c-span. live monday night, our series continues. rack cara car wreck. behold him i was in the hospital person praying the other would be ok. the other person was one of my best friends. . didn t know i didn t recognize that at the site of the crash. because i prayed over and over for him to be ok, then he wasn t, i thought nobody listens. god wasn t answering my prayers. i went through a long time of not believing, not believing the prayers could be answered. it took me a long time and a lot of growing up to come back to faith. laura bush, monday night. next, the challenges of implement a state health insurance exchanges. speakers include the secretary for the kentucky cabinet for health and family services, a guest of first lady michelle obama during the state of the union. and experts representing à la for you, maine, new jersey, and rhode island. this was hosted by the robert wood johnson foundation. it is an hour and 20 minutes. good morning and welcome to our robe
didn t work so well, and what they perceive between now and the end of open enrollment period on march 31st as well as what plans they re making for open enrollment next year which believe it or not is only nine short months away. so let me introduce our speakers now. first of all, heather howard is with us. she s the program director of the state reform assistance network that s a program funded by the robert wood johnson foundation and it s dedicated to providing technical assistance to states under the affordable care act. she s also a public affair lecturer at princeton university and a faculty affiliate for health and well-being. heather previously served as the commissioner of the new jersey department of health and senior services and worked before that in the u.s. senate, the house of representatives, the domestic policy council and the trust division at the u.s. department. we re also privileged to have audrey hane. chief officer for the ymca in washington, d.c. gove
. in the pacific islands, had an opportunity to hear a story and witness a video of this elder who was standing in the pacific ocean, up to his waist, and he had his children next to him, and they were probably up to about here. they were standing in the pacific ocean. as the lens zoomed back, they were visiting their elders in their graveyard. their graveyard has been in the same place since time in memorial. and now because of climate change, two times a day that graveyard is covered up by the pacific ocean. so it s amazing how the biggest impact i believe are up in alaska and near the equator, and we re all going to start feeling it. so i personally and now we have a couple of individuals on the climate change reggie and karen. yeah, reggie and karen were disappointed as natives to this climate change work group. so, yes, it will be a strong push me because my staff has ade it a top priority. one more questi
enrollment. there are some lessons we learned. there is some really important steps forward we need to take. there are going to be lessons learned at the federal level and state level. and there should be. number one is this kind of massive i.t. build and the implications of that. i think the difference in how we approach it has to be reflected on. we have to rethink at the government side how we do these things. for us in rhode island, we ve been very fortunate. our system s working really well. we re moving to system stabilization as opposed to as opposed to fixing we re fixing, but as opposed to having to redo. that issue is the core of all of our businesses. it s essential lesson learned. it s essential cooperation between state departments and state agencies and quasipublics and the state leadership. if you tonigdon t have it, it s difficult to make sure you accomplish your goals. third, there are really fundamental problems in the basic law of the aca that need to b
next year or so, there are going to be ramifications for that. they relate to implementation of the law. they tie everybody s hands because we can t get agreement on moving forward. we need to move forward and fix the things that need to be fixed. the problems in the launch at the federal level scared away a lot of early adopters, particularly in the business community. that s not a good thing. the federal government has done a great job recovering and they re moving forward really well. but we have to acknowledge that there was some damage done in the context of the marketing and outreach. and that marketing and outreach piece has to be addressed. and we have to redouble efforts in that area. it is real private sector kind of customer service that we need to provide. because we re providing services to a range of people. you ve got the medicaid population. you ve got middle income and upper income individuals getting tax credits or buying as 100% of the cost. and then you ha