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without their integral involvement. i think from the challenges, the article does that, naming them, talking about them, and trying to understand where there s common ground, there s difficulties figuring out, ultimately with a goal of getting services to people who need them, from a public health evidence based services to people that need them is the end game we want. and then lastly data, we took a cursory look for today. i d like to do more on that, i think that s critical. mark? where you live often changes where you think. where i m located, i don t see the negatives as much as the positives. we re flooded with great opportunities, we can t take in all of them. to see the partnerships that are going on are terrific. so i m very positive on this. i think in terms of addressing the challenges, it is the faith communities can be the trip wires for the challenge and the solution at the same time. we ve had conversations with the north american chair of somalia, ....
form in rural and underserved areas. cms recognizes challenges faced by beneficiaries and providers in rural areas. i look forward to working with hrsa and the congress delivering quality care to medicare beneficiaries regardless of their location. thank you again and i m happy to answer your questions. thank you both. let me answer a couple of questions and we ll do five-minute rounds here. mr. morris, the department the budget the administration submitted would have cut your budget by $20 million. did you ask for that cut? mr. chairman, we support the president s budget and the request that came forward. we think it supports the key programs for our office. includes continued funding for the outreach program, the rural hospital flexibility program. for our policy and research activities and we think those are the programs that can be most effective meeting the needs. where are you going to spend $20 million less than you are spending this year? the president s ....
any real meaning in the real world? i mean, isn t the reality that when we say we are reimbursing more than costs, we only reimburse not all costs are reimbursable. we create this impression that a hospital is getting more than what it costs them to operate. is there analysis? can you quantify really what is going on in a hospital when we tell them or when we tell the public that your hospital is getting 101% of costs when it s really reimbursable costs? yeah, that is a as you know, that s a very complicated question. you know, it goes back to the historical costs of the hospital and if they converted to critical access, what those historical costs feed into, what they would be paid under the ch reimbursement status. so it does vary from state to state. but i would be happy to get back with you and also with your staff. we can connect you with some of the folks at the university of north carolina as well some of our experts to better understand it. in today s se ....
in rural communities, and we think the need is largely met in that program, not only through federal funding, but through state and private sector funding, but we do allow people to come in through our outreach funding to get at the same issue. they could come in for outreach funding or network funding for a request in the budget and do the same thing in the sense they can develop a program that seeks to purchase supplies and put them in the communities. the remaining need out there, it can be met through the outreach program. and the hospital improvement program you d continue is a $25 million program? yes, sir. that in the current year spending 25 and preparing another 25 next year? correct? the 20 this year for similar purposes goes away in the president s budget? yes. the program, there s no request for that, funded historically at 15 million and the other 5 million is request for emergency devices program. what are the what obstacles do you see in t ....
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