sebelius for implementing the affordable care act. i will fight against republican efforts to de-fund this landmark law. as we work our way out of recession towards a thriving economy that offers economic opportunities for all americans, we must out-innovate and help build the rest of the world. at the core of innovation is research and development. this propels the science and business of health care. a recent report shows health care supports 211,000 jobs and $60 billion of economic activity in my state of new jersey. it requires resources. investments help research projects get off the ground and leverage resources of the private sector and academia. that is why i was very pleased to see the president's budget includes government investment in health-care research and development. it recognizes that nih and fda are employed to facilitate an environment where americans innovate. i wanted to mention my disappointment in one program, the termination of the medical education program. it has reversed and threaten the stability of the pe

kathleen sebelius is the secretary of health and human services. i spoke with her earlier this afternoon. madam secretary. >> hi, judy, how are you. >> woodruff: i'm well. how are you. >> pretty good. >> woodruff: thank you for doing this for us. >> sure. >> woodruff: caused quite a stir over there at the white house. >> i met with two or three >> what we have been hearing is that states have great ideas. i met with two or three governors the last couple of hours who want to do programs that bring all the private payers and medicaid and others to the table, work with doctors and providers. states want to look at regional exchanges. they're looking at all kinds of innovative ways to cover everybody, but they they can actually lower costs and have some even more effective delivery system changes. what the president said today is this innovation waiver has always been part of the affordable care act. since it was passed. it was not scheduled to start until 2017. but the more we got input from states around the country who were eager to roll up their s

secretary sebelius: i said, yes, sir. so our problem in this whole debate -- >> the decision didn't include 500 -- >> madam, my concern is the budget hearing. so there is a, there is an issue here on the budget because your own actuary has said you can't double count. you can't count 500 -- they're attacking medicare on the cr when their bill, your law cut $500 billion in medicare. then you're also using the same $500 billion to what? say you're funding health care. your own actuary says you can't do both. so my simple question, i have 26 seconds left, what's the $500 billion cuts for; preserving medicare or funding health care law? which is it? >> sir, the affordable care act has 12 years the medicare trust fund according to every actuary, and the clash 500 -- 500 billion represents a slowdown from what was projected at 8% to -- >> so is it medicare is using it to save medicare? or are you using it to fund health care reform? which one? >> both. >> the gentleman's -- >> so you're double counting. i yield back my time. >>

at this time, and like to submit for the record a third letter from secretary sebelius described in the flexibility of the medicaid program. >> again without objection. >> kassim states are having problems with their measures. when unemployment increases, state revenues decline and more people rely on medicaid. medicaid has been working exactly as intended. medicaid is enrolled in the additional 600 million people during the recession. many last other forms of insurance when they lost their jobs. medicaid is the final safety net, but the program is still extremely efficient. as a matter of fact, medicaid spending growth on a current generally basis has been slower than increases in private health insurance previously. what is healthy years to make medicare programs that are the recession and disasters with additional federal support so states are not stretched beyond their means at a time of economic stress. when medicaid enrollment grows to help people lose their jobs over in a crisis. i want to highlight other important facts about the program. medicaid covers 45 million low and come

yours are that this operation could be something more than just an effort to protect the civilian sebelius the wording of the u.n. resolution which was passed on thursday is basically all inclusive short of occupation of course and the fears are that certain actions taken by international forces could destabilize the situation even more shooting down khadafy fighter bombers and attacking other it's other military assets is one thing but fighting but arming the rebels for example is something very different and we are getting reports that egypt's military is shipping arms over the border to levy and rebels and they just military as we know is very well influenced by washington and reports so it's not just the canal the army versus coalition forces this was the fear is that this could turn into a food. fledged civil war and the arms supplies could inflame the situation even further. the white house has been trying very hard to not to appear as the driving force behind this military action is what they also stress again and again that it is not just the western powers going to war in libya th

secretary sebelius is committed to working with the states to help them explore the flexibility they have to reduce costs. and we will continue to do that. the president actually just this week in his meeting with the governors asked them to name a bipartisan group of governors to work with secretary sebelius on ways to lower cost and improve the quality-of-care for these americans. so we are on it, and again, i would just say we want to be a partner of the states in dealing with this issue. >> does the white house believe guantanamo bay will still be open next year? >> as you know, the president is committed to closing guantanamo bay. i don't have a timetable for you on that process. >> let me read this correctly. the president in yemen -- >> breaking news? >> i just want to make sure it the quote right. he had this to say but the uprisings, but the protests the taking place in yemen. this is the president of yemen, somebody that john brennan and the handful of times he's come in here talks about an important american ally -- he said this: i am going to reveal a secret. there is an

secretary of health and human services kathleen sebelius said if the state were to propose its own plan, they will be forced to provide with comprehensive coverage and that coverage will be defined by government. so so much for being able to keep your plan or for the states to make a determination on what plan best suits them. so now president obama wants every state to live through its own version of tenncare with ballooning budgets for each state and no way to kur b the health care costs that will crip they will states in the time of already strapped budgets. it's simply unacceptable. mr. gingrey: if the gentlelady would yield for a second. i would say it's unconscionable and unacceptable. i yield back. mrs. black: we averted this disaster in tennessee by dissolving tenncare. now i will work to stop this financial and fiscal daster that obamacare will bring to our nation. this health care law must be replaced and i believe this house can do it. thank you and i yield back the balance of my time. mr. gingrey: i thank the gentlewoman from tennessee. i failed to mention, of course that sh

january 25, 2011, my governor of arizona asked secretary sebelius to waive the maintenance effort in the health care law, that is the provision that forces an unfunded medicaid mandate on states by denying them the flexibility, the ability to manage their own medicaid programs to fit their own budgets and their own unique medicaid populations. this is a huge problem because arizona, along with most other states, is experiencing a dire budget crisis. january 26, 2011, medicare chief actuary richard foster testified before the house budget committee. he acknowledged to the committee that president obama's promise that americans will get to keep their coverage if they like it -- and i'm quoting now -- is not true in all cases. january 31, 2011, judge roger benefitson, a federal district -- benson, a federal district court judge invalidated the entire law. he concluded the law's requirement to buy insurance or pay a fee and i'm going to quote now, is outside congress's commerce clause power and it cannot be otherwise authorized by an assertion of power under the necessary and proper clau

secretary sebelius was testifying at hhs. i wanted to make it to be hearing this morning. thank you for the good work that you do at es the fda. three years ago, the fda was still under foreign -- underfunded that it could not perform its mission. progress was made, but it stalled with this year's continuing resolution. the house passedhr 1, -- passed hr 1, which would cut the fda. my view, as someone who runs for office every two years, if you cannot quantify what you have or if someone cannot tell you where it is coming from, you do not have any idea whether or not you are going to win. it is about the numbers. how with the fda accommodate that kind of cut and what would it do to address problems identified by the science board in 2008. if the cuts were implemented, would it lead to fewer food safety and medical product inspections? how many? would be cut impact the amount of imported food and medical products that get inspected? how many? given that cuts would have to be enacted during a short amount of time, with reductions in the fda inspection force be necessary? the

kathleen sebelius has made it clear, and the law has said, these can go towards mandates. it is heavy price controls combined with the heavy mandates that will force insurance companies to be unable to compete in the free market. prices are going to go up, rationing is going to occur. any state that starts putting together their own -- you know, plan -- it is better to put the burden on the federal. you have to totally repeal and dismantle this. people should stop saying that states will have their own belt use through this bill. guest: he is right, that there are concrete things in the law that are not negotiable, that states do not have control over. the individual mandate, that is something that states cannot wave. the employer mandate, -- there are a lot of things in the law, especially related to benefits that have to be in the plans. all of those things cannot be waived. he is right in that sense. what i was meaning -- republicans who are concerned about the law but still want to run the exchanges are thinking that they will test the limits of how much they can tailo

for example in testimony before the finance committee, h.h.s., secretary sebelius described the newlyreated class act entitlement as -- quote -- "totally unsustainable." furthermore in recent testimony secretary sebelius was asked whether the medicare cuts in the law are used to save medicare or to pay for the health care law. remarkably she responded, both. well, even a child knows that you can't spend a dollar on a new toy and then use the same dollar to buy a candy bar. it's wonder full accounting and even -- it's wonderland accounting, and even the administration's own medicare actuary seems to agree. he said, the medicare reductions in the law -- quote -- "cannot be simultaneously used to finance other federal outlays such as coverage expansions and to further the trust fund." unquote. you see double counting this money is absolutely illogical and the american people saw through the smoke screen long ago. but the fiscal problems with the legislation are only the half of it. as a former governor, i shared my concern that putting 16 million people into a very, very broken medicaid

kathleen sebelius has made it clear, and the law has said, these can go towards mandates.it is heavy price controls combined with the heavy mandates that will force insurance companies to be unable to compete in the free market. prices are going to go up, rationing is going to occur. any state that starts putting together their own -- you know, plan -- it is better to put the burden on the federal. you have to totally repeal and dismantle this. people should stop saying that states will have their own belt use through this bill. guest: he is right, that there are concrete things in the law that are not negotiable, that states do not have control over. the individual mandate, that is something that states cannot wave. the employer mandate, -- there are a lot of things in the law, especially related to benefits that have to be in the plans. all of those things cannot be waived. he is right in that sense. what i was meaning -- republicans who are concerned about the law but still want to run the exchanges are thinking that they will test the limits of how much they can tailor

the watched kathleen sebelius repeatedly sensor insurers who disagreed with her. they saw their own tax dollars by ads where andy griffith using weasel words, and that is from factcheck.org, about how this will affect their coverage. his own advisers and nonpartisan observers have discredit some things, but the americans will allow -- obamacare will allow americans to keep their own coverage. burris were heard that the individual mandate was a tax. then they told us it was not a tax. in the depressed -- the justice department argued it was a tax. certain people felt insulted. to wrap up, newt predicted that this would repealed by a 2013. i am struck by two things. if congress does not repeal it, we will be back here on the sick get a care of obamacare, the fifth anniversary of obamacare, the 10th anniversary, having conferences like this all over the country and we will ask why health care spending is still rising out of control, why we still do not have affordable care organizations, we will be asking and questioning why insurers are being rewarded by obamacare's

i spoke to an orthodontist and said how many of you believe secretary sebelius has the knowledge to define the to coverage of oral care. they broke up laughing. it is not a laughing matter. steve king understands that. he is turning up the heat in washington. i hope all of you will continue encouraging them to do that. i hope you will listen to him and all his leadership on this important issue. [applause] we are delighted to be back here. she spent four years getting to know i will winters better. she is from western wisconsin so she thought of it as going south for the winter. i am optimistic. i believe that in 2012, we could win an historic election and we could end the 80 year dominance of the left and fundamentally recent this country back to a center-right government reflecting the core values of the american people. [applause] i think there are three large topics on which we can recent america. the first is values. this is truly a center right country, not a left wing country. the second is the economy. this is a country that favors jobs paychecks, and economic growth. the third is

good morning, commissioner. >> good morning. >> to all my apologies secretary sebelius was testifying in hhs so -- but i wanted to make it to the hearing this morning. i thank you for the good works that you all do at the fda. three years ago commissioner the science board reported that the fda was so underfunded that it could not perform its public health mission. congress responded by increasing funding in 2009 and 2010. that progress stalled with this year's continuing resolution. and the house passed h.r. 1 which would cut fda funding by $241 million. i have a series of questions that i'd like answers to. and specific my view as somebody who runs for office every two years that if you can't quantify when you have a, if somebody can't tell you where it's all coming from and where your votes are coming from, you don't have any idea whether or not you're going to win. so it's about the numbers. how would the fda accommodate that kind of cut and how would it address problems identified by the science board in 2008. specifically in the cuts in h.r. 1 were implemented, would it lead to

advising secretary sebelius, and she worked on the president's health reform team to pass this bill. in that role she'd develop policies around reform and work on the hill with outside groups in support of the. and before that she has worked on other levels in campaigns. she worked on of course the obama-biden presidential campaign, managing domestic policy proposals. she worked on hillary clinton's presidential campaign. she was a deputy campaign manager when it was then senator clinton running for the same in new york. so we are very privileged today to have both roger and neera to take both sides of this issue and talk about a really, what are quite titanic struggles in the courts over the future of this law. i should say i'm jan crawford, i'm the chief legal correspondent for cbs news. i've covered the courts since 1994, and there are issues that very infrequently kind of develop and form i think and the way that this case is. it's almost like we know now that we have this kind of gathering, it is a gathering storm off the shore. and it is slowly moving toward one place. and that

and just in this year alone, the boss, the boss, in this instance happens to be the secretary sebelius and the department of hell and human services has had to grant -- of health and human services had has to -- has had to grant 732 waivers to make sure this pledge of if you like what you have, you can keep it. without the waivers, you couldn't. 733 of them. this is what we're going to talk about tonight. i thank my colleagues for bling on the floor and joining with me. at this point, one of the members of the g.o.p. doctors caucus, in his second term, a grastro interologist of a number of years -- gastro interologist of a number -- gastroenterologist of a number years of practice. >> right now, states are having these huge budget crises, we see in -- mr. cassidy: we see in wisconsin, there's a protest. in some state there is may be as much as a a $10 billion deficit. in my state of louisiana, there's a $1 billion to $2 billion budget deficit. if you think about this a little bit deeply, you understand that this can be related to health care. specifically medicaid. medicaid for those w

adviser for health reform and the department of health and human services advising secretary kathleen sebelius she has worked on other levels and campaigns, she worked on the obama/biden presidential campaign and the hillary clinton presidential campaign. she was a deputy campaign manager when it was senator clinton running for the senate in new york. we are very privileged today to have roger pilon and neera tanden to talk about what are really quite titanic struggles in the courts over the future of this law. the chief legal correspondent for cbs news, i covered the court since 1994 and there are issues that very infrequently develop and form in the way this case is. it is almost like we know now that we have this kind of gathering storm off the shore and it is slowly moving toward one place and that is 1 of first place -- first street in the united states supreme court. as we said earlier there are several challenges under way across the country all of which will get to the supreme court at about the same time. we have a legal challenges that will be heard by the federal appeals court sixth

yesterday, just yesterday, secretary is sebelius sent a lr to the finance committee, senator baucus, that h.r. 1 would have a detrimental impact on medicare advantage. this assertion is or wellian. the secretary knows well that obama-care cuts $2 billion from a medicare advantage program that currently serves nearly 12 million seniors. according to the administration's own chief act wea these devastating -- actuary, these devastates cuts will reduce enroll in these programs by over 50%. further month, c.b.o. has also found that these cuts would also produce important benefits fo for -- by 50% for seniors enrolled in the program. h.r. 1 is intended to halt the harmful cuts to seniors in the medicare advantage program. suggesting otherwise, as the secretary did, is both inaccurate and it risks confusing millions of seniors. h.r. 1 is a good bill. it is solid and responsible, and i will be supporting it. but it is the only -- it is only a starting point. the fact is, we are going to need many more cuts in discretionary spending. the american people and the people who sent us here have n

by the way, if it isruly an affordable care act, why is secretary sebelius granted over 700 waivers to comnies and unions because it's not affordable? why is virtually every member of my constituency who has health insurance had an increase in their premiums as a direct result of the quote-unquote, affordable care act? just a passing question because i'm asked that all the time by my constituents. why did i introdu this? because provision 9006 of the bill has nothing to do with affordable care, has everything to do with the capacity of our friends on the other side to find ingenious ways of impacting business because i guess business is considered bad. or i got an answer for you here today to the question of who creates jobs? this is who creates jobs, small business. and this particular 6 -- section of your so-called affordable care act kills bills. -- business. kills small business. what doeit do? it's based on the assumption that everybody cheats. why? because a 1099 form is usually utilized for the purpose of making sure you have your obligation to the payroll tax. what did we do? w

on the president's health careae reform team at the white house and was an adviser to secretarye sebelius. so i'm particularly honored tows welcome you all here for the anniversary of the affordable care act, the first year anniversary. while it's the first year anniversary for the affordable a care act, it is actually a six-year anniversary for us here at c.a.p.. it was six years ago today that we put forward our own plan to provide coverage for all americans reform the health care system through insurance regulation, provide tax subsidies and subsidies to people to be able to afford it and to lower the cost of healthv care. and if that sounds a little familiar, i hope it does because we believe it helped shape theus debate in the presidential cycli and, ultimately, congressional passage. and over the last six years c.a.p. has worked very hard to push the idea of covering all americans and lowering health care costs as well as workingush with allies in congress in last year's debate to get the bill done.rkin and through that process now sis years later, i know that on thi. anniversary th

i'm asking you to name a bipartisan group of governors to work with secretary sebelius on ways to lower the cost and improve the americans and you can come up with ways to reduce medicaid costs while still providing the quality care to those who needed, i will support those proposals as well. tataris the bottom line. once fully implemented, i am convinced the affordable care act will do what it was designed to do, to cut costs, cover everybody in the worst abuses in the insurance industry and bring down the long term deficits. i am not open to fighting the battle of the last two years or undoing the progress we have made. but i am willing to work with anyone, anybody in this room, a democrat or republican, governors or members of congress, to make along even better, to make the care even better, to make it more affordable and fix what needs fixing. part of the genius of our founders with this double to the federal system and which each of the states are as a laboratory for our democracy. through this process, some of the best steve ideas became some of america's best ideas whether it's

even secretary of health and human services sebelius noted that repayment of improper subsidies is -- quote -- "fair for recipients and all taxpayers ." so arguments about the pay-for simply are hollow excuses to justify inaction. and our job creators are seeing it for what it really is. it's more nonsense. it astounds me that we can seemingly pass benchmark after benchmark without going over the finish line. how can we make so much important progress only to be stymied again and again by some silent opposition? my friends across the aisle have often complained about the slow pace of the senate. it blamed the other side of the aisle for preventing progress. well, madam president, my side of the aisle has been ready for a long, long time to repeal this job-killing mandate. i want you to know we stand ready to vote. considering the high unemployment rates plaguing our country, it seems absolutely incomprehensible that we would waste even another day without addressing this mandate in the health care bill. our job creators have watched dueling amendments and proposals and counterproposal

kathleen sebelius has made it clear, and the law has said, these can go towards mandates.is heavy price controls combined with the heavy mandates that will force insurance companies to be unable to compete in the free market. prices are going to go up, rationing is going to occur. any state that starts putting together their own -- you know, plan -- it is better to put the burden on the federal. you have to totally repeal and dismantle this. people should stop saying that states will have their own belt use through this bill. guest: he is right, that there are concrete things in the law that are not negotiable, that states do not have control over. the individual mandate, that is something that states cannot wave. the employer mandate, -- there are a lot of things in the law, especially related to benefits that have to be in the plans. all of those things cannot be waived. he is right in that sense. what i was meaning -- republicans who are concerned about the law but still want to run the exchanges are thinking that they will test the limits of how much they can tailor th

yesterday, just yesterday, secretary is sebelius sent a lr to the finance committee, senator baucus, that h.r. 1 would have a detrimental impact on medicare advantage. this assertion is or wellian. the secretary knows well that obama-care cuts $2 billion from a medicare advantage program that currently serves nearly 12 million seniors. according to the administration's own chief act wea these devastating -- actuary, these devastates cuts will reduce enroll in these programs by over 50%. further month, c.b.o. has also found that these cuts would also produce important benefits fo for -- by 50% for seniors enrolled in the program. h.r. 1 is intended to halt the harmful cuts to seniors in the medicare advantage program. suggesting otherwise, as the secretary did, is both inaccurate and it risks confusing millions of seniors. h.r. 1 is a good bill. it is solid and responsible, and i will be supporting it. but it is the only -- it is only a starting point. the fact is, we are going to need many more cuts in discretionary spending. the american people and the people who sent us here have n

secretary sebelius was testifying at hhs. i wanted to make it to be hearing this morning. thank you for the good work that you do at es the fda. three years ago, the fda was still under foreign -- underfunded that it could not perform its mission. progress was made, but it stalled with this year's continuing resolution. the house passedhr 1, -- passed hr 1, which would cut the fda. my view, as someone who runs for office every two years, if you cannot quantify what you have or if someone cannot tell you where it is coming from, you do not have any idea whether or not you are going to win. it is about the numbers. how with the fda accommodate that kind of cut and what would it do to address problems identified by the science board in 2008. if the cuts were implemented, would it lead to fewer food safety and medical product inspections? how many? would be cut impact the amount of imported food and medical products that get inspected? how many? given that cuts would have to be enacted during a short amount of time, with reductions in the fda inspection force be necessary? the

there are also large transfers that kathleen sebelius can use as director -- secretary of the departmentth and human services. she can reach into other funds. some would argue that the definition allows for a limited capacity to roll those dollars into the implementation of obamacare. as we face a potential government shutdown that i would argue would be initiated by the senate and the president -- if that should happen, there are still $23.6 billion already sitting there in the fund to implement obamacare. so if there is a government shutdown, the irony of it would be the federal government workers that would be working would be implementing obamacare while there was a government shut down because the funding is there and the shutdown would not affect that if it were to come about. the individual you mentioned, i am not familiar with and i know i need to follow up on that, too. host: independent from michigan. robert, good morning. caller: good morning. why is the simpson-bowles deficit reduction plan so negative to some many people? it should be implemented immediately with no amendmen

he's going to be working on it, along with our health secretary, kathleen sebelius. arne is going to head up our administration's efforts, which began last year with a first- of-its-kind summit on bullying. and we're also launching a new resource called stopbullying. gov, which has more information for parents and for teachers. and as part of our education reform efforts, we're encouraging schools to ask students themselves about school safety and how we can address bullying and other related problems -- because, as every parent knows, sometimes the best way to find out what's happening with our kids is to ask, even if you have to -- if it's in the case of sasha, you have to keep on asking. now, as adults, we can lose sight of how hard it can be sometimes to be a kid. and it's easy for us to forget what it was like to be teased or bullied. but it's also easy to forget the natural compassion and the sense of decency that our children display each and every day -- when they're given a chance. a couple other young people that i just had a chance to meet -- sarah and emi

served on the president's health care reform team at the white house and was an adviser to secretary sebelius. i'm honored to have you all here on the anniversary of the affordable care act. the first year anniversary for the affordable care act, it is actually a six year anniversary for us at cap. it was six years ago today that we put forward our own plan to provide coverage for all americans, reform the health care system through insurance regulation, provide tax subsidies and subsidies to people to be able to afford it and to lower the cost of health care. if that sounds a little familiar, i hope it does, because we believe it hps shape the debate and the presidenti cycle and ultimately for congressional passage. over the last six years, cap has worked very hard to push the idea of covering all americans and lowering health care costs as well as working with our allies in congress in last year's debate to get the bill done. through that process, now six years later, i know that on this anniversary, there are those who are a little weary from the attacks a year later. people wonder why the

>> exactly right, the secretary of health and human services, kathleen sebelius, began a new countermeasure last summer, and the fda was given resources to begin imports of work from the moneys that had originally been appropriated for pandemic response. >> we need to put that one which in our legislation, but it did not get into latest version. >> right, to be able to expand these activities to address not just pandemic threats but continuing biological threats before us, we need additional language. it is a no cost proposal that would allow for the use against this broader set of very important potentially devastating biological threats. we would be very appreciative if you could look at that. i think would make a huge difference to our ability to move forward in critical ways. there are important gaps in key areas. we don't have a treatment for acute radiation sickness, such as what would occur after a terrorist attack using a radiological device. we don't have antiviral drugs to treat a number of critical potential microbial threats. we don't have the diagnostics that we need to rapidly

right now, health and human services secretary kathleen sebelius the questions about the implication-- implementation of the health care law when she testified on capitol hill today. she addressed the commerce subcommittee on the budget request for two dozen top. you can see her testimony at trouble caught 45 eastern here on c-span. -- you can see her testimony at 12:45 eastern here on c-span. >> you mentioned that nfib were plaintiffs when i thought they got such great small business tax credits. i would not expect that to be in opposition to this law. i am surprised to hear that. the other thing, you were governor of a state, and i would imagine that had been governing did you ever -- under your governorship, was a budget passed? did you pass budgets when you were a governor? >> yes, sir. >> where the chamber's held by democrats in the senate and house, or did you -- >> never. >> and e-zpass budgets? >> we did. >> and the last congress -- >> the house passed a budget. >> and we have a democratic president. bmi yes, we do. >> and we did not pass a budget? >> i think the house passed

and hhs secretary kathleen sebelius testifies on capitol hill on her department's 2012 dept. -- budgetan president calderon speaks at the woodrow wilson center. a couple live events to tell you about. a form on the future of fannie mae and freddie mac. that group includes professional organizations for asian and hispanic realtors. our coverage begins at 9 with the town hall discussion of immigration and housing policy. and at 10:00 a.m. eastern, the final hearing of the congressional oversight panel tarp's effect.t ta then representatives of the treasury department, and the federal reserve. >> this weekend, on cspan3. the 150th anniversary of the address. and a visit to the home of woodrow and edith wilson. american history tb on c-span -- tv on c-span3. >> homeland security secretary janet napolitano says the u.s. will seek to extradite and prosecute drug cartel suspects accused of killing two agents. this is two hour. -- hours. testify on her department's fiscal year 2012 >> the committee is meeting relating to the president's fiscal year 2012 budget requests for the department of ho

secretary sebelius has said that her agency is setting up new checks to screen providers before theyare for accepted into the system. can you comment on what progress has been made and becoming more proactive redder than reactive and preventing fraud? >> we do not specifically engage in the operational side of enforcement but we have recommended that the secretary monitor home health use for unusual patterns, very high levels of use and that the congress give the secretary the authority to do things like limit new providers, limit payment when aberrant patterns of home health use or found, and so our contribution to this has been mostly to identify some of these very unusual patterns, so in some areas of the country you will see home health use that is seven times the national average we think that is an analysis that is a useful screening tool for the secretary and justice department to use. >> and you think she is taking your statistics and doing anything with them? >> our understanding is that they are intensifying their focus on medicare fraud in general, but in particular in the

by the way, if it is truly an affordable care act, why is secretary sebelius granted over 700 waivers to companies and unions because it's not affordable? why is virtually every member of my constituency who has health insurance had an increase in their premiums as a direct result of the quote-unquote, affordable care act? just a passing question because i'm asked that all the time by my constituents. why did i introduce this? because provision 9006 of the bill has nothing to do with affordable care, has everything to do with the capacity of our friends on the other side to find ingenious ways of impacting business because i guess business is considered bad. or i got an answer for you here today to the question of who creates jobs? this is who creates jobs, small business. and this particular 6 -- section of your so-called affordable care act kills bills. -- business. kills small business. what does it do? it's based on the assumption that everybody cheats. why? because a 1099 form is usually utilized for the purpose of making sure you have your obligation to the payroll tax. what did

>> absolutely and work very, very close with secretary sebelius on issues. h1n1 she did a remarkable job. it makes all the sense in the world. >> i'll send you a memo because we need it in texas. i also want to say i believe our nation must do more to expand accessibility and affordability to access higher education. what is your vision for hsi, tcu's and other msi's. what type of outcomes do you expect and what is your time line for the upcoming hsi grant competition? >> hsi or hsbu's can't simply survive. we have to help them thrive. we continue to invest significantly in them. obviously the pell grant increases are very significant to those populations. we direct fund hsis and have increased the funding over time. we want to put into place the hawkins scholarship. so many teachers of color come through that. i want a more diverse work force. the administrators don't reflect the diversity of students. we have to work on that. we are going to continue to invest in hsi and hscbu. the final thing i'll say is i visited a number of them and continue to recruit

as secretary sebelius said when your side brought up a similar provision last year, she said basically this is a way to recapture funds. mr. scott: i yield another minute. the speaker pro tempore: the gentleman is recognized. mr. lungren: i would like to get away from the confusion that is being displayed on the floor today and just get back to the essence of this bill. it is to repeal a provision that was put in the health care bill that virtually no one knew about. that is a job killer. that is recognized as being a job killer. that the other side with the majority could have at any time last year gotten rid of. which timely the president recognizes in the state of the union address is an excess in this health care bill. and let's not make it a political football now and say it's a tax or now it's this or now it's that. frankly it is an attempt to try to repeal a section of the health care bill that never should have been there in the first place. that erroneous premises on which it was developed, a suggestion that somehow most americans involved in business cheat. that's the only wa

>> absolutely and work very, very close with secretary sebelius on issues. h1n1 she did a remarkable job. it makes all the sense in the world. >> i'll send you a memo because we need it in texas. i also want to say i believe our nation must do more to expand accessibility and affordability to access higher education. what is your vision for hsi, tcu's and other msi's. what type of outcomes do you expect and what is your time line for the upcoming hsi grant competition? >> hsi or hsbu's can't simply survive. we have to help them thrive. we continue to invest significantly in them. obviously the pell grant increases are very significant to those populations. we direct fund hsis and have increased the funding over time. we want to put into place the hawkins scholarship. so many teachers of color come through that. i want a more diverse work force. the administrators don't reflect the diversity of students. we have to work on that. we are going to continue to invest in hsi and hscbu. the final thing i'll say is i visited a number of them and continue to recruit

i spoke to an orthodontist and said how many of you believe secretary sebelius has the knowledge to define the to coverage of oral care. they broke up laughing. it is not a laughing matter. steve king understands that. he is turning up the heat in washington. i hope all of you will continue encouraging them to do that. i hope you will listen to him and all his leadership on this important issue. [applause] we are delighted to be back here. she spent four years getting to know i will winters better. she is from western wisconsin so she thought of it as going south for the winter. i am optimistic. i believe that in 2012, we could win an historic election and we could end the 80 year dominance of the left and fundamentally recent this country back to a center-right government reflecting the core values of the american people. [applause] i think there are three large topics on which we can recent america. the first is values. this is truly a center right country, not a left wing country. the second is the economy. this is a country that favors jobs paychecks, and economic growth. the third is

last night, today i am asking you to name a bipartisan fervor of governors to work with secretary sebelius on ways to lower cost and improve the quality of care for these americans. keep you can come up with more ways to reduce medicaid costs while still providing quality care for those who need it, i will support those proposals as well. here is the bottom line. once fully implemented, i am convinced the affordable care act will do what it was designed to do -- cut costs, cover everybody, end the worst abuses in the insurance industry, and bring down our long-term deficits. i am not open to refighting the battles of the last two years or undoing the progress we have made. but i am loyal -- willing to work with anyone, anybody in this room, democrat or republican, governors or members of congress, to make this law even their -- even better, to make care even better, to make it more affordable and fix what needs fixing. part of the genius of our founders was the establishment of a federal system in which each of our states serves as a laboratory for our democracy. through this process, some

chairman, and secretary sebelius, thank you for being with us today. one comment that i just wanted to make, which probably doesn't have to be made, but i'm sure you've felt a lot of animosity come even a lot of frustration towards this whole health care bill as many in america have fell. and one of the reasons that people have felt that way is that they have brought a 2400 page bill to the house floor last year, and we were not able to offer one an amendment on the house floor. and i don't think the american people appreciate bills of that magnitude, having impact on this country, and the legislative body not being able to offer one amendment on the house floor. certainly not your fault. you are not the speaker. but, from that background and because of that process, they're still very strong feelings about the issue. but one of the questions i would just like to ask you, many members of congress, be honest, did not have much of an idea of what was even in the bill when we voted on it. and as secretary of hhs, i assume that in the process of developing

i spoke to an orthodontist and said how many of you believe secretary sebelius has the knowledge to define the to coverage of oral care. they broke up laughing. it is not a laughing matter. steve king understands that. he is turning up the heat in washington. i hope all of you will continue encouraging them to do that. i hope you will listen to him and all his leadership on this important issue. [applause] we are delighted to be back here. she spent four years getting to know i will winters better. she is from western wisconsin so she thought of it as going south for the winter. i am optimistic. i believe that in 2012, we could win an historic election and we could end the 80 year dominance of the left and fundamentally recent this country back to a center-right government reflecting the core values of the american people. [applause] i think there are three large topics on which we can recent america. the first is values. this is truly a center right country, not a left wing country. the second is the economy. this is a country that favors jobs, paychecks, and economic growth. the third is