chairman, and welcome to you, secretary sebeilus. as you know, one area where there is significant bipartisan support is payment reform. and what i'm concerned about is the department seems to be moving ahead now with a rule for coding. the billing process which looks to me like it's moving in exactly the opposite direction that it's moving in effect to prop up fee for service. and i've heard from providers and a whole host of people that they are up in arms about it. their estimates, that this could cost 30 to $40 billion, and their argument is essentially that's it's like using world war ii military hardware for today's threat. now there are 150,000 of these codes that something called icd10, and i don't want to get in the all of the root-canal type discussions you are going to have to have. my question to you is why not junk this process that has generated so much hostility, save the money, and i gather from experts, it could be like 30 to $40 billion and move on to payment reform. which you are for and there are strong bipartisan

then i'd like secretary sebeilus to weigh in. she did an excellent job of pointing out the number of initiatives that are taking place today that are not been taking place for some time in in space. for example opinion in areas that we are involved with, our s.n.a.p. program, the supplement nutrition assistance program, to insent the purchase of fruits and vegetables. it's not been done before. we are aware of the needs for more fruits and vegetables in folk's diets. the issue of foot deserts, we have a healthy financing issue initiative that hhs and usda are working on. so many areas that do not have access to full-scale grocery store. it becomes difficult. we are working with the food industry on labeling, which the secretary mentioned. within schools, we're excited about the potential for the healthy and hunger free kids act of 2010 to engage schools in a meaningful way to improve school breakfast and lunch and educating parents and choices about the choices and making sure the choices are consistent. the dietary guidelines fi