medicaid fraud unit for medicaid agencies or what if rot tips hot line as examples.cms is also committed to supporting our seat partners and program integrity efforts to reduce improper payments. our medicaid integrity provides what training and support to the state. we've trained more than 2600 programs integrity staff from all 50 states, d.c. and puerto rico. providing boots on the ground that can assist states with special investigative audits and threats. october of 2007 cms has participated in ten projects in three stages has resulted in $33.2 million in savings through cost. in addition cms review and audit mix were medicate contractors complement and support program integrity efforts under way in the state. between 2009 and november 1st of this year the audit makes has initiated 1663 audits in 44 states. in addition to the federal audit states report that they have recovered $2.3 billion as a result of all medicare program activity. the affordable care act has also strengthened federal oversight for the medicaid program by providing new tools to cms and law en

medicaid fraud unit for medicaid agencies or what if rot tips hot line as examples.cms is also committed to supporting our seat partners and program integrity efforts to reduce improper payments. our medicaid integrity provides what training and support to the state. we've trained more than 2600 programs integrity staff from all 50 states, d.c. and puerto rico. providing boots on the ground that can assist states with special investigative audits and threats. october of 2007 cms has participated in ten projects in three stages has resulted in $33.2 million in savings through cost. in addition cms review and audit mix were medicate contractors complement and support program integrity efforts under way in the state. between 2009 and november 1st of this year the audit makes has initiated 1663 audits in 44 states. in addition to the federal audit states report that they have recovered $2.3 billion as a result of all medicare program activity. the affordable care act has also strengthened federal oversight for the medicaid program by providing new tools to cms and law en

however, it also expands the size of the medicaid program and will increase medicaid spending by over $600 billion between 2014 and 2031. given the dramatic expansion. better quality, excuse me, better quality is essential and reducing waste, fraud and abuse. in 2006 see amish initiated an attempt to the quality and access to read the gao issued the report finding that those in the systems were inadequate and underutilized. giglio also could not find any evidence of financial benefits and implementing the new systems despite the fact cms has been using them for over five years. there are also problems with state reported data. many states are not reporting all required data and they are often lag times up to one year between when the state's report data and when cms get eight. this makes it extremely difficult and often impossible to prevent the def rot before payments were issued and as i know we will hear the testimony today from one of our witnesses, the information is as old as 12 years, which is just unthinkable as a result of the data systems, cms relies on contractors to identi

states are struggling to deal with medicaid's growth and medicaid is crowding out state priorities like education, transportation and public safety. i look forward to today's hearing and hearing from our witnesses and hopefully flushing out ideas for limiting the amount of tax dollars being wasted through the medicaid program. when folks like mr. west are being hurt and neglected due to fraud it's time to find solutions and our fellow citizens, the ones who trusus enough to let us be their voice in this town are increasingly losing confidence that we are not serious about tackling waste, fraud and abuse. we must reclaim their confidence. we do that one episode at a time and we might as well start with mr. west. with that i would yield back to the chairman. >> thank the gentleman. pleased and honored to yield to the ranking member on the subcommittee on health care district ofcolumbia census and national archives the government of illinois mr. davis. >> thank you very much. chairman, ranking member towns, i thank all of you for holding today's hearing. reducing waste, fraud and abuse and

where medicaid was created to provide health care coverage for our senior citizens, medicaid was created as a safety net for low-income individuals. medicare is run exclusively by the federal government. medicaid is a federal-state partnership. the federal government sets the parameters of the medicaid program, pays at least half of the program in every state but then turns the function -- functional operation of the medicaid program over to the states. in the 46 years since both programs were created, the eligibility for medicare program has been essentially unchanged. eligibility, on the other hand, for the medicaid program has expanded significantly through the years, and with that the program has grown dramatically as well. medicaid, when it was created, covered fewer than 5 million. today the medicaid program currently covers nearly 57 million. the program spends more than $300 billion each year. medicaid has expanded so dramatically for two reasons: first, at various points in the last 46 years congress has mandated that the states increase eligibility and services for the program.

in medicaid to actually enroll in medicaid. and it's a definitive program where people can call and get assistance and people will talk them through the system? yes. and actually even work with them face to face, work with them to walk through the applications, meet them even in the places where they have to complete the applications. very good. any other best practices, richard? well, i think the philosophy is trying to meet people where they are. the idea is to recognize that people who are in that under 133 percent of the poverty line who are

one is coverage expansion through medicaid, which you just mentioned, and the other one is insurance market reform, which deb referred to a little bit, but there is more to it than that. and then finally there is delivery system and payment reform, and they all work together, they all fit together. and so in fact, the medicaid expansions go to cover anybody with an income below 133 percent of poverty line. and that coverage will include mental health- which is approximately, what is that level? $10,000, $11,000 for an individual. and then $28,000, $29,000 for a family of four. yes. and so in fact for the first time, medicaid becomes a simple means tested program as opposed to something complicated where you have many different criteria that you have to meet. so it's just for low income people now. and then picking up at that 133 percent level are subsidies to help you buy private insurance under these new organizations called health insurance exchanges, which is a way of giving individuals and small groups the same purchasing power that somebody who works, say for the federal governm

pierce lives in indiana and he gets his health insurance through medicaid.ndiana designed its own medicaid program including what care they'll cover. the program says it would pay for the operation that little pierce needs, but there was a catch and the story gets a bit complicated. here's elizabeth cohen. >> they didn't give you a bath this morning. >> reporter: she says government bureaucrats are trying to kill her 4-month-old baby. >> there's very few children like pierce on the planet. >> reporter: he was born with an extremely rare condition called heterotaxy syndrome. about 16 children are born with it in the united states. they have multiple heart defects. many die as infants. >> i sat by his bed thinking that if i close my eyes i'd miss my last opportunity with him. >> reporter: pierce has spent most of his life in the intensive care unit in riley children's hospital in indianapolis. he needs surgery soon or he will die. so when they first talked to you about surgery here, tell me what they said. >> that taking him into surgery would be like a death

medicaid refused to pay for the life-saving surgery for this 4-month-old.ital one's new cash rewards card gives you a 50 percent annual bonus. so you earn 50 percent more cash. if you're not satisfied with 50% more cash, send it back! i'll be right here, waiting for it. who wouldn't want more cash? [ insects chirping ] i'll take it. i'll make it rain up in here. [ male announcer ] the new capital one cash rewards card. the card for people who want 50% more cash. what's in your wallet? sorry i'll clean this up. shouldn't have made it rain. let's do it, let's go to vegas. vegas baby! maybe we should head back to the dealership first? vegas! no, this is a test drive. vegas! [ male announcer ] it's practically yours. but we still need your signature. volkswagen sign then drive is back. and it's never been easier to get a jetta. that's the power of german engineering. get zero first month's payment, zero down, zero security deposit and zero due at signing on any new volkswagen. visit vwdealer.com. >>> "raw politics" tonight, with two weeks to go until the iowa c

medicaid refused to pay for the life-saving surgery for this 4-month-old.in the story, and it's a heartbreaking one with a surprising twist. ♪ it's easy to see what subaru owners care about. that's why we created the share the love event. get a great deal on a new subaru and $250 goes to your choice of 5 charities. with your help, we can reach $20 million dollars by the end of this, our fourth year. >>> "raw politics" tonight, with two weeks to go until the iowa caucus, hard to believe, newt gingrich's front-runner status is evaporating. the latest cnn/orc poll which is is out today both have 28%. ron paul's in third with 14% and michele bachmann, rick perry, rick santorum and jon huntsman are all in single digits. last month gingrich was leading romney 24 to 20%. but with the clock ticking toward iowa, gingrich is slipping, romney is gaining. here's what gingrich had to say about this at a campaign stop in iowa today. >> the establishment in both parties is panicking. but just as they did with ronald reagan. go back and read what people wrote about reagan

medicaid refused to pay for the life-saving surgery for this 4-month-old. explain the story, and it's a heartbreaking one with a surprising twist. a new belt. some nylons. and what girl wouldn't need new shoes? we talked about getting a diamond. but with all the thank you points i've been earning... ♪ ...i flew us to the rock i really had in mind. ♪ [ male announcer ] the citi thank you card. earn points you can use for travel on any airline, with no blackout dates. yeah, i toog nyguil bud i'm stild stubbed up. [ male announcer ] truth is, nyquil doesn't un-stuff your nose. really? [ male announcer ] alka-seltzer plus liquid gels fights your worst cold symptoms, plus it relieves your stuffy nose. [ deep breath ] thank you! that's the cold truth! >>> "raw politics" tonight, with two weeks to go until the iowa caucus, hard to believe, newt gingrich's front-runner status is evaporating. the latest cnn/orc poll which is is out today both have 28%. ron paul's in third with 14% and michele bachmann, rick perry, rick santorum and jon huntsman are all in single dig

pierce lives in indiana and he gets his health insurance through medicaid.na designed its own medicaid program including what care they'll cover. the program says it would pay for the operation that little pierce needs, but there was a catch and the story gets a bit complicated. here's elizabeth cohen. >> they didn't give you a bath this morning. >> reporter: she says government bureaucrats are trying to kill her 4-month-old baby. >> there's very few children like pierce on the planet. >> reporter: he was born with an extremely rare condition called hete heterotaxy syndrome. they have multiple heart defects. many die as infants. >> i sat by his bed thinking that if i close my eyes i'd miss my last opportunity with him. >> reporter: pierce has spent most of his life in the intensive care unit in riley children's hospital in indianapolis. he needs surgery soon or he will die. so when they first talked to you about surgery here, tell me what they said. >> that taking him into surgery would be like a death sentence, rushing him into surgery at this point was ver

medicaid refused to pay for the life-saving surgery for this 4-month-old.ll explain the story, and it's a heartbreaking one with a surprising twist. rn 50% more ca. according to research, everybody likes more cash. well, almost everybody... ♪ would you like 50% more cash? no! but it's more money. [ male announcer ] the new capital one cash rewards card. the card for people who want 50% more cash. what's in your wallet? woah! [ giggles ] >>> "raw politics" tonight, with two weeks to go until the iowa caucus, hard to believe, newt gingrich's front-runner status is evaporating. the latest cnn/orc poll which is is out today both have 28%. ron paul's in third with 14% and michele bachmann, rick perry, rick santorum and jon huntsman are all in single digits. last month gingrich was leading romney 24 to 20%. but with the clock ticking toward iowa, gingrich is slipping, romney is gaining. here's what gingrich had to say about this at a campaign stop in iowa today. >> the establishment in both parties is panicking. but just as they did with ronald reagan. go back an

but medicaid even at the very end refused to pay a scent to get baby pierce to boston.anapolis. >>> top of the hour, i'm suzanne malveaux. we want to get you up to speed. the ceremony that closes the war in iraq happens today, it is called a color ceremony. the return of the united states forces iraq colors, the flag that flew over baghdad. now you're looking at live pictures here now of the flag's arrival. the army general who oversaw the troop withdrawal is also on that plane. it's being met by president obama and vice president biden at andrews air force base. we'll have a live report from chris lawrence later this hour. >>> with time running out on a deal, house democrats and republicans are fighting over a payroll tax cut could soon hit home for many of us. your family's finances, republicans don't like a senate passed two-month extension. they want a conversation committee to work out a year-long deal. it's causing all kinds of gridlock. >> most americans love this time of year, it's christmas time where we celebrate the birth of christ and spend time with our fam

in medicaid to actually enroll in medicaid. and it's a definitive program where people can call and get assistance and people will talk them through the system? yes. and actually even work with them face to face, work with them to walk through the applications, meet them even in the places where they have to complete the applications. very good. any other best practices, richard? well, i think the philosophy is trying to meet people where they are. the idea is to recognize that people who are in that under 133 percent of the poverty line who are currently uninsured tend to be single, childless adults. they tend to be very poor. half of those people are under 50 percent of the poverty line, so they are extremely poor, very often homeless or have unstable housing, therefore, hard to kind of track down to one place and disproportionately, don't necessarily speak english as their first language. so i think what has developed is some strategies to trying to kind of touch these people where you are likely to find them. so you go to s

one of those is medicaid, the health care program for the poor, worry take medicaid dollars, for instance iowa received in the past. implant with a cpi plus 1% say iowa come you craft your own program for caring for your own poor. we're not going to mandate you covered how you cover them. new structure that in the way you think i scared you of decay time to organize for granted that nature. and by the way, just that i medicaid -- making the change in medicaid but cpi plus 1% is a hundred billion dollars a year for years now. the other programs, training programs. there's 47 different workforce training programs that have been put in place in the federal government to report to the different agencies. gao did an evaluation of those programs. they did not find any of them to be affect this. these are billions of dollars of training programs. i would take all that money, bundle it and send it to the states and say you craft your own programs to train your own work for us for the jobs that exist in your state as opposed to having the federal government tell you how to read this programs. i wo

. >> medicaid. you wonder what medicaid is. those that are not into all this government stuff. you know, i have to admit, i didn't know the differences between these things before i got into government. i got into it and understood medicaid is the health care program for the poor by in large. >> that's mitt romney trying to be folksy. this darn government stuff, i don't get it. i'm not a government guy. medicaid? i didn't even learn about what that was until just recently. i don't know anything about this dumb government health care -- that may be folksy, it is not at all true. mitt romney brags now about spending the 1970s as a consultant to a health care company. in 1983, romney described himself as having done a top to bottom intensive q tip by q tip cost analysis of all the income and outlays at a hospital in morristown, new jersey. 1989, mitt romney led bain capital through a purchase of a $300 million hospital company that derived half of its income from medicare and medicaid. we're suppose to believe he never looked into what they were? he's telling a folksy story he's t

. >> medicaid. you wonder what medicaid is. those that are not into all this government stuff.ave to admit, i didn't know the differences between these things before i got into government. i got into it and understood medicaid is the health care program for the poor by in large. >> that's mitt romney trying to be folksy. this darn government stuff, i don't get it. i'm not a government guy. medicaid? i didn't even learn about what that was until just recently. i don't know anything about this dumb government health care -- that may be folksy, it is not at all true. mitt romney brags now about spending the 1970s as a consultant to a health care company. in 1983, romney described himself as having done a top to bottom intensive q tip by q tip cost analysis of all the income and outlays at a hospital in morristown, new jersey. 1989, mitt romney led bain capital through a purchase of a $300 million hospital company that derived half of its income from medicare and medicaid. we're suppose to believe he never looked into what they were? he's telling a folksy story he's to seem authent

medicaid is the joint federal state programs.recognized there was fraud in medicare and medicaid, social security and others and pass something as part of that bill called program integrity funding, the idea to provide a specific amount of money that isn't going to be sequestered or cut to specifically get at the fraudulent payments made in these programs and take actions to reduce them. now this is not primarily a state responsibility but state certainly want to work with the federal government particularly in the medicaid area to make sure that the monies that are spent by the federal government and the state is done so in a non-fraudulent manner. so, the monies i'm talking about for program integrity, i continue to monitor that because that will not be cut in the appropriations or by the sequestered in the months ahead. >> host: burlington, iowa, thomas joins us. welcome. >> caller: yeah, hi, how are you doing? i just wanted to ask who appointed you to your office and i just want to see what the governors, the 34 or five that

as a result, they agreed to pay $150 million but the company is not barred from participating in medicaid. tomorrow we will show a portion of that hearing beginning at 2:00 p.m. eastern. later, testimony from a year colder -- eric holder. the program allowed hundreds of firearms to cross the u.s.- mexico border. >> to route my military career i prided myself upon -- the worst thing you can do is let a senior leader head down the wrong road if you are thinking, maybe we ought to look at this from this perspective. people's lives could be at stake or we have an obligation and a duty to be good stewards of the resources that the public entrusts us with. you sometimes have to be courageous in a meeting. and you are going at think i have a different perspective. >> marcia on her career as the highest ranking female african- american in the history of the army. sunday night

>> for us, our hospital takes every child and 70% medicaid.medicaid is cut, that's going to dramatically hurt our hospital. and the graduate training program. if we're not training pediatricians, with peds, it's going to be devastating. there won't be the specialists that we need. max required several specialists, from intestines to heart and a skilled pediatrician that can see signs when he presents the flu, it's more serious, let's get in. it just -- for us personally is maxal journey. we just feel such an obligation to those that come behind us, to make sure that everything is set for them, too. >> well, we're glad to have you back. this is one of my favorite parts of the year, why i love being a journalist, being able to meet people like you. >> thank you very much. it's been wonderful for us. >> people that care about this issue, i have three daughters of my own. as maxwell well knows and i think it makes you obviously care just a little bit more. so -- thanks a lot, guys. happy holidays. >> you, too. >> good luck. >> merry christmas. >>

if you are really poor and old you get medicaid, too. so what's happened is, especially since the states are busted right now and are lobbying against raising the eligibility levels for medicaid, what's happening is this money is going up, the amount of money you have to pay out of pocket is going up, and the number of older people who qualify for both medicare and medicaid is not going up to make the difference up. so what -- >> the states are not commensurately changing their medicaid parameters? >> yes, and because of their budget problems that cut. for example, in 2007, 2009, gdp is going to 7.5% of most people worry about going broke. health insurance profits went up 50%. 5 million americans lost their health insurance and three and a half million of them went on medicaid. so ironically the private sector drove three and a half million people to the public sector. all the time bashing the public sector. the states did have the money to pay their medicaid mix, and the federal government debts increase. so what do i draw from that? i

social security, medicaid, and medicare...aal rolled iito something the government &pcalls... "entitlement of the federal budget pays for those programs and smaller ones... like food stamps.costss are expected to skyrocket.as jeff barnd asks...with all the government issues in washington... will there be any money left for benefits &pfor you? you? ---package script---- 15:24:11-:19sots 5:52-5;55 from sots file irene at 1:56 d irene mccomick is frusstated. sots 6:36-6:43 irenesot: as it is now... i'' making choices. do i see tte ddctor next month or do i bby groceries next month.broll frrm sots file starting at 4;40the government her or any of her friends.sots 4:0994:19sot: there are ss mmny ways that ppople sponge off the system. it issnot a good system. don't know how you change it or i don't know how you fix something thaa is brokennthe way it is.broll: social fil (checks being :00nats pause))f you believe will fund social security, nmen meeicaid and medicarra& -and- keep the government operatinga think again.nats (pause again)accordinn to the congressional budget office, th

medicaid money on highway projects. give us the flexibility to manage medicaid. i have no doubt we would cover more people at a lower price with better quality outcome. the same is true on job training. let us manage our own job training money. we will not spend it on highways. give us a chance to manage these programs. if you cannot do anything else, let our people go. we have to keep demanding it. by not giving us flexibility on a program like medicaid, it results in more pain for poor people. we have an opportunity to cover additional people if we have flexibility. i have never yet met a person in washington that does not say we should fix dual eligibles. when are you going to do something? this is a big problem for the states. i cannot get it. i know they want to keep control. they can still keep come -- some control. force us to spend it, but give us our money. we have to reasonable in what we ask for. but this is ridiculous. they want to mandate more programs with no flexibility. >> first off, federal money is fre

she was able to join his health insurance plan and take the kids off medicaid. to open a little store in a town nearby. more importantly, she qualified for a government mortgage modification plan that drastically lowered her monthly payment. but for krystal, that wasn't enough. >> i just wanted everything to be like it was. i wanted to come back to the restaurant and have life. >> reporter: krystal hoped to cash in on millen's small economic recovery. she even called prison officials to find out how much business she could expect from them, but she'd have to sell her t-shirt business to get the money to make repairs and buy new equipment. reopening the restaurant was a huge gamble. when you open this door again, was there a sense of failure is not an option? >> it was not. i realize that this is it. this is my last chance right here. >> reporter: did krystal make the right decision? she'd have a clue on what used to be one of millen's busiest restaurant days of the year. mother's day. >> it was either going to be huge or a flop. i had no idea if people were goin

in 2003, nikki secured coverage with tenncare, tennessee's medicaid plan for the poor and disabled. but in 2005, following state budget cuts, nikki was told she was no longer qualified and her benefits would end. over the next few months, sick and scared, nikki appealed her case in letters describing her desperate situation. but she got nowhere. her condition worsened. in november 2005, with pancreatitis and failing kidneys, she was rushed to the emergency room of bristol regional medical center. ( sirens wailing ) over the next ten weeks, she underwent 26 operations to remove dead tissue from her internal organs, racking up nearly $900,000 in medical bills she couldn't possibly pay. then, she learned that she could get a private insurance policy under a federal law that mandated a continuation of the coverage she'd received from medicaid, but the new policy was expensive and had a high deductible. she took it anyway, and was flown to duke university hospital for further surgery. but her lupus was too advanced, and in may 2006, nikki died. ironeight days later, tenncare sent a lette

i get medicaid assistance. the reason i'm on the system is because i was a guinea pig for the pharmaceutical companies in which they cite a contract with me that they would pay if anything happened to me. well, things happened to me and our live with what is termed it pharmaceutical dementia. what are the pharmaceutical companies not being directly build for all these costs -- not been directly billed? they get to write it off because of the loopholes. guest: i like the term "fiscal sanity." i didn't memorize the survey from all 50 states. my recollection is that oregon is doing ok. i like to think back in 1992 in the presidential election when at that time governor clinton used the term, "it is the economy, stupid." a lot of what matters for oregon and other states is how well the economy is growing and what they can do to manage the amount of money they get and controlling their expenses. i hope you look at it in detail in the report. there are tables they give more detail. with respect to pharmaceutical comp

three and a half million when i medicaid. ironically, the care drove 3.5 million people to the public site are, all this time -- in the public sector. the states didn't have money to pay their medicaid makes the federal government steps were increased. so what do i draw from that? i draw from at the conclusion that one of the best things about the so-called thin symbols commission, the bipartisan budget commission is it recommends not only savings in the social security program, the 200 billion over a decade sounds like a lot of government to you and me, but to the government budget it's not. but they recommended a programmer designed to offers more income to low-income seniors so if we don't fix the health care to a problem, elisa's people have enough money to be lifted out of poverty again. it can be done and still save money. >> one of the things that you say you believe in the book but don't go into detail as the united states could move from spending 17.8% of our gdp on health care to spending 11.8% of our gdp on health

ago, as you know, but to give us the flexibility to manage medicaid.i have no doubt that we would cover more people at a lower price with a better quality outcome. the same is true on job training. let us manage our own job training money. we are not going to spend on highways or cover-ups. you can put whatever string you want but gives us the chance to manage these programs. if you can't do anything else, let our people go. beat tough to keep demanding it because what they are doing by not giving us the flexibility on a program like medicaid frankly it results in more pain for poor people, and we have an opportunity to cover additional people if we have the flexibility. this dual eligible i have never yet met a person in washington, none of them, biden, sebelius, any of them that doesn't say we ought to fix the will eligibles. what are we going to do something, this is a big, big problem for the state's coming and i frankly just can't quite get it. i know they want to keep controlling everything, but they can't still keep some control but they are rea

a medicaid provider and other medicaid providers out there.how they will keep seeing patients. if more americans are falling on tough times, and they are seeing more patients but being paid less, which patients they are seeing. host: we have a tweet. guest: i am not familiar with that. it could be out there but that is not something i'm familiar with. host: kevin from massachusetts. caller: i got a call recently about my diabetes. i got a letter from a previous primary care provider. they tell me i had to notify my health care that i changed primary care providers because it is the health-care people send them a letter telling me when i'm ready for my blood work. i thought that was unusual. why does the health provider tell them when i'm due for anything? i did not understand what that is all about. if i could get some enlightenment. host: he is gone. guest: you do see health plans try to take a more active role in managing care. there is an incentive to keep costs down to stay on time for things like blood or for diabetes. you do sometimes se

punjwani out of the medicaid program.ut for every gabriel, there are hundreds of other children calling out for help. this woman, we'll call ann, is a former state social worker. she's dealt with hundreds of kids in foster care. and is anyone looking out for them? >> no. and if you try to speak out and say anything about it, you're basically told to shut up. >> reporter: she asked we protect her identity. why do think they're medicating these children? >> it's much easier to medicate a child than it is to pay $200 an hour to a therapist to talk through their problems with them. >> reporter: and some states have now started requiring a second opinion by a doctor before some medication is dispensed. and in florida, where gabriel myers died, they are now kicking high prescribing doctors out of the medicaid program. still, critics say too many foster care children are being pushed through the system, diane, with pill after pill. >> and sharyn and i, of course, teamed up for this investigation. and as you know, we took our que

our taxpayer medicaid dollars pay for the drugs. the pharmaceutical companies see a market and a lot of times, doctors can move through many patients fast. abc's sharyn alfonsi set out to find some of the doctors and ask them questions. >> these are the meds that i've been taking since i was 4. >> reporter: last night, we introduced you to some of those kids. they told us stories of being on five drugs at a time in foster care, including drugs for mental disorders like schizophrenia. drugs that can carry pronounced side effects. so, we wondered -- who is prescribing these drugs and why are they being prescribed at such high rates to foster children? we spent a year searching for answers, tracking down some of the doctors who write those prescriptions. gabriel myers had just turned 6. six. both his father and mother had ended up in jail. so little gabriel landed in foster care, moved from home to home. soon, he began acting out. he was sent to see this man, dr. sohail punjwani, a psychiatrist. he prescribed drugs to gabriel. then, on

we need to do the same for food stamps and medicaid and housing programs and job training programs. all of these programs are administered by the states but have a heavy federal component that doesn't belong had there. the role for the states is to get back to taking care of the health and welfare of the citizens. we should cut the program and cap it and freeze it and give that money back to the states with the flexibility to manage the program. >> you describe yourself pro life want a limited role for the federal government. since the constitution doesn't speak to the authority to regulate abortion, how would you weigh protecting the rights of unborn suddenchildren through a federal law and limited partnering constitutionalism by allowing the states. >> i support a amendment to stand up for the right to life . that intimately involves the states. the process requires the ratification of that amendment by the states. i have been always a supporter that we need a uniformed law on values -- excuse me that undergird our country. that's why i feel strongly and promoted the federal marri

medicare and medicaid is your problem. >> you know that i don't. and what is disconcerting to me, it is ineffective as well. and spending 10 million on sesame streett in pakistan has not engentered the middle east tous. >> would you prefer them to watch sesame street or terrorist. >> and forget about the kids in pakistan. we have folks here that are hurting. >> forget about our national security. >> you are correct about the social enittlements. but this is thievery. if you have a person who steals money in corporate america and put its toward a driveway in their own home they get fired oir indicted it is a symptom of a greater cause it is not trivial. we need to have a balanced budget amendment so these guys cannot do this. >> and wayne, you say we need to do both. don't you woy they will take your tax dollars and spend it on 50,000 for a festival promoting chocolate in hawaii? >> of course i am. but i don't think they care. these are people who are bribed for years. the congress. they don't know. when you call it a rounding error. tell it to a gu

"es un programa de medicaid que ayuda con el programa para niÑos de familian que tienen un salario bajo tienen trabajo o no hacen suficiente dinero y dependiendo de cuanto es el salario por ano.. es que ellos pueden calificar en este programa.." los mas beneficiados con este bonus seran en su mayoria ninos.. pero estos programas no se limitan solamente a ayudar infantes sin seguros... tambien incluyen todas aquellas mujeres que necesitan cuidado prenatal sin, importar su estatus migratorio continuamos contigo, norma! gracias lillian... autoridades en prince georges estan tras la pista de una agresiva pandilla que a plena luz del dia ingresan violentamente a viviendas en cheverly, y las saquean... (take pkg) ya van al menos siete casos de robos en cheverly, este ultimo cometido en una vivienda sobre la ruta doscientos dos... los ladrones se aseguran que no hay nadie en la casa, y luego encuentran lo que sea para forzar su ingreso.. autoridades creen que tambien lo hacen en otras jurisdiccion es.. estamos viendo un patron en el que tocan a la puerta y si nadie abre, se van a la parte tras

west. >> i did not contact medicaid. i followed the lawsuit under the false claims act, and so my first contact was with the u.s. attorney's office in the district of new jersey. >> ok. got you. did medicaid at any point react to the filing of the lawsuits or to the claims contained thrin? >> again, i didn't have -- therein? >> again, i didn't have any contact with medicaid. i came through the united states -- >> did your client talk to medicaid? >> it's under seal when we file the lawsuit and we are not allowed to talk about it. >> even with medicaid? >> not unless it would be a partial list -- lifting of the seal and they would set up the meeting and medicaid officials would be there but there was nothing like that. >> and presumably you made repeated attempts with the medicaid office, mr. west, and i know my time is running out, to try to alert them to this and get them to act? >> yes. >> and they were indifferent? >> correct. >> we look forward to their testimony. thank you. my time has run out. thank you, mr. chairm