yees to its medicaid program as a result of this expansion. it's a challenge and time just trying to navigate all these changes. again, it's just so important, mr. speaker, we are having the opportunity tonight on behalf of our leadership to tell our colleagues on both sides of the aisle, congresswoman buerkle said it's not a republican or democrat issue but a people issue and a community issue and it's devastating and sad news we are bringing to our colleagues but we need to do that and the american people need to understand what's coming. the worst has not yet hit. and i yield back. ms. buerkle: i have spent most of my professional career in the health care industry. i have represented a hospital for a number of years so i know up close and personal how these issues have affected and will affect our hospitals and providers. and despite the best intentions of this health care law, whether we disagreed with it or agreed witness, despite the best intentions of this health care law are the unintended consequences and our health care providers will not be able to proceed or perform the services that our communities need and expect and come to expe