mr. levin, you're recognized. amy who heads up our staff, sarah levin, no relation, and melanie egrin, and from our office, also, daniel. thank you. mr. tiberi: well, it's my pleasure to welcome mr. miller back to the health subcommittee to help us continue the discussion on our medicare program, payment system and extenders. it's time we took the next steps in strengthening our medicare program as the committee looks for ways to reform medicare. the commission's insights and analysis will be very valuable to our efforts. today is a great opportunity for us to hear advice from a nonpartisan congressional support agency in order to better understand policies that will improve the program and ensure that we're making good use of taxpayer dollars. this year's march report brings us new information and data that should help strengthen our discussion in this particular area. in his testimony, mr. miller will highlight numerous inefficiencies in the postacute care space. one statistic that i personally found quite stagge

introducing ourselves. >> i'd like to recognize our staff and mr. levin to do so on his side of the aisle. first on the republican side, staff director emily murray. joined by our profess nar staff of o lisa, nick, stephanie parks and alyssa and also down on the end, our legislative substantiaassistant, taylor trot and whitney and abbi fin. mr. levin, you're recognized. >> no rels and mel any and from our office. thank you. >> it is my pleasure to welcome you back. it's time we took next steps in strengthening our medicare program as the committee continues to look for ways to reform medicare, the commission's insights and analysis will be b very valuable to our efforts. today is a great opportunity for us to hear advice in order to better understand policies that will improve the program and ensure we are making good use of taxpayer dollars, this year's report brings us new information and data that should help strengthen our discussion in this area. mr. miller will highlight numerous inefficiencies in the post acute care space. one statistic that i pers

mr. levin: i think everybody wants their five minutes. chairman tiberi: speaking of five minutes. the gentleman from illinois is recognized for five minutes. mr. roskam: thank you. dr. miller, thank you. i'll pick up a little bit on the holistic theme of mr. levin. there is a general recognition that medicare is a program that everyone celebrates. to his point let me bring up a particular concern that's been brought to my attention based on feedback from an in-patient rehabilitation facility in my district. one of the leading ones in the midwest. the concern is that the march reports recommends an aggregate reduction in payments by 5% for that group. i'm talking specifically about those that are in the nonprofit sector. their margin is only 3.6%. this isis a parochially a crown jewel prohibition facility in my constituency. their margins right now under medicare are minus 20%. so the notion of putting more pressure on them is difficult to fathom. can you give me a perspective on that? is this a final word? is this dispositive? are you looking for feedback? what's the state of play?

mr. levine's lunged were crushed, his recovery pain staking, and he awaited this day. >> they put handcuffs that's appropriate. >> definitely. only took two years. >> ace prn cell is appropriate. >> reporter: he faces misdemeanor charges and one felony carrying a maximum of ten years in prison. his attorney calls the engineer this deadly derailment. >> such a hosh situation. that derailment resulted in deaths of eight people. >> coming up in next half hour, the new details in the sudden death of former fox news chief roger ailes. what happens to remaining lawsuits against him. >>> first, electronic screen syndrome. the growing problem among children and the radical idea of putting your kids on a digital detox next. my hygienist says it does. but... ...they're not all the same. turns out, they're really... ...different. who knew? i had no idea. so, she said look for... ...one that's shaped like a dental tool with a round... ...brush head. go pro with oral-b. oral-b's rounded brush head surrounds each tooth to... ...gently remove more plaque and... ...oral-b crossaction is clinically proven t

mr. levin. the speaker pro tempore: the gentleman from michigan is recognized for one minute. mr. levin: you know, it's just been said no one with a pre-existing condition will be denied treatment. that is a cruel falsehood. roughly 129 million americans today have a pre-existing condition. and here's what the a.m.a. says to refute what was just said. the history of high-risk pools demonstrates that americans with pre-existing conditions will be stuck in second class health coverage if they are able to obtain coverage at all. so now we have a proposal for $8 billion. that is a deceitful fraud. and i intend going back home to travel the state of michigan and elsewhere and tell the american people that those who have said that are simply not being truthful. they essentially are turning their backs on 129 million americans. we democrats will never turn our back on the people of the united states of america. when it comes to health care, it's a vital, vital need. i yield back. the speaker pro tempo

mr. levine told my dad your son's a critic bring the review to the house boat which was across the street and i showed up one day with my little scrapbook of clippings. i had favorably reviewed zulu and he literally with a cigar poked me and said you got good taste, kid. you can come work for me. i went into the service for a while, came out and called up and he gave me a job. suddenly i was working in the movie business, which was ridiculous. i couldn't believe that i could actually -- >> you had no dream to be a director. >> none whatsoever. >> rose: you were happy to be a publicist. >> yes, i loved it. then i met roger courtman and he was starting world pictures and he needed scrims. he said to me jonathan you write press releases why don't you write a motorcycle movie. i came up with my friend joe who is the greatest storyteller i ever met, we wrote a script and i showed it to roger. he said this is pretty good joe, you direct commercials. yes. i tell you what, joe, you direct and tom you can produce it. suddenly we're like 24 years old or something like that and we're off to californ

mr. levin. the speaker pro tempore: the gentleman from michigan is recognized for one minute. mr. levin: you know, it's just been said no one with a pre-existing condition will be denied treatment. that is a cruel falsehood. roughly 129 million americans today have a pre-existing condition. and here's what the a.m.a. says to refute what was just said. the history of high-risk pools demonstrates that americans with pre-existing conditions will be stuck in second class health coverage if they are able to obtain coverage at all. so now we have a proposal for $8 billion. that is a deceitful fraud. and i intend going back home to travel the state of michigan and elsewhere and tell the american people that those who have said that are simply not being truthful. they essentially are turning their backs on 129 million americans. we democrats will never turn our back on the people of the united states of america. when it comes to health care, it's a vital, vital need. i yield back. the speaker pro tempo

mr. levin's question about whether you think it's important for us if we do take a run at comprehensive reform we do is it in a fiscally responsible manner we look at expenditures we can close down to help pay for a simplification and lowering of the rates tend of the day. mr. peterson. >> thank you. first of all i'm looking now at the different tax plans in a way that as you work through them yourselves you willing find twiez ensure that we can pay for them, that they're in addition to be permanent and comprehensive, that they're also fair and find a way 10 to sure that we very pay forwards through them. >> mr. rat nor. >> yes, think i've made clear my view about the fact that we should not have a tax proposal or a tax bill that increases the deficit when it's -- when it's scored using conventional means pptd we can have a debate about that but i would not want to see that be part of the equation to come up with a tax man than does increase the deficit. >> there's great consensus in congress and throughout the nation tfgs long past due for us to take a run at the code because it's ant kuwaite

. >> all time has expired, mr. levin you're recognized. >> thank you. i don't want to focus on this mr. lindsey but as someone who worked here with the wto on light cases, i think there is a deep distinction between a vet and a border adjustment tax and i think we lost cases for the wto and we would likely lose this one with some very serious implications and i've worked on this, we lost the cases twice that had some similarities. we need tax reform but i think we need to step away from some of the methodologies. by the way, one is that the big benefit in terms of income growth will come from a further income tax break for the high income and i'd like to have introduced into the record a paper by owens zidar, stimulus effect of income tax cuts are largely driven by cuts for the bottom 90% and that the impeercal link between employment growth and tax changes for the top 10% is weak to negligentable over a business cycle frequency. >> without objection. >> now i want to talk about manufacturing. the chairman used a few examples and no one cares more i thin

david levine was on the 4 on 2 and said the court focused on the president's own words. >> going back to when mr. trump called for a ban on all muslims until we can figure out what the heck is going on here. all through there are statements like that over and over again. the order itself, the second executive order does point to reasons, but they are pretty hollow. >> the ninth circuit court is also expected to issue a ruling soon in a separate challenge filed in hawaii. >>> new at 6:00, state lawmakers pushing forward with a universal healthcare plan despite funding. they approved legislation today to create a single payer system. it would provide healthcare for every person living in california. that's almost 40 million people. but it would also cost about 400 billion a year, which is triple the amount in the state's general fund. the state senator who authored the legislation says it's a matter of redistributes state funds. >> we are already spending 365 billion already annually, so through the cost savings that we are going to incur through a single payer system, the ones actually contributi

david levine was on the floor and said the court focused on the president's own words. >> going back to when mr. trump called for a ban on all muslims until we could figure out whenever the heck is going on. all through there are statements like that over and over again. the order itself, the second executive order does point to reasons, but they are pretty hollow. >> the ninth circuit court is also expected to issue a ruling soon in a separate case filed in hawaii. >>> update to a missing person's case, san francisco police announced they found a car of a person of interest in the disappearance of chi. a full-time driver with uber last seen on the 14th. they want to question tang about his disappearance. his car was found at sfo, even before finding the car, they believed he had left the country. investigators say they found physical evidence in their searching connecting tang to the disappearance. they are in contact with the fbi about tracking him overseas. >>> rested in the penalty face of the torres trial. in an unexpected move the defense said it is mot going to call to the stand a key wi

mrs. pot >> all right. so adam devine by the way i've been saying devine all morning. adam levinewasn't as strong as been in his movies it seemed like the writing was a little bit lack luster there were times where the bits fell flat this went too long but did it have some very funny moments that image of whole place on fire is pretty funny. overall i thought the hosting job on his part was a bit under well ming. but one of the big talked about moments of the evening was emma watson this was moment that everyone has been talking about. i'm going to let her explain to you why this was very hist historical. watch this. >> the first award in history that doesn't separate nominees based on their sex. [ applause ] >> so something -- says something about how we -- about how we perceive the human experience. mtv's move to create less award for acting will mean something different to everyone. but to me, it indicates that acting is about the ability to put yourself in someone else's shoes, and that doesn't need to be separated into 22 different categories. >> i found this particular award