but under the expansion she could qualify for coverage. aqula's doctor basim khan says 80% of his patients are like her with no health insurance. >> by and large, these patients are the working poor. they work low-wage jobs, long hours, and they just, for small businesses, and don't happen to get health insurance witit. >> reporter: and dr. khan says that's just the people he knows about in northern virginia. >> there are about 150,000 people that are uninsured. the safety net can only accommodate a limited amount of these people. so the rest of them actually go without even basic primary care and a lot of us-- as doctors, not just me but people-- working in emergency rooms, see the effects of that. >> reporter: for the states that decide to opt into the medicaid expansion, here's how it will work: starting in 2014, the federal government will pick up 100% of the st. in 2017, the government's share starts to ramp down, so that by 2020 moving forward, washington will pay 90% of the tab with states picking up the other 10%. but a number of re

after years of negotiations, i am very excited to have the approvals associated with an expansion of the market. the proposed project will increase the size of the market to 525,000 square feet, which will create new opportunities for businesses who want to stay and to grow in san francisco. the items before you today or resolution of intent to add an ordinance ordering the vacation of streets within the produce market. if you have ever driven through the produce market, you will see that it is very unsafe for pedestrians, drivers, and workers. the proposed project will vacate portions of streets in the market in order to ensure their better structured, improved, and safer access points in and out of the market. in response to community members concerns about the impact this may have on traffic, the project will make a series of improvements to adjacent streets to minimize the impacts of this vacation. i am very supportive of these items and believe this project is essential to the small business community. i would like to bring up john updike to walk as to the details. >> thank you.

one is, um, the impact of the expansion. the second is the sort of multiplier effect, potentially, of what's known as the prompt access standard. the third is what significance do we draw overall from the decision. so just to backtrack, putting aside the strange and wondrous solution that the chief justice imposed on medicaid in order to give the litigants the breathing room they wanted without in any way sacrificing the money, the expansion, the power of congress to enact an expansion, as i said, if you open up the statute today, what you see is that there's, you know, one program, that this is what we would have called a new mandatory categorically-needy eligibility grouping consisting of people described in that part of the statute. and, of course, that's what made the whole issue so stunning to justices ginsburg and sotomayor that, you know, the question is, well, wait a minute. if you look at the statute, it's one piece. and as justice ginsburg pointed out, it would have been crazy to repeal the whole medicaid statute in

they are publicly considering whether to go along with the massive medicaid expansion. florida governor says he has made up his mind and the answer is no. >> every federal program ultimately cuts back and you create dependency. that is what they did with the schools with the stimulus and they cut back. >> reporter: now we waited to see how many other states will follow suit. >> greta: legal challenges to president obama's health care law the day was signed, on march 23, 2010, florida attorney general filed the first lawsuit. he vowed to pursue it to the highest court if necessary and he did. so, now that the highest court has ruled. what does bill mccallum say. we spoke with him. >> i know you are a lawyer and full member of congress as well as the attorney general who filed the first a case. would you have done anything differently? >> no, i really wouldn't have done anything differently. i think this case was well briefed and well argued. i was shocked and disappointed that chief justice roberts concluded that the individual mandated was a tax, not only that but it was

can we cut now on the verge of the major expansion? won't this hurt the cause? we want more doctors. we want hospitals to, up and down services. suspect it going to look bad to cut them now? that's raising questions of states saying we can't afford it. here's an example of what happens of states who can't afford. it. this is what they do. might we face these challenges in 2014? we'll see expansion which, again, if the president's re-elected and the 2014 expansion goes through, it may not eliminate some of these things. we may expand eligibility, but people raise the question if we pay doctors less money, there's not enough doctors in the program to treat the people. having the medicaid card itself, is it going to mean as much? >> host: you mentioned that states are trying things out. they are trying out whether cutting money to providers is an effective way to cut costs and still serve people's needs. tightening up eel jilt. how much are states talking to each other and to the federal government? is the secretary of health and human ser

the medicaid expansion is optional for the states.he health law is estimated to get insurance to about 32 million people, and expand to 32 million people. half of that expansion is supposed to come through medicaid. the medicaid portion of that, states were going to be required to expand their medicaid to everybody under the -- with incomes up to 133% of poverty. that is about an income of about of18,000 for a single person, $31,000 for a family of four. states will no longer be required to do this. florida has come out the strongest. states and governors have said, i do not think this is a good thing and i probably will not be doing this. we're talking about florida, wisconsin, idaho. his letters in those states have made comments to that affect. where's the money going to come from? democrats are saying this is insane, a half to take this. -- you have to take this. it will fund slightly less and eventually find 90% of the cost of the expansion population. states are saying it is too much. our budgets are strained and we cannot do wi

president humala now openly supports the mine's expansion and one of the country's poorest regions.tly said, "there are dams and roads that have to be built. it is not fair to cajamarca after having given so much to the country." for more on the situation which continues to escalate, we're joined in new york by bill weinberg, a freelance journalist was recently in cajamarca reporting for the progressive magazine. welcome to "democracy now!" you have just gotten back. how has this protests been growing for the last number of weeks there? >> walked, they started a general strike on may 31. this is just the latest in a series of ongoing protests that have been going on for years. every time the company yanacocha propose an expansion, the local people get organized and shut down businesses and blocked roads. it was significantly started to heat up last year when the proposed moving into this area called konga, where there are five alpine lakes which the company proposes to destroy. they're going to turn them into giant mining pits and dumped mining waste. water sources in the region hav

the medicaid expansion was supposed to be abouthalf the coverage expansion under the health care law, so around the country it's about 17 million people estimated that they'll get coverage through this expansion. if a lot states say no, that will erode one of the goals of the law which was to get insurance for the uninsured. >> ifill: we have seen some states where they have said no, but then they've said well maybe and it sounds like people haven't figured it out yet. has it trickled down to the state legislature? >> state legislatures will have to make the decision in almost every state. this medicaid expansion will have budgetary implications and state legislatures have control over that. i think lit take some time. some of the governors have strong statements in opposition, there are a couple who said we're definitely going forward. there's a much larger group in the middle who said we need to do budget estimates, we need to talk to our legislature, and i think we'll see probably in 2013 we'll see more of these states deciding one way or the other and doing what they need to do. >

for that reason, it outlines the expansion of the facility, as mr. jones articulate it, to include a fifth pitch. our project only includes four fields. the expansion of what is now a restroom building into a restaurant community building. we tried to design a project that is in conformity with the golden gate park master plan that has less of an impact in terms of the layout than the original master plan it initially contemplated. our proposal after the planning commission certified the eir was adopted by the rec and park commission, and found to be in conformity with the golden gate park master plan. the commission is the body that is charged with making those initial policy calls. that is the conversation that occurred in terms of the project in relationship to the master plan. commissioner campos: can you talk about how the issue of light in relates to -- don't know if it is something that connects to the golden gate park master plan or the san francisco general plan, but if you can talk about that? >> sure. i think it is appropriate for me to ta

they happen to be staunch supporters of the rebels they are various organizations are pointing at the expansion of terrorist networks in syria which effectively fuels civil war there so this iraqi based all cried a leader also. warned the syrian rebels quote not to accept a new rule or constitution but god's will and islamic law otherwise quote you will

the expansion is expected to cost two million dollars. >> number four, air bart extension to oakland al is reaching new milestone crews are putting up girders between columns installed for the aerial tram. this is new video we got from bart the girders will make it easier to see where the track will be. >>> number few, giants begin second half of the season following all-star break. bumgarner faces astros. yesterday the team held workout first pitch tonight 7:15. >> let's get your friday the 13th, forecast. >> nothing scary on live doppler, dry conditions throughout the morning. as far as temperatures, 50s right now, unmostly cloudy conditions, as we head into the lunch temperatures hang around mid 70s inland upper 60s around the bay and mid 50s at the coast. in the afternoon hoursue not as taxing as it was yesterday, 80 inland, near 70 bay, mid 50s coast. enjoy your day. >>> backed up at the bay bridge toll to the 880 overcrossing slow ride for a friday morning heading to the metering lights. issue slow spots, on the peninsula a little friday light even grumpy traffic spotter report

, the power of congress to enact an expansion, as i said if you open up the statue today, what you would see is that there is one program, that this is what we would have called and expansive tori category meeting eligibility category subsisting of people described in that part of the statute and of course that is what made the whole issue so stunning to justices ginsburg and sotomayor. the question is well wait a minute, if you look at the statute it is one piece and as justice ginsburg pointed out it would have been crazy to repeal the whole medicaid statute in order to enact a new amendment in congress has amended the medicaid statute, i don't know, in a row of times over the past sum of 50 years including all-new eligibility groupings and they are all a matter of degree or certain dimensions of poverty. in the beginning we only recognized a few dimensions of poverty. we recognize more dimensions of harvard and impoverishment for health care purposes so it is one piece, and i view sort of the implications for the coercion doctrine, and i must admit i'm not a constitutional theorists a

the expansion will add one 50 beds to the facility 1 1900. >> cheapest of two million dollars.certainly cheaper than building a new jail facility. actually the safest because it's within the foot present of the west county key tension facility. >>reporter: even so this group plans to fight the ex packs every step of the way. they will be at the sheriff's unveiling to voice opposition. pushing for bail reform, transition housing program and less emphasis on jailing undocumented im graichbility we have a lot of talented people that are incarcerated for very long periods of time. that aren't able to be good members of our community. >>reporter: the sheriff will unveil his expansion plan at the community correction partnership meeting tomorrow morning. live in richmond, abc 7 news. >> thanks. right now in placer county more than 1,000 firefighters from all over california including contra costa county are trying to keep a dangerous fast moving wildfire from spreading any more. it broke out late yesterday along the american river near forest hill. it quickly grew to more than 300 ac

down well we expected all the galaxies to put be pulling on each other and to be slowing down the expansion of the universe but instead we found that the expansion is speeding up so that that meant that there's something totally brand new that was unanticipated that we don't understand and for a scientist that's more fun than just confirming something that you already thought was there that something that you already thought was true why are there any unanticipated discoveries among scientists i don't think scientists will ever truly understand creation because i don't think we'll know where the laws of physics came from but given a universe given that universes can arise i think someday maybe we may well understand dark energy and dark matter and the other constituents of the universe we only discovered dark energy fourteen years ago the accelerating expansion of the universe so it's no surprise that we don't yet fully understand dark energy dark matter was only conceived a few decades ago so again we don't yet really know what dark matter is but we've not been investigating it for very lo

as we look at the expansion and run the spreadsheets -- this is not political.s is a financial analysis of what it means to cover an additional 30,000 people, in our case. what kinds of resources will be available to us from the federal government and what will it take from delaware tax payers? my view is that we understand it all properly. this could absolutely be a good deal for delaware taxpayers. i understand the other states will make different determinations based on their own reading of the math. for us, as we understand it to this point, this looks to be a good decision. >> can you give us your position on that? if you had to make a decision today to opt in or not, what would you say? greg i would say that medicare expansion without reform is irresponsible. president obama said exactly the same thing in 2009 when he spoke to the senate democratic caucus in d.c. putting more money into a system that already is somewhat broken does not make sense. i think we have all talked to secretary sibelius and others of the need to do things in maintenance of effort

curt anderson planned to meet tomorrow with other delegate to talk about the expansion which includes a new casino site in prince george's county, but now he says governor o'malley's administration hasn't given them enough information. >>> penn state already feel the effects of the child sex abuse scandal just a -- feeling the effects of the child sex abuse scandal just a day after the ncaa announced unprecedented sanctions. general motors reportedly is reconsidering its sponsorship. pittsburgh based pnc bank is sticking with its sponsorship but wall street may downgrade the school's credit rating. >>> some virginians say they couldn't call 911 when they needed help the most. coming up an investigation is underway to find out what caused the massive communications outage during this summer's storms. >> if you see a story we should look into, give us a call at 202-895-3000 or send us an e- mail to fox5tips@wttg.com. i'm barack obama and i approve this message.

and then if you look at the expansion population and the characteristics of the expansion population, are they going to be more expensive than current? so how much might we expect these folks to cost? there is difficult a disproportionate number of people in the expansion population that have mental illness and behavioral health challenges. some, for some states that makes the decision clear. well, that means we must keep them on medicaid because the medicaid benefit package for mental illness is very good and rich, and if you have them in the exchange, well, the benefit packages for behavioral health aren't as great. so, and it also factors into whether you need to keep community mental health dollars in your state budget. and then finally this -- the states that have done medicaid expansion already have found that the people are definitely more costly than the current parents, but they're less costly than disabled enrollees, so they're somewhere in the middle. oh, and also you're looking at a new kind of churn. what happens if they go between medicaid and the exchange and the contin

but the broad expansion and unmet needs of the people pouring in you have not gotten the knee surgery and back pain taken care of it is going to increase utilization. the good news is the economy will improve. bad news is when the economy goes up, health-care utilization goes up. people are afraid of getting there any fixed or whatever they need done. they are afraid of having surgery because they might use -- they might lose their jobs. i don't have a crystal ball. i just did a quick search anticipating a question of what health care inflation will look like. that article suggested that. >> i know we have been talking about our ability as a city and the ability to control cost for our health care expenditures. can you talk about what that might mean for private sector costs and employers year as they deal with health care? i think what we do from the city helps to impact what happens in other sectors. >> our strategy for containing costs, to have to a vibrant and competitiveaco's -- knowing who is charging what for what and being able to compare why a knee replacement costs $35,000 i

talking but the federal expansion of the medicaid program at risk. you can find similar stories on the kaiser health news website. our guest, phil galewitz, senior correspondent for kaiser news. thank you for coming in. next, richard williams to talk about food safety in our regular "your money" segment talking about the work the fda does to keep your food safe. first, a news update. >> checking in on the campaign trail, republican presidential candidate mitt romney spoke to a jewish donors in israel about their economic success saying, "as you come here and you see the g.d.p. per-capita in israel and compare that with the g.d.p. per-capita aoss the areas managed by the palestinian authority, you notice such a dramatically stark difference in economic vitality." his comments are outraging palestinian leaders who called his comments "racist and out of touch." governor romney travels on to poland today, the last leg of his trip. former vice-president dick cheney in an interview with abc news says he did not to the point of raising the issue of gay marr

thank you for the opportunity to prove it -- to provide comment on the expansion of the wholesale produce market. we have visited the market, 7:30 in the morning, was close to closing up. our staff has reviewed this proposal we strongly support the city's lease renewal with the market and its proposed expansion at the site in the baby. the market is a major piece of the region and the city's food distribution infrastructure and the san francisco food industry supports more than 25 food businesses and employs more than six and a people, a number that will grow to over 1000 when the project is complete. without the capital costs to be paid by the city and over the long term, the market will provide a new source of revenue to the city through rent payments following completion of the proposed reinvestment project. the market is a good neighbor, having piloted some of the food composting in zero ways policies the city has rolled out as well as diverting a lot of its waste currently. what i want to say that has not been said is that this modernization project is happening in the context and mu

the court switched the expansion of medicaid from being mandatory in all states to being optional in , in the media, with a very big job to do. it is a job we hate to do, because it involves actual research and reporting, all of which, all of which has to occur outside of washington, d.c. but, it can be done by phone. we now have to ask each of the 50 governors if they will veto or sign a bill expanding medicaid coverage in their states. we also, then, have to check with each of the 50 legislatures on whether they will pass a bill expanding medicaid in their states, in effect, accepting the optional offer of expanded medicaid in the affordable care act. now that you've heard the political media's homework assignment, you can understand why no one is doing it. no one is making those phone calls to all 50 states. and so i am, tonight, inviting the national media and the local media in all 50 states to put this question to governors and legislative leaders around the country, so that we can fill out a map showing exactly how much health care coverage with was lost in the united states su

the expansion will add one 50 beds to the facility 1 1900. >> cheapest of two million dollars.certainly cheaper than building a new jail facility. actually the safest because it's within the foot present of the west county key tension facility. >>reporter: even so this group plans to fight the ex packs every step of the way. they will be at the sheriff's unveiling to voice opposition. pushing for bail reform, transition housing program and less emphasis on jailing undocumented im graichbility we have a lot of talented people that are incarcerated for very long periods of time. that aren't able to be good members of our community. >>reporter: the sheriff will unveil his expansion plan at the community correction partnership meeting tomorrow morning. live in richmond, abc 7 news. >> thanks. right now in placer county more than 1,000 firefighters from all over california including contra costa county are trying to keep a dangerous fast moving wildfire from spreading any more. it broke out late yesterday along the american river near forest hill. it quickly grew to more than 300 ac

the expansion will add one 50 beds to the facility 1 1900. >> cheapest of two million dollars.y cheaper than building a new jail facility. actually the safest because it's within the foot present of the west county key tension facility. >>reporter: even so this group plans to fight the ex packs every step of the way. they will be at the sheriff's unveiling to voice opposition. pushing for bail reform, transition housing program and less emphasis on jailing undocumented im graichbility we have a lot of talented people that are incarcerated for very able to be good membershat of our community. >>reporter: the sheriff will unveil his expansion plan at the community correction partnership meeting tomorrow morning. live in richmond, abc 7 news. >> thanks. right now in placer county more than 1,000 firefighters from all over california including contra costa county are trying to keep a dangerous fast moving wildfire from spreading any more. it broke out late yesterday along the american river near forest hill. it quickly grew to more than 300 acres and is moving tonight toward the to