. >> and you accepted federal money under obama care for medicaid and calling for new taxes on cigarettes and natural gas drilling and you quote matthew 25 about feeding the hungry. some people say you are too close to barack obama. >> well chris, listen we are running a billion and a half

federal government is so involved already through the great society programs as medicare and medicaid obama's impact is relatively modest. they only increase federal spending by about 15%, which is not nothing. it's not the right direction. where direction. whereupon the care is a step change from the old system as it introduces a layer of regulation, federal regulation into the health insurance market that dramatically changes the way health insurers can operate in this country and the kinds of choices we can all have in how we pay for and consume health care. so it is a huge huge problem and it's been a huge deficiency in our movement. i am not sure how we reorient or try to do something to make sure that we are building a cadre of a regulatory ninjas who could go out there and fight these battles. maybe ninjas is not the right metaphor. in a sense, what we've done is we tend to say if we produce the regulatory efforts, they are technocrats, too. the government had no legitimate role in any of this stuff that we should just keep saying that. while we keep saying that the regulatory state ke

ryan budget for 4 years in a row, included real medicare, and medicaid reform, obama would veto it, we have a long way to go. but maybe i am gradeing on a curve but i think there is say little bit of hope. >> stimulus plan, president promised 4% gdp growth hereafter year he likes to take credit for that, stimulus ended in 2011 all of the economy growth occurred after that stimulus ubut what do we have since the economic recovery? we had sequestration. john: that was supposed to be horrible. >> that is what obama loves to go after republicans for they are cynical they didn't cooperate or work together. john: shut down the government. >> you say republicans froze spending it -- you are not blame orizing you -- blame glamourizing it, they froze it accidently. >> you it spending shoot up so much in 2009. >> government spending we know that is bs. john: deficit it another thing that president brags bi have reduceed deficit by 2/3 because in his first year there was $800 billion in stimulus spending. >> it could go web bolo 20 -- it could go below 20%. we're still 448 billion deficit but key

that touches obama care sent to him by the republican congress. >> speaking of republicans, a lot of people aaron were surprised that a republican governor of indiana decided to expand medicaid coverage as part of the obama care well plan. are you surprised and what happens now? do other republican governors follow suit? >> yeah, it is surprising for a couple of reasons. one that a lot of republican governors are hesitant to do this. 22 states have not gone along with the medicaid. and mike penn is a conservative guy and talked about a presidential candidate and while other candidates haven't touched the issue. he is doing it. and he secured concession and making people pay part of the medicare and having health requirements and those are significant concessions that he got and the question is other republican governors that held out this long are looking for the same things and get on board with the medicaid expansion. potentially a model. >> and new violence flaring up on israel's border with lebanon and claiming the lives of two u.n. peace keepers. and junk. getting a credit down grade for russia's fragile economy. listen up... i'm reworking the menu. veggies you're cool.

the ryan budget for four years in a row included medicare and medicaid reform. obama vetoed it, and the house and event passed it. maybe i'm grading on a curve i think there's a little hope through the. >> i can mention one thing about the stimulus plan. the president promised we would have 4% gdp growth year after year. we have half of that, and likes to take credit for the stimulus. the stimulus ended in 2011. all the economic growth occurred after the stimulus. but what have we gotten since the economic recovery began? we had sequestration, that's the word that nobody likes to talk about. john: supposed to be horrible and kill the congress? >> in fact, that's what obama loves to go after republicans for, they're cynical, they didn't cooperate and work together. john: they shut down the government. >> when you say republicans froze spending even though you're not glamorizing it you are making it sound better than it is. they froze it almost accidentally, they were being jerks. >> you had spending shoot up so much in 2009 because of the corrupt bailout and the stimul

stephanie will roll out through wellness and i put in what the anticipated changes to medicaid are and to see president obama's budget before although the senate voted them down they're likely to be in the house republican and they'll have to push obama to look at that this includes the surcharge on the charge for consumers it didn't say effect our members but anyone that is paying for medicine gas it increases the part c and d premiums their taken out of your social security check that's for everyone it increases the b co-pays for home health to $100 per episode and s. it increases the guilty to 67 that has a significant impact on our excise extension that's the section where our premiums are the highest i'd like to briefly call on operations and then david wellness to update things so operations how did we do? >> mitchell chief executive officer of the health care system i wanted to briefly talk about operations as far as our end is concerned on the third page of the deck after the director's report second slide it says year-end enrollment we've received 26 thousand calls a decrease in 2013 and member servic

show down looming over capitol hill one republican said it is time to expand his state's medicaid program under obama

. >> and you accepted federal money under obama care for medicaid and calling for new taxes on cigarettes and natural gas drilling and you quote matthew 25 about feeding the hungry. some people say you are too close to barack obama. >> well chris, listen we are running a billion and a half surplus and structurally balanced when 20 other states are not able to do that. we are up almost 300,000 jobs and we are -- we are structurally balanced. we've always been fiscally responsible. but let me speak to the issue of helping other people when economic growth provides you an opportunity. i will not turn my back on the mentally ill who live under bridges too often of the time in this country. i will not turn my back on the drug addicted and i won't turn my back on the working poor. i'm a believer as a conservative, that everybody has a god-given purpose and it is our job on a temporary basis to try to give them a chance to fulfill their god-given purpose by helping them. it can't be a way of life, it can only be a situation where you help them for a short period of time and we demand in our new

officials will hold an informational session on obama care and medicaid enrollment. it will be held at the brook dale community college's long branch campus. the session starts at 5:30 and will run until 8:00 p.m. people can learn more about eligibility, financial assistance, and how to choose a health plan. >>> and you may have wait longer for your tax refund. the head of the irs says budget cuts have forced the agency to cut back and that means taxpayers might get their refund at least a week late. people with questions will also have to wait a little bit longer to get help from the irs hot line. the experts say this comes at a bad time because the new health care law will make people's taxes even more complicated. >> so it seems like there will be a lot of learning that goes on this year and so it is a particularly bad year for the irs to be cutting back on services or -- for the irs to have to cut back on services. >> the irs warns that half of the people who call their hot line will actually get through and wait times will be much longer. >>> and philadelphia ma

i am expanding medicaid, just like president obama wants me to. and yet mr. found himself saying just that maybe not those exact words, but on tuesday when he announced that he and the o obama administration had struck a deal on obamacare. indiana will expand medicaid up to 350,000 people who are either under the poverty line or just above it. but it will do it pence's way by charging premiums to some medicaid beneficiaries and suspending coverage if they don't pay. joining me from washington, d.c. is egor volsky. am i supposed to be happy we're expanding or unhappy of how it's happening? good or bad? >> it's a mixed bag. for a lot of people they will get care they wouldn't have gotten, and that's good news. the question is for low-income hoosiers, those benefitting from the program, is this contribution he's asking to pay towards a health savings account, co-payments for certain services, will that keep them away from essential care. from other states and studies, it has in the past. >> so pause so folks at home can really understand what we're talking about

the cbo also reports that medicaid spending will double what it was when president obama took office.in the few years time thanks in part to obamacare. washington examiner senior congressional correspondent david drucker is with us. i was told by the president, he told the whole country that obamacare would never at a dime to the deficit and it would bend the cost curve down. that is not accurate, is it? >> i don't know if we have never seen a government program this size and scope it did any of those things even medicare, medicaid, the original medicare and programs that most americans support republican, democrat, conservative, liberal, those cost lot more than they were envisioned when they were passed in the 60s and i don't see why obamacare is any different if it does its job which is cover a lot more people with government subsidies and eventually where that money is going, where the cost is going to shift our state budgets to overtime ongoing to take up more of the cost. it stuart: is accurate to say that the cost of obamacare is much higher than it was projected and even with

and it brought calls for the establishment of medicare, medicaid and the voting rights act. tonight president obamalk about tax credits, community college and cyber security. joining me to talk more about it is texas republican congressman max thornbury. thanks for being with us, congressman. i imagine the first issue you think the president should touch on in his address is not going to be the one that he does. but what would you want to hear from him? >> i would want to hear about national security just look at what you've been reporting in this hour about the deteriorating situation in yemen which increases the danger to us. there's lots of questions about terrorism, about protecting the homeland after the attacks in paris and the president needs to take leadership and leadership in working with congress to solve those things because they're not going to get better with him doing his own thing, as it were. so that's what i'd like to hear. a president reaching out, wanting to work together for the good of the country. >> okay. so one of the things we are expecting the president to talk about is t

the head of med medicaid, mayor lynn tavnor announcing she will step down next month. she became a lightning rod overseeing the obama care website. and tonight, abc news investigation. ambulances charging a lot of money, taxpayer money, when they are not needed. would you believe, patients stopping in the ambulance for take out? david kerley reports it's your money. >> reporter: ambulances can save your life. but these are stealing your tax dollars. watch this undercover video as passengers, patients climb into the front seat of an ambulance. they are medicare beneficiaries, taken to a doctor's appointment. it should be a $20 cab ride. instead, crooked ambulance companies pick up patients, charging taxpayers 400 bucks a roundtrip. >> it sounds like a pretty easy fraud. >> it is. it is easy fraud. >> reporter: we went on patrol with federal agents in philadelphia suburbs. here there are more ambulance companies than taxi companies. >> we have had some bad guys in here. trolling for customers at medical facilities like dialysis centers. an ambulance is approved for medical needs. for example a patient who can't walk,

obama care in indiana. no to establishing a state exchange, and no to expanding a broken medicaid system, medicaid is not a system that we should expand. it's a program we need to change. that's just what we've been doing with a healthy indiana plan. the original program crafted more than six years ago on a bipartisan basis is the basis for our new proposal, a proposal that would offer more low income hoosiers the chance to get their own health care. we've been working hard to get it done, to get washington to say, yes, i've gone to our nation's capital, engaged in discussions with federal officials, i took our case to the president on the tarmac outside air force one in evansville one day. as our discussions go forward, let me assure all of you of this i will continue to stand firm for the right to expand coverage the indiana way, empowering hoosiers to take control of their health care choices, we will not accept terms that relegate hoosiers to substandard health care or jeopardize the fiscal health of the state of indiana. [applause] >> now, the road ahead wasn't be easy but i'm confident. i'm confident

obama administration? sure that asked for complete freedom on medicaid spending? what should they ask for? they can't ask for? hhs it were not go to set up an exchange and not negotiate spent the message to the states is there's a better way. there's a way that respects your constituents and the citizens of your state to make certain that we follow those principles that are so dear to all americans as it relates to help the medicaid we believe state flexibly as an absolute vital component. in my state of georgia there are about 1.8 million individuals on medicaid. 1.2 million of those folks are healthy moms and kids for whom the health care costs are minuscule compared to the overall system. and yet we don't allow the state of georgia as a federal government, we don't allow the state of georgia to come up with a more realistic way to build to cover all of the medicaid population. thereby saving money for the sickest of the sick. huge flexibility we believe it's important to indian is doing great things as relates to medicaid we have to be able to have the states be the laboratory of ideas

you draw the the line and you tell the very people that put barack obama in office this is where we are in social security medicare medicaid nonstarters. and we're going to give you a dose of your own medicine. we don't care if everything stops. come to the the table with minimum wage. do something for workers rights in the country. stop telling me the tide is coming in and the boats are sinking. this is what liberals want. i don't need a poll. i know exactly what they're saying, and i know exactly how they feel. if we're going to get run over time and time again and cut deal ms and be bought, we're no better than the republicans. the republicans have voted over 50 times in the house to take insurance away from poor americans. and they have no plan to replace it and that just doesn't piss our side off. i just -- i find it utterly amazing. but wait a minute. we're concerned about climate change. you know we all fight in different ways and we're all passionate about different issues, but if you care about the country, and if you have an ideologue who is willing to obstruct the only way you stop that avalanche is to give it r

number of republican governors who are accepting the obama care money or the money through the affordable care act and using that to reform medicaid and i think they will see more of that. they are not admitting it right now. they are saying these are changes to the program but it is something they are going into effect and they are more and more having to make acrobatic verbal leaps to just sort of explain what they are doing. >> i want to get your thoughts on another big trip next month in march. benjamin netanyahu being invited by republicans to come ought speak. i'm wondering who is winning out of this big move because benjamin netanyahu is getting blow-back with the elections coming back up and the senate democrats are holding back because they turned off on the politics of this and i try to imagine this being the president of china, how does this -- how does this say about how we do diplomacy here in america. >> it came off as a bitter move to go around the normal avenues of inviting netanyahu and circumventing the president there. it is hard to see who is winning, but it is easier to see it is not going as well as it could

it obama administration said the outside companies did not misuse the information. they say it is common among the websites and the statements for medicaid and medicare unlike retail sites, we'll not sell a user's information. we'll keep consumer personal information secure. and the administration adds that outside trackers helped healthcare.gov to it respond to errors and make it easier to respond to it the site. >> law makers are skeptical. and they have no hearings and they are waiting to see if the administration answers their questions. >> healthcare.gov. and conditions go from bad to worse in battling a house fire. the turn of events that sent a firefighter to the hospital and an innocent man tasting freedom after spending 40 years behind bars. he was set free and what he's looking forward to now. r something better. that's the way i look at life. especially now that i live with a higher risk of stroke due to afib a type of irregular heartbeat, not caused by a heart valve problem. i was taking warfarin, but wondered if i kept digging could i come up with something better. my doctor told me about eliquis... for three important reaso

they've had more leverage and for a variety of reasons the obama administration really does need the states to both -- not just expand medicaido participate in the health exchanges. and you see how that baseline played in in terms of the administration's negotiations with states. the administration has actually been quite flexible and in the affordable care act has really had a lot of back and forth, been willing to consider state concerns move in interesting directions to get republicans onboard. you see that in the idea of the creation of things called partnership exchanges. and also in the approval of medicaid waivers for private insurance. so you see bipartisanship coming as a result of the federal/state aspect. another thing to consider and i think this will be probably the last thing i have time for, i'm happy to talk more about this in the q&a is the separation of powers impact. clearly, one thing that we see is a sidelining of congres right? major policy changings are coming at the behest of the congress and those changes involve waiving termsf statutes right? .. in the background is statutory authorization, the waive

another 1 million workers could end up on medicaid or the obamacare health care exchanges, increasing the deficit by $73 billion over the next ten years. the obama house says the president will veto the 40-hour measure if it actually gets to his desk. sue? >> hampton, thank you very much. >>> all right. the rally is intact on wall street. let's take a look at the numbers. we are off of our best levels of the day, but still a very strong market performance today. the dow jones industrial average is up about 268 points. s&p is up 31. the nasdaq is up 80 points. and the russell is participating, it's up 17 points or about 1.5%. there are many winners in the market today but a couple of them stood out to us. meadwestvaco and valero with strong percentage moves. meadwestvaco up about 5%. one of the reasons it's up is because oil has stabilized. even at lower levels it's still the stability in oil that art cashin has said the market is watching closely. that's basically moved the market to the upside today. we have west texas intermediate down 1.5%. brent down about 2.25%. but we're at those levels ty and mandy, that will be very interesting to see wh

obama administration? should they ask for complete freedom on medicaid spending? what should they ask for? they can't say set up and not negotiate. >> the mental to the states is there's a better way. there's a way that respects your constituents and citizens of your state to make certain we follow principles so dear to americans with health care. medicaid, we believe state flexibility is an absolute vital component. in my state of georgia, there are about 1.8 million on medicaid. 1.2 million of those folks are healthy moms and kids for whom health care costs are miniscule compared to the system. we don't allow the state of georgia, as a federal government, don't allow the state of georgia to come up with a more realistic way to cover all the medicaid population, thereby saving money for sickest of the sick. huge flexibility is important. indiana is doing great things as it relates to medicaid. we ought to be able to have the states be laboratory of ideas when it comes to health care coverage for medicaid population. so the message is -- there's a better way. and we believe we are going to

medicaid expansion. again, redrawing of districts and transportation policy you name it. president obamaed in that. so it was a total wipeout. i think the democrats were just totally off message. they have issues that the american people have really resonated with the american people and the republican ss were and also, was there one other failing. the democrats always have been better at turning out the vote. i heard someone mention voter turnout as we came in. there was a question about that. this time the republicans had a ground game and it was a better ground game, believe it or not, than the democrats had. but we've seen for a while a different electorate show up. >> the republicans are very, very good at getting people out of midterm elections and democrats n> you've been researching this and you wrote something about democratic turnout just today that i saw. >>^ r(t&háhp &hc% >> it's interesting. bill is exactly right in that the turnout was a big problem but it is, rick. it's always a problem in midterm elections for

obama administration? should they ask for complete freedom on medicaid spending? what should they ask for?y shouldn't say set up and not negotiate. >> the mental to the states is there's a better way. there's a way that respects your constituents and citizens of your state to make certain we follow principles so dear to americans with health care. medicaid, we believe state flexibility is an absolute vital component. in my state of georgia, there are about 1.8 million on medicaid. 1.2 million of those folks are healthy moms and kids for whom health care costs are miniscule compared to the system. we don't allow the state of georgia, as a federal government, don't allow the state of georgia to come up with a more realistic way to cover all the medicaid population there by saving money for sickest of the sick. huge flexibility is important. indiana is doing great things as it relates to medicaid. we ought to be able to have the states be laboratory of ideas when it comes to health care coverage for medicaid population. so the message is there's a better way. and we believe we are going to be

obama. we will report on a family who what happens when the person comes home. cinkinsey says, her message to the president, end a ban on medicaidund he abortions. try to keep it short take a lselfie, and e-mail it to sharingmymystory@al jazeera.net. you can find more information about the podus project on our home page. aljazeera.com. special coverage of tuesday's state of the union address begins at 7:00 eastern. analysis leading up to and after the speech and live response from the republicans after the president's address. remember if you would like a comment on any of the stories you've seen log on to our website aljazeera.com/americatonight. good night. we'll see you for our next "america tonight." >> tuesday. from race relations to foreign policies, terrorism and the economy. >> if this congress wants to help, work with me. >> ali velshi kicks off our special state of the union coverage at 7:00. >> we'll take an in-depth look at our nation's financial future. >> then john seigenthaler breaks down the issues. >> we need to know what's going on in our backyard. >> plus, objective analysis and live reports from across the na

. >>> a key obama administration official responsible for implementing the affordable care act is calling it quits. marilyn tavenner, director of the center for medicare and medicaid services is stepping down next month. tavenner took a lot of heat on capitol hill as she was grilled on the disastrous rollout of the healthcare plan. >>> candidates on the gop side are already jockeying for position. we keep hearing a new name each week, bob. do you think that will help or hurt the gop come 2016? >> well, there are a lot of people, now maybe four governors that look like they're going to run, a half dozen senators. i don't know. every time you look or hear like you, jan, you here another new name come out. i think they'll sort themselves out pretty quickly once we get into the campaign. i think you're going to see if mitt romney is going to run and he's making a speech tonight at this big gathering out in san diego, also going to hear from rick perry. i think if rick perry -- i mean if governor romney does decide to run, i think you'll have to say he'll be among the early favorites along with jeb bush simply because of the name recognition, but with so many people in

obama. we will report on a family who what happens when the person comes home. cin kinsey says, her message to the president, end a ban on medicaidund he abortions. try to keep it short, take a lselfie, and e-mail it to sharingmy mystory@al jazeera.net. you can find more information about the podus project on our home page. aljazeera.com. special coverage of tuesday's state of the union address begins at 7:00 eastern. analysis leading up to and after the speech and live response from the republicans, after the president's address. remember if you would like a comment on any of the stories you've seen log on to our website aljazeera.com/americatonight. good night. we'll see you for our next "america tonight." >> "consider this". the news of the day, plus so much more. >> we begin with the growing controversy. >> answers to the questions no one else will ask. >> real perspective. "consider this". monday through thursday, 10:00 eastern. only on al jazeera america. >> i took the chance to get out of that prison camp and with a few others went out to work in another camp. >> mary ann yakabi reads her father's words about his time here

obama care in indiana. no to establishing a state exchange, and no to expanding a broken medicaid system, medicaid is not a system that we should expand. it's a program we need to change. that's just what we've been doing with a healthy indiana plan. the original program crafted more than six years ago on a bipartisan basis is the basis for our new proposal, a proposal that would offer more low income hoosiers the chance to get their own health care. we've been working hard to get it done, to get washington to say, yes i've gone to our nation's capital engaged in discussions with federal officials, i took our case to the president on the tarmac outside air force one in evansville one day. as our discussions go forward let me assure all of you of this i will continue to stand firm for the right to expand coverage the indiana way, empowering hoosiers to take control of their health care choices we will not accept terms that relegate hoosiers to substandard health care or jeopardize the fiscal health of the state of indian indiana. [ applause ] >> now, the road ahead wasn't be easy but i'm confident. i'm conf

obama care is where we need to start. this needs to be combined with reforms to medicare medicaid, and social security. during this process, lawmakers should be guided by focusing benefits on those individuals with the greatest need and delivering those benefits in a more efficient manner as we'll hear from my colleague justiceon thickner, improper payments are a big issue and health care are where some of the highest payments rate are in the federal government. beyond that too much waste duplication and overlap in the federal budget. sequestration has helped to cut some of that but sequestration is very small and a very blunt instrument. we need other reforms that get at reducing overlap and application and rooting out waste, fraud and abuse. one recommendation is to adopt a waste commission that operates similar to brac. what that would do, guided by criteria, go through budget by agency, by program and identify those areas also guided by work from the government accountability office, identify those areas where we can reduce waste, cut duplication and make government work better and more efficiently

obama phones. they've been around since the reagan administration. you are supposed to prove your own government aid you are supposed to prove you are getting food stamps or medicaid operation, they found the vendors's own agents were setting up people getting phones by using friend's food stamps to prove they are getting government aid. rampant fraud throughout the system. >> i get the impression look i may be wrong i get the impression the administration does not want to check. they want to push out as many phones and food stamps and subsidies as they possibly can because, i believe they're buying votes and the free obama phones are one way of buying votes. they don't want it. >> one study found as many as four out of ten were given out fraudulently. there is a tremendous lack of oversight in this program. by some estimates more than $2 billion in fees hitting the phone bills that we pay. we all have to pay the fees on the bill. stuart: check your phone bill you are paying are in stuff. 20,000 a month. >> for this program. stuart: one state! unbelievable. liz, thank you. >> sure. stuart: natural gas, the house just passed a bill that would allow natural gas expo

and medicaid she is leaving with sadness and mixed emotions, calling her one of one of the most accomplished and the decision to leave was dafrners. andy slavette will take over. and president obama's, they will discuss the global economy and cyber security. they will hold a joint news conference live on cspan. at 12 con 20 eastern. and we'll take your phone calls and social media comments via facebook and twitter. and the president will head to capitol hill for the annual state of the union address before a joint session of congress. we'll have live coverage of the speak starting at 8:00 eastern as we hear from ray smock and get your input on expectations for the speech. republicans have tapped joanie ernts and she is the first woman to represent iowa in congress. again it starts at 8:00 eastern on cspan. >>> and we are live at the center for security policy. we're live at the national press club this afternoon as the center for security policy is hosting a group of former policy analysts and military strategists to counter global jihadist and ideology. this is live on cspan3. >>> good afternoon, ladies and gentlemen. thank you very much for joining us for what i hope will be a ve

medicaid and make changes in terms of w-2. each of these areas when it comes to public assistance. >> someone who tests positive for drugs would be offered free treatment in that state. >>> the obamaing money away for college in those tax free 529 plans that are so popular. right now you don't have to pay taxes on the money that you take out of that fund. but that would actually go away. there is a kicker the president's own $240,000 investment in his two daughters' college fund that, we understand, could be grandfathered in. >>> senator rand paul learning the hard way if you're going to attack an opponent, you better check your facts. paul sweden joked to fellow 2016 contenders, mitt romney and jeb bush it's a criticism of common core, the government education standards that bush strongly supports, there is just one problem, though. paul, a vocal opponent of the standards, forgot to use spell check. see that right there? thanks for your frie nship. bush tweeted back you misspelled friendship. maybe there is something to be said for those hire standards. paul's original tweet now disappeared. those are your headlines. >> suddenly they became frenemies. >> thank you very much. the

particfd#&y after the supreme court made granting pled cade reasons the obama administration need the stateoypq to not just expand medicaidticipate in health exchanges. and you see how that12nm baseline played in in terms of the administration's negotiationes with states. the admin has been quite flexible and in the accordable care act has had a lot of back and forth being willing to consider state concerns, move in interesting directions to get republicans on board. you see that in the idea called partnership exchanges and also 1 waivers for private insurance. sog a as result of federal state aspect. another thing3,jñ to consider, and i think this is the last thing i have, i will be happy to talk more about this in q & separation of power and impact. clearly we seey policy changes coming at< behest of the executive and the changes involve waves in terms of statutes. right? and not only at the behest ofzo&ak(t&háhp &hc% executive branch but we are talking really presidential administrations. white house involvement. and theáúbqm affordable care act and in the white house. and at the same time, it isn't a one-sided story o