| 00:00:09 |
Unidentified Speaker, -
THE PHONE, ARE YOU THERE? >> YES, GO
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| 00:00:14 |
Unidentified Speaker, -
AHEAD. >> LET'S GO AHEAD AND
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| 00:00:17 |
Unidentified Speaker, -
SHOW THE OPENING STATEMENT. >>
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| 00:00:19 |
Unidentified Speaker, -
GOOD MORNING. THANK YOU FOR ALLOWING ME TO TAKE A COUPLE OF MINUTES TO KICK OFF THE MEETING ON THE HEALTH AND HUMAN SERVICES COMMITTEE. I APOLOGIZE THAT...
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| 00:03:31 |
Unidentified Speaker, -
THANK YOU, GOVERNOR. WE HAVE GOT A FULL AGENDA HERE. WE WILL BE SPENDING MOST OF OUR TIME ON THE SUSTAINABILITY OF THE MEDICAID PROGRAM. WE HAVE THE...
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| 00:04:32 |
Unidentified Speaker, -
VAMPS AND THE AFFORDABLE CARE ACT, I WOULD SAY THAT THE POSITION OF THIS COMMITTEE IS THE ACKNOWLEDGEMENT THAT FEDERAL LAW SHOULD BE CONSISTENT WITH IT....
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| 00:04:46 |
Unidentified Speaker, -
ALL RIGHT. BUT OUT OBJECTION, WE WILL BE APPROVE THOSE POLICIES UNDER THE STIPULATION THAT THIS EXTEND ONLY UNTIL THE NEXT FULL MEETING. I WOULD LIKE...
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| 00:05:01 |
Unidentified Speaker, -
MINUTES -- >> [INAUDIBLE] >>
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| 00:05:05 |
Unidentified Speaker, -
ARE THERE ANY OPPOSED? AYES [INAUDIBLE] ]SOUNDS UNANIMOUS TO ME. I WOULD LIKE TO POINT OUT THAT I DO NOT THINK THIS HAS TO JUST DO WITH MEDICAID. MEDICAID...
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| 00:09:53 |
Unidentified Speaker, -
THANK YOU, GOVERNOR. THANK YOU ALL FOR BEING HERE TODAY. I WILL BE BRIEF IN MY OPENING REMARKS AND I DO LOOK FORWARD TO THE CONVERSATION. I WILL MAKE...
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| 00:14:23 |
Unidentified Speaker, -
THANK YOU. LET ME TURN TO MR. NICHOLS. DR. NICHOLS IS A PROFESSOR OF THE POLICY DIRECTOR FOR HEALTH POLICY RESEARCH IN NETFLIX. HIS CONTINUING WORK THAT...
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| 00:14:57 |
Unidentified Speaker, -
THANK YOU, GOVERNOR. THANK YOU FOR THE OPPORTUNITY TO BE HERE TODAY AND SHARE SOME THOUGHTS. ALWAYS A PLEASURE. WE BOTH LOOK FORWARD TO YOUR INTERACTION...
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| 00:15:18 |
Unidentified Speaker, -
IS MEDICAID SUSTAINABLE? >> I AGREE WITH
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| 00:15:20 |
Unidentified Speaker, -
DOUG. THE ANSWER IS NO. BUT IT SHOULD BE ENDED IS OUR JOB TO MAKE IT SO. AS YOU KNOW, IT IS THE LIFELINE TO OUR MOST VULNERABLE FELLOW AMERICANS. IT...
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| 00:23:39 |
Unidentified Speaker, -
NOW. >> [INAUDIBLE] >> EVEN
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| 00:23:51 |
Unidentified Speaker, -
AS YOU CALL ON THE PRESIDENT TO IT -- TO LEAD US MORE EFFECTIVELY, IN ESSENCE YOU COULD SAY THAT YOU HAVE HIS BACK. IF HE MEETS YOU HALFWAY. IN SHORT...
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| 00:25:05 |
Unidentified Speaker, -
YOUR THOUGHTFUL COMMENTS. AT THIS TIME I WOULD LIKE TO OPEN THE FLOOR TO QUESTIONS. I WOULD LIKE TO OFFER THE FIRST TO GOVERNOR WALKER. ARE YOU STILL...
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| 00:25:16 |
Unidentified Speaker, -
YES, THANK YOU. THANK YOU TO BOTH GLENN AND DOG. I APPRECIATE YOUR COMMENTS. THEY WERE VERY HELPFUL. DR. NICHOLS, YOU MENTIONED TWO THINGS. HE TALKED...
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| 00:27:01 |
Unidentified Speaker, -
ALL, GOVERNOR, GREAT QUESTION. AS YOU NOTED, YOU HAVE GOT SOME REALLY STELLAR EXAMPLES OF THEIR. WHAT THEY'RE TALKING ABOUT WITH YOU IS EXACTLY RIGHT....
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| 00:29:04 |
Unidentified Speaker, -
ON A FEW THINGS. LET'S KEEP IT LOOSE. [LAUGHTER] YOU CANNOT EMPHASIZE HOW IMPORTANT IT IS GOING TO BE IN THE LONG-TERM CARE PROBLEM, WHICH IS A BIG PART...
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| 00:30:46 |
Unidentified Speaker, -
GOT MEDICAID HOLDING 3% OF THE BUDGET. WHAT DO YOU THINK ABOUT BLOCK GRANTS? BUT YOU THINK OF THE CHANCES OF GETTING BLOCK GRANTS DEMOCRATS -- WHAT DO...
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| 00:31:06 |
Unidentified Speaker, -
FUNDAMENTAL PROBLEMS THAT WE FACE IN THIS AREA IS PROGRAMS BROUGHT UPON BY MEDICARE AND MEDICAID, WHERE YOU MIGHT HAVE THE FINEST QUALITY MEDICAL SCIENCE...
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| 00:32:22 |
Unidentified Speaker, -
BLOCK GRANT PHILOSOPHY WOULD REQUIRE STATES TO MEET A CERTAIN PUBLIC FORCED METRIC. LET'S YOU DO NOT SATISFY YOUR POPULATIONS METRICS FOR SOCIAL CARE...
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| 00:32:50 |
Unidentified Speaker, -
THERE A DIRECTOR? >> CERTAINLY THE
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| 00:32:53 |
Unidentified Speaker, -
WAY YOU PAY SHOULD BE CHANGED. >>
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| 00:32:54 |
Unidentified Speaker, -
ABSOLUTELY. >> I THINK
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| 00:33:01 |
Unidentified Speaker, -
THAT THE BLOCK GRANT IDEA HAS A LOT OF MERIT. IT IS SEDUCTIVE IN MANY WAYS, BUT RISKY FOR STATES. GO FORTH, DO GOOD. I WOULD CERTAINLY ENDORSE THE CONCEPT...
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| 00:36:45 |
Unidentified Speaker, -
TO PUT POINTS ON BLOCK GRANT ISSUES FOR STATES, IT MEANS THE RISK FOR CONSTITUENTS. THE MAIN LEVEL OF THE MAN'S INCREASING, ONE OPTION IS CUTTING SERVICES...
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| 00:38:33 |
Unidentified Speaker, -
LIKE TO THANK THE PARTICIPANTS AND SPEAKERS TODAY FOR CONVENING. OUR MEDICAID BUDGETS HAS GROWN OVER THE LAST 10 YEARS. EVEN WITH THE DOWNTURN. WE ARE...
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| 00:40:52 |
Unidentified Speaker, -
THANK YOU. I THINK THE DEEPER AND MORE FUNDAMENTAL QUESTION -- IS MEDICAID OF A WILD AND RAPIDLY RAISING COST IN THE SYSTEM? AS GOVERNOR PATRICK POINTED...
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| 00:43:24 |
Unidentified Speaker, -
BE HONEST ABOUT THE AFFORDABLE CARE AT BEING A STEP IN THE WRONG DIRECTION. THERE HAS BEEN NO NON-PARTISAN ENTITY TO LOOK AT IT. IN FACT IT WILL PROBABLY...
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| 00:44:49 |
Unidentified Speaker, -
ANNUAL BONUS INCREASE OF 4% TO 5% OVER THE NEXT 10 YEARS WITH AN AVERAGE RATE OF 8.3%, 83% OVER ENROLLMENT. NOT ONLY IMPERATIVE, BUT THERE IS AN OPPORTUNITY...
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| 00:46:05 |
Unidentified Speaker, -
ACTUALLY SAY THAT THERE ARE TOOLS AVAILABLE. THEY POINT THE WAY TOWARDS PRECISELY WHAT WE ARE TALKING ABOUT. LET ME TELL YOU A SECRET. IF ALL THAT WE...
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| 00:46:54 |
Unidentified Speaker, -
ABOUT THE ABILITY TO GET FLEXIBILITY, AS IT IS CONTRARY TO OUR EXPERIENCE. IN 2009 BE TRIED NOT TO GET A WAIVER, BUT A STATE PLAN AMENDMENT. IT WAS...
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| 00:48:45 |
Unidentified Speaker, -
TO THE GOVERNOR'S. WE CANNOT GET A RESPONSE OR DID ANYTHING DONE. WE WILL NOT GET CONTROL HEALTH- CARE COSTS UNTIL WE CHANGE HOW WE DEAL WITH PROVIDERS....
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| 00:49:52 |
Unidentified Speaker, -
ME EXPAND ON SOMETHING THAT WAS SAID. THE AFFORDABLE CARE ACT DOES NOT CONTAIN THE ELEMENTS FOR SIGNIFICANT COST, AND EXPIRING -- EXPANDING IS GOOD. WE...
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| 00:51:59 |
Unidentified Speaker, -
ON YOUR EXAMPLE? THE WORK THAT IT TAKES TO MANAGE THE FRONT END OF THAT EXAMPLE IS NOT REIMBURSED TODAY. IT HAS TO GET PRECISELY THAT KIND OF FLEXIBILITY....
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| 00:53:17 |
Unidentified Speaker, -
IS GETTING HEALTH CARE SYSTEM BROADLY MORE COMPETITIVE. IT SEEMS TO BE 20% OF THE ECONOMY AND IF WE CONTINUE TO ALLOW THE CHANGE DRAMATICALLY, AS AN...
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| 00:54:28 |
Unidentified Speaker, -
ABOUT THE PRIVATE AND PUBLIC HEALTH MACHINES. THIS LAST YEAR THEY AVERAGED 15.1 MILLION PEOPLE WERE 62.9 PEOPLE ENROLLED. WHAT CAN THE STATES DO TO REDUCE...
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| 00:54:50 |
Unidentified Speaker, -
ONLINE WITH WAS DONE IN FEBRUARY OF 2011. IT IS INFORMATIVE. IF YOU HAVE ELIGIBILITY RULES, PEOPLE ARE GOING TO BOUNCE BETWEEN ELIGIBILITY AND MEDICARE....
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| 00:55:45 |
Unidentified Speaker, -
HAS A REQUIREMENT THAT THE STATES COME UP WITH A WINDOW FOR -- THE AFFORDABLE CARE ACT HAS A REQUIREMENT THAT THE STATES COME UP WITH A WINDOW FOR ELIGIBILITY....
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| 00:56:26 |
Unidentified Speaker, -
WANT TO HAVE A PREVENTIVE SYSTEM, EVERY STATE HAS A DEPARTMENT OF PUBLIC HEALTH. IN ALL THIS DISCUSSION ABOUT HEALTH CARE, IT GETS MESSED A LOT OF TIME....
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| 00:57:50 |
Unidentified Speaker, -
IMPACT PEOPLE'S LIVES. 40% OF THEM ARE LIFESTYLE AND THE HAITI. 10% ARE GENETICS. -- 40% OF THEM ARE LIFETIME -- LIFESTYLE AND . 10% ARE GENETICS. IF...
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| 00:59:21 |
Unidentified Speaker, -
ARE DEALING WITH IS WE HAVE 12% UNEMPLOYMENT. WHETHER WE ARE TALKING ABOUT PRIVATE INSURANCE OR THE COST OF MEDICAID FOR TAXPAYERS, IF WE DO NOT SOLVE...
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| 01:00:07 |
Unidentified Speaker, -
HAVE A QUESTION? >> I
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| 01:00:10 |
Unidentified Speaker, -
HAVE BEEN LISTENING. I HAVE BEEN WATCHING AND LISTENING ON C-SPAN ALL AT THE SAME TIME. [LAUGHTER] I HAVE ONE COMMENT. IS PERFECT AFTER GOVERNOR SCOTT'S...
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| 01:02:16 |
Unidentified Speaker, -
STRESS SOMETHING THAT I THINK GETS LOST IN THIS DEBATE A LOT. NUMBER ONE, IF YOU LOOK AT THIS IN THE POINT OF VIEW OF JOBS AND GROWTH, THE WAY THE FEDERAL...
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| 01:03:36 |
Unidentified Speaker, -
A LOT WITH FLEXIBILITY IS THAT THERE ARE EXAMPLES WHERE WE ARE MOVING TOWARD PAYING FOR WELLNESS. THEY ARE DOING THINGS WITH THEIR FREQUENT-FLIER WHO...
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| 01:05:02 |
Unidentified Speaker, -
THAT. I WOULD RECITE A SIMILAR EXAMPLE. IT MAKES A LARGER POINT. WE ARE ONLY GOING TO MAKE OUR HEALTH-CARE SYSTEM BETTER IF WE FIND THE BEST EXAMPLES...
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| 01:06:20 |
Unidentified Speaker, -
GOVERNORS IN FLORIDA. WE CAME TO AN AGREEMENT WITH DEMOCRAT DICKS AND REPUBLICANS. WE WANT TO PUT TOGETHER OUR THOUGHTS AND WORK IT OUT WITH THE FEDERAL...
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| 01:07:12 |
Unidentified Speaker, -
LET'S WRAP THIS UP. THERE IS NO REASON FOR US TO HANG OUT JUST TO HANG OUT. AS GOVERNOR PATRICK SAID, WE CANNOT SOLVE THIS PROBLEM BY DEALING WITH MEDICAID...
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| 01:13:23 |
Unidentified Speaker, -
HOTEL HERE IN WASHINGTON, GOVERNORS DISCUSSED THE SUSTAINABILITY OF MEDICAID. ONE GOVERNOR NOT IN ATTENDANCE IS GOVERNOR SCOTT WALKER OF WISCONSIN. HE...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.