the taxes to pay for medicaid expansion and medicaid are mandatory. so in our state of utah, we send about $800 million a year back to washington, d.c. under the affordable care act and we get no benefit unless we find some way to do that. so, we do not want to expand medicaid in utah. we have a different program called "healthy utah," where we take the money back -- it's our money -- and puts it back, into a better program than medicaid which includes different co-pays, and not as much assistance for those on the upper end, more skin in the game for the recipient, higher cost if you use the emergency room than you would have under medicaid, and a work requirement so that when you enroll as youth you get health care and automatically enrolled into a work program to help you get off of government assistance. you are there in the first place because you are not making enough money. so, if you are able-bodied and unemployed, we want to get you a job. if you are able-bodied and underemployed, we want to get you a better job. so, we think this is a better

things to the medicaid expansion. so there are arguments that this is really going to save money, but the counterargument is that the medicaid expansion under the act -- the federal government has promised to pay most of the costs in the long term. a lot of republican governors argued that you say that now but when things get tight in 10 years come you going to shift for those costs up. i citizens will be so used to it that he will be able to pull it back. host: covering politics and policy. first call for you is from tom in new jersey. tom is on independent line. go ahead. and he totally runs the debt up towards $19 trillion as we are today, you would think the economy

deny education, deny labor rights, deny immigrant rights deny medicaid expansion.es no sense. people are beginning to see how it is detrimental to all people. >> we'll follow these marches and see what kind of impact they have. >>> coming up the link between climate change and a mega drought. it's in the forecast. >>> plus a look at the nbc all-stars, or should i say -- yeah. the nbc not just the nba, all-stars. no. it's called grid iq. the 4:51 is leaving at 4:51. ♪ they cut the power. it'll fix itself. power's back on. quick thinking traffic lights and self correcting power grids make the world predictable. thrillingly predictable. we come by almost every day to deliver your mail so if you have any packages you want to return you should just give them to us i mean, we're going to be there anyway why don't you just leave it for us to pick up? or you could always get in your car and take it back yourself yeah, us picking it up is probably your easiest option it's kind of a no brainer ok, well, good talk meet the world's newest energy superpower. surprised? in fact,

he decides that adopt the medicaid expansion with certain waivers. i think you are starting to see that even in red states, with republican governors, that this expansion is taking place. to me, that is an indication that it has been successful. i know my friend from did -- virginia, i do not want accurate you, that we have had this discussion before that when you say that you can keep what you have i never intended, i do not think the president intended for you to keep a lousy plan. we have had this discussion. in other words, yes, it is true. we have a very generous benefit package. certain people who had skeletal plans may not be able to keep them. the intention was never to say that you've you have a skeletal plan, you can keep them. that was not my intention. i do knowledge to speak for the president, but it was not my intention. >> i have had this discussion before. speaking from the heart, it goes back to dr. burgess's point. when those powers are derived from the governed, it seems odd that folks would not have allowed for the fact that if fol

noting that a lot of those red states are not taking money that is available to them in the medicaid expansiont of those governors are passing up on it. a few red state governors have taken up the expansion. some of them have argued, this is money we are paying in, we want to take it back out. you bring out a good point. on the other hand, some republican governors are passing on what democrats argue is free money to pass on to citizens. pedro: 31 republican governors as it stands now after the november election. 68 republican state legislators on the books. 30 democrats. this is how it is playing out. what is it like with a rash of new governors that were reelected and republican governors coming in? how has landscape changed? niraj: the landscapes have consolidated for republicans. of those 31 republican governors , 23 have also republican controlled their state legislat -- legislatures. republicans are in a great spot to pass policies they believe in. in some cases, they are struggling to make their case. in kansas, governor brownback has cut taxes deeply. it has so far not boosted the econ

medicaid expansion.een the governor start to talk about medicaid expansion when before he wasn't talking about it. we see have now trying to figure out how to fix teacher pay because there's been such a moral and constitutional awakening around those issues. >> reverend barber, i hate to end this without referring to pierre lacy being there with deah barakat's brother. you have called for an independent investigation into what you call a lynching. can you briefly describe what you believe happened? >> we have called -- this young man was found on a six act eight emmett till was killed. he was found hanging, the wrong shoes, our own independent pathologist said there's no way he could of done this himself. we have called for an independent investigation and the national naacp has said the governor should step in around the case of these three young muslim students that were killed. these hate crimes are serious. we need to make sure they are investigated and justice occurs and that was that is kind of hat

so, my question the first one is how much has been spent on medicaid expansion to date? and the second part of that is, how does the administration budget for those potential enrollees and how much is in the president's budget for that? >> i'll have to follow up with you, congressman, on those exact figures. i don't have them in front of me. what i can tell you is that we do budget for projected enrollment based on an expectation of further states. i don't have the exact figures in front of me enrolling and joining. those cost were also fully projected as part of the original estimates and scoring done by cbo and they showed that the affordable care act would actually contribute to deficit reduction even with those numbers included. >> so, is it safe to say medicaid costs are projected to increase from the levels they are right now? >> that is why these savings proposals are critical. it's also why the cost saving measures that were part of the affordable care act more broadly that have dramatically reduced the expected cost of medicaid going forward are so important. >>

it's just like medicaid expansion, who's the most active is the hospital industry. wonder why. >> we have a microphone for -- shocking. we have a microphone for audience questions and i want to take some if there are any. if there are any hands? >> do you want to move to florida? i've got realtors' names i've got everything. by the way, did you all see that ithaca, new york put on their tourist website that their weather was so bad, everybody should just go to florida? >> my fiance i think would love that with this temperature. i won't tell her that offer. during the '14 cycle you were attached and you talked about education a little bit, and you won. you were attacked i think more than almost any other governor on education and education reform and school choice -- >> on anything. i didn't pick the easiest state. i could have years ago moved to a state that would have been easier but i didn't. >> do you have lessons that other folks, other governors, other republicans, can take from what you did in florida, even though it's a fairly red state it's still a swing sta

the examples last week i consider a conservative member of the body who decided to adopt the medicaid expansion even in red states with republican governors that this expansion is taking place. to me that is an indication that it has been successful. i will get my friend from virginia -- i don't want to aggravate you, but we have had this discussion before. when you say that you can keep what you have, i don't think the president intended that you would be able to keep a lousy plant. >> i know. it is true that we have a generous benefits package and certain people may not be able to keep them. the intention never was to say that if you have a skeletal plant you can keep it. that was not my intention. i don't want to speak for the president. >> you have had this discussion before. >> speaking from the heart. when government, those powers are derived from the consent of the governed, they never would have allowed for the fact that if they loved the way there life was today you insist they purchase something different. medicaid is struggling. a tough time finding doctors that we will accept those

what they were trying to do with forced states into the medicaid expansion. i asked them why is it that putting more people on medicaid is a good thing? why is it making more people department on the government is a good thing? i want to help people out of that. not because we want to push them out, but we want to empower people to control their own lives and destinies particularly from the dignity that comes from work. this empowered us to do this. in the case of the federal government, actually h.h.s. when we first announced this, literally came out and said you can't do this. we pushed back and had our attorneys point out that we could. within about 15 minutes our half an hour they had changed the story because they realized legally we could. it wasn't because a whole lot of assistance to have a lot of flexibility. >> let me go back to the importance of education and the training initiatives in wisconsin and the food stamps to educational training, workplace training, where else would you like to do that if you could to make the statement more work friendl

i feel like i should hurry up and pass medicaid expansion. so tweeted i think i'm the only legislature in the building. let me take care of a few things medicaid expanded teachers paid fill jobs. even though the posts were fictitious, he got a lot of praise. one person even wrote can you run for governor please? . "funny or die"'s billy on the street welcomed the first lady. >> next question slow dance with big bird while i sing don't want to miss a thing. ready, guys? ♪ i don't want to close my eyes i don't want to fall asleep because i miss you, baby and i don't want to miss a thing. >> as you can see, the first lady was a very good sport with that. that's your morning dish of "scrambled politics." >>> coming up on 22 minutes affidavit the hour. i'm joined by politico reporter lauren french. >> good morning. >> president obama is heading a summit to broaden the world approach to extremism. how does he plan on tackling that? >> he's going to outline some basic approaches basic concepts the world leaders can take to confront islamic extremeism

some of that is medicaid expansion. those are people that did not have insurance before. >> the amount of money is equal. >> i think those figures do include the 4 1/2 to 5 1/2 million people who lost insurance, that they previously had when the essential health benefit -- >> it's not a net number? >> i mean i had insurance but there's none on that side? >> that 12 million people were people that were uninsured they didn't have coverage before. in any case what mr. scott said is true. the number of people getting cornered has inyeesed. >> he said just about everybody has insurance. >> that's the goal ultimately. >> you didn't say access you said just about everybody has insurance? >> well, we're not trying to take you on, we're trying to understand. >> we're in the second year of enrollment now, more and more people are enrolling, but whether we get to 95 or 96% at some point. we're not there yet, but we're certainly on the way. >> we understood when this thing happened only half the people that were uninsured would the

to carry health insurance went into effect and coverage options became available through the medicaid expansion and the launch of our online health insurance marketplaces and by the end of the year more than 73,000 san franciscans enrolled for insurance and to prepare for the increased patients enrolled in the managed care dph did an assessment to develop a strategy to strengthen the financial position over the next five years and elements are being implemented and include the development of a managed care function in the department. targeted clinical capacity and increased managed care revenue and the creation of tools for productivity measurement and cost controls. so the next section of the report is our fiscal year highlights which are reported by dph's major divisions. i'm going just going to briefly talk about some of the highlights featured in this year's report. in february of 2014 laguna honda hospital became a tobacco and smoke free campus. when new residents are immediately they're informed of the policy and sign an agreement that they will not speak during their hospital stay. more

after the 2012 election you have been endorsing the idea of medicaid expansion, didn't go anywhere inre. you are here in washington for meetings this weekend. i presume the white house administration will pressure you. >> the white house, president wholetary table will be full of people trying to get me to do something the federal government wants me to do. that's the way it works. >> what do they want from you? >> right now i think, it's the biggest one. they have given up on high-speed rail. >> here is where we were in our state when i got elected. medicaid in our state had been growing at three times general revenues for something like 20 years, and so it was just -- it was not a small part of our budget. $20 million. three times the general revenue, that's pretty tough. so we passed legislation my first year and got approved by the federal government my second year that said our medicaid program would be -- a private company would be responsible by area of the state for those recipients. responsible for their quality, their access and protecters, responsible for cost. we have a me

>> i think the impacts of medicaid expansion have to do both with the individual as well as economic impacts. and in terms of the individual impact, in terms of the health and financial security, yesterday when we had folks at the white house that had written the president, you know, there was a woman who actually went on to the marketplace because she thought she would pay a fee. she went on to the market place, found out actually she wasn't in the market place but was medicaid eligible, and went in. had never had a history of breast cancer in her family. ended up actually having a mammogram because it is part of what is covered. found out that she had breast cancer. and so that's for the individual. for the individual in terms of that financial security of the ability to pay for and have health care. so that's for the individual. economically, what we see is in the states that have expanded medicaid, there are fewer rural hospital closings. an issue that is affecting a number of states across the country. and that has to do with the reduction in indigent care costs. and that is wha

but like medicaid expansion.industry, i wonder why. >> we have a microphone for audience questions and i want to take some if there are any. >> do you want to move to florida? i have realtors names and everything. >> did y'all see in new york put on their tourist website that their weather was so bad everybody should just go to florida? >> my fiance would love that with this temperature. i won't tell her that offer. >> during the 14 cycle you were attacked and you've talked about education a little bit and you won. you were attacked more than any other governor on education reform and school choice. >> on anything. >> i didn't pick the easiest state. i could have moved to a state that would have been easier but i didn't. >> do you have less sons that other folks could take from what you did in florida? even though it's a fairly red state it's still a swing state especially in a presidential year they could take from your message? >> we went after everybody. we've got a significant hispanic population. so i do --

as a result of our successful exchange and medicaid expansion, more than 2.1 million new yorkers have quality coverage. there is clear evidence we are reaching the right people too. since 88% of people who obtain coverage through the exchange reported being uninsured at the time they enrolled. so it's really working in new york. and the health insurance options available through new york state of health are an average 50% cheaper than the comparable coverage available before the exchange was established. so i want you to know i'm sure you know it, that the aca is working and working well in new york. and that's why i really think it's terrible that i have been forced to take more than 50 votes to repeal some or all of this law. we should fix what's wrong. but in my state, it's really been a tremendous success. >> and fortunately i've had the opportunity to travel the country and see the individuals. those are the numbers and the individuals, whether it's laura in florida, 26 years old, married to a truck driver, training to be an x ray tech. they have two children. she now has insuran

we have a much stronger foundation with a cumulative foundations with the cost is the medicaid expansion than just from looking at last year's data. although once again there is considerable uncertainty. >> how important is that moving forward? >> as you know the excise tax on higher premium insurance plans have not yet taken effect. it is particularly hard to -- we don't even have the one year in that sense. there is anecdotal evidence of people reporting making adjustments to their plans. to keep premiums on a trajectory below what they think they will be subject to that tax. those are just anecdotes that this point as far as i'm aware. we expected that most of -- there will be a significant adjustment i am players to try to keep -- by employers to try to keep the threshold low. of the total revenue that we show occurring because of the tax, only a quarter of it is to come in the form of excise tax receipts. three quarters of the revenue comes in the projections because employers hold down premiums and therefore pay more in cash compensation to their employees because they will be payi

they were trying to force states into medicaid expansion which just on principle i fast fellow governors of this why is putting more people on medicaid a good thing? i want to lift people out of the. not because want to push them out into the streets but because want to empower people to control their own lives and destinies, particularly from dignity that comes from work. in the case of the federal government actually hhs, we first announced this, i think within minutes if i remember right literally came out and said you can't do this. i think it was a story in a publication on the hill, we push back and had our attorneys point out that yes, we could do that. within about 15 minutes to half an hour they changed the story because they realized legally we couldn't. it wasn't because of a whole lot of assistance to provide flexibility. >> coming back to something you mentioned a couple times which is the importance of education, training initiatives in wisconsin and the food stands to educational training, workplace training. where else would you like to do that if you could to make the sa

to follow through and -- block medicaid expansion to follow through and cover a lot more people. not just african-americans and latinos, but americans of all races. it had a positive impact in driving down the insurance rate. they reduced the uninsured rate by 6.8% in the african-american community and 7.7% in the latino community. kristen? >> what is the administration's reaction and what are they concerned about in the fight against isis in libya? >> there was a statement we put out for the president responding to this situation. i can tell you in general that we strongly support the united nations and secretary-general to facilitate formation of the national unity government and bring a political solution to the ongoing political and institutional crisis in that country. we have seen extremists try to capitalize on instability in a country to carry out acts of violence. that is why we continue at -- to be concerned, and we believe the best way to get this under control is to try to stabilize our -- a representative stable government in libya. there is a special representative

are resisting expansion. >> absolutely we want to continue to work with them. >> ifill: if medicaid expansion doesn't expand, if the supreme court were to step barks how severely damaged would be the ultimate goal of this administration of expanding healthcare crornlg to all? >> so we have made so much progress, as we just mentioned earlier. the idea that we've had that 10 million drop. the the idea there are millions of people, the 11-point 11.4 we're talking about this is important in how they lead their lives their financial and wellness security. one woman, her mother and grandmother had the brach gene. she went and she didn't have it. the woman who was in her '50s said i used to be afraid when i walked because if i fell it would bankrupt me. this is built into the wellness of so many people. >> ifill: sylvia burwell, thank you very much. >> thank you, gwen. >> woodruff: we return now to the islamic state group, and their brutal tactics. correspondent marcia biggs traveled to northern iraq for the newshour to report on a group of girls who managed to escape from the terrorist group. but b

and the kaiser family foundation, which doesn't have an angle said we did not take the medicaid expansion that has no insurance gaps so we tried to find common sense conservative reforms that could work. and that's a good example. put more power in the state and more states would be able to do that. >> how is it negotiating that with c.m.s. as a republican governor? you are one of the few who actually did go in and offer analternative. >> i'm not a lawyer and all due respect to the lawyers in the room, i don't typically care for lawyers much. told them that we could do it. what they were trying to do is try to force the states to do that. just on principle, i asked fellow governors this, why is putting more people on medicaid a good thing? i want to help legislative people out of that. not because we want to push them out into the streets but because we want to empower people to control her own lives and december and this empowered us to do this. but in the case of the federal government, h.h.s. when we first announced this i think within minutes if i remember right literally came out and

instead he said, quoting from his facebook page, i feel like i should hurry up and pass medicaid expansionng else while i have the place to myself? and then this, just came back there the senate chamber. all votes were unanimous, medicare expanded. north carolina is quickly becoming a national model for progress. then about an hour in, i'm now receiving lots of call from actual lobbyists. even the false appearance of power gets their attention. another hour down, just had a debate to cut our university system even more. i just defeated a filibuster because i needed a drink of water. in the end, he presided over a five-hour, one lawmaker, totally fake, but fun-to-watch legislative session. he was like a guy diving into his backyard snow drifts just because they were there. winter gave senator jackson of north carolina the chance to be a legislature of one today. and you know what? the guy dove right in. almost the best new thing in the world today. looks like weather has canceled all of north carolina's legislative business tomorrow, as well. gleeful north carolina state senator jeff jackso

[applause] i began taking steps to the 100% medicaid expansion on my first day in office. many in the face -- the medicaid expansion is not just good for citizens it good for our economy. it is estimated that this could create as many as 4000 health related jobs in alaska. my selection of the commissioner of health and human services was the first objective of expanding medicare. thank you, commissioner davidson for all of your hard work in this area. [applause] the health of our communities and villages is also a top priority of my ministration. the act to -- at the doings of rape, sexual soul, domestic us -- violence, must end. we all know the numbers. even one case is one too many. often lost in this facts and figures are the victims themselves. these are real life men and women and families torn apart. all of us deserve to feel safe. the well-being of alaskan families, especially children, is something that donna and i and each of you, care about deeply. in 2009, donna worked as a caseworker. she saw firsthand the heart breaking neglect and it use being felt by our mos

facebooking, and he said due to inclement weather, he said that i should hurry up and pass medicaid expansion. he was there by himself. a lot of 1-0 rulings and it was like night at the museum, but in the end, we have a stronger middle class. >> michael shore for us in los angeles, and thank you. so winter shows no sign of letting up with an icy grashion. millions woke up to ice this morning all the way to the northeast. and thousands lost power in north carolina and tennessee and even the federal government in washington was shut down. meteorologist, nicole mitchell has where the storm is next. >> well, we have had a lot of problems over the last couple of days. can you see the one front that caused the freezing rain continues to clear through and another front behind that, and not a lot of moisture with that but it's going to reinforce the cold air but tomorrow on the great lakes, it will bring in lighter amounts of snow. but it's the cold air that's going to be significant as it continues to dry up. because of the cold air in place tonight. all of that wet weather through portions of the s

some other people were able to benefit from medicaid expansion. ann in connecticut and dan in california were able to get on a plan they could afford even as as they were working it. ann was able to catch breast cancer early. we have small business people like la net over here, and darlene who because they were working for a company, had a tough time affording the premiums and that saved about $300 and something a month. she was able to cut her premiums in half and she has a cup cake company i think, i think she has samples but secret service may have gotten them. maria, a teacher in fairfax virginia. naomi, a farmer in roberta georgia. both of them were able to benefit from greatly reduced premiums and are able to pay their bills at the same time, and susan has a wonderful story, a doctor in rural west virginia. not only are her and her sister able to bent from the affordable care act, but more importantly for her, patients she had been seeing for years that would forego critical treatments are now able to pay for the tests and medication they ne

because they are at the bottom in terms of health outcomes and obesity and they don't take the medicaid expansionut in terms of vaccinations they are at the top and with the best record on vaccinations. does it concern you as a public health expert for the state that is doing the best but has this difficult to manage system to walk back a little from mandatory vaccines. >> i don't think this will pass but it is concerning because if they say you can opt out of vaccines they will get measles cases and kids will be put at risk. and i think the politicians that are causing the debate around this and doing a dismal job. chris christie and rand paul particularly, i'm used to working in refugee camps in africa where the number one thing you do for health is vaccinate. and i don't think chris christie can run america with his ability to say this. >> and this is a woman who put a woman who came back from africa into a tent. and the idea of being an anti-vaxer is not a conservative thing. there are lib -- literals who are anti-vaxers too. but a couple of people who have a following and who have ideologica

it eliminates medicaid expansion, and how will they pay for this? the times records, quote, the republicans did not provide a formal estimate of the costr cost of their proposal or the number of people who would be covered. >> and a mission to rip coverage from millions. speaker boehner, what do you have to say about this today? >> listen there's a lot of ideas out there. the key will be to boil those concepts down to what a real replacement would look like. here's the and reducing costing. yet despite facts with absolute lid no plan to replace it. >>> joining me now is dana milbank and joe madison. thank you both for being here tonight. >> thank you reverend. what's the deal. is there finally a gop alternative plan? are they still playing the waiting game? >> well if you boil down those nine pages, you're left with two words, and that's never mind. i think you're being very generous to the republicans in calling this a plan at all. it's not just that they didn't provide a forecast every who would lose their coverage they're not writing it in the fo

it's like medicaid expansion in the hospital industry. i wonder why. >> we have a microphone -- we have a microphone for audience questions and i want to ask if there are any hands. >> did you all see that ithaca new york put on their website that the weather was so bad everybody's should just go to florida? >> my fiancÉe would love that. during the cycle you were attacked in q1 more than almost any other governor on education on the reform and on the school choice, pretty much anything. >> years ago i could have moved to a state that could have been easier but i didn't. >> are there other governors or republicans that have done what you did in florida it is a red state and in the presidential year how you prevail? >> we went after everybody. we have a significant expanding population. my spanish isn't perfect but i practice every day. i do spanish radio spanish tv. we put a lot of effort into the hispanic market. i personally believe everybody should vote for what we are doing because i don't talk to any family that says i don't care abo

you cited the medicaid expansion, but in republican primaries he's going to have to move very far toation. >> john nichols, kasich wants to elevate an agenda that endangers unions. he has tried that before hasn't had the success of walker. what does it mean? >> kasich has a better story to tell than scott walker. scott walker took on the unions and unlike ohio he was able to pursue his agenda all the way through. it hasn't resulted in surpluses. it hasn't given wisconsin a good bottom line and so the truth of the matter is that there's a reality developing in the republican field that i think is a pretty ugly one and that is you sort of get your points by having beaten down unions by having gone hard against unions. on that measure, walker is the winner. >> what about that, nina turner? kasich went against unions and lost. what kind of governor was he after that? was he workable? >> he was humbled by that experience and he said so, but there's a difference between what you say and what you do. taxes are going up on 60% of the folks who pay taxes in ohio. the top 1% are getting an ext

. >> and determining a lot of policies and medicaid expansion. and access to the internet, involved in that. it was a total wipe out. or democrats are totally off message about issues the american people resonated with the american people and also there's one other failing. democrats of always been better at turning out the vote. i heard somebody mention voter turnout. this time the republicans have a ground game it was a better ground game than the democrats. >> that is another thing. republicans are good at getting people out in midterm elections and democrats notoriously state home. >> you have been researching the democratic turnout. >> bill is exactly right. the turnout is a problem but it is a problem in the midterm elections, voters are younger, more diverse, less economically sound lower income voters, they tend to vote in presidential elections, republicans vote the opposite of that, it is a problem for democrats. there are two issues in this election. they are not just done for democrats but there was very little they could do. the days

signed up through the exchanges and we have many more -- more than 10 million people through the medicaid expansionough 22 states haven't commanded. we have kids up to 26 years old on their parents' program and the estimate yesterday was 20 million have benefited and the drop in hospital readmissions, less infections, very substantial. and then there is the cost control. we've had slowdown in health care cost growth that is par spally -- partially adding to the boom in the economy, not completely. some of that is due to the aca. that is something we can debris for a-- we can debate for a while. it looks like a big winner from everyone's standpoint and no major collapses in the system. there are growing pains but that is natural when you change a $3 trillion part of the health economy. >> and one of the growing pains is this trenchant resistance to the affordable care act. 34 states refuse to set up their own exchanges and they are now being run by the federal government and that is what is at issue and jeopardizing up to 6 million people's federal subsidies if the conservative majority on the court

when they did the medicaid expansion a lotf people who were previously eligible showed up because theymedicaid. that's the state. there are a lot of hidden bills coming due and the only way to pay for them state levels for taxes. >> the office had a hard time quantifying this. more are becoming known now saying this is costing more than originally thought. what do you make of that? >> i am utterly unsurprised. there are a couple different ways. more people show up than you expected. we have seen that especially with preexisting medicaid. the costs come in higher. the subsidies have to be more when insurance prices go up, we have seen a lot of that. >> interesting. always a pleasure even when you are doing unpleasurable things like this. the guy is a brainiac and saw it all coming. >>> what is the difference between me and the boy who cried wolf. for one thing i'm not a boy. what if i told you the other was that he started out joking only to reget it. i never was joking. and now all of you are going to regret it. y your auto insurance premium every month on the dot. you're like the post

instead he said from his facebook page i feel like i should hurry up and pass medicaid expansion.while i've got the place to myself? a few minutes later, broad based economic development, check. north carolina is quickly becoming an international model for progress. about an hour in now receiving lots of calls from actual lobbyists. even the false appearance of power gets attention. later, i just defeated a filibuster because i needed a drink of water. that removes any opposition to new child care in the end, senator jackson presided over a marathon five-hour, one-lawmaker totally >> i tried to take a snow day today in solidarity with the lazy members of the north carolina legislature, but the boss is here. >> if you ever need a note, just let me know. >> okay. thanks, rachel. the white house convened a meeting today on violent extremism. a texas judge stopped the implementation of president

yet if you look at the conservatives who vote in republican primaries, you also took the medicaid expansionto the dark side, that you're for big government. rand paul said governors who did think that "money grows on frees." >> you mean senator ron paul? >> no, rand paul. >> oh. i get them confused sometimes. ron and rand. i served with ron. anyway, i think what works for us in ohio, we're running surpluses of $2 billion, structurally balanced. half the states are not. >> what do you say -- >> let me go on. i cut the taxes in ohio the legislature and i, by the largest tax cut in history. that's kind of conservatism. let me tell you another thing. matthew 25 says that it's about how you treat the widowed, how you treat the poor, how you treat the hungry. how do you clothe those who have no clothes? that is a conservative position to help them get on their feet so they then can assume their rightful place in our society. the faith community, i think still is at least used to be a part of the conservative movement. the conservative movement is you don't just kick people to the shadows or push

but because of the affordable care act, he was eligible for the medicaid expansion for. for the first time he received a colonoscopy and doctors discovered and removed a precancerous poll-- polyp. without a.c.a. that might have cost him his life or tens of thousands of dollars because of that procedure. we can do better. we can escape this endless loop this groundhog day and talk about real job-creating legislation, improve health care that republicans and democrats agree on because they make sense for our country. there are real lives at stake mr. speaker. i urge my colleagues to vote no and i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentleman from virginia reserves the baffle his time. the gentleman from alabama is recognized. mr. byrne: mr. speaker, i'm pleased to yield to a new member of the education and work force committee a new member of this body, the distinguished gentleman from georgia, mr. carter, for one minute. the speaker pro tempore: the gentleman from georgia is recognized for one minute. mr. carte

that is what the expansion of medicaid in ohio is about. that's what the affordable care act is about. this has been a savings -- the expansion of medicaid saved ohio about $350 million. it also helps ohioans who already have insurance. where people lack health insurance, someone has to pay for their car. as a result ohioans every year, and the presiding officer's state of colorado is not much different, ohioans spend over $2 billion on care for people who can't pay. it's a hidden tax for the insured, on the insured estimated to be about $1,000 for insured families. prior to the affordable care act, somebody that goes to a hospital in denver, a hospital in cleveland or a hospital in dayton or a hospital in colorado springs or pueblo or youngstown, when they -- if they had insurance, they were often -- because those without insurance would go to those hospitals and get care, that's what we do -- we take care of people if they show up in an emergency room -- because they weren't paying, they were low-income, they were unemployed and they had n

medicaid. in those seven roles in the plan. so when i look around the panel with 11 states represented in the finance committee's that still have not provided access with the expansion of medicaid but to speak to what is happening to families and those were talking about those coming into the emergency room rather them through a doctor in a way that is better for them to curtail costs. but states are not given access. >> we have to do as much with the individual and economic impact. in terms of the health and financial security yesterday we had folks of the white house. a woman went to the marketplace because she thought she would pay a fee and found out was medicaid eligible. never had a history of breast cancer in her family actually he had part of a mammogram and it is covered and found out she has breast cancer. but in terms of financial security the ability to pay for for the individual. so with their rural hospital closing it is affecting states across the country with the production of care costs. with examples of what is happening in communities where more care is paid for. then with regards to the states themselves they see those benefits. it is a rural hea

noting that a lot of those red states are not taking money that is available to them in the medicaid expansion. a lot of those governors are passing up on it. a few of the red states have taken up the extension. as some of them have argued, this is -- john kasich argues this is money we are paying in. we want to take it back out. you do bring up a good point on the other hand some governors are passing on what democrats argue is free money. host: 31 republican governors after the november elections. 18 democratic governors and one independent. 68 republican state legislators 30 democrats. what is it like with a rash of new governors elected? how has the landscape changed? guest: it has consolidated for republicans. 23 have republican control of the state legislature. public and control 16 state legislative chambers. that republicans control 16 state legislative chambers. they are in a great spot to pass policies they believe in. there are struggling to make their case in kansas. governor brownback has cut taxes. it has not boosted the economy. he argues, we just need some time in this will tri

>> i think the impacts of medicaid expansion have to do both with the individual as well as economic impacts. and in terms of the individual impact, in terms of the health and financial security, yesterday when we had folks at the white house that had written the president, you know, there was a woman who actually went on to the marketplace to -- because she thought she would pay a fee. she went onto the marketplace, found out actually she was not in the marketplace but was medicaid eligible and went in. never had a history of breast cancer in her family. ended up actually having a mammogram, because it is part of what is covered. found out that she had breast cancer. so that's for the individual. for the individual in terms of that financial security of the ability to pay for and have health care. so that's for the individual. economically, what we see is in the states that have expanded medicaid there are fewer rural hospital closings. an issue that is affecting a number of states across the country. and that has to do with the reduction in indigent care costs. and that is what we