the insurance commissioner came out and said he was not going to help with this high risk pool kathleen sibelius' said the federal government would be able to sort of do that if there's a provision in the law that high risk pools will be -- states will not be left without them just because a state is refusing to cooperate. there is more of a problem with states that are not being cooperative when it comes to the big part of the law in 2014 when we start getting new marketplaces called changes that the states are going to set up where people buy insurance. if states are being grudging and not opposed to this law there will be a tremendous problem. deron not helping to set up a good exchanges in their state. >> host: martin on the republican line. >> caller: if the federal government forces a state to violate on their religious beliefs by violating the establishment clause by forcing them to fund abortion they're breaking the tenth amendment to the constitution. >> guest: they end up in complicated language. there is really great uncertainty about how this will play out. a lot of people closely at

let's talk to department of health and human services secretary kathleen sibelius.am secretary, the administration opposed this amendment. roy blunt says he's simply trying to protect the first amendment rights of employers who might have a moral objection to abortion, a moral objection to contraception or something else. why does the administration say bad idea? >> first of all, john, the blunt amendment in the senate went well beyond women's health services and well beyond contraception services. it really would have allowed any employer for really any reason, not religious employers for religious reason, but any employer for any moral reason to deny any health benefit to any employee. so you really could have had a situation where employers got to pick and choose what coverage options would be available to their employees. if someone felt that they had a moral objection to people delivering children who weren't married, you can deny prenatal coverage and maternity services. you can deny hiv screening. you could turn down someone for a variety of treatments that y

kathleen's of delius said we cannot make the -- kathleen sibelius said we cannot make it work so they're not moving forward. the house will introduce a bill next week to repeal the class act and it is very important that it is repealed. i don't know if the senate will vote to repeal or whether the senate will be so -- if the president signed the bill to end the 1099 reporting requirement but i hope the class act can be repealed. how do we achieve universal coverage? i talk about these are the solutions in my book. i believe in 2012 we need a new congress, in new president. in 2013 congress can refill the patient protection and affordable care act and replace it with an agenda and things that i believe in. what is the replace agenda? we need to empower doctors and patients. we need to support health savings accounts. that is one of the first. we need to change the federal tax code. the government got us into this mess in world war ii when price controls were in. 60% of americans get their health care through their employer. we get it with pretax dollars. if we have health insurance with a

. >> earlier today, kathleen sibelius invalue veiled a new federal campaign against tobacco usage. she said the new ads feature real people with real stories who lost limbs and lungs because of smoking. this was held at the museum here in washington. it's 40 minutes. >> good afternoon, everyone, and thank you for joining us today. i'm delighted to have the chance to share the stage with two of our great health leaders at health and human services, dr. a gene aye benjamin, surgeon general and dr. friedman, who heads the centers for disease control and prevention. i also wants to thank those here. some of whom you'll hear from, former smokers. we're hear -- here today to announce the latest steps this administration is taking in our fight against the number one cause of preventable death in america. we have a new ad campaign that we're launching today and it will feel some of the most attention getting stories about smoking's devastating effects. these stories haven't ever been seen in popular media. we expect it will lead to more than half a million smokers seeking out the resources

i would like to say a very special thank you to our secretaries a bilious -- to kathleen sibelius for strong leadership on this most important issue. she has made it a top priority. i would also -- i would also like to recognize my tobacco free advocates. there are some from north carolina and virginia. why don't you guys standout? -- stand up? [applause] the others who are watching on the web. 2012 surgeon general's report is a result of the contributions of more than 130 health experts. i would like to recognize the editors with us today. they will be here to help with the questions and answers. also, -- thank you for being here. i would like to recognize and thank my medical school professor and a mentor. and all the court former surgeon general's for their work on tobacco. -- and all of our four men -- former surgeon generals for their work on tobacco. the 31stelease is surgeon general report on tobacco. it reminds us once again that the burden of tobacco puts a heavy role -- a heavy burden on society. the report challenges us to end the epidemic of smoking among young people. the

the report was released thursday by health and human services kathleen sibelius and surgeon general regina benjamin. this is 30 minutes. >> good morning, everybody, and thank you for joining us here today. i am delighted to be here to kickoff the announcements of the 2012 surgeon general's report on tobacco use among youth and young adults. i want to start by acknowledging some of my terrific colleagues, dr. regina benjamin, the surgeon general, who you will hear from in a few minutes. dr. david stature is with us, former surgeon general who has been involved in this effort for a long time. [applause] prius assistant secretary for health, who you will also hear from. we have key members of the office of the assistant secretary of health staff, leadership, a wonderful team here from cdc, dr. perry who is the author of this report. he comes from texas to be with us today. a lot of you who have been involved in this effort for a long time. since the first surgeon general's report on tobacco was published in 1964, the good news is we have seen the percentage of americans who smoke steadily dec