mr. glenn hackbarth, chairman of the medicare payment advisory commission. we have diane rowland chair medicare and chip payment access commission. we have dr. michael lu association of child health borough and health resources. and we have dr. naomi goldstein director of office of planning research and administration for children and family. your prepared testimony is made part of the record. you will have five minutes to summarize your testimony. and that will be placed in the record. at this point, i will recognize the first speaker. >> thank you very much ranking member and vice president. i appreciate the opportunity to talk about med packs recommendation on these issues. there is a long list of medicare provisions under discussion here as noted. it is diverse list so i will not try to summarize our views on those provisions. i will describe the criteria we used. we looked at them in two batches. first the 2012 request focusing on the medicare extenders. all of the provision increase spending above the current baseline. in evaluating the provisions, wha