how will hhs insure tlat funds that are spent are spent on methods that provide care? >> i think there would be a very significant, you know, program integrity feature to the bill. and also probably some very specific design of benefits of what it is that actually could be purchased along the way. the program is set aside for people to draw out their own money with no taxpayer support. so the framework is not perhaps designed to mandate cert. that only a few options could be available sings people are spending their own money. but defined benefit package will make sure that we are supported on into the future as part of the program design. >> is there a -- okay. there is a clock here. am i over my time, mr. chairman? sorry. >> we need to expand our clocks around this place. senator hatch, did you have additional questions? senator thune, why don't you just go ahead. >> just one more if it's okay. i want to explore this further. but the -- if the premiums have the support of 75-year balance, at what level are the premiums too high to be affordable? have you given though

how will hhs insure tlat funds that are spent are spent on methods that provide care? >> i think there would be a very significant, you know, program integrity feature to the bill. and also probably some very specific design of benefits of what it is that actually could be purchased along the way. the program is set aside for people to draw out their own money with no taxpayer support. so the framework is not perhaps designed to mandate cert. that only a few options could be available sings people are spending their own money. but defined benefit package will make sure that we are supported on into the future as part of the program design. >> is there a -- okay. there is a clock here. am i over my time, mr. chairman? sorry. >> we need to expand our clocks around this place. senator hatch, did you have additional questions? senator thune, why don't you just go ahead. >> just one more if it's okay. i want to explore this further. but the -- if the premiums have the support of 75-year balance, at what level are the premiums too high to be affordable? have you given though

i the further is hhs health and human resources.ealth be nervous grievances so i came up with phidias and testing and nobody wanted them. the network, the nightly news, the "today show", i thought what is going on and i was doing interviews for other people's packages for hour i had the best of the network so of this went on for about eight or nine months and i was miserable. i was not doing anything, i was not called upon. this is not what i imagined. by am i not at the white house? a friend of mine went to london and visited our old news director in chicago and said what is carole doing? the word is she went to washington and got lazy. thing god she came home and reported her telephone conversation to me and i went desert. you can call me ugly. [laughter] stupid. but do not call me lazy. that is not what i am. it was so pejorative and labeled with the black people i went crazy i immediately went into the bureau chief and said it is across the atlantic ocean that i am lazy and i do stand a whole network thinks i am lazy. i want out

hhs, health and human services.was coming up with story ideas and suggesting all of these things. nobody wanted them. the network, the nightly news did not want them, the today show did not want them. i was like, what is going on? i was being sent out to do interviews on other people's packages. i had been on the network back, working out of the midwest bureau for six months before moving to washington. i happened -- this went on for about eight, nine months. i was miserable. i was not doing anything. i was not called upon. this is not what i imagined. why aren't tied at the white house? and so a friend of mine went to london and visited what had been our old news director in chicago. she said, i don't see her on the air. he said the word is she has gotten lazy. and thank god she came home and reported her telephone conversation to me. i just went berserk. lacy? you can call the ugly. you can call me stupid. don't call me lazy. that is not what i am. it was such a pejorative associated with black people that i just

the hhs, health and human services. with story ideas and suggesting all of these things. nobody wanted them. the network, the nightly news didn't want them, the today show didn't want them, and i was like what is going on? and i was being sent out to do interviews for other people's packages, and i had it been on the network working out of the midwest bureau before i moved to washington to the and so on happened -- this went on for about eight, nine months. and i was miserable. i was not doing anything. i was not called upon. this is not what i imagined. why aren't i at the white house? and so, a friend of mine went to london and visited would have been our old news directors in chicago, and she said hauer is carole doing? i don't see her on the air. he said the word is she's gotten lazy, she went to washington and got lazy. thank god she came home and reported her telephone conversation to me. and i just went berserk. fleecy! you can call me ugly, you can call me stupid, but don't call me and lazy. it was such a term a

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reasonable remedies to ensure compliance, provides for private right of action, and designates the hhs office of civil rights to hear complaints. the need for more secure protection is there. the american civil liberties union has been urging the federal government to force catholic and other hospitals to violate the moral and religious convictions by providing with the aclu calls to emergency abortions by which it means all abortions to serve women's life or health. they surely know it has been interpreted by the federal courts to mean socially or emotional well-being. this is an obvious threat to access to life affirming health care. catholic hospitals alone care for one in six patients in the united states each year and provide a full continuance of health care for more than 2,000 sponsors, systems, facilities, and related organizations. they have been shown to provide higher quality and more effective care including care for women than anyone else in the various studies. if congress wants to expand, rather than eliminate access to life test shaving health care including a live-savi

i also have to acknowledge and thank our wonderful staff as well as the staff at the usda and hhs for putting this event together this morning. we at g.w. share the commitment to promote health, wellness, and nutrition. our urban food task force is working to identify ways the university can support scholarship and instruction on sustainable urban food policies and provide practical information on healthy eating and food preparation to the greater g.w. community. i want to particularly acknowledge diane robinson napp wife of g.w. president. for her work and involvement in leading this effort. thank you very much. we are honored to have here today two of our country's leading health and nutrition advocates, secretary of health and human services kathleen sebelius, and secretary of agriculture, tom vilsack. as a state insurance commissioner, governor of kansas, and today as the country's highest ranking health official, secretary sebelius has been a leader on health care, family and senior issues for more than 20 years. secretary sebelius is guiding the implementation of the historic af

these models of the teen mom program and the home visitation model at hhs are, you know, the universe of evidence is so small and it is very clear. it doesn't rule out that there aren't other, excuse me, other effective models. and in fact groups are encouraged in different federal grant areas to put forward if they think they have a model that is effective but it is not there on the list already to put that forward. so i think that on the one hand continuing to build this evidence base. so where there are investments in innovation fund, you know, those fund are just like a year into their operations, if even that. to get to the evidence of those, there is still a way to go. and some of those are funds that are in the authorization. there's a time set in it. it will be for five years, et cetera. it become as decision around, you know, appropriations every year whether the funds will be appropriated but the legislation sets that fund up to last for x period of time. so there is a lot of different factors into this. in terms of the 2012 budget i think there are clear indications continu

lower income families advance and succeed, so to say just a little bit about acf, we're the part of hhs that is responsible for a wide range of programs affecting principally low income children, families, and communities. within the jurisdiction of acf, the well reform effort, child care, child welfare system, the child support program, refugee assistance, social service grant, the community block grant, the asset for independence block grant, and others so the work within acf is guided by a set of priority goals. .. we mean the goal of breaking down silos and all these programs, recognizing that they are working towards common goals, but too often working separate and apart from each other. so, towards an effort to have them move toward common goals and to make it easier for the states and triumphs and other guarantees to coordinate the programs to have integrated agendas and what they do. we are also jerry much guided by the administration's strong priority on ensuring that we use and encourage the guarantees at acs to use the strongest available resources and evidence based practice

host: according to hhs, liheap is based on total household income.ome must be at 150% below the poverty level. florida. laurie, hi. caller: good morning, c-span. in florida, when liheap came out in florida, i wonder why we do not have a list of these people? why don't these people have solar panels to help their heating bill? we need to reduce everyone's heating bill. most of the country is solar- ready. we can do it to keep their water parhot. caller: that is a good idea. there are some pilot programs around the country. one that i know of, surprisingly, is in rural minnesota, essentially trying to mitigate home heating costs of the solar energy. it would be a question of more coordination among the federal government's and utilities. i think professionals in the energy assistance field of whom are involved in organizing and delivering programs, certainly, would like to see green energy support, people in real need of warm or cool homes. host: notagain tweetsin -- -- tweets in-- caller: in terms of states, new york and california. money goes to ever

the personnel deported overseas to hh risk posts are uniquely qualified to review the applications and identify individuals that might be attempting to enter the united states to do us harm. did you agree with the omb recommendation, with the visa security program? >> if i might, representative, the budget request is not yet out. it will be out on monday. my first hearing is next thursday, yes, next thursday. i think, if i might ask your fore barns for a response at that time. >> okay. i would like to keep in touch with you on this. >> duly noted. >> thank you. one more question. as you are aware, terrorists involved in 1993 and 2001 world trade center attacks entered the united states on student visas, later violating their terms. they have been concerned there are problems in the issue process. how concerned are you about to fraudulent use of student visas or any visas for that matter? >> do you want me to take it? >> we look at all kinds of visas. you are right. there is a hisry with student visas. there's an ongoing interest in student visas. we have built in extra protections fr s

it's fly away, what a wonderful version of fly away, and the other one is, of course, rocky tain hh.u can make a generous gift of $100, we'll send you both, which is, of course, usually the most popular level, because everybody loves to listen to this music when you're driving in your car or when you're with your family enjoying an evening. but to be able to watch the concert is wonderful as well. and then we have a special treat level for you, and mark will be telling you all about that. >> well, we love bringing you music like this. we love bringing you new music. we love bringing you some of your favorite artists and showing you more about these artists, telling you their stories and bringing you performances by them that you've never seen before. but we need your help to do that, so it's so important that you go to the phone, call that number on your screen, or you can pledge online. at the $150 level, we've got a great package. you'll get that very special john denver: live in london compact disc. this is not available anywhere else. very special live performances by john denver

following the safe drinking water act which puts in place a number of reviews, small business reviews, hhs consultation of cost-benefit analysis, technology analysis, to look at availability, and impact a small system. all of that is mandated by the law and is part of the reason it takes up to two years for epa to propose a new standard. >> the following question would take too long to answer some asking you to answer for the record if you would. and that is, in april of 2010 inspector general declared or conclude that the epa science level was good, and then the standard came out in september of the same year. between those months. and i would ask you what led to the change at the agency's position, specifically between those two months on perchlorate air and then lastly, since the time is short and with good attendance, and i'm very thankful we do, one of the things that i want to be very careful about because i know there is an effort out to start regulating hydraulic fracking. not many people realize that with the huge reserves that we have and the united states does have the largest r

reasonable remedies to ensure compliance, provides for private right of action, and designates the hhs office of civil rights to hear complaints. the need for more secure protection is there. the american civil liberties union has been urging the federal government to force catholic and other hospitals to violate the moral and religious convictions by providing with the aclu calls to emergency abortions by which it means all abortions to serve women's life or health. they surely know it has been interpreted by the federal courts to mean socially or emotional well-being. this is an obvious threat to access to life affirming health care. catholic hospitals alone care for one in six patients in the united states each year and provide a full continuance of health care for more than 2,000 sponsors, systems, facilities, and related organizations. they have been shown to provide higher quality and more effective care including care for women than anyone else in the various studies. if congress wants to expand, rather than eliminate access to life test shaving health care including a live-savi

eastern time, hhs secretary kathleen sebelius will testify about her agency's budget. and if our viewers are interested we will cover house ways and means. they will talk to tim geithner, the treasury secretary. said a budget committee will be there. if you are interested, go to our website, c-span.org, for more information when those are slated to air. i wanted to show our viewers the "wall street journal" headline about all of this. if i can find it here -- let me paraphrase. president obama's budget proposal is a challenge to the gop. i am just wondering, because it does not exclude it entitlement reform. guest: i think what the president has tried to do is perhaps laid down a marker for the left engine of the budget debate we will see starting this morning in the house for 2011. the republicans in the house decided to try to cut $100 billion from the request the president put forward just a year ago, for the current year. that would be $58 billion cut from the current trajectories spending for the current year. i think that -- that fight was going to be big enough

[applause] >> our greatest resource is the wonderful people who work here at hhs. the doctors, nurses, middle health professionals, social workers, and thousands of other dedicated professionals to shape our department's policies and work hard every day to deliver vital services to the families across this country. the budget we are announcing today will help america when the future by giving families and business owners more freedom from rising health costs and insurance abuses. by keeping america at the cutting edge of new cures and treatments, by ensuring that our children are prepared as any in the world when they start school, and by slashing waste and fraud in medicare to strengthen it for the seniors today and tomorrow, it will move us one step closer to the american ideal of a society in which every man, woman, and child has the chance to reach his or her potential and make a meaningful contribution to family, community, and country. at the same time, the budget recognizes that we cannot build a lasting prosperity on a mountain of debt. years of deficits ha

the kind of educational services we do would be headstart bid that is money that comes from hhs to serve a three- and five- year olds. there also funds for after- school programs for kids, tutoring programs for kids. and job training and retraining. dislocated workers, unemployed workers, people who needed jobs. one of the things the agencies do is provide training for jobs and careers. that is education they could use. host: nutrition and emergency services? guest: for example, santa anita in upcounty in california -- san bernadine out county in california -- they have over 900 feeding sites. that could be a place where a family sits down and as of yore, or it could be a food bank where people get groceries and supplies and take them home. there are feeding programs per se where people come in any, and there are problems with it, get food. -- and there are programs with a come and get food. americans are involved. the census numbers for 2000 and were released, and we are writing for the 2010 -- census numbers for 2009 were released, and we are waiting for the 2010 one. one in every seve

took the form of the height amendment in 1976 which limited abortion funding appropriated under labor hhs where abortion was necessary to save a mother's life and later in cases in rape and incest. the supreme court upheld the constitutionality of the height amendment, and in so doing, made a sharp distinction between abortions and other medical procedures. in the words of the court, no other procedure requires the purposeful ending of a life. it is understandable that it is controversial in the united states and that's beyond dispute. for these reasons, it is appropriate that abortions not be subsidized in any way by the federal government. the no taxpayer funding for abortion act implements this legal and political consensus on a government wide basis. over the years, the hyde amendment and others like it are included in various appropriation bills renewed an annually by congress. what is lacking is a single simple law prohibiting government funding of abortion across the board wherever federal dollars are extended. we taxpayers paid for 425 abortions in fiscal year 2008, and 220 last y

the invitation went out saying he ran all of hhs. mark is a longtime promoter of innovative anti-poverty work. he is one of the people that is one of the most thoughtful people i know who is looking at these issues, looking at poverty programs, what works and how to improve them. pleased to have him here and he is one of the ones i am thankful, digging into these issues. we will hear from mark. we are releasing two papers that are part of this work. they are available on our web site noonamerica.net. what is and as a by maurice which will offer his perspective on launching the initiative and overcoming the obstacles that were encountered. the second is by my colleague, mark o'brien at the new america foundation, exploring the policy implications of the lessons learned from this experience. an important piece. and is a fabulous indicator in her own right. she is a policy entrepreneur and has incubated a number of ideas about helping families access financial services and increasing helping families increase their savings and assets an

governor brewer recently made a from formal request from the hhs secretary sebelius for a waiverfrom mai from the maintenancentenan of effort gr provision. waive since the administration granted over 700 weavers to companies and lab unior onunions ones, can only hope the same fairness will be provided provided to the states who are much more crucial part first to govern the federal government in the delery delivery of health care. under the terms of the requestld arizona would preserve medicaidzonans coverage for 1 million arizonans who represent the core of th medicaid's mission. pregna the disabled a blond, pregnant i women and children.nor' i support the governor's request and i would urge the administration to grant the waiver. but ultimately madameaw president, only repeal of this law would provide permanent relief to all of the state's oth like arizona and all of the so other states similarly situated.uppo so irt am strongly in support of provide the amendment that provides for wit h a repeal and replacement with something that will work andamilies, will not punish our families

labor hhs and education cut 14%, like the others. legislative branch, we cut ourselves, 13%. you and i are sharing in that sacrifice. state and foreign operations, cut 21%. transportation and hud cut 24%. so the cuts are alst consistent to a t across the board. >> i understand what you're saying. >> and it applies to everybody. that's why i say in solving this national crisis that we're in all of us have got to sacrifice and help pay for it. >> mr. chairman, most respectfully, i'll disagree with "all of us are sacrificing." when you get granular and go inside the cuts that you just enumera enumerated, you will find programs that add up to those percentages that impact middle class people and the poor more than they do everyone else. now, let me ask you another question. did the committee -- i'm not into process here. you had the right to exercise, the prerogative, the continuing resolution is neededo be done. those dynamics a s i readily understand. but was there any analysis in the continuing resolution reductions as to just what the projections would be in ss of jobs if in

hh middle east politics among other things. thank you very much for coming to harvard today.and many of your public talks eagerly emphasize the chernobyl interested in being the president of egypt. which are interested in is being an agent of change. energy last night speaking to the egyptian american community saying egyptians and americans need to go through the process of change to become democratic essence. talk to me baby correct, but it's not the kind of thing you see politicians say. politicians generally cater to their audiences and tell them how wonderful they are, that her. these are all simple to me when you are serious when you are not interested in being the president of egypt. why do they get is that so many churches are willing to take you at your word? >> well, i guess you live in boston. i live in egypt now i am not interested. i said that is not my priority. and i think i'm getting moral stability by focusing on the need for change and not on the personal agenda. they made it very clear, you know, if there were to be a change we made that necessary move towa

she created the immunity efforts that brought together education, hhs, hud, and justice department to and healthy communities. when i became lieutenant governor, i took that example to maryland, and we reduced crime in the most violence neighborhoods by 5% in -- 35% in three years. [applause] i was also privileged to work with janet on the federal assault weapons ban. if that statute were still in place, the tucson shooter would not have had as easy access to the guns or easy ability to keep running his deadly activities. i believe this country has got to do a better job on gun regulation and gun control and making our citizens safe. [applause] as my father said, we glorify killing on movie and television screens and call it entertainment. we make it easy for men of all shades of sanity to acquire weapons and violence breeds violence, repression brings retaliation, and only a clean of our whole society can remove this sickness from our soul. after my uncle, john kennedy, was killed. my father was devastated. he stayed on for justice for a time, but his heart was broken. all that he ha

later in the day, kathleen sebelius will take questions about the president's requests for hhs for 2012, that includes mandatory spending for medicare and medicaid. she'll be at the senate finance committee, and that's live at 2:30 eastern. >> when i was sworn in as president, i pledged to cut the deficit in half by the end of my first term. the budget i'm proposing today meets that pledge. >> president obama sent congress a $3.7 trillion budget that would reduce the deficit by clash 1.1 trillion over the next ten years. this week hear the details from the administration including cabinet officials and watch reaction from house and senate members online at the c-span video library. search, watch, clip and share anytime. it's washington your way. >> secretary of state hillary clinton spoke with reporters at the u.s. capitol following a meeting with house speaker john boehner. they talked about the federal spending levels for the rest of this fiscal year and the president's 2012 budget request. secretary clinton said that proposed cuts by house republicans would be, quote, detrimental to

if you just look at the actuaries from hhs's estimates, they say that the rules will increase by 11.6 million people in 2014 and almost 20 million people in 2019. the numbers that they have are essentially between 2010 and 2014 -- states will have to pay an additional $90 billion. between 2014 and 2019, an additional $100 billion. you are looking at states growth over the next 10 years at virtually $190 billion. you might ask, why is that so big? there are three things coming together at the same time. one, because of the recession, the caseloads are higher. therefore, you start with an increase with that. the second problem is, of course, the enhanced federal match goes away at the end of fiscal year 2011. then you have the impact of health-care reform. when you add up those three and tax, they make a huge change. i have to say, as we get on the telephone with the state budget director every week, and they will tell you -- we do not know how to get from here to there, largely on the medicaid issue. on the unfunded pension liabilities, the numbers are always a little bit suspect depen

an hhs and i was also in for an answer we the domestic and therefore not family-planning initiative. over and over and over again republican colleagues on that committee would not give us a vote because they said we do not support family planning domestically or internationally. we do not support family planning domestically and internationally. it was stunning to me because i'm a mother of five. today brought my fifth child home early, my oldest child was turning six, so i feel i have some credentials in this arena whether perhaps some of the people whose teeth about it on the floor of the house. and so they didn't support family planning. and what they did last night was use of planned parenthood at the whipping boys to disguise their opposition. the american people knew the and every time with terri to tell them they said it can't be true that they oppose family-planning, but hamlet should determine the size and the timing of their family. well, they don't. zero it's terrible to behold but i was the events do not come right out and say i'm not for family-planning, but to say i'm n

she calls you in and says, -- he called you in and said, i would like you to take the hhs job, but your first assignment is to tell me what to say in the state of the union speech about cost containment. what -- and you only get a couple of lines because everybody else wants a couple of lines. so, let's start down the road. tell me -- you don't have to tell me whether you would take the job, but what you would tell the president, what you would tell the president to say about cost containment in his second term speech. he wants that to be the lead on health care in his second term. >> i don't have to think about it. change party identification. [inaudible conversations] >> you know,. >> president obama. >> i think that i would suggest to him at one level do not open promise. try to get a sense of what we all know, and that is that it will not be easy. try at some level to engage us all because we all have to be involved. >> i would say the same thing. a call to action. somebody has to lead this nation in a different direction. the promise that we will make changes that are responsible,

there's an hhs attorney and a former partner at porter.the things to observe from your point of view since this is a law school is that many of these people are former attorneys or practicing attorneys. this team in particular i think has an unusual amount of legal understanding and sophistication. there are -- they are also inclined to be more proactive which is part of the point. the gentleman to the left of dana is dr. sharpsteen. he just left before commissioner hamberg was appointed, and he was probably one the most energetic leaders in the fda for a long time. very enforcement oriented. he wrote in the new england journal of medicine, possibly the journal of record for medicine, and she talked about what the medical profession expected of the fda. she wrote about education, regulation, and enforcement. you say to yourselves, why is that significant? it's significant in part, i think, because it's not that often that a commissioner of fda writes an article and has it put or offers it for publication in the new england journal of medic

labor hhs and education cut 14%, like the others. legislative branch, we cut ourselves, 13%. you and i are sharing in that sacrifice. state and foreign operations, cut 21%. transportation and hud cut 24%. so the cuts are almost consistent to a t across the board. >> i understand what you're saying. >> and it applies to everybody. that's why i say in solving this national crisis that we're in all of us have got to sacrifice and help pay for it. >> mr. chairman, most respectfully, i'll disagree with "all of us are sacrificing." when you get granular and go inside the cuts that you just enumera enumerated, you will find programs that add up to those percentages that impact middle class people and the poor more than they do everyone else. now, let me ask you another question. did the committee -- i'm not into process here. you had the right to exercise, the prerogative, the continuing resolution is needed to be done. those dynamics a s i readily understand. but was there any analysis in the continuing resolution reductions as to just what the projections would be in loss of jobs

there's lra and ralph taylor, now the civil litigator and ora's new directer who is derek corrigan, an hhs inspector general attorney and a former partner at arnolds importer. one of the interesting things, i think, to observe from your point of view since this is a law school is that many of these people are former attorneys or practicing attorneys. this team in particular, i think, has an unusual amount of legal understanding and fiction fiction -- first case. they're also inclined, i think, to be more proactive which is part of the point. the gentleman to the left of dr -- i'm sorry, of derek corrigan is dr. joshua sharpsteven. he just recently left. he temporarily ran the organization before commissioner hamberg was appointed and was probably one of the most energetic leaders at fda in a long time. very enforcement-oriented. in june 2009 commissioner hamberg wrote in the new england journal of medicine, and she talked about what she expected and what she thought the public and the medical profession expected of fda. and she stressed three things. she talked about -- or she wrote about,

she brought together education, hhs, hud, and justice department to build safe and vibrant communitiesenant governor i took the example to maryland and we were able to reduce crime in our most violent neighborhoods. i am just three years. [applause] -- in the just three years. -- in just three years. [applause] if our gun laws were still in place, the tucson shooter would not have had the ability to keep running his deadly errands. [applause] i believe that this department and this country has got to do a better job on gun regulation, gun control, and making our citizens safe. [applause] as my father said, we glorify killing on movie screens and television screens and call it entertainment. we make it easy for men of all shades of sanity to acquire weapons. and the violence brings violence. retention breeds retaliation. only a cleansing of society can remove the sickness from our soul. after my uncle, john kennedy, was killed, my father was devastated. he stayed on as justice for a time, but his heart was broken. all that he had worked for seemed torn apart. j. edgar hoover regain his

the lauro, the ranking member on the labor-hhs subcommittee. the chair: the gentlelady is recognized for one minute. ms. delauro: if the majority party wanted to do something about the deficit, they could look to other parts of the budget for significant cuts and savings instead of coming backen over and over again with deeper cuts to the programs that make investment in education, health care, job training and in scientific research. democrats are committed to reducing the deficit. we believe you ought to start by ending the tax subsidies and special interest waste. let's look at it. $40 billion in oil subsidies. $ billion in farm subsidies. $7.4 billion that could be save pid shutting down the process of treaty shopping. $3 billion a year that could be saved if we allow cheaper generic drugs in the market this across the board amendment cut is an example of the majority's reckless rush to slash without regard to the impact on the economy. the businesses that create jobs, or middle class working people who are doing their best for their famili

passed the rehberg amendment prohibiting use of funds for this purpose by any agency funded in the labor-hhs labor appropriations bill. a few minutes later the house passed an amendment by mr. king prohibiting the use of funds by any federal agency for this purpose. and a few minutes after that vote, the house passed another amendment by mr. king prohibiting funds to pay the salary of any federal employee to implement or administer the affordable care act. the majority party does not like the affordable care act. and would like to cut off all funding for the act's implementation. now, that much is clear. but how many times do we need to pass the same prohibition yesterday and today? we're three -- will three times be enough? or will the house bring more and more amendments doing essentially the same thing until everyone on the majority side has satisfied their urge to make clear just how opposed they are to expanding the availability of health care in this country, which is what the affordable care act is all about. instead of this pointless debate, we should be working on what the american

but i think every governor needs to be making sure that your hhs director, your medicaid program is leading restructuring, not just pumping in more money. because if we pump in more patients and more money and we don't change the way we do it, we're in deep, deep trouble. >> it seems like years ago whenever we saw state by state comparisons of wages and personal income, you would always see relative cost of living statistics state by state. why is it that i feel like i never see those statistics any more? >> well, you know, you should be comparing your wages to your cost of living to really understand your true prosperity. if you earn a very high income but you have to pay a whole lot for everything you need to buy, then somehow that income produces less. when we compare countries, that's pretty easy to do. there's something called purchasing power parity and we adjust country incomes for what the dollar will buy or what the yen will buy. but in the state, we don't seem to see those comparisons but when you're trying to improve the standard of living in your state, driving up that wage is u

she calls you in and says, -- he called you in and said, i would like you to take the hhs job, but your first assignment is to tell me what to say in the state of the union speech about cost containment. what -- and you only get a couple of lines because everybody else wants a couple of lines. so, let's start down the road. tell me -- you don't have to tell me whether you would take the job, but what you would tell the president, what you would tell the president to say about cost containment in his second term speech. he wants that to be the lead on health care in his second term. >> i don't have to think about it. change party identification. [inaudible conversations] >> you know,. >> president obama. >> i think that i would suggest to him at one level do not open promise. try to get a sense of what we all know, and that is that it will not be easy. try at some level to engage us all because we all have to be involved. >> i would say the same thing. a call to action. somebody has to lead this nation in a different direction. the promise that we will make changes that are responsible,

won't spend much time telling you about their background, but walt has been -- had a career in aspi and hhsand has written the checkbooks guide to health plans for federal employees for over 30 years now. last year, wrote what i think was one of the best aei books we've ever put out. i really liked it, putting medicare consumers in charge, where he compares the fehbp and medicare. walt? >> thanks, bob. thank you. i have my watch on too. luckily there's a clock. two very quick comments on joe's presentation. one is he had that map showing where all the spending is. if you had a map of where we catch medicare fraud, it would look identical. miami would be the reddest of all and new york and l.a. and houston right up there duking it out. okay. i don't think that's an accident. one of my reform proposals will touch on that. the other thing i think is interesting and i totally will defer on the politics of this, the budget director, jacob lew did say a couple days ago that the reason the administration hadn't put medicare and social security reform proposals in the budget is they figured it woul

chairman, to the chairman of the labor-hhs subcommittee on appropriations, the gentleman from montana, mr. rehberg. the chair: the gentleman yields three minutes to the gentleman from montana. mr. rehberg: members in this body have an obligation as chairman of the appropriations subcommittee on labor, health and human services, and education to tell you the simple truth we are bleeding cash, piling up liabilities, and trying to postpone the day of reckoning. as a result america is in a financial free fall. in four quick years congress made what was a spending problem into a spending crisis. we on this side of the aisle wanted to create jobs. you wasted time on health care reform bill that did not reform health care. while we wanted to build an economy, you wasted time building government. unfortunately many in washington, d.c., especially on cyclical capitol hill -- capitol hill are in denial. my colleagues, it's time to stop pretending the well of wealthle is endless. we must cut spending now or it will be worse next year. two years ago the congress passed a spending bill, unfortunat

we have a great partnership with hhs. we think there is a huge unmet need.we're serious about closing the achievement gap, we have to do it with our babies at 3 and four and not wait until 5. we need to do a better job of articulating this. you can use a title $1 to enhance headstart and early childhood education. half-day does not work for children and families. montgomery county uses title $1 to have full day early childhood opportunities. they have remarkable achievement. i would look at you to -- urge you to look at the flexibility we are providing. we have governors scaling back on early childhood. that is one thing i cannot support. >> sir michael, you brought it up briefly. in a successful school, good -- could you speak in more detail about administrators? the school system is fairly independent of the executive branch in terms of policy and management. you can have good teachers. when i look at the department of education in terms of the administration and bureaucracy and with leadership in the particular schools, there seems to be a problem. i wond

the actuary for medicare -- this is a career official at hhs. he said the health care bill would increase health care costs. the director of cbo said it is going to have no discernible effect on health care costs growth. if our biggest problem was health care costs growth and the baby boomers, hopefully, we will not do anything to the baby boomers. i am one of them. what cbo and what the president of actuary is telling us is that it did nothing to cost growth. they opened a brand new entitlement for 30 million people. there is an issue there. last on taxes. cutting taxes. let's go back to the baseline. in the road map, he assumes that you extend -- the past is similar -- similar to the revenue path. if you extend those tax laws, revenues naturally rise over the next 10 years to 18% of gdp. that has been the historical average for the past 10 years. the issue is, are we going to raise taxes above their historical average? when you look at the present's budget, over the past 40 years, spending has been 21% of gdp. revenue has been about 18% of gdp

there's an hhs attorney and a former partner at porter. one the things to observe from your point of view since this is a law school is that many of these people are former attorneys or practicing attorneys. this team in particular i think has an unusual amount of legal understanding and sophistication. there are -- they are also inclined to be more proactive which is part of the point. the gentleman to the left of dana is dr. sharpsteen. he just left before commissioner hamberg was appointed, and he was probably one the most energetic leaders in the fda for a long time. very enforcement oriented. he wrote in the new england journal of medicine, possibly the journal of record for medicine, and she talked about what the medical profession expected of the fda. she wrote about education, regulation, and enforcement. you say to yourselves, why is that significant? it's significant in part, i think, because it's not that often that a commissioner of fda writes an article and has it put or offers it for publication in the new england journal of

rick foster, the actuary for medicare, this is a career official at hhs, said the health care bill would increase health care costs. cbo, the director said, it's going to have no discernible effect on health care cost growth. if our biggest problem was is health care cost growth and the baby boomers, hopefully we're not going to do anything to the baby boomers, i'm one of them. if the issue is the excess cost growth and what cbo and the president's own actuary is teg us is it did nothing to excess cost growth and all we did was add a brand new open end entitlement on the order for about 30 million people. there's an issue there i want to touch on. last on taxes. cutting taxes. let's go back to the baseline. taxes in paul's road map, what he does is he assumes that you extend the path he follows is similar to the revenue path, if you extend 2001, 2003 tax relief and the amt and estate taxes. if you do that, even extending those -- those tax laws, revenues naturally rise over the next five to ten years to 18% of gdp. that's been the historical average for the past 40 years. the issue isn't

that comes from hhs to serve 5-year-olds. there's funds for afterschool programs for kids, tutoring programs for kids, and job training and retraining. dislocated workers, unemployed workers, people who graduated, need jobs, and these provide training for jobs in careers, and that's applied education they can use. >> host: nutrition emergency services. >> guest: well, for example, san benindio, county in california, it's a large county. they have over 900 feeding sites that can be a place where a family sits down and has a meal or it's a food bank where people can get food supplies and take them home. there's feeding programs where people can eat and programs where people get food and other services there too. >> host: what's the role of the federal government in riding these services? >> guest: americans are involved. the census numbers from 2009 were released and we're waiting for the 2010 one, but in 2009, 43.7 million americans were officially poor. over 43.5 americans. one in every seven americans are on food stamps and

so the hhs budget includes significant increases in funding for childcare and head start. science shows that success in school is significantly enhanced by high quality early learning opportunities which makes these investments some of the wisest we can make. but our budget does more than provide additional resources. it aims to raise the bar on quality childcare programs. supporting key reforms to transform the nation's childcare system into one that fosters both healthy development and gets children ready for school. the budget proposes a new early learning challenge fund. a partnership with the department of education that promotes state innovation in early education. and these initiatives combined with the quality efforts already under way in head start are an important part of the president's education agenda, designed to help every child reach his or her academic potential and make the country more competitive. the budget also supports a child support and fatherhood initiative that will promote strong family relationships by encouraging fathers to take responsibility

the thing we didn't talk about with all this work in africa, you know, what she was involved with at hhs. >> host: she writes about in "decision points," julian zelizer. >> guest: the line where he says that mitch mcconnell, the senate republican leader in 2006 -- 182,006 was saying that troops should come back from iraq and this is that a moment the republican party is really going to go out for the democrats for proposals for withdraws, deadlines. i found that an amazing offenses, the difference between what some republicans say privately what they say publicly. >> host: julian zelizer at princeton, thank you. lara of villanova and tevi t

i also have to acknowledge and thank our wonderful staff as well as the staff at the usda and hhs for putting this event together this morning. we at g.w. share the commitment to promote health, wellness, and nutrition. our urban food task force is working to identify ways the university can support scholarship and instruction on sustainable urban food policies and provide practical information on healthy eating and food preparation to the greater g.w. community. i want to particularly acknowledge diane robinson napp wife of g.w. president. for her work and involvement in leading this effort. thank you very much. we are honored to have here today two of our country's leading health and nutrition advocates, secretary of health and human services kathleen sebelius, and secretary of agriculture, tom vilsack. as a state insurance commissioner, governor of kansas, and today as the country's highest ranking health official, secretary sebelius has been a leader on health care, family and senior issues for more than 20 years. secretary sebelius is guiding the implementation of the historic af