That is the discussion we need to be having. Is it fair to say most of the people who are in the waiting list who are develop mentally disabled traumatic brain injured people and those with serious Mental Illness are on medicaid, a different type of population and what has been your findings with the governors with respect to how most of them would like to take care of this population if there are consensus among governors, what is the governor, the legislature to deal with respect to the population. I will say there are exceptions to that rule. How did they do it. And they are focused on those that are the most needy and made that a priority in their state and their waitlist. We need to explore the states that found ways with little or no wait lists. And the application to cms for medicaid waiver to continue suyears. And outstanding program, it is a way to save and help, it can be replicated. It is an incredible model that can work, we have a waiting list in indiana. I hope the new no
But the congress and the government created a situation where the states are rewarded for cutting traditional medicare which deals mostly with children and people who are in greater need and that because of that disincentive or incentive to spend it on the new folks, the newly found undermedicaid, under the new categories, we create the situation where states have to make a decision as to whether they quicken the shortage on the waivers, get rid of the waivers as fast as they can or spend money somewhere else. Is my understanding correct . Yes, theres both direct and indirect outcomes as related to expansion and my point is that we are not fulfilling the promises to the most vulnerable in our society, wait list or not, but we are making new promises to an ablebodied population that does not qualify for longterm Welfare Benefits and states in a situation where they have to make very tough decisions and making cuts in reimbursement rates that directly impact those with development, disab
Good morning, everyone. Welcome to the newly refurbished i dont want to call it the oversight investigation room. Which is sometimes used by energy and commerce. What a beautiful room. And it will be more conducive to hearings. This is the first of the 115th congress. Welcome here. And welcome to our Witnesses Today. This is our and welcome back to my friend and colleague, Ranking Member from colorado. This is our medicaid oversight hearing on ways to strengthen the problem. The subcommittee convenes this hearing to examine a critical component of the Patient Protection and Affordable Care act. Medicaid and Medicaid Expansion. As the Worlds Largest health program, medicaid provides Health Care Coverage for over 70 million americans, and accounts for more than 15 of Health Care Spending in the United States. In 2015 alone, federal taxpayers spent over 350 billion on medicaid. The costs continue to rise each other. The federal share and medicaid spending is expected to rise significantly
We have a campaign that was permeated by issues of gender and race and class. When a woman at the top of the democratic ticket for the first time. When a billionaire at the top of the republican ticket that have it discourse. Also in this campaign we sought thought differences from campaigns in the near past it enters into the discourse in new and different ways. In ways that are perpetrated in ways that we have not seen in previous campaigns. It is not to say that they didnt have sexism and racism. In part due to the campaign and the ways in which they played into that campaign we expect them to play large roles. We already see in terms of policy donald trump promising to make an executive order to build a wall along the u. S. Mexican border. We also have seen it. With regard to gender and gender equality between three and 4 Million People marching across america in response to the administration and for gender equality. We already see important dynamics and articles come into a polit
We had a woman at the top of the democratic ticket for the first time. We had a billionaire at the top of the republican ticket who had a discourse of strong populism. Also in this campaign we saw differences from campaigns in the near past in that sex and race entered into the discourse in new and different ways. Sexism and racism in particular were overtly discussed by candidates in ways that were perpetrated by candidates in ways we had not seen in previous campaigns. Thats not to say previous campaigns did not have sexism and racism, but rarely did we hear those comments coming from the candidates themselves. In part, due to the campaign and how gender and race played into the campaign, we expect gender and race to play large roles in the 45th president ial administration. We already see, for example in terms of policy, donald trump promising to make an executive order to build a wall along the u. S. Mexican border. We also saw responses from Civil Society with regard to gender and