at brookings joint tax center, and a colleague of his at the urban institute that actually put forward a design for the prefunding of services for that. i think that is-be done, challenging. prefunding at all, which medicare is never designed to be. that's what i was saying earlier. prefunding at all is challenging because we do when we take it in as a federal government, we tend to lend ourselves that money, and if we want to really put it away, that's a challenge for us. but i would be happy to share that proposal. >> i'd love to see it. thank you. sorry for taking so long. >> thank you so much. i know senator udall has to leave. would you like to ask a couple of questions, make a comment? go ahead. go ahead, senator mentz. >> i appreciate it. very kind of you. mr. colman, right there, we all know that medicaid was never intended to be the primary provider of long-term care coverage, yet medicaid is the largest pair of long-term care services. with long-term care accounting for almost half of national long-term spending, as a former governor, i know that giving our states the plexabi

the urban institute and the migration policy institute found negligible savings on oklahoma public services from the departure of the undocumented because they're ineligible for those benefits in the first place. a georgia restaurant association survey found november 2011, 71% of members had labor shortages and estimates the average monthly sales loss due to the shortage $21,000 per store. georgia farmers told their governor they needed 11,000 workers to bring in that spring's fruit crop. governor deal offers up probationers as a solution on the first day 11 showed up. a week later there was seven left. the losses of the farmers encountered in 2011 was an estimated $391 million. one analyst said we have turned good workers into criminals and turned criminals into bad workers, lose on both ends of the deal. exactly. alabama is rethinking hb-56. 25% of alabama's construction workers have left the states with few replacements. towns report revenue losses exceeding $8.5 million. statewide loss and income tax collections are estimated between $56 million and $264 million. arizona continues to su

today she's a professor at georgetown university, a fellow at the urban institute and an elected member of the institute of medicine. we also have dr. bruce chernoff with us today, the president and ceo of the scan foundation. an organization that's dedicated to research and dissemination knowledge that improves the health of older older adults. dr. chernof also served as director and chief medical officer for the los angeles county department of health services. we thank you all for being here. and before we go to your testimony, we'll hear from the distinguished ranking member of this committee, senator corker. >> mr. chairman, thank you. and i had a conflict. i came at the perfect time. i don't give opening comments much. i thank you for calling the hearing and i look forward to hearing the witnesses. so thank you so much. i appreciate it. >> thank you. all right. mr. o'brien? >> chairman, ranking member corker, members of the committee. thank you for the opportunity to testify today on long-term care insurance. the office of personnel management oversees numerous benefit programs, i

yesterday applying for medicare because i've stepped down after 12 years as president of the urban institute, i have an even greater interest in ensuring the sustainability of both medicare and social security both for current and future generations of beneficiaries. thank you. >> what's the administration's plan to deal with that in the near term? is it to combine the two funds or direct money away from the fund? >> there's a precedent in the past congress faced this problem with less time to act and they acted then with a tech rare solution. our judgment is to do a long-term solution. we're going to be working towards that with the congress. >> yes. >> hi. secretary, i'm curious in this report as in last year there's some question raised by the trustees and more forcefully by rick foster about whether the projections under the affordable care act will come to pass. do you have any thoughts since you've spent so much time defending the law and the significance of these projections, what does that mean there's some shadow hanging over that in such an important report? >> i think there has be

the what we thought was airtight evidence was actually just broken mirrors this last fall the urban institute put out a report that showed the d.n.a. evidence cleared think ten percent of the people convicted in twenty years in one nine hundred seventy three and one nine hundred eighty eight virginia even more troubling are the findings from national academy of sciences panel that was chartered by congress according to their report expert comparisons of everything from hair handwriting bullet marks bite marks human impressions tire prints even bigger print analysis are all subject to human bias and this is after in courts experts testified about the reliability of those practices time and time again so it turns out that there are no effective standards for examiners laboratories or court testimony i mean really just seems like i'll just let anybody be a forensic consultant but oh wait that's right they will take for example the american college of forensic examiners the american college of forensic examiners institute is an independent scientific organization serving professionals across many

brookings joint task center and a colleague of his at the urban institute. that put forward a design for the refunding of services. that is -- can be done. challenging. refunding which medicare is never designed to be is what i was saying earlier, is challenging because we do when we take in at the federal government we tend to lend ourselves that money and we want to put it away. that is for a challenger. i would be happy to share that. >> i would love to see it. >> i know senator udall has a couple questions. go ahead. go ahead, senator mansion -- manchin. >> we all know medicaid was never intended to be the primary problem -- long-term coverage but medicaid's longest payer of long-term care services with long-term care accounting for almost half of national long-term care spending. as a former governor i know giving our state flexibility and resources they need to innovate is a first and critical step toward controlling spending. in the medicaid program and improving long-term care outcomes. we will never achieve quality and savings with a 1-size-fits-all

. >> about a year ago i was graduating from the university of michigan's urban institute and looking for a job. i think the real turning point for me was sitting in an interview and being asked the question why are you looking for a job when i had one already. at the time i was looking for a job to support my hobby. from there, it has really snowballed. >> can you talk about what wello is? >> it is a venture that develops equipment for the developed world. we are launching it in india. we are now employed in other people. last month, our team doubled and we will probably double again in the next two months. >> terrific. at the inter-american development bank, and maybe you can explain what that is, how do you find people like cynthia in latin america and the caribbean given that 60% of the population are under the age of 30? how do you connect with people who have these great ideas for their own advancement and also for society as a whole? >> first of all, thank you very much for having me here. it is great to have the students' thinking about these ideas. day inter-american developm

an hour yesterday applying for medicare because i step down after 12 years as president of the urban institute, i have an even greater interest in ensuring the sustainability of both medicare and social security, both for current and future generations of beneficiaries. thank you. >> thank you charles, and lop would be happy to take a few questions. .. that there's a shadow hanging over that in such an part report? >> i think this has been traditionally were i would say reluctance among the congress often to adopt payment reforms it's a great example of that. it was begun with the floor intentionally above medicare fee-for-service as a way to encourage competition for the marketplace when they were still paying the passage of the affordable care act 114% of the fee-for-service in spite of the fact people kept saying that needs to be lowered. the affordable care act has done that and the good news is that in the last two years medicare a vintage plans are now being paid at a rate 107%, not 114% higher. we are on track to get to parity with fee-for-service, but we are assuming that the payment r

yesterday applying for medicare because i have stepped down after 12 years as president of the urban institutehaven't even greater interest in ensuring the sustainability of medicare and social security, both for current and future generations of beneficiaries. thank you. >> thank you. we would be happy to take a few questions. >> the disability trust fund, what is the plan to deal with that in the near term? to combine the fund or direct money away from the oasi fund? >> congress face this problem in 1994 and they acted with a temporary solution. the best thing to do is to do a long-term solution and we will work toward that with congress. >> a question for secretary sebelius. >> i am curious that there is a question raised by the trustees and rec foster about whether or not the projections will come to pass. did you have any thoughts because you spent so much time defending the law and the significance of these projections? what does it mean if there is a shadow hanging over as in that report? >> there has been traditionally reluctance among congress to adopt payment reforms and medicare adv

hour yesterday upon for medicare because i have stepped down after 12 years as president of the urban institute, i have a great instant interest for medicare beneficiaries and social security beneficiaries. >> thank you. we would be happy to take a few questions. >> what is the administration's plan to turn with the funds? >> congress face this problem back in 1994 with less time to act. they acted than with a tempered solution. i think our judgment is the best way to -- to do a long-term solution. we will be working with that with congress. >> [inaudible question] secretary, i'm curious, in this report and mother are some questions raised by trustees and by rick foster about what the protections will come to pass regarding the verb object. do your makeup, and the significance of these projections -- what does it mean that there is some shadow hanging over us an important report? >> well, that there has been traditionally reluctance among congress to adopt payment reforms. medicare advantage is a great example. it was started with an intention about medicare fee-for-service as a way to encourag

was developed by len berman, who used to run joint tax center, and a colleague of his at the urban institute that actually put forward the designs for theprefunding of services. i think that can be done. prfunding at all, which medicare was never designed to be, is challenging, because we tend to lend ourselves that money and we want to really put it away. that is the challenging part. but i would be happy to share that. >> i am sorry for taking so long. >> if you want to ask a couple of questions or make comments? go ahead. >> very kind of you. mr. coleman, we all know that medicaid was never intended to be the primary provider of long- term care coverage, yet medicaid is the largest pair of long-term care services. with long-term care accounted for almost half of national long-term care spending, as a former governor, and of giving our states the flexibility and resources they need to innovate is a first and critical step toward controlling spending in the medicaid through -- program and an improving long-term care outcomes. we will never achieve equality in savings -- treated with a one-s

the year and industry -- the urban institute found negligible savings from the departure of the undocumentedecause they are ineligible for the benefits and the first place. a georgia restaurant survey found that 71% of members have labor shortages and estimated the average sales losses due to a labor shortage was $21,000 per store. georgia farmers told the governor they needed the 11,000 workers to bring in that spring's fruit crops. the governor offered probation as the solution and 11 people showed up. one week later, there were seven left. the losses farmer is encountered in 2011 was $391 billion. one analyst said we have turned good workers into criminals and criminals into bed workers. losing on both ends of the deal. exactly. alabama is rethinking their law. 25% of the construction workers that left the state with few replacements. it sounds like the sales tax revenue was lost. stay with losses in state income are estimated to be between $56,000,000.200 $64 million. arizona continues to suffer. total losses from cancellations in bookings for conferences and tourism. $394 million and a

yesterday applying for medicare because i have stepped down after 12 years as president of the urban institute, i have not -- i haven't even greater interest in ensuring the sustainability of medicare and social security, both for current and future generations of beneficiaries. thank you. >> thank you. we would be happy to take a few questions. >> the disability trust fund, what is the plan to deal with that in the near term? to combine the fund or direct money away from the oasi fund? >> congress face this problem in 1994 and they acted with a temporary solution. the best thing to do is to do a long-term solution and we will work toward that with congress. >> a question for secretary sebelius. >> i am curious that there is a question raised by the trustees and rec foster about whether or not the projections will come to pass. did you have any thoughts because you spent so much time defending the law and the significance of these projections? what does it mean if there is a shadow hanging over as in that report? >> there has been traditionally reluctance among congress to adopt payment reform

today she is a professor at georgetown university, a fellow at the urban institute and an elected member the institute for medicine. we also have dr. bruce chernof with us, the president and ceo of a foundation based in long beach california. an organization dedicated both to research and dissemination of knowledge that improves the health of older adults. dr. chernof also serves as director and chief medical officer for the los angeles county department of health services. we thank you for being here and before we go to your testimony, we will hear from the distinguished ranking member of this committee, senator corcoran. >> mr. chairman thank you. i know you have a conflict at 2:10. i came at the perfect time. i look forward to listening to our witnesses as thank you so much. much. i appreciate it. >> mr. o'brien. >> chairman kohl, ranking member corker and members of the committee thank you for the opportunity to testify today on the long-term care insurance. the office of personnel management oversees numerous benefit programs including long-term cheap care insurance for federal empl

the only national presidential memorial placed in a very difficult urban park setting, but this is a superb site, surrounded by institutions directly related to eisenhower's presidency and will be directly accessible to millions of visitors. how did we get here? as the former professor and head of the department of history at united states air force academy, i have come to believe that over the 11 years the commission has been working on this memorial at the public interest and support for the memorialization that the commission has enjoyed is based on the increasing public and professional knowledge of the depth, breadth and diversity of the eisenhower legacy. my personal interest and professional involvement with the eisenhower legacy go back to my service in the united states air force. from the beginning of the commission's work in 2001, we have been directly involved with the best possible expertise on eisenhower, such as the scholars, johns hopkins university, who carried out the publication of 21 volumes of papers of eisenhower. one of those editors, is with us today. my colleagues and i are a small staff of eight p

urban affairs. he's now at the cato institute.en, it's good to have you both with us. >> thank you. >> woodruff: mark calabria, let me start with you. did the programs that were instituted by the government under both president obama and president obama... president bush, did they address the problem? how much and how it will >> well, i'd say this is non-partisan because i do think the obama administration largely continued the same thing of the bush administration which to my extent was to put off the problem, to kick the can down the road in a lot of ways. i look at the fundamental issue of our housing market is a combination of weak demand and excess supply. so some of these things were aimed at keeping foreclosures off the market which would lower supply but ultimately they drove out the problem. you know, i'm of the opinion that if we had taken the 30% decline in six months rather than four years we'd be in a much healthier spot today. so ultimately market fundamentals asserted themselves whether you wanted them to or not. it

should we -- obviously, we at ncrc, at least we know, and certainly urban league and nclc, we all know that the field of financial institutions that ought to be signing these agreements and making a commitment to help, you know, home owners avoid foreclosures is bigger than five institutions. joe, any insight on that in your conversations with the attorney generals? will there be more of these signings, more help on the way? >> right now my hands are full, and i'm not involved -- i've got plenty of business right now. we'll be able to have something more pleasant in about six months. we could do it now if we had to, but i'm not soliciting business at the moment. john, i don't have any insight on that at all. >> that's one reason why we have to keep pushing. we have to keep pushing for national servicing standards. the settlement is good as far as it goes, but it doesn't cover all banks, and the standards aren't rigorous enough in some areas, i think. >> right. and would you mind talking a few nor minutes about your thoughts arnold the servicing standards? >> only 300. 500? >> only 37 pages. >> yeah. only 37 pages. never mind.

. >> we have institutes across america which we didn't have before that are in urban areas. are really hoping to build up that pipeline. >> reporter: baseball didn't die, you know. it's still in us. you know, and just to come out and just play the game. >> reporter: jackie robinson would approve. tony guida, cbs news, new york. >> glor: ahead, a memorial at sea for those lost on the titanic. that story is next. the millions o who have used androgel 1%, there's big news. presenting androgel 1.62%. both are used to treat men with low testosterone. androgel 1.62% is from the makers of the number one prescribed testosterone replacement therapy. it raises your testosterone levels, and... is concentrated, so you could use less gel. and with androgel 1.62%, you can save on your monthly prescription. [ male announcer ] dosing and application sites between these products differ. women and children should avoid contact with application sites. discontinue androgel and call your doctor if you see unexpected signs of early puberty in a child, or, signs in a woman which may include change

institute --www.ncicap.org-- >> good afternoon, everyone. i am sarah caldwell. breaking news in east baltimore over the scene of an accident on urban ave. what more can you tell us? >> this is more than just an accident scene here. the white vehicle upside-down is a vehicle baltimore city police were looking for in reference to armed robbery spree in matched the description. when they tried to stop the vehicle, it ended up taking off and crashed into another vehicle. the suspect ended up bailing out. looks like police have been able to apprehend someone in the business proximity that is close to where this vehicle is upside down. city police have blocked off southbound just north of pulaski highway. we will update you as we get more. >> looks like a bad accident. the national debate over the trayvon martin shooting moves to a florida courtroom this afternoon. george zimmerman, the neighborhood volunteer who shot and killed the unarmed teenager, will make his first court appearance today. we get the latest from sanford, florida. >> george zimmerman's first night in the criminal justice center was apparently a restless 1. >> he is dressed

have best practice institutes which focus upon energy efficiency policies for appliances, for power, for industry, for agriculture, for land use. we -- and for transportation, for urban development and autos and trucks. we promote policies that promote prosperity. we ask no countries, and we're active in about eight, we ask nothing of any country that is not in its economic self-interest. we are efficiency, and we have some of the best people in the world. one of our institutes, the transportation and development worked with a city in southern china copying cortiba in brazil to promote the conversion of a ten-lane traffic road serving nine million people in that community to bus rapid transit, which now carries 800,000 people a day, with drastic reductions in pollution and greenhouse gas emissions and more congenial way of life. that is but one of the interventions that we have, and we work very closely with the chinese government and with others to promote efficiency in appliances, in india for example, where we have a foundation, a shakti, a new regional climate foundation. and i want to suggest that you reflect on the history of something that was done for food an

have best practice institutes which focus upon energy efficiency policies for appliances, for power, for industry, for agriculture, for land use. we -- and for transportation, for urban development and autos and trucks. we promote policies that promote prosperity. we ask no countries, and we're active in about eight, we ask nothing of any country that is not in its economic self-interest. we are talking about energy efficiency, and we have some of the best people in the world in those institute. one of our institutes, the transportation and development worked with a city in southern china copying curitiba in brazil to promote the conversion of a ten-lane traffic road serving 9 million people in that community to bus

urban lake and m. clc, the field of financial institutions that to sign this agreement and help homeowners and record foreclosures bigger than institutions. joe, any insight on that in your conversations with the attorney general's? will be more signings, more help on the way quite >> right now my hands are full. i've got plenty of business right now. >> we could do it now, but i am not soliciting. there must be conversations but i don't have any right at all. >> that is one reason why we have to keep pushing for national servicing standards. it's good as far as it goes, but it doesn't cover all banks in the standards are rigorous enough. >> show, which attack a few moments about your thought around the servicing standards. i know you mentioned earlier. >> it's only 37 pages. >> i am hopeful of course ultimately the jurisdiction and the ability to promulgate national standards that the cfp dna banking agencies as i am hopeful frankly it's a settlement and i hope we will begin to generate a record about the implementation of this that's helpful and also further action at the federal level. i don't intend to think

settlement with the five major banks, but should we -- obviously at ncrc and urban lake and nancy alcee, we feel the financial institutionsthat to be signing the agreement and making commitments to help homeowners and avoid foreclosures bigger than the two shins. any that in your conversations with the attorney general's a will there be more signings, more help on the way? been that great now my hands are full. i've got plenty of business right now. we be able to handle them in about ex-nun. i think there will be conversations about it. but other than that i don't know. >> that's one reason why we have to keep pushing. we have to keep pushing for national service and standards. as good as far as it goes, but doesn't cover all things. >> and joe, which you mind talking a few moments about the servicing standards. i know you mentioned earlier. >> was only 300. >> every 37 pages. >> nevermind. i am hopeful of course and ultimately the jurisdiction, the ability to promulgate national standards of the copd and i'm hopeful frankly the settlements will begin to generate a record about the implementation of this is helpful and al

instituted many years ago. now as the country has developed, their rural and urban are often overlapping.find areas that have been identified as rural for getting services through the federal housing administration. the question is do we really need both of those programs? can we serve those same people through a single program? host: would that be the area of urban development? guest: probably. it would indicate it is housing and urban development. host: through other agencies these programs were similar? guest: exactly. as the country has evolved of the population shift occurred, with the way we provide loans and loan servicing and this electronic age, you often do not need to see a person to see things handle the electronically. hows a good iexample of things have evolves. you may no longer made the individual lead come up but could be handled through an individual program. host: we have a link to this on the c-span website. guest: it is over 300 pages. it can be searched fairly easy liily. host: we have linked this fo for you. california. pauline on the independent line. caller: the r

with the five major banks, but should we -- obviously, certainly the urban league and another, we all know that these financial institutionst ought to be signing these agreements and making the commitment to help homeowners avoid foreclosures, at any insight on that? conversations with the attorneys general? will there be more of these sightings? more help on the way? >> i have got plenty of business right now. we could do it now if we had to, but i am not soliciting new business at the moment. hist having conversations about it, but i do not have any. >> it is good as far as it goes, but it does not cover all banks. >> and, jill, would you mind talking just a few more minutes about the standards prove >> only 300. 500. >> 37 pages. never mind. i am hopeful, and ultimately, the jurisdiction, to promulgate national standards, so i am hopeful, frankly, that they will begin to generate a record about the implementation that is helpful and also for more further action at the federal level. these are not the final solutions, but i and they are part. i think it is a first step forward, and that is what we are going to do. 37 pag

also have best practice institutes, which focus upon energy efficiency, policies for appliance come for power, for industry, for agriculture, for land use for the transportation urban development and autos and trucks. we promote policies that promote prosperity. we asked no country, we ask nothing of any country that is not in its economic self-interest. we are talking about energy efficiency and we have some of the best people in the room and those institutes. one of our institutes, the institute for the transportation development or to the city in southern china and brazil to promote the conversion of the traffic rhode serving 9 million people in that community to bus rapid transit that now carries 800,000 people a day with drastic reductions in pollution and greenhouse gas emissions and a more congenial way of life. that is but one of the interventions we've had and we work very closely with the chinese government and others to promote efficiency and appliance in india for example we have that foundation and the regional climate foundation and one to suggest you reflect on the history of something was done for food and agricultural research. in 1960, norman borl

institutes -- best-practice institutes, which focus on energy policies for appliances, for power, for industry, for agriculture, for land use. and for transportation, for urban development and autos and trucks. we promote policies that promote prosperity. we are in about eight countries. we ask nothing of any country that is not in its economic self-interest. we are talking about energy efficiency. and we have some of the best people in the world in those institute prevent one of the institute for -- the institute for transportation and development work to in brazil to promote the conversion of a 10- lane traffic road serving 9 million people in that community to bus rapid transit, which now carries 800,000 people a day with drastically -- reductions in pollution and greenhouse gas emissions, and a more congenial way of life. that is one of the things we have worked closely with the chinese government and others to promote efficiency in appliances appeared in india for example, we have a new regional client -- climate foundation. i want to suggest that you reflect on the history of something that was done for food and agricultural research, seed research pri