medicaid covered direct. i made sure to check the box on the form that said i did not agree to be personally liable if finances for my mom's medical care ran out. i have a house out of my own. in november 2019, the staff told me my mom's medicare needs to be reinstated so i filled out some more forms. i did not hear anything about medicaid for months so i assumed everything had been taken care of. i was shocked when the nursing home told me that mom's medicaid had not been reapproved and i was responsible for paying a huge bill. why hadn't they told me this months ago? how could they have kept this from me when i did everything they asked me to do? maybe we could have figured out a way to prevent them from coming after me for this debt. because the nursing home took so long to tell me medicaid stopped paying mom's bills, the amount had grown huge. they were trying to collect almost $70,000. the nursing home started sending bills each month, every bill larger than the last. my mom passed away october 3, 20 20.

for children on medicaid. 12 months plus postpartum medication on new moms on medicaid. and ship eligibility. these policies could help mitigate accident losses after the public emergency ends. i was glad to see the cdc and dorsey's policies. the bill better act would actually require all states to put instate all policies i just mentioned. -- my question after that long intro is, it seems critical that congress passes into law these policies to ensure that children and new mothers will keep their coverage. when the public health emergency ends. i just want you to say whether or not you agree. you don't have to say just yes or no, you can expand. >> chairman, the results are there. it is clear that by having, providing that kind of coverage, the extended coverage, we have kept americans from falling into the poverty clock. i hope that congress is able to work together to continue that support. today, as i mentioned, more americans have health care coverage. fewer americans are living in poverty, than before. >> thank you. the try caucus chairs recently sent a letter to t

california pays $.70 on a dollar to medicaid patients. you cannot deliver care when you're getting paid 60% to 70%. these are social issues, congressional issues, and the underlying theme is that the aca was a step in the right direction but not fully there. i will go back to the same theme. people can check my website, i talk a lot about this. we have to change the delivery system if we want to make american health care work, whether it is through the aca, whether it is provided through an employer privately, or whether it is offered through the government, it doesn't matter. it is a system that is way too expensive, inefficient, and quality that is last among the 12 most industrialized nations. host: any of bob's points about the burden of medicaid on rural hospitals or the 26-year-olds who he says are freeloading on their parents' insurance? guest: i would hardly call it freeloading, but the aca that required insurers to offer insurance up to 26 years old on the parents policy was great for the insurance companies. they are inexpensive

to expand medicaid.ering drug prices, we can do this. we should do this. we have to do this. but let me close with this, 12 years ago, at a bill signing of the affordable care act, president obama said we are a nation that does what is hard and what is necessary and what i is right and exactly what he did. and folks, that's what we have to do. that's what we do as americans. you know, that's what you did here making the affordable care act possible. we just to keep going and keep building on it. we need to keep the faith and need to remember we are the united states of america and there is nothing beyond our capacity when we are united and do it together. god bless you all. may god protect our troops and now i'm going to sign an executive order and barack, i'm going to remind you, it's a hot mic. [laughter] [cheers and applause] ♪ [cheers and applause]countles vice-: president biden [captions copyright national cable satellite corp. 2022] captioning performed by the national captioning institute, which i

the medicaid expansion's lead to a tripling of the payment rate for medicaid, which according to theenter for medicaid and medicare service data stands at 22% and most improper payments are due to eligibility. the aca's best-known feature, the health care market places, have not been terribly successful. it was offset by a decline in employer coverage, a fact hidden by the fact that nearly all enrollees are heavily subsidized by the federal government. that is from the competitive enterprise institute. bloomberg law has a piece out as of today taking a look at those subsidies. they write the future successes of the affordable care act depend on congress taking action to continue increased subsidies to people on individual plans, according to people tuesday. we call on congress to make permanent the aca subsidies in the american rescue plan, subsidies that are lowering insurance plans for americans and that were set to expire in december. that was the vice president saying that at the white house tuesday. the story adds that additional subsidies provide extra help to people -- extra h

states refuse to expand medicaid.ering drug prices, being able to negotiate drug prices that are on the market we can do , this. we should do this. we have to do this. let me close with this. 12 years ago, at a bill signing of the affordable care act, president obama said, "we are a nation that does what is hard, what is necessary, and what is right." that's exactly what he did. exactly what he did. and folks, that's what we have to do. that's what we do as americans. you know, that is what all of you did hear in making the affordable care act possible. i really mean it. we just have to keep it going and keep building on it. we need to keep the faith and need to remember we are the united states of america, and there is simply, literally nothing beyond our capacity when we are united and do it together. god bless you all. may god protect our troops. and now i'm going to sign an , executive order. and barack, let me remind you it's a hot mic. , [laughter] [cheers and applause] pres. biden: is this everybody? [laughter]

so we continue to expand medicaid.uri and oklahoma became the 37 and 38 state to expand medicare under the affordable care act. [applause] and has been mentioned, over 31 million people now have health insurance under the affordable care act. four out of five americans can find quality coverage for under ten dollars a month. the average family -- [applause] the average family is saving $2400 a year on their premiums. that's $200 every single month, available for other needs in their lives, from gas to groceries to other basic necessities. the bottom line is this. the affordable care act is stronger now than it has ever been. [applause] and today -- [applause] >> a working mom is told as long as she can afford employer coverage for herself, she can qualify for premium subsidies to for coverage for her family. it is estimated 200,000 uninsured americans will gain coverage. nearly one million americans will see their recovery become more affordable. this is considered one of the biggest things my administration can do, lo

for medicare and medicaid and the affordable care act. add them in and the typical household pays $8,975 a year for health insurance. this number does not include what typical workers' employers spend on their health insurance which might otherwise go to their wages. american spending on health care per person is more than twice the average in the world's other 35 advanced nations. yet, and here's where we come to ineffectiveness. the united states ranks near the bottom among the nations for life span and invent mortality. americans are sicker, our lives are shorter, and we have more chronic illnesses. canadians, for example, can expect to live an average of almost four and a half years longer than americans, even though health care spending per person in canada is only half as high as in the united states. the connection between the high cost and ineffectiveness of our system is clear, because health care is so expensive. many americans put off seeing a doctor until their health is seriously deteriorated. even with the affordable care ac

a psychiatric hospital and that the biden administration is making with respect to medicare and medicaid these are all important efforts and we will support them with waving cost-sharing with private insurance and my seatmate has been leading for certified clinics and we are making a special focus as part of the bipartisan efforts we are talking about the proposals in the budget that they are a lifeline to those struggling to connect with mental health providers. secretary becerra because members on both sides are laser focused on mental health care and in a bipartisan way. thank you for being here. >> thank you mr. chairman and secretary for being with us today. federal health care programs face the range of pressing challenges which demand serious solutions and then to have both shared opportunities and priorities and concerns to put forward by the president as part of the moonshot initiative the administration has rightly acknowledge the multi- cancer early detection test which has the potential to boost the cancer survival rate while driving down cost. earlier in this congress, i rei

as a result, cms has moved to terminate laguna honda from the medicare, medicaid program. now laguna honda is a large and complex organization. i know that given more time, the team could have shown compliance. none of the infractions found this week would have led determination had it not been for the organization running out of time to show compliance. importantly, laguna honda did not lose its license and remains a licensed skilled nursing facility. but we take these findings seriously and know that responding to them and working with our regulatory partners, laguna honda will be a stronger organization. we look forward to showing this to our regulatory partners in the near future as we begin the process of re-applying to the cms program. i want to end by acknowledging the hard work of laguna honda staff and show my gratitude to laguna honda patients and their families for entrusting us with their care. and now it's my pleasure to introduce the laguna honda chief executive officer michael phillips. thank you. >> good morning everyone. thank you, mayor london breed and t

for medicare and medicaid with 9,075 for health insurance. this does not include what employers spend on their health insurance which might otherwise go to the wages. american spending on healthcare per person is more than twice the average and the other 35 nations and here's where we come to an effectiveness. the united states ranks near the bottom and infant mortality. americans are secure, our lives are shorter and we have more chronic illnesses. canadians can expect to live an average of almost four and a half years longer even though healthcare spending per person is only half as high as in the united states. between the high cost and ineffectiveness of the system is clear because healthcare is so expensive many americans put off seeing a doctor until their health is seriously deteriorated. even with the affordable care act there's tens of millions that have no health insurance coverage at all. one major reason for the extraordinary cost is the administrative cost involved in for-profit insurance. about a third of what the typical americ

along with the medicaid, medicare, like the medicaid, ms. ish, my water bill is full due. her phone will yes, crucial. yep. well, do you treat cynthia rocha read no linda ins alert my super disk here, but the me so was no no cosmo green. so it was familiar for bunch of kids wilkinson . ah, he's so good as he gets to lose a piece of living with you to farmers unless unless you mean here. but here if you thought it for i was 3 or when you come from, so my machine you see him is there, i'm on mute cuz what i'm you greenlee me given you yesterday when julia can give you a trip into your soul. so small my sitting still browser but you that she doesn't even though good was just a minute, but here you go. it must be is the last month or somebody. i just want to say after you were with the julia, you still want to use b. c. to barsky the letters at the natural and i know my constitution saw crane scale last publishing it. she wore the mean he has a leasing was to greenland. lancer yes, i mostly petition ukraine la la it's that is the genie. and because i say in english, you know,

so we continue to expand medicaid. missouri and oklahoma became the 37 and 38 state to expand medicare under the affordable care act. [applause] and has been mentioned, over 31 million people now have health insurance under the affordable care act. four out of five americans can find quality coverage for under ten dollars a month. the average family -- [applause] the average family is saving $2400 a year on their premiums. that's $200 every single month, available for other needs in their lives, from gas to groceries to other basic necessities. the bottom line is this. the affordable care act is stronger now than it has ever been. [applause] and today -- [applause] we will leave this here to take you live now to the u.s. senate, keeping are over 40 year commitment to bring to live coverage of congress. you can finish watching this online at watching this online at our website c-span.org or with our free video app. c-span now. the u.s. senate is about to gavel back in following a recess further weekly caucus lunches. li

so we continue to expand medicaid. missouri and oklahoma became the 37 and 38 state to expand medicare under the affordable care act. [applause] and has been mentioned, over 31 million people now have health insurance under the affordable care act. four out of five americans can find quality coverage for under ten dollars a month. the average family -- [applause] the average family is saving $2400 a year on their premiums. that's $200 every single month, available for other needs in their lives, from gas to groceries to other basic necessities. the bottom line is this. the affordable care act is stronger now than it has ever been. [applause] and today -- [applause]

so, we continue to expand medicaid. missouri and oklahoma became the 37th and 38th states to expand medicaid under the affordable care act. and as we mentioned, over 31 million people now have health insurance through the affordable care act. four out of five americans can find quality coverage for under $10 a month. the average family is saving $2,400 a year on their premiums. that's $200 every single month. available for other needs in their lives from gas to groceries to other basic necessities. the bottom line is this. the affordable care act is stronger now than it has ever been. and today -- [ applause ] >> i'm not even talking about what your former chief of staff is doing to make sure healthcare is available to all our veterans in the way he did. and today, we're strengthening even further. in a moment, i'm going to sign an executive order building on one of those that i signed last year. it directs federal agencies to continue doing everything in their power, everything in their power, to expand quality and aff

it is almost one in four people in the united states get medicaid coverage. it is hard to use those benefits to access psychologists, psychiatrists, and substance abuse programs. those providers of mental health care who do see medicare and medicaid are overwhelmed. >> nearly half of santa clara county does not know about mental health care options. >> if you are between eight and 18 years old, you go to the doctor -- you have to meet what are called diagnostic criteria. those are really important roles for the federal government -- that is to help and define how young people could qualify for support. >> the importance of provider networks, the most important need i have seen is to have more mental health professionals available for people to work with so they are not just taking private pay from affluent people. >> we have to have a full continuum of services available so people are not forced to wait until crisis before they get care. >> within santa clara county, the biggest obstacles are the lack of knowledge, cost and complexity. >> there are federal an

was raised, shall none, put that he been midst lay her so used polish nor south american with a medicaid. social will put medicine leverage cream up in my but when you start to night at the kim law chatam lucky lisa willis, i see you have to local see local for tube. this will clear on what gods can most. net, a bully with both from the threat to each not but most of the blue. but last one. he must wish lens for nato munoz. this is melinda atolico's to leave it for douglas . yacoma patrice, you can william petrie boyer insured the bus pickle. but daniel clayton, which was cuz i think we have him green ashlyn. nathan smith is 63 think it may be recorded on missouri to talk to her about her buzzer. martha, i take a portion of both quibbling, finance, you'll never get to receive my credit for the day. it came with the american school political put it that michelle put on said potomac cousin dinner. she hadn't moved for you to it. movie. she wrote, you wouldn't be a lot of east syracuse a can surely suppose with you though of you know, the visual cues essential is through us though, of you k

an investment to improve equity in areas like maternal health where we extend medicaid coverage for a new mother and her baby from six months to 12 months. the presence 2023 budget builds on that record investment in america's health. proposes $127 billion in total discretionary budget and including newly proposed mandatory funding to provide health services and aspirated $2 billion in the proposal to get ready for whatever might come next during covid-19 for considering it has cost this country more than 4.5 chilling diligent direct support from the federal government so far it's a no-brainer to compare for the next -- prepare for the next pandemic. theth funding will be in denver research development deployment ineffective --. the budget represents not just dollars investment that the values and priorities for this budget turns hardship in the hope and opportunity and the commitment to finish the fight against covid-19. on that note i want to acknowledge our collective national failure and funding indian health services or constitutional treaty and they are just about the occasion f

so used to polish north south american with a medicaid case was a will put medicine levied cream up in maya. but when you started night at the kim law chatam lucky little eliza, see if she local see local for tube, missile clean, or what it gods give you. most net a bully with both of them were a threat to each not but mr. possibly will. but last one, he must wish last fall, not or when you're this is melinda atolico's. believe it for done this year. you're komar patel. you can william petri boyer vin. sure. the bus people. but daniel craig, which was because i think we have him green ashlyn, near the sushi place, they can remember accordable, missouri to football, roblis, her buzzer mother. thank you for sharing promot quibble experience children or get the receive well graham. a day a came with the american school political, put it that michelle put them simpleton cousin dennis, she hadn't move up of italy movie she wrote you wouldn't be alone. so these 2 molecules, the control is a purse with you though i be in the visual cues essential is through us you though of you know, unless s

california pays $.70 on a dollar to medicaid patients. you cannot deliver care when you're getting paid 60% to 70%. these are social issues, congressional issues, and the underlying theme is that the aca was a step in the right direction but not fully there. i will go back to the same theme. people can check my website, i talk a lot about this. we have to change the delivery system if we want to make american health care work, whether it is through the aca, whether it is provided through an employer privately, or whether it is offered through the government, it doesn't matter. it is a system that is way too expensive, inefficient, and quality that is last among the 12 most industrialized nations. host: any of bob's points about the burden of medicaid on rural hospitals or the 26-year-olds who he says are freeloading on their parents' insurance? guest: i would hardly call it freeloading, but the aca that required insurers to offer insurance up to 26 years old on the parents policy was great for the insurance companies. they are inexpensive

>> again, you point to a very important program in medicaid. the devil is in the details, congressman. i would love to work with you on and but the devil is in the details, and we have to make it work not just for us but for the taxpayers. >> particularly in my home state of tennessee, the insufficient -- respectfully insufficient reimbursements in this are causing undue pressure on rural hospitals when they are struggling. we have seen many closures. in that regard, i ask you and the administration work with us regarding this. this was politicized and, if you will, it awards or rewards inefficiencies many times to raise these indexes in other areas of the country where fiscal restraints and good policies tend to get punished for their fiscal responsibility. that's what we are seeing in our state, sir. >> congressman, what you said i have heard before. >> thank you. madam chair, i yield back. >> thank you. >> mr. pokan. >> thank you very much, madam chair, and ranking member cole. i appreciate it. secretary, thank you so much for being here. yo

. >>> hospital cut off from participating in medicaid and medicare. the decision is after a recent state survey found issues related to hygiene ineffective infection prevention. city health leaders say most of the funding the hospital gets comes from medicare and medicaid. >> we take the findings seriously and know that responding to them and working with regulatory partners, we'll be a stronger organization. >> the city of san francisco will reapply to the programs. >>> to weather and more rain on the way this afternoon, darren peck is with us now. we are getting a nice stretch of rain this week. >>> we are. it's going to be several days after this one. let's focus on today because we are getting to the better part of the day in terms of rain. first alert doppler has a lot of green on it. in santa rosa we've gotten 0.2. everywhere else, just a couple hundredths. if we look at what happens next, the green that shows up stays with us through early afternoon. we'll notice the showers more if you are in the heart of the bay. this is still the north bay's

that is why the medicaid reentry act would ease reentry by enabling patients to reestablish medicaid benefits before they reentry -- reenter communities. too often we think about these issues as being resigned to their intractability. but these challenges do not have easy solutions. i think there are concrete policy steps that can make a big difference. thank you for your time. i look forward to your questions. chairman neal: thank you. >> edis an honor to testify today. -- it is an honor to testify today. i am dr. marielle reataza, executive director of the national asian pacific american families against substance abuse. i have 14 years of experience. i am here today as an asian american. i have concern over the health of api communities. there is already an ongoing stigma when it comes to seeking care. the stigma can be so strong that they are delayed seeking care. sometimes individuals will seek services in private and that happens when telehealth is available which can be challenging since we live in multigenerational households. language excess and technology are already barrie

it's expand medicaid. she's talking about other issues. she still has many of the same platform ideas that she had in 2018, but she's not talking about them to the same degree that she is expanding medicaid but on the federal level. we're also seeing something different. we're seeing democrats acknowledge embrace for the fact that inflation and global supply chain problems and rising fuel prices are all going to be a major factor and how voters decide who they support november and so shortly after senator raphael warnock qualified to run for another term the first things out of his mouth where i'm going to go back to washington to help fight rising prices. so right now his top priority is a federal gas income tax break for for for gas at the full pumps. it is capping insulin. it's the price of insulin at 35 dollars. it is going after what he says or price. on the global supply chain, so he's going after issues like that that are you know, frankly, they're not divisive. they're not really partisan. they're more populous than anything. but w