ms. kelly? >> good afternoon, supervisors, naomi kelly, city administrator. thank you forgiving me the opportunity to speak today. i have a bit of a presentation that will be coming up shortly. there we go. let's see. next slide. next one. [inaudible] >> i enjoyed working wit with -- if they can mute themselves, that would be great. it has really been a team effort working with supervisor yee, central shops, and our data team, to try to get these black boxes, and not just vehicles -- i know the budget and legislative analyst has over 7,000 vehicles, but it is not really 7,000 vehicles. a lot of that is also equipment that we have put the black boxes onto. we probably have a little over 4,000 vehicles. but we've established and managed a city-wide term contract to consolidate all city departments on the same telemanics system. and we partnered to install and maintain 4,198 telemanics devices and our equipment. we develop and issue monthly dashboard reports to the department. the dashboards are not just giving a canned dashboard to those departments. we sit dow

ms. kelly? >> good afternoon, supervisors, naomi kelly, city administrator. thank you forgiving me the opportunity to speak today. i have a bit of a presentation that will be coming up shortly. there we go. let's see. next slide. next one. [inaudible] >> i enjoyed working wit with -- if they can mute themselves, that would be great. it has really been a team effort working with supervisor yee, central shops, and our data team, to try to get these black boxes, and not just vehicles -- i know the budget and legislative analyst has over 7,000 vehicles, but it is not really 7,000 vehicles. a lot of that is also equipment that we have put the black boxes onto. we probably have a little over 4,000 vehicles. but we've established and managed a city-wide term contract to consolidate all city departments on the same telemanics system. and we partnered to install and maintain 4,198 telemanics devices and our equipment. we develop and issue monthly dashboard reports to the department. the dashboards are not just giving a canned dashboard to those departments. we sit dow

ms. kelly? >> good afternoon, supervisors, naomi kelly, city administrator. thank you forgiving me the opportunity to speak today. i have a bit of a presentation that will be coming up shortly. there we go. let's see. next slide. next one. [inaudible] >> i enjoyed working wit with -- if they can mute themselves, that would be great. it has really been a team effort working with supervisor yee, central shops, and our data team, to try to get these black boxes, and not just vehicles -- i know the budget and legislative analyst has over 7,000 vehicles, but it is not really 7,000 vehicles. a lot of that is also equipment that we have put the black boxes onto. we probably have a little over 4,000 vehicles. but we've established and managed a city-wide term contract to consolidate all city departments on the same telemanics system. and we partnered to install and maintain 4,198 telemanics devices and our equipment. we develop and issue monthly dashboard reports to the department. the dashboards are not just giving a canned dashboard to those departments. we sit dow

ms. kelly? >> good afternoon, supervisors, naomi kelly, city administrator.giving me the opportunity to speak today. i have a bit of a presentation that will be coming up shortly. there we go. let's see. next slide. next one. [inaudible] >> i enjoyed working wit with -- if they can mute themselves, that would be great. it has really been a team effort working with supervisor yee, central shops, and our data team, to try to get these black boxes, and not just vehicles -- i know the budget and legislative analyst has over 7,000 vehicles, but it is not really 7,000 vehicles. a lot of that is also equipment that we have put the black boxes onto. we probably have a little over 4,000 vehicles. but we've established and managed a city-wide term contract to consolidate all city departments on the same telemanics system. and we partnered to install and maintain 4,198 telemanics devices and our equipment. we develop and issue monthly dashboard reports to the department. the dashboards are not just giving a canned dashboard to those departments. we sit down and meet mon

ms. kelly, you are recognized for questions. >> thank you madam chair. i want to take a moment to address an argument we have heard a lot that pharmacy benefit managers are responsible for rising drug prices. unitverage net price per of the drug after subtracting rebates has increased every year. i would like to put on the screen a graph of the average net price for a vial of the drug from 2015-2018. this was created using data your company provided to the committee. you can see on the chart in 2015 the average price was around 30,000 dollars, and in 2018, 30 $3000, increasing by nearly $3000 in three years after factoring in rebates and costs. is it fair to say the price increase had a faster rate of any discount provided? don't believe that is true. increased discounting significantly to our customers well beyond the rate of increase shown there. >> in addition, your company provided to the committee revealed the rebate paid medicare is nonexistent in start contrast to the efforts to perpetuate this misleading narrative? between 2015 and 2018, what you

kelly. and now the chair recognizes ms. delbene. delbene: thank you, mr. chairman and thank you to all of our witnesses for joining us. during a global pandemic of such devastation it is vertical that we turn our attention to maximizing health care coverage throughout the country. pattison, like colorado, though washington health exchange has been quite successful. proposed rates for next year are expected, on average to .ncrease by 2.3% if everything goes as expected, this would be the second year in a row that rates have gone down. washington state took several steps to counteract and stabilize the aca in the marketplace. the best way forward is to expand the risk. the ministry should slash funding for marketing. left marketing, less people signed up for coverage and a smaller risk for with higher premiums. washington state chose to fund marketing & up assistance. mr. pattison commented did colorado take similar steps and were you successful? mr. patterson: weaver -- wework partners.ly with our ,e have a very diverse state eastern plains and a lot on the

kelly: [laughs] the chair now recognizes ms. delbene for five minutes. rep. delbene: i want to thank all our witnesses for joining us today. "the new york times" reporting sheds light on two different accesses in america, one where hard-working people pay what they owe, and another where the rich and powerful use the tax code to avoid paying their fair share to the country that allows them to prosper. i know since 2010 irs investment has been reduced by 20% in adjusted dollars, causing the 20 % decline in overall staffing and a 30% decline in enforcement staff. earlier this year, i led an appropriations request calling for $14.5 billion in funding for the irs including at least 5.5 , including at least $5.5 billion for the enforcement account and $5 million for systems modernization. professor lederman, you talked about this. to what extent has the decline in funding and staffing in the last 10 years impacted the fairness of the irs examination program? prof. lederman: the custom really hurt the irs, it's hurt the examination program, and it has declined more

ms. wasserman schultz you are recognized. >> robin kelly you are now recognized. >> thank you madam chair and the committee for bringing us together to discuss affordability and all witnesses willing to testify today the medication is critical to the patients they serve me at the cost can make them unaffordable putting doctor does your company have any programs or initiatives to help patients afford revlimid? and with the current covid-19 discussion why not? >> you are on mute we cannot hear. >> now can you hear me? >> thank you for your question. yes. first of all it is absolutely important and essential that anyen patient that needs one of our medicines has access we have a number of programs to help patients i will mention a few examples we provide free medicine mostly uninsured or underinsured patients. in one year bristol-myers squibb gives approximate $2 billion of free medicine for patients in the us we have 100,000 patients every year. for revlimid specifically in 2019, we provided in that case so jean approximately $500 million. we also have a co-pay assistance program support to

ms. fisher. >> thank you. >> hello, hannah. >> i'm sorry, i didn't mean to have my hand raised. >> no worries, thank you. >> sorry. >> kelly?>> yeah, can you tell me more about this item? >> this is the introduction and proposal and assignment to committee for the renewal petition for the city arts and tech high school, the first reading, and it's being referred to committee. renewal petition for a charter school. >> so what does the renewal permission charter -- what does that mean? >> so one of the things that has to happen is that in these meetings you have to read the background and then if you raise your hand, it's to speak to it, but it's not for us to explain the item to you. >> i'm sorry, i didn't read that ahead of time because i have been working with a 3-year-old all day. so i do have to say that i would like for you to reiterate, tell me what this means for me to vote on. >> so as i said, that's not how this works. you have to do the background and then if you have a comment, go ahead and speak to it. otherwise we're going to move to the next speaker. >> but what is this about, though? >> it's about a charter sc

ms. fisher. >> thank you. >> hello, hannah. >> i'm sorry, i didn't mean to have my hand raised. >> no worries, thank you. >> sorry. >> kelly? >> yeah, can you tell me more about this item? >> this is the introduction and proposal and assignment to committee for the renewal petition for the city arts and tech high school, the first reading, and it's being referred to committee. renewal petition for a charter school. >> so what does the renewal permission charter -- what does that mean? >> so one of the things that has to happen is that in these meetings you have to read the background and then if you raise your hand, it's to speak to it, but it's not for us to explain the item to you. >> i'm sorry, i didn't read that ahead of time because i have been working with a 3-year-old all day. so i do have to say that i would like for you to reiterate, tell me what this means for me to vote on. >> so as i said, that's not how this works. you have to do the background and then if you have a comment, go ahead and speak to it. otherwise we're going to move to the next speaker. >> but what is this about, though? >> it's about a charter s