unfamiliar, we were established about 15 years ago by four from the u.s. senate of the late senate -- senator howard baker and bob dole on the republican side, senator george mitchell and senator tom daschle on the democratic side step as our name would imply, we seek to find bipartisan solutions to the challenges facing policymakers this politically polarized environment we find ourselves in today step two days report is the third in a series we have issued, tracking federal expenditures, dressing the opioid act -- epidemic. this was led by a chief medical advisor and our senior policy analyst. they work with the bipartisan task force composed of former cabinet members and state officials and experts from both parties. our goal was and continues to be to find bipartisan solutions to allocate the federal dollars and mandatory in addressing -- mandatory spending in addressing this crisis. i think the report comes at an important time. last november, the cdc released divisional data showing the u.s. has surpassed over 100,000 drug overdoses deaths in 12 months. this disease has taken over half a million lives in the last 20 years and unfortunately, that death toll continues to rise. at the same time, federal spending on opioid-related programs has increased to an all-time high, nearly $6.7 billion appropriated this year. at least four times that amount, nearly 23 billion annually to the federal state and medicaid program not counting medicare spending. some might question whether this level of interest is working in our discussion today will oak us on recommendations aimed to optimize federal spending and improve the federal, state and local response to the opioid crisis as the crisis continues to evolve and elicit more trouble on the rise and we believe the recommendation is more important than ever. on behalf ofbpc i want to extend our thanks to the open response efforts for their support. i would like to particularly thank your task force members, three of them you will hear for shortly including dr. jerome adams, the former u.s. surgeon general, dr. patricia harris, the former president of the american medical association and the former hhs secretary and congresswoman donna shalala step the other task force members were former kentucky governor steve bashir, former -- former cumbersome and mary bono and dr. richard frank, the chair of the brookings institution. thank you again to the bpc staff. and two of our consultants. we are now going to hear from senator joe manchin of west virginia, state that knows firsthand how devastating this epidemic can be for hard-working families, communities and businesses in his state. senator manchin. >> hello, i regret the arm -- that i'm unable to join you in person to discuss the bipartisan policy center's new report and how to combat the opioid crisis but i'm glad i could join you virtually to highlight the importance of addressing the drug but democratic aaron nation especially my home state of west virginia. i want to thank the bipartisan policy center for their work on this to provide recommendations on how to effectively combat the opioid epidemic while being good stewards of taxpayer dollars. west virginia's ground 04 the epidemic in each of us has experienced devastating effects that substance abuse disorder has in our families in our community. as we continue to face this drug at the demo during the pandemic, we must work together to address the issues facing our nation to help our fellow americans in need, from november, 2020 until 20 21, more than 106,000 americans and 1500 west virginians died from a drug related overdose. overdose deaths involving fentanyl represent more than 2/3 of all overdoses in 2020 and encinal has displaced opioids and heroin with drug related deaths. the covid-19 pandemic is a disheartening crisis. we have a responsibility to step up and do everything we can to combat this epidemic step we must tackle this problem from every angle, family assistance, counseling programs, consumer and medical education, support for law enforcement, everything from local policy changes to federal legislation step i have been a strong supporter of several pieces of legislation focused on tackling drug epidemic. the 21st century cures and the support for patients and communities act all of which were passed by congress and signed into law by both democrat and republican presidents over the last two years. i will continue to urge my colleague in the senate to pass several bipartisan bills i have introduced including the fight fentanyl act which would permanently schedule manufactured and deadly fentanyl related substances as well is the lifeboat act which would establish a stewardship the to provide and expand access to substance abuse treatment. i led the way in assuring allocating funding including metrics to target funding to the state that needed it the most. because of that metric, this critical funding is now being directed to the states with the highest death rates in the greatest needs. that includes west virginia. every american knows someone whose life has been touched by substance abuse. our common goal must be fully addressing this epic demo and its devastating impact on our communities. thank you all for your tireless efforts and god bless each and every one of you. >> thank you, senator. we are particularly honored to have the director of the office of national drug control policy join us. this is a position that's often referred to at the u.s. drug czar. he is a practicing primary care physician of 25 years and he is the first medical doctor to have ever served in this position and is there a cognizant of the impact of this crisis at the local level, think served under two governors as the health commissioner of west virginia. most recently come he served as chief medical and health officer in the interim chief science officer and senior vice president at the march of dimes. >> good afternoon. thank you for that introduction. hello to everyone. this conversation comes at a critical moment. as mentioned before, we have passed 406,000 deaths in 12 months. that equates to a life lost every five minutes around the clock. most of these deaths were from synthetic drugs like fentanyl. many came from meth and cocaine. this is not your parents epidemic. it is the most dynamic environment we have ever seen. unless we take major steps, the deaths will double again and probably sooner. why? the drug supply is more lethal than ever before. it was an increase in synthetic substances. new and deadly combinations can be created all the time. these substances have been entering communities who are not equipped for prevention. we have fatalities and the response which is not increasing at the same pace. as a result, the order we have been unraveling affects the social fabric of our nation and destroying american lives and families. how do we respond to this challenge? in a state of the union speech, president biden announced unity and beating the overview eight that damage. -- and beating the opioid epidemic. this is not a red or blue state issue. this is an american issue. it focuses on two big drivers of the epic dimmick, untreated addiction and [indiscernible] with a budget of over 40 lien dollars, the strategy prioritizes aspects that will help to make sure we attack this crisis. it prioritizes the path we must take to meet people where they are and reduce overdoses at this moment. the most important action we can take to save lives right now is to have naloxone in the anza of everyone who needs it. [indiscernible] the strategy is the first such strategy in the history of the nation. it's to prioritize recovery. we will use naloxone which is a cost -- which is a cost-effective tool to save lives right now. the present strategy lays out tackling a long-standing issue with the majority of people were not getting treatment as they need. less than one out of 10 people who need the treatment are able to get it. we know treatments save lives. every once treatment should get it. will double admissions for the population and ensure universal access to medication by 2025. the strategy is a renewed focus on disrupting criminal organizations and financial networks. we have brought the international community together [indiscernible] president biden's budget proposal is a substantial investment for border security. we got to do more. we must be innovative and we have to meet the traffickers where they are. we will work to more than triple the number of drug traffickers sanctioned and increase our order patrols. we will work with other nations to make it more costly for drug traffickers in every way possible. we continue to work with their drug trafficking areas to disrupt and dismantle these organizations and expand public health and public safety partnerships. it's got to be done at the intersection of public safety. this work is critical. if it remains easy to get drugs than it is to get treatment, we are never going to help. the strategy ramps up data and research. time when the federal government faces crises in data collection. we know that one of the best predictors of a fatal overdose in a prior nonfatal overdose. we don't have time to measure all overdoses across the united states. in 25 years, this limits our ability to identify new trends in act before it's too late. i know this is an area that you are focused on and on glad to be there glad to help because without data, we are not going to be able to make progress. the sooner we get the data, the sooner we can get these policy issues taken care of. in addition, the present strategy calls and agencies to take action to prevent [indiscernible] the strategy expands this work with many factors. it works to remove child poverty, help employment and economic opportunity. so people can reach their full potential. this is exactly how the biden -harris administration will address this. this is an all in approach from president biden all in. -- on down. we want to make sure we are complementing each other and going in the same direction. we are working at the intersection of public safety. that's the way i see it. working together, who can save more lives? as president biden said that the annual summit, we are standing with you and we will get you the supportive resources you need. i want to thank the bipartisan policy center for hosting today's events. i think it's important and a very critical time. thank you to everyone are to spitting and watching and for what you are doing to help us beat this overdose epidemic, thank you. >> thank you, senator mansion and dr. gupta for your leadership on this important issue. i have had the pleasure of working on this report with their outstanding partners. thank you once again to the foundation for opioid response efforts, the task force, countless experts. the bold nature of 2022 reminds us that although it's been nearly five years since the opioid crisis was declared a public health emergency, there still much to do. with overdose deaths an all-time high and billions of federal dollars spent every year, policymakers remain unsure about whether recent investments and programs are having the intended effect. the new report combating the opioid crisis, enhances the federal response and highlights recommendations for optimizing her funding. you can access the work yourself. it's a whole of government approach, the way we are doing for the covid-19 pandemic. the oakwood crisis in the covid pandemic are seen as public health emergencies. our recommendations fall into for policy areas. first, mandatory spending which notes the way in medicaid and medicare funding will be leveraged for better coverage, higher reimbursement and expanded providers. second is discretionary ending which include strategies for using grant funding for the evidence-based programs that work, bringing planning together across the entire federal government and using her funding fill holes in medicaid coverage of the sea level. third, data reporting and metrics. we want to have more real-time data. finally, government. it focuses on strategies to enhance the response to the opioid crisis. this report offers mechanisms to support and finance mechanisms which stand up to accident -- evidence-based services and works to reduce the supply of hartford -- harmful drugs in our communities. we hope this makes the best possible use of our federal dollars in the interest of the people and that future liza -- relies on loss prevention. it's my pleasure to introduce the president of opioid response and three panelists. >> thank you so much and thank you to bill and the entire team at the bipartisan policy center, senator manchin and dr. gupta it's a pleasure, to be here today at the leisure to have the opioid group to respond. i would like to formally welcome our panelists, all members of what bp ct stands were in combating the opioid crisis. for those of you don't know, dr. adams is a presidential fellow and executive director at purdue university. he is distinct -- he is a distinguished professor and served as attorney general under president trump. he is a practicing anesthesiologist. dr. harris is the ceo of emed whose mission is to democratize health care. he was a former president of the health organization. secretary soileau most recently served florida's 2021 congressional district. she served as secretary of health and human services under president clinton and as former president of the university of miami. thank you so much for all of you being with us today and thank you to all of the task force members for the work over the past 12 months. i would like to get started by asking each of you to share with us what your original goals were or what you hoped we would accomplish. what are a couple of the priorities or takeaways in key points you would like to impart to the audience today? i will start with dr. harris. i want to ask for your thoughts and getting us started with this bastion. dr. harris? >> it was certainly a pleasure and an honor to participate on this work and an honor to be here today. for me, it was very important that we build upon prior work. i think dr.gupta mentioned the evolving aspect of this pandemic. we have to have real-time evaluation of its working and what's not with a specific focus on the funding and looking at data, particularly this aggregated data. so often, we treat our response to themien and we talked about how important data is. my goal was to build upon the prior work knowing we needed new thought. so is good to take his hands from the new data with no information, with a focus on data, >> thank you. >> it was a pleasure and i learned a lot as part of this process for my colleagues and the excellent staff. fo me, it was how we leverage the big money which is in medicaid and medicare and how we make the experience for the patient seamless. i have always believed that to do good public policy, you have to understand the people and it cannot be one approach for everyone. it has to be holistic and it has to be sensitive about ethnicity and income. about age as we design these programs. as leveraging the big public programs, medicare and medicaid, and using some of the smaller grant programs in an integrated way. that's the big challenge. government needs to be nimble or and hhs has the 11 waivers which1 it can use to help shape25 programs are required. we have a major recommendation, the mandatory programs but the metrics of making sure those programs are focused on evidence-based is extremely important. >> thank you, we will come back to the issues you just raise. dr. adams? >> thank you for having me today. it was exciting to work with the task force members. we have people who have been in congress, a former american medical association present, a former secretary, the head of the brookings institute stopped we want to make sure no stone was left unturned as we came up with recommendations to turn this into something. i want to frame this at a high level. as a director of health equity at purdue, i got involved to highlight the fact that inequity is a key driver of overdose deaths in a health equity focus is key to turning the tide. i saved rishel inequities, gender inequities. the highest increases in mortality rates are in minorities. between 2019 and 2021, black and native american mortality rates increased by 81%. the previous record was 2019. it increased by 81%. we want to ensure an equitable response. >> thank you. all critical points. i will pause for a moment and just a note to the audience that if you have questions, we will take a few questions later in the hour. you can submit those via the chat on youtube or linkedin run twitter using #bpc live. >> live in talking about data and there are a lot of red conditions and or that center around the importance of data. can you talk about what is rozen that's an important area and report and how can that help us? >> before i was the surgeon general, i was the indiana state surgeon general and was difficult to repot just to create policy if you're driving down the street line. we were driving wind and driving down -- we're driving blind and driving down the street at night with no lights and we saw happen with covid during the pandemic, we address that problem the opioid crisis is not being handled at the same level of emergency as the pandemic. the best metric we have is mortality and that comes to 6-18 months after the fact. the same had been drew for the covid-19 pandemic and we would never had the same information. we would have waited for people to die before we reacted and that would've been too late. data allows us to assess in real-time the scope of the issue. this report lines of for effective data points. we feel these metrics will have us evaluate better programs and assess the impact of federal funding. the data sets for opioid abuse disorder are decentralized. everyday americans want to know what's going on in their community and there is significant time lag in the data are housed in different systems with different metrics. improved data by race and ethnicity will be vital to identify the opioid use disorder mentality and care stop we need to update our federal grant system because they are updated into better distillers surveillance and health care services. the data collection services have to be brought out of the stone age we need to update the systems to have them real-time's we can it better informed policy. >> to turn back to funding, do over so many discretionary funding programs. have you take discretionary funding programs and make them more effective? >> one of the things you do is make the application process reasonably short so that community based organizations who don't have sophisticated consultants helping them count apply for the money that money should leverage medicaid money should be integrated with medicaid money. looking at the application process and the different dates of application so these relatively small programs, about $6 billion from her can leverage $60 billion, just in medicaid alone. making the whole application process simpler and allowing the application process to be integrated in a way when you apply come you may apply for two or three different discretionary programs as well. it's simple fund process and understanding who your clients are for those applications and being responsible in terms of making sure you are doing the kinds of organizations that you want to get. that whole process need to be reviewed, simplified and made more strategic. >> thank you. we have heard use of the state opioid response fund. i wonder if you can add your thoughts on how to strengthen that. >> i hope everyone by now knows we have been underfunded and under resourced in mental health for decades. we certainly need additional funding. it also means a funding that is currently appropriated and allocated needs to be maximized and leveraged in the best way possible the state opioid response dollars goes to make sure there are adequate access to medications for opioid abuse disorder which is an evidence-based treatment. 110 we have access to this evidence-based treatment so we have to make sure we are usually this money wisely. we want to make sure we are using the money to reduce overdose -- overdose deaths and we want to make sure we are using is money from prevention to recovery services but we had a gao report this at some states are not spending the money. we wanted to provide recommendations from the test or its report to make sure we are spending the money but sometimes, the rules and regulations and operating in silence makes spending the money difficult step we recommended closer and stronger partnerships between the federal government and the state. easier, simpler applications. stronger coordination at the state level. perhaps there is one funding stream that could fill the gap for another funding stream, 1 -- if one area funding runs out and states can coordinate closely together and coordinate to make sure they are spending the money in ways that fill the unmet needs. when we talk about authorization, two years authorization is where we are right now and that's ok but we need to start thinking longer term was that takes a program to get going and then you want to give it a fair opportunity to succeed or not to succeed. we look toward multiyear offers asians -- authorizations. make sure we are spending those dollars more effectively. we know there is a reauthorization bill introduced in the fall and there were several areas of alignment with our recommendations from this report. >> thank you so much. another reminder to the audience, you can submit questions either through the chat on youtube or linked in or on twitter using the#bpclive. in addition to the discretionary programs, the task force made a very deliberate decision to also be focused on recommendations around mandatory spending stuff you touched on this in your earlier comments. can you say more to the audience as to why it was so important to make sure we included mandatory spending as well as discretionary? >> that's where the big bucks are. we need to expand coverage for opiate use disorder treatment step we need to enforce parity and expand the use of section 11 15 which waivers especially for incarcerated individuals. we strongly endorse that and we need to increase reimbursement for addiction services. they are notoriously low. and exploring alternative payment models that are patient setters and holistic addiction treatment can be very socially complex and politically straightforward through the use of medications for opiate use. the current fee-for-service payment structure doesn't prioritize the social spy. some of these have been introduced over the past few years but that higher reimbursement will be critical. it's to make these programs where strategy very effective. we have to make it easier for providers i'm sure my colleagues can talk about providers to deliver services, particularly those that are administered through telehealth and we probably need to eliminate some of the waivers make them permanent in this area. we need to get opportunities to expand the pool of eligible writers. we simply don't have enough providers were well-trained and we need to take a lot of existing people that would like to be providers, make sure they have the training. >> i have something really quick. there is a need to address the social determinants of need. the ones that have the best success are addressing transportation, housing, drop janie. unfortunately traditional medicaid does not reimburse for those types of services when they are provided step many states have applied for waivers to me to make those easier to obtain both the then we need to make it permanent so people don't have to keep applying and reapplying to bake the opportunity to address the issues that will help people out step there is none of treatment but much more money is central on treatment and in recoveries where the social determinants have helped things matter. barriers to help exists in the communities. >> that's particular true medicaid. medicare advantage has extra money to provide some of these socially determined services. i think our emphasis on wraparound services come on long-term involvement with our patients, it's very important, this is not something where you can go in internal medical solution. that's what my colleagues have taught the medical field. >> i don't think we can say this enough, addiction is a disease. we need to think about the same way as diabetes. it is not in and out, one-size-fits-all and a one-time solution. like everything else, they all have bio cycle social aspects. you need to take your medication for hypertension but you also need to eat healthy and society need to make the right thing to do the easy thing to do. we need to increase access to all of these. it is about transportation. can you get to services? there have been lots of opportunities to increase access to telehealth so we will have to do a review to see what worked and what helped and continue those services beyond this pandemic to increase access. >> thank you. leadership is crucial for any crisis we were happy to see the white house strategy come out a couple of weeks ago. the report includes several recommendations in relation to overall governance. i wonder you could comment on those. >> one of the things we have heard from policymakers, from folks around the country is that omd's role needs to focus on policy relationships and that's why omdp was originally started but they have been deemphasized to multiple administrations and not given appropriate funding and their charges drifted and that has caused a disharmony. people don't know where to go to stop a lot of those services are at hhs but is at the cdc or the nih? you got services at department of justice and there is no one coordinating these issues. our recommendation is eradicating. we think they should guide the implications of four measures and we were that the report. there are metrics that people around the country would help them understand better what's going on the moment. one of those recommendations is er admissions. that's a better and real-time metric than waiting for someone to die. the director needs to be restored to cabinet level rank. we simply cannot treat this with the urgency it deserves unless the director doesn't have a cabinet level ranking and can't be in the mannings and able to work alongside this in level as the other cabinet members from others who have a dog in this fight. we suggest that congress consider the appropriate placement of the dfc program. we feel the work of a data -- be could be done better with other agencies. want to lift omdcp back up. >> thank you. we heard from senator manchin and dr. gupta on the importance of a whole of government approach and having every agency and every component of government sought to deal. we mentioned earlier in the discussion about the evolving nature with respect to demographics. could you talk about them or from your perspective and what that means in terms of how any two roach the space available to us? demographics related to racial and ethnic minorities and how much extension we are placing right now overall emotional and mental help of our adolescents. >> welcome news to me as a child psychologist that we are elevating our discussions around mental health and substance use disorder. in this report, we have elevated the chanting majors which we mentioned today and it's fentanyl now is so produce. the mortality rate down in communities of color and he noticed other regional differences have changed. the specific is physically hard-hit step senator manchin death -- dad is data from west root -- from western pa. all of these data points will change again as the epidemic evolves. we have to be nimble enough. we have to be nimble so we have to respond to these new data points where we are able and hopefully we will be better able to get actionable time data. how can we change the formula? one of our recommendations in the report was that we recalibrate the open we would response any co-voice to take into account the changing nature of the democratic -- of the demographic. we want to think about prevention, we don't want to wait until your death had to be home ohio valley in but the function or if louisiana particular region or community that the mortality rates, the overdue his rate are increasing, we need to be able to address those to any to look at a recalibration of the phone. >> i will stay with you, dr. harris. how do we make our files more associated for black and with you know models. thoughts around the sensibility especially for those with fewer resources. how do we ring things together with more of an intention to data. we need to make sure we are talking about disaggregated data. the statistic is an overall statistic. it's not a statistic or particulars of code or community. until we have the data, we can talk more and talk with increased accuracy about particular communities and then we can go to those communities and ask them what they need. how we address this problem in west virginia might be different than how this problem is address in vermont. as you move forward, we need to take the community work with community-based organizations, trusted art nurse so that they are aware first of all of the issue and listen, listen to communities as a how we can best help. >> that is why we broke down mandatory versus discretionary funding stop mandatory funding is medicare, medicaid and those two programs alone pay for the majority of substance abuse disorder treatment any significant arson is medicaid which serves underrepresented and disadvantaged communities we can optimize mandatory spending, we will help communities who are at risk. a lot of the issues we talked about are paid for through discretionary funding, grandson different organizations. we make it to dim harvard people out there who are working in these communities to be able to access funding stop there are over 70 completely different funding streams in the discretionary funding category and these people don't have time to place much on these funding streams. we need to coordinate them to get the resources to the people who need them the most. >> thank you, dr. adams. on that note, i will turn back to secretary shall lay low. give us more of a background and had to think about that, how does that work? >> it's hard to do because each grant program has its own political constituency and sponsor in congress. trying to glue them together in a way that's easy for the recipient organization to close their number of things you can do. this is in visit -- the states in particular can make it easier for organizations to apply for grant programs. the difficulty is that the politics around each of the grant programs but thinking through what they do, who they are supposed to impact and finding ways to make it easier. for the application process but also making it possible to have a greater impact. >> you have one more question from the audience. how can we help communities acquire community-based technology to not only track overdoses but ordinary getting people and treatments and supporting them in long-term recovery? let's start again with dr. harris. other thoughts about how we connect with front-line communities to get their resources? >> here's where there might be an opportunity for grants for technology but not just for one agency or one cbo but maybe the state. maybe they could develop a grant application where there is a shared technology for data sharing. we talked a lot about sex or about accountability. the data houses with accountability and evidence-based treatment is part of that as well. we should be mindful of creating opportunities for technology where there is shared technology in making the right thing to do, making reporting and tracking the easy thing to do there is a shared technology. >> thank you. i want people to understand why we keep coming back to data. in the beginning of the pandemic, i couldn't tell the president of the united states how many covid cases we had. now any person across the country can go to their department of health website and find out how many covid cases were in their community yesterday, how many beds they have? we need that same level of data transparency where the opioid image and make, we need an hhs protect life data sharing situation. then come can see their data and respond to their data typically and we need to continue to leverage telehealth. we were paying for 10,000 telehealth visits per week before the pandemic. we need to figure out how we lead -- we justify community services owed people don't have to drive hours and hours for treatment. >> thank you so much. >> i will yield to my two colleagues i think they hit the mark. >> i want to thank all three of you, thank you so much for your dedication, commitment and time to addressing the overdose and opioid crisis in the united states and i will turn it back to bill for a final word. >> thank you dr. scott. karen, for leading this insightful discussion. i learned a lot from their input. thank you for their support. thank you, dr. adams, dr. harris , the staff on the show and michael. dr. gupta said earlier, this is not a blue state or red state. this is an american issue, regardless of one's political affiliation. let us hope we can move forward, calling on these recommendations and excellent discussion today. and to illuminate this chronic z's -- disease. helps support c-span's nonprofit operation. >> first lady dr. jill biden made a surprise trip meeting the first lady of ukraine and the first children who have been displaced by war with russia. they worked on arts and crafts projects at a ukrainian school that was converted into a temporary shelter. she made the visit to the war-torn country during her four day tour of europe. on c-span's q&a, we will discuss dr. bidens involvement in joe biden's political career and her role as a teacher. associated press white house reporter darlene co-authored a book called jill, a biography of the first lady. watch q&a at 8 p.m. eastern on c-span. you can listen to q&a and all of our podcasts on our free c-span now app. >> c-span has unfiltered coverage of the u.s. response to russia's invasion of ukraine, bringing new the latest from the president, officials, the pentagon, the state department as well as congress. we have international perspectives from the united nations and statements from foreign leaders, all on the c-span networks, they c-span now free mobile app and c-span.org/ukraine. our web resource page, where you can watch the latest videos on demand and follow tweets from journalists on the ground. go to c-span.org/ukraine. >> c-span's washington journal, every day, we are taking your calls live, on the air on the news of the day. we will discuss policy issues that impact you. coming up monday morning, gerald , executive washington editor at the wall street journal, talks about his career as a columnist ahead of his retirement. and we will discuss the supreme court week and the future of roe v. wade with bloomberg supreme court reporter greg store. watch washington journal, lies at 7:00 eastern monday morning on c-span or c-span now our free mobile app. join the discussion with your phone calls, facebook comments, text messages and tweets. >> next week on the c-span networks, both chambers are in session with the senate planning to vote wednesday on whether to begin debate on a bill codifying into federal law a woman's right to have an abortion. this is in response to the leaked supreme court draft opinion suggesting roe v. wade may be overturned. tuesday at 10 a.m. eastern live on c-span treasury secretary janet yellen testifies before the senate an annual about the stability of the u.s. financial markets. then live on c-span three at 2:30 p.m. eastern, the senate foreign relations committee holds a confirmation hearing for several executive nominees, including the next u.s. ambassador to ukraine. wednesday at 10 a.m. eastern on c-span.org, dr. anthony fauci and other health officials appear before a house appropriations subcommittee on budget requests for the national institutes of health. at 10:30 a.m. eastern on c-span three, defense secretary lloyd austin and joy -- joint chief of staff mark milley testify on the budget. watch next week live on the c-span networks or on c-span now, our free mobile video app. also head over to c-span.org for scheduling information or to stream video live or on-demand any time. c-span, your unfiltered view of government. >> next, a look at the pleasanton's -- presidents budget for nasa with administrator bill nelson true he was asked about several topics including russia's involvement with the international space station and the moon landing mission in 2025. the director of the national sc