we ask that you provide v.a. needed authority to establish integrated care networks through which enrolled veteraned could receive care from credentialed providers without regard to geographic distance or wait time. we're asking to address the weaknesses in governance and provide v.a. more flexibility in meeting its capital asset and other needs including establishing a capital asset realignment process models on the dod process. waiving or suspending the authorization and score keeping requirements governing major v.a. medical facility leases, lifting the statutory threshold of what constitutes a major v.a. major medical facility project, reinstating broad authority for vha to enter into enhanced use leases and easing the time limit period on divestiture of unused buildings and establishing a line item for i.t. funding and authorized advanced appropriations for that account and also creating a single personnel system for all vha employees to meet the unique staffing needs of our health care system. i would like

independent providers. it's given to i-h hss before the climate we generally had to be a client you have to receive ihss us from the state [inaudible] income eligible. do you offer services to those for folks who do not receive that subsidy? >> yes. we have a small private pay program as well which, don't talk about much because it's very small and we, for us, we want to make sure we hurt it all the ihss consumers first and then we hit help those doing private pay that home bridge which of the contact mode also offers private pay which is cheaper for all of us than the other agencies that are doing it. >> so we operate on a sliding scale. yes. >> thank you >> thank you anymore questions? staff? okay. inc. you again for being here-excuse me interim director khambatta has a question >> thank you for this wonderful presentation it either real quick question regarding any kind of clients satisfaction survey that you conduct and how that relates to incentive program for the contractors who are [inaudible] >> sur

independent providers. it's given to i-h hss before the climate we generally had to be a client you have to receive ihss us from the state [inaudible] income eligible. do you offer services to those for folks who do not receive that subsidy? >> yes. we have a small private pay program as well which, don't talk about much because it's very small and we, for us, we want to make sure we hurt it all the ihss consumers first and then we hit help those doing private pay that home bridge which of the contact mode also offers private pay which is cheaper for all of us than the other agencies that are doing it. >> so we operate on a sliding scale. yes. >> thank you >> thank you anymore questions? staff? okay. inc. you again for being here-excuse me interim director khambatta has a question >> thank you for this wonderful presentation it either real quick question regarding any kind of clients satisfaction survey that you conduct and how that relates to incentive program for the contractors who are [inaudible] >> sur

we'll be able to provide a certain amount of information or provide some clarity on the situation or an analysis of the pairty law in some cases where we might say we think that this process counters the parody law and the health plan will change its course. >> appeals do result in the overturning of decision that is are made by the health plans. we have a pretty good record, i think. very good record, actually, when insurance denials occur in changing the outcome. >> it's really too bad that folks need an advocate at all because they are dealing with the personal issues every day. thank you for what you are doing. congressman kennedy raised the point. my colleague from texas would agree that the fact that the taxes in florida have not exp expanded medicaid at all. do you have an opinion on what medicaid expansion has meant for families and mental health treatment across the country? >> well, i think the medicaid expansion really has provided just incredible financial stability and support for state medicaid programs which enable them to support the -- really the entire range of serv

providing veterans unfettered choice as to their provider jeopardizes this critical mass. the american hraoepblg also opposes allowing a complete option of primary care providers within their proposed vha care system because we believe the commission's analysis is faulty. the commission supports this recommendation based on a cbo estimate calculated using medicare rates. it gave no consideration how it would apply to the current quality of care through the primary care physicians. vha physicians are not restricted as to the amount of time they are able to dedicate to each patient or the number of presentations per patient. medicare, on the other hand, only provides payment based on on 10 or 15-minute consultation, which would deny the full complement and quality of care. the cost of this recommendation would be at least triple, if not more, and financially is unsustainable. a better proposal is found in va's plan to consolidate community care programs. set be up tiered networks. this would provide access to the highest possible quality care by identifying the best performi

you won't have to depend on your employer to provide them. immediate family and employers, and this is like right away, can also contribute to a dependent account each of which is designed in designated for a specific child including an unborn child. the money that has put into these accounts can also be. >> not only on childcare but also to child enrichment activities. [applause] we will start with that child. that will be our first child. [applause] that's cute. additionally the funds in these accounts do not expire at the end of the year. they don't referred to employers or two the treasury. instead, the funds roll over so that while only $2000 can be contributed each year on. >> sums can accumulate and create substantial savings, tremendous savings actually. [applause] these savings can be used by parents to get help get their kids school choice and will thus contribute to the school choice reforms i outlined last week. a lot of good outlines last week on schools and really popular i will tell you. the funds will remain in the account unt

and that vha continue to provide care coordination and vet all of the providers in the networks. secondly, is the leadership system and governance and a particular emphasis on continuity of leadership, leadership development and creating an oversight through a board of directors. third is the operational infrastructure focusing on i.t., facilities, performance or management, hr and workforce, supply chain and diversity in healthcare equity. finally eligibility, focusing on other than honorable discharge or eligibility for healthcare benefits and eligibility design. we clearly do not want this report to sit on a shelf. and we ask for your help to make our report come to life through enabling legislation which was included that does require your action. we are mindful that some of our recommendations have cost implications and we worked with health economists in modeling different options. we do not suggest that congress has not already made very substantial investments in the system. rather we call for strategic investments in a much more streamlined system that aligns va care wit

that's what we hear from providers.they would love to provide services reimbursed through insurance. the rates are an important factor alongside the burden some kind of criteria that is placed upon them. going back to the rates, that is absolutely connected to the inability of consumers to access providers because they are not the network because providers choose not to accept insurance because the low impersonate ray. in massachusetts we've recently been able to increase reimbursement rates and a player state government for doing that. there's more work to do in that area, but that has been very well received by the provider community in massachusetts and i think he will have impact going forward. we would encourage other states to do the same. >> appreciate that. the other question i have for you is eulogized the impact and get the mental health care that they need. he described the impact so i appreciate you addressing that. mr. chairman, while i hope that the committee and congress will move forward to support congr

independent providers. it's given to i-h hss before the climate we generally had to be a client you have to receive ihss us from the state [inaudible] income eligible. do you offer services to those for folks who do not receive that subsidy? >> yes. we have a small private pay program as well which, don't talk about much because it's very small and we, for us, we want to make sure we hurt it all the ihss consumers first and then we hit help those doing private pay that home bridge which of the contact mode also offers private pay which is cheaper for all of us than the other agencies that are doing it. >> so we operate on a sliding scale. yes. >> thank you >> thank you anymore questions? staff? okay. inc. you again for being here-excuse me interim director khambatta has a question >> thank you for this wonderful presentation it either real quick question regarding any kind of clients satisfaction survey that you conduct and how that relates to incentive program for the contractors who are [inaudible] >> sur

we'll be able to provide a certain amount of information or provide some clarity on the situation or an analysis of the pairty law in some cases where we might say we think that this process counters the parody law and the health plan will change its course. >> appeals do result in the overturning of decision that is are made by the health plans. we have a pretty good record, i think. very good record, actually, when insurance denials occur in changing the outcome. >> it's really too bad that folks need an advocate at all because they are dealing with the personal issues every day. thank you for what you are doing. congressman kennedy raised the point. my colleague from texas would agree that the fact that the taxes in florida have not exp expanded medicaid at all. do you have an opinion on what medicaid expansion has meant for families and mental health treatment across the country? >> well, i think the medicaid expansion really has provided just incredible financial stability and support for state medicaid programs which enable them to support the -- really the entire range of serv

involved shootings, it provides closure for the families of the victim and provides closure for the officers involved and provides closure for the city and yet it opens up the opportunity to determine whether that process works properly in that given instance. we also know that transparency is one of the fundamental corner stones of democracy, that's why it's governed by the sunshine ordinance. that's why it's important that our presidential candidates be transparent from everything from their health to tax returns, but that's something for another day. we the civil grand jury have made an number of findings in order to make the investigations both timely and transparent. we believe that each of our recommendations are pragmatic and practical and reasonable. and it should be done with little disagreement and all investigations with officer involved shootings and subsequent investigations and ultimately will benefit every citizen of this city. frankly we are most in agreement and believe the city would agree with most of us. to each of the individuals who met with us, we thank each o

that note providing the food the food bank this contract provides the grocery bags for all the other home partners like the golden gate senior services and the chinatown program and any other go questions or comments. >> yes. i guess the other thing i'm concerned is that the bags the culturally sensitive for the food the chinese the african-americans might need it it take into consideration. >> to a small extent they try to you know for example, in the sro food pantry grocery program they incorporate more some of the products for culturally focused for this population with this home grocery program it is serving almost citywide in the sense so you know i don't know there is a food bank staff here today as you because some people take out the simple you know they don't want sometimes put on the streets and sometimes you know it is sold so that was my concern. >> so andy from the food bank and can address some of the concerns. >> good morning. i'm andy burns from the home delivery grocery program in terms of the culture competent the bags are standardized we have a few options we allow

now, managed care organizations are providing money to the providers, and it's not done on a fee-for- service basis. the one thing that i really want to point out about this and how iowa differs from a lot of the other states is iowa has included their disabled population in managed care, which a lot of other states have not. rhonda: correct. martha: it's existing now with the changes. rhonda: correct, with the new program. about 20% of the medicaid population in iowa from the latest figures according to dhs is a disabled population. yet the majority of the cost is from this population, so the cost savings is going to be a balance because. for instance, i have friends who are quadriplegics. that's not something that's going to get better by being there's a lot of concerns about the way it's being managed. martha: is a goal of managed care to heal and then to dismiss? i'm not understanding when you say that's not going to be covered. tim: i think it's important to put this into context. martha: sure. tim: there are three different layers to this in my mind. the first is that we have a

many would provide veterans with still greater choice of private sector providers. the commission agreed that the establish high-performing, integrated community-based health care networks to provide timely and quality care to our veterans. the reported visions and continued role for the vha health care system, but if the challenges and opportunities described in the final report are left unaddressed, we are concerned our veterans will see the kind of high quality care that they deserve. among our proposals, the commission recommends that the vha adopt a continuous improvement methodology to engage staff and improve the culture. will alsohelp, but it take significant investments in time, effort, and resources to modernize and streamline such essential as human capital management, capital asset as thisnt, and leasing, process is, and information technology. the commission recommended that should implement core metrics that are identical to those used in the private sector. veterans deserve to know that the health care they are receiving either from the vha or health

to provide the city with funds to provide and support a position to act as a program coordinator for the vendor. this position will fit in planning organizing coordinating developing and evaluating the work of the vendors in this agreement. the department of public health has at the same relationship with the oh are the past way for years. you are as this relationship in 21 counties in california. in this relationship the department of public health is entered into an agreement with gor to provide matching funds for the purpose of supporting the expansion of vocational services using state funding and state contracts. the large contracts directly with community organizations for the delivery of vocational services. the amount of the awards program funding is dependent on how much matching funding is provided by counties. dioguardi is able to county funds by a ratio 4-1. which amounts to a county match up 21.3% in the department of public health supports this agreement because it allows the expansion of vocational services in san francisco with only a 21.3 county investment in the sta

provides a framework so that inowevaters and investors can provide -- prepare to apply for licensing technologies. passing this legislation is key to ensure that the united states remain a leader in the nuclear industry, which is vital for both our electricity and our national security. i want to thank all the co-sponsors of this bill, as well as chairman upton and congressman mcnerney and all of the staff and stakeholders for their work on this important legislation. i urge full support of my h.r. 4979 and i thank the gentleman for yielding. i yield back my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from new york is recognized. mr. tonko: thank you, mr. speaker. mr. speaker, i rise in support of h.r. 4979, the advanced reactor technology deployment act. introduced by our colleagues, mr. latta of ohio, mr. mcnerney of california. as subcommittee rancor of environment and the economy, that reports to the standing committee on energy and commerce, i'm proud to support this legislation. i yield myself, mr. speaker, such time as i may

this is their provider of choice. you mentioned about a shortage of primary care and mental health professionals. i know my colleague mr. o'rourke in el paso will discuss that. we also have a bill about physician assistance coming out of our military. i just welcome your thoughts on that approach where we can sort of grow our own and use the skill set of veterans coming out of our military. great experience. and how we could put that to work to reduce the shortage of providers. >> i would say that the military providers are tremendous workforce for health care. we've hired over 1,000 veterans in the last five years because we recognize they are highly trained, experienced, and they have a great culture that they bring to us. >> great work ethic. >> a great work ethic. we're delighted to have them. we actively recruit both nurses and physicians assistants coming out of the military and go to the bases to do that. >> great. >> i would just add the concept of growing your own is very important within the va system. the d

provides, the commission on care report, criticism of v.a. secretary mcdonald, and the possible is subpoena by the d.a. commission regarding documents of art purchases by the v.a. naigswide since 2010. also joining us, andrew stutterburg, contributing editor for the "national review," recent story on the impact of automation on elites in america. watch c-span's "washington journal" live beginning at 7:00 eastern wednesday morning. join the discussion. >>> the ongoing humanitarian crisis in sudan is the focus of the house foreign affairs committee hearing wednesday. donald booth, u.s. special envoy to sedan and south sedan, testifies live at 2:00 p.m. eastern here on c-span3. >>> supreme court justice ruth bader ginsburg speaks to first year law students wednesday at georgetown university, expected to speak about the late justice antonin scalia, review the court's 2015 term and take questions from students live on c-span 3:00 at 5:00 p.m. eastern. >>> this sunday night on "q&a" david k. johnston discusses his book "the making of donald trump"

this is their provider of choice. you mentioned about a shortage of primary care and mental health professionals. my colleague mr. o'rourke in el paso will discuss that. we also have a bill about physician assistance coming out of our military. i just welcome your thoughts on that approach where we can sort of grow our own and use the skill set of veterans coming out of our military. great experience. and how we could put that to work to reduce the shortage of providers. >> i would say that the military providers are tremendous workforce for health care. we've hired over 1,000 veterans in the last five years because we recognize they are highly trained, experience and a great culture. >> great work ethic. >> great work ethic. we're delighted to have them. we actually recruit both nurses and physicians assistants coming out of the military and go to the bases to do that. >> great. >> i would just add the concept of growing your own is very important within the va system. the dedication of the veteran workforce is incre

we provided holly path's emails. all the ones from holly paths anything from this issue have been he provided. have we provided other emails she may have sent i don't know the answer to that. >> in your opinion as commissioner do you think you're in compliance with the subpoena? >> i think we're in compliance with that subpoena in terms of our discussion with the staff. we have not complete, one of the questions emails from 90,000 employees outside. i explained in 2014 that would take a long time. in our discussions with the committee staff we are not pursuing that. >> we understood that, some of these were specifically named. the four people specifically named were not vast amounts out here. holly paths has no constructive problem with computer t was hard drive. get it off of it. i know, frankly, you're a very good witness you parse your words very well. that is compliment but also the very frustrating part of this whole thing. sounds very much like you're blaming committee staff on priorities here of the if you jus

this bill provides relief. it lowers the adjusted gross income threshold for claiming the medical expense deduction back to 7.5% and prevents a looming tax hike. according to 2014 report, medical expenses are the second largest deduction for taxpayers with adjusted gross income of under $50,000. middle-income families who itemize are more able to claim this deduction than high-income earners and according to 2014 i.r.s. data, 98% of those claiming that deduction have less than $200,000 and 84% make less than $100,000 a year. more half of those earn less than $50,000. 94% of the dollars that go back to hardworking families. and went to filers under $200,000. wlile the annual growth in health care spending has soared, the out of pocket costs continues to rise. this legislation provides modest relief for middle-class families and seniors and it is strongly supported by the aarp. again, i thank my colleague from arizona for her bipartisan work on this bill and i urge my colleagues to support h.r. 3590. the speaker

involved shootings, it provides closure for the families of the victim and provides closure for the officers involved and provides closure for the city and yet it opens up the opportunity to determine whether that process works properly in that given instance. we also know that transparency is one of the fundamental corner stones of democracy, that's why it's governed by the sunshine ordinance. that's why it's important that our presidential candidates be transparent from everything from their health to tax returns, but that's something for another day. we the civil grand jury have made an number of findings in order to make the investigations both timely and transparent. we believe that each of our recommendations are pragmatic and practical and reasonable. and it should be done with little disagreement and all investigations with officer involved shootings and subsequent investigations and ultimately will benefit every citizen of this city. frankly we are most in agreement and believe the city would agree with most of us. to each of the individuals who met with us, we thank each o

this is for our providers could all providers have to be screened and they have to follow a criminal and to our fingerprinting project, we make sure that they do that and that they pass and that everything is fine. next, we are benefits in san francisco we are lucky that we are able to provide benefits to all of the independent providers and as you heard that about 20,000 folks. they receive medical and dental benefits as long as they meet the requirements. they just have to work a certain number of hours in a month, 25, and then they can receive benefits through healthy workers . next, we have our registry. the registry is where we connect consumers with providers. we currently have 250 providers on the registry. those providers of all received 48 hours of training including cpr and how to be a homecare provider. our providers are very diverse, speak many languages, most of them are women. we find that it takes about eight days from the time that somebody calls and receives the list of consumer calls, receives the list of potential providers get once they receive that with it takes

excess waters to wet years 2, 3, 4 dry years such as the drought we can provide water everyday sea that sierra club creates a ground reservoirs to the christmas springs reservoir we've completed the design of phase one we're in construction on 13 other wells and phase two allows to us to again even though to the gallons per day we need to complete the design and construction under this agreement the other project we need to complete we're allowed to help us the san francisco grassroots project that 4 new wells within the west side part of san francisco so we've are currently in construction on the well stations this photo shows one of the well stations under construction the west side sunset those will include the improvements for golden gate park for conservative when cycled water it available and forecasts to be complete by the december of 2019 and so the need for the agreement to provide continued engineering services during phase one of two ongoing projects namely the ground water and the regional ground water and the complete phase providing services during phase two of both projec

the authority, on rn, will cover and provide utility connections for water and electrical and also providing a portable restroom facility for the area for use not only for customers but also visitors that it can be hopefully planned to go into that sort of north area of the great lawn. the authority anticipates our expenses in regard to the utility commission approximately the $5000 and $2000 per month per bathroom rentals. under the authority's leasing policy, early entry is set for 31 days and with this at sep is requesting 181 days early and get primarily for consideration of their construction and startup costs. then, commencing shortly thereafter on may 1, 2017 sep will be paying $1500 per month which is consistent with the authorities interim subleasing for land that we have. with that i just want to go over some of their renderings we have with regard to the facility could this is one here that is the the overall layout. this is what it sort of anticipated. dr. be exact replica but something similar with outlook cannot plan on doing. that's the inside. with that, i also want to bring

this will provide residents with long-term relief. i reached out to the army corps of engineers to ask that the agency craft a workable solution. the safety of our communities are at stake and i will not rest until we get this done. i yield back. the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> i ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection. >> mr. speaker, we have a public health crisis on our hands. we've got to get funding to address the zika crisis. we now have over 16,000 identified cases. it's a terrible virus. and we have to get a head of this. as a doctor and public health expert, i understand the importance of giving our physicians, health care professionals and scientists all the tools they have. n.i.h. is getting a vaccine up and running and into clinical trials but we have to give them the resources. we have to make sure all the patients have access to reproductive choices so they can prevent the terrible effects of th

and this means that they are unable to provide for themselves, food, clothing and shelter. the due to mental illness. and the found by the court to be unable or unwilling to accept voluntary treatment and so it is a legal process by which they are assigned as a public conservator. >> it appoints one that is responsible for things like reports for placements, and psychiatric medication, and supervision of treatment, advocacy and placement and case management. and if you have any other questions, about the office, i am sure that any of the staff would be happy to ask them. or answer them for you. so, now to sylvia. >> so, really excited that you are up here and that i go get to do this. so thank you. >> she is a senior transcripter typist is her official title. she has been in the office since september of 2011. she is, and so these are words of her peers. she is an intelligent, thorough and dedicated employee who rarely misses work. behind her humble exterior lies a highly skilled and efficient and dependent worse horse capable of completing complicated work among constant i

i provided him my perspective. we agreed to disagree. and again it was a neglect of duty allegation so the level of -- i mean every case is serious, but the degree of seriousness according to your guidelines was at the lowest level d and i don't believe it warranted bringing it to this commission, but the commission as president loftus indicated can clarify policy, and provide me and provide the chief direction on what you want -- would want us to do when there is not an agreement on a penalty. >> i would say file the complaint and then get guidance from the commission and that's just me. >> i think it needs studying and a legitimate policy question and if a complaint come toss the occ and an disagreement and to the full commission for lower level and compared to ia and then the chief and we have to think about the misconduct and entry ways and treating them fairly and having a clear path to the resolution. there are open questions here and i understand the occ's reticence for a d level offense and the commission had the questions and we

and this means that they are unable to provide for themselves, food, clothing and shelter. the due to mental illness. and the found by the court to be unable or unwilling to accept voluntary treatment and so it is a legal process by which they are assigned as a public conservator. >> it appoints one that is responsible for things like reports for placements, and psychiatric medication, and supervision of treatment, advocacy and placement and case management. and if you have any other questions, about the office, i am sure that any of the staff would be happy to ask them. or answer them for you. so, now to sylvia. >> so, really excited that you are up here and that i go get to do this. so thank you. >> she is a senior transcripter typist is her official title. she has been in the office since september of 2011. she is, and so these are words of her peers. she is an intelligent, thorough and dedicated employee who rarely misses work. behind her humble exterior lies a highly skilled and efficient and dependent worse horse capable of completing complicated work among constant i

and you have been provided with a copy of that.should the project be approved, commotion would reflect the revision. points of clarification and a couple of errors in the executive summary. the staff report the addition diagonal to his 190 feet. to clarify, the maximum permitted diagonal is when 90 feet and edition will have a diagonal dimension of 242 feet. additionally, the office allocation is not to 89,000 square feet. also, the batteries for the central [inaudible] were easily changed and project is no longer within the propose central limit area plan. at the time, the packet was published that had not been addressed yet. after analyzing all aspects of the project, department staff recommends approval with conditions. specifically, aside from the aggressive exceptions budget complies with the applicable requirements the planning code. the project is consistent with the objectives and policies of the general plan including the downtown area plan. the project would've reoriented the ground floor to create retail along fulsome st

house resolution providing for consideration of the bill h.r. 5303 to provide for improvement to the rivers and harbors of the united states. to provide for the conservation and development of water and related resources, and for other purposes. providing for consideration of motions to suspend the rules and waiving a requirement of clause 6-a of rule 13 with respect to consideration of certain resolutions reported from the committee on rules. the speaker pro tempore: the question is on ordering the previous question. members will record their votes by electronic device. this will be a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.] are the speaker pro tempore: on this vote the yeas are 243. the nays are 178. the previous question is ordered. the question is on adoption of the resolution. so many as are in favor say ay

so they need overnight accommodations and we can provide that.our youth programming is saturday youth employment workshops, and some of our students come from the school from the blind and the school for the blind is a residential school and they usually the students go home on the weekends. they're there to participate in something here locally during the week and they need overnight accommodations we can accommodate those students. there are also meant to be there for people who might want to come from a far distance but they want to come to us for intensive skills training and maybe technology or oh and him and prevail and for whatever reason, they feel like lighthouse is great. i want to go to lighthouse and go to dedicate a month of my life to this. so we can have a room for them while they're doing intensive skills trained. because, for the most part, we are just a training center, a daytime training center we are not a residential training center but we do intensive immersion retreats. he didn't think. one other question. you mentioned tha

my written testimony provides a description. and the observations would inform to improve oversight. to improve guidance and validation to develop consistent enforcement would forward to cooperating with department of health and human services and did the department of agriculture responding to the investigation and i'm happy to answer your question. >> now i will recognize myself for five minutes. >> we have been here before with these agencies and see the problems occur again the number of scientists with advanced degrees rules of accountability. but this is a severe threat to we have more cases of anthrax pathogens released more than a terrorist. but this global luckily we have not received but this serious but let me start off with this question. stood the cdc put out a public announcement that they're subject to personal action? >> whenever there is an issue we recognize with those too dangerous pathogens my office in is involved. this could have been gross negligence can do the employees understand the seriousness of they

that provides threat and vulnerability to state officials. it was crated by dhs to support state, local and territorial and is partially grant funded by dhs. the msi sac is located with the inkick to allow access to information and services for the chief information officers. during the season the dhs inkick is prepared to provide it instant response to help state and local officials identify remediate any cyber incidents. in the case of an attempt to compromise affecting election infrastructure, the inkick will share technical information with other states to assist their ability to defend their own systems from similar malicious activity. moving for, we must recognize that the nature of risk facing our electoral infrastructure will continue to evolve. dhs has therefore established in experts group comprised of academic, independent researchers and federal partners. this federal partners. this group will continually evaluate the emerging risks and know that state local officials have the system needed. before closing i want to reiterate that

what we want to provide. where the group record record of education in this country. we want to build on that developed it for the future. >> effectively to the prime minister a request. it delivers excellent care of those work in the 1930s and is in need of very substantial investment. while she agreed to earmark the first two weeks that a 300 feet a million pounds is going to be available at each week post-brexit >> well, i have to say to the honorable gentleman come at it goes down a number for his answering him. what i would say as they recognize the importance and i'm pleased to say that over the last six years we've seen more doctors and more nurses able to provide our services and indeed since 2010 it's already gone up 72.7 million pounds. we will be looking to ensure that we provide the health service that is ]-right-bracket one in this country. >> at the moment their 80s moment they're 80 vulnerable elderly patients in hospital awaiting delayed transfer to care. the guideline says there should be 25.

to provide the city with funds to provide and support a position to act as a program coordinator for the vendor. this position will fit in planning organizing coordinating developing and evaluating the work of the vendors in this agreement. the department of public health has at the same relationship with the oh are the past way for years. you are as this relationship in 21 counties in california. in this relationship the department of public health is entered into an agreement with gor to provide matching funds for the purpose of supporting the expansion of vocational services using state funding and state contracts. the large contracts directly with community organizations for the delivery of vocational services. the amount of the awards program funding is dependent on how much matching funding is provided by counties. dioguardi is able to county funds by a ratio 4-1. which amounts to a county match up 21.3% in the department of public health supports this agreement because it allows the expansion of vocational services in san francisco with only a 21.3 county investment in the sta

we are focused right now in the immediate term on providing whatever resources and assistance we are able to provide the state and local governments and whichever resources in the business they want from us. longer term i think that's a conversation we want to have a state and local governments. under authorities there are additional capabilities that we can provide to those governments if we designate the system as critical infrastructure. that includes additional protections and we provide information if for example you want to give and the conversation was told state and local government we can better protect the information that those vendors provide to us. we have, we can better prioritize the resources and improves our ability to for example offer clearances to folks involved in this process. i would like to highlight if you want to make that designation it does not give us any regulatory powers. all of our resources would still be voluntary and the state and local governments would remain in charge of elections. >> so if we did declare a critical infrastructure and think mr. a

care organization that is not jazz provide a palliative care how to provide this properly to the patient. but we will launch on october 1 actually with hill physicians that all of the primary care providers will be provided with a panel of patients and we have respectivelyidentified as palliative care eligible and we will teach them to things. one is we will teach them there palliative performance score which is their functional status scale and the second is the use of the surprise question. would you be surprised if the patient died within the next year? primary care providers can actually answer that question with a lot more accuracy than if you ask them about prognosis. they are very hesitant to give prognosis but they are less hesitant to say, oh, i wouldn't be surprised. in that way, it allows them to have ownership over their patients and also understand what might be right for that patient. and so, we are working with our primary care physicians to incentivize the primary care providers to palliative care training. they want to be part of this but a lot of times they do not want

speaker, provides the f.a.a. with authority to review whether or not a proposed structure will present a hazard to commercial space vehicle launches and re-entries. mr. carson: the f.a.a. has entrusted, mr. speaker, -- is entrusted, mr. speaker, with providing for the safety of people and property in the air and on ground. so it is very critical that the agency have the tools it needs to account for the rapidly changing uses of the skies. the f.a.a. already has authority to evaluate whether a proposed new structure will interfere with the safe operation of aircraft or air traffic control. however, this statutory authority does not explicitly direct the f.a.a., mr. speaker, to consider whether a new structure might interfere with the safe launch and re-entry of commercial space vehicles. h.r. 607 provides the f.a.a. with the authority it needs to maintain the highest level of it's -- highest levels of fety while allowing this die a numberic industry to continue to grow. i reserve the balance of my time -- dynamic

this rule also provides, mr. speaker, for closed consideration of h.r. 6094, the regulatory relief for small businesses and schools and nonprofit act. that's a bill that requires a six-month delay in the effective date of the department of labor's new overtime rules. it moves the current effective date of december 1, 2016, out to june 1, 2017. mr. speaker, i know you have heard about this issue from your constituents as every member in this chamber has. the department of labor in its wisdom sought to raise the minimum wage at which overtime rules would apply. and the -- maximum wage. which overtime rules would apply. and effectively doubled that wage rate. and that's all going to go into effect on december 1. mr. speaker, i don't believe there is a single member of this chamber that doesn't believe those numbers should be adjusted, but to double them overnight with virtually no warning to the small business community, the education community, the nonprofit community, is not the right way to govern. this is going

they have provided us for south africa. what they're also going to do is again, based on the information that i have received we are tearing that contract apart. we're really going to start up and plug any holes that we have to make sure -- [inaudible] >> sometimes it only takes one mistake. so we started off on september of last year. we did know a lot of these things at all. it only took me one glance at his book and i was leading to it. it was actually a little frightening for me to say, okay we are really fortunate thus far. now let's take some of these practices and implement them. that is what were doing now and that is why we must bring the people here and didn't even stop to think what you want to do? you have award in a contract that you have to execute and sometimes you have to take a step and look at those risks from liability. so i hope that helps even if you haven't stepped out there but if you're considering stepping up there, this is what we want to bring to. thank you [applause]. >> any other questions? >> y

providing for consideration of the bill to provide for a six-month delay of the effective date of the rule relating to income thresholds for determining overtime pay for executive, administrative, outside contractors and providing for the proceedings from september 29, 2016 through november 11, 2016. the speaker pro tempore: the question is on ordering the previous question. this is a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.] the speaker pro tempore: the yeas are 242, the nays are 183. the previous question is ordered. the question is on adoption of the resolution. those in favor say aye. those opposed, no. the opinion of the chair the yeas have it. gomp govern i ask for a recorded vote. the speaker pro tempore: a recorded vote is requested. those in favor of taking this vote by the yeas and nays will rise and rem

you provide false testimony to this committee you provided false testimony to the government reform committee and you should be held accountable to that. >> i'm about 30 minutes more questions mr. sherman but i will you'll back. >> we thank you and recognize the gentleman from louisiana mr. >> i will just pick off were my good friend from utah left off and let us conversation about being held accountable. you don't know me, but i did criminal defense for a while and i was a state representative. and in louisiana i watched many people get indicted and go to jail for the misuse of nonprofit funds. in her testimony who say that one of the important things that the irs is for people to feel that they will be treated fairly and it doesn't make any difference who they are, one organization or what political party they belong to. let me tell you there are a bunch of people including me that think that the justice system is rigged for those who are privileged and those who are rich. so for the people i have seen go to jail for misappropriating 2000, 3000, 5000, 8000, we have an indictment that is pen

portion provides robust funding for military construction and provides adequate funt funderburking for both the -- funding for both the active and reserve components. i was pleased the bill provides $35 million above the f.y. 2017 budget request to help speed up the cleanup of former defense department sites within the base realignment and closure account. the bill provides $74.4 billion, $3 billion above the 2016 enacted level, and discretionary funding for v.a. programs. i believe these resources will have a profound impact on the lives of our nation's veterans. a couple of v.a. items i want to highlight are the $1.5 billion for help tight c treatment, which is -- hepatitis c treatment, which is above the president's request. in addition, the bill includes $78 million for veterans crisis line, and overall $173 million for suicide prevention. furthermore, language is included that requires certain professional standards for the suicide hotline. this is a topic many members on both sides of the aisle were concerned about and i think that we've taken some important steps for it to funct

so in turn, provides an economic boost that will create over 120,000 new jobs. this is a win-win regulation. let's be clear. no one is asking to be unjustly enriched. only to be fairly compensated for a hard day's work. these ideals are advanced by the d.o.l.'s overtime rule. yet despite this benefit for millions of americans this legislation will delay the rule until june, 2017, when i am sure -- the speaker pro tempore: does the gentleman wish to yield her time? mr. scott: i yield the gentlelady 30 seconds. ms. velazquez: thank you. when i'm sure there will be attempts to eliminate this rule completely. i cannot and will not support this attack on workers. mr. speaker, i ask unanimous consent to enter this letter from the american sustainable business council in support of the overtime recklation into the record. the speaker pro tempore: without objection. ms. velazquez: i yield back. the speaker pro tempore: the chair will receive a message. the secretary: mr. speaker, a message from the -- the messenger: mr. speaker a message from the senate. the secretary: