how about a navigator? >> there is no requirement that individual navigators be subject to a drug test. >> how about guidelines? how much do navigators get paid? determined by each of the grantees. it's part of the budget they presented, and the budget proposals were subject to review by the office of grants management at cms to make sure that the amounts being paid were reasonable. >> does the program have quality assurance such as a so-called secret shopper? do you have some program like that? >> we will be doing ongoing monitoring and oversight of the navigator program. .t could include secret shopper >> as a panelist on the chamber of commerce board back home, talking about the role of obamacare -- we have a couple of state representatives with me. one said he has heard that the navigators in the streets will have voter registration cards. is that true? >> federal voter registration law requires a public program like medicaid, in the application, people be offered information about voter registration. b

>> yes. >> will navigate force be going -- navigators going door-to-door? >> we will issue instructions to navigators they should not be going door-to-door. >> they'll will be the ruling you will have two weeks left, not be doing that. >> that's right. >> they will remain in public places. >> they can not be enrolling anyone now. no one can be enrolling now. going door-to-door to solicit people with coverage they will be instructed not to do that it is timely because no one can be going door-to-door because no one can enroll anyone today. >> thank you. i recognize miss degette for five minutes. >> thank you, mr. chairman. briefly mr. cullen what is the purpose of navigator program? >> the purpose of the navigator program is educate people with respect to benefits under the affordable care act program to find out what they're eligible for and enrolling in coverage. >> can you move your mic a little closer? thanks. and who decides who these certified navigators are going to be? >> we had a grants process much like every grant's process -- >> but you had a pan

now what does an obamacare navigator do? so you're asking with what does an obamacare navigator do? stephen: yes, i am. >> they help uninsured residents sign up for the state's expanded insurance program. >> stephen: thank you,on. they help you learn about obamacare. that's why republican lawmakers are restricting and regulating health care navigators in 16 dates. in 16 states. they are withholding information from the public. and no one is working harder to keep their citizens in the dark than the sunshine state. jim? >> tension over how to implement the affordable care ago or o bam ra rar-- obamacare appears to be surfacing again in florida. this time it has to do with the so-called fav gators who are supposed to help people wade through the system to sign for health coverage. the florida department of health is saying that those navigators can't operate inside county health department offices. >> the state department of health put out a notice saying navigator its couldn't, quote, conduct activities on the grounds of the health department. >> stephen: yes, we need to keep the hea

adrian madriz works as a navigator at the epilepsy foundation of florida in miami a patient navigatordy who provides unbiased information about the plans in the marketplace. we cannot make any kinds of recommendations or way or another about the kind of plans that are offered therein. >> reporter: the $67 million program is funded and regulated by the federal government. government. navigators must pass 30 hours of navigators must pass 20 hours of training before guiding people through marketplaces or exchange that detail the different coverage options. >> there is a significant portion of the training devoted to making sure that patient navigators are aware of the sensitivity of the information they will be deal with. >> reporter: the medicare program has used similar counselors in all 50 states, but florida is among 14 states that have placed restrictions on navigators that include training and licensing requirements. >> it's like somebody does your income tax. you want them knowledgeable in what they're doing. >> reporter: state representative richard smith sponsored a law in georg

reporter: in florida there are eight navigator organizations.ian madriz works at a facility in miami. >> a patient navigator is somebody who provides unbiased information about the plans in marketplace. we cannot make any kinds of recommendations one way or the other about the kinds of plans that are offered therein. >> reporter: the $67 million program is funded and regulated by the federal government. navigators must past 20 hour of training before they can help guide people through websites called marketplaces or exchanges that detail the different coverage options. >> there's a significant portion of the training devoted to making sure that patient navigators are aware of the sensitivity of the information they'll be dealing with. >> reporter: the medicare program has used similar counselors in all 50 states, but florida is among 14 states that have replaced restrictions on navigators that require training and licensing requirements. >> you know, it's like somebody who does your income tax. you want them knowledgeable about what they're doin

not real navigators. will not be a describe that to navigators.and they know people are going door-to-door. people are coming by. next thing you know they're finding out whether they have prescription drugs. what they're doing in that particular county or what the sheriff fears they will go back and rob the house and more interested in getting drugs than tvs. trying to figure out which is of prime targets. that is of concern. i will tell you, i'm not sure this falls under your jurisdiction, we're having a real problem with doctor shortage in commonwealth of virginia. article about people in the eastern part of the state having a problem. i don't represent that particular part of virginia and i will tell you recently one of my hospitals closed. their number one reason was obamacare. and the aspects, cuts to medicare, the double, i call it the scissor where the states under the original plan were supposed to but didn't have to under the supreme court ruling, expand medicaid and then the final straw for this particular folks, besides the war on coal

the exchange program hires novis navigators. do you want them handling your private information on the internet. >> it is people in the house throwing a party. nthrow hundred teenagers trashed his house. he might get sued now. brian holloway gives a look in the damaged home. >> plus. five for fighting with a brand new hit. ♪ ♪ >> ladies and gentlemen, governor mike huckabee. (applause) >> thank you. thank you very much. great studio audience here and let me tell you welcome to huckabee from the fox news studios in new york city. this weekend marks our show having been on fox news for five years. that's right. (applause) >> we want to say thanks to you, all of you who have been loyal viewers. our show has been the most watched cable show in all of cable news. more weekends more people watch this show than all other cable news combined in our time slot. (applause) and as we get ready to start our sixth year, we thank you. even if the government shuts down, we don't plan to any time soon. (applause) and speaking of a government shu

they do have great navigators in that county. >> what is the number of community service -- and her navigators taking calls now or is it october 1? >> we are booking appointments now. in on tuesday.e 5400 orber is 888-614- you can e-mail us. >> we're going to take a break and come back to this discussion. we want to ask you about some of the people have come forward asking for help and how you're dealing with them. elisabeth benjamin, vice president of health initiatives at the community service society of new york, one of the thousands of navigators who have been trained all over the country doubt people navigate -- throughout the country to help people navigate the new health care system. ♪ [music break] >> this is democracy now!, democracynow.org, the war and peace report. i'm amy goodman with juan gonzalez. i want to turn to president obama. on wednesday you spoke with bill clinton at the clinton global initiative conference. >> essentially, we have created what we're calling marketplaces, in every state across the country where consumers are now pool.o be part of a big insurers have to es

they're called navigators. [ laughter ] many of the expert navigators received as little as 20 hoursf training. oh and they're going to have accession to your personal, medical and financial information, what could possibly go wrong? [ laughter ] well, let's ask betsy mccoy, author of "beating obama care." [ applause ] >> great to join you. >> always great to have you back. >> thank you. >> looks like you brought your copy of obama care with you. >> i did. right here, the affordable care act. >> you probably got strong arms from lifting that thing around. >> i sure have. and i especially want to talk about section 1311 under which americans will be exposed to the dangers of navigators. >> well, when you talk about the danger of navigators, i was facetiously saying what could wrong but a lot could go wrong because, first of all, how prepare reasonable doubt we to turn loose our information to the navigators. >> autopsy section 1311 of this law, hundreds of millions of dollars are being poured into community activist group, unions, community meth plan, civil rights groups all over the

now, what does an obamacare navigator do? >> so, you're asking what does an obamacare navigator do?> they help low-income, uninsured residents sign up for the state's expanded insurance program. >> right. a program designed to help americans better understand their options under the affordable care act. sounds quite reasonable. so naturally, florida's governor, rick scott, is against it. earlier this month, governor scott directed the florida department of health to ban these navigators from county health facilities, a place where you would find people who are most in need of information about the program. governor scott claims his concern is about the privacy of florida floridans, saying in a letter to house speaker john boehner and harry reid, floridans should not have to exchange their privacy for insurance. some are fighting back, defying the ban on navigators and health facilities. and i'm delighted to say we are joined by the mayor of one of those counties, kristen jacobs of broward county, florida. good afternoon, ma'am. >> good afternoon. a pleasure to be with you. >> pleasu

the role the navigators hope lay. -- the navigators will play. talkedorney general about making government work. they came out because they wanted to take advantage of the law. law trained to look at the and uphold the law. according to a memorandum , navigatoris morning grant recipients will enroll 1.1 million uninsured people in the exchanges. 7.3 million people through public education efforts about the benefits of the affordable care act. many of these organizations are experiencing the type of outreach necessary to get people enrolled in the exchanges. they have linked families in need with public and private benefits for which they are eligible. a number of people on the side of the aisle were against, but when it became the law, we did everything in our power to make sure our constituents were informed. the low income subsidy for the benefit. according to the memorandum, the privacy rejections and place in the navigator program. all grant recipients -- privacy projections -- protections in place in the navigator program. the grantees have

and navigators. the navigator is able to do medicaid, as well as enroll people on the qualified health care plans him explain subsidies and so on and so forth and select a specific plan. question, we were banging our heads against the wall, to. they are full-time employees. we will really boost up the education campaign. get will be a few years to people to understand what is going on. enrollmentafter open to hit the high schools, community colleges to do a very

because i feel like we have to do some navigation on tv, because they're actually sabotaging navigators affordable care act sets up these -- establishes these entities called navigators, the purpose of which is to help people enroll in insurance, explain to people the difference among insurance plans. about 12 states have passed laws that do two things. number one, they put a whole lot of roadblocks in front of navigators and make it very difficult for navigators to get licensed in the states. they make it expensive and burdensome. and even if they do get licensed, they restrict what navigators can do. the federal law says they must help people enroll and explain the differences. and some of these state laws say-and-a-hasay navigators can't do that. so there's a conflict between the state laws and federal laws and under the constitution, the federal law takes priority. >> and for me, as i'm reading about the navigators and reading about what the red states are doing in terms of the navigators, i think, oh, look, they perfected these strategies with those trap laws for abortion providers

so we will just require them to be a licensed navigator. basically, you take an insurance agent and a few erase the name and write navigator and -- [laughter] >> he said he is doing everything in his power to be an obstructionist. people and the example of the georgia republican legislature which invented a new requirement that obamacare navigators be licensed. is insurance department would just make up has require navigators to pass the insurance agents test, just to obstruct them from conducting outreach to uninsured people. the only justification for this new requirement is that it helps abstract implementation of obamacare. unfortunately, he is not alone. the only witness in the majority come to witnesses the majority chose to invite are like georgia commissioner doing everything in their power to be a obstructionist. florida state representative matt hudson, we thank you for being here, is no particular expert on state concerns about the ada implementation. mr. hudson isn't so busy grading concerns and barriers to implementation. recen

and for the brokers, navigators and the sisters.e beginning we were told the sisters because the sisters could direct to one plan and this comes down to the misinformation where the exchange is telling us one thing and the law says something else. so it wasn't until three weeks ago that our commissioner, insurance commissioner just said emphatically, you have to become a brokerage and have brokers on staff. that's why we had to do that. we didn't want to do that because that's weird for us sort of as a nonprofit. but to be legal that's what we have decided to do. then the training, the brokers went through the training. we don't have our application yet. we don't know what it looks like, how long it is. the brokers haven't had the opportunity to play around with it. so it's going to be interesting og october 1. >> it's like the car rolling through. >> national health care for the homeless counsel. you had mentioned specifically working with homeless populations and samantha in oregon, you mentioned working with transient populations

details navigational and operational plans are in place. as arrived and no one can ever know just what to expect from antarctica. always comes up with surprises. you have to keep your eyes open because there's always something going wrong if it actually goes well for too long i start to worry there's no way antarctica will let you go on like that without incident it's unpredictable. bags containing polar clothing a stored in the freezer when the ship left some petersburg four months ago the weather was rainy and damp most of the time if the banks were to get did they may rot in a warm hold to keep them in optimum condition the clothes are kept on ice until they need to get out of there your phrase the standard winter outfit consists of shoes. and a winch eater. this one is for winter. the other one is a mid season coat. and this one's for special occasions the coats are much better this time for a look they also have a vest. way to turn around but did they listen to what we said no they didn't one of the straps to be crossed otherwise they

how are we going to support them in navigating these families we come from and navigating our friends, our piers in that situation. >> that's important work y'all are doing. tell us about the collective, if you will, how did it start? my mama called me -- [ speaking spanish ] how did that come about? >> it really is an acknowledgement of that. she directed it to you as a young man. i'm surprised to hear that. we hear it as young women. [ speaking spanish ] mind you, this would be me three houses down the block. our work, students, graduates in the program, conducting research, presenting at conference, based on the philosophy that really, women can take that and do empowering and poweringful work with that. we became a research collective and we wrote poems, did arts-based work, revamped programming at the intervention center. once we all kind of went our separate ways, we discovered there was a gap in services that really in talking to other women that, you know, are probation officers, do social work are in the classrooms, there isn't that gender response and cultural approach that

navigate over the last 2 1/2 years we built the infrastructure of our city. where did we do that?'s see we worked together to create enlightenment for jobs and attracting businesses and making the san francisco the innovation capita of the world. we worked together to build homes by providing verifies with the conversation treating e creating a housing trust fund and a working with our zoning and planning department and rezoning aspects of our city and creating a fund for permanent housing and we can be insure we don't have poverty housing. we want all san franciscans that be living side to side. we're working together to support our young people through our summer job program by investing in 0 our skuldz and making historic investment in our budget for the san francisco unified school district. we've worked together to strengthen our neighborhoods through our innovates that's focused on 25 commercial districts throughout the city providing loans and phil vacancies and retaining the strength in the local business. we've worked hard to reenvision our waterfront with mixed seawall l

on the bridge of the captain the navigation officer and two helmsmen the crew changes underway. the crew watches reinforced you have to be twice as vigilant the closer you get to antarctica. for navigation purposes the region is still under explored and icebergs contrived for very long distances. you. these pictures are from nine hundred eighty seven they chronicle the maiden voyage of the academic field of the first diesel electric ice ship to sail to antarctica. first trip was good a really good one. remember we were in the captain's. having to say. yes i remember that clearly but we were having tea at the table was that. huge bang and fell off the table. spilled everywhere. it was a rock that wasn't shown on the chart. everything was fine in the end when the rocks position was mapped. it is. the one hundred eighty seven obstacle course. the ship literally went through a trial of fire and ice. it was about four pm during a tea break we had cabbage pies that day i still remember that and then it all happened. this missile. fire broke out in the engine room one of the pipes burs

how much funding for the navigators? and how are the navigators paid for?est: this was envisioned by the health-care law. this is a new system. people will need help. so when tomorrow comes and these exchanges open, yes, there will be a lot of online information that you can look at. that of people will find they can do it all online. there will be people who have never bought health insurance and they do not know what a co- pay is or what a deductible is the man they will need somebody to walk them through it. so there is a position called navigators. those are largely persons to explain some of the benefits and where you go for help. roledo not eliminate the of an insurance agent and explaining what policy is best for you. and navigator will not tell you what policy is the best. they may point you to the options available in your state. the money came from the affordable care act -- interestingly, in 16 states a set of their own exchange, like kentucky, california, new york, oregon, washington, they have for of millions of dollars outreach, including navi

. >> her navigator promised calmer seas just offshore. but instead, diana battled waves for almost eight hours. hopefully off course and ravaged by bites, they pulled her from the water. >> it was very rough. you can ask anybody. >> diana's dream was dashed and her heart was broken. >> i had never had summoned so much willpower. i've never wanted anything so badly. and i never tried so hard. >> the following year diana set the record for the longest unassisted ocean swim in history, going from the bahamas to florida. and then she quit swimming. >> the day i turned 30 was the day i swam up on the florida shore from the bahamas. and i thought to myself, i will never swim another stroke in my life. >> and for more than 30 years she didn't. summer 2009. as diana nears her 60th birthday, she realizes there's one dream that never left her. so she changes her mind and quietly returns to the pool. >> i just started going to a little country club pool swimming for 25, 30 minutes. and not fast. kind of feeling if the stroke was there. seeing if the

. >> okay, guys, that's it for today's navigation class.major storm pattern, so listen up for announcements. >> who's up for a game of deck ball? >> student: over here. >> student 2: rosie, over here. (gasping) >> rosie: nice catch, cameron. >> cameron, christian, nice of you to join us. the rest of your ninth grade class made it back from the navigation exercise an hour ago. >> what took you guys? captain was about to send out a search party. >> what happened is, i believed this clown when he told me he knew how to read a navigation chart. >> not again. remember that time you told us it was safe to eat the berries we found on that island and we ended up in the hospital quarters for two days? >> they were safe to eat. it's just they weren't ripe yet. >> that's the last time i listen to anything you tell me. ever. >> okay guys, chill. since you two are the last ones to finish, you've earned yourself kitchen duty. >> and there's a big pile of potatoes just waiting to be peeled. >> the rest of you come inside too. >> rosie, i believe there's a

host: mary tweets, are we paying for navigators via our taxes? how much navigators are paid?est: i don't know how much they are paid. i can tell you the department of health and human services distributed $67 million in grants to fund navigators. that is information might be able to obtain locally. wherever navigators are stationed. it is financed. it's part of the healthcare law. we talked about some higher taxes and fees and reduction in medicare spending. host: we've been talking about medicare and how the healthcare law impacts medicare this morning with mary agnes carey. one question that i had outside of the affordable care act, is this fix that we keep hearing about having to do with medicare payments for doctors. talk about the sustainable growth rate as it's called and efforts to reform that that are under way in congress. guest: the sustainable growth rate was created back in 1997. it's something called the balanced budget act. the thought it will be a more efficient way to pay physicians. for some years they got payment increases but they would have received paymen

they're actually shutting these people out, these navigators out.s been passed. the department says the navigator's program raises privacy concerns for consumers. that is hogwash. but this is something that rick scott, governor of florida, has also mentioned in his push back to the program. according to the united states census bureau, almost 4 million floridians lack health insurance. annette, good to have you with us tonight. this is a big battle in florida, isn't it? >> unfortunately, yes. and earlier you were saying elections have consequences. in florida, we have a big consequence with governor locate loco, rick scott. he has decided we cannot have health care at any cost. he doesn't care about us, the people who live here and who need this health insurance. by the way, of those 4 million you mentioned that do not have insurance, almost over a million are hispanics. so what is he thinking? he is truly, truly insane. >> what is the reaction of the people in florida on this? and what's the recourse to do something about it? >> well, first of all,

. >> her navigator promised calmer seas just offshore. but instead, diana battled waves for almost eight hours. hopefully off course and ravaged by bites, they pulled her from the water. >> it was very rough. you can ask anybody. >> diana's dream was dashed and her heart was broken. >> i had never had summoned so much willpower. i've never wanted anything so badly. and i never tried so hard. >> the following year diana set the record for the longest unassisted ocean swim in history, going from the bahamas to florida. and then she quit swimming. >> the day i turned 30 was the day i swam up on the florida shore from the bahamas. and i thought to myself, i will never swim another stroke in my life. >> and for more than 30 years she didn't. summer 2009. as diana nears her 60th birthday, she realizes there's one dream that never left her. so she changes her mind and quietly returns to the pool. >> i just started going to a little country club pool swimming for 25, 30 minutes. and not fast. kind of feeling if the stroke was there. seeing if the

navigating housing market the right way. after a red-hot year, home prices begin to cool. and 5 years after the market meltdown, mutual funds about to look better but there have a catch, we're watching out for you tonight on the willis repo report. >> we kickoff our user's guide to education with real world advice to solution of college crisis plaguing our nation's students, parents and grandparents, a trillion dollars in college debt across the country, average graduate starting their life with $25,000 in debt, you see this every day. for picking the right school to finding best aid package, we'll have answers this week. advice from expert on cutting cost, and we'll debate new alternatives. but first we tackle the question nobody asks and everyone should. is college really worth it? joining me now, richard vetter, professor of economics at ohio university, and richard professor at new york university, author of the book, academically a drift, limited learning on college campuses, i am going to start with -- i will call you both richard. that is you are both professor, and

starting to navigate what it is like to coparent and parent .eparately with a split family.you know, there is a lot to learn in terms of how to figure out how to best serve their needs, so every day i am learning, and i have not figured it all out. i still have a lot to learn, but they make it really funny. they are hysterical. might be personal, because i know you and your ex- husband, the father of the children, but you mentioned your grandmother, and this is not a perfect parallel, but the divorce rate was not as high back in the day. so what would your grandmother saying now about the challenge of parenting, as you put it, and coparenting, because you did not plan to do this, and life took a turn, and here you are. what would your grandmother say with you trying to do both of these? >> she was always very forthright about my parents in a very southern and amusing way. she would say, that is a fine dinner. tavis: that is a fine dinner. >> that sort of sums it up. the take-home might be more complicated, and for the child of the take him, maybe you just have to leave it at

we recently hired 107 navigators. that is one navigator to about 2000 people.lot of people, but when you look at that ratio, you shake your head a little bit. a wide varietyed of partnerships with formal partners and informal partners. our 17 partners, what we call formal partnerships, is where there is a lot -- a monetary exchange. we have given them money to hire their own navigators in their organization. we are working with hospitals and a wide variety of community- based organizations to hire their own navigator as sisters -- assistors. we plan to embed our own staff into other venues. we think libraries are a very important ways to go. in central maryland. we are working very closely with all the school systems in each county. instance, the baltimore city public school students, on their very first day of school, brought some information about the affordable care act and how their parents can enroll and sign up. we have lots of calls already from that outreach. working with community colleges as well. it is a great place to go in all three of the regions.

the bay area council a group of 250 businesses including google and facebook and he's helping them navigate the changes ahead. first the facts. the health care law hits a major landmark in the coming months. open enrollment to buy insurance through exchanges or marketplaces, starts in october. then, in january, insurance companies will no longer be able to drop people or deny coverage for preexisting conditions, gender, annual limits or because they're in clinical trials. also in january, americans must have insurance, or face fines. >>> the following year in 2015 the focus turns to large companies. they'll face fines of $2,000 per employee if they don't offer insurance. >>> so michael weinberg, take us through this. people must have insurance next year. but businesses don't kick in until the year after. square those two. >> well, the individual mandate is a fundamental tenet of the law. people have to have health insurance if you're going to tell health insurers that they have to provide it. the employer mandate just acts as a fee to raise money for the law rather than as a fundamental str

level, federal, state, and local, are always difficult for small businesses to understand how to navigate the process of getting certified to do business, finding the right sources to be able to talk to and understand how to navigate getting into the contract thing rolls with public sectors, so we try to help small businesses understand that, and we partner with a lot of organizations -- the city, the state of california, and now federal agencies, to be able to take advantage of a huge buying opportunity for small businesses, but one that they find very intimidating. sometimes it takes too long. it is too complicated. for real red tape of process is something less certainly exists with small businesses try to get into public contracts the work. those are two roles we play, separate from the access to credit roll. on the financing side, sba plays a role across a wide spectrum in terms of who we partner with and what kinds of loans sba is able to guarantee. we are not a direct lender or guarantee lender. we have a couple of program he says, just to give you a sense, and i will let eric talk

system, so the navigation's talking to us. not too bad at all. >> reporter: after this weekend, all roads head east. the detours last until the new bridge opens. the chp says if you're unsure where you're going, follow the detour and then pull over to a safe place and call 511 for traffic information. reporting live in san francisco, noel walker, ktvu, channel 2 news. >>> a live look at i-80 in em bringville. the highway -- embryville. heavy traffic as people head to the oakland a's game. aye-80 has been a daily choke point. you can see right now heavy at this hour. >>> bart had its fourth highest ridership ever yesterday due to the bridge closure. the system recorded more than 750,000 trips yesterday. that was down a little bit from thursday. thursday was the third highest ridership in bart history, just behind the giant's world series victory parades in 2012 and 2010. extra ferris have been running this weekend. 3700 people taking the ferry by 2:00 this afternoon those numbers are comparable to what they see on a busy weeken

and to some navigators out with a minimum -- to send navigators out with minimum training, that is an invitation to fraud. i have been working on fraud against the elderly since 1979. hudder att s the thought of untrained people outpervised by hhs, going with no real monitoring or accountability system saying, i am here from the federal government. let's talk about some of the most intimate choices you need to do and you need to apply for this. and what is your sosa security number? the is the thing that inspector general should be screaming bloody murder about, because if that is not an invitation to widespread fraud against our most vulnerable people in this country, i do not know what is. >> are you aware of whether or not there is with in this the requirement that there be background checks for any individual who was going to service a navigator? >> my understanding is that many of these people are being hired without background checked. >> so somebody could be convicted of identity theft and a navigator?e is that accurate? >> the navigator is not a medicaid function. so we are no