? >> there are three specific ar

let us bring in a fox business exclusive health and human services secretary and former utah governore leavitt. secretary, thank you for being here. moves onto the next phase, what must the tone be by the gop who are molding this bill, senator mccain said i will not vote for it as it stands right now. what is the first step they have to take? >> i think we should pause momentarily and realize what we heard was a historic address on the senate floor by senator mccain. >> indeed. >> it was dramatic. it was wise, and t's eloquent. and i think it framed the tone that has to exist from this point forward. he said not just to the republicans and the democrats but to all partisans. we're here to do the people's business and it's time to set about doing it. it was the perfect message at the right moment, and i hope it was well heard. >> well, do you get a sense that it will finally pass at some point with only republicans because you do have some no votes within this group? it's hard still to know, no one knows the future, but mitch mcconnell, in my judgment has done a good job driving the se

so these are two ways the trump administration and the democratic of health and human services can actually don't get mad at me for giving anybody ideas. trust me, they already know about these ideas. but for more on this discussion and the next steps in fixing the affordable care act, i'm joined by kathleen is he beelous. she's a former health and human services secretary under barak obama snumt alin the development and implementation of obamacare. good to see you. thank you for being with me. >> nice to be with you. >> what is your sense about what should happen next, because the president continues to talk about the kbloegs of obamacare. we do know that in the individual market for a small percentage of people who are insured in the individual market they have seen their premiums go up much more than they expected to. that should be done? >> well, i think it's important, as you say, that the subsidies be paid. and i just want to correct a slight misunderstanding about subsidies. subsidies are actually for those individuals buying their own coverage who income level is below 4100% of pove

. >> my guests this morning, health and human services tom price and two senators who say a bipartisan bill might not be such a bad idea, democrat tom carper and republican bill cassidy. >>> plus, plus, dignity of the office, the presidential tweet storm aimed at two anchors. >> i am appalled, this is the president of the united states, you don't attack them. why does the president seems so interested in fighting with the media. new reporting that could suggest the first real link between the russian and the trump campaign. joining me for inside analyst is hugh hewitt and katie hunt. welcome to sunday, it is "meet the press. >> nbc news, washington, the longest running show in television history celebrating its 70th year. this is "meet the press" with chuck todd. >> good sunday morning and happy july 4th weekend. who knew healthcare can be so complicated. mcconnell had a simple plan. repeal and replace, doing it behind close door and pass it quickly. go home for the 4th of july with the party having been made good on a key campaign promise. well, one by one, republican senators began t

lloyd has served on mick's sphere on drug policies and human resources and at the department of health and human services. derrick banner is the acting executive associate director for homeland security investigation. m banner began his comp store in law enforcement in the u.s. customs service where he served as custom's inspector, ama recent enforcement officer. a special agent and a management of meritime smuggling task force. prior to to his current position, m banner served as special agent for homeland security investigations where he led multi agency task forces and crossing criminal activity in the mexican border area. mr. el victims is executive associate director of enforcement and removal operations in this role he leads ero in its mission to identify and remove individuals who presented danger to national security or mechanic safety. he has over 23 years of federal law enforcement experience and has held numerous leadership positions, such as depth assistant director for investigations, associate special agent in charge and depth special agent if charge with a former u.s. immigration and natur

. >> joint health and human service as secretary to announce nationwide operations to counter healthcare fraud at the illegal distribution and sales of prescription drugs. the attorney general said the case involved the work of over 1,000 federal, state and local law enforcement agents. this is 35 minutes.

we will from health and human services secretary tom price and maine republican senator susan collins on meet the press as well as remarks from house minority leader nancy pelosi on fox news sunday. if they come up with a fixed but helps essentially give some certainty to the insurance ruralies to go into markets are you then go on to implement the affordable care act as it was meant to be including encouraging people to sign up encouraging enrollment in medicaid expansion? flex our responsibility is to follow the law and we take that seriously and we will continue to do so. the current law right now is feeling the american people. counties that will no longer have any insurance company next year. that's a choice for anybody. counties righte now that only have one insurance company providing coverage. that's not the choice for anybody. premiums and deductibles are up. people having insurance card and. insurers clean the market. -- bullying the market. -- fleeing the market. what the president has said. that's why we need repeal and replace. >> are you confident that secretary price is

market more competitive and give people more choices. >> we'll leave it right there, former health and human servicesy, kathleen sebelius, thank you for your time. >>> thank you. >>> staying with the senate's health care bill. one poll out showing only 16% of americans approval of republicans' efforts to repeal and replace obamacare. a whopping 58% disapprove. more than a quarter said they were unsure. cnn spoke with five republican voters to get their take. and while most of them voted for president trump, not a single one said that they like the senate or house proposals, currently. >> raise your hand if you voted for president trump. do any of you want the house or the senate health care bills to pass and become the law of the land? >> not in its current form. >> i'm not happy with the health care bill that they have so far. i'm not happy with the current health care bill. but i would like to see more free market so people can choose how they want. >> i think he still has a lot to prove. i think i'm one of those republicans that he still has a lot to prove to. you have a republican house, a republ

earlier i spoke to kathleen sebelius and she was the health and human services secretary for the obamanistration as the affordable care act was being crafted. i asked her what would happen to the people who are on obamacare if indeed it is repealed now and replaced later? >> well, millions of people, 20 million approximately individuals would lose the health care they now have for themselves and their families and rely on to make sure they can get preventative care, have birth control when they need it, get their kids to the doctor. i guess that what he's saying is it really doesn't matter if 20 million people would be totally without coverage once again, which is where we were, fredricka, at the beginning of the debate on the affordable care act. >> if the goal of the obamacare was to have affordable, accessible care. when you hear the sitting president say repeal now, replace later, what is your belief that his goal is at this junctu juncture? is it an issue of health care? is it an issue of branding, you know, health care? what is the goal in your view? >> well, i think that's a gre

president chub is putting people in charge to dismantle and that is absolutely true with health and human services and we have day incredibly hostile senate but then to go into law but that is what happens to the new health care bill. even private insurance paying out of your own pocket. this is not republican or democratic we have our challenge is cut out for us with that democratic caucus they believe that it should be happening. with that political expediency and then we can talk about that later as part of that political strategy. >> but in terms of the political climate to work on these issues i have heard some folks day have-nots' seen anything like this with the overreach at the executive branch level but tell us about those personalities. >> you can see the positive and the negative side. but in terms of what is happening and that preemptively assures them that is the of moves as soon as that is positive happening and it is critically important to show the of pathway for word. but to have the potential for real transformation seven with the other side and day clarified to crystallize what

we also are seeing from the health and human services secretary that he's implying there should be a separation between what the president is tweeting about or choosing to talk about versus the policy that the health and human services secretary, you know, was on "meet the press" and other morning shows, to talk about. that's very difficult to do. >> it is. the president's message is about the media. we would rather not be the lead story. i would rather not be on the first hour, the first segment of your first hour today, but this is the president's only message, according to his twitter and facebook feeds. his only message to the american people today as we are all thinking about the fourth of july, the long holiday weekend. he had that event, spoke of that event for veterans last night. used that opportunity to attack the media in ways we frequently hear from authoritarian leaders instead of democratic leaders and does that last night and just ta poju juxtapose to his video, doesn't give many speeches in public except for the one last night. the tweets are important because they're

. >>> president trump's health and human services secretary tom price joins me now. mr. secretary, this week, president trump said you were responsible for the passage of a health care bill. here's what he said about you. >> hopefully, he's going to get the votes tomorrow to start our path toward killing this horrible thing known as obamacare that's really hurting us. he better get 'em. oh, otherwise, i'll say, tom, you're fired. i'll get somebody. >> safe to say you still have your job. i know you say it was a joke. but there was a message to you there. what could you have done differently? do you feel you let the president down? >> i think what that statement was, one, i think it was -- a humorous comment that the president made. i think what it highlighted is the seriousness with which he takes this issue. he understands that the american people are hurting because of obamacare. we have over 30% of the counties across the nation have one insurer offering coverages. premiums and deductibles are up. we have insurance companies fleeing the market. the president understand

health insurance over the next 10 years. over the weekend, republblican governors confronted vice president mike pence and health and human services secretary tom price over the healthcare plan during a closed-door session at the national governors association conference. the trump administration is continuing to face criticism and scrutiny over revelations that trump's own son, donald trump, jr., embraced an apparent effort by the russian government to peddle information incriminating hillary clinton in an attempt to help trump win the presidency. over the weekend, new information surfaced showing as many as eight people were in the room during trump jr.'s meeting with the kremlin-linked lawyer natalia veselnitskaya. among them were trump's son-in-law jared kushner, then -campaign manager paul manafort, a russian-american lobbyist named rinat akhmetshin, publicist rob goldstone, who helped set up the meeting, at least one translator, and a representative of the russian family who had asked for the meeting. on sunday, president trump's lawyer attempted to blame the secret service for allowing the participants into trump tower for

north korea and working on his health care bill, he is instead involved in juvenile behavior below the dignity of his office. meanwhile, for a second week in a row, health and human services committee tom price is spending his sunday defending the senate gop health care bill. here's how he responded to its progress with colleague chuck todd. >> repeal now. replace later. is that your official stance now? is that an acknowledgement that the senate bill is essentially unworkable as it stands? >> now, we don't think so. we think that leader mcconnell and his senators within the senate are working to try to get this piece of legislation on track. their conversations are ongoing as we speak. and so we look forward to hopefully them coming back after this fourth of july recess and getting the work done. >> so also new today, people are gathering in a number of cities calling on congress to begin impeachment proceedings. here's a video of a march taking place in austin, texas, where democratic congressman al green who has been ramping up impeachment talk, is scheduled to attend this event. the vice chair of the senate intel committee says he thought they'd be further along with

health and human services secretary tom price said that trumpcare would cover more individuals than are currently covered. but the cbo said millions more americans would be without insurance under trumpcare. president trump loves to bring up president obama's broken health care promises. but while selling trumpcare, trump and his team have stacked up a massive amount of promises they're not going to be able to keep, and they know it. >> that was a great explanation. >> why, thank you. for conservatives, listen, there are lots of valid reasons why there's complaints, why they say obamacare doesn't work. so many they don't bring them up in public debate, but the answer is what are you dogoing to reple it with. >> if you were a conservative you might say despite the fact that there are 58 countries in the world that have universal health care and that 34 out of 35 of the richest countries in the world exempt the united states have universal health care, you might say why do i have to pay for your health care? i pay for mine, you pay for yours, keep yourself healthy, earn enough money or wh

(justine) tom price-- the health and human services secretary-- is confident that once a vote is setthe bill will pass. (jr stone) police in the south bay are looking for a gunman after a woman was injured in a shooting... the shooting happened just before midnight... near the area of eden and payne avenues. kron4's hermela aregawi has details. at this point, police aren't releasing a lot of information about the shooting. but here is what we do know. we have some footage from a witness who saw the whole thing unfold. let's take a look at that.this happened last night just before midnightat the intersection of eden and payne. that's near the san jose and campbell border.police say the victim suffered at least one gunshot wound.she was transported to a local hospital and treated for non lifethreatening injuries. people who live nearby say crime appears to be happening more frequently in their neighbhborhood.they say for a long time, it was pretty quiet but now these shootings happen every once in a while.we spoke to neighbors who say it's frightening.but they didn't want to talk on ca

the president was joined by vice president mike pence, health and human services secretary tom price and a number of families facing health care issues. >> good afternoon. i'd like to thank president trump for inviting us to the white house today. we are grateful for his incredibly strong commitment to patient centered health care reforms. i'd especially like to thank the weir, finn, atkinson families who want to tell their stories. they are a vivid reminder for all of us why inaction in this problem is not an option. right now obamacare is failing to deliver for the american people. and the folks here in this room today are a stark reminder of that problem. principles of health care are pretty clear. accessibility and affordability and quality and choices. you all represent millions of americans for whom those principles have been violated, and it's because of your voices and your experience that we're here today to urge the congress to give the president a bill to sign. the president has laid out a positive vision for how to fix this mess by putting patients, and physician in charge

health through patient and state stability fund. this budget fully funds discretionary programs at the department of health and human services the focus on women's health, including the nih office of women's health, the nih pregnancy and prenatal branch, the cdc office of women's health, the cdc efforts to prevent the spread of zika virus which impacts pregnant women. so here are some other responses of the rest of the story. our budget does not eliminate federal funding, excuse me, does a limited federal funding for planned parenthood. however, promotes redirecting these funds to community health centers. the budget promotes investment community health centers to promote greater access to care for women. the community health centers are nonprofit. there are committee base clinics have a comprehensive care including mammograms which by the way planned parenthood claims to have provided and we now know that they do not provide mammograms. in fact, they do not have a single location that provides a mammogram. now, here are some other little fax. there are 9000 community health centers which unlike planned parenthood clinics are required

on government reform subcommittee of criminal justice drug policy and human resources and at the department of health and human services. derrick banner is the acting executive associate director for homeland security investigation. mr. banner began his career in law enforcement in the u.s. customs service where he served as customs inspector, a marine enforcement officer, a special agent and a manager of the maritime smuggling task force. prior to his current position, mr. banner served as special agent for homeland security investigations where he led multi-agency task forces in targeting cross-border criminal activity in the california/mexican border area. mr. elvince is associate executive director of enforcement and removal operations. in this role he leads ero in its mission to identify and remove individuals who present a danger to national security and public safety. he has over 23 years of federal law enforcement experience and has held numerous leadership positions, such as deputy assistant director for investigations, associate special agent in charge and deputy special agent in charge with the former u.s. i

hear about it unless we discuss it yesterday, attorney general sessions and secretary of health and human services secretary tom price announced the largest, let me get this right, the largest medicare fraud investigation. steve: sure. >> and bust, really, in our nation's history. and, you know,. steve: a lot of the people in trouble. >> a lot of people in trouble over a billion dollars in fraud. and they went in protection of our consumers of americans. and they are busting up these people, these healthcare professionals who have violated their hippocratic oath and put greed in front of the patients. steve: sure, right. >> you see actions like this and you realize that we are trying to protect patients and americans through better healthcare reform but also by busting up the fraud and abuse in the system. steve: kellyanne conway, we will see whether or not they do get a vote in the senate on tuesday. that's first up. first, let's talk a little bit about the number one story on the other channels. and that's russia, russia, russia. you know, when it started, it looked like a don jr. got this email

. >> my guests this morning, health and human services tom price and two senators who say a bipartisan bill might not be such a bad idea, democrat tom carper and republican bill cassidy. >>> plus, dignity of the office. that presidential tweet storm aimed at two

in late may the department of health and human services released a report comparing thee average individual market insurance premium in 2013, the year where most of obamacare's regulations were impred, with t the average individual market exchange premium in 2017 in the 39 states that use healthcare.gov. this is what they found. between 2013 and 2017 the average individual market monthly premium in the healthcare.gov states increased by 105%. 105%, mr. president. that in a four-year time frame since obamacare was implemented. on average individual market premiums more than doubled in just those few years inch south dakota, the premiums increased by 124%, or $3,588. 124% increase in premiums, or $3,588. that's money the south dakota f families had to take from other pry sorts like saving for retirement or invest income their chin's education for the past five years the average individual market yearly premium has increased by $4,800 in arizona, $8,364 in alaska. by $3,648 in louisiana. by $5,064 in north carolina. by $4,488 in tennessee.292 by $5,292 in west virginia. and premium hikes aren'

-the secretary of health and human services shall implement procedures encouraging states to adopt or extend waivers related to the authority of a state to make medical assistance available for home and community-based services under the state plan under title xix of the social security act if the state determines that such waivers would improve patient access to services. sec.136.coordination with states. title xix of the social security act is amended by inserting after section 1904 (42 u.s.c. 1396d) the following: "coordination with states section 1904a. mr. enzi: mr. president, i ask that further reading of the amendment be dispensed with. mr. enzi: i ask further reading of the amendment being dispenses with. the presiding officer: without objection. mr. enzi: i ask unanimous consent that there be one hour for debate on amendment 270 equally divided between the two managers or their designees and that following the use or yielding back of time, senator murray or her designee be recognized to make a point of order against the amendment and senator enzi or his designee then be recog

in late may the department of health and human services released a report comparing the average individual market insurance premium in 2013, which was the year when most of obamacare's regulations and main dates were implemented, with the average individual market exchange premium in 2017 in the 39 states that use usehealthcare.gov. between 2017 and 2018, the average premium in the health care states increased by 105% -- 105%, mr. president. that in a four-year time frame since obamacare was implemented. on average, individual market premiums more than doubled in just those few years. in my home state of south dakota premiums increased by 124%, or $3,588. 124% rin crease in premiums -- increase in premiums or $3,588. that is money that south dakota families had to take for other priorities, like saving for reel timer or in -- retirement or investing in their child's education. the average has increased by $8064 in alaska, by $3,684 in louisiana, by $5,064 in north carolina, by $4,488 in tennessee, by $5,292 in west virginia. and premium hikes aren't over. in fact mrks in many case -- in fa

the department of health and human services conduct the biggest crackdown in history charging hundredss, nurse and healthcare providers in opioid schemes. 120 of those charged were directly involved in prescribing and distributing those drugs. john, you are a former prosecutor. what do you make of this? >> a famous bank robber was asked why he robbed banks, and he said this is where the money is. the trump administration is going after healthcare providers who have violated the law it's a very significant initiative. gerri: dr. howard, i know you are in this business of helping addicts get off opioids. to what degree is the medical industry locked into this? to what degree are people getting their drugs from doctors? >> we are finding a tremendous amount of doctor corruption and doctor abuse where the doctors are giving 60 oxycontin and 60 vicodin for a few days of pain relief. there is such a tremendous amount of abuse. i'm happy to hear that the government is cracking down on the corrupt providers. here in los angeles it's not just the medical providers who are corrupt. there are so

there is appropriated to the secretary of health and human services out of any money in the treasury not otherwise appropriated such sums as may be necessary for payments for cost-sharing reductions by the patient protection and affordable care act, including adjustments to any prior obligation for such payments for the period beginning on the date of enactment of this act and ending on december 31, 2019. notwithstanding any provision of this act, payments and other actions for adjustments to any obligations incurred for plan years 2018 and 2019 may be made through december 31, 2020. section 205, repeal of cost-sharing subsidy program. a, in general, section 1402 of the patient protection and affordable care act 42-usc-18071 is repealed. b, effective date, the repeal made by subsection a shall apply to cost-sharing reductions and payments to ensure -- to insurers for such reductions for plan years beginning after december 31, 2019. the presiding officer: if no one yields time, time will be charged equally. a senator: mr. president? the presiding officer: the senator from wyoming. mr.

additionally, the health and human services required all individual and small group policies to meet the essential health benefit requirements. these benefits were determined by the secretary of the health and human services and required involvement of not simply government, but also nongovernment plans. the individual and small-group policies then had to be sold at a more, most significant cost to the consumer. so how is the employer based system changed so employees could be moved into the system? businesses with 50 or more full-time employees had to provide health insurance approved by h.h.s. or be financially penalized. the cost for business for the penalties for not providing insurance was less than the cost of insurance. obamacare exchanges were there to take in anyone who needed to have insurance. employer-based mandates were a way of moving employees out of the employee-based marketplace into a government program. it's the backdoor way of having a government-based health care system. it was ingenious but fortunately for the american people it was flawed. yes, americans in the

health through patient and state stability fund. this budget fully funds discretionary programs tat department of health and human services that focus on women's health including the office of women's health, the nih pregnancy and perry thattal branch, the office of women's health, the cdc efforts to pred the zika virus which impacts pregnant women. so here are some other responses of the rest of the story. our budget does not eliminate federal funding -- does eliminate federal funding for planned parenthood. the budget promotes investing in community health centers to promote greater access to care for women. the community health centers are nonprofit. they're community-based clinics that provide comprehensive care, including mammograms, which by the way, planned parenthood claims to have provided and we now know they do not provide mammograms. in fact, they do not have a single location that provides a mammogram. now, here's some other little facts. there are 9,000 community health centers. which unlike planned parenthood clinics are required, yes, they're required by law to be located in medically underserved areas with high leve