Thank you. Next speaker, please. My name is sylvia johnson. Distraction of areas in Golden Gate Park [inaudible] this is an issue about citizen [inaudible]. This ordinance and [inaudible] they dont know what they are doing. This goes to [inaudible] as this is an issue thats been going on. [inaudible] thank you. Next speaker, please. Good afternoon board of supervisors meetings this cumin and garlic me today my dog. I am here to support item 20 on the agenda. Sir please speak into the microphone the last 8 years johnny have i served this community as volunteers in the public library, and literacy programs and also visiting until children and their families. He is johnny was confiscated in virginia he was giving us a 2nd chance. If he was confiscated here in california he would not admit given her. He wouldve been labeled vicious dog even though he was just a puppy. Today about johnny and to see living proof of how a abe1820 would save dog slots. This is johnny and we urge you to vote on
Without their integral involvement. I think from the challenges, the article does that, naming them, talking about them, and trying to understand where theres common ground, theres difficulties figuring out, ultimately with a goal of Getting Services to people who need them, from a Public Health evidence based services to people that need them is the end game we want. And then lastly data, we took a cursory look for today. Id like to do more on that, i think thats critical. Mark . Where you live often changes where you think. Where im located, i dont see the negatives as much as the positives. Were flooded with great opportunities, we cant take in all of them. To see the partnerships that are going on are terrific. So im very positive on this. I think in terms of addressing the challenges, it is the faith communities can be the trip wires for the challenge and the solution at the same time. Weve had conversations with the north american chair of somalia, hes very interested in working
Form in rural and underserved areas. Cms recognizes challenges faced by beneficiaries and providers in rural areas. I look forward to working with hrsa and the congress delivering quality care to Medicare Beneficiaries regardless of their location. Thank you again and im happy to answer your questions. Thank you both. Let me answer a couple of questions and well do fiveminute rounds here. Mr. Morris, the department the budget the administration submitted would have cut your budget by 20 million. Did you ask for that cut . Mr. Chairman, we support the president s budget and the request that came forward. We think it supports the key programs for our office. Includes continued funding for the outreach program, the rural hospital flexibility program. For our policy and Research Activities and we think those are the programs that can be most effective meeting the needs. Where are you going to spend 20 million less than you are spending this year . The president s budget there is a decrease
Any real meaning in the real world . I mean, isnt the reality that when we say we are reimbursing more than costs, we only reimburse not all costs are reimbursable. We create this impression that a hospital is getting more than what it costs them to operate. Is there analysis . Can you quantify really what is going on in a hospital when we tell them or when we tell the public that your hospital is getting 101 of costs when its really reimbursable costs . Yeah, that is a as you know, thats a very complicated question. You know, it goes back to the historical costs of the hospital and if they converted to critical access, what those historical costs feed into, what they would be paid under the ch reimbursement status. So it does vary from state to state. But i would be happy to get back with you and also with your staff. We can connect you with some of the folks at the university of North Carolina as well some of our experts to better understand it. In todays setting i would welcome that
Early investments in child health and nutrition are crucial. The time period from pregnancy through Early Childhood is one of rapid physical, cognitive emotional and social development and because of this this time period in a childs life can set the stage for a lifetime of good health and success in learning and relationships or it can be a time of toxic stress when physical, mental, and social health and learning are compromised. Micronutrients such as iron and folate have demonstrated effects on Brain Development but are commonly deficient in pregnant women and Young Children in the united states. These deficiency cans lead to delays in attention motor development, poor shortterm memory and lower i. Q. Scores. One of the most Effective Investments congress can make during the prenatal to school age period is to support the special Supplemental Nutrition Program for women, infants and children, or wic and i thank the committee for its strong bipartisan support for wic over the past f