but samsa can use. >> what i can tell you is this. part of the role of the assistant secretary position is to reach out to other divisions, agencies, departments. and so asked for a meeting. they say this is a big hurdle, that they do not know a way we could right now pair those data because i do understand what you're getting at but i'll be talking with cms about that and see if we can't bring people together about that. >> this is about collaboration and cooperation. i suspect senator murphy, but certainly my staff would love to meet with your staff because right now we're paying a lot of money and we have pretty poor outcomes in medicaid. when you control for everything you still have poor outcomes and so we need better reporting requirements and if it takes some sort of oversight, sometimes that makes it work better. so they would like to meet with your staff about that. now i think i go eto senator franken. >> thank you, for had chairman. good to see you again. doctor. when i meet with people in minnesota struggling with mental i

tennessee received over 80 million in samsa grants last year. fire to our work on cures federal mental health programs have not been updated in over one decade in the coordination between federal agencies is not as effective as it could have been. i hope today we will learn more about implementation of those provisions is going, how his coronation improved among federal agencies on the best way to assist those with mental illness for example. we hope that promising research and early intervention programs at the national institute of health would translate into clinical applications for patients and we also included updates to the samsa block grants to the states to ensure the funding is best meeting the needs of those suffering from mental illness. in addition to improve the care patient receives we encourage the adoption of proven scientific treatment so i would like also to hear how the agency started to incorporate more evidence-based approaches between mental health and we also hope the reforms would help increase integration between primar

working on that at samsa. one thing i have done is put a special emphasis group on transitional age youth look at their needs and address them. what i concerned about of a triple diagnosis eriousness mental illness, ubstance abuse disorder and intellectual limited ability. conditions, and we veryadditio- do not have the services in place to help maintain them in their communities. sometimes they will get into the state hospital. it is not the place for them, but there is no other place. we need to do better, so that is another focus i will be having with my agency, and we will be trying to bring in experts so we can get a handle on this. this has not been the traditional focus of substance abuse and mental health, but it will be. [applause] >> we will let dr. mccants get up to new hampshire to spread the message about the public health emergency, but thank you for your service. >> thank you. [applause] [captions copyright national cable satellite corp. 2017] [captioning performed by the national captioning ins

drug administration, and the federal government substance abuse and mental health agency known as samsa. that's a lot of acronyms, sorry about that, but i want you to i w what h.h.s. does because want you to know about the check the president has just given. his giving is from his ompassion. he's donating this to america's opioid crisis. since day one of the administration, president trump's leadership on this issue has driven action on it across the federal government. speaking for h.h.s. in particular, earlier this year we unveiled a comprehensive strategy that attacks the opioid epidemic on five fronts. the five points, better tai ta on the epidemic, better research into pain and addiction, better pain management, better targeting of overdose reversing drugs, and better prevention, treatment and recovery services this strategy devotes h.h.s.'s unique resources and expertise to empowering heroes on the frontlines of the crisis. after all it's our local partners in community clinics, churches, law enforcement, schools, state, and local and tribal governments who ultimately will turn th

and one of the other big initiatives of samsa and other federal agencies integration of care so bringing behavioral healthcare into primary healthcare organizations and primary care into behavioral health programs and cross training. >> so if a guy on the street goes in for a flu shot maybe they'll be able to offer him more services. >> i don't know. i should have, pretty quick inter action. >> let's make this a real lightning round. >> hard stop at 10:30 because she's part of a the cabinet to announce the approach to the administration taking on opioid addiction. yes, the, that's you. >> thank you for calling me young. for ten years i've run a child welfare organization in new york city and i've been looking for addiction models are for a biological parents who's kids have been removed. i recently met with nyu and the college of nursing because i'm looking at nurse practitioners and they said that the most effective recovery is for people who are using opioids because there is the medication and it's much harder to treat alcoholism, et cetera. how do you deal with the stigma of going ba

i talked to folks at samsa they say this is a big hurdle. they do not know a way we could pair those data. i do understand what you're getting at but i will be talking with cms about that and see if we can bring together people to look at that. >> let me also say this is about collaboration and cooperation. i would suggest, i suspect senator murphy, certainly my staff would love to meet with your staff how we facilitate that. we're paying a lot of money to the federal government for medicaid and have pretty poor outcomes for medicaid. when you control everything you still have poor outcomes. we need to have better reporting requirements. if it take astute to make that happen, or some sort of oversight, sometimes that makes it work bet. so, want to work on that. so at least murphy and cassidy's staff would like to meet with your staff regarding that. >> got it. >> okay. i have some other questions. i'm almost out of time. now i think i go to senator franken. >> thank you, mr. chairman. good to see you again, doctor. when i meet with people in