hhs met with the controllers payroll department on september 26, to discuss the time. director department -- daud and i met on that day. they responded on october 10th offering system availability wednesday from noon until 5:00. they agreed to 3 p.m. wednesday which is 11, 12, we can on -- only process retire eechls -- additional access for three 3 hours for those days for a total of nine 9 hours outside of 36 that we usually have off. hhs was able to process at that time it was 250 since we have the third day of november 12th, approximately 400 applications. the reason it did not allow additional time available for the system was because they needed full system processing resources during that day to what they call "calculate payroll" and on thursdays they perform this and they basically need all their full system resources for that type of process. so that was basically their response. >> well, i appreciate your patience and director daud's effort, but this is like a continuing irritation. we got through this like we did last year. last year we stopped, this year we

this is discretionary to hhs. i'm assuming hhs gets invited to all sorts of meetings and labor unions are not vendors as i think we generally conceive them as contracting. >> my emphasis on this before we can have labor issues involved in this and i would recommend that you do this instead of swaushing squashing this effort. is there any other questions or comments by commissioners? >> any public comment on this item? >> >> good afternoon, rebecca ryan municipal executive. just to be clear the union back in 2012 negotiated the joint labor management committee on health and wellness. that committee has met on multiple occasions since it's inception and continues to meet. it isn't as if with all do respect that only one union has concern with this issue regardless of what happens with their contractual obligation, the joint labor management committee on health and wellness will continue to meet with the participation with many of the unions throughout the city and we look forward to a continued collaboration with th

gruber who was not only paid by hhs was also made millions from other federal agencies and states hasd got his time dealing directly with president obama. >> we had a meeting in the oval office with experts including myself. >> reporter: after all that, president obama issued a challenge to reporters in australia. >> i would advise every press outlet here, go back and pull-up every clip, every story, and i think it's fair to say that there was not a provision in the health care law that was not extensively debated and was fully transparent. >> looking back, even in 2010, the process was considered anything but transparent. in fact, as james rosen noted, the founder of liberal fire dog jane hamp shire wrote in march of 2010 about gruber, she called his -- lack of disclosure on the part of the white house t senate, the dnc and other democratic leader who is distributed gruber's work and cited it as independent validation of their proposals, orchestrating the appearance of broad consensus, when in fact it was all part of the same effort, an effort that started picking up steam soon after

we still don't know with what this latest hhs campaign is to.to hit taxpayers in the pocketbook hard. >> i was reading that hhs working with groups that represent newlyweds. off times newlyweds are looking at it's cheaper to be single. more expensive to be married under obamacare. this bill when it was put together is really proving to be quite a mess. >> it's very much a mess. hhs, what you referenced about hooking up with just married people, they are also looking after people who are about to deliver babies. women about to give birth. they are also looking at couples about to buy homes and using xo group's web site to push more enrollment plans and÷)mñ more enrollment advice on americans. >> i love the term pusher. because that typically is reserved for drug pushers and you usually stay away from them so maybe you should stay away from these pushers at the mall too. cheryl, thank you so much for joining us. >> thank you, andrea. as we approach the holiday season. factories and small businesses still under siege by obama care. the crippling re

we're going to turn first to the director of the office of health reform at hhs, she's a head and neck surgeon by profession and now she tends to hh s's reform implementation, including delivery system reform. then we'll hear from dan durham, who as sara noted is from america's health insurance plans, or ahip, he's the vice president for policy and regulatory afors, he's hemmed senior positions at the social security information and now he helps gooid ahips policy efforts. and professor tim jose, he's the author of highly respected text on health law, so as we say, he literally wrote the book, and he's also a consumer representative to the nationsht association of insurance commissioners. we're delighted to have him back. let's turn the mina from the office of health reform. >> thank you for having me, it's a pleasure to speak with all of you today. i thought what i would do is kind of go over kind of where we are on the eve of the start of open enrollment 2014, and talk about open enrollment 2015. so first again, looking at 2014, and then moving to 2015. so first, just some basic fact

and that goes hhs. it then talks about transferring the funds over to homeland security to increase customs and border control operations. do you know what money they are getting? >> we work closely. the ebola required a very extensive response. the plexibility is a critical component of the funding request. >> that are funding request is as was pointed out in an editorial by david and hope i pronounced that right. a former surgeon general. isn't that correct? >> i don't know. the funding details. >> in regard to mr. claim, have sat down with them? i greatly appreciate that. that would be very, very helpful. some of the outbreaks in the past in the outbreak and i don't know where the disease came from. it may be bats, but we have not determined that. we determined it for a similar virus from research. >> the meat, i understand from the deputy from excrement? are they eating that as well? >> it may be saliva. >> i'm not sure the animal reservoir we had spreading from unsafe care or unsafe burial. it coul

i was able to ask someone from hhs this same question yesterday. and they said, well, it's up to the insurance companies as well. so i would also ask you, they said that they are the ones that provide the information to put it online and you did talk about the need for transparency. so it's really a question for both of you. thank you. >> sure. thank you. appreciate the question. health plans when they submit their filings to hhs for review have to fill out incredibly long spreadsheets that include all the drugs that they have. so cms can review that, check to make sure that there aren't any outl outliers. so, health plans are doing that or they wouldn't get approved. in terms of access to those formularies, they have to provide that. either on their website, and you mentioned some have very good search tools, or through other means. you know, sending out a paper copy and the like. that is very important to consumers to shop, that kind of transparency. i'll also add that i had the pleasure of working at hhs on the part d program, the medicare presc

hhs 3.12 billion. 112 for department of defense and right now, homeland security says it's okay but it needs a lot of flexibility. now the reason i talk about my colleagues to focus on not only the money, but on funding in an emergency, i say to my colleagues, we face infectious disease emergencies before. one under president bush in 2006 and the other in 2009 under president obama. we worked on a bipartisan basis to do this. in 2009, we were faced with the h 191 -- h1n1 flu epidemic. we provided 6.4 billion and designated that as emergency spending. the bipartisan emergency response in 2009 mired what he we did to help president bush, again, bipartisan basis, when we faced avian flu when at that time, congress responded with 6.1 billion in emergency funding. so, we have done this before when we have been faced with an emergency related to infectious disease. i would hope that we would follow the models that we have used in the past. today, we live in a world that's free from smallpox, that cut polio cases by 99%. now we have to tackle the new diseases and we have to have a strong worl

it includes 2.43 million dollars for hhs. barta's product development efforts and hpp's preparedness. funding will support development of an ebola vaccine and therapeutic candidates, clinical trials and commercial scale manufacturing. funding will ensure communities can purchase additional protective equipment that health care workers will receive additional training and patient detection, isolation and infection control. and we further build preparedness for the future by ensuring that all states have facilities that can handle an infectious disease as serious as ebola. mr. chairman and members of the committee, the top priority of my office is protecting the health of americans. i can assure you my team, the department, and our partners have been working and continue to work to ensure our nation is prepared to respond to threats like ebola. thank you for the opportunity to address these issues. i welcome your question s. >> thank you. now, you are recognized for five minutes. >> thank you very much for the opportunity chair

nothing about his hhs contractor any other consulting with the administration on the bill. gruber was being celebrated on the floor. >> he is one of the most respected economists in the world. today's "washington post" here is a quote here is a bill that reduces the deficit. covers 30 million more people and has a promise of lowering premiums. pretty good statement. >> that op ed laid out his analysis of the cost of the bill. so it went for months. his score sheet for the bill ended up looking similar to the official scoring. now that it is known johnson gruber was a white house consultant the assumptions used by the white house it estimate the impact of the healthcare bill for decades to come should be made publically available. >> this notion this has been not transparent that people don't know what's in the bill, everybody knows what's in the bill. >> that was three-days before the house voted on the healthcare bill which eventually became law. the as minutestration claimed he was the best president in history. do they prove he is far from that? log on to the fox and fri

adequate health care coverage shall be deemed by the hhs secretary, and so in other words, obamacare does not spell out what adequate health care coverage is. so there is a lot of the things that the democrats when they passed it, they gave great leniency to the president and the administration to change the ru rules, and come up with the rules to have latitude to change them, but there were some things that were spelled out, a nd iro clad and to provide health care coverage and once it was required, that is not negotia e negotiable, and he cannot say, it is not working and i am going to be unilaterally king and i will do it by myself. >> if you prevail, and you win, is this the end of obamacare or chop off parts of it? >> well sh, not only chops up partses of it, but it does not repeal the law, but it is going the force the president to implement the law as it is written, but more importantly, it is going to prove the point that the congress has standing which is the issue here, and it is going to play into what we do with immigration with wa what e he -- with what he has done illeg

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although open enrollment is traditionally a very business i -- busy time for hhs, we decided to add 19 flu shots clinics to the mix. so i appreciate mitchell's comments about letting us tagalong. it's been an amazing process but thinking about the hhs support team and in addition to all the things they were doing for open enrollment and expansion there. we also rolled out two initiatives. i do have the numbers of the 19 clinics. we had our first evening clinic at the wellness center, we had our first retiree only clinic, thank you. so those are a couple of the highlights. you have right now the numbers for the 17 of the 19 clinics. the last clinic is on monday. if anybody missed their flu shots, you can go between 9th floor and still get your flu shots. this shows you the growth over time. the first year there were 5 clinics and just over 1,000 people vaccinated. this year we are at 19, we'll be having more than 2800. i think for me i heard stories about how it was challenging to get people to have a flu shot clinic let alone come to it. it was very different this year. i was looking a

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is there anything with hhs, dr. lurie, or cdc, that can reimburse these facilities for the health care costs? >> i believe the secretary burwell indicated in the hearing last week that we're very open to mechanisms that would make them whole for the expenses that they've had. >> open to it and doing things, there's a big gap between those two. is there any further discussions to reimbursing, dr. lurie? >> yes, i think we understand that the cost of caring for these patients is quite substantial. as dr. frieden said, second burwell indicated that she would look forward to working with congress on this issue, yes. i might also just add in terms of the emergency funding that is necessary. it is clear that hospitals that are going to take care of ebola patients need additional training and we very much appreciated the fact that university of nebraska and emory have been now working side by side often with the rep teams to help with that. part of a funding request would also establish something that would look like a nat

hhs 3.12 billion. 112 for department of defense and right now, homeland security says it's okay but it needs a lot of flexibility. now the reason i talk about my colleagues to focus on not only the money, but on funding in an emergency, i say to my colleagues, we face infectious disease emergencies before. one under president bush in 2006 and the other in 2009 under president obama. we worked on a bipartisan basis to do this. in 2009, we were faced with the h 191 -- h1n1 flu epidemic. we provided 6.4 billion and designated that as emergency spending. the bipartisan emergency response in 2009 mired what he we did to help president bush, again, bipartisan basis, when we faced avian flu when at that time, congress responded with 6.1 billion in emergency funding. so, we have done this before when we have been faced with an emergency related to infectious disease. i would hope that we would follow the models that we have used in the past. today, we live in a world that's free from smallpox, that cut polio cases by 99%. now we have to tackle the new diseases and we have to have a strong worl

. >> reporter: president obama's new hhs secretary, sylvia burwell, says that the online is ready. >> we have put in tests and contingency plans and tested everything from end to end. >> reporter: despite the disastrous launch of open enrollment a year ago -- >> clearly the end-to-end testing was not sufficient. >> reporter: 8 million americans enrolled in plans for 2014 after a massive fix of healthcare.gov. this year, the online application is shorter, there's more information up front. the small business shopping portal will launch after a one-year delay and more insurers are offering plans. united health care is selling plans in 23 states this year, up from five a year ago. >> certainly from everything we've heard from hhs, their expectations is that this would be a much simpler experience for consumers. the functionality seems to have worked well this week. >> reporter: and investors are confident they can make money on the exchanges even with older enrollees who use the services. >> we've gotten to the point where they are signaling that this could be and is a profitable busines

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hhs estimates between 9 millions will be signed up. . about 4 million than projected last spring.he new projections are being viewed by many as an effort to temple expectations. hhs secretary silva burwell said the number the administration is aiming for is 9.1 million at the lower end of the range than her department predicted. >>> as the nation prepares to honor its 22 million veterans today, big changes are on the way to the department of veteran's affairs. secretary robert mcdonald announced an massive overhaul over allegations that veterans waited extended periods of time for care. the focus will be on customer service. it includes a customer service bureau and a hiring of a chief officer. the overhaul will be the largest ever in the department's history. >> we call that reorganization my va. that's how we want veterans to view it. we want them to view us as their va. they know who to contact, they know where to go on the websites. they know what benefits are available, and they can easily connect with us to get the benefit and is the was that they have already earned and des

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so there's a portion in one part of hhs and there's the cdc money. >> at cdc we would provide support for local entities in a variety of ways, the public health emergency preparedness fund would be formula based, based on improving infection control and emergency response. we would support networks like the emerging laboratory capacity grant program that support cutting islamic jihad work and prevention epicenter to look at infection control training and documentation of how to improve infection control as well as laboratory networks, the laboratory response network which is ten or 15 years old sand why now we have 27 lance around the u.s. able to test in just a few hours for ebola. but that needs to be upgraded and extended as well as our emerging infectious disease programs. so a variety of programs we're able to deploy. >> so you're confident that they're in place and the best way to use them? >> yes, we are. >> thank you, we're going to turn to senator bozeman on -- and i want to remind everybody we have nine other senators who wish to ask questions. i ask people kind of come to t

he was the chief technology officer at hhs. secretary sibelius launched an every six-month program called hhs innovates honoring the employees who have been innovative. it is not like they have never been innovative but maybe they are doing it under the radar, quietly, fearful that if they were to do something it would get them in trouble. you are telling me i can do this? my wife and i just had a baby boy. we have three beautiful children. installing that infant car seat is a chore. making sure it fits properly is difficult. 50% of us install these car seats improperly. who knew the department of transportation has the database of every place in the country where you can get that car seat checked? well, at a department of transportation event, a government employee said what if we make this more available to you? would anyone here do something with it? that weekend, someone built an iphone app that would allow anyone using a gps chip in their phone to figure out where i am, where's the nearest place to get my seat checked. it

it includes 2.43 million dollars for hhs. barta's product development efforts and hpp's preparedness. funding will support development of an ebola vaccine and therapeutic candidates, clinical trials and commercial scale manufacturing. funding will ensure communities can purchase additional protective equipment that health care workers will receive additional training and patient detection, isolation and infection control. and we further build preparedness for the future by ensuring that all states have facilities that can handle an infectious disease as serious as ebola. mr. chairman and members of the committee, the top priority of my office is protecting the health of americans. i can assure you my team, the department, and our partners have been working and continue to work to ensure our nation is prepared to respond to threats like ebola. thank you for the opportunity to address these issues. i welcome your question s. >> thank you. now, you are recognized for five minutes. >> thank you very much for the opportunity chair

hhs 3.12 billion. 112 for department of defense and right now, homeland security says it's okay but it needs a lot of flexibility. now the reason i talk about my colleagues to focus on not only the money, but on funding in an emergency, i say to my colleagues, we face infectious disease emergencies before. one under president bush in 2006 and the other in 2009 under president obama. we worked on a bipartisan basis to do this. in 2009, we were faced with the h 191 -- h1n1 flu epidemic. we provided 6.4 billion and designated that as emergency spending. the bipartisan emergency response in 2009 mired what he we did to help president bush, again, bipartisan basis, when we faced avian flu when at that time, congress responded with 6.1 billion in emergency funding. so, we have done this before when we have been faced with an emergency related to infectious disease. i would hope that we would follow the models that we have used in the past. today, we live in a world that's free from smallpox, that cut polio cases by 99%. now we have to tackle the new diseases and we have to have a strong worl

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meena seshamani who directs the office of health reform at hhs. she's a head and neck surgeon by profession and now she tends to hhs is reform implication, including delivery system reform. then we'll hear from daniel durham who as sara noted is from america's health insurance plan, or a hit. is executive a president for policy and veterans affairs. he held senior positions at social security administration at hhs and now he guides the reform and policy efforts. the final speaker will be professor tim joseph on the washington leading universal of law, the author of highly respected text of health laws. as we see, he literally wrote the book. is also consumer representative to the national association of insurance commissioners. and a prolific and insightful blogger and were glad to have him back. is turn first to meena seshamani from the office of health reform. thanks very much for being with us. >> thank you for having me. it's a pleasure to speak with all of you today. i thought what i would do is first go over kind where we are on the eve of t

that he was paid by hhs, again and again and again.he administration themselves. >> yeah, look. this has all of the elements of a good journalistic story. it has conflict of interest. it has outright deception. it is the kind of inside washington story that journalists who work in this town should love and the people who are today pretending that this isn't a story, they are not journalists. they are nationallers, they enablers, does this change the debate over this. >> it changes the debate because it take members of the republican party reluctant to go hard on obamacare in the new congress and ensures that they will do that. >> i don't know what republicans were reluctant to go hard on obamacare but it does give them more ammunition. >> it gives the republicans not to go hard against obamacare to place all their wager on the supreme court by the end of juneØryqr'g this down. if there are no subsidies in 36 states, there can be no individual mandate. you cannot mandate that people buy something they can't afford to buy. >> that is one

health plans, when they submit reviewilings to hhs for have to fill out incredibly long spreadsheets that include all the drugs that they have so cms can review that, check to make sure the there are not any outliers, and ensure that meets the requirements, both in the statute and with regard to the regulations and other requirements that are placed on them. so health plans are doing that. or they would not get approved. in terms of access to formularies, they have to bright that either on their website. you mentioned some have very good search tools, or through other means, sending out a paper copy and the like. it is very important to consumers to shop that kind of transparency. i will also add that i had the pleasure of working at hhs on and i headedogram, up several of the implementation teams. it was a challenge to get things to where they are today. we have seen in states where they try to put too many bells and whistles on their platforms things did not work. just like in the part d experience, which works very well today, we are going to see improvements in terms of what new

the hhs secretary announced today that tens of thousands of people have already applied for coverage. that was just before lunch. >> we're going to continue o watch everything and monitor everything. as i said all along, there will be places where we'll find things. what we're going to do is quickly work to take care of anything we find. we want to listen and hear. i think what weigh -- we see, with 23,000 people already applied in terms of the application process. >> reporter: 23,000 is a massive improvement over last year's first day when internal memos revealed that six applications went through on that first day of open enrollment. some lawmakers are concerned that people picking up new coverage through the exchanges are getting ripped of the way that the law is written. >> the president has not signed anything big. he's going to continue to stake his legacy on what he thinks is the success of this law. we're seeing this is not the case with skyrocketing deductibles and everything else. it will be a tough couple years. >> reporter: this time around, open enrollment will only last

not the healthcare that hhs or some unelected bureaucrat tells you to buy.let people buy healthcare across state lines. simple reforms that are 80/20 issues that most americans support. >> it will be interesting to watch. see what happens. >> nice to see you. >> good to be with you, greta. >> 10:00 p.m. on fox news channel. part 2 of the gripping and i mean gripping special. the man who killed usama bin laden. you are going to hear more from navy seal robert o'neil about finding and killing usama bin laden. >> >> there is a door on the front of the wall. we went up to that. one of the breechers put a big bomb on it blasted it and it opened sort of like a tin can and it was a bring wall behind it. breacher said failed breach this is bad. i remember thinking this is god. that's a fake door. someone important is in this house. >> and fox news peter doocy who did this incredible interview joins us. nice to see you, peter. >> thanks, greta. peter, last night was part one gripping. part two is tonight. give me a tease. what will we see tonight. >> last night when

hhs is now saying about 9.9 million. that's significantly lower than the c.b.o. thought. but it is higher than the counter enrolment, which is about 7 million. now, the reason in the discrepancy in the numbers is that it based its projections on a 3-year phase in for obama care, figuring at the end of three years, 25 million new people would have coverage. the face-in could fake -- phase in could take 4-5 years. hhs secretary silvia burwell says consumers will find a streamlined application. >> the consumer has a better interaction. things are simpler, faster and more intuitive. >> now, republican leadership promised to try to repeal obama care, or change the law, and the supreme court has agreed to hear a very significant case about whether federal subsidies to help people pay for the law are legal. the health department is continuing to focus on individual stories, saying these are the folks that can get health care when in the past they could not >>> al jazeera's lisa stark reporting from washington. thank you >>> more student protests in mexico city as activists deman