de tres dÍas de una tregua no ada eanudÓ la lucha entre los carteles de la droga que se tÉn h@tima hh resguardaban mÁs de ocho sicarios del cÁrtel del pacÍfico. se desconoce el mÓvil del homicidio. en sinaloa la ola de ejecuciones no cesa, h@u -promedio de 50 h@univisionulti@ >> la soluciÓn para los problemas de las pandillas que tenemos nosotros en ciudad juÁrez como los aztecas, los artistas asesinos son similares a los problemas en toda la ciudad. >> madres e hijas realizaron una marcha pacÍfica. >> arma red de valor y salir a la calle y gritar que quiero justicia. >> caminaron hasta los tribunales donde se decidirÁ el futuro del responsable. >> un hombre fue sentenciado a 30 aÑos de prisiÓn, el embajador de estados unidos en mÉxico asegurÓ que la violencia ha frenando las inversiones en el paÍs. por otra parte a pesar de la inseguridad el ex presidente viajarÁ a acapulco este prÓximo jueves para una convenciÓn bancaria. desde la ciudad de mÉxico verÓnica del h@ultima horah@h@univisionultim parecen haber tomado las calles donde han aumentado los asaltos y robos como este lugar dond

how much leeway does hhs have in writing these regulations? what kind of an impact could there be on businesses, depending on how these regulations are written? are there any areas of particular concern moving forward? >> this was an enormous issue of debate and discussion about the health care bill discussion. for small employers today, what is allowable for them to purchase means of the insurer takes on the risk. that is dictated by the state. we know what state benefit mandates are. some states have a higher threshold of benefit requirements than others. it is extremely hard to find a perfect point of what would be affordable for small employers. there are regional differences. the northeast tends to be more expensive with the larger scope of coverage for small employers than the midwest and the south. our major concern was how you will find affordable for small employers. what is that? today, it is already unaffordable. our concern lies with what else they are going to dictate be included in the new minimum the essential benefits package.

the hhs secretary is going to draw up a list of what are the essential benefits that have to be in a package and then say where those annual limits can be said. so there is a lot of work for the secretary. a lot of these will happen with regulations. host: is that how the legislation is written, as the hhs secretary will determine -- guest: essential benefits package -- package and what restrictions on a dollar limit. host: gary, democrat, dallas, texas. you are on with julie appleby from kaiser health news. caller: how are you? good. c-span, this is a great show today. you need to have more people on like this. i don't want to be cut off, because this is very important. let me ask you a question. i don't have insurance on my job. my wife works for a large medical firm, they have like 600 physicians there. she can't afford their insurance. we also have our own business, a small business. so, we don't have insurance within that. my point is that, does this affect how her company would price her policy for her at her job since it was so expensive to most of the employees there? also, w

how much leeway does hhs have in writing these regulations? what kind of an impact could there be on businesses, depending on how these regulations are written? are there any areas of particular concern moving forward? >> this was an enormous issue of debate and discussion about the health care bill discussion. for small employers today, what is allowable for them to purchase means of the insurer takes on the risk. that is dictated by the state. we know what state benefit mandates are. some states have a higher threshold of benefit requirements than others. it is extremely hard to find a perfect point of what would be affordable for small employers. there are regional differences. the northeast tends to be more expensive with the larger scope of coverage for small employers than the midwest and the south. our major concern was how you will find affordable for small employers. what is that? today, it is already unaffordable. our concern lies with what else they are going to dictate be included in the new minimum the essential benefits package.

how will the hhs use existing funding streams to address the issue of increasing adolescent and adult considered to fill the and adult immunization strategy in particular what could be done to increase vaccination rates among health care workers. >> a fairly short response, please. >> we are working on this. i just was at the 44th annual vaccination week long conference we've learned a lot of lessons we intend to apply across the board and one of them is how to deal more effectively with not only minority communities but health care workers. >> hopefully we can follow on that. >> thank you, mr. sherman. i was listening to the wonderful story about jerry baliles and i must say the moral i drew was that the republicans get beat by democrats up of steady levels it is kind of a warning story for me. [laughter] on a serious note line share -- >> beat by another republican. [laughter] >> i share mr. tiahrt's concerns about the financial basis of the bill the one he particularly high lighted up the medicare trust fund out for a new entitlement program that point where we have got a baby boom

the hhs secretary is going to draw up a list of what are the essential benefits that have to be in aen say where those annual limits can be said. so there is a lot of work for the secretary. a lot of these will happen with a lot of these will happen with guest: will determine what is in the essential benefits package and what restrictions can be placed on the annual dollar benefit. host: let's take it from there. we will take some phone calls. gary from democrat, you are on with julie appleby. caller: good morning. c-span, this is a great show today. you need to have more people like this on so we can understand the bill. this is very important. let me ask you a question. i do

does hhs need to rethink its approach in light of health care reform? " there's no question there is a major emphasis in -- >> there is no question there's a major emphasis in help perform in prevention and wellness. in spite of the reluctance of the congressional budget office to score anything related to prevention and wellness, i am a believer it does not take much of a rocket scientist to understand the are spending 75 cents of every $1 on chronic disease treatment and 8 cents of every $1 and prevention, rebalancing those numbers a little bit and getting the underlying causes for chronic disease would save money in the long run. when the reasons congress put a major first time prevention and wellness investment out the door in the recovery act was just to get at long-term health care costs and healthier americans. it is focused on two areas -- of the city and tobacco cessation. we did -- obesity and tobacco cessation. we did pretty well on tobacco. young smokers it has not gone down at all. tobacco is the number-one cause of preventable disease and

guest: that is right, hhs secretary, and there would be a mechanism in place to determine some as lovell of disability. there are tools and mechanisms to do that. -- someone's level of disability. there are tools and mechanisms to do that. the issue has been raised of how you protect someone who may be a vulnerable. many of the resources are available to do that in every community. we hope we would be using existing resources as opposed to trying to duplicate things that already exist. host: about 50 more minutes with larry minnix on health care -- are long term care -- or long- term care. caller: of a conservative in a red state and i've been conservative on health care. i think it is important to live a conservative lifestyle for me. but i think one of the things people this is what is happening in the long term as our population grows and people become more diverse in our population as well. and we think about dropping for our children's future, but i think about 10, 20, 40 years from now, it will be increasingly important to deal with these issues and move forward. especially with th

while these and other health care priorities are at center stage, the hhs has other responsibilities such as programs to help families with access to child care and low-income people and this is all americans through programs like meals on wheels to get just a few licks tables. we need these services have grown during the recession and we've given the department resources to respond to both of the regular corporation bills. the president's budget request provides further increases in some high priority areas including medical research, child care, mental health and substance abuse program and health fraud and abuse control. on the other hand, i am not tall thrilled with the proposed 35% cut to liheap and we would not be with emergencies like the flu pandemic or bioterrorism. i would also mention again that the administration has put us in a box, not you but frankly the white house has by one aspect of the budget emission because it had left a very large hole with ryckman -- regards to pell grants and we need to have that problem addressed or a lot of people's priorities including t

hhs secretary kathleen sebelius and the white house saying the report is low-balling the savings, butary b, what say you? >> you know, brenda, for months on this show and across, you know, fox news, fox business, we've been saying there is not going to be a pony under that christmas tree and i'll tell you what, this report proves it and tell you what, i'm skeptical this report for one reason, i think it low-balls that 300 billion dollar deficit over ten years, i think it's going to be ten times that as we've talked about because that's the history of government involvement in this. and the rational is easy, it's clear, the reason there's such a deficit was that the demand will greatly exceed the supply already. some employers are talking about for getting rid of their company health insurance, so, because it's going to be cheaper, if you will, for them just to shove their insurance on the government. consists will be up across the board, i tell you what, this is going to be a bigger mess than even this report says. >> brenda: well, mark, this is the president's people. they're the one

attorneys across the nation, the hhs office of inspector general, the u.s. postal service office of inspector general, the fda, the national association of medicaid fraud control units, state attorneys general from around the country and the talented lawyers in the civil division at the u.s. department of justice all worked incredibly hard to bring this matter to a successful resolution. i also want to commend james wetta the whistle blower who brought this case to the government's attention as well as other whistle blowers who have brought to our attention many other cases. and successful collaborations like this one aren't just limited to the justice department's fight against health care fraud. that interagency, federal and state commitment extends to other areas where we are also tackling fraud on the taxpayers. in november, 2009, president obama elevated the battle against financial fraud to a cabinet-level priority by asking the attorney general to chair the financial fraud enforcement task force. the increased enforcement efforts aimed at addressing f

hhs approves places to hold orphan children while they are going through the adoption process, and that's why they ought to be. as you said, this is the united states of america. i argued with the government after they put the embargo on doing what we did. i said haitian families don't have money or anyplace to take these kids. if we have american families and canadian families that want to do it, let's get them out of harm's way and put them in nice settings and let the adoption process go forward. look, there are people in pennsylvania -- i got over, i think, close to 1,000 requests, how do i adopt one of the haitian kids. these kids will be spoken for if we treat them well. as you said, it's america, and that story is shocking. >> when i get off the air, i will call those folks over at the relevant agencies, and -- >> homeland security. immigration is under homeland security, and we should weigh in, no question about it. i intend to weigh in. >> you have lost a ton of weight. you are the absolute model for what michelle obama is talking about. healthy food. i saw you in person, and you

new data from hhs finds the link between depression and smoking holds for both men and women and in allps. the study shows more than half middle aged men with depression are smokers compared to about a quarter of men without depression with similar rates for women. >>> we're following breaking news right now following the west virginia coal mine. massey energy, the firm that owns that mine said air samples just prior to the explosion they say did not show any concentration of explosive gases. the samples were taken by the foreman as part of a shift change at the mine. we know that was about the time it happened around a shift change. the examination also shows the airflow in the upper big branch mine was fine. again, the investigation there continues. >>> residents in one ohio county are urged to arm themselves after major cuts to the sheriff's department. across america state and local governments are dealing with cuts to local governments often forced to make painful cuts. the county slashed its sheriff's department by more than half. this prompted a county judge to offer this warning

hh greg like twice the square footage for appliances versus a best buy. we really like that one. >> kent, in this discussion, let me ask, maybe this is a goofy question. are there small cap banks that you buy and sell, and are they going to be affected positively or negative by all of this washington fin reg rig ma roll? >> you really need to get down each and every one. we think there's more opportunities really elsewhere, you know, in the market. >> such as? >> maybe financials, maybe in the -- >> such as? run down your faves. >> right now, i said, some of the bigger names, whether it be a cisco, a lowe's, these were companies that were able during the downturn to take advantage of their balance sheets, their size to pick up market share and emerge out of this even stronger. and they have a global presence. those are two names we like. >> can we run back to larry's question with bill? because bank of the ozarks is one of your picks. now, that isn't a small bank, i don't know what is. back to larry's question, how is it affected by fin reg? >> i think th

we have worked, i think, in an unprecedented way, that is the justice department, with hhs in trying at this problem. the amounts of money that are essentially stolen from the american people are astronomical. we look at last fiscal year we have $1.19 billion in criminal and civil settlement collections during fiscal year 2009. i mean, that's just a hawj r huge amount of money. we have put together this effort health care fraud prevention and enforcement action teams we have placed in seven cities, we're going to try to expand those, i think, to 13 this year that have been particularly useful in identifying places where you see this health care fraud. and i think that we certainly need to detect it and hold people accountable where it occurs, but i think you're right. we have to come up with mechanisms -- that probably means auditors and people like that -- to prevent this from happening in the first place. these fraudsters, once they are detected we have found, they move from one city to another. so what we have to do is make it impossible for them to make money off these kinds of f

obama transition not all of the agency's that have a robust agencies such as the department of justice, hhsand civil rights commission. i actually got a history lesson on the civil rights commission and the creation. civil rights has always been bipartisan in the country. i learned that from senator kennedy and you look at all the major pieces of civil rights legislation and they've been a function of bipartisan work. i look forward to the 25th anniversary of the bill signed by george herbert walker bush this summer. and there was -- i have profound respect for the tradition and the history of the civil rights commission and that's why when they asked me to come over recently about the -- to talk about the work in the new black panther case of course i will come over and i will be over there in a few weeks to discuss options and i hope we can reach a point where we can return to our bipartisan routes because really civil rights is about bipartisan coalition building. that's what i've learned from the movement and as i study the history of the movement that is what it is and that is what i h

the justice department with hhs and trying to get at this problem.nt of money that are essentially stolen from the american people are astronomical. we looked at last fiscal year, we had $1.9 billion in criminal and civil settlement collections during fiscal year 2009. that is just a huge amount of money. we have put together this effort, health care fraud prevention and we have placed in seven cities and we are going to try to expand that to 13 this year that has been particularly useful in identifying places where you see this health care fraud. and i think we certainly need to detect it and hold people accountable where it occurs but i think you are right, that we have to come up with mechanisms that probably means auditors and people like that to prevent this from happening in the first place. the fraudsters, once they are detected what we have found is that they move from one city to another, so what we have to do is make it impossible for them to make money off these kinds of fraud. we have even seen instances where we are now a hearing drug de

agencies that have a robust civil rights presence, larger agencies such as the department of justice from hhs, hud, smaller agencies, the eeoc in the civil rights commission. and i actually got a history lesson on the history of the civil rights commission and the creation. civil rights has always been bipartisan. i learned that from senator kennedy and you look it all of the major pieces of the civil rights legislation and they've been a function of bipartisan work. i look forward to the 20th anniversary of a bill signed by george herbert walker bush. i have profound respect for the tradition and history of the civil rights commission and that is why when they asked me to come over recently to talk about the work in the blank to the two black panther case i supply will be over there in a few weeks to discuss actions there and i hope we can reach a point where we can return to our bipartisan routes because civil rights is about bipartisan coalition building. that is what i learned from the movement and i studied the history of the movement. that is what it is and i hope it will return to. >>

the hhs secretary kathleen sebelius said it's not going to be a lot of people.16,000 people, it could be 100,000 people. in our last segment carl burns said this is a one-day story. i have to disagree. when you're looking at a bill of this size, the debate is over, the bill passed. now you're looking at how is this bill going to be processed and affect average americans. that is a very big deal. >> john heilman, is this a good issue for republicans, the irs expansion? >> i think patrick's right in the sense that to the extent that the health care bill imposes additional taxes, additional bureaucratic regulatory burdens on americans, republicans are going to make hay out of that. i'm not sure attacking the irs per se is necessarily a political winner down the line. to the extent republicans in the past, one of the reasons for people who support the flat tax say this will be great because it gets the irs out of your life. they don't like it when they get audited i'm not sure it's a salient political issue that you can attack the agency and gain a lot of political

the justice department with hhs and trying to get at this problem.f money that are essentially stolen from the american people are astronomical. we looked at last fiscal year, we had $1.9 billion in criminal and civil settlement collections during fiscal year 2009. that is just a huge amount of money. we have put together this effort, health care fraud prevention and we have placed in seven cities and we are going to try to expand that to 13 this year that has been particularly useful in identifying places where you see this health care fraud. and i think we certainly need to detect it and hold people accountable where it occurs but i think you are right, that we have to come up with mechanisms that probably means auditors and people like that to prevent this from happening in the first place. the fraudsters, once they are detected what we have found is that they move from one city to another, so what we have to do is make it impossible for them to make money off these kinds of fraud. we have even seen instances where we are now a hearing drug dealer

where the entire government across a dozen agencies, the irs, sec, citf, d.o.j., hhs, it's a very large undertaking. is working on financial fraud across the whole economy. so what we start as procurement fraud training has now been subsumed into a much larger government wide effort on fraud in the state is spending, and other kinds of potential fraud in government spending. >> about a month ago, the section had a brown bag with, is that jim? >> john, and also debbie majoris and john thornton the private sector. talking about the partnership that we can form in going out to detect fraud. and basically when you look at businesses, they are major consumers and the justice department is really, although this was supposed to be only about several matters, i want to make one play. there are wonderful mentors on the justice department website for who you can contact and what you can do. they will more than welcome your phone calls if you, as a customer, think that there might be some bit of reading going on. so i encourage you to do that. i don't want to and financial distress, but i'm going

. >> here is the problem for democrats out of this hhs study coming out, a government study, that health care for senior citizens may be cut. and i -- and i don't laugh because i want health care for senior citizens to be cut, i laugh because this is, again, the consequences of passing a health care bill, andrea, that nobody really knows what's contained in it. >> just to give you a local example here but a big one. one of the biggest medical practices in d.c. sent letters to all their patient saying that as of april 1st they are no longer accepting patients who are enrolled in medicare. >> and i said on this show -- >> basically firing their patients. >> i said on this show -- >> at least six months ago. >> -- to five different democrats, if you pass this bill you're closing doctors' doors to senior citizens. they said, oh, no, no, no, they wouldn't do that. i said, i know doctors -- >> he said it repeatedly. >> -- ten years ago doctors were this close to sayinging i'm not doing medicaid, medicare. this is tipping every doctor i talk to, a democratic doctor in chicago came up to me earl

we are working closely with our colleagues across hhs on this important issue and we very much appreciate the committee's interest and welcome your questions. >> thank you dr. frieden. dr. fauci. >> mr. chairman, ranking member shimkus, mr. dingell and members of the committee thank you for calling this hearing and thank you for giving me the opportunity to discuss with you for a couple of minutes here to roll the biomedical research endeavor and a comprehensive strategy to address antimicrobial resistance. as swn o the sde on the screen as pointed out so well by dr. frieden, the strategy to address antimicrobial resistance include surveillance, infection control and the promotion by various means of the rational use of antimicrobials. an important component of that strategy is the biomedical research endeavor, fundamentally to understand the mechanisms of resistance and to do the basic and clinical research to develop the countermeasures that are needed against microbial resistance. on the next slide is a picture of a journal in which we have published their research agenda of the nation

the justice department with hhs and trying to get at this problem.f money that are essentially stolen from the american people are astronomical. we looked at last fiscal year, we had $1.9 billion in criminal and civil settlement collections during fiscal year 2009. that is just a huge amount of money. we have put together this effort, health care fraud prevention and we have placed in seven cities and we are going to try to expand that to 13 this year that has been particularly useful in identifying places where you see this health care fraud. and i think we certainly need to detect it and hold people accountable where it occurs but i think you are right, that we have to come up with mechanisms that probably means auditors and people like that to prevent this from happening in the first place. the fraudsters, once they are detected what we have found is that they move from one city to another, so what we have to do is make it impossible for them to make money off these kinds of fraud. we have even seen instances where we are now a hearing drug dealer

we are working closely with our colleagues across hhs on this important issue and we very much appreciatethe committee's interest and welcome your questions. >> thank you dr. frieden. dr. fauci. >> mr. chairman, ranking member shimkus, mr. dingell and members of the committee thank you for calling this hearing and thank you for giving me the opportunity to discuss with you for a couple of minutes here to roll the biomedical research endeavor and a comprehensive strategy to address antimicrobial resistance. as shown on the sde on the screen as pointed out so well by dr. frieden, the strategy to address antimicrobial resistance include surveillance, infection control and the promotion by various means of the rational use of antimicrobials. an important component of that strategy is the biomedical research endeavor, fundamentally to understand the mechanisms of resistance and to do the basic and clinical research to develop the countermeasures that are needed against microbial resistance. on the next slide is a picture of a journal in which we have published their research agenda of the nati