have been an hhs for about three months not. and it is the chance of a lifetime til the end be a part of this department and such a unique moment in our history. in fact, i should mention we have to win a half years to go. i was honored to except president obama's invitation to lead hhs because there is some much potential to deliver impacts that touch so many lines. i can't imagine another place where you have quite the same opportunity to work at the intersection of policy, management to my, impact, and some very great challenges. since i've turned this to me erica i found that the president emphasizes results , partnership, accountability, and sound management. this is the way i've always tried to work, and it is how we're going to work hhs. we believe in building bridges, relationships, and strong teams and have the talent and focus necessary to deliver results. we believe in managing, transparency, and compact. impact on behalf of the american people we serve. they are our bosses. these hard working americans rely on the wo

have been an hhs for about three months not. and it is the chance of a lifetime til the end be a part of this department and such a unique moment in our history. in fact, i should mention we have to win a half years to go. i was honored to except president obama's invitation to lead hhs because there is some much potential to deliver impacts that touch so many lines. i can't imagine another place where you have quite the same opportunity to work at the intersection of policy, management to my, impact, and some very great challenges. since i've turned this to me erica i found that the president emphasizes results , partnership, accountability, and sound management. this is the way i've always tried to work, and it is how we're going to work hhs. we believe in building bridges, relationships, and strong teams and have the talent and focus necessary to deliver results. we believe in managing, transparency, and compact. impact on behalf of the american people we serve. they are our bosses. these hard working americans rely on the wo

this is the letter that was sent to senator jeff sessions by the head of hhs. she says hhs has no authority to prescribe policies and practices for the states to implement in order to prohibit the use of tanf benefit cards at marijuana stores. the fed is saying we could stop it. >> two problems. food stamps are meant for family who need food. we have to saved program for people in poverty. i am for that. i want to help people in poverty. the second problem is why is the federal government leaving it up to the states with what is done with our federal dollars. that's the issue. >> mike believes there's a safety net, but does not believe in this nanny state where every time somebody has a sniffle, the government comes in and wipes their nose. >> i agree totally. my only question is if we can't stop people who don't get food stamps from using pot, what makes us think we can stop people who do get food stamps from buys pot? >> that's a good question, but it kind of goes in line with what this administration has been doing, the number of recipients of food stamps, t

all these people are our bosses at hhs. our boss is also the taxpayer, people like those miners work hard for their paycheck and deserve a government that works and is strategic and efficient in spending their hard earned tax dollars. that's one of the republicans that prioritization is so important to me. because setting priorities and staying focused are how you get to efficiency and impact. determining what options are available, what policy levers are there, what will they do? what you are good at and what your partners are good at. all these things are the things that make government work. in order to deliver which levers and initiatives are most effective, we're data driven. i'm a believer many met trix, benchmarks and an littics. if you are serious about looking out for the taxpayer, you need to know whether what you are doing is working. all these things have something in common. they need great people to make them happen. that starts with building teams with talent and focus necessary to deliver the impact that the

we've got a lot going on hhs. currently definitions as you've heard already were inconsistent and make it difficult to know the true magnitude and impact of the problem, says cdc and department of education and others partnered to develop the uniform definitions of going forward data could be consistent. this can be used as a tool to help public health practitioners, school officials, researcheresearche rs and evaluators to find and gather systematic data on bullying to better inform prevention efforts. you can learn more by going onto www.cdc.gov. they've now put it in my talking point says cdc.gov because you can't pay a very fast. anyway, learn more about it they are in reviewing the violence section there. her so launched the bullying prevention training center that includes a tool kit, user guides, specific resources and training modules designed to provide individuals with research-based tools and resources to organize effective only in prevention efforts in their communities as well take terrific book graph

hamburg, two of our best at hhs will ably represent us. wanted to become of what you both have said. the importance -- i'm here today because we want to be your partner in making something go forward. i'm a big believer that if we're going to deliver, in fact, we need to start by building those strong relationships. that means listening to the experts we have and listening together and being responsive as we work together for meaningful solutions. i first want to thank you, also, for what you all did in terms of bringing everyone together but this committee has also done important work previously in this space with fda and our user fee legislation. these round tables are an excellent way to continue making some of the progress that we've already made. when we watch a loved one who is taken by alzheimer's or als, we all want the same things, the most effective treatments, the groundbreaking cures and the best medical care possible. and so we take at hhs that very seriously and we're committed to keeping us on that cutting edge of innovation

we are in discussions with hhs to provide further on-site support. dhs remains committed to working with its federal and private sector partners to create a safe, secure and resilient cyberspace. i look forward to answering any questions that you might have. >> thank you. i will start with you then. when did you find out you were going to appear here today? >> i believe i was informed on monday. >> when did you begin preparing for today's hearing? >> when i was informed on monday. >> okay. has cert done a security testing of healthcare.gov? >> we were provided images from cms of the compromised test servers. we provided analysis -- >> i appreciate that. the question was, has cert conducted any security testing of healthcare.gov's vulnerabilities. >> no. >> so when there has been no loss of personally identifiable information, if you don't know the vulnerabilities, how do you know -- how would she know that to be true? >> i believe that cms conducts their own scanning and testing. >> did you verify their scanning and testing to be sufficient? >> we wo

at hhs. each of us finds our own leadership and management philosophy in our own way. i learned fundamentally about the importance of relationships growing up in a place where my mom knew the one day i was tardy for school because i was late for the nine a.m. class she was teaching. the values i learned growing up in a beautiful place called hinton, west virginia, are what anchor how i i manage, how i work and even what i work on. you might think about what values and experiences got you here to gw and are going to take you beyond. hinton is the kind of place where relationships and trust matter. the sort of community where neighbors tend to look for the best in each other, and everyone feels a perm stake in -- a personal stake in contributing to the common good. as i've gone on in my career to manage budgets, including the central budget, i've often thought about how in our smell community every dime -- our small community, every dime counted. people worked so hard for the money they brought home. i watched the parents of many of my friends commute to difficult, back-

. >> rite. >> we are awaiting approval from d hh. once they send that, we'll start the 60 day burn. 70 sites that will be tested, the samples have to come back with a 1.0 chlorine level. the normal dhh requires 0.5. >> so, page, can i ask you a question before i run out of time here. look, officials there are saying it's safe, the water is safe for showering and drinking. as long as it doesn't get into your nostrils. i don't know about you, but when i take a shower, i'm pretty sure there's water that end up in my north-east release. how d we feel about this recommendation? >> right. and we do - we do understand we have spoken to d hh and we have received information from c.d.c., and it is - if it goes deep into your naval cavity, it's around your knows, they are saying you should be okay. it's if it goes deep into your nasal cavity, and i don't know if you have been in a pool where it's got un up your knows and there's a burn. into right. >> that's why we are asking residents to proceed with caution. it is safe to cook and to drink.

a small business owner from texas wrote a blog for the hhs blog.what you talked about is what it was like to be uninsured. she talked about what it was like to be insured but not have a member of your family be covered because your son had a pre-existing condition. she wrote about, for her family, the affordable care act is working. i want to read to you a few of her words. "recently, i was able to enroll my family, my entire family. not only is my son finally covered, our premium is only half of what we were paying before. i was shocked to learn my prescriptions, which used to cost $280 a month, now cost five dollars. my dog -- my family now has the financial security and jim and his peace of mind that comes with coverage. i don't have to work for someone else just for the health benefits anymore. i launched my small business and can focus on expanding it." families across the country are counting on us. they are our boss and they are looking for this to work. let's work forward together. iq. -- thank you. [applause] i am happy to take some questi

this is one of the hhs people that saw what was going on in chs.ay story and it's stating overwhelming traffic that could have been replicated and!w)ñ tested. just one point after another. i think they were involved in some of the cover up. did you ever attempt, ma'am, to have any e-mails or records deleted? >> i'm not aware of the e-mails. i have one e-mail here that you had asked that it be deleted. and it goes onto detail what was going on with the failure that was going on. first of all, it was accompanied by a name of circo that was employed to retain the contract of $1.2 billion. is that correct? >> i don't have the amount in front of me. >> well, again, this e-mail f%l and the failure of the proper processing. there were problems with the processing the paper applications. and you had nothing to do with the awarding of a $1.2 billion con trakt, right? >> i don't understand the question that you're asking. >> of the contract process paper. >> i'm actually not part of it: >> you're asking for dleeting of the information. and then i looked a li

at hud has been working with hhs primarily to help with a lot aligning all the seas for hud and hhs so the compensation would not be so disconnected and that moving forward, we will be one another. >> is them issue of mutual eligibility on the table? >> it is. it is so blanketed in issues on the table, whether or not is making sure -- 202 is very low income and a lot of medicaid and medicare programs are more for extremely low income. we are having that conversation and figuring out what changes need to happen. there are multiple issues on the table. the hhs and hud have had a collaborative it for several years, looking at homelessness, the way to integrate housing services. hud has encouraged local collaboration that will people score better when they apply for hud support. i do not know if the eligibility has helped. thank you. >> one of the major issues is that there is not enough for housing subsidies for renters of all ages. >> donna betts was generations united. i want to say thank you for today. it has been a rich discussion. one thing that struck me is that lindsay was talking

joining us, we have sylvia burwell, hhs. secretary of hhs. dr.ancis collins, director of the nih, dr. margaret hamburg, commissioner of the fda. michael milken, chairman of the milken institute. dean kamen, founder of deka research and development. mr. bill parfet from michigan. and dr. dan theodorescu director of the colorado cancer center. we need to hear from participants as much as possible. that's why we have this roundtable today. we're going to listen. i know my colleagues agree that the participants are the experts and this roundtable is an opportunity to learn. to that end while we may want to ask the experts some questions to guide the conversation, we want to keep our talking to a minimum. i would also ask the participants to try to keep their answers brief so that we can keep the conversation moving, knowing that we have really a hard stop at noon. in closing, i want the thank these folks who have offered their input on the 21st century cures initiative. i can't tell you how much we appreciate the thoughtful contributions especially t

robinson and secretary of hhs. created by the pandemic of 2006 is the agency responsible for providing advanced development and countermeasures and therapeutic drugs and diagnostics for the entire nation. exist to address the consequences of by of threats and on a routine basis responding to your emerging threats and the etf outbreak last year. today we face ebola that is up by a thread with the department of homeland security and the emerging infectious diseases. when it comes to ebola the best way to protect their country is address the current epidemic. florida works with federal court in to transition to a early development into a finance development toward ultimate fda approval since 2006 we have built a pipeline of more than 150 measures chemical biological nuclear threats. we are having therapeutic candidates with advanced development in concert with the federal partners to have counter measures to protect -- over the past five years n.i.h. and cdc we have bill of flexible and rapid response superstructure t

my staff reached out to hhs's suggested contact at dhs on monday of last week. followed up on tuesday and were told that dhs was running, in pa republican thisz, the request back with hhs to see if we can all jointly -- jointly get on the phone, seeing if seeing if tomorrow will work. however, my staff followed up on wednesday and friday and then on monday and tuesday with no response from dhs. i would like to note that despite a week of persistent e-mails from my staff, dhs was unable to make -- time to brief our committee even by phone. however, two days ago the minority staff notified me that they were asking for our witness today, dhs, to appear as a witness at today's hearing. i accepted it even though clearly this is a witness from an organization that has refused to answer questions or cooperate with the investigation. when the minority staff reached out to ask if dhs would appear as a witness, dhs was able to produce a witness prepared, apparently, in detail to provide testimony before this hearing today. however, dhs has still not arranged to properly b

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i have been at hhs for three months now.it is the chance of a lifetime to lead and be a part of this department at such a unique moment in our history. in fact, i should mention that we have two and a half years to go, they are open, and we are hiring. i was honored to accept president obama's invitation to lead hhs. we touched so many lives. i cannot imagine another place where you have quite the same opportunity to work at the intersection of policy, management, leadership, impact, and some very big challenges. since i joined this team a year ago, i found that president obama emphasizes results. partnership,sizes sound management, and responsibility. this is how i work, and it is how we are going to work at hhs. we believe in building bridges and relationships, as well as strong teams. we have the talent and the focus necessary to deliver results. we believe in managing well. he believe in transparency. we believe it impact. impact on behalf of the american people we serve. they are our bosses. obtain the building blocks o

on the issue, and at hhs, you did your stood on antibiotic initiatives, the incentives for development of new drugs, vaccines and rapid diagnostics for bacterial diseases. talked about moving to neil in monetary terms for companies by a reduction of the time for political trials, correct? >> yes. >> is it really possible to move the needle on that? >> well, i believe more, say, the limited population, antibiotic use, that is possible. that's only one factor. but if you have a very high bar getting on the market, then you're going to need much stronger incentive. i believe for those very rare, right now, resistant organisms we could have very small development programs and every societal agreement that having a treatment available for those is better than having nothing. and so we get every small development programs to we would like to have a signal than to say that clinical community, no, that this is different. no. this didn't have a huge develop the program. we are offering you a tool but you ought to be where and provide good stewardship of this tool. so we do believe in most cases

robinson and secretary of hhs. created by the pandemic of 2006 is the agency responsible for providing advanced development and countermeasures and therapeutic drugs and diagnostics for the entire nation. exist to address the consequences of by of threats and on a routine basis responding to your emerging threats and the etf outbreak last year. today we face ebola that is up by a thread with the department of homeland security and the emerging infectious diseases. when it comes to ebola the best way to protect their country is address the current epidemic. florida works with federal court in to transition to a early development into a finance development toward ultimate fda approval since 2006 we have built a pipeline of more than 150 measures chemical biological nuclear threats. we are having therapeutic candidates with advanced development in concert with the federal partners to have counter measures to protect -- over the past five years n.i.h. and cdc we have bill of flexible and rapid response superstructure t

jennifer ho at hud has been working with hhs primarily to help with aligning policies for hud and hhs so that the conversation wouldn't be so disconnected. moving forward we are working on one accord. >> is the issue of mutual eligibility on the table? >> it's blanketed in terms of the different issues on the table. whether or not it's making sure -- first of all, 202 is for very low income. a lot of medicaid, medicare programs are more for extremely low income. we are finding out what changes need to happen. there are multile pl issues on the table. jennifer ho is the contact. >> hhs and hud have had a collaborative for years looking at homelessness. hud has encouraged local collaboration that would help people score better when they apply for hud support. i don't know whether or not the eligibility is part of it. thank you. >> great point. >> one of major issues is there isn't enough in terms of housing subsidies for low income renters of all age, but particularly seniors. yes, ma'am? >> donna butts with generations united. it's been a rich discussion, fascinating. so many things to

hhs so that the conversation wouldn't be so disconnected. and they're moving forward, we're working with one accord. >> this issue of mutual eligibility on the table? >> it is. it's so blanketed in terms of the different issues on the table, whether or not it's making sure that -- first of all 202 is for very low income. and a lot of medicaid and medicare program are for more so extremely low income. so we're having that conversation and figuring out what changes need to happen. so there's multiple issues on the table. but jennifer hu is the contact. >> i know jennifer. hhs and hud have had a collaborative for several years looking at homelessness, looking at the way to integrate housing services. hud has encouraged some local collaboration that will help people score better when they apply for hud support. i simply don't know whether or apply for hud support. i don't know whether or not the eligibility is part of it. thank you. >> great point. >> and of course, one of the major issues is there just isn't enough in terms of housing subsidies

we need this thing to work at hh s, and we are counting on you to make it work. thank you.[captions copyright national cable satellite corp. 2014] [captioning performed by national captioning institute]

the american people do not understand that they all see you part of hhs or part of cms you have a law, -- a wall. what i need to do is have as much finger-pointing as possible to say this is what will solve it. knowing that i am not asking you to throw anybody under the bus. we are looking for legislative fix for appropriations that need to be done so that we can help this to quit the a problem so we can obey the laws the way it is written. i think the chairman -- i thank the chairman and i yield back. >> i will submit comments for the record to protect our time. chart with outcome rates that was given to us i the office of medicare hearing -- hearing and appeals. recognize theo ranking member for her statement. >> thank you for holding this hearing and want to thank the beforeudge for appearing us today on this important issue. i think we can all agree that medicare providers are entitled to have their claims administered fairly, efficiently, and without undue delay so they can focus on their core mission of providing care to our nation's seniors. if they are billing and correct the,

in san calls that. e mo gapyou y fi.oreou lrn li howou tughtou we e coved fothis.i.oreou lrn (pate)hh! rof.urke...wn yore real onlcoved fothis (pire bo ahh hah ♪ ware rmerbum--dumr m-bubum-m ♪. 0,000 extra curricular activities help provide a sense of identity and a path to success. joining the soccer team. getting help with math. going to prom. i want to learn to swim. it's hard to feel normal, when you can't do the normal things. to help, sleep train is collecting donations for the extra activities that, for most kids, are a normal part of growing up. not everyone can be a foster parent... but anyone can help a foster child. >> mark: opening bell on wall street is hoping for better day than yesterday. points are up 87 cards. >> james: you can see that blanket of clouds over the bay. as for the weather today it will be slowed to clear. the temperature will be as warm up. we're looking for a mile '70s and '80s type of date. or blood to see day after day as we head into the. ms. up 60s and downtown san francisco. >> george: here at the bay bridge toll plaza we're back to a completely h

. >> the stock market has close to all-time hhs n now.ull ierview could be pa of your business strategy. instead of taking cash, consider taking a highly apeciated stock. donate that and you get the fair market value. so, that is a grgreat strategy. >> community giving is very important. anthen --number six, know your number. what does thatea a smallins people are consntly working in our business. we often don't take the time to step back and say wheris my longng-term plan? what is my exit stregy? if you're planning to sl, what is the numbeyou need to walk away with? importantly,st to be able to retire susuccessfly and comfortably? that iss just a matter of understanding your personal finaes and how they intertwine to maksure tt your long-term strategy is in line. >> it all comes bk to being proactive and relying on hers to help you withth profefessionl advice. in ting care of f small business. thank you for joining us. and congratulations. >> thank you so mucuch. >> when we return, the mcdonnel verdict. will it change business as usual?

a court date and then the track ing stops, so there is this whole process from homeland security to hhs and drills down to the office of refugee resettlement and once that placement happens they're done. the only way to be comprehensive is when the children come and don't have a placement and 80% are coming with a family name. the 10-15% that aren't there is a rfp out. a couple of the community based organizations went after the funding to house these kids so for that population we will have data because they be connected to services and the state -- or the federal government's going to want to monitor the outcome, but locally i think mr. chu referenced this and maybe through legal services as children show up to court we can capture the names there. as our community based organizations go after funding that we make available we can build into the contract reporting requirements that have the follow up so we can -- there are some things we can do but -- >> but 85 to 90% of the children who are get through the beginning of the federal system and then are assigned to hopefully the family

. >> happened in an area of the race course called hh g g ridg ridge. squae-year-old lee biel of saratoga was killed after his sport class plane appeared to experience catastrophic mechanical failure. >> single plane incident. be did cancel racing and qualifying racing only one more heat after. that races will resume qualifying will resume tomorrow at 8:00 a.m. as scheduled. >> biel was former champion who founded the sport class division. retired lieutenant colonel in the nevada air national guard and flew f 4 phantom. sister spoke to usy phone. >> there are a lot of ings that even a good pilot can't foresee. >>reporter she says her brother passion began in high school when he built a plane in the garage. >> he was a natural pilot. he had he was just a great deal of quiet confidence. hi no, i never had any concerns or fear when i flew with him. >>reporter: biel owner stevens creek posh audi in santa clara that he sold 2 years ago. he was the 19th pilot to die in the 51 year history of the air races. in los gatos, abc 7 news. >> now therwas another dead

europe's bn growgvery slowly until recently, particularly with a hh level of unemployment.if yolook at the world as a whole while we were expanding, there was very ready availability of goods. when inflation rises in one country those citizens have the option of buying from abroad. there was a lot of emphasis on expenditure restraint. and that was particularly strong during the 1990s. there was a great debate at the beginning of the clinton administration about how to deal with what was perceived as a relatively small recession, but nonetheless a recession, what to do. there were those who wanted to spend their way out and others said no let's have budgetary restraint. that will be better for the economy, that will keep interest rates down, it will tend to restrain inflationary pressures and, in the long run we'll be better off. and that was i think fortunately, the approach that was adopted. and lo and behold, the economy did so well that we got some productivity increases, that revenues increased faster than expected budget expenditures were held down and for the first ti

system so you could have a big return if you do the hard research and work with the detection folks at hhso come up with something that's actually going to work. it's a lot of work and investment. and i think we should provide something that leads to better returns. >> my question would be, when you talk about a prize, is that going to be incentive enough or a really big prize? the tens and millions of dollars or potential payout of even more than that because you're going to have to do that to give somebody the incentive to go after this? >> there's another incentive here, paul, you can be stockpiled by the strategic national stockpile and that is a steady government revenue source because the government not only purchases your product, every time you hit the expiration date, they buy new one to handle the replacement of the expired product. >> they are already putting those up for some viruses, stockpiling viruses and so on, vaccines. >> absolutely. >> okay. >> there is a stockpile, i visited it and had to sign a nondisclosure agreements. it looks like a big costco with no registers. >>

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these funds are allocated across hhs, fda, dod and usda.used for basic and applied research, with the rest directed towards stewardship and surveillance. currently have these berries agencies coordinate their efforts? >> well, there's been a long-standing antimicrobial task force at the agency level across the government that was headed at hhs, fda has been a part of that. the executive order directs the formation of a higher level task force in the government that will direct the implementation of the strategy that was announced. but there has long been coordination across the government agencies and doubly the pcast report discusses that. >> how is the u.s. coordinating with the world health organization? and other organization as well as other countries working to combat antibiotic resistance? >> we do have, fda, cdc and many others have relationships with world health. and i think the executive order yesterday and the strategy concedes as much tighter collaboration with heavyweight joe in a very concerted way -- of uh oh. >> thank you v

i didn't think we had enough firepower here with the head of nih and hhs and one of the billionaires who's put a lot of money into medical research, so i brought my own, you know, in is my volunteer staff assistant, dr. yomot, vice chancellor for research who calls dr. hamburg peggy. he said, oh, peggy is down there. i want to go say hi to peggy so we were -- >> you can call me peggy too. >> but i am very impressed, mr. chairman, with the panel you put together today. obviously to have these eminences here is just amazing. my question will be pretty similar to mr. pitts but with a little different twist. you know, we brought the deficit down from a trillion and a half to half a trillion but it's still half a trillion. and with all the good intentions in the world, we -- and i introduced nih reform bills and double the funding of nih back in the gingrich era and, you know, i've introduced authorization bill that increased funding for nih every year but the reality is you're going to get what you get plus a little bit, that's just -- so given that i want to ask mr. milken, is there any

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(p(pate)hh, ha!. rof.urke...wn yore real onlcoved fothis (pire bo ahh hahou lrn e mo gapyou y fi. ♪ ware rmerbum--dumr m-bubum-m ♪. >> reporter: this is what it looks like. there are still some showers lingering around we are talking about a good number of places that's all the rain come down. just east of oakland we have some light rain potentially coming down. nothing much going on on 684 east bay. there's still some light showers there. not much falling at all men do have some light rain falling. will finish their again is a relatively quiet this half hour to. >> reporter: the highlight reports from there from this morning. is beginning to write up right at the golden gate bridge. the claws are breaking you see the blue skies and you have some insight into debt. -- deck >> reporter: i zeroed out anything that had no rain or no trace of it. and the santa cruz mountain they had about a half inch rainfall. the peninsula coastline and up at the north bay. seven fell is almost three tense. >> reporter:

yesterday hhs announced they will accelerate their contract to get more of the vaccine available for clinical trials. as larry mentioned, nih has announced we started yesterday going forward with the first trials of the ebola vaccine. i think this stark situation has raised a couple of really critical ethical issues, and one of them is that the who can be on a panel like this and does it make sense to provide medications in a context that the who recommended. how do you allocate what will be in variably scares resources in the context of the catastrophe we are talking about? and i guess i would ask kevin to kick us off with the conversation. larry has written about this. >> also, if you will, differentiate between drugs that have not undergone safety or efficacy trials with vaccines, because you have a compassionate use of a drug when somebody is potentially dying. but vaccines are given to otherwise healthy volunteers. this raises a whole set of ethical questions. if you could reflect on those things, that would be helpful. >> absolutely. we have heard about the humanitarian crisis