any hospital that does receive medicare and medicaid funding, must allow patients to decide who can visit them. also, they must prohibit discrimination based on a variety of characteristics and that could include sexual orientation and gender identity. and then finally, it would guarantee all patients advanced directives, that means things like who should make health care decisions if the patient isn't able to do that. and this is an important step for an important constituency for the president which is gay voters. they by and large supported him during the election and this they say is a very important step. alina? >> i want you to talk more about in a jill, the president promised that he would fight for the rights of gays and lesbians. look at his promise to repeal don't ask-don't tell for example. inside washington circles, is this a big deal? how big of a deal is it? is there -- has there been