once again, this is a deceptive practice. this is false and misleading information. this is not protected speech. for years, the lawyers committee has documented this type of rise in deceptive tactics throughout our leadership in election protection nonpartisan coalition. this is the largest type of protection and voter education effort. in fact, it was out of these efforts that we realized there was a need for such legislation such as this deceptive practices bill. through our 866 hotline which is also something, a way in which we receive calls and information about reports throughout this country, we have already received calls from over half a million people complaining about problems in their elections. this includes deceptive tactics like we mentioned here today. my colleague, jenny flanagan, will speak further to the instances that we encountered in the wisconsin recall election. recently, we have also -- are going to be releasing a report, a 2012 report on deceptive practices again with cause. in this report we provide recommendations of how to move forward. i

and applying it to practice. what's your top thing on your addictions list? uh, to keep with the meetings and not slip from them. for a practice to be evidence-based, it would include various models of care that have been tested through research to show positive outcomes. research also offers statistics, and it gives you insight on the demographics of, kind of like the breakdown of how you need to help certain cultures, certain age groups, certain socioeconomic statuses, and i think that's where the research is very effective. when a person comes in for substance abuse treatment, if there is an underlying mental health issue that

and applying it to practice. what's your top thing on your addictions list? uh, to keep with the meetings and not slip from them. for a practice to be evidence-based, it would include various models of care that have been tested through research to show positive outcomes. research also offers statistics, and it gives you insight on the demographics of, kind of like the breakdown of how you need to help certain cultures, certain age groups, certain socioeconomic statuses, and i think that's where the research is very effective. when a person comes in for substance abuse treatment, if there is an underlying mental health issue that it be treated simultaneously. i mean, i have social workers and psychiatrists right across the hall from me. i can't just be comfortable with one approach. substance abuse and mental health, to me, they're best friends, and i always state that in my therapy. you can't really address one without addressing the other. how else will you be able to treat people unless you know what's out the

and engage physicians on factors like practice resources, geography and patient panels. beginning in florida we introduced payment models and then we moved to combined arraignments shared risk for part a and full risk for part b and d. and ultimately we introduced fee for service programs in 2010 and areas where the primary model was fee for service. our rewards program was four variations for different structures. there are opportunities to increase payments on a graduated basis. payment begins with fee for service with & wall notice and care coordination fees plus a bonus and shared savings and we provide retail data and quality information to physicians and in some cases such as rural areas, where primary care access is limited, we have added nurse practitioners to assist practices. we engaged detectively with the leading primary care societies and we again -- during the first nine months of 2011, our rewards program resulted in improved health outcomes including an over 50% increase in the number of participating physician practices meeting and exceeding patient care

the advantage of evidence-based practices or the promise of evidence-based practices is that we'll be able to produce acceptable outcomes at reasonable cost. and what we have to do is promote those strategies to service delivery systems, whether it's the integrated system or whether it's the specialty delivery system or it's the primary care system. so that's the conundrum of the research community and the services communities, to making sure that whatever we promulgate is cost effective. tom, in your view, what would the ideal scenario be in terms of what the aca brings forward and the special between the system, the healthcare system and the specialty care? should they all be available? yes, as far as i'm concerned, the stage is set for a true revolution in the way behavioral disorders, behavioral healthcare problems are addressed. i don't think there's anything in my lifetime that's got more promise than the combination of parity and aca. imagine if we had purchased coverage for diabetes the way we've purchased coverage for addiction. the only people who would get diabetes care in

restorative practices should be one of our main priorities. our goals with the conversations were to inform families about these strategies and engaged them, learning more and understanding banharn to hear people's questions and concerns, and really importantly, to identify ways to strengthen the implementation of practices and the district. wheeler - -w- we worked closely with them because we needed to know what the implementation plan was and how it was going. several members and myself attended training, and to members are now part of the training course that the district is leading, and we hope to train more in the next school year as well. they developed a discussion guide and handouts to use in conversations. this is really fun, i love this list. chinese, spanish, arabic, someone, and vietnamese to be available for conversations. we presented information about why the district has embraced these practices to start with and what the approach is to implementing them and working on some of the basic strategies. we used some basic restorativ

it's consistent with sound education, philosophies and practices. it's implemented throughout much of the education community. our experience tells us that while some of the proposed requirements may be helpful to the achievement of the president's goals, they could result in the establishment of measures and systems that duplicate other approaches and services that meet objectives. although in varying degrees. it could lead to increase risk for institutions without proportional value being added to help veterans reach their career goals. for example, principles related to the availability of other financial assistance regarding debt. similarly, the information about resources refer in section 2 subparagraph a is available through various systems managed by the federal government and reputable private sector organizations. we suggest they receive additional study and analysis before mandating their presentation or publication in distinct format. section 3696 provides excellent frame work to work for gi purposes. we suggest the subcommittee hold a wo

many states do not have statutes to address practices. the prevention and redress should be addressed uniformly. as i told you about the colorado clerk mediate action and the wake of deceptive action must take place as soon as reports come in. it establishes the framework to do just that. after the election it is simply too late. once enacted, this bill will be stronger than existing state laws and the components requires the strong penalties and the corrective action and the true assessment of the problems that voters face with each and every election. with this action we can ensure that voters can enjoy the free exercise of elections. it often goes unaddressed and there for it is time to do something about it now. so that our elections can be of, by and for the people. i appreciate the opportunity to testify today and i look forward to the questions you may have. >> i appreciate you being here. and i'm going to direct this to mrs. house, the as i read the legislati legislation, i remember my parents when i was a child tell me to protect

and procedures that discourage such practices. section 3696 of title 38 provides an excellent framework from which to work for gi bill purposes. we suggest that the subcommittee consider holding a worksession to address these issues. we do not support the concept advocated in section 2, subparagraph d. it appears to limit the use of the gi bill's and discriminate against enrollment in some very good nonaccredited programs of education, some of which are offered by quasi governmental and not for profit entities. section 3676 of title 38 provides the basic framework for state governments through their state approving agencies to ensure the quality and integrity of nonaccredited programs. we encourage the subcommittee to conduct a careful review of existing consumer safeguards and student information initiatives. additionally, we offer the following recommendations. number one, convene a working group of stakeholders whose purpose would be to research problems associated with the successful administration of gi bills and make recomme

that sounds like an abusive practice to me. another article she wrote for "the new york times" on september 21, 2011, titled "for-profit colleges -- vulnerable gi's" she noted the financial reality of what we're talking about between 2006 and 2010 the money received in military education benefits by just 20 for profit companies soared to an estimated $521 million from $66 million. and we all know that the for-profits are getting a lion's share of the gi benefit and military assistance benefits based upon the proportion of students they enroll. the des moines register recently did an editorial called for profit colleges need close scrutiny from congress. they cite the gao study. posing as prospective college students applying for admission to 15 for-profit schools. they were misled about financial costs, aid, graduation rates while being hounded to enroll. one was called 180 times in a single month. a recruiter said a massage therapy certification for $14,000 was a good value even though the same certificate could have been earn

in our practices, typically, they get a smaller percentage of those profits from that practice. >> with aspen, you'll share financial rewards and benefits... >> o'brien: this video that aspen uses to recruit dentists tells a another story. >> compensation for associate dentists includes an annual salary plus bonus opportunity that increases as key target leve >> o'brien: lili reitz, executive director of the ohio dental board, which regulates dentists, worries about bonus opportunities at corporate dental chains. >> in some of these kinds of practices, there are quotas and goals that the dentists are expected to meet that work there. and when you're offering bonuses for services, there's going to... there's incentive for that person to want to do more of that, obviously, to set themselves up better financially. but that jeopardizes the standard of care. that puts the standard of care at risk. >> o'brien: but ms. reitz, who prides herself on being a no-nonsense regulator, is virtually powerless to do anything about it, because she doesn't have the authority to discipline corporations. >>

>>> practice contracts. negotiate information technology for contracts. in just a word about family, i have long believed that part of a major issue that we have in our communities if you noticed just the crime for example that one of the real strengths of controlling happens in our neighborhood starts with in the home. i grew up in kansas city kansas i had to answer to any adult who had that happened to be home during the day knowing they would watch out for when i was doing for was acting correctly. and reported to grandparents and if i was really at of bounds to discipline me on the spot in that neighborhood responsibility is something that seems to have broken down and we just don't have it. >>> let's come back to that because family is key to not only the mormons and the latter- day saints but for an entire community so please join us in the next segment. at >>> welcome back. we left off talking about family with ron and i was the connected to humanitarian service. >>> and i think that when you start ta

this is deceptive practices that have no place in our election system. we know elections are tough, rough businesses, but there needs to be limits and it's important for congress to point out. i want to bring to your attention deceptive practice that have happened since 2008. since the last hearing. in 2008, ohio residents reported receiving misleading automated calls giving voters incorrect information about their location of their polling place. in the same year, flyers were distributed predominantly in african-american neighborhoods in philadelphia falsely warning that people with outstanding warrants or unpaid parking tickets could be arrested if they showed up at polls on election day. in the same year, messages were sent to users of social media website facebook falsely stating the election had been postponed a day. students at some universities including florida state university received text messages, also saying the election had been postponed for the day. in the same year, a local registrant of elections in montgomery county, virginia issued tw

practices and costs paid for limbs. we identified opportunities for vha to improve payment controls to avoid overpaying for prosthetic limbs and improve contract negotiations to obtain the best value for prosthetic limbs purchased from contract vendors. overpayments for prosthetic limbs were a systemic issue at all 21 veteran-integrated service networks. we identified overpayments in 23% of the transactions paid in fy 2010. we found vha overpaid contract vendors about 2.2 million of the total $49.3 million spent on prosthetic limbs in that area. the overpayments generally occurred because vha paid vendor invoices that included charges in excess of the prices agreed to in the vendors' contracts with v.a. we also found that contracting officers were not always negotiating to obtain the best discount rates with vendors. without cos negotiating the best discount rate, vha cannot be assured it receives the best value for prosthetic limbs. we noted that taking action to ensure cos consistently negotiate better discount rates

as a tracktic practical matter. it would move away from fee for service to those that are population based. physicians has suck saided by pro specialtively providing outcomes and measures and achieving those outcomes and supporting those outcomes. affordability crisis has been anticipated we thought for a long time. while true, we could not anticipate the larger cost. marcus welby could not make it today. today he would not be able of using his tools all on his own. yet the model today was built while he was in his prime. we have worked for over 25 years to build systems and programs designed to support physicians for our patients. how we pay our physicians is important. yet physicians have been successful due to the support for our network for over 25 years. the framework has been essential and i would encourage you to consider system development for the feature. >> thank you very much. >> this is going to be different how we are going to conduct this hearing today. everybody can participate in formally. it is like

i would put our show rate up against any private practice-- not a medicaid practice, any private practice-- in this country. alabama medicaid is a good partner and alabama medicaid pays enough. i wish the reimbursements were higher, but they're fair. >> o'brien: sarrell's rapid growth was enough of a threat that alabama dentists discussed it at a meeting in january 2010 at this birmingham hotel. >> o'briefrontline and the center for public integrity obtained an audio tape made by one of the meeting's participants. >> i think the dental establishment in alabama was shocked at our success. i don't know if it scared them, i don't know if it is because it was new-- maybe they didn't think of it. whatever the reason, i think we took them off guard by our success. >> o'brien: in 2011, the state's board of dental examiners, led by its president, dr. thomas willis, pushed legislation that would allow it to control sarrell and, jeff parker says, even shut it down. their big objection: it was run by parker, who isn't a dentist. >> we're talking about running and operating the clinic and setting sta

fourth, the impact on the environment of agricultural practices fostered by the land

practices. we had four in montana with more than $100,000 to come into this e eight in utah for $490,000 and these are practicing receiving rewards for quality outcomes for their patients. >> i want to bring up an issue that might be a little bit different. mr. edwards, you mentioned humana uses different approaches to account for variation in practices and i want to ask about delivery of health care in rural america because that's obviously where iowa fits. could you expand on what humana does differently in rural areas, what challenges you have help can'ter and what you have found to be successful? >> a couple of things, recently we have partnered with a company called gencare. these guys opened so far 13 clinic based primary care centers that provide coverage to seniors and primarily low income in underserved neighborhoods and rural areas and this group will grow to add 40 centers over the next few years. second thing we have secreted in this rewards program called a pod. and what we have don

what if bill didn't practice for 10 years? he would be pretty good from our perspective, he would be bun -- a fun at parties, but no one would really mistake him for being a professional. but what if he decided like to initiate his practice and cover his career? he would improve a lot. there are many instances where people haven't played for a decade or more and recover their abilities. you don't naturally practice in receiving the language that i am delivering to you. you don't practice in the ways that are required to maintain because we don't do it instinctively. one of the reasons that it becomes noisier as we get older because we are, in a sense, not practicing enough. the reason we are here is technology. the technology is all about providing input, a life that we can live that doesn't require living life without the troublesome requirement of having much of a brain. these are wonderful things. the american citizen watches this in the upper left for about seven hours a day. that is information without action. i loved it.

more on the blue angels practicing live.g up. ,,,,,,,,,,, >>> putting it in the same category of second hand smoke and asbestis. >>> the vast majority of seniors are unable to cross the street in time. people 65 and older are unable to walk the 3.9 feet necessary to use the crossing in many parts of the world. researchers say and i'm sure you'll agree, not being able to cross a busy street safely impacts a senior's quality of life. researchers in missouri found students who were obese perform worse on math tests. feeling sadly can explain their poor math performance. check back in today at 4:00, 5:00 and 6:00 and let's go back to jessica in the harbor right now. >> reporter: hello again and hello to everyone. we are having a wonderful time out here. coming up today all new at four we'll have to latest on the situation out of baltimore county and we're spending a cool day out here enjoying the celebration. we will be live with complete coverage with all of the festivities. the blue angels are practicing out here. of course, t

>>jackie: this is a practice facility. other folks are out there on the practice tee.>darya: i wanna know about tiger. was he had the range. >>jackie: here is some video i just shot it played his first try. this is him on the number tenty. this is just a practice round karen he was supposed to play with casey martin but ended up going off by himself. you can see him getting lined up for his tee shot. once he hit he got the nod. he was the first player off the tee of the u.s. open practice round. his hitting a few balls on every hole. there are other groups that are going to be going on. most of the players are not coming until to mark. right now is a great time to get out there and take a look at them. you can get up close and personal. >>darya: i napa that train that practice rounds tiger and everyone else to tends to be more relaxed. >> jackie can hear me again did he relaxes or did he look at the crowd at all. >>jackie: he looked like he had his game face on darya karen he did not make eye contact with anybody. he did not interact with the cut off. he is pretty well

however, the practice goes back hundreds of years before islam or christianity and is also practiced in both faiths and religions native to this region. it's thought to have originated in the harems of ancient rulers as a means of controlling women's fidelity, or as a sign of chastity among those who aspired to be consorts. >> those who were in the rest of society could move up, and you could marry someone who was more prestigious or had more money, more status, if you underwent this practice, because it was a sign of good reputation, and as the years went on, i mean 2,200 years, it became very much a part of what was considered criteria for good marriage. >> reporter: mel. ing came to this west african nation as a student in the 1970s and later as a peace corps volunteer. she stayed on to work on improving health education, which she found sorely lacking. >> when you see a friend that you've known for several months and you've gone to her house for lunch, and then she tells you her child has some problem, that it's someone who has st an evil spell on the child, the baby, and that sh

i think i want turf fields because when it rains, we cannot have practice. we cannot practice when we have games. >> [inaudible] i know you are hearing a lot of comments about the studies that have been done. i hope you are able to make a decision. for her, six months is a long time. i am hoping we can move it along. >> thank you. next group of youth speakers. coach? >> can you speak into the microphone? >> i was a native richmond district did. i had my first soccer game at beach chalet. i had my first high school game at beach chalet. a couple of things i wanted to say about artificial turf. better for soccer, less injuries, and i think the arg is that there are toxins in the artificial turf. you can use biodegradable, they use coconut treading right now. more importantly, when i listen to the nature, and i am a fan of all nature, my favorite sound is to your kids laughing and playing. that is what i want to say. >> i think there should be turf on the fields because people trip, fall, sprained ankles, and get hurt often because the grass has pot holes. ther

since it's based on the best world practices. it doesn't ban any demonstration it gives sort of illegal legal basis how to conduct them how to carry them carry them out and i know that in your u.k. in the united states of america it's more of the same laws and it does mean that we're trying to curb democracy. if your want to say something against the government if you're a democratic thing and you are most welcome on the other side i wouldn't. well i would like to remind you that there are. quite a number of people who support the government who supports the president and they showed it up during the presidential campaign effect the number of people who marched or demonstrated in favor of the government was my just bigger than the opposition that the opposition numbers and what is most important psychologically to people and never motivated to go outside to support the government. they're motivated always to go and march against the government is psychologists will practice you know the biggest number of the opposition gatherings

over half of which were in solo practice or practices of less than three. not sophisticated practices. by giving them a total expected cost of care to beat and some structure, they actually pay attention to the quality and who are the chronic patients? we have a sign nurses to follow them into the community. a lot of times, the primary does not have evidence. we supported them by providing home assessments of what is happening to these patients at home. medications are critical. a lot are on 10 or more. not only do they not comply, they have too many. they have drugs that interact or make them unstable. we try to get the primaries in small teams to understand who among their panel of patients are at high risk, who have chronic diseases, and are you paying attention to them out of the office? we try to help with nursing support in the community and the home. if mary smith breaks down, the doctor is informed immediately. and then we provide strong financial rewards. we will not increase their fees. we increase the rewards to them if they get a better outcome.

a practice that has been horrendous in most federal agencies until that bill became law. we know that the information is critical for the veterans, and good number of them may be the first in the families to attend college. that's why we need to provide them and all veterans with the tools they need to work their way through this sometimes confusing application process. i don't think that there is any such thing as too much information to provide veterans and service members making decisions that will affect the rest of their lives. i look forward to hearing from the witnesses today, and i look forward to working with you, mr. chairman, as we try to make sure that all veterans, everyone utilizing the benefits has the information they need to make informed choices that are sound investments of the taxpayer resources and i yield back. >> thank you mr. brayly. at this point i ask for unanimous consent to enter the statements from several different organizations, the rand corporation for the american council on education, mr. steve gonzalez of the american legion, mr. ted dew

we are pleased to see that va is adopting practices to achieve greater savings. along with providing more attention to ensuring the fiscal stewardship and contract administration of the funding needed for prosthetic care in response to the issues we reported on. we'll be happy to take any questions. >> thank you, miss halliday. dr. day? >> members of the committee, it's an honor to be here to speak to you on our report on prosthetic limb care in the va. we've done a series of reports on when what i would call transition to care. and in those reports, we have allied ourself with the dod dj, access to dod data. also we've used dr. kleg in my office, a biostatistician who get it right. tbi, access to mental health in montana, combat stress, veterans. this report on prosthetics and one when just published on homelessness in this population. this issue of transition to care is important to us, and, again, we thank you and your staff's support for this work. we looked at two populations in this report. one is a population of about 500,000 veterans who left dod and beca

practice round already well under way.ven the best in the game will need that practice, as they get set to tackle one of the most challenging courses in u.s. open history. dave benz is at the heart of it all. he joins us with more on monday's preps. >> yeah, scott. all of the talk out here was about how brutal this course is expected to play this week. back in 1998, the last time the u.s. open was held here, only eight rounds finished under par in the entire tournament. and the players expect that form to follow in 2012. >> it's a tough course. not a lot of margin for error. what you expect from a u.s. open course. it's going to challenge a lot of parts of your game. i think there's a lot of holes to hold shots left-to-right into. right now, the greens are holding. but yesterday, i walked around and they were pretty firm. tiger woods, bracing for another tough test. and evidenced by his tee time here this morning. tomorrow, he will practice alongside stanford teammate, casey martin. martin finished 23rd here in 1998. his o