operating right now. we as a state moved forward with medicaid expansion a couple of years ago. some 27,000 alaskans have coverage that didn t see that before. there was also good discussion about making sure so recognize iing that there is certain exemptions that were included as part of the aca, exemptions for medicare cost savings provisions, federal match for american indians and alaska native enroll e lees when they receive their care through an ihs facility, including the tribal prauting facilities. we have seen extraordinary collaboration that s going on