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Best practices within the ihs system itself and shared those and incense vized the ability to move that kind of activity that is providing highquality care for individuals in that system, in certain areas, and making certain that were able to extend that across the country in the ihs. Okay. We look forward to working with you on that. I think Best Practices is a good place to start. Obviously, those have not been employed in a lot of facilities in our state. In 2009, cms issued a final rule that required all Outpatient Therapeutic Services to be provided under direct supervision every year since then. The rule has been delayed. Either administratively or legislatively in small and rural hospitals. I shared this with you as well. In my statement we have a lot of critical access hospitals, rural areas, big geography to cover, and sometimes difficult to get prov ....
With the old blue heel model being the template for individuals who aren t economically aligned are able to pool together their resources solely for the purpose of purchasing coverage. for about 35 years we have tried high-risk pools. 35 states had them before the affordable care act. frankly, it didn t produce great results. in 20110.2% of people with pre-existing conditions, 0.2%, were actually in a high-risk pool. and the premiums were 150 to 200% higher than standard rates for healthy individuals. and they had lifetime and annual limits on coverage and cost states money. so, that was the reality before we passed the affordable care act. so, let me also ask you, when president trump said last weekend that insurance was going to be much better, do you think that insurance without protections for those pre-existing conditions or ....