Embarrassment to the administration. Technical experts have not been shy in expressing their views. Some telling usa today that Health Care Website was built using 10yearOld Technology that may requi a total overhaul. The health and Human Services department is simply dysfunctional and wasted three years of runup time, hundreds of millions of dollars, and still has no one in the departments management who has any idea how to create the exchange that is at the very heart of obamacare. How clueless is the Obama Administration and the health and Human Services department . Federal officials reportedly did not test the obamacare website until one week before its launch. As a result, most people still cannot access the site, cannot enroll in the program, and if they do the information is reportedly unusable by the insurers to support the exchange. Insurers are complaining that they are not getting accurate data from the few people who do manage to apply for a obamacare plant in ipod key. Th
Recommendation which is that we Reform Health care regulations to promote a system effectively. Malpractice is often brought up. Thats typically handled at the state. The scope of practice for Nurse Practitioners and physician assistants and other nonphysicians did typically done at the state level. Often that is the place where not only is the scope of their practices determined but the limit to which they can practice is determined. Another recommendation encouraging consumer selection of high valued based on information. Having transparent information of cost and quality. States again have the capacity to harness that data. In early 30 states now we have allpayer databases where the state has accumulated information from all of the plans. Those could be used to drive that kind of information. And lastly the final recommendation, help from a Population Health and personal responsibility for health. This recognizes that health is very much in ecosystem. It involves the health of peopl
Utahs reform started in the 90s. I happened to be governor at the time. Frankly we held together a collaborative process that lasted eight years where we put together a collaborative process to every year put forward toward what we called our health print moving toward a more integrated system. You have two very different cultures in terms of regulation but both move them forward and frankly long before the federal government did. Making the point here that different states with different fiphilosophies can move a state forward toward integration in their own unique way in a fashion that frankly the federal government has not yet been able to achieve. Yes, please. I would add our experience in colorado is interesting as well and so probably falls somewhere between massachusetts and utah sort of spectrum of regulation but its another place where you see things happening in a bipartisan fashion. Before i was governor, a republican governor, governor owens formed a commission that led to
The speaker pro tempore on this vote the yeas are 227. The nays are 190. The resolution is adopted. Without objection, the motion to reconsider is laid upon the table. He house will come to order. The house will come to order. Please, members take conversations off the floor. Cease conversations. Clear thewell, clear the aisle. Clear the well, clear the aisle. Please ceaseual conversationsd. Cease all conversations. Lease clear the aisle. He house will come to order. The house will come to order. The chair would ask all present to rise for the purpose of a moment of silence. The chair asks that the house now observe a moment of silence in remembrance of our brave men and women in uniform who have given their lives in the service of our nation in iraq and afghanistan and the families of all who serve in our armed forces and their families. Woit, fiveminute voting will continue without objection, fiveminute voting will continue. The Unfinished Business is the motion on the gentleman from
Infinite variety of ways. We ask your blessing upon the members of this house as they carry on the business of our nation at this critical time in our history. Give them courage and in the face of immense challenges, a spirit of cooperation despite their differences and trust in your divine guidance as they Work Together for the common good. When the path ahead is unclear, remind them that throughout the ages your prophets and holy ones have shown us what is good, that you require nothing more of us but nothing less than to do justice, to have compassion for one another and to walk humbly with you the beginning and the end of all things. Amen. The speaker pro tempore the chair has examined the journal of the last days proceedings and announces to the house his approval thereof. Pursuant to clause 1 of rule 1 the journal stands approved. For what purpose does the gentleman from arkansas seek recognition . Mr. Speaker, pursuant to clause 1, rule 1, i demand a vote on agreeing to the spea