it's my understanding that as of yet, none of those employers have received anything from hhs. can you give me an idea, just a date, of when you expect to give notification to employers? >> mr. carter, i -- this issue is one i'm not specifically familiar with. but my understanding of what you are talking about is it is a treasury issue because what you are talking about is tax information on the individuals in terms of if they have received an aptc. and that's a matter that is -- >> can you get back to me with a date. >> i'm happy to raise with second lou the question you have raised. >> fair enough. photo fix to the employers. you would agree that those employers who have multistate locations it would be better if they got one notification as opposed from every statement that's also i'm very concerned about. i will hope you will look into that as well. you do agree obviously that it is a burden on these employees when they have a tax penalty at the end because they didn't accept employers more affordable plan. so that's what we are trying to get at now, right? >> what we want

>> with regard to the hhs role where the researcher, regulator educator and treatment.terms of the questions of the health impacts, it is something we are spending time. we recently changed a rule delays to increase research we hope will afford us the opportunity to do more and better education in the space of the damage. >> my final question and you don't have to comment on the ongoing investigation necessary and that sort of thing. given hhs provides title x funding to planned parenthood, deeply personally the harvesting of infant daughter cards to be moral? >> this is an issue that has an issue with strong passionate strong beliefs about the importance of the research and what is important is hhs funding focuses on issues of preventative care, things like mammograms in cancer prevention screenings with regard to our relationship there. the attorney general right now is under review to make determinations on the appropriate next step. >> i got back my time. thank you, mr. chairman. >> ms. adams, you're recognized. thank you, mr. chairman. ranking member scott some of

>> we have it as part of our continuum of hhs. thank you to all of you who supported the sustainable growth rate bill that had the extension of the home visiting. that starts with the care in the home, visiting the home and helping start children on the right track. and we believe that continuum as well as the changes in the authorizations in head-start that you all have done to push to improve quality. it is all part of a continuum. the continuum is related to the issues that we work on broadly at hhs, and whether that's starting the mother on the right trajectory with her maternal health so the child is born with certain -- in a certain environment that has been taken care of for the nine months, and then continuing that early care, starting that learning early, and that brain development. the science that we know in having a 5 and 7-year-old of how quickly that nural development is occurring, sometimes it surprises me. it is what we believe is a continuum of both health and the building blocks of healthy, productive lives that

but i think it's an important broken aspect of the aca, where i'd like hhs's feedback on. i yield back. >> gentle lady yields back. mr. jeffries? >> thank you mr. chair. and thank you madam secretary for your testimony here today as well as for your tremendous leadership. i want to begin by asking a question about sort of providing care to some of the most disenfranchised and economically isolated individuals. many of the constituents that i represent over the last couple of years, we've had a crisis throughout brooklyn with the closure of several safety net hospitals and in other instances significant financial distress that many of the safety net hospitals have experienced largely as a result of perhaps the over utilization of certain aspects of the hospital, the emergency room, for issues that could be taken care of in a primary care context. for instance the fact that traditionally in many soci economically disadvantaged communities you have a mix of individuals that are either on medicaid or totally indigent and uninsured. or the access to private insurance traditiona

you all probably know that our most recent takedown, a joint effort with us, doj, the fbi, hhs, oig, and cmf, it was over $700 million in false billing. many were around elder justice issues. patients were being told they were treated for dementia and were simply being moved from one location to another, being charged for that. and medicare was therefore charged. i think it is the combination of those things we try and bring together. >> thank you very much for that. we know that you are -- scott brought up headstart performance standards. we know that headstart is the largest program we have at working with young children. but we are concerned about the impact of the regulations that you are putting out there. we wanted you to not -- reauthorization of 2007 required you to have regulatory revisions not result in the elimination of -- or reduction in quality of scope of services. but you are talking about a reduction of 122,000 children's slots, elimination of 10,000 teacher jobs. how can you ensure that the revisions you are proposing are in compliance with the 2007 law? >> we have

manyrink cres co th hh hos, t ho... esn'workn wrkles neutrona®apidrink repr has thfastt renol rmul..woron fe lis aneveneep inkl jusone ek. neroge®. cute. >> we're on set for blake >>> how do you know we can trust him? >> desperate times, desperate measures. >> everyone's going to see the new mission impossible movie for tom cruise and the stunts, right? of course. but you see this kickass costar and you ask yourself who is that girl? here's what you need to know about rebecca ferguson. >> we've never met before, right? >> she is feminine version of ethan hunt. she has a kickass mean side and vulnerability. >> she is a badass. she walked in and i'm like she got the job. >> fear doesn't stop her. she suffers from claustro phobia and vertigo. >> so we are descending from the rooftop in vienna, awesome. tom does it, i'll try it. >> you met your match. >> it's been awesome. >> it was a nice closeup of your bottom, though. >> mine. >> wow. >> i closed my eyes at this moment. >> rebecca is 31, divorced and has a son. and she starred with dwayne johnson in "hercules" and she had a golden glo

onone e phphilillilips' colon hh probiotic cap each day hehelplps s dedefefendnd a agagl digestive issuesth t thrhreeee t typyd bacteria. liliveve t thehe r regegul. phphilillilipsps'.'. >>> kids says the darnedest things. i love when a toddler talks about relationships. >> i see. >> he recently had a break-up and is a little upset about it. he's talking to mom about it. >> oh. >> he broke up with her. >> best friend? >> yes. >> no. >> it was a case of 2ts? >> because i want to. >> she is not his girlfriend anymore as he takes his what looks like a really expensive water -- >> no girlfriend no more? >> no. >> kid is so chill about it. a lot of dudes would be kind of broke, up after a break-up. it takes a few days to get over the emotional pain of it. he's just kicking back like a baller. >> now this little girl, she's not talking about relationships, she's just learning the english language. and let me just say when kids say the darnedest things, sometimes it might need to be bleeped, watch. >> [ bleep ]. >> i'm pretty sure she did not say floss, y'all. >> but i think she's saying fork. >

onone e phphilillilips' colon hh probiotic cap each day hehelplps s dedefefendnd a agagl digestive issues t thrhreeee t typyd bacteria. liliveve t thehe r regegul. phphilillilipsps'.'. >>> patience is a virtue, you're behind somebody and they're taking forever. rich ferguson decided to have fun. and this guy is just taking forever. you can see rich is the next guy in line and slowly the cue starts building up, and rich is like, dude, come on. >> ten minutes, can i just get in and get a movie. >> hey, chill! go somewhere else. when it escalates, it gets weird. >> i want to get a movie. you're taking forever. >> okay. i was not expecting that. >> the guy reacts like he's the matrix, jumps straight back and freaks people out, and then -- >> whoa. what the hell? >> that's what you just run. >> guy in the green's reaction is perfect. >> take that, man. >> he says, i'm good. >> yeah, he's good. >> guy with the backpack, he just moon walks out of the scene. >> this guy is with his son, priceless. >> this is probably one of my favorite rich ferguson pranks ever. >> i'm just surprised nobody turns

i mean, no one would not take pause at these, but why can't we have a doj investigation or an hhs investigation? >> we just might. i fear where they might go. ben stein, your thoughts. >> the very, very large bulk of the religious population of america thinks that abortion is murder. the idea of taking their tax money and using it to fund planned parenthood and getting it, yes, in their budget, abortion is a small amount. they take the money they get from the u.s. taxpayer and they use it to pay for other things that have more of the money given them by the hollywood beautiful people and use that. as charles said, the money is fungible. especially the u.s. taxpayer who hates abortion, considers it murder, is paying for abortion. that is an outrage. >> we should stress by law with no direct federal proceeds can go to abortions but you are right about the lab ribt ayrint the process involved here as gerri was pointed out how it's funded through medicare. very difficult to undo this whole thing. >> yeah. that points to a whole lot of other issues because we can't undo anything. anytime we talk abo

a a hh, when "eyewitness news" comes right back. see in you a bit. ♪ well, sir.er some serious consideration i'd like to put in my 15-year notice. you're quitting!? technically retiring, sir. with a little help from my state farm agent i plan to retire in 15 years. wow! you're totally blindsiding me here. who's gonna manage your accounts? this is a devastating blow i was not prepared for. well, i'm gonna finish packing my things. 15 years will really sneak up on you. jennifer with do your exit interview and adam made you a cake. red velvet. oh, thank you. i made this. take charge of your retirement. talk to a state farm agent today. >> another wrongful death lawsuit filed in the amtrak tragedy. rachel jacobs was ceo of an educational technology company based in philadelphia. the 39-year-old was one of eight people killed may 12th when train 188 derail at frankford junction. more than 200 others were injured. her family is seeking unspecified damages. >> delta airlines flight had a near miss with drone over jfk. they reported seeing airborne object near the approa

a a hh, when "eyewitness news" comes right back.ee in you a bit. ♪ >> another wrongful death lawsuit filed in the amtrak tragedy. rachel jacobs was ceo of an educational technology company based in philadelphia. the 39-year-old was one of eight people killed may 12th when train 188 derail at frankford junction. more than 200 others were injured. her family is seeking unspecified damages. >> delta airlines flight had a near miss with drone over jfk. they reported seeing airborne object near the approach path to the runway around 5:00 p.m. authorities say the plane did not have to take any evasive action and it landed safely. the pilot described what he saw to area traffic control. >>> about a mile back there was a drone flying just under southwest side of us -- >> what altitude would you say that was? >> about 100 feet below us just off the right wing. >> roger. did you by any chance get the color or type. >> no, it was not close enough to be able to tell. >> the faa continues to vest eight gate the incident. >>> wes link legend rod

a hh, finally football is about to get going. eagles report today at team headquarters. they will kick things off tomorrow, with their first practice. the pressure is on for chip kelly as he enters his third and mess important season. chip blew up that roster this off season. will all of the changes work? we're about to find out. sam bradford, mark sanchez will battle for starting quarterback job but bradford is expect to be the man, under center. the regular season kicks off in a little more than six weeks for demarco murray and your new look, philadelphia eagles. murray has a new friend in the backfield eagles signed kevin menanguy today the roster is now at 90. >>> with cole hamels gone, aaron nola will be the new face of the phillies rotation. hopefully, the ace. yes, big shoes to fill for the 22-year old. nola returns tonight against the braves. mike schmidt, he is not sure what he is looking at right now, phillies have the best record in baseball since the all-star break. ryan howard and company have won 111 of their last 13. howard is driving force at the plate, s

but it will be a daunting challenge for cms, hhs, trust fund. that has to be one way or the other. have i -- does that answer your question? the issue that we are facing can only be solved in time by the reallocation proposal ta the president has put forth. he has clearly indicated his role in this to work with congress on long-term solutions. many ideas are out there as a matter of what can be brought together in a bipartisan way. >> danny galino from market news. >> last year, you said that the longer the fix for social security is delayed, the less likely it is to occur. now, that's a little bleak. what do you think about that this year? >> it is bleak. it remains a concern of mine. i think that the current disability trust fund issue is a case study and why. i think there are many opinions about what should be done about the disability insurance system. any realistic appraisal of the situation finds that there isn't enough time to reform disability insurance on its own terms to prevent the depletion date without having to come up with revenues from somewhere else. we don't want

our next panel is on the front lines, to hhs secretary's and state governors put medicare and medicaid action. i'm going to turn things over to ruth katz, executive director of the health medicine and society program of the aspen institute. but before i do i just want to say thank you so much for all you've done to organize a wonderful conference. so thank you and welcome to ruth katz. [applause] >> good morning, everybody. as you just heard on ruth katz, director the health medicine and society program at the aspen institute. we are going to move quickly into our next panel because we talk about the front lines of medicare and medicaid and what it takes to programs to welcome both the federal and state levels, there's a lot of ground to cover but i'm sure you would agree. we brought together the right people to do just that. walter isaacson is your detail you'd more about those folks. walter is president and ceo of the aspen institute, my boss. as media is also a subtle but a journalist and biographer. he has long been interest in leadership and creative people make things happen. ben

i want to assure you there is an unprecedented level of collaboration between hot and hhs not because that's my job but because it really is the case. hud is talking to the center for medicaid almost every day and we are talking with folks at hrsa and folks at samhsa. we are talking to folks in the administration on children and families almost every day. i know it feels sometimes like housing and health care are miles apart and no one is talking pretty want to promise you in this administration there is an unprecedented level of collaboration. there's a simple fact about how we invest in housing federal that health care people to my style because you operate in a mandatory budget and entitlement programs. federal housing assistance is the only means tested benefit that is not entitlement. when someone becomes eligible for medicare or medicaid they get it. if you fill out an application you will get in line. when we asked congress to invest in more affordable for supportive housing they worry about the renewal burden, the fact that this increases our total legend in future years somet

they had 370 cases of ebola confirmed in health care workers, wo 21 o 221 of those hh care workers died. a lot of lessons have been learned. we've seen new training new approaches, a culture of safety start tot to be taught within the hospitals of sierra leone. the risk is very high. when a person comes into the hospital who has a fever and you don't know if they're diagnosed, they could be giving out millions of ebola particles. wear that person protective equipment, use soap and water and bleach to kill the virus. that level of vigilance and safety will have to continue for many, many more months not just in sierra leone but also liberia and guinea. >> while the patient released today seemed in good shape, a lot of survivors seem to be suffering from ongoing health problems. how serious are those issues? >> they are very serious. we've had over 13 and a half thousand cases of ebola in sierra leone, 4,000 died. that has left 9500 known ebola survivors in sierra leone. what we are finding in both west africa and also the survivors here in the u.s. there is a post-ebola syndrome. they've

years for cry want to assure you there is the unprecedented level of collaboration between hud and hhs not because that is my job but it is the case. hud is talking to the center for medicate almost every day and a center of innovation and we talked to at the administration of children in families almost every day. and though sometimes it feels they are miles apart but i want to promise that with this administration there is an unprecedented level of collaboration. there is a simple fact houri invest health care people don't always know because you operate in the world lived in chatham of programs and mandatory budgets. it is the only means tested that is not entitlement. and somebody comes eligible they get it. if you fill out an application for housing voucher you get in line. when we ask congress to invest in more supportive housing day worry about the renewal burden that it increases the total budget in future years something like to call keeping people in their homes. so cut services for housing that medicaid could pay for. it has a lot of financial incentives to be a more afforda

to assure you that there is an unprecedented level of collaboration happening today between hud and hhs. not just because of my job but because it really is the case. hud is trying to talk with medicaid almost every day. were talking to folks at many different organizations. were no it feels that housing and healthcare are miles apart and no one's talking, but i want to promise you, in this administration, there is an unprecedented level of collaboration. there is a simple fact about how we invest in housing federally that a lot of people don't know because you operate in a world of mandatory budgets. federal housing assistance is not an entitlement. when someone becomes eligible for medicaid or medicare, they get it. if you fill out an application for housing, you get in line. when we asked congress to invest in more affordable or supportive housing they worry about the renewal burden. the fact that this increases our total budget in future years something i like to say keeping people in their homes. the conundrum is today, hud pays for a lot of services and housing that medicaid could

the department of treasury under think it's an important broken aspect of the ac where i would like hhs feedback on. i yield back. >> mr. jeffries. >> thank you, mr. chairman. thank you, madam secretary, for your testimony today as well as for your tremendous leadership. i want to begin by asking a question about sort of providing care to some of the most disenfranchised economically isolated individuals in this particular case, many of the constituents i represent over the last summer years. we've had a crisis throughout brooklyn with the closure of several safety net hospitals and in other instances significant financial distress that many of the safety net hospitals have experience. partly a result is perhaps the overutilization of certain aspects of the hospital, the emergency room for issues that can be taken care of in a primary care context. for instance the fact that traditionally enemy soldier economically disadvantaged communities you've got a mix of individuals who are either on medicaid or totally indigent and uninsured. the access to private insurance traditionally has not

i want to assure you that there is an unprecedented level of andaboration between hud hhs. not just because that is my job, but because it really is the case. hud is talking to the center for medicaid almost every day. we're talking to folks at , at the and medicare ndministration on children' and families almost every day. i know and feel sometimes that housing and health care are miles apart, and no one is talking, by want to promise you that in this administration, there is an unprecedented level of cooperation. civil fact about how we invest in things federally that health care people don't always know. you operate in a world of mandatory budgets and in tyler programs. iseral housing assistance the only benefit that is not an entitlement. when someone becomes eligible for medicaid or medicare, they get it. a voucher forout housing option, you get in line. we ask congress to invest more in housing, they worry about the renewal burden, the fact that this increases our total budget in future years. something i like to call keeping people in their homes. the conundrum is th

through the spending caps and if they don't get the spending that they want for the irs and the epa and hhs, they are going to say that we could shut the government down. what does that do to the market? >> i don't know. i think that the markets are fed up with politics and i think that people generally are so fed up with politics that it wouldn't be a good political thing to do. liz: do think that the market is her by that to . >> it doesn't help. but it's not like it was in 2011. we are not a match a given market anymore. >> the political season, the crazy season that we are about to get into. you are talking about setting yourself up for problems in the elections next year. it's going to be about time for congress to do nothing. >> we got a lackluster 2% growth. they will say what is the government spending. >> to get more economic growth and tea of the political season. >> i would much rather see them do nothing to make it out of the way, let the markets he'll come and get out of the interest rate market as well. let that start to grow a little bit. >> do you agree? >> when they stopped

it's in place in every contract left by hhs.ding the massive contraception services, primary health care, breast cancer screening that planned parenthood delivers to millions of people across the country, and without their clinics in operation, millions of women will not have a choice of health care providers. there is no federal money, none, zero, zip, used for abortion funding. >> you don't have any evidence to support that. and that's the problem. >> it's been investigated. it's been looked at. >> clearly not investigated enough because according to what we're hearing from the people running it, that there are legitimate questions being raised about how those dollars are being spent when it comes to fetal tissue, getting fetal tissue, et cetera. i think from my perspective, the reality is, you're getting federal money, let's throw it up in the books and do the audit and see where it goes, number one. more importantly, wooi doesn't planned parenthood separate out that function? why doesn't it take that function, the abortions

hhs released guidance to help implement innovative approaches, the the administration has also committed $99 million over fiscal year 2015 for overdose in treatment effort. giving the connection between opiates and transmission public health strategies are necessary to prevent the further spread of infection. the recent hiv outbreak in indiana is how opiate use can spread disease, they need to be part of the response and how with limited capacity may experience additional public health crisis. in conclusion we'll continue to work with congress and our federal partners on the public health and public safety issues resulting from the epidemic of nonmedical prescription opiate and heroin use. think for think for your time. >> thank you mr. riley,. >> thank you for the opportunity to discuss heroine its use and availability. dea single mission is enforcing and heroine has also been a major focus of efforts over the years. sadly today, 120 americans will die as a result of drug overdose, heroine and prescriptive drugs results from over half of those. i've been with dea almost 30 years and i h

and later on, hh -- was the guy the navy sent out. he died of meningitis in 1935. he was their guy on the spot. norman: if you want to know about amphibious ideas of that era, he's a terrific way to learn. sorry. >> dr. freidman. james hornfisher in "neptune's inferno" talked about the exchange with an role -- when he trained at harvard. [indiscernible] were there any exchange programs where they came to the united states? norman: there was not an exchange program. it was naval attache. that is how we got to go around. yamamoto -- no, you do not -- want your students to watch you playing these kinds of games. it was not their business. >> because i was wondering, in "neptune's inferno," he talked about the japanese superiority in night fighting, like you were saying, but there were -- were there exchange programs or any other, what attaches studies any intelligence or anything? norman: no. no one was ever allowed in. as far as going to japan went, their security was terrific. they were very good at making sure foreigners stayed out of business. if you think about r

had to find somebody, kathleen sibelius certainly qualified to run it hhs but she didn't have washington political skills. they had an insider and nancy do paros certainly understood how it worked. they had a great plan. you can't get confirmed over tax issue and they abandoned the idea of having a ceo of health care because it's essentially what they were doing. they would have the ceo of health care reform and if you look at every problem they ran into from getting the legislation passed to getting it written to implementing it the problem was no one person was accountable and get their initial plan, they had the right idea and they abandoned it i would argue. >> host: what conclusion do you draw about the debate that went on at various points about whether to go big or to go small, get what you can and not boil of the system and get the big conference at though? >> guest: politically and to stand the rahm emanuel argument and chuck schumer and rahm emanuel the chief of staff at the time be arguing for health insurance reform. do this a small slice of the time. this is too big. chuck s

the fda's human resources, how do you hire people today, many of these will require elaboration with hhs and the office of personnel management. we all know in government the hiring of a process, hiring and firing and recruiting process, happens in the legislative branch, it needs to be addressed. that whole human resources. recall of the need for fda to expand the effect -- effectiveness of public-private partnerships. finally, i've gone on too long, with a section on improving access to medical products for unmet public health needs. it is a government role and responsibility to look at the unmet needs that may not have a financial incentive to go into. the biggest drug company would amount to make a lot of money just to go to the scientist do not concentrate. researchers will not be there but there's a huge population of public health needs and that is a specific role of government that the fda has a very important obligation and responsibility. lastly let me just say another area is the need to accelerate the development of something, again, that affects everybody in the room that is

well, welcome to hhs. >> thank you. expenses of the employee benefit trust fund. also known as the trust fund and the general fund administrative budget. through may 31 as well as fiscal year ending objections through june 30. where we are right now, just kind of in broad generalities, is that the fiscal year closed on 30 june. there are still transactions that are being processed and we always are behind a month in terms of its report. however, the projections that we have here are the general fund our actual actually based on last week and it was absent just a couple of transactions. the trust fund is the audit is started, and we think we are going to bounce around where are at and what are present in the report. the audit won't be concluded until october, and i believe that it will be presented to you in december. the balance of the trust fund on june 30, 2014 was 92.8 and right now we are projecting and right now we are projecting at 70.5 million. it will be similar between that and 80 million. i believe at the end.

well, welcome to hhs. >> thank you. today i'm reporting on the revenues and expenses of the employee benefit trust fund. also known as the trust fund and the general fund administrative budget. through may 31 as well as fiscal year ending objections through june 30. where we are right now, just kind of in broad generalities, is that the fiscal year closed on 30 june. there are still transactions that are being processed and we always are behind a month in terms of its report. however, the projections that we have here are the general fund our actual actually based on last week and it was absent just a couple of transactions. the trust fund is the audit is started, and we think we are going to bounce around where are at and what are present in the report. the audit won't be concluded until october, and i believe that it will be presented to you in december. the balance of the trust fund on june 30, 2014 was 92.8 and right now we are projecting and right now we are projecting at 70.5 million. it will be similar between th

hhs is also losing guide -- is also releasing guidance to states -- they have proposed $99 million in the budget request over fy 15 for treatment and overdose prevention efforts. in addition, given the connection between opioid drugs and infectious disease transmission, public health strategies are necessary to prevent the further spread of the disease. the recent outbreak in indiana is a stark reminder of how the opioid abuse can spread other diseases. how comprehensive programs such as syringe service programs need to be part of the response. in conclusion, we will continue to work with congress and our federal partners on public health and public safety issues resulting from the epidemic of opioid use and heroine use. thank you for your time. >> thank you mr. botticelli. mr. riley? >> chairman and congressman thank you for the opportunity to discuss heroine of its use and availability and the dea's response. the dea's single mission is to enforce the heroine controlled substance act. sadly, today, 120 americans will die as a result of drug overdose. heroine and prescription painkil

well, welcome to hhs. >> thank you. today i'm reporting on the revenues and expenses of the employee benefit trust fund. also known as the trust fund and the general fund administrative budget. through may 31 as well as fiscal year ending objections through june 30. where we are right now, just kind of in broad generalities, is that the fiscal year closed on 30 june. there are still transactions that are being processed and we always are behind a month in terms of its report. however, the projections that we have here are the general fund our actual actually based on last week and it was absent just a couple of transactions. the trust fund is the audit is started, and we think we are going to bounce around where are at and what are present in the report. the audit won't be concluded until october, and i believe that it will be presented to you in december. the balance of the trust fund on june 30, 2014 was 92.8 and right now we are projecting and right now we are projecting at 70.5 million. it will be similar between th

many of these will require collaboration with hhs and the office of personnel management.e all know and government, the hiring and firing processes, and recruiting processes happening in the legislative branch -- it needs to be addressed. he also called up the need for the fda to expand the effectiveness of the private -public partnerships out there. finally -- i have gone on too long -- we have a section on improving medical products. there is a government role and responsibility to look at the unmet needs that might not have a financial incentive to go there. the biggest drug company in the world who may want to make a lot of money b may not want to go there. but, they are huge population public needs. the fda has a very important obligation and responsibility. lastly let me say, another is the need to accelerate of all the of something that again affects everyone in the room, and that is the use of antibiotics. bc a lot in the press today. we know superbugs are an issue but if we know there is a problem out there, people are dying from it, and it is created in large par

for questions about oversight of health care, i would refer you to hhs. i.c.e. has been an issue for some time among advocates for reform to administration. now there is some sort of pushed back among municipal governments about whether they want to cooperate with the president's .rogram have a credibility problem? frequently, they have not followed with the administration wants to be done. who have deported people were not criminals. that is not administration policy from what i understand. does ice have a credibility problem? there are a variety of ways in which our broken immigration system has had an impact on law enforcement officials. the lack of clarity about immigration policy is why the president leaves reform is badly needed. the president is supportive of rm that brings greater accountability. our system has resulted in a lot of frustration about the best way to protect the communities they are sworn to serve and protect. there has been frustration expressed by ice officers. federal officers, about how to use their limited to resources to enforce the

and it's all very well for mcdonald's to serve two billion hamburgers, but for hhs or the well tear bureaucracyo serve me as a client as opposed to, you know, helping me to learn how to fish, let's say, that has a corrupting tendency. it gives me -- it has a moral effect. and so, you know, the question is, is there any way to, at this point you don't seem very hopeful in your, in your essay. it seems, to you it seems that we've gone too far. is that how you feel? >> um, i think that the, i think the inadvertent consequences of the, of the attempt to alleviate need are very, very stark is in america today. and if you look at how other modern social welfare states have been, to some e degree, reformed or have their, had their characteristics overhauled, usually that has happened when the government has run out of other people's money, right? so it happened that way in new zealand, and it happened that way in sweden, and there are a couple of other examples we could mention. we're a very, very rich society. the government's going to have to run through an awful lot of our wealth before we hit the

they say it's important that the supreme court address the hhs mandate.he president of judicial watch, tom, good morning to you. what is if the effect of this now on this case. >> it makes it likely the supreme court will take you have this issue of. the supreme court ruled in favor of those trying to protect their ridge freedom. the obama administration is obsessed with forcing religious organizations to provide contraceptive coverage and birth control that also causes abortions as part of employer-man dated coverage under obamacare. obamacare says nothing about forcing people to provide contraception. but obama as the administration pushed it on to religious institutions. the obama administration thinks if you sign enough forms you have clean hands. bill: you just said something critical it am not in there? >> no, obamacare requires that employers covered under the mandate provide some preventative healthcare. now, preventative healthcare and con dragception, that's an argument people are having. the idea that's religious institutions that morally objec

both the cdc and the hhs through the office of inspector general had roles in enforcement. the division of the select agents and can refer entities to the office of inspector general for the civil penalties or the notice of violation. the cdc could read denied registration or require them to enter the performance improvement plan. criminal charges could also be made in the cases of misuse or unauthorized transfer. can you walk us through the different options and how you determine the appropriate response for any given violation? >> you have correctly pointed out the administrative options to suspend, deny or revoke. the registration process is intended to screen and assure that there is good laboratory practice into the appropriate use for the select agents material so that process and other steps in the program are intended to assure a. is one taking. it is one taking very seriously the importance of balance for the nature that you are talking about here these are important bio defense facilities to work collaboratively on the specific problems to address them, but those

>> again we're working on a project where we are combining historic data from hhs with real-time air quality monitoring and we've driven the price down because of the vast reduction in cost of hardware with the center box to below $5000. we will get the government a good one for its money and hopefully show that we can collect it for a lot less than what epa pace which is run $200,000 per box, show health impacts of air quality and chemical exposure. so my findings are that innovation is really easy with the sensors and open-source software and open source hardware. it's difficult to get government to publish the data largely because of fear of embarrassment. so we work pretty closely with the stewards of the data to try to get them through the hurdles and move from the flow, migration from the need to know to the need to share. i with the agencies from information should officers are the biggest roadblock because they've nothing to gain professionally by allowing it out of the agency, only blame if it goes wrong. >> that's a good point because we see that a lot. my favorite line abo

down about20%rom its hh of august 5th whi was $129.29. it waseall indcrimate selling. people seem to be throwing in the table today, not one component of the nasdaq 100 was up for the week. >> bertha, thank you so much. great coverage all throughout this crazy session. we have michael santoli, kayla tausche and evan newmark. what is going on here? >> too much is going on. too much pressure from too many directions. everything was down. a lot of those hiding places people have been feeling sheltered in, they got smoked out of them. i don't think it means much of anything we are down 10% in the dow. we've undone this effort to stay above those post qe-3 levels. >> i think it's a good thing. a lot of people have been waiting for a very long time. >> what about the people who are going to see this and go into cash? are they making the wrong decision? >> i don't want to tell people what to do. valuations of most sectors have been stretched a long period of time. we are finally seeing the biotech sector chipped away at. over the next few months would be a better time than th

many require collaboration with hhs and the office of personal management. we all know in government the hiring and firing and recruiting process happens in the legislatorive branch when -- legislati legislative branch needs to be investigated. we need to improve the publi public-private partnerships out there. and providing access to medical products and there is a government role and responsibility looking at the unmet needs that may not have a financial incentive for going there. the biggest, most important drug company in the world is not going there, scientist and researchers are not going there, but that is a specific role of government that the fda has a very important obligation response ability. and another area, lastly, i will call attention to is the need to acc accelerate the development of something that affects everybody in the room and that is the use of antibiotics. we know super bugs are an issue. we know people are dying from it. it is created by our use of other antibiotics. we need to accelerate innovation to cure it, treat, and the fda n

>> for any questions but oversight of help to those whose i would defer you to hhs. >> immigration, ice has been an issue for some time advocates among reform of immigration and apparently there seems to be some pushback whether not they want to cooperate with ice. the president and the presence program, dhs program to bring back those who have committed crimes. the i.c.e. have a credibility problem? because sometimes they have not frequently they have not followed what the administration wants to be doing. frequently they have deported people who were not criminals, that does not -- that is not administration policy as understand. is i.c.e. have a credibility problem? >> i think they're a variety of ways in which our broken immigration system has had a negative impact on the ability of law enforcement officials of the federal and local level to do their job. the lack of clarity about the immigration policy in this country is why the president believes that reform is badly needed. and affect the president is strongly supportive of reforms to bring greater account of the to a broken immi

many of these will require collaboration with hhs and office of personnel management. we all know and government the hiring and firing processes and hiring fired a recruiting processes that happens in the legislative branch when you are importing ambassadors it needs to be addressed, but that whole human resource and we also caught up the need for fda to expand the effectiveness of the public-private partnerships that are out there. how we actually improve and make those real. finally, and i have gone too long we have a section on improving access to medical products or unmet public health needs. there is a government responsibility, for the unmet needs that may not have a financial incentive for going there the biggest most important drug company in the world may want to make a lot of money, it just won't go there. of scientists won't concentrate their resources, but there is a huge population, public health needs and that's a very specific role of government at the fda has a very important obligation to response-- response building. another area of my pulse of attent

hodus also represents nih on the hhs secretary's federal advisory council on alzheimer's disease research cure and services. he also coordinates the nih research efforts under the national plan to address alzheimer's. we will then hear from dr. ronald peterson, whom i mentioned previously. he is the director of the mayo clinic, alzheimer's research center and the mayo clinic study of ageing. in 2011, he was appointed to serve as chair of the advisory committee. kimberly stinly has already been introduced by our ranking member. she is from st. louis and will be talking about the challenges that our nation's many caregivers of alzheimer's patients face every day. we welcome you as well. and finally it is a great pleasure to welcome to the committee dr. heidi wireman, who is with us here today. for more than ten years, she has served as geriatric physician at maine medical center in portland, maine, and she specializes in the challenges that both physicians and caregivers face when caring for an alzheimer's patient. again, it's truly touching to see the sea of purple gathered in the hearing