and that is disagree with the budget on the medicaid cuts and the basis behind the medicaid cuts. i just want to raise one issue, i would urge you to be very careful about. we don't have long-term care policy in america. the states have the lion's share of the burdens under the medicaid system for long-term care. to the extent that we put more pressure on the states on medicaid programs, we jeopardize long-term care which is a critically important to our seniors and america. i just think it's important that whatever policies we adopt at the federal level, we are mindful of the negative impact it could have on care for seniors. we would like seniors to be able to pay for the long-term care. we would love them to have third-party coverage. most do not and, therefore, fall under the medicaid program. if we put too much of a strap on the medicaid program, we're going to jeopardize long-term care for our seniors. >> thank you centered. senator portman. >> thank you, mr. chairman. secretary, thank you for coming before us. i think you are now fully in place and it's great to see the goo

let me ask you then on medicaid. for example, veterans rely on medicaid 70% of seniors in nursing homes rely on medicaid in florida. so captain medicaid benefits -- capping -- could lead to states cutting these benefits to veterans and seniors get what you say to them? >> we believe states and the best position to decide how to use the money to allocate among various population. so for instance, the core medicaid continues, grow some 400 billion, to 430 voting over the ten year timeframe and they will replace the medicaid expansion and the affordable care act, individual markets program with the $1.2 trillion grant, that's very flexible, on expansion population the states and then do not have that 10% copayment federal matching that they would have to come up with to do that. it actually gives them flexibility and it is found money for them in that sense. >> that's what is typically the case with a block grant program or turning it over to the states. my state is subject to hurricanes. puerto rico is subject to hurri

my question was medicaid. for example, veterans rely on medicaid. seniors in nursing homes rely on medicaid in florida. couldg medicaid benefits lead to states cutting these veterans benefits and the seniors. what do you say to that. sec. azar: we believe states are in the best positions to allocate among various populations. the core medicaid actually grows from $400 billion to $450 billion over the 10 year. period. on the expansion population, the states then do not have that 10% copayment federal matching that they would have to come up with to do that. it actually gives them flexibility and it sort of found money for them in that sense sen. nelson:. sen. nelson:that is what is typically the place -- case with a block grant or turning it over to the states. my state is subject to hurricanes. puerto rico is subject to hurricanes. so what has happened with medicaid. it has to respond to a public health emergency in a natural disaster and if your response is the further medicaid funding would be provided after a hurricane, the fact is that congress

we think we can save $1 trillion in medicaid in this country, and medicaid. if people get healthcare who are in trouble. if you make these fundamental systemic changes, you know how hard it is to fight the nursing home industry, they have a lot of legislatures fair and square, you can't let them win this. if people need a nursing home god bless them. we need quality nursing homes and need people to go there. they are not thrilled with the idea there ought to be quality estimates. they don't like that. we were really bad. we are now better in terms of balancing, if you let people stay in their own homes without going to a nursing home how much money is that? if you move people in medicaid into managed care, it is not where it was years ago. people have to be happy with their healthcare, if we were to go about doing systemic changes, we would save tons of money for companies, call the cleveland clinic and ask how it is going. in a direction of personal responsibility, as much healthcare as you need, this is not complicated, it is not easy. for people who have a

on the medicaid side i want to , tailor medicaid to fit my population. bill has a lot of tribal issues out there. his needs are different, colorado is the same. we are different states. our state is getting older, his is getting younger. that is why we hate him for that. [laughter] us somefact is, give flexibility. we want to keep the issue alive, because it is coming back. i do not know if you have heard that. i just hope it's going to be -- we want politicians to feel safe going in the water. they keep walking around the water and don't want to get in, because they are afraid they are going to get bitten. they have to get this market stabilized. what we are saying to them, lead a national effort to push quality over quantity. develop a system that makes total sense. do what you can to encourage businesses to do this. so stabilize the system. give us flexibility at the state level. do not cut all of our money off, and start driving towards a system that makes sense long-term for our country. >> since you mentioned alaska, also it is a matter of working

let me design a medicaid program i want. ret's change the obamaca essential benefit package to what i want. let's stabilize the system. , it sounds like a figure in some movie, look what happened to him. it was gone. it is like health care doesn't matter anymore here. do you know how much your kids are going to have to pay to retire this national debt which is going up through the roof? medicaid is a giant driver of this debt. there are ways to fix it. it is not easy, you are going to have people screaming at you, but that is why you are hired here. as aasically get hired congressman to have people shout at you. then you figure out what you are supposed to do. then you look at yourself and fade away into the sunset. one in five americans have some form of disability, many are trapped between access to the care they need and the opportunity to earn an income and become independent. how are you going to address the critical needs of americans with disabilities, which includes 56 million americans? >> this is one that is near a

expand medicaid. so there is a direct correlation, i believe, between hospital closures and states that did not expand medicaid. do you know what percentage of rural hospital closures since 2010 have happened in states that didn't expand medicaid? i'll tell you, 76% and five of those rural hospitals have been in my home state of alabama. the president's budget ignores these facts by repealing the medicaid expansion for states that have benefited. the proposed budget also cuts $1.4 trillion from the medicaid program. mr. azar, secretary asar if you are a parent in the state of alabama, a family of three in alabama who makes $10,000 a year, you do not qualify for medicaid. can you get any assistance for other -- for your own health insurance? and the answer to that is no because they fall in that medicaid gap. to qualify as a parent of a family of three, how much would you have to make a year to qualify for medicaid? it's less than $4,000. so if you make anywhere between $4,000 and $10,000 or $21,000 in

we did not expand medicaid.here is a direct correlation, i believe, between hospital closures and states that did not expand medicaid. do you know what percentage of have hospital closures happened in states that did not expand medicaid? 76%. five of those have been in my home state of alabama. the president's budget ignores these facts by repealing the medicaid expansion for states that have benefited. also cutsed budget $1.4 trillion from the medicaid program. if you are apparent in the state three,ama, a family of who makes $10,000 a year, you do not qualify for medicaid. can you get any assistance for other health insurance? no. they fall in that medicaid gap. to qualify for medicaid in alabama as a parent of a family of three, how much would you have to make a year to qualify? it is less than $4000. if you make anywhere between $4000 and $10,000 you get no assistance for your health care coverage. i think this is unacceptable. i believe that our federal policy should help try to make sure that we level the

years as a reduction in overall medicaid spending. we are now on target to meet those goals. thank you for your work and leadership. in the budget the remaining growth of medicaid spending is the result of a change in federal match. there are switches to an improving economy and we have to pick up a little more percentage of the cost. there is an limitation that has been rolled into of the budget and then we have medical inflation where it nationally runs at about 5% but we're produce that race [inaudible] that is transformation that is progress. it is important to remember that our transformation efforts are not just necessary for the budget of arkansas but whenever we save introduce the medicaid spending then we say federal dollars and in this budget year the cause of the savings of reducing federal spending by nearly half a billion dollars. this is a strong budget and in terms of public safety to ensure continued progress with our reentry program and supervision. currently the committee corrections is 1332 employees in the budget p

medicaid budget, the ational fwroeth rate is -- growth rate is 5%, constrained 2.3%.to not cutting any essential services out there. the programsunding of our state. but in terms of some of the ofinistrative overhead, some the efficiencies, we have cut back in some areas. importants one of the things as governor that, you know, across the board cuts are not as significant and beneficial as targeted cuts, outlived programs r you have agencys that can absorb a specific reduction in overhead. spending cuts there, but overall, the budget is increased from last year. you mentioned surplus you hope to create in fiscal 2019, s arkansas one of the states you have to propose a balanced budget, at least? absolutely., we don't have a deficit in this state. it's mandated by the balanced on to have a budget, which means we forecast the revenues and we spend that forecast. and if during the course of a don't meet the revenue forecast, then we reduce spending. incredibly efficient model to make sure even though e start with balanced budget, we will end up with a balanced budget. whiche stabilization

talk about medicaid $1.4 trillion cuts to medicaid this administration i think would like people to think it just benefits the poor or lazy or black or brown but 11 million adults with disabilities 70% of those get coverage through medicaid. look at the number of long stay nursing home residents% of those residents get coverage through medicaid so i don't know how you call this a moral budget in any way or shape or form and also talking about two specific things separate from what i just mentioned yesterday i asked you about daca and what assumptions you have made and i believe you told me you have assumed that the daca recipients get to stay. >> that is mostly correct that we assume the agreement is reached on immigration between republicans and democrats i was to disappointed to see they did not let the debate go forward. >> the let me just point out that the president rescinded daca to put a hundred thousand dreamers at risk and that economic impact is estimates and either cut to gdp or an increas increase. so what happens with this republican led legislature in the house although they

plus, medicaid changes in indiana put coverage forn recipientsestion. the debate over new state requirements for low-income americs. >> there's a great stigma that folks that are livin the poverty level don't care about their health. well that's completely wrong. >> woodruff: all that and more on tonight's pbs newshour. >> major funding for the pbs newshour has been provided by: >> babbel. a language app that teaches real-life conversations in a new language, like spanish, french, german, italian, and m0-e. babbel's 1 minute lessons are available as an app, or online. o more informatibabbel.com. ar >> consumer cellul ith the ongoing support of these institutions: >> this program was made possible by the corporation for public broadcasting. and by contribions to your pbs ation from viewers like you. thank you. >> woodruff: leaders of the united states' intelligence agencies are sounding a series of wnings. they went before a senate committee today to talk out everything from russian election meddling to breakdowns in a critical security process. >> the p

and medicaid money, tanif money, different type of federal money. so you know, our legislature made such deep cuts we're not able to provide that hatch. we've turned that back for so many programs. and you know, it is just not good economic sense to do those things but they are doing them for political reasons. for the next election. they have taken a blood oath they won't raise anybody's taxes and there are ways to raise revenue without necessarily raising taxes but you know, it is all about politics rather than policy. >> a couple more issues in mississippi before we good to calls. i want to ask you about the anti-profiling ordinance in the city of jackson. what is it and what's your view of it? >> i'm sorry. i didn't understand. >> the anti-profiling ordinance in the city of jackson. what is that? and what's your view on it? >> yeah. i'm not familiar with that. i haven't read it. so i really can't comment on it. i mean, most of our law enforcement are trained about any kind of racial profiling and the police department here, i think, does a prett

at a minimum, medicaid. block granting it to the states, letting them experiment will provide better services and save dollars. maggie: and you think it is a feasible policy for republicans to tackle this year? mr. phillips: i wish they would. i do not see evidence of them doing it yet, but we urge them to do that. and again, the ryan budget in 2011 and 2012, generally reformed medicaid and medicare, and the share of the vote went up with 65 plus voters. maggie: and you are waiting into immigration, as that conversation gets started. i understand it is the first time that the koch network has looked at immigration policy federally. you are different from republicans who are hoping to severely curtail future immigration. can you talk about how you are approaching that, specifically when it comes to the trumpet -- trump administration and the markers they are laying down. do you see space to work with them? how are you going to approach this question of whether they will curtail immigration in the future? mr.

cut medicare, cut medicaid and using the h deficit and how does that happen. only in the world and just weeks after jamming through a partisan tax bill that will benefit big corporations anddd the wealthy while adding to the deficit the trump administration is now proposing a curtailment of the programs that at the same time bincrease the deficit. the bad magic trick, very bad. after entire campaigns worked promises to pick medicaid and medicare president trump proposes to cut deeply into both and after calling education the civil rights issue in our time in his first address to congress president trump proposes a 10% cut in education funding and ask your school boards .-dot america how they feel about that. alongside is delayed in for such a plan. president trump proposesru to ct transportation funding by nearly a fifth. a decrease so large that will result in a net cut in infrastructure funding even if you added the new president new infrastructure bill. on the heels of a massive corporate tax cut this budget is the very inverse of economic populism. he come

medicaid social security food stamps among other things coy 47.7% outlays in 89, today 69. % outlays doesn't include net interest only det another 7 1/2. >> deficits that you saw from interest mulvaney's budget central deficits before the agreement baby boomers retiring not ready for them a struck deficit because of entitlement spending biggest driv health care entitlements one of the casualty bill not passing not getting health care entitlement reform we've got to reform health care entitlements never give up on he traemg health care if you reformer health care you take care of the central drivers of our debt medicare medicaid. >> graham cassidy repeal bill almost passed senate one area president has said this is maybe should be focus we are going to try this again this year? >> i think a lot of 2450i7ks we can he do, first of all, in this bill we passed we got medicaid means testing repealed i-- got rid of obamacare slush funds repealed individual mandate in tax bill incremental gains when we realized couldn't get done in one fell swoop house bill didn't pass. >>t. >> or what expec

nationwide, 60% of medicaid recipients already work. advocates say the ones that don't usually have a good reason for not having a job because they're caregivers, students or in drug recovery. at the heart of the debate aree people ltonio berlanga. he's 60 years old and lives in clinton, indiana and spent most of hisdult life without health insurance. indiana first expanded medicaid coverage to a small number of poor adults in 2008 as the recession decimated the state's economy. then in 2015, governor pence expanded it even further under the affoable care act to about 442,000 adults. that allowed berlanga, a janitou at a local crch, to enroll in coverage. now he's been treated for severe shoulder, cirrhosis of the liver patitis c at the valley professionals community health center. like a lotf hoosiers, he's worried about what the changes could mean for him, but he's willing to do his part. >> i just don't want it for nothing. if i'm still able to do something and give something back, then let's go. i've still got a heart. i might not b

medicaid expansion is the law, and i will execute the law. but funding is a legislative constitutional duty, and it is the legislature's responsibility to appropriate the funds. appropriate the money so we can implement the law sooner than later. i do not believe it's appropriate for this body to wait till after the november elections. do it now. do it now. the people of maine, if you believe in it, then fund it. i have laid out some basic principles to guide your decision on how to pay medicaid expansion. i will not jeopardize the state's long-term fiscal health. we must avoid the budget disasters of the past, and many of you were here, and you know what i'm talking about. we paid off $750 million to our hospitals. we must fund medicaid expansion in a way that is sustainable and ongoing. therefore, my principles are very, very simple. no tax increases on maine families or businesses. no use of the budget stabilization fund, which is better known as the rainy day fund. no use of other one-time funding mechanisms known as gimmicks. you all kno

let's talk about medicaid for a second. $1.4 trillion cut to medicaid. i think this administration would like people to think that medicaid is somehow just benefiting the poor, lazy, black, brown, who knows what you're thinking, but 11 million adults with disabilities, 70% of those folks get their coverage through medicaid. you look at the number of long stay nursing home residents, 60% of those residents get their coverage through medicaid. i don't know how you can call this a moral budget in any way, shape, or form, mr. director. i want to talk about two specific things that are separate from everything i just mentioned. yesterday when you came to visit with us, thank you for doing that, i asked you about daca. what assumptions you made in this budget around daca. i believe you told me that you have assumed that the daca recipients get to stay. that there's some permanent solution for daca. director mulvaney: what i said, that's mostly correct. what i said was we assumed an agreement is reached on immigration, on daca. between republicans and democrats

so they don't have medicaid expansion. are these poor mentally ill people supposed to get health care coverage for mental health services? an essentiale it benefit. governor scott rejected medicaid expansion. and florida has a very high people with zero access to mental health services. the second thing i want to say is, someone mentioned something about a truck. florida law doesn't allow you to rent a truck. you cannot rent a handgun. to buy thew him ar-15. and finally, if you want to address mental health, that's fine. say thisre a wants to is a mental health issue, ok. does that mean they are willing to subject themselves to mental rightstesting within the to own an arm? do you believe they would go for that? of course not. it is an argument to deflect and project. they don't want to have an argument. i feel like the nra just wants to promote fear and paranoia so that people keep buying and buying and buying. i don't think this is about the second amendment anymore. they try to frame it on mental health. but do you thin

basically one out of every ten medicaid dollars spent goes towards mental health. this is incredibly in the wrong direction if in fact you believe this is the source of our gun violence program or if more generally you care about mental health in this country. >> it may be some of the source of gun violence. because in this country we have done this, we have moved back from really good treatment in mental health, we don't really keep accurate records. there's a stigma with going to your doctor or employer and saying you're suffering from mental health issues. it's a copout for gun manufacturers, as long as you occupy yourselves with discussions on how to identify and treat mental health in this country, which we should do a better job of, i agree. >> i absolutely agree, we need more protections for those who deal with mental illnesses of various kinds. there are lots of good arguments for why we should shore up treatment in this country and destigmatize these illnesses that many americans suffer from. >> we still have too many guns. i am not an antigun guy, i am a

i would agree that medicare and medicaid fix prices artificially. m medicaid and medicare pay a percentage. and in the long run it's a disaster. and one of the reason it doesn't work well, which is complicated when you have 40, 30 or 40% of the market actually works at best the rest is price fixed for the government. how much is the market going to work in any market when the insurancers have minimal leverage. hospitals, seniors consume a lot more health care. 40 to 60% of revenue from medicare medicaid and the other insurers are generally dispersed. number one the whole concept-- and didn't agree with obamacare because i thought the subsidies were too high. the concept of getting more people in private insurance and trying to get people in the markets is totally correct. structurally i liked what president obama was trying to do, but the question who do you want to subsidize not the structure what he was trying to do, con sell actually right. then you get in a million other issues to get into. the issue i agree is hospitals. hospitals and docs comb

today medicaid covers millions of children with special needs. we are the major country on earth to offer healthcare to all anhealth care toall and the buda millions more off of the health insurance they have. we have an opioid epidemic that every person out here talks about every day that when you/medicaid by trillion dollars, do make it harder for the communities and states to deal with this terrible crisis. during the campaign, donald trump told the american people he was going to provide health insurance for everybody with much lower deductibles. there is an estimated 32 million people thrown off the healthcare they currently have, 32 million people. and at the same time it would substantially raise premiums for older americans. what this is about is a massive transfer of wealth from working families, children, the sick and the poor and the most vulnerable people in our country to the top 1% in large corporations. as the candidate said he understood the pain that working families acrosbut workingfamilie feeling. you were not responding to tha

. >> the medicaid money given to puerto rico in a lump sum call the block grant will and next month. $4.8billion in supplements the medicaid program along with the 100% federal match and to guarantee for those citizens for that health care coverage that needed the most. it is long overdue. to have some much needed relief on disaster affected areas. so pass the aid bill this week. i yield the floor. >> the senator from florida. >> mr. president with the divisions in american politics despite the differences of opinion people wanted me to work together on the issues. that is why i must say to work witho senator nelson on this has been invaluable to have two senators on two differentha parties singing from the same song sheet and what is unique is the impact on florida was not just florida but also puerto rico. that impact of puerto rico had an impact but also on florida. so at the end of december there was a lot of good things in theop relief package and the house took it and added a few things over the last few months the ability to work here inhe the senate through a series of press

in medicaid money, different type of federal money. so, you know, our legislature made such deep cuts that we're not even able to provide that match. it's not good economic sense to do those things. but they're doing them for political reasons. it's for the next election. they have taken a blood oath that they're not going to raise anybody's taxes. and there are ways to raise revenue without necessarily raising taxes. but it's all about politics rather than policy. >> a couple more issues in mississippi before we go to calls. i want to ask you about the anti-profiling ordinance in jackson. what is it and what's your view of it? the anti-profiling ordinance. what is that and what is your view of it? >> yeah. you know, i'm not familiar with that. i haven't read it. so i really can't comment on it. most of our law enforcement are trained about any kind of racial profiling and the police department here, i think, does a pretty good job of following that. >> also, if you can comment on the new proposal that has been put into the legislature

i do believe in conformity and i do believe in medicaid expansion. medicaid expansion, while i think it is a bad public policy, when you give able-bodied people a free ride it is the law of our state and i will enforce the law of the state. [applause] that is the good news. that is the good news. [laughter] now let me give you the bad news. medicaid expansion is the loss and i will execute the law but funding is a legislative constitutional duty and it is the legislators responsibility to appropriate the funds. appropriate the money so we can implement the law sooner than later. i do not believe it is appropriate for this body to wait until after the november elections. do it now. do it now, the people of maine if you believe in it then fund it. i have laid out the basic principles to guide your decision on how to paint medicaid expansion. i will not jeopardize the state's long term school health. we must avoid the budget disasters of the past and many of you are here and you know what i am talking about. we paid off $750 million through our hospital

[laughter] look, i ran medicare and medicaid for three and a half years. i love the programs. i fundamentally believe in the history of the world, in the history of man kind, price fixing has never worked any place ever, period. and the only place is in the united states in health care, and it's been a disaster. i would believe medicaid fixed prices, artificially pays 60% of costs, medicare pays 98% of costs, commercial payers play 126% of costs n. the long run, it's a behavioral disaster. so when you look at do i really think -- and one of the reasons the private market doesn't work very well is when you have, you know, 40%, 30 or 40% of the market actually works at best because the rest is price fixed from the government, how much is the market going to work when the insurers have minimal leverage? seniors consume a hell of a lot more health care, so the average hospital is looking at 40-60% of its revenue coming from medicare or medicaid. number one, i think the whole concept -- and, by the way, i didn't agree with obamacare because i thought the subsidies were too high. th

you are proposing a cut of over $1 trillion in medicaid. independent analyses have indicated, we can argue about nobody knows for sure, is it 25 million people going to be thrown off, 30 million, i don't know, to be honest with you. you don't know. but what we do know is when you throw tens of millions of people off, they will die. some of them will die. studies show that thousands of them will die. i would just suggest that in the united states of america, the only major country not to guarantee health care to all people, we should not be making a very bad situation worse by throwing tens of millions of people off of health insurance. let me ask you another question. mr. director, according to americans for tax fairness, the koch brothers, the third wealthiest family in america, worth $94 billion, and a family dedicated with a few of their billionaire friends to put hundreds of millions of dollars into the coming election, will receive a tax break of up to $1.4 billion a year from the trump tax plan. meanwhile, this budget eliminates fundi

medicaid cuts that are clearly going no place. it is out of step with the funding bill the president just signed and touted. billion just$58 from the nondefense discretionary part of the funding bill the president just signed. it knocks down hhs with a 21% cut as opposed to the funding bill we just passed which has $6 billion and hope your funding think americans need. addednding bill we passed $20 billion in infrastructure related investments. this cuts by $40 billion for $60 billion delta going the wrong way on infrastructure. part of the reason these silly things are in here is because the process is so silly. it is completely partisan which is why it ends up cooked up in extremist laboratories. it is unrelated to the funding process because of its failures. we have a budget process that ends up producing nothing and we have a funding process led by leadership and appropriators that ends up doing the work of putting the funding measures of government together. virtually no relationship between the two. the budget is like a fire

medicare and medicaid in particular. we can fix social security.nced we can fix social security. we can protect the benefits that are there. long-term, if you really want medicare and medicaid to survive, you've got to start managing them. we've got a pension system in south dakota started in 1974, the same year as the budget act started at the federal level but every year in south dakota we manage that pension system. if you look at it, it's probably the best managed in the united states today. people don't look at it as a third rail. they look at is as an expectation that it's our job, to manage it and make it better. we're not doing that when it comes to social security or medicare or medicaid. for those individuals that don't want to fix it, they shouldn't be here. we have to fix those programs. and the only way you can do it is to have accountability and responsibility. but if you look at the committee structures we've got in the united states congress today, there's lots of committees with lots of finger pointing back and forts had. forth. i

i'm talking about medicaid here. she was pushed on to medicaid.: well look, there are difficult ways to approach it. i have been down to chile where they have a very interesting privatized system. >> we tried that. trish: bush tried to privatize accounts. we didn't actually try it. where it has been tried in chile it has been extraordinarily successful. people have better rate of return they ever get in a bond or treasury or wherever, the security, social security is stashed. so there are things that we could attempt to do but, politically, it is pretty challenging as you can imagine. >> you need the political will to do it. we didn't see any of that from the republican team. that is what concerns me. it is the fact that really wasn't a part of the discussion t was really all spend. they were playing for the 2018 election obviously. you have to remember, i was part of the tea party movement. that was based on fiscal responsibility and right spending. how many people got elected in congress based on former president obama exploding the debt? what a

let's cut medicare, medicaid and social security disabilities insurance. food stamps. all the rest. and now we're -- what's our big initiative for jobs of the 21st century? let's think very small and let's do so in a way that is similar to the tax bill that is trickle down, is the taxpayer subsidizing initiatives where the profit goes to the private sector and the tolls are paid by the commuter and the consumer and the whole bill is paid by the taxpayer. it's just not right. so this is what we'll be talking about over the break as we go around think country. i have to give the republicans credit though. they were totally consistent. it's all about the high end. and they make no mistake about it. then they had the audacity to say, it's going to pay for itself when the very architects of that trickle down supply said, anybody tells you it's going to pay for itself, it's not true. it's nonsense. it's b.s. spelled out. any questions? reporter: leader pelosi, on -- what do you think about the proposal in the senate and do you have any thoughts on d.h.s.'s statement about the proposal? ms

>> when you are paid to the medicaid system, there is a nurse that comes from medicaid that periodicallythere really isn't a supervisor. butthere really isn't a supervisor. the agency has a representative that looks over her. there is also an agency representative from her union but when she made reports to both parties, they said they just isn't money in the system and you sort of need to hush about these complaints. carol: and you need to be there. >> and you need to be there. julia: are there any kind of union protections for women and men in this situation? >> the main union is a very large workers union and they have done an extraordinary job of leading the fight for $15 and organizing low-wage workers. most homecare workers in this space for medicaid in states like new york, progressive states, are unionized, but the contracts still write in the possession of taking the breaks. carol: now to a potentially brighter side of the health care industry. julia: we are pursuing a game changer this week. there is a venture capitalist using a combination of venture capital and technology to

. >> can b you believe the medicaid money that was given to puerto rico in a lump sum called a block grant is going to end, it's going to run out next mont month, but, the $4.8 billion in supplemental for puerto rico's medi medicare program along with the 100% federal match for two years, we can guarantee that a million of our fellow u.s. citizens on the island won't be denied healthcare coverage when they needed it the most. otherwise you're going toot run out next month. it's long overdue. we can finally provide some much needed relief for disaster affected areas. so, please let's pass this aid bill this week and let's send it to the president. mr. president, i yield the floo floor. >> the senator from t florida. [inaudible] we want to come here to work together on the issues that we can work together on and on that front, i must say the ability to work with senator nelson on thi this, it's been invaluable to have senators from two different parties singing from the same song sheet about the priorities that are critical to our state, and what's unique about the disaster relief is a

and what we also know on medicaid, there are folks that probably shouldn't be on that. there are folks that should be encouraged to look for a job. and what we find out, the actual scientific research shows that if you expect people to work, you expect people to look for a job, expect people to actually get training and actually go out and volunteer, i think, do that. it works. we want to get people off medicaid. we want to get them on health insurance that they can afford. and so we support health care reform, welfare reform, lower the price of insurance and care. we are doing that and working with groups on the left and the right to reduce health care costs in state after state. we can do that. we don't have to have somebody in washington, d.c. dictate that. appreciate the concern. xxx >> it was good to get that right. we had to get the right ramp. >> the right ramp and we're all good and very jealous of larry's voice. that tone bringing the great introductions just as our mothers wrote them. so that is exactly right. you are a member of the president's cabinet. you c

republicans have included over $10 billion in medicaid cuts, including new money from the medicaid improvement fund. we should also reject the prioritization of funding for the defense department at the expense of all of our domestic needs. so i urge my colleagues to vote no. it's the only way we're going to guarantee that ultimately these health programs are funded and we don't rely so much on the prevention fund. i yield back, mr. chairman. the speaker pro tempore: the gentleman yields back the balance of his time. the gentlelady from new york reserves. the gentleman from new jersey is recognize. mr. frelinghuysen: i'm pleased to yield two minutes to the gentlewoman from tennessee, mrs. blackburn. the speaker pro tempore: the gentlelady from tennessee is recognized for two minutes. mrs. black: thank you, mr. chairman -- mrs. blackburn: thank you, mr. chairman. it is so interesting to listen to this debate. so i just want to make three poinlts. first, on the military -- points. first, on the military funding, i represent fort campbell. and when you walk on that post and talk to the men and wo

reducing medicaid, eliminate the mandate. those are all things that are going to work to lower the coverage relative to our baseline. even saying those things without modeling it, i think you're talking about a decline of tens of millions of people from coverage without the modeling. and we spent a lot of time doing things very carefully. and our best estimate on the final bill was something like 23 million person decline in coverage overall. but involved actually a very long process. there were a lot of steps to it. we used the famous health care simulation model. that was just a piece of it. we had to create several other models, use models looking at interaction with medicare. we had to use a tax model, joint committee and taxation. it was a very complicated process. i can't do it justice here but we did make a presentation that i mentioned to the -- at the congressional research, doing exactly what we did to get to that estimate. i can make those notes available to you. we can think about doing another presentation if fol

they are going to cut into your social security program, medicaid, medicare, and after 2020, and everybodyill be crying about paying for all of this money that donald trump has buried the american people in. host: the president requesting $18 billion in his fiscal 2019 budget request. some other funding requests included, $2.7 billion to detain undocumented immigrants, $782 million to hire over 2000 customs and immigration agents. you mentioned chuck schumer in your comments. here is chuck schumer from the floor of the senate last night at the beginning of the immigration debate. [video clip] >> the key is to find a consensus bill, largely acceptable to a significant number of members from both parties. the purpose is not to make a point as the republican leader just did, that is easy, the purpose is to get something done. ist is hard, but it really so important. it will not be easy, but it is achievable. the democrats are committed to protecting dreamers and we have long supported effective border security. many republicans are in the same boat. the only enemy is overreach. now is not the

he slashes education, environmental protection, and medicare and medicaid. while corporations reap billions in tax give aways, older americans now have to worry about the trump administration cutting medicare and medicaid. it's in his budget. many others, including children and working family us, would be hurt by the budget as well. if americans want a picture of who president trump works for, the combination of the tax bill and this budget that he proposed today, make it crystal clear. he is for the rich. the powerful. at the expense of the middle class. i yield the floor and note the absence of a quorum. >> mr. president this, week in washington we are going to do something that hasn't been seen for a long time. for over a year. if you're not careful, you may tune in and see an actual debate on the floor of the senate. we are senators. democrats, republicans, coming to the floor, actually debating an issue. i'm not sure what is going to happen because it's bin so long since we tried this but it really is exciting to think about, that men and women, elected

trump: save medicare, medicaid, and social security without cuts. have to do it.et rid of the fraud, get rid of the waste and abuse, but save it. juan: that promise has not been kept. understood budget, trump proposes a massive increrease in pentagon spending while cutting funding for medicare, medicaid, and social security. his budget would also cut or completely eliminate poverty programs that form the heart of the u.s. social safety net from childhood nutrition to care for the elderly, and job training. this comes after president trump and republican lawmakers push through a $1.5 trillion tax cut that overwhelmingly favors the richest americans, including presidident trump and his own family. amy: our next guest has been one of the vocal critic of president trump's economic policies, robert reich, served as labor secretary under president bill clinton and a professor at the university of california berkeley, senior fellow at the blum center for developing economies. most recent book is out today called "the common good." welcome to democracy now! it is great to