one medicaid program you have seen one medicaid program.usly huge variation, and that will complicate any response to how is the medicaid program doing? it places huge pressure on getting good■$ data. the other point about the research of medicaid versus being uninsured is the randomized study done in oregon gives us materially different results than the observational studies done. i could talk at length about that, but i think that it's clear that medicaid reduces financial distress because it stops you worrying about the medical bills associated with seeing the health care system. the evidence on positive health effects has been much more limited. the positive results in the first year much less impressive in the second year. we unfortunately didn't follow it long enough to see if there are mortality effects. i think the observational studies are more positive. huge beneficial impacts. i do causal inference stuff. you should trust randomized studies more than observational studies. >> part of the problem in health care politics is trying

these oaths out-of-state medicaid. that original state was approved but we figured out that he had hearing problem and he needed to get a hearing he's hearing test done and hearing aids put in. the out-of-state medicaid so said he couldn't do it. so that baby actually missed development milestones that he may never make up. that baby may have learning problems the baby not be able to work the way that baby could have done. because of this will absolutelynecessary delays. and that is a huge financial that some expertise but i think that we can probably agree that that's going to have big financial impact. >> and you spoke about this in your testimony beyond the child how does this delay in care impact the well-being of the child's family? >> so actually, and ms. davis mentioned this as well. i mean, there's of course the suffering of senior child suffer the anguish of the not getting care and the real financial costs. if you have to move, if you could have gone some really close outside your state which had to go for ho

the surge before they are eligible for most medicaid benefits.here's certain ones that is reimbursement sooner but others there's a delay and that varies by the type of immigrant meaning which programs come in and then which benefit. so that is the work we are doing now and i'm hopeful we are going to have in the spring baseline and put out lots of material with that is the outlay implication of the surge of benefits. sorry, the surge of immigration. the outlay and to say a little bit about the process, if you think about it, what the cost of medicaid to an immigrant seven years from now or in immigrant that arrives in 2226 years after so 2028. to know that, you have to know the income of that immigrant because medicaid is means tested and you have to know which state are they in because the eligibility varies by expansion and non-expansion states so that is the work we are doing is making projections from today going forward from 2022 going forward of the income impacts and the distributional impact of the surge of immigration and we are working

ernest about the opposition to medicare/medicaid. medicaid was thrown in as almost a poison pill. they were trying to throw it wart medicare from getting passed. there's always been a fair amount of opposition to these programs. it gets back to the story about the appropriate role of markets and the federal government. i would argue we ought to cover more people by leveraging markets more than we do. i think if you imagine we have federally required car insurance, for instance, that required everyone be covered for paying jobs and rims for their tires come a lot people would be getting pink jobs and rims further tires and that would escalate the costs for every thing related to cars. in some ways, we have done that for health care. we subsidized for people, rather than supporting catastrophic costs. i think we ought to be focused more narrowly on that. host: let's go to greg in springfield, virginia. caller: hi. neither of these guys have said much about human behavior, about choices that people make. the black community, for instance, in the 1930's have less crime even though jim

at the university of iowa are covered by medicaid.e taking care of the most vulnerable part of our population, children in poverty. investing in children's health is not just the right thing to do. it also pays off in the long term as we know children receive the services through medicaid have better health as adults. the university violent stead family children hospital is an academic university associate of children's hospital in the state of iowa. the was a violent with over 200 doctors who are solely dedicated to the care of children in many case of university of iowa pediatric care doctors of the only specialist of the kind in the state and often the stranded region. for children with rare diseases and complex medical conditions are university of vital pediatric doctors or usability doctors with any experience with those this we sometimes have children with rare diseases for whom we're the only place in the state region and the whole country with the knowledge to treat them and we do so with high quality and innovative character

how is hhs working to expand access to medicaid? sec becerra: you mentioned an important aspect that the president has in his budget. were trying to ensure we provide care from the moment of birth because were focused on maternal health. too many women in america are dying or their babies are dying within the first year. we offer a woman on medicaid not just 60 days of postpartum care but 365 days. so far 4550 states have adopted that. that will help kids moving forward to start off on the right track. >> thank you so much appreciated. >> senator johnson a stacks. secretary becerra will, welcome. i have written 60 oversight letters having to do with our response to covid, the vaccine injuries to your agency. into your sub agencies. i want to talk about three of those. the origins of covid. and anthony's file cheese emails. in june 2021 4000 emails were released under foia request. under a week i have five members of homeland security signed a letter requesting those 4000 pages unredacted. you agree to the fact that foia those reques

medicaid le da beneficios y medicare también le ofrece algunos. crédito para ayudar a pagar alimentos saludables, productos de venta sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. presentador: lazio —— la ciudad de san francisco estÁ en un debate detrÁs no recalar lo esperado por recibir a dos osos panda, pero uno de los comitÉs la supervisora rechazÓ el permiso para comenzar con la recaudaciÓn. dicen que la prioridad del alcaldÍa no estÁ para cubrir los recortes presupuestarios. un juez pedal en california toma una decisiÓn que podrÍa evitar la resto de migrantes. sora muy buenas noches, hoy un juez pedal en california dictamina que es que legal que los agentes de migraciÓn entren a las casas para arrestar migrantes? una —— sin una orden de allanamiento.

♪ si tienes medicare y medicaid los planes dual complete de unitedhealthcare vienen con la ucard - lasaludable servicios del hogar y productos de venta libre sin ningún costo adicional con unitedhealthcare. ♪ cuando tus hijos empiezan a explorar todo, vas a necesitar un poco de ayuda. por eso duracell creó la única pila de moneda de litio con una cobertura amarga para desalentar ser ingerida. ♪ musica (musica) espacio continua y china sigue en la carrera espacial con el lanzamiento de la sonda lunar chang'e 6, que despego con exito con el objetivo de recoger muestras de la cara oculta de la luna, esto por primera vez en la historia. >> es una region apenas exp explorada que ha despertado gran interes en la comunidad cientifica internacional porque podria arrojar luz sobre los origenes y la evolucion de nuestro satelite natural. >> esta mision tiene prevista una duracion de 50 dias. >> estaremos al pendiente, por supuesto, de esos datos. >> mientras tanto, hoy 19 politicos, activistas y otras personas de alto perfil reciben un importante reconocimiento por parte del presidente joe bide

and medi-cal we are aligned those with medicaid and medi-cal and best practices with the medicaid we're committed this year i came do you last year to reevaluate the rates with a strong market last year we'll do this this year we will work to better understand your position within the market with patient rates. >> with that i sorry - yeah. i will take any questions? that you may have. >> thank you. >> thank you. is there any public comment on this item. >> any public comment in the room on this item. >> don't see anyone no one on line and commissioner questions or comments and xog i always find those rates phenomenal. >> and expect for the k hardly anyone pays any of those rates. i was looking at today at the has remaining that has to put outcome their hospital website all those different rates and then all the different discounts and it would appear that the question of what the rates are are not as important as what you actually pay. my question actually relates for the future and i'm hoping that your going to be doing this study sooner or later to consider doing to sooner because i'm

medicaid le da beneficios y medicare también le ofrece algunos.a sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. dayana: se retira del mercado tres productos de leche esto para saber si cumplen con los estÁndares, se trata de cerelat y famalat usted escriba en la casilla de bÚsqueda de la pÁgina web, importantÍsimo que lo sepa. el proyecto de casi miniaturas de san josÉ comienza a rendir frutos a las 11 le vamos a explicar si estas casas son suficientes como viviendas de transiciÓn y tambiÉn cuÁles son los futuros de la ciudad para enfrentar la indigencia y a horas del inicio del silencio electoral en mÉxico a sÓlo dÍa de las elecciones presidenciales en el Área de la bahÍa los partidarios de los candidatos tambiÉn cierran sus campaÑas y obviamente tendremos detalles a las 11. asÍ llegamos al final de noticias univisiÓn 14 a las seis y graci

medicaid le da beneficios y medicare también le ofrece algunos.udar a pagar alimentos saludables, productos de venta sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] ♪ ♪ [mÚsica] edwin: en un espectÁculo natural, millones de personas vieron disfrutar un fenÓmeno que ocurre por una tormenta solar geomagnÉtica. reportera: este fin de semana el cielo se iluminÓ por un espectÁculo natural raramente visto. redes sociales se inundaron de imÁgenes de auroras boreales, colores en el cielo que no aparece en estas latitudes normalmente. para muchos son luces que bailan en el cielo. este fenÓmeno formado por una tormenta solar. [habla en inglÉs] [habla en inglÉs] reportera: las tormentas solares ocurren cuando el sol libera una gran cantidad de energÍas en el espacio y pueden llegar a la tierra. [habla en inglÉs] [

is that the cost of medicaid to an emigrant seven years from now? or immigrant who arrived in 20226 years after in 2028. we have to know what is the income of that immigrant because medicaid is a means tested. you also have to know which state they are in because the eligibility varies by expansion and non- expansion states in the affordable care act. that's the work we are doing is making projections going forward from 2022 goingrw forward. over the income impacts the distributional impacts of the search of immigration but working on the productivity and the immigrants will start companies but they will learn. we are looking at that part would look at the impacts on gdp and on inflation. and immigration affects supply and demand. affects labor supplies i discussed it also affects demand. absolutely type labor market but contributed to demand. we aren't looking at the balance between those two. >> a few last remarks. this is a long-term budget outlook. the changes in the composition of outlays over the next 30 years from 2024 to 2054. can the top ch

medicaid le da beneficios y medicare también le ofrece algunos.ito para ayudar a pagar alimentos saludables, productos de venta sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. ♪ ♪ marÍa: en noviembre de 2022 comenzÓ la construcciÓn de un tÚnel en la represa anderson. la mÁs grande de las 10 que hay en el condado de santa clara.en febrero distrito del agua anunciÓ que se habÍa completado el 80% del proyecto de $253,000,000. tamara nos explica la importancia de este proyecto y nos hace un interesante recorrido por este lugar. yo en la meta es que cuando se llena el embalsede agua y tenemos tormentas vamos a poder soltar el agua por la pipa que estÁ atrÁs de nosotros que vamos a construir. lo pues salta para cuando vengan las tormentas la presa me da tener mÁs agua. y prevenir que el arroyo tenga demasiada agua cuando llegan las tormentas. tama

some key legislation during thattime, social security amendments of 1965 created medicare and medicaidnd expanded social security benefits. the food stamp act of 1964, the opportunity act of corps, the federal work-studyer of other initiatives and then you have elementary and secondary educationschool districts with as. in many ways, but thicoverage and human a better term, helping people develop educational knowledge, skills preparing them for the labor force. but generally to have which administration wanted to have a guaranteed income but then decided against it. we really made progress later on a bipartisan as bases unde ford and under president o big gap. what came from this time was pretty remarkable. these are duramedicaid not only reduces poverty by most m coverage but it reduces system which is really important in an is another thing the president didn't foresee but that path. what didn't come was a balancing of the economy. similarly, as scott said, there is a sense that was sort of true when you look back to whenkennedy first use that met about stuff happening in part of tha

medicaid le da beneficios y medicare también le ofrece algunos... y mucho más. con la tarjeta, usted tendrá crédito para ayudar a pagar alimentos saludables, productos de venta sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. pmaÓ a docenas de personas en Éreo del domingo que maÓ a docenas presentador: el vocero de concejo dice que la tarjeta del domingo a decenas de personas en un campamento en casa no violÓ y estÁ ofrecido por el presidente joe biden, dijo que resultarÁ en cambios en la polÍtica estadounidense. presentadora: se opone en una ofensiva terrestre donde cientos de miles de palestinos se han refugiado y al menos 45 personas murieron y 200 resultaron heridas tras el ataque del domingo y en otras noticias, el papa francisco dijo que la prensa italiana los citara utilizando un tema para referirse a los sacerdotes y nos dijo en una r

whether through medicare, medicaid or other high health insurance premiums. avoidable health disparities are deeply rooted in the operating in the operationalized. [laughter] about systemic racism and discrimination. and in the persistence of unequal access to quality healthcare. each of these elements erodes a patient's healthcare experience. in support of their help today and across their lifetime for today is like to emphasize a critical piece of the american healthcare proposal the shortage of black physicians. research consistently demonstrates patients from racial and ethnic minority backgrounds experience and better outcomes when treated by healthcare providers surely racial or ethnic background. in short, patients can have better health outcomes when their doctors look like them. yet, lack of doctors are vastly underrepresented representation is critical in black physicians and healthcare providers more likely to understand the unique challenges that black patients -- make that affect black patient health they're more likely to trust and comply with t

medicaid le da beneficios y medicare también le ofrece algunos.ro... y mucho más. con la tarjeta, usted tendrá crédito para ayudar a pagar alimentos saludables, productos de venta sin receta, incluso sus facturas de servicios públicos. todo sin ningún costo adicional para usted. entonces, si tiene medicare y medicaid, llame ahora mismo y vea cómo puede obtener... más de lo que le importa... con un plan unitedhealthcare dual complete. lucha: listo, si son 300 huevos y son a 20 pesos la docena de diez, son... macaco: 6000 pesos, señora. lucha: ay, santa clara del cobre. ¿tú qué haces aquí? macaco: vengo por el chino, vamos a ir a una exposición de cuerpos expuestos. lucha: yo sabía, yo sabía que le querías pasar tus mañas a mi hijo. el chino no va ir a ver ningún cuerpo expuesto. macaco: es una exposición de cuerpos plastinificados. lucha: ¿qué? mi hijo no va ir a verle las protuberancias plastinificadas a ninguna señora, fíjate. no sé tú, macaco, pero en esta casa somos una familia de buenas costumbres, decente, tradicional. ¿y adónde vas tú con es

and so we attached it to medicaid. there is no state in the union that's going to turn down massive amount of money for medicaid. and so it operates as a clear federal protection an ironclad protection that no state and no local government and ban it. yeah. but in alabama, they didn't ban ivf. the supreme court just came out there a rule that essentially embryos count is children, and that was why you saw there's not that many ivf clinics. a lot of them closed down out of fear of what the legal landscape was there. if there was a federal law protecting access to ivf, that wouldn't have happened well, that's right. and that's why i think we should pass a federal law. and i think it's notable when the alabama supreme court decision came down that the alabama legislature came in very quickly within weeks and pass you don't often see from, you don't often and they move quickly to make clear, ivf has fully protect an alabama and that's true in all 50 states that i'm not aware. i literally don't know of a state legislator in

. >>> u and h dragging on the do you as they way in on medicaid. why that could be a liability when "fast money" returns. yot two times your weight. it's in your nature to stand strong. supplement your bones with high-absorption magnesium. nature's bounty. it's in your nature. your shipping manager left to “find themself.” leaving you lost. you need to hire. i need indeed. indeed you do. indeed instant match instantly delivers quality candidates matching your job description. visit indeed.com/hire [crowd chanting] they ignored your potential, and mocked your ambition. but it's not the critic who counts. with every swing and block, your game plan never changed. ♪♪ some still call it luck. let them. because you know what it's always been. inevitable. ♪♪ ♪♪ money." shares of netflix sitting near three-year highs, up 20% this month. the winner of the moment through streaming wars is outperforming the competition this year. with hits like the ashley madison documentary, which is among tim's favorites, coming sports events and reality singing competition

country are medicaid births. sen. kaine: prior the moms would be covered for 90 days. in the rescue plan we allowed states to expand it to 90 days to a year and a mom is covered for a year because there are so many challenges mothers face post delivery. that passed by one vote, joe biden and kamala harris did that. every republican voted against mothers. they voted against mothers. guess what states have done with that mandate? we extended it in an appropriations bill next year. 45 states have decided to embrace this optional mandate we allowed them to do, embracing the harris-biden policy and embracing a policy the democrats supported and every last republican in the senate opposed. mr. chair, i imagine you've been here longer than me, there are days you're here and wonder if you do anything. then there are days and something happens by one vote, the american rescue plan, moms get medicaid coverage. we saved two million workers' pensions, saving the affordable care act in 2017, happened by one vote. the inflatio

. >> serÍan elegibles las personas que no entraron a la expansiÓn de medicaid, medicaid estar las mÁsas que estÁn afuera del programa y ahora podrÁn aplicar para el seguro. presentador: esta decisiÓn es parte de su compromiso de la administraciÓn biden y el presidente insistiÓ que solamente el congreso puede aprobar integralmente la estancia permanente en el paÍs de estos jÓvenes. el futuro de trabajadores agrÍcolas en half moon bay es incierto, luego de que se admitirÁn oficinas un proyecto, marÍa antonieta mejÍa nos tiene el reporte. marÍa: el proyecto de la calle kelley estÁ en veremos, organizaciones campesinos en la ciudad creen que el proyecto merece ser aprobado sin objeciones, pero no todos estÁn de acuerdo. un complejo de viviendas destinado a trabajadores del campo de half moon bay ha dividido las uniones en la ciudad y organizaciones como alas creen que debe ser aprobado cuanto antes. no lÍnea >> esto es vivienda para los campesinos y campesinas y es urgente el proyecto porque cada dÍa que pasa estamos en riesgo de perder la ayuda. reportera: ya dos veces el proyecto de la

medicaid le da beneficios y medicare también le ofrece algunos.

ernest about the opposition to medicare/medicaid. medicaid was thrown in as almost a poison pill.g to throw it wart medicare from getting passed. there's always been a fair amount of opposition to these programs. it gets back to the story about the appropriate role of markets and the federal government. i would argue we ought to cover more people by leveraging markets more than we do. i think if you imagine we have federally required car insurance, for instance, that required everyone be covered for paying jobs and rims for their tires come a lot people would be getting pink jobs and rims further tires and that would escalate the costs for every thing related to cars. in some ways, we have done that for health care. we subsidized for people, rather than supporting catastrophic costs. i think we ought to be focused more narrowly on that. host: let's go to greg in springfield, virginia. caller: hi. neither of these guys have said much about human behavior, about choices that people make. the black community, for instance, in the 1930's have less crime even though jim crow was terrib

and for medicaid. and the team has been working really hard and there are possible scenarios going forward and some impossible scenarios that may go forward. i just want to make sure that there is a desire for certainty and that staff has worked so hard in an environment that is often shifting and where there are different dynamics change. we would love to be able to provide the commission with a clear map and if you look at how laguna honda is performing, we are optimistic. >> this has been a roller coaster for the last two years. we can do our part but the regulators have the power and they control the timeline. >> thank you so much for the clarification and also for describing the new normal that hopefully it may in the long run do better. if anonymous complaints were addressed immediately and do hope there is a certain degree of trust and now they are becoming familiar with which may be reflected in the acceptance of the no deficiencies. and at the laguna meeting, when you look at all the other ski

the state share of medicaid alone costs $1 billion. those are jaw-dropping numbers. it's almost a third of our state budget, and it's only going up. and taxpayers are footing the bill. if we don't get serious, health care spending will crowd out all the other investments, investments that we all support; funding for our public schools, for affordable housing and childcare and raises for state employees and state retirees. right now retire's get their pay increases and the funding needed to cover their health care. this is literally an issue we cannot afford to ignore. we should all work together to strengthen our health care bench mark and address health care cost inflation. senator townsend and speaker longhurst, i know you and many others in this room agree, and i look forward to working together on those issues. [applause] of course, no issue is more important to our state's future than the quality of delaware's public schools. i've a spent a lot of time the last seven years focused on strengthening our schools, especially for children who need our help the most.

si tienes medicare y medicaid los planes dual complete de unitedhealthcare vienen con la ucard - la sencillacréditos cada mes para pagar por comida saludable servicios del hogar y productos de venta libre sin ningún costo adicional con unitedhealthcare. en tj maxx, puedes convertir tu clóset en un lugar de expresión infinita. con la calidad, estilos, y precios que te encantan. (♪♪) nexium 24 h previene la acidez estomacal... ...por el doble de tiempo de pepcid para todo el día... ...y prevenir la acidez estomacal durante toda la noche... ...con solo una pastilla al día. elige prevenir la acidez elige nexium la gente que no sabe del spicy mccrispy y su balance perfecto entre el pollo, los pepinillos, y la spicy pepper sauce, no sabe de lo que se está perdiendo. si tú no sabes... ¿qué esperas para enterarte? ♪ (musica). >> enterarte? >> mediodia y vamos con esto vamos con esta informacion y es que tenemos imagenes de un caballo que al parecer ha estaba a bordo de un camion cuando salio y las personas pues ahi a pues se convirtio en una escena salvaje porque al parecer como que lo llevaban en c

medicare versus medicaid. how would we, would we strengthen both of these in the president's budget? >> medicare the proposal would sustain medicare and improve indefinitely. again. the wealthiest top 1% would go from paying 3.8% to 5%, a 1.2% difference. that would take the medicare trust fund into solvency indefinitely. that is not the president's numbers those are the cms, the professionals, the career team that look at that. and so, we believe that expanded health care and medicaid and affordable care act is good for the country and good for the people of the country and we have a budget that would expand upon that. >> part of us thriving is good health care that has been our achiles heel for a long time. let me collectively get you to give me a collective answer. we want better housing, we want childcare, that is one of my issues. and, housing, affordable housing, made a commitment, give me that as you close your remarks and i have no more time on the housingability and childcare. >> childcare, energy cos

medicaid and the affordable care act cut by an additional 4 1/2 trillion dollars. this is the republican budget and what they plan to do if they were to gain full control. so mr. chairman, you are right. there's a stark and clear difference between the two visions. one is a vision that would take us back to the depths of where we were just four years ago. the other is a vision that has literally led the world in economic growth. i look forward to hearing more about the details of both of those visions today. i look forward to your testimony, director young. thank you. >> i think the ranking member from pennsylvania. in the interest of time if any other members have opening statements i ask that you submit them for the record. we will hold that at the end of the day to accommodate members that have not yet prepared opening statements. i would like to recognize director young and thank you for being here with us today. i yield five minutes. >> thank you, chairman, ranking member and members of the committee. it is a pleasure being here with you today. it's a little b

started by transforming medicaid care to focus more on positive health outcomes and less on the businessur system has paid for health care providers to provide care when you need that care. we don't generally reward doctors for actually keeping you healthy. well, we are changing that in a very big way. today, i am pleased to announce the creation of a first of its kind partnership between the ohio department of■,■f medicaide ohio children's hospitals, and medicaid managed care plans to change how we deliver and coordinate care for our children. we are calling this historic undertaking the outcomes acceleration for kids learning network, or oak for short. we will no longer focus on sick care, but rather on wellcare. q9to do this, we will prioritize better management ofasthma, ann, follow-up care for families after leaving the emergency room when their child has a mental health crisis, and access to the latest life-saving treatments for children living with sickle cell disease. let's take asthma as an example. it affects one in every 12 children in ohio. when■b asthma is not managed we, ki

we must do everything in our power to protect medicare and medicaid for our seniors. i am so proud to represent great people like this in the district and will continue to fight for our seniors like this group. mr. speaker, i rise today to congratulate deputy chief lawrence butch boutee. in his retirement from the sierra vista police department in march. he was committed to serving his community both on and off the force. his knowledge and leadership skills helped to shape the police station. even before his career with the police department, butch was no stranger to public service. he served in the army for four years in military intelligence as an electric warfare interceptor locater. last year butch joined 11 other arizonans in being recognized by the canyon vista medical center and the legacy foundation of southeast arizona in their veterans ceremony. as he enjoys all this well-deserved retirement, he leaves behind an incredible legacy in sierra vista. laura and i join the entire community in thanking the deputy chief for his service. men and women like him dedica

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they are running in the red too for medicare, medicaid, social security, how a trust fund. it is unconscionable with this administration is doing to not solve the problem. now particularly as it got national threats being highlighted by our own people in this administration's cabin at the fbi director saying the red light the blinken lights are going off. i don't know how to mark sentinel deaths we have to have as a direct result of this administration ignoring the immigration issue. i don't know how many lake and riley need to get the name out during the screen but he did not get it right. how many deaths we have to have before we say enough is enough the priorities of got to be redirected. i've got 20 seconds if you like to respond. >> i would. immigration but in this town for 20 years, is a difficult issue as any that faces congress or any present or administration progressive president trump address it with the wall? >> we had a chance to do something on a bipartisan basis in the senate that would help stem the flow and allowed us to have an orderly border >> 5000 a day

before they're eligible for medicaid benefits. there's certain emergency ones sooner, but that varies by the type of immigrant, which program they come in and which benefit. that's the work that we're doing now and that i'm hopeful that we're going to, you know, have in the spring baseline and put out lots of material with that, is what are the outlay implications of the surge of benefits. the surge of immigration. the outlay impacts of the surge of immigration, and just to say a little about cbo process, well, if you think about it, what are the-- what's the cost, you know, the cost of medicaid to an immigrant seven years from now or an immigrant who arrives in 2022, six years after. so in 2028, four years from now? right know that we have to know what's the income of that immigrant because medicaid is means tested and you have to know which state are they in because the eligibility for medicaid by expansion and nonexpansion states and affordable care act. that's the work we're doing is making projections from today going forward