mr. mcdermott is recognized. >> thank you, mr. chairman. thank you, mr. hak bart, for coming here and talking to us. you talked briefly about something i want to expand on. primary care, in about two weeks, the supreme court is dods going to decide whether we have a national plan or the affordable care act. one of the needs is going to be for primary care physicians. everybody knows that we need half the doctors to be in primary care, but we only have about a third. why is that? because of compensation. and you had asked the ruk, the relative value update committee, to do a comprehensive review of the enm coats. they talked you out of that. and came back with a new set of codes for care transition than for chronic care management. i'd like to hear your understanding because clearly the ruk is where the prices are decided. 87% of their recommendations are accepted by med-pac, and it's dominated by specialists. there's never -- the primary care people don't have a chance in that committee. so i'd like to hear you talk about how we're ever going to get it ba

mr. mcdermott: mr. speaker, earlier this month i introduced the ensuring childcare for working families act to help low-income workers stay in the work force. my bill creates a guarantee of federal childcare assistance for children up to the age of 13 in families with incomes up to 200% of the federal poverty level. this program would be matched with state funds and administered by the state. low-income families and single parents have been bearing the brunt of this recession. they want to work and often can't afford reliable and appropriate childcare so they are forced to either leave their jobs or to leave their kids in unhealthy or dangerous environments. for many poor people, there simply are no better options. in the 1990's, federal assistance for childcare programs was established to address this very problem. it was created to help low-income families transition from welfare to paychecks. over the years funding for this program has dwindled despite growing demand. the temporary assistance for nee

mr. mcdermott from seattle, washington. the speaker pro tempore: the gentleman from washington is recognized for three minutes. without objection. mr. mcdermott: mr. speaker, i never cease to be amazed. i think i have seen the silliest thing in the world and then i come out here and they've done it again. sometime in the next 23 days the supreme court is going to make a ruling on whether the accountable care act is constitutional. if they throw it out, as the republican party of prayer is hoping, this tax will have never existed. it will be gone because it's never been implemented. it's not affecting anybody. this is a p.r. stunt for the election. the republicans are helping the device industry back out of a deal they made during health care reform. in may, 2009, the president of advomed, which is the organization of the device manufacturers, signed a letter to president obama stating, we are ready to work with you to do health reform. the industry later agreed, agreed -- let me underline that -- agreed to the excise tax kn

mr. mcdermott you are recognized. >> good morning. distinguished members of the subcommittee come with a q for the opportunity to discuss the assessment from the military said william blair and regime in iraq. we are charged with security system functions to maintain alone term strategic partnership with the governments of iraq. recognizing the importance this that the security systems program, we started this series of oprah's five difference. is in 2010 return meant osci planning the operators planning within the u.s. forces. also identified shortcomings and recommend central command issued details and assess procedures and with the planning guides for us to or the various. and 2011 they assess the establishment and provide the averts with effective operations with the 2011 in iraq they were on track to identify shortfalls but we determined those were to the iraq specific plans also looking at the capability and reserved to indications and with the interior with the assistance programs. with the flow of information is senior iraqi o