Diseases for those who have run out of other options. It includes the National Institute of health, the fda, the center for medicare and medicaid. Cms is the Largest Health insurer with an annual budget of 800 billion dollars. I believe you have the qualifications to do the job, but there is much that you will need to do in order to assure members of the committee that hhs is heading in the right direction. It is a turbulent time that lies ahead. One of the greatest challenges shoring up the exchanges and making sure that they are operating efficiently. Recent reports of the numerous issues faced by the state exchanges at something to implement the law have been cause for great concern. States are required to have a Healthcare Exchange where citizens can go and shop for Health Insurance. They have the option of starting their own exchange, using the exchange provided by the federal government, or in hybrid will stop they are determining what type of exchange to implement. Were given in
We have seen for the past five years. My question is this. Do you think it is possible for you to change the by any means necessary culture at hhs that some of us in congress of you as bordering on lawless . , thank you. Harkening to my experience at the office of management and budget, there are challenging issues. Ais, iook around this d have had the opportunity to talk with you on a number of things that are positive and difficult. That is something i consider it my responsibility to do. I hope people feel in my role at omb that i have done that. Whether that is moving to more timely responses, the regulatory agenda is sometimes a controversial thing. Since i have been the director of omb, we have been on time getting that out in the spring in the fall. The midsession review, a document with a lot of numbers and some may use this way some may use another. It came out a week early. That is something where i did not wait for congress. I hope that there will be direct communication if
Response, you said that you were hopeful that ipad never needs to be used and the necessity to do so would never be triggered. Would you simply support its appeal . Also important to reflect that ipad, as currently written, would not affect beneficiaries. That is an important part of the law with regard to how it is implemented. As regard to the appeal on the things thate of the is hopefully a hopeful thing is to helpthings in place us all get to where we need to with regard to reducing Health Care Costs. May be barbed wire would be a better way to put it. I would echo my colleagues comments to you, regarding your responsiveness and willingness to work with this committee and all members of congress. I would also like to add relevant medicare takeovers to that list. Just this last week i had the Kansas Hospital Association in my Office Sharing their frustration over the lack of responsiveness from hhs. This is the same letter that they said your predecessor in january. They have yet to
The chair on this vote the yeas are 163. The nays are 248. He amendment is not adopted. The Unfinished Business is the request for a recorded vote on amendment number 3 printed in house report 113581 by the gentleman from new york, mr. Bishop, on which further proceedings were postponed and on which the noes prevailed by voice vote. The clerk will redesignate the amendment. The clerk amendment number 3 printed in house report 113581 offered by mr. Bishop of new york. The chair a recorded vote has been requested. Those in support of the request for a recorded vote will rise and be counted. A sufficient number having arisen, a recorded vote is ordered. Members will record their votes by electronic device. This will be a twominute vote. [captioning made possible by the national captioning institute, inc. , in cooperation with the United States house of representatives. Any use of the closedcaptioned coverage of the house proceedings for political or commercial purposes is expressly prohib
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