Best practices within the ihs system itself and shared those and incense vized the ability to move that kind of activity that is providing highquality care for individuals in that system, in certain areas, and making certain that were able to extend that across the country in the ihs. Okay. We look forward to working with you on that. I think Best Practices is a good place to start. Obviously, those have not been employed in a lot of facilities in our state. In 2009, cms issued a final rule that required all Outpatient Therapeutic Services to be provided under direct supervision every year since then. The rule has been delayed. Either administratively or legislatively in small and rural hospitals. I shared this with you as well. In my statement we have a lot of critical access hospitals, rural areas, big geography to cover, and sometimes difficult to get providers out to these areas. So, the question is, if confirmed, will you work to
charge of some of these issues in a way that remove
again, not about limiting anyone s choices, but would you if you re confirmed, would you continue to work with senator isaacson and i on this very important issue? i look forward to doing so. and not be part of any effort to roll back those efforts that cms have already taken? i think it s important to take a look at the broad array of issues. one issue is liability. i can t remember if we discussed that in your office. the whole issue of liability surrounding these conversations is real. we need to talk about it openly, honestly and work together to try to find a solution to just that. i would concur with that. but i also think this is something that more families need to take advantage of. on friday, january 20th, the president president trump issued an executive order th that that says federal agencies, especially hhs, should do everything they can to, quote, eliminate any fiscal burden of any state on any state or any cost fee, tax penalty or regulatory burden on in
them when he filed his periodic transaction reports with the house of representatives. set aside the legal issues, it is hard to see this as anything but a conflict of interest and an abuse of position. another key question on the finance committee s biographical questionnaire is whether nominees have been investigated for ethics violations. the congressman s been the subject of two investigations stemming from fund-raising practices. this, too, was not disclosed. the committee needs to look into these matters before moving the nomination forward. now to policy, on the affordable care act, specifically, in the scheme known as repeal and run, the secret replacement plan is still hidden, but already the administration charges ahead with a broad executive order