the way. we need technology to support our providers at the va and documentary providers treating veterans. this requires va to the modern electronic health record and an ib system to reduce the time it takes the va to coordinate care and process claims. va current ib system or lack of to support care coordination are contributing to delays and increasing workload for staff for manually processing them. to get this plan right this will cost a significant amount of money. our presiden present as it is cd to increasing funding for veterans but this does not mean to be a gets a blank check to continue programs that are not working or that this money should all go to community care when veterans need to specialty care and coordination that only the va can and should provide. this means the va must be able to better forecast the resources and staff it to provide better and secure the facilities through its network of committee providers. tomorrow will be marking up legislation that will allow for the rain choice program finds to spent. i think we come to a bipartisan agreement that va should be b

and so that's why this past october the f.c.c. provided broadband subscribers with tools to allow them to have greater control over how their personal online information is used, is shared, and then is sold. the f.c.c. has been protecting telephone customer privacy for decades, and it updated its long-standing privacy protections to protect the privacy of broadband customers. in fact, it is safe to say that what the f.c.c. did last october was the most comprehensive update to its consumer privacy and data protection rules in decades. the f.c.c. put in place clear rules that require broadband providers to seek their subscribers' specific and informed consent before using or sharing sensitive personal information. and to give broadband customers the right to opt out of having their nonsensitive information used and shared if they chose to do so. the f.c.c. also gave broadband subscribers additional confidence in the protection and security of their data by putting in place reasonable data security and breach notification requirements for bro

in some -- and some of the largest providers. the federal communications commission is a regulatory body regulating communication by radio, television, satellite and cable. the federal trade commission has been long been held up as a model by both parties praising the agency for strong enforcement without overly burdensome regulations. during negotiations with the european union to finalize the u.s.-european privacy shield, the obama administration held up the federal trade commission as the premiere privacy enforcement agency. unfortunately, in a midnight action, the federal communications commission jammed through its own privacy rule that's very different from the framework that federal trade commission has been enforcing for decades. while we can reverse the poorly constructed f.c.c. rule today we must still address a recent court ruling. the ninth circuit recently ruled that the common carrier exemption in the federal trade commission act exempts an entity entirely from the federal communications commission's jurisdiction if

the way. we need technology to support her providers at the va and their community providers treating veterans for this requires va to have a modern electronic health record and an i.t. system to reduce the time it takes for va to coordinate care and process claims. the a's current i.t. system or lack of an i.t. system to support care of ordination are contributing to delays and increasing work load for staff who have manually process them. to get this plan thing right this will cost a significant amount of money. our president has said he's committed to increasing veteran money but this does not mean the va gets a blank check in any programs that are not working or this money should all go to community care when veterans need the specialty care in court nation that only the va can and should provide. this also means at b.a. must be able to better forecast the resources and staff it to provide veterans the care and facilities to its network of community providers. tomorrow we will be marking up legislation that will allow them remaining funds to be spent along with this at but think we can com

based on the kinds of services they provide to women. congressional republicans are already gearing up now to attach riders to the coming budget bills in order to cut off access to critical services at planned parenthood for millions of patients in this country. madam president, there are similar attempts to undermined women's access to health care in cities and states nationwide, and more often than we would like, the supreme court is going to be the place of last resort for protecting women's hard-fought gains. madam president, if the buck has to stop with the supreme court on women's health and rights, i do not want judge neil gorsuch anywhere near the bench. time and again judge gorsuch has sided with the extreme right wing and against the tens of millions of women and men who believe that in this 21st century women should be able to make their own choices about their own bodies. now, let me just give you a few examples. when the tenth circuit ruled in the case of hobby lobby v. burwell that a woman's boss could decide whether or not

the providers immediately helped her get the care that she needed. she had a quick surgery and was able to recover, which allowed her to eventually have a family. mr. president, republicans are playing doctor and telling women that they can't access basic primary and preventative health care services at the health center of their choice. this would cut off access to care for millions of men and women, prohibiting access to high quality preventative services just because of the sign on the door. they would prevent women like lori from accessing lifesaving services when they need it the most. and we've already seen too many states enact record numbers of laws and regulations that restrict a woman's access to reproductive health services and the freedom to make her own health care decisions. in my home state of wisconsin, our republican governor has signed a number of laws that target health providers and simply have left far too many wisconsin women out in the cold. he signed a law that forces women to undergo unnecessary and invasive medical procedure

financial assistance and if the driver chooses to provide-if the driver chooses to purchase a medallion and they also do provide a monthly speed be sure past to drivers who complete-who pick up riders and the outlying neighborhoods of the city. so these are primarily on the western side of the city as well as the southern part of the city where are there more residential housing. this [inaudible] at the airport so they are not spending all their time at the airport waiting for passengers to come get in their taxi. we are also having we also do have a couple of medallions available and we are actually trying to recruit individual drivers, drivers were dedicated to this service, drivers who want to provide the service and we are trying to recruit them to operate ramp taxi medallions. all these-everyone who gets- -everyone engages in an offering of ramp taxi medallion does undergo an interview process with the paratransit coronation counsel. also working with [inaudible] to integrate our paratransit debit card into the smartphone app. i think currently, you can downloa

financial assistance and if the driver chooses to provide-if the driver chooses to purchase a medallion and they also do provide a monthly speed be sure past to drivers who complete-who pick up riders and the outlying neighborhoods of the city. so these are primarily on the western side of the city as well as the southern part of the city where are there more residential housing. this [inaudible] at the airport so they are not spending all their time at the airport waiting for passengers to come get in their taxi. we are also having we also do have a couple of medallions available and we are actually trying to recruit individual drivers, drivers were dedicated to this service, drivers who want to provide the service and we are trying to recruit them to operate ramp taxi medallions. all these-everyone who gets- -everyone engages in an offering of ramp taxi medallion does undergo an interview process with the paratransit coronation counsel. also working with [inaudible] to integrate our paratransit debit card into the smartphone app. i think currently, you can downloa

>> the threshold is a provider designated a nonprofit by the irs, primarily engaged in family planning services and productive health -- and reproductive health and provides abortions in cases that don't need the hyde amendment. -- in fiscal year 2014. >> if i made the $350 million amount, where did that number come from? bill.t was in the 2015 >> earlier when general counsel was asked a question, there was response that came from the cbo. lujan -- i can asksk you? -- you, or i can ask them. >> mr. lujan, the $350 million was in a text that threshold is listed in the cbo analysis. >> i appreciate that very much. just so that we get straight that is where it came from. madam chair, it is my understanding that you chaired one of the select committee's -- committees. i'm sure you paid attention to facts. effects were paid attention to, you would know that it is on 3% of planned parenthood services is for abortion care. not for the way it has been characterized in this hearing today. i may forget the words you may have used but 3% is not the primary focus. >> thank you very much. i want to

so forget about the federal funding to provide abortions. efunding planned parenthood is stding off funding for testing, treatments, and other valuable services. on the services and the american medical association cited defunding planned parenthood in the repeal bill and they say they cannot fromprovisions with care physicians and other qualified providers with those associated with planned parenthood affiliates. chairman, and like to submit this for the record. >> i am not finished yet. for unionists consent. it is a frightening throughout a for limited options and republicans tell medicaid haveients that they don't a choice in the health care providers and the vast majority -- mericans it is time to listen to the american people. the women are watching. you want the 14 seconds, you can have it stop >> planned parenthood can do it they want with private money. no federal money. that is all this legislation does. >> are you yielding back? >> the gentleman yields back to the lady. >> i will be brief. i want to ask a question. she mentioned tr

over the past year alone, title 10 has provided h.i.v. screenings, contraceptive services and other services to over four million women and men at nearly 4,000 health centers in new england and across the country. this network of health care providers are a safety net. they compose a network, the title 10 network, including providers who are state and local health departments, federally qualified health centers and family planning council. they are a network that provides a critical source of health care to people who otherwise would be denied it. they are trusted providers who are willing to serve the underserved, the uninsured and low-income individuals who risk losing all access to health care if it were not for this network. and these clinics are often the only health care providers in rural and other parts of the country. so the political attacks on providers who provide abortion services would mean loss of access to all family planning and preventive health care in these parts of the country -- rural, metropolitan, suburban. not only

, specifically title 10 family planning providers. the practical result of this measure is that state legislatures would pass laws to deny certain providers the funding they need to operate, preventing access to family planning and preventive care to millions of american women. mr. president, this c.r.a. is just another example of the republican war on women. it would let states treat women as second-class citizens who don't deserve the same access to health care as men. some states say this is about abortion, but let me be clear. this is not about abortions. in fact, title 10 funding cannot be used to pay for abortion simplifyings. so some of -- abortion services. so some of our republican friends tying themselves in a knot about abortions, say they're for contraception and other things like that. but this would take that away, take that away. so, our republican friends couldn't get trumpcare through, which sought to shut down planned parenthood for a year, so now they've moved on to this measure. it's just bad policy. title 10 clinic cl

of acting as the employer of an provider. these folks may have dementia or a mental illness or be vulnerable to abuseo neglect by family members or they may have supporting and cluttering disorder so these are the consumers that are served by the grant mode service and they're the employee and taking care of the hiring and will asking of the home care. this grant allows for 5% of the population or 1200 consumers to benefit from the contract mode services. so that is the contract mode piece. the second piece is for provider skill training and supports, so as i am sure you're aware that the ihss program is critical service to our population and in many cases ihss providers are the main support to consumers that they have and they perform services that are essential to the consumer's well being. as dan alluded to earlier when discussing the proposal for the tiered wage pilot program the cost of living and the senior population is making it more and more challenging to recruit and retain home care providers, and daas has recognize

a third of the counties in the nation that have only one insurance provider on the exchange. five states only have one insurance provider. that's not a program that's working for the american people. may work for government. may work for insurance, but it doesn't work for people, and that's what our goal is to put in a place a system that actually works for the american people. >> but one of the things that critics are saying, including republican crickets, is that, first of all, premiums are going to go down for younger americans, yes, under your plan, but they are going to go up significantly for americans between the ages of 50 and 64, and that might price some of them out of the market and they are not going to get the same kind of compensation from the government in terms of the refundable tax credits that they were getting from the obamacare stipends that they were being given and then in terms of the medicaid expansion those governors are saying you're going to be taking away the money that we need for this medicaid expansion so when you say that more americans will hav

with the united states providing 25% and the rest of the coalition providing 75%, the united states will do its part, but the circumstances on the ground require more from all of you. i ask each country to examine how it can best support these vital stabilization efforts especially in regard to contribution to military and financial resources. as we stabilize areas encompassing isis' physical caliphates in iraq and syria, we also must prevent their seeds of hatred from taking root elsewhere. loss of territory in iraq and syria has forced isis to extend its current branches and build new bases of operation in countries around the world. already we are seeing isis-linked cells from the pacific rim to central asia to south america. just this month dozens of people were killed and wounded when members of isis disguised as doctors attacked a hospital in kabul, afghanistan. we know military strength will stop isis on the battlefield, but it is the combined strength of our coalition that will be the final blow to isis. in order to stay ahead of a global outbreak we must all adopt the following

that's what the honest act aims to do. it aims to provide the american public with the data that the e.p.a. uses in each of its regulatory action. it would come as a surprise to many americans, mr. speaker, to believe and to learn that there are agency actions that take place based entirely on undisclosed data sets, that the regulatory arm of government can be at work based on secret data that will never be released to the american public to verify, to confirm and what is often in scientific communities referred to as peer-reviewed literature. if we are making the rules we should expose the rules are based to scrutiny, in fact to challenge, mr. speaker. one thing i have learned in this job is sometimes i'm not as smart as i think i am. i don't know if that has ever happened to you and i'm not sure if it happened to my friend from colorado. we are not as smart as we think we are. and being challenged makes us better. the honest act, aims to provide the opportunity simply by looking at the data for any american citizen to understand the regula

they worked with co-conspirators, alexi and kareem, two into the the computers of american companies provide e-mail and internet related services. to maintain unauthorized access to those computers and to steal information, including information about individual users and the private contents of their accounts. the defendants targeted yahoo! accounts of russian and u.s. government officials, including cybersecurity diplomatic, and military personnel. they also targeted russian journalists, numerous employees of other providers whose networks the conspirators sought to exploit him and employees of financial services and other commercial entities. a lot has been indicted twice before in the united states 43 intrusions into e-commerce companies that victimized millions of customers. and he has been one of the fbi's most wanted cyber criminals for more than three years. his notorious criminal conduct and depending interpol red notice did not stop at fsb officers who, instead of detaining him, used him to break into yahoo! networks. meanwhile, he used his relationship with the two fsb officers an

them to the chairman to be provided to the president, it raises a profound question of why they were not directly provided to the white house by the national security staff and instead were provided through a route through the chairman. if that was designed to hide the origin of the materials, that raises profound questions about just what the white house is doing that need to be answered. and i have asked the white house for their assistance in answering those questions as well. the third point i want to make in addition to what will be necessary to answer the questions the white house has asked us to look at in terms of the procedures, we will look into that. we want to find out also if, in fact, these are the same materials or subset of the same materials earlier provided to to chairman, why that method use the diplomatic term was provided to provide them to the committee. i want to make one point, this issue is not going to distract us from doing our russia investigation. if that's the object here, they will not be successful. we will look into what the russians

the system. including all ems city departments and private ambulance providers. city officials were quick to respond in the summer of 2014, the mayor's office convened an ambulance working group in the fall of 2014. >> i just have your draft from yesterday. it was not comporting with what i was looking at. >> before going into the details and the dash boards that we created and are now publicly available, i just wanted to show the time line of the controller's office work with the data working group and the deliverables that we have created since the fall of 2014. so as i mentioned, after the mayor's office, convened this initial working group in the fall of 2014, the controller's office convened a specific data working group. that hapdz in january of 2015, we met bi weekly and sometimes monthly, depending on the phase. and so almost two years. we were able to public dashboards in 2016, that focused on dispatch and response performance and then we followed that up in october of 2016. i am going to turn it over. >> does this one -- okay, thank you heather and good

there's lots of examples about how the pricing mechanism keeps the power in the hands of the provider. we need to give it to the patient. one example, with lasik surgery, laser eye surgery candidates come down over the last ten years as everything else has risen. there's over cost because of the total price transparency. so i think that is another component. i could go on but i will stop. >> senator cassidy didn't say this in the house. >> thing with the jewish federations of america we represent a great deal of nonprofit providers across the country including louisiana and i wanted to dig a little deeper into the recent score saying that there would be a 25% cut with medicaid estate that should be the current bill to go through. we have great concern about what it means to the provider cuts as well as the economic impact to the states. we do know of one major hospital not unlike the one who is thinking about pulling a 1 billion-dollar contract in the city of cleveland building a new hospital because they fear that they are not going to be able to make ends meet. can you talk about wh

the system. including all ems city departments and private ambulance providers. city officials were quick to respond in the summer of 2014, the mayor's office convened an ambulance working group in the fall of 2014. >> i just have your draft from yesterday. it was not comporting with what i was looking at. >> before going into the details and the dash boards that we created and are now publicly available, i just wanted to show the time line of the controller's office work with the data working group and the deliverables that we have created since the fall of 2014. so as i mentioned, after the mayor's office, convened this initial working group in the fall of 2014, the controller's office convened a specific data working group. that hapdz in january of 2015, we met bi weekly and sometimes monthly, depending on the phase. and so almost two years. we were able to public dashboards in 2016, that focused on dispatch and response performance and then we followed that up in october of 2016. i am going to turn it over. >> does this one -- okay, thank you heather and good

this part of the lease requires the airport to reimburse the smart cart to provide the free carts in customs. and the airport will pay an annual service fee equal to the lesser of either a 2.7 million service fee. or 1 dollar and 20 cents per cart used whichever is less. >> based on the estimates of the cart usage for both programs during the initial term, the airport staff estimates a maximum net payment of 4.2 million dollars over the two year extension. the a port does agree to better reflect the net payments that were made during the initial term as well as not-to-exceed amount for the total contract including twot year extension. i would be happy to answer any questions that you have. >> thank you very much. supervisor tang as a question for you. thank you, i could not tell from the packet whether there is any plans for the future to raise the fee, $5 is quite a bit to be able to push your luggage around. >> i believe that this is pretty standard across the industry. the 5 dollars has been and it has been $5 since the 2012 term and so it has been in place for a while and i actua

ask if they will accept a discount if you pay right awayask if the hospital or clinic has a financial-assistance program. many providers do, she said, but "they may not offer it up front."barring any discount ask if they will accept a monthly payment plan, so you can pay the debt off over time.

most home care across the uk is provided by the private sector.00 home—care companies. the research suggests that more than one in four of them are at risk of insolvency. the analysis also reveals growing numbers of home—care companies simply shutting up shop and walking away — 69 in the last three months alone. we've had 25 years of the market economy and i think everybody recognises the word often used is, ‘we‘re in crisis‘. i struggle to find a word that's one higher than crisis, i think, in a sense, we're probably at the point of near failure in the market. 0h, hi. it'sjo from care brokerage here. i wasjust wondering if you could let me know if you've got any capacity today, and if so in which postcode areas? if you could have a little look at it for me? like many councils, liverpool has a busy team constantly searching for carers. nothing at all? all right then. thank you. bye. they're trying to find care packages for people at home and those in hospital waiting to leave. we're really desperate to get him out of hospital. but it's not easy. i

the system. including all ems city departments and private ambulance providers. city officials were quick to respond in the summer of 2014, the mayor's office convened an ambulance working group in the fall of 2014. >> i just have your draft from yesterday. it was not comporting with what i was looking at. >> before going into the details and the dash boards that we created and are now publicly available, i just wanted to show the time line of the controller's office work with the data working group and the deliverables that we have created since the fall of 2014. so as i mentioned, after the mayor's office, convened this initial working group in the fall of 2014, the controller's office convened a specific data working group. that hapdz in january of 2015, we met bi weekly and sometimes monthly, depending on the phase. and so almost two years. we were able to public dashboards in 2016, that focused on dispatch and response performance and then we followed that up in october of 2016. i am going to turn it over. >> does this one -- okay, thank you heather and good

that's why abuse of the k-1 visa category is concerning. it provides foreign nationals almost immediate access to the united states and the benefits of u.s. citizenship. petitions for k-1 fiances are quickly processed and approved in about 8 to 12 months, compared to very much longer wait times and restrictions in other visa categories. immigration and customs enforcement pursued more than 13,000 documents and benefit fraud investigation reports from 2012 to 2015. that includes hundreds of arrests for marriage fraud, but the government cannot provide details statistics of the exact numbers. this type of visa requires citizenship and immigration services and the state department to play a role that can be categorized as immigration, marriage, police. the government has to determine whether the intent to marry is genuine or just for immigration purposes. today we will hear about their efforts to identify and prevent marriage fraud. of course, u.s. citizens should be free to marry foreign nationals. nobody questions that. but for engagements and marriages

they asked the community intelligence for more information. we are will to provide them with information that we have the materials that we have come across and i think that's important. >> you said "we have information." are you disputing the report on new york times. >> i am not commenting on the information, i am just answering the question. >> you said "we,"? >> "we" meaning the white house. we are not going to start commenting on one anonymous sources that publications published. >> if it was wrong, would you tell us. >> i am not going to get into this. >> how many times are you going to ask this question. hunter? >> does he think this agenda has to be neutral. >> when it comes to tax reform, he's got three under lining goals. one is tax implications and two is to lower the rate and three is to grow jobs in the economy. part of it is if you look at it dynamically as the plan developed and again, we are not there yet and we are in the process and engaging stake holders. there is a cost put on it and that's a decision that gets looked at as well as what are the e

it's supposed to coordinate care with the diabetes senter and primary care providers in the saint luke's community. to provide comprehensive services to patients with diabetes which in fact is only sporadic with sharing in coordination of care and not consistent. in the april 2016 meeting. the group discussed the possibility of including patients and staff from health first on the saint luke's diabetes center advisory council. a council was mandated by both the american association of diabetes educator and the centers for medical and medi-cad services. saint luke's diabetes center doesn't have an adviser council how committee. the adviser council to the diabetes center -- the main diabetes center is located. as far as we know, staff nor patients of the saint luke's diabetes center city advisory council and the members are from the california campus only. given the differences in patient composition and location, we believe that the saint luke's diabetes center should have its own council comprised of patients and staff of the saint luke's center. what we described is disturbing to say th

in some -- and some of the largest providers. the federal communications commission is a regulatory body regulating communication by radio, television, satellite and cable. the federal trade commission has been long been held up as a model by both parties praising the agency for strong enforcement without overly burdensome regulations. during negotiations with the european union to finalize the u.s.-european privacy shield, the obama administration held up the federal trade commission as the premiere privacy enforcement agency. unfortunately, in a midnight action, the federal communications commission jammed through its own privacy rule that's very different from the framework that federal trade commission has been enforcing for decades. while we can reverse the poorly constructed f.c.c. rule today we must still address a recent court ruling. the ninth circuit recently ruled that the common carrier exemption in the federal trade commission act exempts an entity entirely from the federal communications commission's jurisdiction if

they have lost the ability to see the doctors or the provider that they wanted to see. so we need to move in a direction again that respects the principals of accessibility for all, affordability for all, quality and choices for pare patients. >> let's go to the affordability aspect. first of all, can you say for certain that once this bill is passed, nobody, nobody will be worse off financially when it comes to paying for health care? >> well, i'll tell you right now there are a lot of people that are worse off right now wh they're paying for health care d they aren't getting the care they need. again, the premiums are up. deductibles are up. if you are an individual out there making $50,000 and your deductible is $8,000 you may have an insurance card but you don't have coverage. i hear about patients who come into the office and they recommend something for them and they're not able to get it because the deductible is so high. >> i notice you ducked the aspect of whether you can guarantee that nobody will be worse off financially. >> i firmly believe that nobody will b

the privilege. by march 10. you have agreed to provide the discipline of mr. colÓn and you can provide that by march 10? ms. gowadia: if the discipline has are ready taken place, i do not know. mr. chaffetz: i thought you said he was disciplined? ms. gowadia: i said in the process, i will give you an update. mr. chaffetz: you are going to provide government advice regarding withholding information from ose, correct -- correct?ect -- osc, ms. gowadia: i will work with the department to get you that it. mr. chaffetz: let's recommend the gentlemanmr. chaffetz: from north carolina. >> i have had for five things going on. e things going on. ms. gowadia:, thank you for the meeting yesterday, i want to thank counsel as well. i am a little confused. yesterday we talked about a reset, we talked about going forward and really working this but my staff informed me and that is why i came back that we are again trying to insert an attorney-client privilege and keep things from osc. i did not leave with that impression yesterday from our private meeting. am i misinformed? ms

the full rates. we are down to a single provider for an entire state. that doesn't sound like a successful system to me. when i look at the american health care act, i see several things. first, damage the three essential colors of our american health care system which first is player health care system. if anything, it pushes back this cadillac tax for eight years, something i think we need to get rid of. we should never be taxing people for their health care plans. it keeps the basic medicaid functions intact. it keeps medicare for older seniors. i agree with many of the comments made, both these systems are much in need of reform. the bill provides a transition to go for people who are -- transition period for people who are getting some form of obamacare. the act acts as a number of thing. it is not required. if you don't want to be despair, you don't have to participate. that is a big change. it provides direct health to individuals in the form of tax credits. you can pick what you think is best for you. that to me is the hallmark of any good health

them to the chairman to be provided to the president, it raised the profound questiony they were not directly provided to the white house by the national security staff. if that was designed to hide the origin of the materials, that raises profound questions about just what the white house is doing that need to be answered. i've asked the white house for their assistance in answering those questions as well. the third point i want to make in addition to what will be necessary to answer the questions the white house has asked us to look at in terms of the procedures, we will look into that, we want to find out also if in fact these are the same materials or a subset of the same materials earlier provided to the chairman. why that method to use a diplomatic term was i'm employed to provide them to the committee. finally, i want to make clear as well. this issue is not going to distract us from doing our russian investigation. if that's the object, we're not successful. we're going to look into everything the russians did to influence the election. we're not going to be d

there are three nonprofits funded by the city, who provide detention services. the public defender's office and alameda county has four funded positions. and so that would be about 120 cases according to their estimates. the santa clara public defender has not yet committed yet, but we're hoping that they will. and that would still leave a large number of cases where individuals would not receive representation. but i wanted to make it very clear, that as public defender, i will commit to advocating in all of the other counties. and there are over two dozen counties, most of them very small, but the larger ones, sacramento, contra costa and san mateo and santa clara and to advocate for them to also provide legal representation to detained immigrants. the other question that was asked, why should san francisco provide representation to detainees who live outside of san francisco? san francisco was s one of 60 what they call base cities nationwide where immigration courts are located and that is really the biggest reason, because legal representation is usually pro

we also want to acknowledge the importance of providing services to the diverse populations we have. we are aware that sometimes it has a higher price tag attached to it. so for instance, we have a lot of ethnic meals that we provide and a lot of ethnic meals we provide through smaller contractors and sometimes we do the same thing for case management and we certainly value what those smaller contractors bring to the table and we way that value into the added cost because were serving multilingual populations and populations of different cultural needs are we willing to pay attention that.some of our smaller contractors cannot spread out the administrative costs in the way that the bigger ones can i just want to point that out because we really try to weigh those things. the third piece is contract monitoring. we are improving and developing new policies on contract monitoring and were deftly supported by the hsa contract monitoring unit and analyst in this endeavor. i do want to note our program and also been caring about 40 contracts each and we're bringing in some staff to help tak

i feel that we need to go back to the physician hospital provider relationship with the patient but we need to provide incentives for the providers to look after their population and maintain health, and not be paid for how many more x-rays they can do on a transactional basis. forget the incentives right, a the physicians to keep people healthy and everything else will align very easily. >> thank you, mr. read, this concludes our national press club luncheon. more information please go to our website press.org. we are adjourned. [applause] [inaudible conversations] >> a live picture from the floor of the u.s. house where members have been debating the rule for considering the republican health care bill. it consists of four hours a jolt of eight the vote to follow. the hill unofficial web account says up to 34 republican members will oppose the measure. all democrats expected to vote no. republicans target is to 15 which at this point didn't have. life coverage on c-span. and charlie will hear from house minority leader nancy pelosian picture build everything. we plan to have that for

if asked by the committee would you provide the finished product assessments? >> we would provide what the committee needs to do to do its oversight properly. >> i noticed in your statement that you highlighted, and i quote acquisition proficiency of our satellite specialists at the national reconnaissance office. i'm sure you probably agree the requirement development process for the satellite is in need of significant reform. will you worwill you work with e to ensure we can quickly get to the design build and launch phase? >> agility is important this time in the rapid technological change. we see now h now and within nats have the capacity to launch into space. i was shocked to read one rocket launch deposited more than 100 satellites in space. they may be small in size with different functions but one can set up i think it was 111 platforms. we cannot afford to be behind the curve in terms of development of both of the the offensive and defensive capacities of what we put up into space. streamlining that acquisition process isn't something that should be do

this part of the lease requires the airport to reimburse the smart cart to provide the free carts in customs. and the airport will pay an annual service fee equal to the lesser of either a 2.7 million service fee. or 1 dollar and 20 cents per cart used whichever is less. >> based on the estimates of the cart usage for both programs during the initial term, the airport staff estimates a maximum net payment of 4.2 million dollars over the two year extension. the a port does agree to better reflect the net payments that were made during the initial term as well as not-to-exceed amount for the total contract including twot year extension. i would be happy to answer any questions that you have. >> thank you very much. supervisor tang as a question for you. thank you, i could not tell from the packet whether there is any plans for the future to raise the fee, $5 is quite a bit to be able to push your luggage around. >> i believe that this is pretty standard across the industry. the 5 dollars has been and it has been $5 since the 2012 term and so it has been in place for a while and i actua

the country. pensions provide that. in the 20th century etiquette is fair to say these kinds of programs operate differently, in a depends on whether or not the u.s. is in a period of a draft or a volunteer force. during the draft you do not have to bore people in because you can compel them to join. in that case, the veterans programs that emerge also still function as rewards for those who do their duty. in the volunteer era which starts in 1973, he start to see these benefits and programs operate more for recruitment and retention than they do for reward for service. is there is the need to recruit and retain every large, professionalized group of people in your seeking to reduce turnover. these programs can function to cement the loyalty of people who are in their, to make life once they are in the military easier to lift. it is a difficult and arduous life. he can support families. and basically encourage people in the time comes to re-up and stay in. bill: a g.i. bill after world war ii. would you consider that a r

the tax equity providing individuals in the individual and small group market the opportunity to have the same kind of tax preference purchase of coverage that folks who are in the employer sponsored arena do. that's incredibly important. to look at the kinds of things we can do from the department standpoint, we had great conversations with the governors, most of whom say just let us do our job. get out of the way. we know what our constituents need, we know how unique our state is, and what needs to be done. alaska isn't like florida, isn't like arizona, isn't like virginia and so states need to have that ability, rightful ability, to fashion their program for themselves. and then i mentioned before the issuers, the insurers fleeing the market, we need a significant amount of market stability, not for insurance companies, but so that patients have access to the kind of coverage that they want and that's what we have tried to put forward already, we have gone that process through different rule-making that we put forward to make it so that there is some greater stability in the marke