brought to you by the us department of health and human services. [music] well my passion is really advocacy around treatment and recovery issues. i've had the, the wonderful career over the past 16, 17 years, of being a direct service provider, being a treatment and recovery advocate, to heading up a large advocacy organization to actually working inside right now. and my primary purpose is to make sure that to make sure that the next person, that person that's still out there using now, when they do have this aha moment, that the system is ready to welcome them and to embrace them and support them as they begin their journey on recovery. what recovery has brought to me is an ability to take it to the next level. and, and be vocal about it, not be ashamed, you know, not hide behind a wall because you're afraid that oh well, god they're going to know but i'm a recovering addict. well i like to say that i'm in long-term recovery as opposed to an addict or an alcoholic because there's more positive sounding because people still run with, well addict, o

of the city and county. that is why our budget discussions tend to focus on these departments. within these departments, we face constraints on our options. public health and human services is used to leverage state and federal dollars. if we make expenditure reductions to certain programs, we feel a disproportionate impact. police and fire departments have voter-approved staffing requirements. general expenses are driven by na populations. on the revenue question, we have been very aggressive about using revenues to help with the budget deficit. our deficit has gone from $380 million in november to $306 million today, and that is most entirely due to revenue. the single biggest thing we can do to bring in new revenue is make sure we have a stable, growing economy. our departments are being aggressive about pursuing revenue. the department of public health has been able to secure $30 million in additional revenue for next year's budget which will prevent the need for reductions. the recreation and park department has been working hard to increase its revenue collections, which has been instrumental in protecting services our parks. the board will consider whether to extend the b

department of health and human services. [music] hi, i'm michele monroe with the road to recovery and we're here today in maryland getting some opinions on what people think about different languages used in the substance abuse and mental health arena. if i said that somebody had a drug and alcohol addiction what would you think that that means? i think the person has a... a certainly health issue problem that needs to be, needs to be attended to. i would think of people struggling in difficult circumstances... with certain underlying issues that, that lead them to feel that they need to use those things as an outlet. i think of a illness, i think of a sickness that's hard to overcome. and i think that the person needs support, as much support as possible. i think about people who needs help and they need to find help as soon as possible. so what if i said alcohol and drug problem? what do you feel about that? it's a problem that needs to be fixed, that's what i start thinking, you know, and you need to fix it, you need to find a way to fix it. if there needs to be out there more programs for these people, more resources where they can get to as soon as possible, you know, where they c

and federal government. last year, we were able to protect a lot of services by using about $120 million of federal revenue have our health department, the human services agency. those funds have gone away this year, so that leaves us with a gap that we need to make up. again, our cost growth -- we have among our wages, pension costs and health care -- we have over $100 million worth of growth in those expenses alone. and the other costs of doing business for the city are increasing at the same time. the mayor, under the city charter, is required to balance that gap by june 1 and submit a proposed balanced budget to the board of supervisors, who will then take up the budget and make adjustments to the mayor of's proposal -- the mayor's proposal, said that is the task before us over the next couple of weeks. one of the things i hear from folks often is that san francisco has a $6.5 billion budget. why is a $305 million deficit such a problem? the main reason for that is that there are different categories within the city budget. the biggest division in the city budget is the distinction between what is in the general fund and what is outside th

us to do what's right to solve a problem. i'm delighted to be here with dr. hamburg, the commissioner of the food and drug administration, administrator michelle lynhart and dr. howard cowe from the department of health and human services someone who has been working on this issue for quite a while, as everyone is here and a special thanks also to karen perry. karen is the executive director of the narcotics overdose prevention and education task force. she traveled with us from -- or up here today to be with us from south florida. she has a very powerful story and she has been just absolutely focused on this effort as you'll hear. seated in the front row also dr. janet woodcock, director of fda's center for drug evaluation and research and the doctor we have worked on this issue also. and is director of the fda center of drug evaluation and research. well, thank you to all the people here but probably more importantly to their staff members who have worked so long and so tirelessly on this particular issue. i want to mention, too, the head of the cdc dr. tom friedan. he could not be with us here today, but when we have met, whether it's in atlanta or here, i can tell you that he is also, as is everyone else is here be

use signs indicating public parks, bike leans and alternate transportation. although, i'm certainly not opposed to parks or healthy eating habits, it seems clear that the founders of this country did not intend the federal department of health and human services in washington, d.c., to use taxpayer money to subsidize granola bars or purchase signs for bike lanes or parks. the federal government has no business paying for local and community initiatives, such as these, especially when we're borrowing 43 cents of every dollar the federal government spends to pay for it. the new house republican majority's ready to lead this country out of our debt crisis and it starts with voting for this bill and the underlying bill which will save taxpayers $16 billion. with that, madam speaker, i reserve the balance of my time. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from florida. mr. hastings: madam speaker, i thank the gentlelady for yielding me the time, and i will take such time at this time as i may require. the speaker pro tempore: the gentleman is recognized. mr. hastings: obviously, this measure amends the patient prevention and public health act and repeals the provisions that establishes and appropri

issued just recently days ago by the department of health and human services on something called "accountable care organizations" also known as a.c.o.'s. a.c. os's used to be h.m.o.'s. didn't like h.m.o.'s too much, so we have something like h.m.o.'s, but now we call them a.c.o.'s. a.c. os turn six pages of obama care into 429 pains of regulations. 429 pages in just one regulation. use in new regulations empower dr. berwick, the man in charges and c.m.s., the center for medicaid and medicare services, to make decisions about how medical care will be delivered in this country. so, a government shutdown or not, under a cowering business community, the incredible federal regulation machine goes on like a giant dpreech a video game belching fire, smoke, fines, and regulations. nothing, not even a shutdown of the federal government, can slay the regulating dragon. mr. president, this debate should not be about party politics. shouldn't even about regulation, except i discovered the regulation is going on, despite the government shut jowrntion which i think is most unusual, to say the least. this is really about reducing spending. and finally, trying to ti

of us in these critical health issues. we are pleased to join you for the presentation of this plan. i want to thank my colleagues from the department of health and human services. dr. wesley clark from substance abuse and mental health services. pam could not be here today. she and i have the pleasure of " sharing a broad coordinating committee across -- pleasure of coordinating a committee. i want to acknowledge our senior health and public policy adviser. our special thanks and admiration to karen perry and the task force. the heroism she has displayed to turn personal pain into power is really extraordinary. karen, we want to thank you for being here and sharing your war story. you heard from gil kerlikowske that the abuse of prescription drugs presents an alarming public health crisis. this public health crisis is suffocating our society. you have heard several startling facts. let me add to those facts. we know that the abuse of legal drugs, prescription drugs or over-the-counter medications, accounts for 1 million the emergency department visits per year, matching the number of this is attributable to illegal drugs. we know that nearly 1/3 of people who

using this principle already. it's reflected in the department of homeland security's quadrennial homeland security review. it appears as a cornerstone of our approach to health security reflected in the national health security strategy of the department of health and human servicesand you can see it and hear it in the approach of team administrator craig fugate. who talks about those who have structuresuffered disasters nots victims, but as survivors. who can help the community respond and recover. craig has initiated a whole of community planning effort that recognizes communities are inherently strong and resilient, even in the face of disasters. this approach relies on understanding and meeting the true needs of the entire affected community engaging all aspects of that community of private, nonprofit, public sectors. in both defining those needs and devising ways to meet them, and strengthening the assets, institutions, and social processes that work well in communities on a daily basis to improve resilience and emergency management outcomes. you can also see it in craig's rotation program that brings private sector representatives into the fema operations center. so that the government can learn from and to leverage the private sector expertise, avoid tryin