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The committee will come to order. Id like to welcome everyone to the this mornings hearing. Today we consider the nomination of sima vermia to serve as administrator for the centers for medicaid and mediCare Services. Welcome. Were so happy to have you here and your family as well. I appreciate your willingness to lead this key agency at this critical time. And i see that your family joined you here today to lend support, so i extend a warm welcome to all of you and to them as well. Cms is the Worlds Largest health insurer. Covering over one third of the u. S. Population through medicare and medicaid alone. It has a budget of over 1 trillion and it processes over 1. 2 billion claims a year for Services Provided to some of our nations most vulnerable citizens. Having dealt with cms extensively in your capacity as a cons ....