The president s nominee for the next administrator for centers for medicare and Medicaid Services said all options should be considered to improve Program Quality and financial stability. Seema verma testified in a three our confirmation hearing yesterday. [inaudible conversations] the committee will come order. I would like to welcome everyone to this mornings hearing. Today we consider the nomination of seema verma to Service Administrator of the centers for medicaid, medicare and Medicaid Services. We are so happy to have you here and your family too. Appreciate your willingness to meet at the agency on this article time. I see your family has joined you today to lend support so i extend a warm welcome to all of you and them as well. Cms is the Worlds Largest Health Insurer covering over one third of the Us Population through medicare and medicaid alone. It has a budget of over 1 trillion and processes over 1. 2 billion a year for Services Provided to some of our nations most vulner