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Like to mention we have a proposal improve the Small Business provisions of the Affordable Care act to try to both simplify and make the tax credits better for Small Businesses. That is feedback weve received. About that, and that is something that is included in our budget. Now turning to a couple i think, hopefully more substantive questions that i could get to with you, madam secretary, i was pleased to see the democratic chip reauthorization bill included in the president s budget extended medicaid primary care increase. Rate of increase was initially included in the aca is absolutely critical. For the last two years boosted payments to doctors treating most vulnerable populations making access achievable goal not just a tar get. The payment at end of last year will result in medicare provider payments cut on average of 43 . Over 50 in some states. Impact on wait times could be drastic and immediate. I was hoping madam secretary you could comment on importance of parity to medicare

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