we reported the proportion of eligible providers to participated was lower among providers and ruralealthcare per shortage areas and others underserved areas compared to other providers. most providers however who participated regardless of the area were eligible to earn the 5% incentive payment regardless of practice. but summarizes the high-level notes from these issues in this concludes my prepared remarks so be very happy to answer the questions that you may have. thank you >> i think if your testimony that your nonrecognition mr. massie for five minutes for opening statement progress chair guthrie, chair rogers, ranking member pallone. distinguished committee members my name is paul macey i'm in the executive director of the medicare payment commission probe rifle for the opportunity to be with you today to discuss how to ensure patient access to care minimize burdens for providers. does not take positions on proposed legislation but i'm happy to provide information about rules and commission work may be helpful the committee considers the issue. as you know, it's a nonpartisan

that provider may be the only game in town. you need a referee on the field looking out for the public interest. and ensuring that access is fast, open, and fair. on one issue after issue, classifying broadband as a title ii service would help the f.c.c. serve the public interest more efficiently and effectively. so let's start with public safety. in a -- in its remand of the f.c.c.'s decision to roll back net neutrality the court found its disregard of its duty to analyze the impact of public safety renders the decision arbitrary and capricious. i agree. the record before the court demonstrated that when firefighters in santa clara, california, were responding to wildfires they discovered that the wireless connectivity on their command vehicle was being throttled. as a result of title ii repeal, the f.c.c. didn't have any authority to intervene and fix it. title ii would also bolster our authority to require internet service providers to address internet outages. this issue really hit home for me when i visited detroit last ye

a special thanks to providence and patrish why and everyone here at providence. thank you so much. thank you for the staff you have here. i would like to say thank you to providence issue st. anthony the mayor and everyone who made it happen i was not sure what would happen or where i would go or that the future would hold. after losing a child to suicide last year, i became homeless and hopeless. since move nothing providence i gained permanent housing at city gardens in san francisco. now i have hope they can do anything the support my family and provide a safe and permanent housing for them. a thanks to the staff in the case managers here at providence. they encourage me never to give up. and to also put me and my children first. thank you for supporting my son and encourage him to play football. he is now playing football at galileo high school and he is the honor roll student. i hope that -- [applause] i hope this future family who is in to providence utilize the services and the support than i have to offer. thank you so much. [applause] >> i will translate. >> [speak spanish

we ask it start at the provider level, but they have appeal rights that we respect and provide timely response to them along the way. i have this little chart that i built in there that summarizes the three levels. again, level one is at the provider level. level two, if a client is not satisfied with the result of their grievance at that provider, they are given the opportunity to appeal it to the department. at the department level it is handled by our clinical and quality improvement team. they are independent, they are part of das but different from office community partnership so they bring level of independence to the process and oversight. if that process does not satisfy the client, they have the ability to appeal to a third level, which is a panel of advisory council members who conduct a sort of formal but informal hearing on the matter and issue a decision. the additional document i got in here is that as part of this policy we ask our providers to develop their own policy and include the ability and require them to give notice to the clients they have this right. here we h

if we have more to provide, we will. reporter: can you say how they put out the drones and on the carney and where the intercept took place whether over land or overseas? >> on the latter. we'll have more details potentially in the future. my understanding is it was over water. as far as taking out the drones, i'm not going to get into specifics other than to say defensive facilities were able to take the drones down. reporter: and given all that, there has been sent to the region for deterrents and ability to attack. is deterrents working or do you see this as an escalation? >> great question and it's important to take a step back. these small-scale attacks are concerning and dangerous and we are going to do everything necessary to ensure we are protecting our forces and if and when we choose to respond we will do so at a time of our choosing. if you step back and look again of what our aim here which is to deter a broader regional conflict and putting additional forces in the theater and gives us more options to respon

i have provided. let me go to rebecca from bbc. >> i wonder if you can confirm the comments that the idf has been given -- to go there? >> i've obviously seen the press reports on that. i'm not sure what that means as it relates to idf operations. i would refer you to them to talk about their operations. thank you. >> subcontractor who died, was he or she an american citizen? >> i will get back to you on that. >> can you say how many journalists were shot down and what kind of drone? >> i have no information on the specifics in terms of what system the tyranny used to take down -- if we are able to make that information available, we will. in terms of the number of drones, i think i kinda laid that out, right. i'm about as specific as i can get. >> you said that you don't see any direct connection to the recent attack to october 7. but i wonder if you see any connection to this uptick, because this is a departure. if you see any connection to what has happen after october 7 to the fact that the israel

dawes not executed, though he spends time in providence state prison in, providence a total of about 20 months incarcerated. and then he's released. he spends the remaining part his his years dying in 18 december of 1854 in that beautiful family home on a benefit benefit st solomon door worked tirelessly for dawes behind the scenes he sent a confidential and a petition to the speaker of the house. so at point come 1844 was richard randolph of newport, in which door was trying to get assistance for his son. i do not mean to justify my unhappy son, but i pray that a man of letters should not be caged with lowest felons, wrote sullivan went on to hint that there was something mentally with thomas door and this in the family letters do survive. this shows up periodically that was it was door unstable. randolph replied four days later, stating that he had visited daughters in jail. randolph showed door his father's petition and recommended that he take an oath of allegiance to the president government in order to secure an release. the idealistic door, though, refused, according to randol

we provide blocking, analysis, audit and investigative services to communication providers, enterprises, investment firms and government agencies. prior to youmail i worked with many fortune 500 companies helping mitigate risk through automated controls and policies to comply with things like the sarbanes oxley act and implement performing background checks and pre-employment screening. i see similar patterns and needs emerging in communication. robocall mitigation control. the balance the levers of risk and revenue communication providers who control those livers. i'm honored to work with talented youmail team on the front lieps of investigation, disruption and enforcement. our team is small given the demands to monitor tens of thousands of monthly and weekly active messaging and voice campaigns targeting consumers. we prioritize targeted success here is well chronicled, working with states, particularly attorneys general offices, federal agencies and private industries, resulting in 90% to 100% reduction when we target specific robocall campaigns. i thank and commend those partners wh

so what are service providers, mr. bercu, what are they doing to get ahead of these robocalls using voice calling? these obviously targeted ones with the persons voice, and all kinds of things could happen. what can we do, mr. rudolph, to mitigate the? >> thank you. the voice service providers take protecting the customers very seriously. they are always looking at the greatest technology. the invalid blocking labeling and that analytics running on the networks. i think he will continue to try to find out how they can identify the scans and how they can take action accordingly. one of the things with our traced back effort with its robocall of one of those calls, we can trace this back up find it is making them, find it to put on the network so i think trace back will be a really important part ofac stopping the going forward as well. >> your specific use case is a targeted attack and based on investigations we've done so far and did similar attacks, those are threat actors have gone a personal phone and a personal pho

does anyone provide this service? network that provides this service tells all of them when it starts and when it expires. this piece of knowledge is not fike's tracking and it is not real. you should go to the seller himself to find out about the origin of your complaint. if there is no warranty, in the same system of the society, you can complain about this or there is no mechanism for this. why can you complain there? he did, but there he is being sued according to the original article, which means that this company even we are in the system of those companies that do not have your originality, those networks that have your originality. we mentioned that they don't have any, that is, some people go up to a sign and say that i am, for example, an after-sales service representative of a certain brand or a certain brand. this cannot be dealt with. now that even their names have been taken, we have taken action. you see , mr. engineer, the way is very difficult. you can count. these processes have been carried out for

we provide service in any way. a service is provided . we go to the health department to monitor it we will do it if a place does not have a doctor, if the service is not provided, that institution is at fault and must provide its service and compensate for the people . therefore, one aspect is these supervisory discussions . another aspect is that, well, we say 30 to 400. health resources are wasted in countries whose accounts are much more accurate than ours. about 30 % of the costs are wasted when there are insurances, because the documents come, they are completely processed, and even our strategic purchase discussions are up to the point of diargy, which is a more progressive discussion. we can propose to him before the end, with these methods, we can make a suitable strategic purchase let's bring the costs down and give the right ones. we still haven't succeeded . we have the costs that can be paid in medical centers in general . we have not succeeded yet in the country in a clear plan to be able to buy a strategy to buy quality ser

since last winter. yes, many, i think, users switched to providers that could quickly provide this servicek, by and large, any provider of any technology can install, and they install generators on their equipment and in this way, provide the opportunity autonomous work, that is, mr. here is not, it is not some kind of panacea, not necessarily exclusively mr., i cannot agree here: with the ministry, this is the first, the second, which i think is still worth talking about, well, how about i don't need to create inadequate and inflated expectations in people, if the problems with the power supply will last for several days, weeks, then of course nothing will work, that is, all this, look, today everyone is getting over it, and the ministry is leaving from the fact that the maximum term of the main work must be ensured operators, internet access providers, it's three days, 72 hours, what will happen if the power is not there for 73 hours, 75 and so on, what will happen, like that, long interruptions will be one after another, there is no answer, well i can answer , that, unfortunately, there

for next year in the budget and this year, which is provided for educational schools, is very relevant, and i am very i hope that by the end of the year, we will certify and launch a lot of such shelters in our communities and they will be really safe, comfortable and convenient and will help to increase the share of that contingent of students who can study offline, because it is not only about safety, here also about the quality of education and everything, we must move to the point that everyone can have 100% of their students, those who are getting an education, but this still requires time and resources. mr. oleksandr, when you talk about a resource, we are talking about a state resource, are there others? options, to look for opportunities, funds to expand the number of high-quality bomb shelters in order to be able to safely survive these enemy attacks. i think that when for example there is a very complicated discussion in the country about the military pdf, uh, then, at the level of support, military formations, drones , there, medical things, others, everything that is needed

do you know that it causes a chain reaction that provides and the provider network inadequacy, decreased access to care, inability to manage staffing shortages and decreased quality of care for american seniors and both are medicare beneficiaries. what's the impact of these sustained clinical cuts especially in medically underserved communities? >> thank you for the question. i think that these cuts will result in doctors not being able to staff appropriately, which over burdens the doctor and makes them leave the workforce. subject to close, others frequently consolidation of medical care and the natural consequence of that is that drives up healthcare cost. i think there's a number of factors that all influence access to care and the cost of care at the end of the day that will be harmed by not making change today. >> thank you. it's important that we focus also on the workforce so we can get an adequate environment out there. physician survey in my home state of california found 87% expressed that low medicare reimbursement and high cost of the practices in california are negatively i

so it comes from all of our community providers. so anybody who does have access point in san francisco is able to make a referral to us, including more partners like htc, felton institute, things like that, who are not also access points. so they also get a chance to refer to us for our youth access points. a lot of them are walking in word of mouth. sometimes we get referrals from other partners that are not a youth access point and asking us to do their assessments and work with them. so we work in silo with them in collaboration for like, you know, in case a client has already built a rapport with a specific agency. but most of our referrals are community based organizations. thank you. if i may ask one more question, i know that you said in your presentation that one of the organizations that you partner with is lyric street or lyric youth street services. is that correct? are there any other organized locations that you work with in the bay area or in san francisco that are youth serving or like transitional age youth serving?

i recommend following to be provide to the individual and provides a box for the medical provider to fill in additional accommodations they believe in. the bottom portion asks the medical doctor or individual to print as appropriate the name of the medical doctor, school psychologist or learning consultant. and asked for the signature as appropriate of the name of the medical doctor, school psychologist or learning consultant. the street address. city. phone number. certificate or license number and state if applicable. the individual and the date signed. >> the accommendation process for employees employees can submit a request for reasonable accommendation form to a designated human resource representative, manager or supervisor. the employee request for reasonable accommendation form is on the dhr. org website and it is titled employee request for reasonable accommendation. pdf. the employee request for reasonable accommendation form asks for information such as name, the dsw number. class or title. address, city, state, zip code. contact, personal e mail, department and states it

we must provide these conditions.'s provide the motivation we should provide the attraction so that the people stay in the village or the loved ones who are in the cities, we should prepare such conditions for him that if he himself recognizes that he should be in small towns, especially on the priority of the coastal strip that we mentioned , we have 30,360 kilometers of coastline. let's hand over the land to people, with a suitable area of ​​400 meters, where this is both his residence and his business , think that we are next to the sea , he will give a piece of land to a family that can do fish farming there too. it can do economic work related to the sea as well as greenhouse work do it in any way , let him live and make a living. we have to provide conditions. alhamdulillah, we don't have a shortage of land in the country . we don't have a shortage of land, but unfortunately, we have less than a hundred plots in our country. now it is a residential structure. the people are living there, they have houses, the re

fema provided no. despite increase since we were not notified of the supplemental request until it was submitted to congress in august. last month. and the request was tied to ukraine's pending. in the wake of one of the deadliest fires in united states history, a supplemental request for additional disaster funding comes with strings attached to ukraine. think about that in the audience if you are watching us. the american tax payer, the people that are suffering from disasters and somehow could not be bothered to discuss getting the drf refunded until august and it is tied to ukraine. >> i cannot reconcile that. i have overarching concerns about decisions being made. domestic response activities tied to ukraine. we see fema under the administrations, significantly expanding its mitigation programs and ways that no longer require projects to demonstrate that they will, in fact, reduce cost or save lives. all in the name of equity and climate change. female resources. despite, fema being understaffed a

and so providing the wellness checks. engaging folk its is harder when they don't come to the dining room. there is a lot of proactive work on behalf of the. staff. the community service system here and can answer questions about staffing better than i could. i say i don't know this we need to fund more staffing as much as ensure that every position is filled. that the site and others. this is a challenge cross our sector. to have enough staff to feel operate our programs. >> i would be surprise federal in the an over doze death at this building do you know how many? >> i don't know. we can find out while we are talking. >> and can you talk about how our system is -- who gets this? >> yea. >> what's the profile of the person going in the door. so, it various. we have a central shelter place am process. on a daily base every shelter report in vacancies go in the system. and those beds are allocated daily tow a variety of team usa. include the homeless out reach. healthy street's operation center. street crisis response tea

providing access to the communication network and we don't a law that lies providers nor army recommending their be one. what we are recommending is be encouraged or enabled act quickly against those providers. >> i am concerned it does not handles one format but i'm concerned in this space as well. when it was written, this technology did not exist as it does today. one of the legislations by the time it passes, a generation or two ahead of the well-intentioned proposal, rulemaking bodies are what has happened here and industry. something that is happening, ask for help. how do we stop the nonsense? 39 billion stolen in your, that should rise to any prosecutors attention the department of justice is not going to do this, how do we find other partners, how do you work to put forth, there's not prosecution and what? if there is a small number of entities responsible for the majority of traffic and they have been one and it continues, again it is the cost of revenue and can make 100 million some people are willing to take that into. you have thoughts on what congress could be doing? >> i thi

the one that can bring us to self-sufficiency is to provide the requirements of wheat, barley, corn, rapeseed and soybeans . it is one of the most important basic limitations of the strategy that has the most value in the agricultural sector. it goes out to import something close to 20 billion dollars during the program, from the currency that wants to go abroad, make it available to the sector in proportion to it , we will break dependence by 5% per year. radio news mr. askari, what did you do for self-sufficiency in the seventh plan, what was in the bill and what did you do ? we asked for the report that he gave, according to the documents , our growth in the agricultural sector in the 6th development plan was about 30%. we held meetings, we invited the trustees and officials, and we asked them to come up with a program that , in the seventh program that we are building , will compensate for the shortcomings of the sixth program and also see the future needs of the program. regarding the issues related to the 7th plan in the form of a 5-year plan in the form of a short-term and med

if they can provide assistance or resources, they will do that. i will agree with secretary-general in that the israelis have a right to protect their people. and we would expect that they are going to remain focused on that. i won't try to define proportionality for you. >> next question will go to will. reporter: two questions. secretary austin, did the united states have any advance warning or other indication that hamas would attack israel? second, there have been contradictory reports about iran's potential role. what's the latest assessment on iran's involvement or knowledge of the hamas attack, thank you. secretary austin: the second piece? reporter: there have been contradictory reports about iran's potential role in the attack if any. what is the latest u.s. assessment on tehran's involvement or knowledge of the attack? secretary austin: take the second part first. i think you heard us say yesterday we have not seen indication that iran was involved in the planning or the execution of this attack. we have not seen any of those indications

the physical infrastructure of health is an important part of the structure of providing services to patients. but the legal infrastructure and human resources are also important components that we are trying to use the time of the program about the axes and role of let's talk about its impact on the development of justice in the health sector. for this purpose, the host. mr. dr. mohammadmeh is the general manager of the iran health insurance organization and dr. farshidi is the deputy health minister of the ministry of health. hello, welcome to the economics desk. well, mr. dr. farshidi, since the question i am asking is about the news of the opening ceremony, please tell me about the works that were inaugurated. in what field and in what fields was it, in the name of allah, the most merciful, the most merciful , i say hello to my dear viewers, thank you for the discussion that is being discussed today. the referral system is actually the most important part of this program to strengthen the country's medical network system. in order to strengthen this network , we should pay attent

troubled times may come, now what we have acquired is to provide and cover. no, the time when it should be paid, i mean the time when the food and drug organization takes it and says to come, sometimes to resolve this, the meeting that we wrote a letter to mr. president, mr. president, my order, mr. doctor informer to set up a meeting because we decided that i wrote a letter to the president regarding the health area, that we have 30 seconds to set up a meeting with the responsibility of the president himself or the doctor because it may always be the minister respected brother darman, apologize to the ministry alone , honorable president, they can't read what he is saying, listen, we told you to form a camp yourself, mr. mokhbar, i heard that mr. president gave orders to mr. mokhbar, but we hope that our colleagues in our ministry will take it seriously . be the main demander and them there are people who, more than us, because we only have an opinion duty , seriously raise and follow up the problems in the honorable government, and if they have problems, te

page 2, line 7 provides a base rent of $23.397.96 per year. the [indiscernible] should read [indiscernible] conform with page 1 line 7 which appears to be correct. i encourage to make the change to the legislation and page 44 the new lease itself which is not yet signed still has dennis herrera as city attorney and i believe that should be david chui. sorry, that's page 44 of the lease, page 55 of the packet. those are my comments and again, i support the proposed resolution and lease. thanks for listening. >> that completes the queue. >> thank you. seeing no public comment, public comment is closed. with that, i am going to let the city attorney to tell us whether it is necessary for us to make any corrections, but i don't see it right now, but-- >> deputy city attorney ann pierson. i'm not able to follow his recommended edits in real time. i encouraged him to provide us with those suggestions in advance, so we have a opportunity to see if they should be considered by the committee. he seems to be questioning calculations or whether some of t

this is the equipment that allows us to provide technology service. that is, in the absence of electricity, say the specialists of the fixed-line operator vega, the provider only needs to build its own technical site, from which the optical fiber goes all the way to the subscribers' apartments, while there is no additional equipment in the house or entrance, which requires constant power to use such internet, the subscriber must first of all provide power to the anushka, the optical terminal, and the wi-fi router if necessary, now all the equipment works on a battery, of course you can install simple power banks, the state encourages providers to switch to such technology, the subscriber will remain connected to the service for up to 72 hours, so for sure, however, the figures were calculated from 7 million fixed internet users only 37% use blackout- resistant technology, only 9% use such technology in the capital. if only a mobile is at hand, experts give simple advice not to overload the network by opening videos or downloading large files, because

provides, but it all comes together. secretary austin: i think it's important to remember that there's 50 nations that have come together in support of ukraine and that's a pretty powerful group of people. and it was, you know, as president zelenskyy looked at that body there in all of these ministers of defense and chiefs of defense are still very much focused on what his needs were. i think it may have been reassuring to him as well. >> final question. reporter: thank you very much. i wanted to go back to the capability coalition that you mentioned earlier. what are those going to actually change when it documents supporting ukraine but also to replenishing stockpiles of the allies? because that's also a problem in making sure that they will be supported in the long-term. second question if i may, more specifically on the winter months coming ahead. it [indiscernible] -- offer ukraine to be prepared for protection of its critical infrastructure -- [indiscernible] -- and also for nato not to sacrifice their defense prep

aid is practically not provided. even sending medical aid as it should it may not be possible. hospitals are facing a very severe shortage, they are facing a shortage of water and electricity , and practically the united nations health structure is unable to fulfill their responsibilities , and they do not have that serious will, and there is really no way to implement these duties and help. well, our medical community , which held a very grand gathering in palestine square last wednesday , was the main concern of the health sector of the red crescent, the ministry of health, the organization of the military service, the nursing system, the armed forces, the healthcare of the armed forces, and the declaration of readiness. to attend in gaza, helping the muslims and the insane there is beyond the capacity that even we have to send, which means we have no problem in this regard. there is a hundred preparations in kash our treatment. the main problem is that there is no way to send colleagues and send services, neither

during this war, germany provided ukraine with aid in the amount of 24 billion euros. heads natali husak of the national health service was informed of suspicion of official negligence. according to the investigation, she accepted the act of handing over the works for the administration of the central database of the electronic health care system without checking, which were not actually performed. because of this , more than uah 2 million were paid to the application from the budget to pay for services that were not provided, the prosecutor general's office notes. investigators searched the places of work and residence of the head of the nssu, nataliya husak herself connected her searches with the start of unscheduled monitoring medical staff providing neonatal care. searches in the administrative buildings of the capital's thermal power plant, related to the misuse of power during the repair of power equipment, the state bureau of investigation reported about it. investigators are checking information about the non-performance of works and the withdrawal of money allocated for repairs