back at the beginning of tricare about 20 years ago. and did an amazing job of re-footprinting its installations. and i think some focus on the question of what the sizing and the structure ought to look like and then what do you actually have to supplement it with to give elasticity from a provider perspective and what types of providers and systems do you want. and if you're going to have an integrated delivery system that's in the private sector in a certain market, how do you plug that in. because some of the delivery systems the models need to take care of the entire patient and not just part of the patient's needs. what i would also offer is some of the prototypes have designed that have been done over the last 20 years are worthy of exploration and assessment. and there may be some new prototypes that need to be done but i think there's probably a lot that's already been tested. and figuring out what its application might look like to end up making change as you go forward from here would be smart. and i'll tell you, i'm particul

that is our plan for reforming tricare.e are appreciative of the input from service organizations, to support tricare. the tricare benefit was that number one health plan in the country for a customer experience by 2015. boeing in all small part the comprehensive coverage and low-cost job beneficiaries and we jockeyed for that position, and loud and clear for beneficiaries, access to care and primary and specialty care needs attention particularly in the empty s. we implemented a number of access improvements to open up more appointments or resolve appointment issues on the first call, improving access to after our care particularly for child care, when did that is through evening, weekend clinics, ability to e-mail providers questions through secure messaging, the availability of nurse advice line, with the pointing system, streamlining the referral process implementing urgent care, demonstration programs congress requested. our contract will be awarded in 2016 and includes provisions that further improve the experience of

was in, the tricare legislative proposal did not contain any son, thehood tricare legislative proposal did not contain this? what should we expect? >> that set of proposals requires additional studies. there are several courses of action depending on what type of reservist we are talking about. let me just give you some examples to crystallize. on the one hand, we initiated reserves to fill a gap in what we thought was medical readiness at the height of the war. the consequence of that was that the reservist and family would have to switch insurance programs when they came on active duty. the possibility frankly, of offering tricare reserves to a larger population, including employer-based options , which might be reasonable. there is the possibility as the commission talked about, of providing basic allowance for health coverage when they come on active duty. we need to sort that out. and then, there are some other hybrid options that are out there. reserves isth really about not forcing them to change providers when they come on active duty. there are different solutions and we need

woodson, the tricare legislative proposal didn't contain i don't believe any recommended improvements for guard and reserve communities. what's in the offing there? what can we expect? >> thank you very much. for that question. because that set of proposals really requires some additional studies because i think there are several courses of action depending on what type of reservice we're talkinging about. so, let me just give you some examples to crystallize. on one hand, of course, we initiated tricare reserve select to fill a gap in what we thought was medical readiness at the height of the war and the consequence of that was that the reservice and family would have to switch insurance programs when they came on active duty. so, there is the possibility frankly of offering of course tricare reserve select and employer based options. which might be reasonable. there is the possibility as a commission talked about, providing basic allowance for health coverage and we need to sort that out. there are some hybrid options that are out there. the issue with reservice is really about not

. >> can you tell us how much in savings there are in the personnel reform, the tricare and the other things, how much money is being saved through those reforms? >> we can provide that. my recollection, it's just under $1 billion. we'll get that for you. >> reforms offset the benefits that are being added on? >> yes, within the compensation proposal. within the compensation portfolio, we didn't really move any money in in or out of that. there are things where we're making things more generous and then there's the tricare, where there are some savings that we think we need to do. or try to move it more towards where it should be. >> yes, ma'am. >> thank you. the house armed services committee, they've been saying that in this budget you're robbing the base budget to fund oco neshtives. i see that, you know, in your slide, where you show $11 billion in program cuts, is the thinking that maybe if they increase by $11 billion you would be able to get all that stuff back? >> these numbers were well known to everyone i think. we funded the base budget to what congress agreed to. >> i unde

medicare, medicaid, veterans, tricare, medicaid, veterans, tricare, guess who pays for those? i do. every member in this audience does. every member of this committee does. i cannot believe that your indication here is that the cost really, in terms of the number of people who are impacted is so small that that is not really the issue. it is is the issue, let's talk about some other drugs. let's talk about gilead, the hepatitis c drug. other drugs that retail at $84,094,000 for 12 week course. we can treat, but because the profit we are not going to cure. instead will create an environment where people will have to have liver transplant. i see a pattern here that is incredibly frightening for the overall aspect of getting a handle on healthcare costs, and clearly is a shift from moving from protecting patients in this design and it isn't the result of r&d. we we have many e-mails that would indicate that directly. we just passed 21st-century cures which is another indication. congress is interested in making sure innovation and research, development and fda approval without minimizi

programs, the pentagon budget request for next year requires a proposal for the retirees using the tricare program to start paying enroll lee fee. the hearing starts at 2:30 eastern and you'll be able to watch it lye here on c-span3. >>> coming up later, hillary clinton in south carolina. she attends a discussion on civil rights and police misconduct. joining her at the event, the mothers of fray vonn martin and eric garner. we'll have it live from columbia, south carolina. later tonight, results from the nevada republican presidential caucuses. we'll show you who won and have candidate speeches live tonight. on our companion network c-span. [ applause ] >>> every election cycle we're reminded how important it is for citizens to be informed. >> to me c-span is a home for political junkies and a way to track the government as it happened. >> it's a great way for us to stay informed. >> there are a lot of c-span fan os the hill. >> there is so much more that c-span does to make sure that people outthe beltway know what's going on inside it. >>> the nation's governors gathered here in washing

duty military personnel by allowing chiropractics to be made to those accounts under medicare and tricare. it makes commonsense fixes to the current rules. for instance patients now will be able to purchase over the counter medication such as aspirin or allergy medicine without getting a prescription from their doctor first. let's give the american people more choice, more flexibility and let's pass the health savings act. i yield back. the speaker pro tempore: the chair lays before the house an enrolled bill. the clerk: h.r. 4437, an act to extend the deadline for the submital of the final report required by the commission on care. the speaker pro tempore: pursuant to clause 8 of rule 20, the chair will postponefurther proceedings on motions to suspend the rules on which a recorded vote or the the yeas and nays are ordered or which the vote incurs objection under clause 6, rule 20. recorded votes on postponed questions will be taken later. for what purpose does the gentleman from virginia seek recognition? >> i move the house suspend the rules the eric williams correctional officer prote

. >> can you tell us how much in savings there are in the personnel reform, the tricare and the otherhings, how much money is being saved through those reforms? >> we can provide that. my recollection, it's just under $1 billion. we'll get that for you. >> reforms offset the benefits that are being added on? >> yes, within the compensation proposal. within the compensation portfolio, we didn't really move any money in in or out of that. there are things where we're making things more generous and then there's the tricare, where there are some savings that we think we need to do. or try to move it more towards where it should be. >> yes, ma'am. >> thank you. the house armed services committee, they've been saying that in this budget you're robbing the base budget to fund oco neshtives. i see that, you know, in your slide, where you show $11 billion in program cuts, is the thinking that maybe if they increase by $11 billion you would be able to get all that stuff back? >> these numbers were well known to everyone i think. we funded the base budget to what congress agreed to. >> i unders

medicare, medicaid, veterans and tricare. tennessee-based for those? id. every member in this audience does. every member of this committee does. i cannot believe that your indication here is that the costs will in terms of them of people who are impacted is so small that that's neve that's ne issue. it is a big issue. let's talk about a couple other drugs. let's talk about another company, let's talk about the hepatitis c drug which retail at 84,094 -- 84,000, 94,000 respectively for 12 reports. we can cure hepatitis c but because of profit we are not going to tear it. instead will g go to great and a viable people are going to have liver transplants. so i see a pattern here that is incredibly frightening for the overall aspect of getting a hand on health care costs. and clearly is a shift from moving from protecting patients in this design. it isn't a result of r&d. we've got many e-mails from the company would indicate that directly. we've just passed 20% teachers which is another indication that congress is interested in making sure that innovation and

and she was working on things like making sure our national guardsmen had access to tricare health careprogram for kids. i guess my question to that young woman would be if we're going to look at the record, let's look at the whole record. and i think tamron mentioned this in the interview, hillary herself made it clear, she regrets those comments. she shouldn't have said it, and of course she wasn't talking about that young woman. >> because she's a clinton, there's a special kind of thing that attaches, right? >> sure. >> from a lot of the public. hillary clinton has also made some affirmative decisions that have come back to haunt her, speaking to wall street, making decisions in terms of clinton foundation. did hillary clinton make a mistake by aligning herself in a sense with wall street? was that just a bad decision that she now has to rectify by, for instance, releasing transcripts of her speeches? >> i disagree with that characterization. because i mean, she is a senator from new york. and so they were part of her constituency. but also, i mean, she -- you know, she got out of p