medicare sets prices through the service program, indirectly through medicare advantage and medicare uses the price setting power to keep expenditures growing flat, or in line or below inflation. now, providers don't like that, but that's a fact. on the private side, the private plans have to negotiate rates with providers and it's in the relationship between private health plans and providers where we see, where consolidation is a major concern and let me ground us in something, in a more concrete example. so let's talk about 80053. this is a comprehensive metabolic panel. a simple blood test. if you're a medicare beneficiary and get this blood test medicare is going to about $15. if you're privately insured individual your health plan has to negotiate the rates that they're going to pay. if they get it from quest or land corps, probably also about $15. if they get it from the hospital outpatient department tiply going to pay the hospital outpatient department $45, three times what medicare is paying. if you're a hospital and getting paid $45 a pop for simple blood tests, first of a

if medicare's overpaying for lab tests, the medicare advantage plans can get better rates than medicare fee for service. so medicare advantage, i agree, is a functioning corner of our health care system, and we should be thinking about expanding it. it sets up a system where people can choose provider networks, benefit design. but lurks in the background -- and this is a core piece of why that system works -- lurking in the background is the medicare fee for service rate setting, and that completely changes the negotiating dynamics and i think helps make it work. >> i would, by the way, say that's true. i don't disagree with that. but when i got to cms is, leslie was there. i think medicare advantage was 5% of the program, it's now 35, 36% of the program. m what really amazes me is private, i love cms, i love medicare and medicaid, but when the people are writing checks off the treasury, the behavior's different. the main thing about medicare part d which we spent a lot of time creating is some third party capital is at risk. people behave differently. if i gave humana or aetna $15,000

be 8.5% for medicare. >> that's the medicare. if you do the compounding on that, over ten years, it's like doubling. >> it's a lot of money, yes. >> doubling, at some point we're going to have to have a very honest conversation about doubling that budget over the next decade is a stunning amount of money and terrifying. i know you put grand cassidy mechanisms in your budget, and some parts of it, we like some part and i have the multiplier efficiency, and the states inare wonderful that 5% of the population is 50% of the cost, risk sharing as you, i think, have spokesen about, when you mitigate risk here, i lower the premium here, and if i lower the subsidy, i can put that up here and buy down more risk and then i lowered the premium and i lowered the subsidy. there is this virtual circle because we subsidized at this level and this level. you could actually bring them into parody and create this virtual circle if you can lower the premiums by finding a way to do that risk mitigation, and i hope you're going to model that feedbac

>> the medicare would be 8.5% per per for medicare. >>> that is medicare. functionally do compounding over 10 years doubling. >> it is a lot of money. >> doubling. we're going on right and left have to have very honest conversation about doubling that budget over the next decade is stunning amount of money and terrifying. i know you put graham-cassidy mechanisms in your budget. some parts of it we like. some parts, i mathematically am concerned with it. i don't think you the get multiplier efficiency. the state experiments are wonderful. but, if we are dealing with mathematical reality, particularly in the individual market, that 5% of the population is 50% of the cost, risk-sharing as you, i think have actually spoken about, when you mitigate risk here i lower the premium here, i lower the subsidy. if i lower the subsidy, i can put that up here and buy down more risk, then i lowered premium, i lowered the subsidy. there is this virtual circle, we subsidize at both this level, this level, you could actually bring testimony into parody to create a virtual ci

medicare.ore and more baby boomers enroll in medicare, now is the time to strengthen the program. the could of done that by adding critical benefits, such as dental vision and hearing vision , not to arbitrarily cut it. $1.4 trillion of cuts in medicaid will lead to cuts in health care for children, individuals with disabilities, and people who need long-term care. medicaid has now become a middle-class benefit. it is the reason that your parents are not living in your attic. it is a key component of the opiate and health treatment programs that we all wish to address. are moreand medicaid important than ever as our nation struggles to find long-term solutions to the opiate crisis. everyone in this room has a family member or know someone who is directly impacted by an opiate or other drug-related disorder. slashing programs that are designed to help those individuals is not the responsible path. health care is a crucial part of the economy here in the united states. in my district alone, hospi

these are the non-medicare dependents of non-medicare retirees, averaging 174 for the year. we also have 230 on average, non-medicare dependents of medicare retirees and their claims are also capture when we look at the total claim experience for the non-medicare population. >> randy scott: alright. >> and on the following page we continue the evaluation by looking at what the total premium is. separated by about 12.3 million for the monthly premium in total for the year for non-medicare describer tiers. and then we also do a calculation on the non-medicare dependents of medicare retirerieretirees totaling 3.3 million in premium. and then you can see the comparison to the paid claims and the incurred claims and the resulting loss ratios. so on page 10, similar to what we have seen with the active employees, we have seen growth in the total manitoba of retiree describers in the plan for non-medicare. when we look at the average contract size which looks at the total dependents on non-medicare dependents on the plan is a ratio of nonmedical describer, we have also seen growth

medicare helps to pay for two out of three seniors in nursing homes. it is essential for seniors that count on home-based care. even for people 62 or 63, the trump budget hits them with an age tax, allowing insurance companies charge them far higher rates than they charge others. bottom line, the agenda of health care discrimination is out in force in this trump budget. and in my view, it is a comprehensive plan to drag the country back to the days when the health care system was basically working for people who are healthy and wealthy and everybody else was on their own. finally we're going to i'm sure talk about the question of prescription drugs. the president famously talked about how drug companies were quote, getting away with murder. those are his words, not mine. the president said they were getting away with murder by setting drug prices so high. the way he talked about the problem americans thought he was going to come out swinging with big solutions to the challenge. in the plan last week i still don't see a solution to the fundamental issue

we want programs like medicare and medicaid to work for thepeg people they serve. that means empowering patients and providers with the right incentives to pay for health and outcomes rather than procedures and sickness. fourth departmental priority is to use the tremendousst power we have to medicare is the largest purchaser of medical services in the united states to move our whole healthcare system in this direction. this budget take steps towards that by limiting price variation based on where care is delivered rationalizing payments that positions hospital owned outpatient facilities supporting investment in telehealth and advancing the work accountable care organizations. the future of medicare must be driven by value, quality and outcomes of the current thicket of opaque, unproductive incentives. the president's budget will help accomplish pretty important goals at hhs. first making the programs we run really work for the people they are meant to serve including by making insurance affordable for allrig americans. second, making sure our programs are a sound

we want programs like medicare and medicaid to work for the people they serve. that means empowering patients and providers with the right incentives to pay for health and outcomes rather than procedures and sickness. our fourth departmental priority is to use the tremendous power we have through medicare as the largest purchaser of medical services in the united states to move our whole health care system in this direction. this budget takes steps toward that by for instance eliminating price variation based on where post acute care is driven, supporting investments in telehealth and advancing the work of accountable care organizations. the future of medicare must be driven by value, quality, and outcomes not the current thicket of open pake unproductive incentives. the president's budget will help accomplish three important goals at h.h.s. first, making the programs we run really work for the people to serve eant including by making insurance affordable for all americans. second, making sure that our programs are in a sound fiscal footing that will allow them

cut medicare, cut medicaid and using the h deficit and how does that happen. only in the world and just weeks after jamming through a partisan tax bill that will benefit big corporations anddd the wealthy while adding to the deficit the trump administration is now proposing a curtailment of the programs that at the same time bincrease the deficit. the bad magic trick, very bad. after entire campaigns worked promises to pick medicaid and medicare president trump proposes to cut deeply into both and after calling education the civil rights issue in our time in his first address to congress president trump proposes a 10% cut in education funding and ask your school boards .-dot america how they feel about that. alongside is delayed in for such a plan. president trump proposesru to ct transportation funding by nearly a fifth. a decrease so large that will result in a net cut in infrastructure funding even if you added the new president new infrastructure bill. on the heels of a massive corporate tax cut this budget is the very inverse of economic populism. he come

so we have medicare.e will go back in time and depend on this voucher that will not keep up with health care inflation and cost seniors more every year out of their pockets? i call it coupon care. and you will be told, good luck. i'm not even sure about the good luck part but that is the plan. nancy,ur last caller is a recipient of social security. good morning. caller: good morning. i wrote payroll checks. when people are working at minimum wage, the 30 centd might be going -- cents might be going to sociale, 25 cents security, and by the time they retire, like the one lady, your check is maybe $700 a month. i think what we need to do is raise minimum wage. bring back our unions and good jobs so our payroll payments are larger. i have no issue with that comment. if i could make one other well,t on the budget -- two. medicaid, some of the callers have talked about the high cost of nursing home care. without medicaid, those people would not able to be in a nursing home. as i said, 62% of it is covered by t

he held himself out as a savior of medicare during campaign. chastising fellow republicans for wanting to cut the program. he was saying he is going to preserve it but that is changing now. >> let's dig deeper into this. they're pointing the finger for not granting the clearances saying it is not up to the white house. >> that's just plain nonsense. the fbi does the back ground check for these people and the white house makes a decision. it is the president's decision who he wants working at the white house. obviously that's his power. he is the ultimate security clearance authority. the ultimate person who decides who gets to see classified information. so it is really up to the president. the president has decide that had rob porter and his staff decided that rob porter needed to stay in his job and even get promoted despite that there was information coming from the fbi, from that back ground check, that was being passed to female white house, that was raising questions the as to whether he would ever qualify for a security clearance. that's

medicare should be negotiating over the price of these drugs. there are proposals to cap out-of-pocket under medicare part d. we have to see what those look like because there is a way you can cap prices and it's like a balloon. you squish it here and it comes out there. if it's going to raise prices for people, if it's going to raise premiums for people that it may not be the best solution. the root cause of the problem is that we are not negotiating over the price of d used drugs with e drug company. >> david mitchell is with patients for affordable drugs. you've heard some of the stories from viewers. patients for affordable drugs has a map of the various patients that you work with a cross-country in their stories. i imagine you can click on these documents to hear the stories and see the stories, some of the patients that work with them. david mitchell is with us until about 940 this morning. taylor is in iowa. good morning. >> yes i just wanted tofo talk about the affordable drugs. i see a lot of people around here where they can't quite a

i wouldn't change their benefits in medicare. what we have done is try and show you in this budget that you can still have dramatic savings in mandatory spending. $1.7 trillion in the 10-year window and not touch those programs. i think we have at least given you some ideas of things that you can do short of that if you don't want to do that asle with. -- well. -- as well. mr. renacci: as someone who spent most of my career in the business creating jobs and looking for opportunities to expand my business, i believe that bill will help the economy grow. i know you projected 3% growth. i actually believe we'll be higher than 3% in the early years. as this tax bill starts to roll n i'm not an economist who can judge whether it will stay at 3%. can you discuss the impact of -- i know we have used 3%, but just going back to what i talked about in the 90's, we balanced our budget by having 5% and 6% growth, not cutting spending, and where do you see us in the near term and long term? director mulvaney: we continue to think the numbers

there are proposals to cap out of pocket medicare part d. we have to see what those look like, because there is a way you can cap the prices and it is like a balloon. you squish it here and it comes out there. if it is going to raise prices -- if it is going to raise amy adams direct -- dramatically, it may not be the best solution. that would be a help, that could be in the budget today. we will take a look and see. the problem isof we are not negotiating over the price of these drugs with the drug companies. host: david mitchell with patients for a board -- a four of drugs. you have heard some of the stories on this topic read patience for affordable drugs have a map of the various patients that you work with across the country and their stories. i imagine you can click on them individually to hear the story and see them from the patients that work with them. patientsforaffordabledrugs.org, if you want to check it out online. david mitchell with us until about 9:40. taylor is in iowa, good morning. caller: i want to talk about affordable d

the president opposes medicare reform so whatever paul ryan wants to do or not wants to do on medicareto happen while he's speaker. >> my question is how can republicans justify cutting or privatizing medicare, medicaid and social security? >> well, cutting is one thing. but they should modernize the program. these are programs that deserve to be modernized -- >> what do you mean by modernize? what do you mean by that? >> warren buffett is eligible for government subsidized medicare. why are billionaires and millionaires getting medicare that they don't need? let's focus the program on the lower-income populations that rely on medicare. so there are ways to reform the medicare program that make it more progressive and more means tested and therefore, more fiscally responsible. >> ali, does means testing help? >> that's not the problem. the issue is when you have medicare -- one of the things about medicare and medicaid that make it work is that it's as close as you can get to universal coverage. this is the same thing as talking about medicare recipients to get their stuff. the one thi

the underlying medicare programs. these include expanding access to in-home treatments for patients with medicare part-b and improve means testing for the premiums paid by high income earners under medicare parts b and d, all of which will help improve the overall fiscal outlook for medicare. furthermore, the bill repeals the independent payment advisory board that was created under the so-called affordable care act. this too is a step that is garnered bipartisan support, as it should, showing that many democrats join republicans in recognizing just how ill-advised the creation of this panel really was. the bill addresses a number of other health care priorities as well, including continued funding for various public health programs, some delays for burdensome medicaid reductions that have been on the horizon, and it provides relief to puerto rico's health care challenges faced after the hurricane devastation. by increasing medicaid funding. i'd also like to say, mr. president, in any big package there are a lot of po

to be medicare beneficiaries. services within that are explanation of medicare benefits, explanation of health care insurance terminology, a review of insurances available to consumers such as medigap pals and medicare pals, health with claims and procedures, as well as counseling around long-term care insurance. i want to note that the work that the counselors does is just above and beyond education. it's also helping people make educated decisions about their services. they will work people around what their decisions are and help them make the best decisions related to medicare benefits. we subcontract or funds to self-help for the elderly who administers hicap. they then serve the community through the use of 27 counselors, 21 of whom are volunteers. the counselors go through extensive training, originally 31 training hours and seven counseloring hours before they reach that status. then once they reach that status, they're asked to have 12 hours of continuing education right now. right now they have counselor

and repeals the medicare therapy cap. this will ensure that patients who need physical speech or occupational therapy services can receive them without losing their benefits if they hit an arbitrary cap. this is so important. i encourage my colleagues to support this bill and i yield back. the speaker pro tempore: the gentlelady from new york. mrs. lowey: i'm pleased to yield two minutes to the the gentlewoman from minnesota, the ranking member of the interior subcommittee, ms. mccollum. the speaker pro tempore: the gentlelady is recognized. ms. mccollum: i thank our ranking member for the time. i rise in opposition to this legislation a misguided bill that ignores the needs. the federal government fiscal 2017. arted october 1, 128 days ago. instead of using that time to get their work done, republicans have focused on partisan politics. when it comes to the spongesbilities of funding, republicans can't be bothered. we are asked today to vote for a bill that funds the pentagon for the rest of the year while funding our sc

there are proposals to cap out of pocket under medicare part d. we have to see what those look like because there is a way you can cap the prices and it is like a balloon, squish it here and it comes out there. and if it is going to raise prices for people -- sorry, if it is going to raise premiums for people dramatically, it may not be the best solution, put that would be a help. that could be in the budget today, we'll take a look and see. but again, the root cause of the problem is that we're not negotiating over the price of these drugs with the drug companies. host: david mitchell is with patients for affordable drugs, you've heard storys from viewers today on this topic. patience for affordable drugs have a map of the various patients that you work with across the country and their stories. i imagine you can click on the dots individually to hear and see the stories from the patients that work with them. patientsforaffordabledrugs.org, if you want to check it out online. david mitchell with us until 9:40 this morning. taylor in iowa, good mo

however, we did not complete the public health or medicare extenders. the continuing resolution we are debating today includes funding for other important health care programs such as community health centers, the national health service corps, the teacher medical education, all of which expired at the end of september. the continuing resolution provides a two-year extension of funding for federally qualified health centers. one in 13 individuals nationwide relies upon a community health center to receive necessary health care services. the community health care center fund plays an important role in supplementing the services that the federally qualified health services are able to deliver by providing care to all americans regardless of their income or their ability to pay. the legislation we are considering also includes a two-year extension of other important public health programs including funding for the national health service corps. the family to family information centers, the personal responsibility education program, the spetion diabetes pro

he talked about the cost of the proposed military purveyed and was asked about the cuts to medicare, medicaid, social security and rising deficits. the hearing will come to order. welcome to the committee on the president's fiscal year 2019 budget. today we will hear testimony from directo the director of the of management and budget, the honorable nick o mulvaney. during the hearing we'll hear directly from the director and we appreciate you being here with us today. your insight will be very helpful in our understanding. the president's budget marks the beginning of the federal budgeting process or budget season as we like to call it in the white house officially kicked off on monday. the budget request is important for both makers to consider along the way. each fiscal year the administration's budget documents and spending priorityg priorities. these recommendations to congress are important for the budget committees in both chambers to consider as work crafting the budget resolution begins in earnest. without question there are plenty of worthwhile ideas included in the presiden

so, we talked about medicare earlier, cuts in medicare and you basically, i think, claimed that it was unfair that we talk about cuts to medicare because we're not cutting patient care, we're just cutting-- >> no, sir, i was trying to discourage the $500 billion number and i didn't think that was accurate, but go ahead. >> whatever the number is if it's 200 billion reduced or whatever it is, i vividly remember in 2010 and while i wasn't following your campaign individually closely i know that republican candidates all offense the country were beating us to death with the fact that we were proposing to cut $750 billion out of medicare when, in fact, none of that came out of patient services, actually we expanded patient services and we were crying foul. so if we beat you over the head with it, your party this year, i hope you won't cry foul. >> i'll cry foul as you probably did in 2010 and no one-- the republicans won't believe you and the democrats won't believe me. >> probably right. so, you compare your current tax revenue estimates in this budget to last year's cbo baseline. given t

in particular it reduced and narrowed the size of the doughnut hole for seniors who use the medicare part d prescription drug program. as many may recall, in 2003, when the medicare prescription drug benefit was first created, it had a doughnut hole that basically said that seniors who signed up for medicare part d after $2,000 of benefits for prescription drugs covered under the law would then have o pay a full 100% deductible prescription drug costs reached $5,000. it was like buying a car, making a monthly payment, and then after 2000 miles having to and walk for the and walk for 3,000 miles until you hit the trigger for the doughnut hole coverage. k in for when we coverage. when we passed the affordable care act in 2010, we start add process of narrowing that doughnut hole, again, by 50% in year one, it was again up to 35% in 2017, and the bill that passed on friday night will actually do the final step to eliminate the doughnut hole entirely in 2019. then really impressive part of that provision is, it's not going to be -- that narrowing will not be paid for by the taxpayer. the

>> let's talk about medicare. we do not promote -- propose any changes to benefits or services to beneficiaries. we try to focus on lowering drug prices. the number i have heard a couple is that weday propose to cut medicare by half $1 trillion, the number is 236 billion and most of that is in drug reforms and other proposals. i don't know if you know this, , moneyr medicare money you pay in fica that goes into the medicare trust fund goes to pay for regiment medical school tuition. it goes to pay for debt for non-medicare patients at hospitals. >> are you eliminating that? >> we move it to another part of the budget, so we still pay them but not out of the trust fund. a lot of folks think that is a cut the medicare, it is actually improving the medicare trust fund. >> we are out of time. thank you. >> senator kennedy. director, i'm over here. >> you are on my right, i know that senator kennedy. >> the correct place to be. >> that's right. >> this is america, we're all entitled to our opinion, but i think you are

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but i believe that this must have come down from medicare. i wonder if you could tell me what the diabetes prevention program includes at the next meeting. i think that would include a visit to a dietitian. >> thank you, commissioner. we will make the appropriate notes and ask for the appropriate follow up on the items through the director and the team. working with the health plan partners. we are now down to 17. >> these are the team discussion. wait for the right item. i want to thank the commissioner, it is important to our membership, these are the things that actually that are brought before us. also, i would like to join the list of the board and president in thanking the staff that are incredible. incredible. but i want to say the reports and everything done is phenomenal. we always put out a remarkable amount of work fwith a small staff. that is something we have been fighting for, for recognition from the city for a long time. and they have not recognized that. maybe next year, for the new awards, i will look at some other city staf

if you want people in my income level to pay more into medicare because we should, count me in. but one thing you cannot count on me is to use the military as a punching bag and blame it on them that we're in debt, because we're not because of them. here's what general mattis said. we can always afford freedom. we can afford survival. if you don't believe the people we're fighting would kill us all if they could, then you've got a short memory. the only reason 3,000 died on 9/11 and not three million is because they couldn't get the weapons to kill more of us. if north korea keeps going the way it's going, god help us all. if the iranians go nuclear, god help us all, we live in dangerous times. if radical islam could get their hands on a chemical buy logical weapon they would use it. the best way to keep them from hurting us here is for them to stay over there. more muslims have died in this fight than anybody else. they've seen the face of the enemy, and i have certainly seen it. and the best way to keep it off our shores is to have a strong military creating lines of defenses

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and repeals the medicare therapy cap. this will ensure that patients who need physical speech or occupational therapy services can receive them without losing their benefits if they hit an arbitrary cap. this is so important. i encourage my colleagues to support this bill and i yield back. the speaker pro tempore: the gentlelady from new york. mrs. lowey: i'm pleased to yield two minutes to the the gentlewoman from minnesota, the ranking member of the interior subcommittee, ms. mccollum. the speaker pro tempore: the gentlelady is recognized. ms. mccollum: i thank our ranking member for the time. i rise in opposition to this legislation a misguided bill that ignores the needs. the federal government fiscal 2017. arted october 1, 128 days ago. instead of using that time to get their work done, republicans have focused on partisan politics. when it comes to the spongesbilities of funding, republicans can't be bothered. we are asked today to vote for a bill that funds the pentagon for the rest of the year while funding our sc

del programa de asistencia alimenticia que se conoce tambin como las estampillas de comida y de medicareud para personas mayores de edad (musica) que es el programa para per personas de mas edad de wa washington tenemos la i informacion . >> ella de millones de personas que tienen beneficios para cos e costear medicamento . >> seria paraara mi cosa de vid de muerte . >> hacer cambios a medicare para que los mas enfermos paguen me o menos pero los otros mucho mas . >> hablando -- ingles . >> lo que tratamos de hacer es bajar el costo de las medicinas para beneficiarios de medicare . >> se calcula que nun millon d personas que gastan 8 mil d dolares se pueden beneficiar p pero quien gasta menos puede g pagr mas por sus medicinas . >> bajo la promesa el gobernador cambiaierno cambiaria como distrubuye para f familias . >> se trata de sustituir bonos de comida, con cajas de comidas para esos beneficiarios pero no es bien recibido por criticos que dicen que es costoso y pe u perjudica a las familias pobres . >> ahay niÑos con necesidades n puede ser standar . >> pero la casa blanca dice que l

and medicare were not on the table. is not looking to cut from beneficiaries. there are some ways republicans provide, oroking to cap, or other kinds of reforms to medicare and social security. it is difficult to do. it would require a separate bill, something like a reconciliation bill. you can't just do this in the appropriations process. that's what republicans are concerned about. they can't actually tackle this growing share of mandatory spending through the already difficult appropriations process. host: glenn in alexander, virginia. -- clinton: thank you caller: thank you. i am curious about something i heard about nascar being mentioned in this bill. that nascar is mentioned in a bill on capitol hill having to do with the shutdown. it isalso ironic that located in kentucky, where rand paul and mcconnell are located. i would like your comments. maybe somebody can help me with what is going on in this bill that the average person will never know about. sarah: that would be something that would not be surprising. t

and tax expenditures on the medicare side and energy sector side. these were not able to get through as a standalone's. -- standalone. bill --est stand-alone this is the largest fiscal package since 2009. they did not vote on this under obama. but now we have the majority supporting it under president trump. greta: will the two sides come together? one caller said that they will wait until the last minute, march 22, 23. thisthey be able to pass omnibus bill? sarah: i think they will wait until the last minute. it takes a while to write these bills. they are in charge of 12 separate bills and have not been able to make much progress without knowing how much congress can actually spend this year. it is a very abnormal year. the house did pass its own bills on the floor. the numbers -- they have a 300 billion above the sequester era caps. now appropriators can say we have this much money. it is easier to add money then subtract money. they think it will be a faster process than it might otherwise have been. now they will need the full six week period t

short on detls, but in his 2019 budget request some specifics mainly involvinghe changes to way medicarend medicaid, the government insurance programs, pay for drugs. the plan seeks to encourage use of less expensive generic medicine including eliminating out of pocket expenses for generic drugs for medicare ar beneficiies. for doctors to use higher-priced drugs under medicare part b which covers medicine issued in the doctor's office. that's something trump seemed to endorse on the campaign trail but which his new health secretary hasn'tsupported. that would align azar, a former executt eli lilly more with republicans on the issue. healthcare investors fear negotiations impose priceco rols knocking stock prices of pharmaceutical companies. because that's notncluded in trump's plan and because many of these proposals would need to go through congress to take effect. analysts say it is unlikely to have a major impact o drug companies or on the rises prices on dhgs. unless b houses of congress take action, it will remain a campaign promise. >>> so will washington be able to do something ab

>> let's talk about medicare. we do not propose any changes to any benefits, any service to beneficiaries. we try to focus on lowering drug prices within medicare. we proposed to cut medicare by half a trillion dollars, that's just not right. most of it's tied up in drug reforms and proposals. your medicare money actually goes to pay for graduate medical school tuition. it goes to pay for bad debts from nonmedicare patients at hospitals. and we proposed to move that funding. we do actually move that onto another part of the budget so we actually pay those but we don't move them out of the trust fund. >> i got it. and we're out of time. thank you. >> thank you. senator kennedy. >> mr. director, i'm over here. >> you're on my right. i know that, senator kennedy. >> yes, sir. that's right the correct place to be. >> that's right. >> this is america. we all are entitled to our opinion. but i think you're doing a great job. >> thank you, sir. >> i know you to be a fiscal conservative. i think you share -- you share my,

the medicare stuff. the same old same old. it did not work. the share of the vote romney got 65 and older went up. the american public is willing to listen at this point on entitlement and spending reform. at a minimum, medicaid. block granting it to the states, letting them experiment will provide better services and save dollars. maggie: and you think it is a feasible policy for republicans to tackle this year? mr. phillips: i wish they would. do not see evidence of them doing it yet, but we urge them to do that. nd again, the ryan budget in 2011 and 2012, generally reformed medicaid and medicare, and went up with 65 plus voters. maggie: and you are waiting into immigration, as that conversation gets started. this is the first time the koch network has look at federal immigration policy. you are to forget from -- different from republicans who are hoping to severely curtail future immigration. can you talk about how you are wrote -- approaching that, specifically when it comes to the trumpet minister nation and the markers they are laying do

social security and medicare were not so much on the table for this. president trump said from the campaign that he is not looking to cut from beneficiaries. there there are ways that republicans are looking to do either provider cuts or other reforms to medicare and social security. it is difficult to do because these are mandatory programs and would require a separate bill and something like a reconciliation bill. because you cannot just do this in the regular appropriations process. that's one of the biggest things that republicans are worried about because they cannot actually tackle the growing share of mandatory spending through the already difficult appropriations process. greta: in alexandria, virginia, independent. caller: thank you for taking my phone call. i'm just curious about something i heard on another network this morning about nascar being mentioned in this bill. it is just kind of ludicrous that nascar, a multimillion dollar corporation opened owned by private corporation, is mentioned on capitol hill in a bill having to do with a sh

you have medicare. you have medicaid.o see if you're eligible or to enroll in a dual complete plan from unitedhealthcare. smile dad. i take medication for high blood pressure and cholesterol. but they might not be enough to protect my heart. adding bayer aspirin can further reduce the risk of another heart attack. because my second chance matters. be sure to talk to your doctor before you begin an aspirin regimen. athletes. reporters doggedly pursued' documents in 15 states and he has been sentenced to 175 years. uma thurman says harvey weinstein pushed her down a and he tried expose himself. she says she was like an animal willing away. it's a powerful column by maureen dowd. there is a report on a company that sells fake twitter followers. two thumbs down. you know what twitter needs to do? require that people can't join, can't sign unless they use their real names and photos. this edition of "mediabuzz," thanks. big power outage at the bureau and they managed to figure out how to keep the show going. let us know what y

. >> we are going to protect your social security and medicare. >> save your social security and your medicare. >> now, as for the press secretary, sarah sanders pointing to the fbi, while there are some staffers working without security clearances, the fbi says it is up to the white house. also, sarah sanders would not say whether donnell mcgahn knew about it last year. and she said don mcgauhcgahn's standing has not changed. they all appear to be safe in their jobs for now. >> key words, for now. let's see what happens. let's get more on the breaking news. joining us, our justice correspondent. walk us through the process. the fbi does the back ground checks for senior officials who want access. information. and then what did they do with that? >> they do the back ground check is that information. they present their findings. as to whose investigation, they are allowed to get a security clearance, it allows classified information. what sarah sanders says during the press briefing makes absolutely no sense. that's not the fbi's job to determine who gets security clearance. they could

and also to sign people up for medicare savings programs. it happens to cover the cost of medicare part a and part b premiums. we passed these dollars through to our high cap, self-help for the elderly. they're uniquely positioned with their expertise and infrastructure to administer this program. the social security administration estimates that the -- the extra help provided by the programs can be worth up to $4,000 a year in savings for participants. we have had this program for a couple of years now. last year self-help had over 166 folks they helped with one of these -- either the low-income subsidy or medical savings program applications. it's a small amount of money, but one that has a great impact. happen to answer any questions the commission has. >> thank you very much. any comments or questions, commission? any comments or questions from the public? hearing none. call the question. may i have a motion to approve? >> so moved. >> a second? >> second. >> all in favor? any opposed. thank you. motion carries. item b. requesting author