mr. wagner for your report. i think just from my perspective, i want to thank you for coming before us today. it is obviously disappointing i think to everyone that we're here, and voting on what we're voting on. and i think the message from my perspective at least, and i think from this committee, i think we're all focused on what we're going to be doing next year structurally. i think the time is now for no more band-aids and figuring this out for the long haul. i look forward to that dialogue. i know it will be intense and i look forward to working on that. thank you. >> chair farrell: if there are to further questions for mr. wagner we'll go to our budget report. mr. rose. >> harvey rose: the bottom line of this request is $46.1 million. and this request, if you look at page 6 of our report, in table 3, it's paying for miscellaneous salaries, permanent salaries, temporary salaries, premium pay, holiday pay, and -- so it's a 46 million request while it is true that the bulk of the revenues are not coming from

mr. clerk. we have greg wagner from the chief financial officer from public health to present. >> thank you very much, mr. chair. gregg wagner cfo department of public health. we are here today to request a supplemental appropriation based on our current year deficit for the department of public health. as you all know, we were here last week, and discussed in some depth the history behind our financial challenges, and some of the issues that we have been working with. so i won't revisit all of that. but i'm happy to discuss it further, if you would like. so we'll go through very briefly where we are on overview of the request to end the budget and legislative analyst recommendation. just as context, we have, in the department of public health, a 1.67 billion dollar annual operating budget. of that budget, about $1.2 billion is revenue brought in by the department through patient revenues, grants, other funding sources, and the remainder is general fund. our current year general fund deficit is $31.2 million. this is an updated projection, as also discussed last week, compared to the controller'

mr. wagner and invite barb garcia >> first thank you for hearing the hearing today, we're going to be challenged this year but also internal and external deficits. so after the first 6 years the department faced large deficits that included both on costs of doing business for the department. for the majority of those proomz we were able to cover some costs and the board of supervisors have continued to be incredible supporters. but we still carry a deficit that was driven by labor costs. during this time we faced reductions and eliminations of programs. so to provide you with a few details for it does cost the department the one 20 and $30 million just to stay the same and those costs are due to pharmacy and medical supplies. those historical deficits prancing from 15 million has been consistently accounts for federal cuts. as we enter into health care reform and this has already started and we began that with seniors and people with disabilities. we will be paid for outcomes and performs and no longer for the number of invests. all of those are coming to a head this year and we're completing th

mr. wagner, what do you think prompted theodore vail to give up the fight, so to speak, and decide to goh the federal government? at&t got the government off its back. and with the kingsbury commitment, we were able to go ahead and set up the long distance network. and we were assured that the government was not going to come in and take away from us that long distance network. schoumacher: henry geller, former general counsel of the federal communications commission, was one of the government's key telephone policymakers. well, i can understand what was in it for the phone companies, buy why did the government buy this arrangement? the government bought it because what he promised them was universal service. he as going to -- at reasonable rates -- he was going to -- as a monopoly he could expand, give this integrated end-to-end service. it was good service. remember, it's not a cliche -- the u.s. had the best telephone service, and still has the best telephone service, in the world. when you consider back then with the mkrers and l of therustting that was going on, this almost seemed t

mr. wagner, for the great presentation. i wanted to ask you about the good news in the last slide. could you explain a little more the 19 million that may come into our general fund through the igt program for seniors and people with disabilities transitioning. >> sure. so under the medi-cal waiver, the state's medicaid waiver, there was a provision to transfer seniors and persons with disabilities from fee-for-service into managed care. so basically instead of getting paid a certain amount when somebody comes into our hospital for a day, we get paid a flat month -- flat amount per person per month. so we -- the reimbursement structure has changed. as we've implemented that change, and as we've done analysis, and this is for san francisco, but also statewide, of the impacts of that change, it turns out that the reimbursement under the new managed care model is less than counties had been receiving for the -- under the fee for service payment model. so the counties and the public hospitals have collectively been working with the state and federal government to see if there's a way t

wag wag it puts the job back in the people's -- mrs. wagner: it puts the job back in the people's house. this isn't governance by fiat. we were sent here to pass the commonsense legislation and to get the government off the backs and out of the way of hardworking americans across this country. and truthfully, the overregulation, the overburden on business and industry is passed along to everyone across america. every worker, every family is paying the cost of this overregulatory burden. and whether it's the debt and deficit, whether it's tax reform, whether it's flexibility for families, you know, whether it's living within our means, i'm finished with mortgaging our children's future and i agree with the gentlewoman from washington, i'm tired of mortgaging today. it's not just about the future, it's about mortgaging what's happening right now. mr. young: i'm hearing from people who want more independence. this isn't a top-down government approach, this is a bottom-up people approach. mr. gardner: what we can do with technology to make sure th

mr. troy wagner has a quite lengthy disciplinary history. >> wagner says his latest outburst was prompted by his desire to be moved to another housing unit. he says other inmates were harassing him because he is a sex offender. >> the best thing is to keep it to yourself and not tell somebody what you're in prison for, because you tell people what you're in prison for, then they go around telling other inmates and other inmates will run after you, they want to fight you. >> like wagner, jeffrey flanders, serving a life sentence for murder, has also felt vulnerable around other inmates, but for a completely different reason. he stands just 4'6" tall. >> prison is a place where they tend to prey on the weak. i carry myself in a way that a person would know, if they came anywhere in my space and was trying to take something from me or cause me any type of physical harm, that they'll be dealt with. >> nobody ain't going to come take nothing from me. even if they won the battle, it won't be a battle they just win this day, it will be an ongoing battle. >> flanders' small stature is the result

mrs. wagner: i thank the gentleman from from kentucky and hosting this special order. i rise to discuss the importance of coal in missouri. there is no denying that coal for layed a vital energy families and businesses across this country. in missouri, coal-fired electricity is responsible for 81% of the state's electric supply and largely contribute to missouri's low electricity rate of seven cents per kilowatt haurh hour in 2011 compared to 10 cents per kilowatt. missouri was sixth in the country for coal consumption with 46 million tons of coal used for electricity in 2011, over which the plant in the second congressional plant consumed 3.5 million tons. the largest electric utility provides electric service to approximately 1.2 million customers across central and eastern missouri including the greater st. louis area. in addition to the consumption of coal, the greater st. louis area is also a critical player in the procurement of coal for our nation's energy needs, with companies like arch coal, peabody coal head quartered in st. louis and drawing employees to mis

mrs. wagner: these delays are all unnecessary. there are 2.7 billion -- $2.7 billion in nonpersonnel operational costs that the house transportation committee has identified and which could be examined before furloughs that ultimately hurt the american people. the f.a.a. and this administration have decided to inconvenience the american traveler instead of using its flexibility within the agency to enact these cuts in a responsible manner. when air traffic controllers are being furloughed, yet workers helping implement obamacare have been unaffected, it becomes clear on where this administration's priorities are. i am very concerned with democrats using this latest example of a manufactured crisis to cut workers, not waste. i yield back, mr. speaker. the speaker pro tempore: for what purpose does the gentleman from california seek recognition? without objection, the gentleman is recognized for one inute. people, we live in a representative republic, and so the people expect us at our different levels of government to go to washing

mr. speaker, we'll take up h.r. 1549, the helping sick americans now act. this bill authored by representatives joe pitts, michael burgess, and ann wagner, will help americans with pre-existing conditions obtain insurance coverage without delay. we'll also consider h.r. 527, the responsible helium administration and stewardship act, a bipartisan bill sponsored by chairman hastings. this legislation applies free market principles to future sales from the federal helium reserve and will protect thousands of american jobs. i thank the gentleman. i yield back. mr. hoyer: i thank the majority leader for the information for next week. i would observe that he and i co-chaired, honorary co-chairs, john lewis the chair, our leader, along with terry sewell and spencer bachus and congresswoman roby, delegation, to march across the ed mupped pet tiss bridge to recognize -- edmund pettus bridge to recognize the voting rights act and the acts that led up to that. the goad medal bill, the majority leader is bringing ngresswoman sewell, y recognizing those four little girls who at the birmingham church lost their lives to what was frightfully referred to i think as a terro