Obama, since obama has been in office. As a committee there are particular things. I think that of course the administration gave an adequate support in different times ofti the past two or three years but maybe just put it in contextfo uncomfortable for us and not what we were advocating for with the state department and others in thest United States. But this wasnt fortunately a moment where lives were at stake and as would be seen by the rest of the world as a top issue for American Foreign policy or given all the other things going on. So i agree with you that the sort of language they use on several occasions was unhelpful, didnt go as far as we would have liked. W i am not sure whether it ranged alongside some of the things we discussing today for the Foreign Policy issue betweev them. One of the things with the two countries working sidebyside with iraq inquiry by this committee and the housing inquiry and currently it taken Something Like four years. We are beginning to emerge
Individual patients through 200,000 visits. So also i would be remiss if i didnt say texas as im sure all of you in this room know, this is not Medicaid Expansion state, so, therefore, only children, the elderly and disabled are still eligible for medicaid. We are also a, on the federal run exchange we did not object to a state exchange. Our marketplace and how people are accessing it, they are coming into our clinic, making appointment or walking in. They meet first with a certified application counselor who starts the process by getting them to walk through the consent. This causes a lot of anxiety for some people, and because theyve heard a lot of bad publicity. Declared about identity theft. Theres also been several groups in houston that have been fraudulent groups out collecting information from people, and basically stealing their identity. Theres been a lot of publicity around it. We have to get over some of that anxiety. Then we have to determine the clients knowledge. And thi
And the disabled and the chronic conditions, we have got to do more than just keep them covered, we have got to cover and then at th to the cost curv. David blumenthal at commonwealth has done a famous job explaining this. This is what the states are doing that i think its is reay exciting news. Im going to do another session on this. Reforming the Delivery System and reforming the way that we pay for care in this country. We have to treat Health Care Just like a bunch of economic and the words paying for value that is with medicaid is focused on these days i will stop there and look for questions at the end. Thank you. That is a great start this discussion and now we are going to turn over to daniel skyler who is the director of Exchange Technology and a former director of the technology for Utah Health Insurance exchange which has been in business as long as anybody. His colleagues have been helping a number of states prepare for the implementation, especially the exchanges and we ha
Were concerned about problems nd its puzzling to me why these key people didnt talk to you about it. They gave you no hint this is existed . Perhaps i just was not included in certain discussions. What you knew then have spoken ld you up more with regard to rolling out the website on october 1 . Luxury of a ad the time machine to go back and change things, but i cant do that. I understand that. It is a matter did you ask someone at that time for more time . No. Why not . Because my direction was from . Tavner was to n deliver a system on october 1. So marilyn said deliver october 1. Briefingsen in on the from mckenzie that said there were serious problems. Them, i n two of believe. And this was hhs headquarters on april 4. Also in the and Eisenhower Executive Office building on april 6. Briefing the problems. Move it for october 1. Charge of man in making this work, she didnt problems hat those existed . Is that what youre saying today. Told you or didnt tell you . Just curious. I dont
Chaplain connery let us pray. Loving chaplain conroy let us pray. We thank you for giving us another day. As we think about the blessings of life, we prayner blessing of peace in our lives and in our world. Our fervent prayer is that people will learn to live together in reconciliation and respect so that the terrors of war and dictatorial abuse will be no more. In a special way we ask your blessing on the people of ukraine. May peace and civility descend on that nation as it finds itself in political turmoil. May your special blessings p be upon the members of this assembly as they return from a week in their home districts. Give them wisdom and charity that they might Work Together for the common good. May all that is done this day in the peoples house be for your greater honor and glory, amen. The speaker the chair has examined the journal of the last days proceedings and announces to the house his approval thereof. Pursuant to clause 1 of rule 1 the journal stands approve the pledg