the whole idea was to reduce extensive er used by expanding medicaid. authors and supporters of the affordable care act, which included expanding medicaid, argued that the new beneficiaries would stop going to the er where care is very expensive because they would have conventional insurance coverage they could use at their doctors offices. the facts indicated otherwise. costs a tremendous amount for having so little impact on patient health. 2016, total spending on the 65dicaid program was 5 billion. it is interesting that double the population of canada are now on medicaid. in the state of california, one third of the 39 million residents in the state are on medi-cal. that is the equivalent of the population of canada. the federal government's medicaid cap is protected to increase 75% over the next decade. that is a problem and i am that many of you will be able to work to help to solve this problem. perhaps we should not be surprised by organs experience with medicaid expansion. did amous rand institute 15 year study that was considered the largest h

again, they go after families who rely on medicaid, not just medicaid expansion. that's been so important to treating folks who suffer from addiction. but families, children, our neighbors with disabilities, folks that rely on skilled nursing care, the republican budget released yesterday says $1.5 trillion in cuts to those families. that's not going to help solve the opioid epidemic. republicans in congress -- the speaker pro tempore: the gentlelady's time has expired. ms. castor: facing up to the addiction crisis and on the other say we're taking away with your medicaid and those with pre-existing conditions. i yield back and urge approval of my motion. the speaker pro tempore: for what purpose does the gentlewoman from california seek recognition? mrs. walters: mr. speaker, i withdraw my point of order and claim the time in opposition to the motion. the speaker pro tempore: the point of order is withdrawn. the gentlelady is recognized. mrs. walters: i rise in opposition to the commith commit. the energy and commerce committee has worked hard to make this monume

medicaid and the states are begging and clamoring for medicaid to provide excellent medical coverage and hospitals were working families are need of medicaid services. with that, i reserve. >> thank you for the amendment. i support it. medicaid is the largest health insurance program in the nation covering 75 million americans, including more than one in three children. is the lifeline for seniors and people with disabilities who reline it for nursing home care and home services. medicare covers six and ten nursing home residents and one in three adults, in my home state it has helped over 600,000 people to gain access to critical treatment for substance abuse. the amendment is critical. i you back the balance of my time. >> i want to emphasize the fact of what a disaster medicaid cuts would be for seniors and people disabilities who rely medicaid for long-term care services and support. it is so important to remember that medicaid currently pays for nearly half of all the long-term care services in the country. including both nursing home care and home and community-based services.

that they cover but it medicaid is in america in case you don't know medicaid is basically an insurance policy paid health insurance policy provided by the taxpayer the u.s. government pays your medical care on their behalf however there are they do set prices for m.r.i. zur or various procedures that you might get medicare is for the elderly right so medicaid is. provided by the government to taxpayers to folks that can afford health care and i pay taxes and the tax revenue that i pay helps of fund the government's many kade cost but because the government would like to take the money i pay in taxes and bomb people defenseless people overseas and spend trillions of dollars they then come back and they tax me again something called obamacare they tax me again. to provide the health services that they say they're providing for people who can afford health care now here's my one simple question sense the tens of thousands of dollars a year we pay to offset the government's in a fit inability to fulfill their requirement. why can't i write that off as a charitable donation on my taxes it i

that they cover but it medicaid is in america in case you don't know medicaid is basically an insurance policy paid health insurance policy provided by the taxpayer the u.s. government pays your medical care on their behalf however there are they do set prices for m.r.i. zur or various procedures that you might get medicare is for the elderly right so medicaid is. is provided by the government to taxpayers to folks that can afford health care and i pay taxes and the tax revenue that i pay helps of fund the government's met it cost but because the government would like to take the money i pay in taxes and bomb people defenseless people overseas and spend trillions of dollars they then come back and they tax me again something called obamacare they tax me again. to provide the health services that they say they're providing for people who can afford health care now here's my one simple question sense of thousands of dollars a year we pay to offset the government's in a fit inability to fulfill their requirement why can't i write that off as a charitable donation on my taxes it is a charit

medicaid coverage. how does cutting more than a trillion dollars from medicaid and other health programs enhance the health of veterans and children? how does that meet your department's mission? >> actually restructuring the medicaid expansion and obama which prejudices in favor of able-bodied adults against children, the disability, and the aged, is exactly what will allow the traditional medicaid program to restore its focus and states to restore their focus to those critical care populations that you just mentioned. >> mr. secretary, you and i both know, if you're making an argument on sustainability against expanded medicaid, the president signed a bill that was unpaid for, that gave $1.9 trillion in tax cuts to corporations and the wealthy. there was more than enough to cover the cuts that you're proposing. since day one, the administration has been working to sabotage the affordable care act. last year the uninsured rate rose for the first time since the enactment of aca. there are estimates that

and medicaid services. prior to that she was here with all of us serving as the chief oversight council on the majority staff from 2011 to 2017. prior to that work kim was a senior counsel at allston and bird so you know bob dole. after working for seven years as the cms director of the medicare program integrity group. prior to that she worked for five years at the hhs office of general counsel as director of external affairs. kim hods a bachelor's degree, a master's degree in legislative affairs from george washington university and a jd with a concentration in health law from the depaul school of law. so talk about two very qualified witnesses. without further adieu, let's get to the meat of this very important hearing. dr. giroir, would you please get us started. >> yes, sir, senator roberts. thank you so much for that introduction. i want to first thank chairman hatch, ranking member wyden and all the members of the committee for holding this important hearing. the opioid epidemic is the most pressing

the medicaid e.v.v. system requirement under the landmark 21st century cures act was established to ensure accurate billing and delivery of personal care services in the homes of medicaid beneficiaries. look, we want to make sure that medicaid patients are accurately getting the care that theyed -- that they received and that medicaid is properly billed for those services. and that we do everything possible to ring out fraud out of the system. unfortunately the short implementation period, compounded by a delay in c.m.s. guidance and a lack of stakeholder input, has presented significant challenges for affected populations. especially seniors and people with disabilities. so i'm pleased to join my colleagues, representative guthrie and representative degette, in supporting this important piece of legislation. and i'm glad to see that representative guthrie's bill largely mirrors the bipartisan, bicameral legislation that i used to introduce this last month. the approach it took to bring this bill to the

that's what the medicaid expansion goes to. it allows the states to focus on those who need the care the most and are very focused on this issue, as you raised. thank you. >> i want to flag that the cbo did an analysis and reported that the president's proposed budget cuts $1.7 million from medicaid, affordable care, and other programs, while earlier estimates of the graham/cassidy plan on which you base your proposal show that around 20 million will lose coverage over that same time period. so that $10 billion in the new hhs funding that you cite probably wouldn't even make a dent. as i cited before, millions have suffered from opioid abuse. treatment helps them find and keep jobs. illustrating that the department of food medicaid waivers with work requirements are not only count productive but possibly unlawful. with that being the case, how can your department argue that these approved waivers promote the objectives of the medicaid program as the law requires? >> we absolutely believe that community engagement and supporting

guest: does medicaid skew the free market? what about the children's health insurance program that has had broad bipartisan support, that makes sure no children go without coverage? is that socialized health care? caller: it is socialized health care and does skew the so -- skew the system. guest: you don't want those children covered? caller: i am not saying that. guest: what is your option? caller: this is a complicated question. what options are more competition. -- my options are more competition. host: what kind of doctor are you? caller: i am an internist. guest: or the community health centers socialized health care? caller: the community health centers socialized health care? i see no problem with funding at some level people who cannot afford anything. what i think you end up doing when you are socializing the entire spectrum, you are greatly skewing the whole system so that you now have a single-payer. when you have a single-payer, you have higher prices and lower services. guest: i do not think we have a single-paye

we would bring medicaid -- and chip into the market. current medicaid beneficiaries and people currently purchasing in the nongroup market would choose from the same set of plans. we would not do anything to the employer market, even though i understand all the problems with the tax exclusion of employer contributions to premiums, i am not a fan of them, we would leave that untouched and we would leave medicare as it is. the medicare cost plus sharing structure could be modified but we did not touch that. we are not touching the va, we are at the -- indian health service, our idea is to develop a medicare advantage style marketplace with a public plan that would be fee-for-service just like traditional medicare, but also have private insurer options as you have in medicare advantage. we would cap medicare provider payment rates within the marketplace at medicare rates. both in and out of network that is all the providers could receive. we would improve premium and cost-sharing assistance. now there is a big concern if you are not eligib

the law proposed to do so by expanding medicaid, the program for low income americans. these are funded by the federal government and the state. it would seem obvious that enrolling the previously uninsured would improve their health. the passage ofr obamacare, a team of public policy researchers proved that was misguided. oregon.ked at data from the state extended medicare chosen byo 6300 lottery and the researchers were able to compare the outcomes for the randomly selected population with those of a separate group who are not eligible for the program and remained uninsured. oregon had created a randomized control test. patientsd that the new had no improvements in the first compared to the control group. d were noth medicat those who werean uninsured. a follow-up study found that emergency room use increased 40% months in the5 program and the idea was to reduce e.r. use. the authors of the affordable care act, which included expanding medicaid argued that the new beneficiaries would stop because theye.r. would have conventional insurance coverage and the facts indica

one is 50% commercial and 15% medicaid versus 15% medicaid. in that case if we were simply to move every buddy to pay medicare clearly in the hospital that had a heavy commercial presence with lose a lot of topline revenue it would lose that. the second point i want to make is that we have the political economy. the more people being paid at medicare rates. it will be even more intense as we expand medicare and the look for deceives discussions about these points. the medicare advantage we are currently a little over 21 million and medicare enrollees. and the trustees projected that that will increase the 29 million at the end of ten years. i will do digress for a second. i would make sure that everybody understands the very elegant statement of actuarial opinion. the second paragraph is very chilling picture about the viability of current law. there is some fire out there and you better be prepared. if you look at that footnote. where it 39.2 percent. of those beneficiaries with part a and part b. 39 percent of them are currently enrolled. we

cutting medicaid by $537 billion in medicaid by $1.5 trillion lead to a much darker future than the most vulnerable. it will repeal the affordable care act. they were only able to obtain health insurance because of the affordable care act protection. the policies are nothing new and are the result of an ideology that portrays hard-working families. if you want to see what happens when you pass a budget like this, look no further than my state. it's the highest poverty rate and food insecurity rate and some ooneof the highest unemplot rates in the nation. to invest in schools and students and teachers because our state ranks 50th in the nation of education and these outcomes which have led to so much suffering are the direct result of hyper partisan policies that have decimated job creating investments, destroyed the healthcare infrastructure he and ignored our children's future. assuming we will have faster economic growth that magically balances the budget after ripping 6 trillion from economic development and poverty education and job training programs is as harmful as it is absurd and

the fact is medicaid is a lifeline for rural hospitals and patients. and those who have been on the front lines will tell you, those out there for decades, if you want to turn rural america into aacrifi zone or a hostile shut down and people can't get the health care they need, the fastest way to do it is by slashing medicaid. second, people in rural areas today feel their local hospitals are already teetering on ts brink of tir or he local hospital goes under, that means no more emergency departments available in a crisis. now, this isn't a far off theoretical problem. decades ago, back when getting routine health carmore often meant spending mult tal nights in the hospital ininpatient bed rural hospitals were much more secure. they could afford then to maintain emergency department. but that service may be on the ropes now becauseural hospitals are under such huge financial pressures. offering a variety of inpatient services and keeping the emergency room open is extraordinarily expensive. at the same time, more and more americans are turning to outp

medicaid, the subsidy, c.h.i.p. and if current law remains, it will -- spending amounts to about 28% of f all noninterest health spending by 2047, t going to reach 40% of all health spending. we mentioneded the impact on debt. they make the point that with their dollars and federal deficit spending, medicare and other programs are going to have a substantial effect on the debt. that all sounds very rough and you know, suggests congress and the president really have to get serious about this, but there is very good news here. if we are careful and distribute. future debt as the medicare commission tells us is very sensitive to even the slightest changes in medicare and medicaid per capita spending. we can make modest changes and have a big impact in this area as well as we do that. but the problem is if we don't do that, we are going b to be faced with very serious problems down the road. middle class entitlements are crowding out other budget priorities. that's our biggest challenge. medicare is probably the biggest

look at medicaid. why would we keep borrowing money from china in order to pay for health care for able-bodied people without children who could work but choose not to? furthermore, restoring power back to the states as the tenth amendment promises, and as our founders contemplated, through block grants and other programs, allow more flexibility, efficiency, and better outcomes. some of my colleagues on the other side of the aisle will claim that we're cutting the safety net for america's most vulnerable. the opposite is true. the safety net has been overburdened by waste, fraud, and abuse for so long, it's been strained to the point of breaking. we are making the safety net stronger for those who truly need it, by preserving it and ensuring that it's sustainable for future generations. i am very proud of this budget, but i was proud of the last budget we passed out of the house budget committee. and shamefully, i believe the house of representatives was derelict in our duty when we accepted a senate b

what's happened in expansion states that the lower reimbursement people on medicaid that were supposed to be taken care of, traditial medicaid population, disabled, children, the illinois department of health reported that 823 people died who were pushed to the back of the line waiting for care on medicaid because the healthcare providers, mr. vice chairman, gave preference to higher reimbursement level. nationwide, just in expansion states, just in expansion states, almost 22,000 of people have died waiting for care because they were pushed to the end of the line. that's not compassion, that's dangerous. what we are trying to do reform medicaid, create a system that's intended to take care of the people that we need to take care of. i think it makes sense, it makes sense that able-body adults particularly those with 35 with no children should be given the opportunity to work and where we have applied work requirements, you take kansas as an example, it has had a dramatically positive impact and then when we look at what's happened in the aftermath of the tax cuts and job's act where w

. >> governor what is the future of the medicaid expansion in your state? 12% goes to medicaid or medicar medicare. >> if you have seen alaska $16 million in our budget and 42000 more now have coverage and that net effect and to provide healthcare for 42000 i wouldd not have i would not have if not for medical coverage and people say strangers i don't know who they are but to say thank you for your decision to unilaterally medicaid expansion and i prevailed in that lawsuit and thank you for the life thats you saved their own personal experience i hope we could maintain that healthcare coverage that wele have. >> does it make sense to keep the capital in juneau alaska city of 30,000 it is hard to access one half of the population lives in anchorage? >> every area and region is very unique and special. i am a proponent to stay in juneau alaska it has been here and moved once but the southeast is where the capital is with different methods of communication they can watch live on the state with them to allow to accesss that way and it is cheaper to come down an

you there so when united health care looks at this and said united health group report says that medicaid costs forty three percent less than exchanges thus saving money for consumers and federal government public exchange coverage is more costly and less effective than medicaid to them first implemented in two thousand and fourteen as a cornerstone of the affordable care act public exchanges were in visioned as a new health insurance marketplace where millions of uninsured americans could shop for compare and purchase and affordable stable health coverage the new exchanges sought to provide subsidized coverage to americans who are not eligible for medicaid well in fact according to united health and with a look at it. and yet tax hers won't vote for this because the socialism medicaid costs the government you the taxpayer forty three percent less than forcing those people onto a stupid exchange. it costs you way more cost you thousands of dollars more per year but because you're a fundamentalist and say well that's capitalism that's free market competition to force them into some exchang

now, since the 1960's, medicaid's i.m.d. exclusion has limited the circumstances under which federal medicaid matching funds are available for inpatient mental health care. this means that medicaid beneficiaries with mental health or substance use disorders, they are staff torle barred -- statutorily barred from receiving care in an i.m.d. and while medicaid has the i.m.d. exclusion,here is reateed for this care. cording to a 2014 national sury on drug use and health, about eight million people, eight million, mr. speaker, had a mental disorder and a substance use disorder, also known as co-occurring mental and substance use disorders. so where do medicaid beneficiaries get the inpatient care they need? that's the question. first, castates provide medicaid coverage for services rendered in facilities that do not meet the definition of an i.m.d. such as facilities with 16 or fewer beds, and facilities that are not primarily engaged in providing care to individuals with mental diseases. second, states can get a waiver to allow

reporter: what is the future of medicaid expansion in your state? about 12% of the state budget goes toward medicaid or medicare today. walker: medicaid expansion saved alaska about $16 million in our budget. it is a matter of fact that we use our spending to provide health care for 42,000. i am a cancer survivor of a few years ago. i would not have found that cancer is headed not in for -- -- found that cancer was enough for that. when people come up and say thank you for the life that you saved, that means an awful lot to me. my own personal experience is something i look at the last in's and hope we are able to maintain the health care coverage we have. reporter: finally, governor walker, does it make to seek that doesn't make sense to keep the capital in juneau when half of the population lives in the anchorage area? well, there's a lot of rich history throughout alaska. every area is unique and special. i am an opponent of the capital staying in juneau. it moved once. very as methods of communication that they can watch live throughout the stat

the measure also provides consistent medicaid coverage for at-risk youth and expands medicaid coverage for foster youth until the age of 26. these bills are pieces of a large complex puzzle. we need to find realistic solutions with long-term outcomes. part of this approach is to protect and strengthen medicaid and the affordable care act. e a.c.a. guarantees parity and nondiscrimination. thanks to the a.c.a., millions of previously uninsured adults now have access to health insurance, and, i might add, the expansion of medicaid. there are many efforts here, i think, time and again to dismantle the medicare proposal as well as cutting back on many of the initiatives that we have proposed in the past. instead of strengthening and ensuring a sustainable future for a.c.a. and medicaid, some of my colleagues want to cut to pay for a $2.3 trillion tax plan. efforts to sabotage the a.c.a., coupled with premium hikes, slashing pre-existing condition protections, increasing drug prices, it will lead to more uncertainty. it will damage any progress that we're making today with the opioid crisis.

chief actuary for the centers for medicare and medicaid services. he has joined us, how many years has it been? >> fifth year. >> fifth year. so, but we're not allowing you to take the fifth. okay, that was, i can't help it. okay. then the next speaker will be bob moffat, a senior fellow at the heritage foundation and long time expert. spent many years working on the medicare program and various aspects. spent a lot of time as hhs in the '80s. next speaker, steve lieberman. steve is a nonresident fellow with the usc brookings schaffer initiative for health policy. in addition to that, steve runs consulting firm. before that, he was senior official at various important places. cbo. omb and bunch of other places in between. and then finally, steve zucker man who is a senior fellow and vice president for health policy at the urban institute and steve promises to mix things up a little bit. so we're counting on good conversation. with that, if you could take it away please. >> thanks, joe. i'm going to walk through some slides this morning to provide an

all the hospitals receive much more money next mention of medicaid. it's not because of the replacement or anything else. if the massive cuts in medicaid. however, he said before that many times to repeal obamacare. the only thing this change as they would still receive cuts to medicaid under this other repeals. the oy thi that changed as he now had a president signed it into law. that's the only thing that change. the second thing my opponent doesn't tell you is out there running all over fox news for trial obamacare special interest group in washington d.c. last week he was recently endorsed by who? the afl-cio, the number one issue with keeping obamacare. so all of these pro-obamacare groups supporting my opponent because he voted against it. why the hospitals didn't want to repeal obamacare is because the funding the team was to repeal obamacare would've taken the medicaid way off. >> mr. donovan, quick response. >> if he wants to tell the people who depend on not every day for their health care, emergency care, the doctors, nurses, health provide

medicaid le brinda beneficios y medicare también le ofrece algunos.a elegir, cobertura de medicamentos recetados, y también cobertura dental y oftalmológica. sin costo adicional para usted. para obtener más información, un agente autorizado puede visitarle en su hogar y acompañarle en todo el proceso. usted tiene medicare. usted tiene medicaid. llame ahora para saber si es elegible o para inscribirse. en un plan dual complete de unitedhealthcare. termine usando más detergente y más barato que tide. mi ropa no quedaba igual de limpia. ahora volví a tide y mi ropa sigue impecable otra vez. es que el que sabe, sabe suegra! tide, calificado #1 si tiene que ser limpio, tiene que ser tide listerine® limpia aprácticamente un 100%. ayudando a prevenir gingivitis y el mal aliento. nunca te conformes con un 25% siempre ve por un 100% demuestra de quÉ estÁs hecho™ descubre granos organicos como la quinoa o la cebada. solo añade proteína y vegetales... para crear nuevos y deliciosos sabores. nuevo knorr one skillet meals, no comas por comer, descubre. honey bunch

nobody aspires to be on medicaid.e are in an economy where they have higher paying jobs, greater economic opportunities and good careers. that's the republican plan for strengthening our economy and giving people access to affordable high quality health care in florida. >> martha: it let me ask you quickly, a lot of states are implement in programs of work for medicaid. you just mention how medicaid is gobbling up funding in florida. do you support work for medicaid, would you do that in florida? >> commissioner putnam: absolutely. if you are going to be on public assistance, you should work. all abled bodied individuals on public assistance should work. >> bret: when we come back, other questions. should puerto rico become the 51st state, that plus closing statements from the candidates as the debate continues here in orlando. [cheers and applause] ♪ evving ] take me to her! ♪ coming, flo! why aren't we taking roads?! flo. [ horn honking ] -oh. you made it. do you have change for a dollar? -this was the emergency? [

i am pleased that this resolution addresses both social security and medicaid spending. these two programs account for a huge portion of federal spending and they are projected to continue growing at unsustainable rates if congress doesn't act. yes, this budget resolution slows growth of the federal budget. but perhaps it's time for us to make minor sacrifices now to ensure our children and grandchildren doesn't have to make major ones in the future. today i hope members from both sides will take seriously the potential consequences of failing to limit spending growth as we pursue our goal of pros expert. mr. chairman, with that i yield back. >> i thank the gentlemen from alaska and let the record reflect majority side has eight minutes remaining. while change the minority side to top that t as i yield for purposes of opening statements to my friend from kentucky, mr. yarmuth. >> thank you, mr. chairman, and i'd like to yield to the gentleman from massachusetts mr. molten. >> i want to thank my colleagues. and thank you, mr. chairman h first, the republicans passed a tax

in rural america where a large percentage of the population on medicaid or the exchanges that is the case for most of the people, they are paying a lion's share of their prescron drug costs, not as a result of anything more than mandated government healthcare and so i agree with everything the gentlewoman said and certainly urge my colleagues to vote no on this amendment. >> mr. chairman, i urge my colleagues to vote no on this amendment and yield back the balance of my time. >> the gentlelady from illinois recognized a close. >> i ask unanimous consent the americans for tax fairness study that medicine, how gop tax cuts are enriching companies leaving workers and patients behind into the record. >> americans are literally dying because they can't afford to life-saving prescription drugs they need because pharmaceutical companies raised the price because they can. this is simply a sense of the congress amendment that urges authorizing committees to come up with a plan of how we are going to be able to save money not only for consumers for medicare part d, medicaid so that the united

all of these hospitals receive much more money in the expansion of medicaid. it is not because of the replacement or anything else. it is a massive cuts in medicaid. he said before that many times to repeal obamacare. the only thing that changed, they were still going to receive those cuts under those other appeals. only thing that changes that he now had a president that would sign it into law. the second thing is, my opponent doesn't tell you that right now add some running all over fox from a pro-obamacare special-interest group in washington. endorsede was recently , the number one issue was keeping obamacare. all of these pro-obamacare groups are supporting my opponent. drill down on why the hospital didn't want to draw repeal it was because of the medicaid funding that it came with. other times he voted would have taken that away also. >> mr. donovan, you have a quick response. does he want to tell the people who depend on the hospital system every day for their health care, those doctors, those nurses, if he wants to tell them that he would have voted t

medicare and medicaid are you going to pay for that when coming in with disease? you want to expand medicaid but you want to bring so many people in that have not paid into it at all. host: let's talk about the cost. prosecuting the whole process. this headline, contracts to care for migrants on the rise. a texas nonprofit awarded hundreds of millions of dollars in grants to house migrant children and operates a facility and a former walmart. in florida comprehensive health services, 22 million to help operate a 500 bed shelter. in may extended the contract to make it 1000 bed shelter. we have to recognize the cost associated with illegal immigration. that is why i certainly am conscious of the fact we have to be fiscally responsible regarding the issue of medicare and medicaid. these are challenges facing the congress. i tried to be fiscally responsible in that regard. this is a problem that has been on our agenda in washington this year but it should have been on our agenda before that. secretary johnson of the obama administration stated yesterday he recognized

the system we have is all system are available in medicaid. but there's a statutory rebate they have to pay. some suggested they could run their formulated the way medicare part d runs the formulary, and they could get a better deal. we would like to give them that chance and see if they could do so. there's still patient protections a medical appeals, clinical necessity. everything would be there for our insurance to protect you for unreasonable utilization. >> thank you. i'm pleased the administration reversed on obama era policy that sent the wrong signal to the program. it could cost 20 or 40% less then the biologics of which they can compete is not the recipe of a new -- what else can be done to increase the use as a way to increase competition and lower spending? >> mr. chairman, we want to do what you did for the generics market. create a very robust, highly competitive sector that competes against the branded products. that's why the change was made to ensure there is adequate -- we've seen this enter the market below the market of wha

and treatment for patients and communities act, or the support act, h.r. 5797, the individuals in medicaid deserve care that is appropriate and responsible n its delivery act, and h.r. 6082, the overdose prevention and patient safety act. the three bills included in today's rule all seek to accomplish one goal -- to assist americans struggling with opioid addiction and controlling their addictions in moving forward in achieving productive and healthy lives. the rule provides for one hour of debate on h.r. 6 equally divided and controlled by the chair and the ranking minority member of the committee on energy and commerce. the rule makes in order eight amendments offered by both republicans and democrats. further, the rule provides that the minority -- the rule provides the minority with one motion to recommit with or

my bill would take those already on medicaid in incarceration that would have that medicaid startup 30 days before release so the dollars invested in their treatment before incarceration are well spent so they don't come out and be yet another victim to the illness. i think these issues are thoughtful, smart on crime, the way to best utilize taxpayer dollars so we are not wasteful in the effort. many families have been touched by this. we go forward and we hope they can well advised the full house. host: our conversation with paul tonko. joining us from claiborne, georgia, independent line. good morning, mike. caller: good morning. the kids,start with but i would like to say something about the opium thing, too. these kids -- all these people coming across the border, they have a right to a hearing on whether or not they are legitimately seeking asylum. first off, it is not a crime to seek asylum. once they get these people in here, this entire situation is built around the dollar. it is the prison industrial project -- process and the industrialization of our comments. what we have bu

the second is to make certain that a medicaid reentry bill address our prison population. the incarcerated population -- and we find many of our loved ones who are struggling with this illness -- end up in incarceration. in order to best address the statistics there where we're told 129 times greater is the factor that accompanies an individual when she or he is released from that incarceration center. why? there are many reasons but probably the prime is that physiologically your system has adjusted. and so you're much more absolutely number to that overdouse, that drug overdose situation. my bill, with the reentry, would take those or who are already on medicaid or who are now in incarceration, would have that medicaid start up 30 days before release so that the dollars invested in treatment before incars ration are well spent so they don't come out and be yet another victim to the whole illness. i think these issues are thoughtful, they're smart on crime, they're the way to best utilize taxpayer dollars so that we're not wasteful in the earth and that we can -- in the e