benefit and the benefit of more individuals across this land, but if you don t want to do that, you don t have to. the federal government doesn t do that. they require individuals to participate, and oftentimes i suspect most oftentimes the patient doesn t even know it s an experiment that s going on. if either of these models were put in a small area, a pilot project somewhere and we saw that, in fact, they worked, then as you say, then you scale them up. i thank you for the response and the rationale behind how you ve arrived at that position. i look forward to working with you to advance the next model of cmmi. i would be remiss in my remaining 90 seconds if i didn t mention indiana s what he with call healthy indiana plan 2.0. our vice president-elect pence showed a lot of leadership here, worked with our incoming cms administrator, seema verma, to develop a model for medicaid,
continue to be a helpful laboratory for health care experimentation with respect to delivery models, payment models, and so forth. for medicare, for medicaid, the children s health insurance program. perhaps other areas. save taxpayer money, provide greater value. we see what doesn t work. we scale up what does work. dpor me it s commonsense. this is the way sort of scientists operate as they start with experiments and then they evaluate and then they scale up. i would like to know your intentions if you have strong feelings in this area. do you intend to keep this innovative center or create a new one, a varant of cmmi. speak to this please. as i mentioned i m a strong advocate and supporter of innovation at every single level. it s only through innovation that we expand the possibilities
again, that s a legislative question. they would leave it in place? it s a legislative question, not an administrative question. now, in one of your budgets you had a proposal that would allow states to throw what you called able-bodied people off of medicaid unless they were working or looking for work or in job training. people with addiction behavioral health, mental health issues, are they able-bodied in your definiti definition? well, we weren t as specific as what the definition was. the fact of the matter these words i m asking you now. what did you mean when you said able-bodied in this provision. there are many individuals that have worked in this space for a long time who believe that providing for an opportunity for individuals who are able-bodied
health care through medicare and medicaid programs. these are seniors, people with parents in nursing homes. countless number of young children and they all benefit from these programs. so i want to understand the changes to medicare and medicaid that you have already proposed. the budget that you recently authored as chair of the house budget committee would have cut spending on medicare by $449 over the next decade. is that right? i don t have the numbers in front of me. i assume you re correct. so you d cut medicare by $449 billion. your 2017 budget proposal would have cut medicaid funding that goes to the state governments by more than $1 trillion. is that correct? i think senator, senator, the
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