medicaid managed care. this spring we will be released in the medicaid access proposed rule alongside the proposed rule for medicaid managed care. these rules aim to enhance access to care for people with medicaid, evaluating whether enrollees are able to see the health care providers they need for their mental and physical health needs. it is critical as we work to strengthen coverage that we continue to ensure that people stay enrolled in coverage. president biden announced his intent to in the covid-19 pandemic a public health emergency on may 11. and it's one of our top priorities to ensure a smooth transition from covid-19 waivers and flexibilities, including the continuous eligibility requirement. your partnership is essential to ensuring smooth transition for people in medicaid and chips, whether they stay in his programs or transition to marketplace or enrollment of third coverage, or employer-sponsored coverage. cms is committed to working with you towards the mutual goal of keeping all people cove

brooks-lasure for medicare and medicaid service she oversees programs including medicare, medicaid, children's health insurance program and health care.gov haven't church marketplace that provides health care and coverage for more than 100 million people. nationwide. she played a key role in guiding the affordable care act. the president implementation, and has decades of experience working in the federal government, capitol hill, and in the private sector. administrator we, are excited to have you here. [applause] ♪ ♪ ♪ >> thank you so much, matt. for the kind introduction. and the importantly, for the invitation to be here with you will. good morning. what a beautiful spring day, walking in with my daughter, it's nice to see the sun out. it's really a pleasure to join you to discuss the vision and strategies for delivering of forcible, meaningful health care coverage for all people. as we transition from the covid-19 pandemic, our six strategic pillars continue to be our guide posts. as we work to season immense opportunity to tangibly transform the way we care for people. we are laser focus

what is medicaid? i think we found out a lot more about what that program means to so many americans over the last ten years when there are proposals over and over again to cut it by $10 billion a year or $20 billion a year or $50 billion a year by house republicans over and over again. medicaid tells us who we are as a people, as a country. it also tells us whom -- whom we value. we value our children, whether they live in rural areas or small towns or in cities or suburban communities. we value those children, and that's what medicaid is all about, making sure those children have health care. we value people with disabilities. we say to ourselves, a as a people, we -- as a people, we have to help folks with disabilitieses so they can have a good life. medicaid helps children with disabilities. we found that out in -- in a very real way when we were debating the proposal, right here on the senate floor, in the summer of 2017, when some said that we should give rid of the patient protection and afforda

and so, here is medicaid back, then here's medicaid. now much greater growth. grants have grown as well, you can see medicare has gone up, private has gone up, other, and it is unclear to me if other includes 3:40 b, because of -- kind of shaking her head no. and 340 b is an incredible source of revenue that i don't even think we know how much there is there. so, this is not to say that increased funding for health centers is not needed, that is what we discussed today. but to underscore the fiscal climate we are in, americans expect and deserve a full and thorough review of how their tax dollars are spent. now mr. farber is aware, this week i requested the g.a.o. update its work on sources of funding for community health centers, and i ask unanimous consent to insert that request into the record. thank, you sir. as policy makers, this information is critical to making informed decisions, especially when speaking about mandatory spending. so miss far, i think in advance for taking this project on. last week, the center needs to be paid forward, and i protection

medicaid le da beneficios y medicare también le ofrece algunos beneficios.pagos de $0 en todos los medicamentos con receta cubiertos. así como más cobertura dental. la mayoría de los planes le ayudan a pagar productos de venta sin receta, alimentos y facturas de servicios públicos con cobertura. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, ...llame ahora mismo para ver si cumple los requisitos. hay más para usted... con un plan unitedhealthcare dual complete. paola: el gobernador busca construir mÁs dormitorios, las universidades obtendrÍan el dinero a travÉs de bonos aÚn no se han distribuido todo lo ♪ ♪ >> quÉ placer saludarlos. bienvenidos. la nfl anunciÓ que el super bowl 60 se jugarÁ el le —— lewis stadium.. se jugara en las vegas en super bowl y el 59 serÁ en nuevo orleans. este jueves vive la final de de la liga mx. este jueves vive la final de de la liga mx. gr illinois está en el centro. ¿y qué encontrarás en el centro? el lugar donde el pasado inspira al futuro. ♪ ♪ innovación inigualable. ♪ ♪ el centro del de

the centers for medicaid -- medicaid said it best that it has become clear a centralized depository for provider data is a key component missing from the accurate provider information. symphony is that exactly. what did we learn so far? providers and data encompasses hundreds of specific data elements and most need to be verified on a frequent basis. we need more data elements related to lgbt support and more data elements related to rates and ethnicities. this problem of data elements will grow, not shrink. in addition to the data, providers need to attest to the accuracy of the information every 90 days. under these conditions, providers are much more willing to do so if they can attest once. it is provider data that is populating the directory and is the ultimate source of accuracy. based on the number of different data must, all stakeholders have agreed to prioritize the elements most important to consumers assessing new patients. symphony is a dynamic process that continues to adapt. before symphony could begin processing data, we have to create standards of processing and regulato

some people for care updated time claims any for insurance companies including medicaid and medicaid plans. a burden insurance companies i believe should bear, not those of us trying to provide desperately needed care. the national administrative burden for physician practices to send directory updates to insurers for technologies, schedules and formats is $2.6 billion annually. not all practice settings like mine willing and able to invest resources needed to participate. how did practitioners make up a significantac portion of the psychiatric workforce? many do not participate because of the administrative burden. the networks are a cause and symptom short changed mental health care for decades.ch we need the help of congress to change that. my written testimony includes recommendations we asked the committee to consider many of which are already pursuing. it's time to hold plans accountable for maintaining directories and making accurate representation and to employers. our patients need public private sectorts plans to be held accountable to the mental health parity law. and ince

health emergency allowed states to continue to enroll people into medicaid.s enroll cement going to now end as a result of the lifting of the public health emergency and you'll start to see people get taken off of the medicare rolls there's some estimates by the keiser foundation and also by the department of health and human services that upwards of 15 million people could lose medicaid coverage over the course of the next 15 years. that will put some pressure on hospitals and providers not to mention individuals that could lose coverage. for all the practical effects on health care delivery that people saw. many of those will continue including free access to covid vaccines and covid testing though free access to otc covid tests is going to end. >> so let me ask about the medicaid issue here. if i was one of those enrollees who came in under this public health emergency, am i immediately stricken from the medicaid rolls or can i protect my medicaid benefits by re-signing up or something in other words, is -- is my removal -- are people going to lose medicai

medicaid le da beneficios y medicare también le ofrece algunos beneficios.a pagar productos de venta sin receta, alimentos y facturas de servicios públicos con cobertura. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, ...llame ahora mismo para ver si cumple los requisitos. hay más para usted... con un plan unitedhealthcare dual complete. ♪ ♪ [mÚsica] carla: tendrÁ que pagar 6.5 millones de dÓlares esta empresa por vender productos con fechas vencidas. vamos a una pausa y ya regresamos. ♪ ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] reportero: gusto en saludarle. informaciÓn deportiva mÁs importante. lakers ganan 122—101 warriors. arrancÓ la actividad de la jornada 34 en el fÚtbol espaÑol, el mallorca, el vasco aguirre con este gol, a los 16 marca 1—0 le gana a cÁdiz. el mexicano henry martÍnez y Álvaro fidalgo, podrÍan jugar ante el atlÉtico san luis. el tÉcnico decidirÁ podrÍan estar. no se pierda este sÁbado 13 de mayo, amÉrica contra aÉco san luis a travÉs de tudn y univisiÓn. los esperamos con una cobertura amplia y total.

biden has said medicaid is off the table. that's generally considered a no-go for democrats in general. adding work requirements could potentially kick, you know, well over a million people off according to outside estimates and cbo estimates, mostly based on the paperwork requirements. itst not just that, you know, people would be able to meet the work requirements or not. just keeping up with having to track it is often a struggle, people in marginal circumstances already. but s.n.a.p. on the other hand already has significant work requirements. democrats may face a dilemma if they're talking about tweaking them in one direction. in the case of tanf, it's a program with barriers to using at all at this point that i have a feeling that democrats would be least concerned about some kind of change there just because it is very much a program that is shrinking in relevance. work requirements, big thorny issue, which program you're talking about is going to matter a lot. >> republicans want it to be medicaid. i read on vox, that

at least it says that there may be no changes to medicaid and that is a big thing for democrats. president biden would agree to any deal that didn't include that. and as well, you know, joe biden had promised a run on student debt relief something that the republicans were looking to take away in these debt negotiations. it looks like that student debt relief will remain in place. but these are just will remain in place. but these arejust preliminary will remain in place. but these are just preliminary frameworks and those details, as kevin mccarthy told us, are still to be worked out. we will bring you those details as we get them. helena humphrey, thank you for walking through that. we will make sure that we bring you guys any more updates as we get them. you, helena. now to turkey, where the first ever presidential election runoff is set to begin, with polls opening in just under five hours. it's a two—way race between the current president recep tayyip erdogan, who has been in power for two decades, and his main rival, the secular opposition leader, kemal kilicdaroglu. in the

. >> i mean, i know there is a proposal in the medicaid program to anchor medicaid prices and dispensing fees to evidence based prices, the cbo score that $1 billion, that is a medicaid space, in the prescription case you see a multiplier that. >> i want to thank you for being here i try to get around district, a lot of small towns in my district. i like to stop in on the pharmacies similar to what you have. at the pharmacy does not have a cvs or walgreens outfront i asked to see the pharmacist. i get things similar to what you folks tell me today. i like to thank you for coming over here, i hope on a bipartisan basis something, -- something positive comes out of the committee. i want to thank the chairman is unfortunately have not had a hearing like this in the committee since i've been here, finally we have a chairman is not afraid to take this on. thank you very much. >> thank you mr. chairman. i want to echo the sentiments and appreciate the chair's indulgence and the committee for holding the hearing. we can look at some like this, and probably a lot of other topics of oversight in

his income comes from medicaid for children and adults in crisis.ning. what happens if we default on june 1? >> there is a government shutdown, our federal projects, for instance, that would take the federal government representatives off the project, which would shut down our project. then the decision is how long -- and then we can't submit for payment, can't receive payment. >> this isn't about a government shutdown, but about if we default. how would that affect your business, rosemary? >> if we don't have receivables coming in and projects aren't moving forward, how do we move forward with the project? it has a lot of ancillary issues. increased interest rates, right. so our private side, it's -- we have already seen a pull back in the quality of leads because of the rising interest rates and additional rise in interest rates pulls it back that much more. the ability to get loans. the lines of credit is tightening up. it has huge -- >> your company began work on a federal building in baltimore in the works since last year. what happens to a pro

ohio medicaid was overcharged $223.7 million. kentucky medicaid was overcharged $123.5 million. what should congress be doing to prevent this practice in the future? mr. duane: thank you for that question. that's a great question. i think it's very simple. i think it's two-fold. number one, i think you have to get rid of the rebates. i heard a lot about how big pharma is the one making the prices. big pharma is the one pushing it up. i am not carrying any water for big pharma. these rebates really obscure what the true price it. you hear gross to net bubble. the gross list price of a drug goes up but after the rebates the price actually decreased over time. you have to be able to get rid of those in order to make sure we're playing with a full deck of cards. the second thing you need to do, i think we need to look at what the medicaid program in some states does and that's they reimburse based on a fair evidence-based, referenced-based price for the drug and they i think -- and i think there is some legislation looking at that in the medicaid space federally right now and the c.

states need to be held accountable as to what they are doing with medicaid. we need to make sure it gets back to the original intent. taking care of those who need it most in our society. host: there was a hearing last week on c-span about insulin pricing. they had pharmaceutical companies coming and testifying. then there was a pharmacy benefit managers with a lot of finger thing. who is to lame for higher insulin prices? guest: first of all there is enough lame to go around for everyone. but as i suspect you know it is most people know, i'm not a fan of tbm's at all. host: you know these folks, correct? guest: yes, i practiced pharmacy for over 40 years. since i was 10. they do not bring any value whatsoever to the health care system. they are just productivity. pharmaceutical manufacturers need to do a better job. however the benefit managers are , as the attorney general in ohio stated, they are nothing more than gangsters. gangsters ripping off the public. first thing i did when i became a member to mute -- 10 years ago was to go to the ftc and ask them.

food benefits, madam speaker. 253,000 kicked off health insurance on medicaid. and 1,300 preschool and child care slots which are vital to work. madam speaker, i would have time if the speaker of this house would call us back into session and i will continue to do my job to speak on behalf of my constituents who sent me here to work on their behalf, madam speaker, call this house back to session, let's do our job. the speaker pro tempore: the gentleman's time has expired. for what purpose does the gentleman from maryland seek recognition? >> address the house for one minute. the speaker pro tempore: without objection, the gentleman is recognized for one minute. >> madam speaker, today i rise to condemn the extreme republicans acting to hold our economy hostage and their refusal to pass a clean bill to raise the debt. today we are seven days from defaulting on our nation's debt. seven days from seniors losing the social security checks. seven days from our veterans losing their health care benefits. seven days from our country losing all financial credibility. no

the resolution protects social security, medicare, medicaid. protects veterans. protects the clean energy tax credits. protects the american people from the draconian cuts which were included in the extreme maga republicans default on america act and protects vulnerable communities like the homeless and individuals who are aging out of foster care. i think of to president biden's leadership and confidence which -- that we will avoid a constructive all. >> -- default. >> [indiscernible] what is your message for progressives concerned about the deal? >> what i just communicated. we will continue to have a conversation throughout the day, later on this evening, and tomorrow in terms of the caucus. what we are all interested in is how many votes are the republicans, who negotiated this resolution. we heard that 95% of the housework of lincoln -- the house republican congress supported the resolution. that appears to not be the case. but we are also committed to making sure that it occurs and that the republicans keep their promise to produce 150 votes. the speaker ha

that is who is on medicaid.ve not said one of their changes, one of their improvements is to say that we want to make the work requirements not just under 50 but up to 55. it's even harder for a 55-year-old to get a job than a 45-year-old. >> let's think about this. in much of the country, not the case in new york city, but the federal minimum wage is $7.25. assume you work 40 hours a week. that's a grand total, $15,000 a year. that is your income. >> what are you doing with that? and you cannot afford health care with that. so they should just admit they hate medicaid. >> if you work for something close to the minimum wage in this country, you have to get aid to provide food for your children or get medical care, or you get diabetes and heart disease and get rushed to the emergency and then you eat up from a societal perspective four times the amount of money than if you actually had health care and went to a doctor. nun of this works. the math of none of this makes sense. you save a billion dollars here, it wi

work requirements for food stamp recipients up to 54 years of age, but there will be no changes to medicaid. in a statement, president biden says the agreement, quote, represents a compromise which means that not everyone gets what they want. that is the responsibility of governing. nbc news, capitol hill correspondent julie tsirkin joins me live now. julie, i know you've been locking some hours there waiting to see what happens. speaker mccarthy is saying that we could get a first look at the text on thursday ahead of the house vote on wednesday. but what are you hearing on capitol hill from lawmakers about this tentative agreement? >> katie, in many ways, the hard work is really going for president biden and speaker joe mccarthy. they have to get their members night trying to swallow and vote that everything the two leaders agreed to. it really came down to the wire. it was of course,, here all day yesterday, and while the note, i was talking to the members of the conservative house freedom caucus after the all-member republican call last night were speakers mccarthy fielded many question

david: these services are provided through medicaid, and so medicaid as a whole has often been underfundedid 19, we've seen a major exiting of the workforce across all long term care and health settings, and that does not appear to be coming back. >> this is the front door to our service system. judy: faced with a shortage of providers, the state of oklahoma is giving parents the option to use waivers to hire family and community members, with less formal training, as caregivers. >> we found that actually friends and neighbors as staff worked well in some situations. judy: beth scrutchins heads oklahoma's developmental disabilities services, a division under oklahoma's human services agency. >> we're continuing forward with some of those flexibilities. but we know that the answer to the workforce crisis has to be a multi-pronged approach. judy: still, advocates say some parents feel pressure to quit their jobs while waiting to get the help they need. >> when i started the emergency -- when i started that process the person on the other line , asked me if i would quit my job to take care of

despite what republicans say, medicaid works -- medicaid's work requirements are unnecessary. most adults already on medicaid are working. what work requirements do is create new barriers to accessing health care equality and quality health care. according to the congressional budget office mandatory work requirements would cause 2.2 million people to lose health care insurance in just one year. these health care cuts are extreme and have the potential to be catastrophic for vulnerable communities. medicaid expansions have worked for americans. ever since the enactment of the affordable care act, 16.8 million americans have gained health care coverage because of medicaid expansion. at least 19,000 lives have been saved as a result. medicaid expansions have reduced devastating out of pocket medical costs that can be debilitating for many families. already -- for many families already struggling to make ends meet. the debt ceiling proposal that speaker mccarthy has floated would put health care out of reach for many americans. and drive them further into poverty. medicare enroll

>> social security, medicare and medicaid. those help out folks that are older, and medicaid helps out folks that are low income and in poverty. yet to take these aside and by themselves. social security is relatively straightforward in my mind. i would just increase the earnings that are subject to the payroll tax. right now there is a cap on the earnings that are taxed up to i think 140 or 145 k. just say hey if you pay that and if you make over 400 k you pay tax on that as well. if we do that, simply that change that makes a lot of sense because the percent of earnings that are not taxed has increased over time since social security was put on the plan in the great depression because of income and wealth inequality in the skew in wealth distribution. we simply make that change and put social security on sounder ground. either at -- i don't know if we would solve it forever but we would get close. medicare and medicaid are more difficult because that goes to the cost of medical care. also the aging population for medicare, w

medicaid le da beneficios y medicare también le ofrece algunos beneficios.ta sin receta, alimentos y facturas de servicios públicos con cobertura. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, ...llame ahora mismo para ver si cumple los requisitos. hay más para usted... con un plan unitedhealthcare dual complete. ♪ ♪ ♪ ilia: escÁndalo en bolivia, un sacerdote fue enviado a prisiÓn preventiva por sospechas de abuso a seminaristas. esto ocurre dÍas despuÉs de que se levantara el mayor caso de pederastia. hechos que ocurrieron en la dÉcada de los 50 y 80. ahora el pÁrroco de la iglesia de san roque fue recluido por tres meses en medio de las protestas en la capital del paÍs. >> estamos pidiendo justicia por tantas violaciones a nuestros niÑos. yo como madre, como hermana, como hija, pido justicia. ilia: el gobierno boliviano anunciÓ la creaciÓn de una comisiÓn de la verdad que investigue las denuncias. ademÁs impulsarÁ un proyecto de ley para que delitos de este tipo no prescriban. tras ser liberada de una prisiÓn rusa, la

by the way, is not just snap, it is medicaid. medicaid. mccarthy once work requirements for medicaid. picture summit in a medicaid nursing home, which is the biggest single source of medicaid outlets -- sorry, grandma, are 90 years old but you're going to have to go out and work. this is nuts. it would be much better strategically for biden to keep pointing out how not it is. amy: i want to read from "new york times" columnist paul krugman who slammed democrats writing -- "as soon as republicans took control of the house last november, it was obvious that they would try to take the economy hostage by refusing to raise the federal debt limit. after all, that's what they did in 2011 -- and hard as it may be to believe, the tea party republicans were sober and sane compared to the maga crew. so it was also obvious that the biden administration needed a strategy to head off the looming crisis. more and more, however, it looks as if there never was a strategy beyond wishful thinking." they're talking about, we are not linking one to the other,

it protects medicare, medicaid, social security. this bill protects historic investments in clean energy. it also protects the 40 million student loan borrowers under president biden's student loan relief plan and it provides relief for of my concerns absnap and work benefits and work requirements in tanf. i still have some serious concerns about how it a.f.c.s the environment and responds to climate control issues. the bill is not everything i wanted. but it does give us an opportunity to pay our debt and protect the good work we've done during the first term of president biden. the speaker pro tempore: the gentleman's time has expired. mr. davis: i yield back. mr. neal: we continue to reserve. the speaker pro tempore: the gentleman from missouri. mr. smith: i yield two minutes to the gentleman from texas, the budget chairman, mr. arrington. the speaker pro tempore: the gentleman is recognized. mr. arrington: thank you, mr. speaker. as i have repeatedly warned, the fiscal state of our nation is in decline. our financial health is r

. 96 million people are enrolled in medicaid. let's go down the issue with the student loan fiasco of paying student loans. i don't know of anything that was not given and to give the shop away is a good example, describes it. >> john: so congressman bishop of north carolina says it's not there yet but he would consider a motion to vacate the chair. would you consider a motion to vacate the chair over this? >> it depends how mccarthy deals from here on out. i mean -- think about it, john. we were over memorial day and to get a call to come and support a bill, the negotiated bill we had not even read is like the pelosi days. you have to pass it before you can read it. this needs -- >> john: he is giving you 72 hours to consider it before you are asked to vote on it. >> pelosi didn't do that, and peace the 20 of us in january, we got that. but really, for this serious of a bill affecting the dollars that it is, and the financial security which is national security, you want to have a lot more time and i think -- >> john: only 99 pa

the social security, medicare and medicaid. you just can't do it. i mean, that trillion compares to the 20 trillion that will be over the next ten years. so that, you know, that's percent of the problem. and yet you got to tackle entitlements and you know, it can be done. i mean, we actually had 19 members on this commission and 18 of the 19 signed on and there were some pretty big sacrifices in there. certainly the income benefits were slowed down and they were taxed. unfortunately, that's going to be part of the part of the issue that going forward now. again, i think we need to manage it government better. i think, you know, taking such clarity today and you know, it needs better management today, better systems. i probably shouldn't be political, but i'll do this. they a commissioner there that was working on system reforms and disability forms and he was fired? mm hmm. and vice president biden because the unions didn't like him. so, you know, that's it. management's an issue, too but it's got to be smarter about our programs. we shouldn't be cr

there's about 55 million people who are on medicaid, health care for the poor. about 15 million would be subject to this new provision where if you are able-bodied, single with no dependents, you would either have to find a job to continue to get medicaid or be looking for a job. that is a sticking point for a lot of progressives in the democratic party. you've got to put together a combination of moderate emma kratz, moderate republicans, and get to 218. karina: i want to talk about the process. today, mike lee tweeted saying he would use every procedural tool to impede a debt ceiling deal if it does not contain substantial budgetary reforms. can you explain what he is talking about and if he really can get in the way of a deal? >> if he is serious about a hold, that would prevent the senate from taking it up for at least seven days. i think what is going to happen, because we are so close to the deadline, is that they will pass a modest lifting of the debt ceiling for one month so that they can continue to negotiate. they could do that by unanimous consent. th

president biden protected medicaid. president biden protected veterans. president biden protected the inflation act. president biden protected the clean energy tax credits that will be transformational. president biden protected billions of dollars in funding to combat environmental injustice. and president biden protected the american people from the types of devastating cuts proposed by right-wing extremists that would have hurt millions of every day americans. that was all accomplished as a result of this resolution. and i'm thankful for the leadership of president biden. house democrats who stoned behind him and his administration and senator schumer. i yield to the house whip, who has held this caucus together in such an extraordinary way, from the first week of the 1818th congress through the default on america act where every single house democrat opposed the extreme maga legislation giving the administration tremendous strength in the negotiating room all the way through making sure that every single democrat, new deems, blue dogs, all points in b

republicans want to revamp who qualifies for medicaid as part of a deal to avoid default. that plan would require people to do work to do community service or take part in an employment program, at least 80 hours a month. some protesters were arrested today. reports suggest the proposed changes could mean one had a half million people could lose federal funding for medicaid. house republicans have blocked an attempt by democrats to expel embattled gop representative george santos. today the house voted to send the new york pepresentatives expulsion resolution of the house ethics committee. last week. santos was indicted on charges of money laundering, theft of public funds and making false statements to congress. so far, at least a dozen house republicans have said santos should resign or be expelled from congress. there are new details in the case of a man accused of murdering 4 idaho college students. today, a grand jury officially indicted bryan kohberger on 4 counts of murder. one count of burglary. he has been in custody since december a month after the victims bodies

no changes to -- protect medicaid. with no changes to medicaid and maintain health care access for millions of families across the country and preserve funding for clean energy programs to clean up our air. look, if extreme republicans were serious about fiscal responsibility, they would have accepted president biden's budget that would have reduced the deficit by $3 trillion. . instead this bill only reduces it by $1.5 trillion. nevertheless, today i will vote for the bipartisan agreement and i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman reserves. the gentleman from oklahoma is recognized. mr. cole: thank you, mr. speaker. i yield myself just quickly for the purposes of response such time as i may consume. i want to remind my friend from california, we filed a veterans bill that increased veteran spending so. that is just simple -- spending. so that just simply is not the case. we from the very beginning were going to take care of veterans and file legislation to do that. with

we owe medicaid and medicare doctors money and we have obligations to people who expect to receive their social security benefits. , we owe federal workers who have been working on behalf of u.s. taxpayers. we owe medicaid and medicare doctors money and we have obligations to people who expect to receive their social security benefits. these are obligations that are already in place because of loss that have previously been passed by congress. for a long time, the u.s. government has spent more than it has brought in and difference needs to evaluate -- be made up. congress tells the treasury ed has an obligation to make spending payments but at the same time and put a cap on the amount the treasury is allowed to borrow. those three things cannot hold at the same time. we are in a position where we have hit the debt ceiling. the treasury's not allowed to borrow any more money. they are moving money around to pay the bills but it is now possible that by early june because of what has happened with revenues and they are not as strong as we had hoped, by early june, we will not have enough m