a smaller providers from a smaller broadband providers in smaller communities and that's been terrific. and we applaud him. much of his sword was raised on the statements of our members themselves who said the imposition of title ii regulation under the previous fcc would create a chilling effectn further broadband deployment. it wouldn't encourage it. it would discourage it. >> many members throughout the country had terrific stories to tell about how he's seen firsthand what our members are doing from a broadband perspective and why that needs to be encouraged. chairman pai is a friend and advocate in someone we've worked with for many years, but we don't always agree with him on all of the issues. some of the things we've had some issues relate to broadcast regulations for retransmission consent, relaxation of media ownership rules and the ability to combine more to create consolidation in the market, not less over providers like other aca members. it's consistent with what chairman pai believes in terms of deregulation and we rsn association, an association that believes there shou

by smaller providers, small broadband providers in small communities, and that has been terrific. we applaud him. in fact, most of his border was based on the statement of our members, the emphasis of title regulation under the previous would create a chilling effect on my further broadband deployment. it would not encourage it, it would discourage it. had terrificai stories about how he has seen firsthand what our members are doing for my broadband perspective and why that needs to be encouraged. chairman pai is a terrific friend and advocate that we have known for many years. agree with him. we have had issues related to retransmissions, relaxation of media ownership rules, giving broadcast stations the ability to combine, create more consolidation in a market, to have more leverage, not less. what ionsistent with know chairman pai believes in terms of deregulation, and we are to association that believes there should be more deregulation, but you have to look at the control of content in a marketplace tied to other regulations, whether it is network not duplication, retransmiss

my amendment provides flexibility for the secretary of defense to allocate resources to provide technical assistance by u.s. military women to other military women in other countries. to have their impact of women and girls across the globe. more and more we're seeing that the countries where terror is perpetrated, more women are being apart of their military. we know of the growing leadership of women in our military rising -- in responsibility and rank throughout all of the services. nd as a member of the afghan task force of which i co-chaired for a number of years, i have seen women leadership dealing with peace around the world. the purpose of my amendment is to provide the secretary of defense flexibility to work with military women in the un states for them to interact with military women face-to-face, one-on-one, as they work to develop security measures that are in particular will protect women and girls. women and girls are nor subject to human trafficking. they are more subject to being victims of narcotics trafficking. to being re subject victims of war and terrorism as they t

i am here to provide more budget for housing. [speaking foreign language] >> voice of translator: as well as your help with subsidi subsidies, as i am receiving some housing subsidies for me and my family. >> voice of translator: so my children have better housing. [speaking foreign language] >> voice of translator: i hope you agree with me and i hope you understand our needs. thank you so much. >> hi. this city is increasingly two cities. the cities of haves and a city of have-nots. homelessness is a tragic visible symbol of that severe inequity. san franciscans, thousands of them lose their homes. the city coffers are fuller than ever. yet we don't see, in this mare's budget, at true reshuffling to address this crisis. the homeless budget is only three% of our city budget. this mare's budget shows a one% increase in new funding. this budget has a massive increase for police, including new weapons, tasers and meanwhile, the police are doing 6,000 homeless response calls a month. this would be not be needed if we had housing and

eir provider and some choose which providers to send it to. i believe it's critical we understand why the individuals are made these dide-significances as well as the right to make such a decision affected their willingness to seek or remain in treatment. this amendment is consistent with the recent recommendation fathers the medicaid and chip payment and access commission as part of their june, 2018, report to congress. the commission stated that at this time the commission does not recommended alignment of part 2 and hipaa. instead, the commission recommends additional subregulatory guidance, education, and training on part 2. as i made clear, mr. speaker, i have concerns that the underlying bill would hurt our efforts to respond to the opioid epidemic and could increase the odds that fewer individuals with opioid use disorder enter and remain in treatment. a risk i believe too great to take during the worst drug abuse epidemic our country has ever faced. however, i realize that there is another side to this argument as advanced by the propo

so, also are working on providing language support and other translation services to our providers so that they can bridge any language gaps that might also still be there. >> and commissioner loo, institute on aging has been diligent in hiring a diverse array of workers who speak a lot of languages, so they don't -- so actually they do have workers who speak variouslanguages. the other thing is that we support our organizations, i guess, references around salaries and some of our organizations have different salary structures from others. and so sometimes that's what drives the differences in terms of cost of ca management. >> i don't know if it was in -- >> it's a complex question, there's no answer. >> you know, we can -- to be clear, the ioa in house with the case managers, it's not a subcontracted language for them. >> vice president loo: thank you. >> president serina: any other comments or questions of the commission? comments or questions from the public? yes. please. >> just want to share with you -- my name is esther. some of thent renewal questions of variations and how cas

one of my funded projects in early 1990 was working with providers to provide template for them. my engagement with that and the panel and rural telehealth center in iowa host of topics to this committee, including rural pharmacy, implications of changes and health care delivery and organization, delivery system reform initiatives, and the evolution of the marketplace and health insurance coverage and the role of telehelp. my written testimony includes specific research findings on some of those topics, along with policy considerations. i would like to share some important questions tconsider for the future of medicare aco program. are there benefits other than savings related t cnges i delivery models that help a chief the triple-a of patient experience, better health, and lower costs? should there continue to be different tracks? should variations of advance payment perhaps as grants continue to be available? finally, what is the next iteration of payment reform that builds from the experiences of acos? perhaps global budgeting we'll hear about later. i now offer five rural con

provider. that is all they do. they counsel on adoption, and they provide pregnancy testing. could you require them to say, look, there are other options you may want to consider and, therefore, here's a disclosure saying here are the facilities where you can get other options? >> on reflection, i think probably not, and here's the difference, because they're providing a so much more limited set of medical services that it may be less -- >> mr. klein, could we go back to my question? i have read the law with respect to facility, and it requires a facility to do one of two -- two of four things before it qualifies under the law. so abortion, you appear right that they have to, one, offer ultrasounds, obstetric sonograms or prenatal care, pregnancy or pregnancy testing or diagnosis or, three, prenatal pregnancy tests and, four, collect data. but they have to do two or more of those things. one of these medical care facilities says pro-life and heir name. is that, are they required to post a notic

first and foremost, we are providing new spectrum for wireless providers, offering 5g. meter wave, high band -- millimeter wave, hi band. new frequencies are made available to providers. the second part, the infrastructure. when you have the spectrum, how do you get the towers built, how do you get the fiber laid, how do you make that happen in a quick manner so providers can bring services up and serve consumers, whether it be metropolitan cities or rural america, how do you make that happen? that is something we will have to work hard to do. >> this coming fall, will they be a grand rollout or test somewhere? 1 commissioner o'rielly: i will not say a grand rollout, but a number of providers have test cities, and by the end of the year they will expand. the big providers are ready to announce, have talked about where they are going to go. they are ready, i think, to say exactly which markets will start first. >> at this point in 2018, when do you see it widespread? commissioner o'rielly: it will be fairly balanced, not something were all of a sudden next year you will

providing legal services related to the naturalization process. and language, in-house language capacity is spanish. >> president serina: thank you, comments or questions from the commission? any comments or questions from the public? hearing none, call the question. all in favor? any opposed? thank you, the motion carries. item g. >> requesting authorization to renew the grant agreement with nihonma k nihonmachi legal outreach, during the period of july 1, 2018, through june 30, 2019, in the amount of $147,672. plus a 10% contingency for total grant amount not to exceed $162,439, michael, again, may i have a motion for discussion? >> so moved. >> president serina: thank you. michael. >> a.p.i. legal outreach based in the south market neighborhood, offices at mission, between 7 and 8 there, providing legal services naturalization services. and a contract for vietnamese elderly association, that may be changing. sort of up in the air right now. we are working with them to see how that's going to play out next year, in the event that they are not ab

the services we provide to the underserved in our community. thank you. >> good afternoon, supervisors. thank you for this opportunity to speak in support of the spotlight on the arts internship program. my name is malia jenkins, and i'm 17 years old and will be attending university of san francisco in the fall, majoring in arts and sciences. i've always wanted to pursue graphic design, so art focus rnshi programs in san francisco are surprisingly small in number. at school, i felt over shadowed by this focus on development in stem careers and trug willed to find a program that educated in the arts like spotlight does. i gained experience in my field by working with clients in the organizations. but spotlight wasn't just about the internship, alongside the professional development workshops allows me to network and build further skills. without spotlight, i would have been completely unprepared to

as members of this committee we must provide a timely farm bill to provide to the folks who feed and close the nation and the world for which we can be very proud. i was particularly pleased to see that the chairman and ranking members marks maintain strong safety net. this also involves programs for military members and veterans to have them become involved in agriculture. i was also pleased to see my amendments were included in the managers package but i want to acknowledge that the regional conservation partnership program is an excellent tool for bringing partnerships and additional nonfederal funding to the conservation effort. my homestead, especially the rice producers have benefited from the partnership and usa rice and arkansas rice and it is being significant and meaningful to our working lands agricultural producers. however, i have concerns regarding the changes that will allow up to 30% of the funding to be allocated as grants to these organizations. the division has always been the best of government and the best of partnerships working for the producers and the natural

it provides, excuse me, provides our farmers with the certainty they need and deserve. it makes important changes to the farm safety net, ensures that those in need will not go hungry. i'm pleased that the bill establishes a farm to food bank program and makes it easier for our farmers to access the senior food box program. the bill that this committee has crafted appropriately recognizes the diversity of american agriculture and makes investments in local and regional food systems, especially crops. provides permanent mandatory bias line funding for organic research. the bill also makes significant investments in conservation programs. it codifies the conservation reserve enhancement program, which is greatly important to the state of pennsylvania and increases funding for the regional conservation partnership program. i'm grateful for the pennsylvania priorities that are included in the bill. and i want to again commend the chair and the ranking member for their work and i want to thank adam, joyce and claire of my staff who did such good work. thank you. >> thank you

so the first slide provides some information about what the department has done so far to provide informationabout remote accessible vote-by-mail system. the presentation contains the same material we share at outreach events and will address the following topics. what is remote accessible vote-by-mail system? who is eligible to use the system? when can voters access their ballots through the system? what a ste to access, mark, print and return the ballots? and how does the system ensure voters' privacy of selections? what is remote accessible vote-by-mail system? it is a new option that allows voters with disabilities to access and mark their ballots in a screen readable format from any computer with internet access. the service provides an opportunity for accessible voting without having to go to a polling place on election day. the department provides accessible voting equipment. it's important to note voters must have access to a compute tory print the ballot. only voters with disabilities and those in the military are eligible to use the system. to be able to access the ballot through th

providing citizenship/esl taasses, one-o and legal services. gal serces may include representing applicants who submit the application, and providing advice about the strengths of the potential naturalization applicants, the medical waiver form, exempts them from the english and civics test. classes are cone 201 church street, affordable housing in tenderloin and 1111 market. i seek your approval on this grant removal. >> president s thaerina:k you, comments or questions? comments oestionfrom the public? all in favor? opposed? thank you, the motion carries. item e. requesting authorization to renew the grant agreement with jewish family and children's services for the provision of naturalization services for older adults and adults with disabilities, during the period of july 1, 2018, through june 30, 2019, in the amount of $81,225, plus 10% contingency for a total grant amount not to exceed $89,347. michael zaugg welcome. >> good mo executive di ior me zaugg, director on office of the aging. jewish family and children's servi fnatulizati provi

we've had an ask from our providers to provide more behavioral health case managers. what we would -- what we are opting to do instead is really to work with our partner departments, particularly department of public health to see if that's the way to do it. if the resources are already there or if we need to beef up the resources we don't want to create a duplication. we certainly don't want to do something better at it than we are. we want to make sure that we are providing needs for a higher level of case management and access to that. we will also be providing training for our providers who are working with more and more -- people with more and more complex needs. then supervisor yee, i just wanted to say that right now this is the first full year of funding we've had in the reserve program, which is an employment program for older adults and people with disabilities. it's 320k. we are hoping to serve 100 people with we will have some evaluation results because we are about to end the first year of full funding and so we will be able to take a look at kind of how

c-span is brought to you by your cable or satellite provider. michael o'reilly, now that net neutrality regulation has officially ended, what's next? >> first and foremost, consumers should know their experience that they've had pre-rules and during the rules and that they're having now is not going to change. the experience that they've enjoyed is going to maintain as it's been before. i think that's a benefit. going forward were trying to figure out and have our conversations with the u.s. congress to see if they want to legislate on the issue, but were watching the market closely and seeing what practices are being implemented. we should experience no change in consumer behavior or expenses going forward. >> is it out of the fcc's hands? >> i don't think supper they have consumer protection issues and we have restored their right and authority to make sure we can affect that going forward. there's both parts and you still have antitrust law to govern the space. >> what are your thoughts about some of the states adopting these new laws. >> i t

he is someone who can provide more details. i think it is fair, i am trying to get to the bad actors. the application process, how long it takes. there are a number of big cities trying to address the deployment of wireless. that is wonderful. there are bad actors we need to address. i was in new orleans, dealing with the fact the local community and the relationship was not allowing a provider to establish a connection. they were not able to get power. how do we solve those issues? deal with the fact communities are asking thousands of dollars for the right to install facilities consumers want? provide communications. make sure it is available. faster speeds, more capacity. we have localities saying, only if you do with the way we want. i want to respect the locality. a former fcc official wrote about the advisory committee. they are adapting a framework where industry gets the benefits but no obligations. toicipalities will be forced bear all the costs. >> i disagree with this analysis. it is irrelevant. band committee, they

services are provided through large third party service providers. talk about the economies and scale when it comes to cyber security that community banks benefit from by using large service providers? >> it's a matter of resource, senator brown. the larger organizations can afford to staff and recruit and retain the kind of talent that you need in a cyber security department and the focus that they can provide. they hav t resources to buy the technologies and install and implement those that a smaller organizationouldn't have. so if a smaller bank were to use those services, they have access to cyber security kind of resources that they wouldn't have if they tried to do that in an in-house or on their own. >> okay. thank you. president obama in 2009 established the position of white house cyber security coordinator to work with cyber security effortssll government agencies. president trump recently eliminated that position. that's the position mr. daniel held in the obama administration. will that help or harm government's efforts to make the countr

as the dissent pointed out, the provider had access to the contents of the conversation. yet, we drew a line in saying cell phone numbers -- telephone numbers -- are disclosable because everybody knows that the telephone company is keeping track of the numbers -- you get it in the phone bill at the end of each month. but we said people do not know -- or even if they realize the phone company can listen into their conversation -- that there is a reasonable expectation that the phone company will not access some urgent circumstance. except in a direct threat. that suggests, as you started to say earlier, that it never was an absolute rule, the third-party doctrine. we limited it when involved in ferguson when we said police cannot get your medical records without your consent, even though you have disclosed your medical records to doctors at a hospital. they cannot touch your bag to feel what is in your bag because an individual may disclose his or her bag to the public. one of my colleagues here said, why shouldn't people expect others to touch their bag as well? the court

it provides 25 -- it provides $25 billion for the trump wall. this is why we're going to be confronted with a farm bill that cuts food for starving and poor children in america. it would expand the family separation and harm children. mr. speaker, this is not the america i know. this bill is nothing more than than an attempt to appease administration and the most extreme -- the speaker pro tempore: the gentlewoman's time has expired. the gentlewoman's time has expired. the gentleman from new york reserves this egentleman from virginia is recognized. mr. goodlatte: i reserve. the speaker pro tempore: the gentleman from new york. mr. nadler: i yield two minutes to the ranking member of the crime subcommittee the gentlelady from texas, ms. jackson lee. the speaker pro tempore: the gentlelady from texas is ecognized for two minutes. ms. jackson lee: i thank the distinguished gentleman for yielding and it certainly saddens me to have to come and to call legislation harsh. and cruel. for if there's anything we should do in a bipartisan ar frankly nonp

these guidelines are provided, mr. chairman, to minimize harm and increase patient safety in patients that require opioid therapy. these guidelines only work if a. rib. i yield to the gentlelady from florida adequately trained. the prescriber is that's why the gentleman from massachusetts' amendment would be so helpful because we all know that the key to making sure that's why the that we can reach people and maximize the effectiveness of a program is to ensure that the appropriate and significant training is done so that we can achieve those goals. i support this amendment. i yield back. the chair: the gentlelady yields back. mr. keating: i reserve the balance of my time. the chair: the gentleman reserves. for what purpose does the gentleman from texas seek recognition. >> i claim time in opposition although will i not oppose this amendment. the chair: without objection. >> we understand the gentleman's concerns and keep him in mind during conversation. yield back. the chair: the gentleman yields back. the gentleman i

to provide the f.d.a. with authority to employ the use of packaging and disposal technologies to help mitigate the risk of misuse of opioids. as a result of f.d.a.'s efforts to prevent misuse of opioids, commissioner gottlieb bhans actively exploring how packaging and disposal innovations can reduce the supply of opioids in the market. this included hosting a public workshop in december, to explore how we can harness these technologies in the fight against opioid addiction. and how we can improve the safe use of these products for those patients who rely on them to manage chronic pain every day. commissioner gottlieb also noted, mr. speaker, that the use of these technologies such as packaging merits consideration through a careful, science-based process, one that i hope we'll continue. the legislation we're considering today builds on this work and grants f.d.a. authority to require packaging and disposal technologies for schedule two and schedule three controlled substances. the reflective level of risk

to provide sufficient support to maintain our commitment to the international fusion project and provides statutory authority to fund low-dose radiation research as well as a promising computational materials initiative at our national labs. i would also note that i'm happy to see robust funding levels included in this bipartisan bill. particularly for the biological and environmental research program, which supports critical research to reduce uncertainties and better understand the impacts of climate change. i strongly support this bill and encourage my colleagues to do the same. i reserve the balance of my time. the speaker pro tempore: the gentleman from texas, mr. veasey, reserves the balance of his time. the gentleman from texas, mr. weber, is recognized. mr. weber: thank you, mr. speaker. at this time i'd like to give to the chairman lamar smith from texas four minutes, yield him four minutes. the speaker pro tempore: the gentleman from texas, mr. smith, is recognized for four minutes. mr. smith: mr. speaker, first of all, let me thank the chairman of the energy subcommittee, mr. w

requiresder provided him to provide anything he would provide on a cake in anoer g for a marria betwe man and a woman, which includes words and images. justice gins: suppose we make the exception -- the assumptieak custom-made cakes, therefore he must make it for this pair, but he does not have to writein for anybody. he does not have to write a message he disagrees with. ask this court has recognized that artistic expression does use words and symbols to express a message. >> suppose the couple goes in window, the cake in the ll that cake? >> there are theories he would need to sell that cake because he has already made that cake with the message he intended for. but we are drawing that line priority compulsion of speech. if the court would protect more speech, there is precedent for that. and under the compelled speech doctrine, when someoes ine com anduest a speech,at h wod not belready been created, compelled. reince there's no compulsion of speech, but if he is required to sell the cake the window with the message already on it, it is associate that message with the ceremony and

our interest is to help people provide providing education and flexibility. a good faith effort, we have no interest in penalizing with fines. we want people to implement the ordinance with a good faith effort. there are many alteratives out there. we are likely to see with banning the styrofoam, we saw a lot of companies into the marketplace to provide alternatives. we expect this also to happen with straws. there are at least half a dozen different companies out there that are distributing in the bay area, and we expect that to increase a lot as well. outreach education. we have a long history of doing extensive outreach education through a variety of sectors to the business community and the public. we will make sure we reach everybody that is affected, everybody would get a maling. the mailed letter would go to all affected parties, and with that letter there will be a fact sheet. we produce fact sheets, provide information on vendor and product lists, we create signage, faq. we reach everybody by mail then as many in person. we go through the corridors d

provide p.d. that's focused on closing the gaps for african american students, so specific professional development around closing gaps, provide p.d. on effective use of form ative data, so these are all strategies around professional capacity that we believe need to be in schools, especially our historically underserved schools. then you can see from the central office supports that will be provided for these schools, coordinate new teacher p.d. opportunities, provide p.d. for culturally and linguistically teaching practices. in the area of instructional guidance, some of the strategies that we want to put in place is to make sure that we have full literacy development around our literacy programs. you can see full math development -- professional development for our math core curriculum, so making sure that our teachers have a rich professional development around the curriculum models that we have in place but making sure that the p.d. is full and rich and gives them the skills that they need to

provider into a rural community where there may not be an m.a.t. provider. there are certain barriers to that, but we're working on that, because i think that's an important, you know, component as well. i don't want to take up all of your time, so i'll stop there and let ms. brandt, but i'd be happy to follow up on that. >> very helpful, thank you. >> i'll follow up with what the admiral said. cms, we agree, there are a lot of barriers. one way we're working on those barriers are through demonstration projects. we've approved 1115 waferdz based on flexibility and guidance we issued last november. we have five states now using these flexibilities, including allowing them to do things like access residential treatment facilities, which as you're aware, has prior not been allowed under medicaid reimbursement. so, that's something we're very interested to see the results of those five states and sort of what's happening there and how we can work with other states to provide those flexibilities to help break down those barriers. >> great. thanks very much, and t

there are many major providers that are providing insurance packages and frankly making a ton of money off of providing in the obamacare markets given this subsidy abuse that we see in the system. >> thank you, mr. scott. ms. stefanik, you're recognized. >> thank you for being here this morning. according to the annual index report a family of four will pay on average a little over $28,000 in annual healthcare costs. as you know, costs are higher on average for rural americans. this is unacceptable particularly in a district like mine, i represent one of the most rural districts on the yeast, new york's 21st district. one of my legislative goals has been to lower the cost of healthcare while maintaining the quality and accessibility. so two of my legislative initiatives i wanted to highlight today and then ask you what you're doing administratively to lower costs and ensure that healthcare is affordable for rural americans. the two issues i wanted to highlight are how we can increase access to preventive care. i co-introduced the primary care patient protection act of 2018 which create

it's a list of sole source providers currently providing services, have been removed or are not currently providing services but would like to remain on the list. in addition to that, we received a report from greg warner about the revenue and expenditure projection report for the third quarter, during which we learned at the end of the third quarter, the department projects to have a general fund surplus of roughly $80.5 million in operating expend which youser below budgets by about $3.2 million. and operating revenues above by $94.6 million. and then finally we received a report from drew merrill, the finance manager, about the california mental health services authority. basically it was learning here at the commission about complying with the new state law that would have origin counties pay for mental health services for foster children placed out of the county. >> if there's no public comment for that item. >> commissioners believe that not many are aware of the sole source process we have here in the city. and i've asked michelles to please explain that. as she did to the finance