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

eligible to receive medicaid could still actually lose their coverage.e know and have estimated that roughly half of that 15 million will be people that are still eligible, and lose coverage not because their income has changed, but because of red tape of not getting a piece of paper in the mail or knowing that they were up for renewal and needing to submit and return a form to the state. >> reporter: experts are concerned that potentially thousands, including children, are slipping through the cracks. >> this is a really heavy lift. we see mistakes are made, families don't get the letter. they don't understand the letter. they have a hard time getting help. >> reporter: florida's department of children and families says it has developed a robust outreach campaign, including up to 13 direct contact attempts to recipients who do not submit a timely application. while the state declined to comment on penelope's case, a spokesperson says everyone receives a final notice informing them the reason for termination. after several weeks of calls and working with

his legal team has called medicaid billing, complicated and the conclusions speculative.tt did to them was much worse than fraud. they say they were falsely imprisoned >> they said that i was suicidal, and i told them i wasn't i was in sound mind. >> reporter: williams said she was struggling to cope with multiple deaths in her family. an e.r. doctor sent her to northwest medical where she says she was kept against her will. >> were you scared >> yeah, i was terrified. >> reporter: she says she tried refusing sedatives. >> they sent in four nurses, techs, and they each grabbed my arms and my legs and held me down on my stomach and shot me up with a sedative. >> reporter: in arkansas and in at least 21 other states, people who are a danger to themselves or others can be held against their will for 72 hours, but a request has to be made in court to keep them there. was that law being followed at northwest medical? >> from the more than 100 patients that i've spoken with, it was not being followed >> reporter: william was kept for five days according to her medical records.

allow them to continue to have medicaid while they are making $7.50 per hour. the minute you make $10 an hour, you are theranos the program. host: there were regulations coming from the arkansas department of human services secretary. she gave recommendations on how these laws could be formed. i want to pay wish he had to say and give your thoughts on it. [video clip] >> the legislature was instrumental in how we use our dollars by passing legislation to transfer the program from the division of workforce services to the department of human services. to promote stability and maximize the effectiveness of workforce developed funding and initiatives, dhs could offer courtney to services, including prevention and family preservation services that meet the purposes and remove barriers to work. with the transfer, we plan to integrate controls for recognition of cap straws -- arkansas is looking to be transfer me to while approving countability for outcomes, particularly around non-cash assistance initiatives. i have three recommendations for this committee. first, c

lost medicaid or chip coverage? healthcare.gov is here for you.th with financial help. healthcare.gov is here for you. enroll today for coverage starting the first of next month. what's the website again? healthcare.gov ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ lindsay: muchachos, el sueÑo ya se hizo realidad, y estamos a minutos del debut de la pulga davion —— biÓnica and lionel messi, si me hubieran contado hace 5 aÑos hubiese dicho que era un cuento, una fÁbula, adriÁn esparza, cuÉntame lo Último. ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ adriÁn: quiÉn hubiera dicho, ya verÁn ustedes las alineaciones, lionel y busquets en la banca, pero realizar algunas modificaciones gerardo martino en su alineaciÓn con muchos cambios, seleccionados nacionales estÁn de regreso, dueÑos como titular, pero estarÁn analizando, y rafael el cachorro guerrero, ya queda muy poca gente aquÍ fuera en la explanada, todos ya estÁn en la tribuna, estÁ ingresando los Últimos, los que llegaron tarde, los colados con los que estÁn buscando boletos de Último minuto para entre miami—cruz azul. ♪

market 72% of medicaid benefits in a medicaid managed care organization. the irony there of not liking medicare being 50.2% medicare advantage is sort of entertaining and like when we think about, you know, we talk about premium subsidy, competitive bidding, whatever we want to call it, right. like that, the fee the federal health benefits program, which you mentioned, we've talked about many times before in the past you know, that's a premium subsidy program. was it 72% of the weighted average? that's yes. you know, the aca exchanges are also a premium subsidy. right. so what is wrong thinking about how we can be fiscally responsible for medicare and creating on a better platform so that future generations or my generation has access to medicare? well, speaking of generations, i want to go back to doug for a moment. i mean, this this an important question. it's a simple question, and i think we've already answered it a way. but i would like, doug, you to perhaps expand on this a little bit. the whole point of moving to a comprehensive defined contribution

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

what medicaid will and will not pay for all along the path of pregnancy.covers about half of birth in this country but it really stops ones the babies out there is no coverage for postpartum care. when we mean we say that? we mean care for the mind. there isn't any sort of universal screening for the prairie nato mental health conditions postpartum description -- post-traumatic stress disorder which happens after pregnancy it happens after having babies there isn't care for the body. six weeks until people go back to their doctor or a midwife to see them for care and it's really not covered. how we need to see changes things like policy we need to see the -- bill that would protect maternal health. we need to see just better experiences for everyone. medicaid or private insurance or nothing >> alison euro thank you so much. the book's birth control the insidious power of men over motherhood. thank. you >> have you ever wondered what it would be like to live in the happiest places on earth now is your chance to find out tonight at ten pm eastern you can cat

. ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.salud de calidad a bajo costo. ♪♪ ♪ ♪ maity: en las redes sociales, las fuerzas armadas de ecuador afirmaron que tienen control total de la cÁrcel del litoral tras los enfrentamientos que dejaron al menos 18 reclusos muertos y 19 heridos. un video mostrÓ a decenas de reclusos sentados en el suelo, muchos de ellos con los torsos desnudos y manos atadas. familiares expresaron sus preocupaciones. >> no sÉ absolutamente nada. dicen que hay muertos y heridos y ni siquiera los han podido sacar. no nos dicen nada. >> mi esposo estÁ allÍ adentro. tenemos tres dÍas sin saber nada de ellos. maity: las fuerzas armadas informaron que realizaron el operativo en cumplimiento del estado decepciÓn en todas las presiones del paÍs. leÓn: el exdirector de inteligencia militar de venezuela fue deportado a nueva york. carvajal estÁ acusado de narcotrÁfico y podrÍa enfrentar una sentencia mÍnima de 10 aÑos y una mÁxima de cadena perpetua. maity: el papa francisco le dijo una persona transexual que dios nos

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last week the centers forked me can cal and medicaid -- centers for medicaid services, on september 1 i'll announce the first 10 drugs selected for negotiation under the law. this will not only save the consumers money, it will save the federal government money. negotiating drug prices alongside other parts of my prescription drug plan is going to save the taxpayers so far $160 billion. [applause] lowering drug costs and prescription drugs lowers the deficit. it lowers the deficit. and i might add, all the talk about big spending biden, i lowered the deficit. [laughter] $1.7 trillion in the first two years. no one's ever done that. last guy increased it by -- anyway, i won't go there. [laughter] well. that's biden optics in action -- bidenomics in action. big pharma doesn't want this to happen. they're suing us so they can pad their profits while hardworking americans foot the bill. but what we're going -- we're going to see this through. we're going to keep standing up to big pharma. and we'll also stand up to maga republicans who have been trying for years to get rid of the affordab

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. ♪ ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante. si usted o su familia perdieron medicaid o chip, visite cuidadodesalud.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ con las ofertas de amazon para este regreso a clases puedes ahorrar dinero gastando menos dinero. esa lógica no se puede discutir. ¡y que conste que está en el equipo de debate! wow... ♪♪ ♪♪ ♪♪ carolina: momento de pÁnico en california cuando una mujer desnuda abriÓ fuego en medio de una autopista, por suerte, nadie resultÓ herido, la mujer se detuvo en un puente, saliÓ de su auto y comenzÓ a gritar a otros conductores con cuchillo en la mano, luego volviÓ al carro y saliÓ por segunda vez disparando, la mujer fue ingresada a un hospital para una evaluaciÓn fÍsica y mental, menudo susto. borja: cambiando el tema, la depresiÓn postparto es uno de los sÍntomas que afecta a miles de mujeres despuÉs de semanas o hasta un aÑo despuÉs de dar a luz, si se intensifica, puede provocar deseos de suicidio, pero tenemos buenas noticias. termina: carol

y si usted o su familia perdieron medicaid o chip, visite cuidadodesalud.gov para ver si es elegiblean turkey con doble queso y más carne. así lo profiero, con un buen slice. si lo profieren los pros, tú vas a preferirlo. prueba la renovación de subway. leÓn: del twitter que conocimos no quedan ni las plumas del pajarito . en o nombre de la plataforma es x. asÍ lo anunciÓ su dueÑo que ahora ser una plataforma de audio, vÍdeo, mensajerÍa y pagos. todo impulsado por la inteligencia artificial. bueno, exponiÉndose a burlas y bromas pesadas un padre mexicano se vistiÓ de rosa, se puso un tutÚ a pedido de su hija para ir juntos al estreno de la pelÍcula barbie. >> en una entrevista dijo que su hija fue quien escogiÓ su vestuario pero que le dio el toque diferente al ponerse botas y sombrero. el hombre dijo que la tomaron por sorpresa las reacciones que provocÓ su vestuario. >> hay crÍticas positivas y negativas.muchos me aplaudieron porque al final de cuentas yo lo hice con la finalidad de complacer a mi hija. me traÍa de la mano por todo el cine. un color o una prenda no te define como p

this is full medicaid funding for clinics that meet high quality standards. same model used for federally qualified health centers. [applause] they do such a wonderful job. in other words, for the first time, we're transforming our healthcare system to fund health care above the neck, as well as below the neck as my friend robert f kennedy says. his transformation began 10 years ago on the 50th anniversary of president kennedy's bill signing, when my true partner senator lloyd and i went to the floor of the united states senate to speak and introduce our bipartisan mental health and addiction treatment act. what followed was a 10-year bipartisan journey to show that providing high-quality community services, including 24 hour psychiatric emergency services, was not only the right thing to do for people, but the cost effective thing to do. our program has had amazing results from 68% fewer emergency room visits, to 60% fewer people sitting in jail. you know who loves that? our police chief who wants people to get care and not just sit in jail. a 33% decrease i

and use that for medicare, medicaid, indian health services, v.a. populations because the savings is remarkable. sometimes those of us who are on the right sound cruel because we are talking about the dollars and sense. don't talk about the morality of people's lives and ability to participate in society and the income and equality. the four of you actually on the cusp of the thing that may be the one point we can -- if we can build a unified theory here that could have amazing impact on u.s. sovereign debt and economic growth. but it can't be what a lot of us here do which is we talk about the one thing we know of eating onion rings. have you ever had a taco? i'll explain later. the last part here i need to give myself, this is the danger of being unscripted, i owe thank you to the democrat staff and the republican staff. thank you for actually communicating with each other on this. this is one where the solutions great economics, and wonderful morality help us tell the story. the last i will give you is if any of you have things you want us to rea

. ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.alud.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ casa de la propia familia. es la terrible escena que ilia: niÑos hambrientos y golpeados y encerrados en jaulas en la casa de su propia familia, esta fue la terrible escena de autoridades en las vegas, los padres de los menores los maltrataban y los dejaban sin comer, ahora enfrentan serios cargos de abuso. reportera: los videos de las comas corporales de la policÍa de nevada obtenidos registraron el momento en que la policÍa llegÓ a este apartamento despuÉs de que reportaron que su esposo travis habÍa dejado a los niÑos encerrados. [hablan en inglÉs] reportera los menores atemorizados no querÍan abrir la puerta: uno de los menores contestÓ. uno de los empleados de mantenimiento convenciÓ al menor de que abriera la puerta. al entrar encontraron a seis menores de edad solos, un menor estaba en un sofÁ, otro estaba tratando de controlar a los perros, con internas alumbraron el espacio, lo que atenÚa los po

. ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.edicaid o chip, visite cuidadodesalud.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ futuro museo del latino estadounidense en washington dc... aunque actualmente esÁ en proceso de planificacÓn, una exhibicÓn que anticipa s contenido esÁ causando polemica y haciendo peligrar los fondos... seÚn algunos legisladores, lejos de mostrar la aportacÓn de los hispanos a este pÍs, los muestra como Íctimas y no esÁ exenta de contenido poÍtico...claudia uceda nos ampÍa desde washington... autoridades federales combatiÁn los excesos y fraudes en las autoridades federales combatiÁn los para 1995 sobre el lanzamiento de la bomba atÓmica, miembro del congreso consideraron que simpatizaba demasiado con los japoneses. presentadora: vamos hablar de un tema que nos va a mÉrida todos. participarÁn en esta ofensiva agentes de la comisiÓn federal de comunicaciones y otras 101 agencias federales y estatales, su objetivo es acabar con millones de llamadas incÓmodas y a veces ile

secondarily, medicaid. there are numerous opportunities across the field of medicaid. i would say the next one is expanding medicaid haven't done that, please, i'm hoping you will consider that in your state. secondarily, we talked a little bit about doulas. there is a suggestion that you reimburse for doula care through medicaid, particularly community doula care because that is very culturally sensitive and they are embedded in the communities. it's very simple. then the last one, which is really my favorite, and i think it goes hand in hand with what shawn was saying about the 21st century approach to delivering care. that is universal nursing home visitation. this is a game-changer. this enables a nurse to go into a home within the first two weeks following delivery, to not only check on the mom, who normally is not seen until six weeks post delivery, but to check on the baby. you take all the stress away from the mom and a baby having to travel to office. you also remove all the obstacles that the doctor and the office will not normally know. like, is that mom wea

. ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.dicaid o chip, visite cuidadodesalud.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ borja: gracias por seguir con nosotros. es el dramÁtico momento en que un hombre cae 150 pies de altura desde un puente. varios testigos ven lo que estÁ sucediendo y alertan rÁpidamente a las autoridades. gracias a la acciÓn, los brigadistas lograron ponerlo a salvo. este hombre se recupera de las lesiones sufridas tras el impacto. es un milagro que este hombre siga con vida. no le tocaba. carolina: afortunadamente. en vÍdeo que es el momento en que una mamÁ defiende a su hija de un posible secuestro en el estado de mÉxico. ella camina junto a tres menores y una motocicleta se aproxima e intenta tomar a la niÑa del brazo. en ese momento la mamÁ reaccionÓ rÁpidamente y persiguiÓ al sospechoso que logrÓ escapar. miren la reacciÓn de una mamÁ. muy bonito. borja: quÉ miedo que esto suceda a plena luz del dÍa. carolina: instinto de madre. borja: tenemos una pronta para ti. ¿alg

. ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante. canelo Álvarez really relax? or is he always dreaming of boxing? or is he thinking... ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ borja: ya lo estÁs escuchando, es la mÚsica de la materialista, cantautora mexicana que ya vimos en los premios juventus, donde estuvo nominada, encendiÓ la alfombra roja. ella tendencia por su fusiÓn de ritmos latinos, con su Éxito "tÚ eres", es un Éxito para todos los corazones enamorados, nos encanta recibirte. gracias por estar con nosotros aquÍ en la "ediciÓn digital". >> el placer es mÍo, poder estar contigo con toda la gente que lo sigue, que dejando desde acÁ un beso grande, que llegue a cada una de sus casas. borja: hÁblame sobre ese nuevo tema, "tÚ eres". >> es un tema precioso, con unas letras que son para dedicarla y enamorarse, y definitivamente en bailables, tropical, fusionamos el gÉnero reguetÓn con esos instrumentos que tambiÉn son muchos de nosotros los del caribe. borja: sin duda estÁ muy de moda estas fusiones que se estÁn haci

. ♪♪ ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ para un plan de salud de calidad a bajo costo. ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ carolina: seguimos en vivo de costa a costa, del paÍs comento "ediciÓn digital", esta obra hay indignaciÓn y mucha de reacciones encontradas del vÍdeo que ven en pantalla, una denuncia muy grave, las imÁgenes son fuertes. borja: es un terrible incidente en una maestra y unos padres de familia, presten atenciÓn. >> ayuda. >> ayuda nada. borja: Éstos padres deciden golpear brutalmente a la docente, porque presuntamente habÍa maltratado al hijo de la pareja, hacemos conexiÓn con andrea leÓn y las impactantes imÁgenes, nos amplÍa. andrea: este es el momento en que una maestra mexicana es atacada por una pareja que la acusa de supuestamente maltratar a su hijo. los agresores de la docente fueron identificados como jesÚs n y laura n, tras ser detenidos y trasladados al centro de justicia de la fiscalÍa del estado de mÉxico, ellos presentaron u

the next 10 states to receive full medicaid funding will be chosen in the next few months.st to say when someone walks in 2034 clinics currently in michigan imagine this the cult they walk at one third of the time they are seeing the same day. the same day. and everyone is seen within 10 days. no mart waiting for months and months when you finally get to a point where you want to do with your addictions. when you finally are at a point where you know what you need to deal through depression. or your child desperately to tell. which brings us to today. we note funding behaviorals healthcare, like any other healthcare works. requiring insurance companies to do the same thing works. i want to thank president biden againn for his vision, his commitment, and his compassion for every day for taking a very important step to strengthen the mental health parity and addiction equity act. step-by-step. [applause] step-by-step we are transforming our healthcare system. together for an out like to introduce someone who understands firsthand the importance of access to behavioral healthc

secondarily, medicaid. a there are numerous opportunities across the field of medicaid it. i would say the next one is expanding medicaid for up to 365 days post delivery. if you have not done that please i'msa hoping you will consider that your state should. secondarily we talked a little bit about duelists there is a suggested you reimburse for dual care and medicaid particularly community because that is very culturally sensitive and embedded in the community very, very simple. the last one is my favorite goes hand in hand with what sean was saying about the 21st century approach to delivering care. universal. this is a game changer for this enables a nurse to go into a home within the first two weeks following delivery to not only check on the mom who normally is not seen until six weeks post delivery. but to check on the baby. take all the stress away for the mom and baby having to travel to an office. you also remove all the obstacles that doctor in thatti office is not going to normally know is that mom wearing their sunday finest get to the office question what did

and in it is inaccessible with medicaid in many places, right? yeah. a lot of public and private insurance don't any form of of out of hospital midwifery care at least so oregon is i think a little bit unique in that many of the private insurers will cover out of hospital birth or particular practices and then the state public insurance. the medicaid does ostensibly cover it but i know through reporting and speaking with folks at the birth center that the reality of that can be quite challenge. so actually getting having a patient get approved to be eligible for id or actually getting birth center reimbursed. it's not you know, it's not like a perfectly smooth or seamless situation, but certainly that's a crucial step in order to make midwifery accessible, because otherwise people have to pay out of pocket. so even if it's cheaper terms of total costs than a hospital birth still might be, you know, 3000, 5000, $7,000. that's a lot money, right? right. so is that why you chose oregon? is it legal and covered by medicaid in oregon? that was part of it. i

ya te ♪♪ atención beneficiarios de medicaid y chip, tenemos una noticia muy importante.d.gov para ver si es elegible para un plan de salud de calidad a bajo costo. ♪♪ con las ofertas de amazon para este regreso a clases puedes ahorrar dinero gastando menos dinero. esa lógica no se puede discutir. ¡y que conste que está en el equipo de debate! wow... para la gente súper fanática de la hidratación. hydro boost de neutrogena® ligero. clínicamente comprobado. hidrata por 48 horas. ten una piel saludable y luminosa. neutrogena®. for people with skin. ten una piel saludable y luminosa. pague por lo que hizo. ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ borja: muchas gracias por la confianza en este equipo de noticias. en mÁs informaciÓn, policÍas de san francisco estÁn buscando los ocupantes de este auto, quienes se dieron a la fuga tras volcar el vehÍculo y dejarlo con las ruedas hacia arriba. cÁmaras de vigilancia captaron el momento en el que atravesÓ un conjunto de escaleras y se estrellÓ contra una baranda. al parecer, nadie sufriÓ heridas graves, pero los sospechosos escaparon corriendo, p

y si usted o su familia perdieron medicaid o chip, visite cuidadodesalud.gov para ver si es elegiblete... de donde sea, arroz con pollo: mejor con pepsi. learning about our history with ancestrydna®, inspired us to learn more about our culture and where we come from. - oh my god. - where? discovering things that were a mystery, that's what ancestry® did for our family. en marshalls. nuestro equipo de compras siempre trabaja duro para conseguirte las mejores ofertas en todo lo bueno. como esto y esto. y eso está buenísimo. nosotros conseguimos las ofertas. ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ carolina: seguimos en vivo con ustedes amigos de la "ediciÓn digital", aquÍ le tenemos el dato del dÍa, imagÍnate que tu doctor te diga que tienes que ser operado, y resulta que es una cirugÍa equivocada. eso es lo que le estÁ pasando en el paÍsmuchas familias,. a raÍz de un diagnÓstico mÉdico equivocado en hospitales pÚblicos, las cifras son alarmantes, si son dada a conocer por el centro de diagnÓsticos john hopkins armstrong nos conectamos en vivo con el doctor, josep aaron. siempre se habla de una segun

funding, must be prepared to offer gender affirming care if you want that medicaid dollar to come tog to make sure you check the box. >> laura: why hospital in do gender affirming care in utero because obviously those babies in the womb aren't really sure what they are yet. i mean, this is insane but it basically summarizes what the biden administration is about. checking boxes and normalizing, maybe streaming the radical trans agenda. last week the doj pledged a fight on the battle front for so-called gender affirming care, ie mutilation of children, and in the states like new york, they're calling themselves a safe haven for kids who want sex changes. and in may they're trying to make it easier for minors to take puberty blocking who are mos without their parental consent. these minors cannot vote or get tattoos but a sex change is totally fine. joining me now is laurie becker a detransitioner who starred in a film abruptly pulled out of theaters earlier this month and the angle covered it. lurie i want to get to your story in a moment but why do you think this issue has become suc

when you look at the affordable care act one of the things it did was expand medicaid. the eligibility. but it left open the option for states to decide whether to expand or not. when you look at the states that did not expand they are the states with the largest black populations. so african-americans do not benefit from it. i have had this conversation with legislatures -- legislators in these states, louisiana did actually expand medicated but we are surrounded by states that did not. the expansion was paid for by federal tax dollars, who pays federal taxes? we pay federal taxes including the people that live in alabama and georgia and arkansas and texas. they pay federal income taxes to it so they actually paid for the expansion in states like louisiana and california and new york. so i thank all of you who live in georgia for repaying to expand medicaid in louisiana but you are not benefiting from it. so it is political, i think we have to incorporate the politics because politics are vital and i think this is a big part of what is driving it. >> absolutely, we are

i going to the center for medicare and medicaid services in 2023 performance review 24 op o's or 42%e been classified tier three. senator wyden, grassley, young youngand i believe in the senate finance committee's investigation into the organ transplant system for over three years. each new line of inquiry has exposed more and more failures. which are often borne by the sickest patients in the nation. specifically our committee has uncovered transportation and testing failures that up at patients lives at risk. outdated information technology undermining the network a lack of oversight by the current organ procurement transplantation network op tm contractors. the united network of organco sharing, and misuse of medicare funds. these disparities impact people throughout the country including those who are low income, the uninsured, members of racial ethnic minorities, people with disabilities and rural populations. even more concerning u.s. digital services found you knows is incapable of modernizing the opt and it infrastructure. the stakes of neglecting the needs of the underserved

secondarily, medicaid.eroust opportunities always say the next one is expanding medicaid 365 days post delivery. if you haven't done that, i hope you consider that. we talked about dubose and reimbursed for dual care for medicaid particularly community care because that is culturally sensitive and embedded in the community, very simple. the last one which is my favorite goes hand-in-hand with what sean was saying, 21st century approach to delivering care, universal visitation. this is a game changer, enables a nurse to go into a home, the first two weeks following delivery to not only check on the mom who normally isn't seen but to check on the baby, you take the stress away for mom and baby traveling to an office. you also remove obstacles they would not normally know like is that mom wearing their sunday finest to get to the office? what is there on the ground living existence, do they need connections anday resources whether it is wi-fi access or food security is a way to expand everything available acro

secondarily, medicaid. there are numerous opportunities across the field of medicaid.i would say the next one is expanding medicaid for up to 365 days post delivery. if you haven't done that, please, i'm hoping you will consider that in your state. secondarily, we talked a little bit about doulas. there is a suggestion that you reimbursed for doula care through medicaid, particularly community doula care because that is very culturally sensitive and they are embedded in the communities. it's very simple. then the last one, which is really my favorite, and i think it goes hand in hand with what shawn was saying about the 21st century approach to delivering care. that is universal nursing home visitation. this is a game-changer. this enables a nurse to go into a home within the first two weeks following delivery, to not only check on the mom, who normally is not seen until six weeks post delivery, but to check on the baby. you take all the stress away from the mom and a baby having to travel to enough this -- trump in office. you also know all the obstacles that doctor a