Six month open romans periodf. So it goes from october 1 through march. The insurance would actually start in january. It is an opportunity for people really to get information and make some comparisons and make some choices that are good for themselves and their families. Look at the information, ask questions, call a helper, go see somebody. We want to make sure that folks understand that there will be help available on the phone, in person, on the web. We have announced partnerships with libraries and a number of local libraries are stepping up to dedicate computers and have a trained resource librarian as well as materials. That will become available. Pharmacies are training their employees so when someone comes to fill a prescription, they will understand who has insurance and who doesnt and will have an roman information available. And a lot of Healthcare Providers will have similar information. Blue cross blue shield has announced a partnership with walgreens. It will also have outreach and enrollment. You will see more and more visible presence as we move closer to october and hopefully, people can find a way to get questions answered that they have someone help them if they need that help, come together and really take advantage of this historic opportunity. But i would say the medicaid battle has to continue. We cannot forget that for the lowest income working pennsylvanians, if you dont expand medicaid you will still have the numbers i was given about 95,000 individuals here and over allia about 200,000 individuals in pennsylvania who would not have any financial help at all. That would be a terrible tragedy as we implement this important law. I will give you the shorter one. I cant even remember the longer one. Phila. Health, go to the website and with october when coming up, we are gearing up to partner in many instances with the navigators and we will talk about some of our enhanced efforts to make sure people are getting the word out. I truly do not understand i have read some things. I have not been able to have any understanding as to why the state of pennsylvania is not expanding medicaid. We hear about costs and the governors have figured out that it brings in money and it does not cost you any money so i dont know i truly dont know what this is about. I dont know if you can read between the tea leaves on this one. Many other governors have figured out how to do it regardless of party. We are quite unique and special here in pennsylvania and but we are not that unique on this particular issue. We need to expand medicaid. Just to put a fine point on what the mayor said, in the first five years of Medicaid Expansion, a 17 billion of federal funding would come to the state of pennsylvania to pay for what is now often uncompensated or undelivered care. Those costs are being born by hospitals, Health Care Providers to deliver health care and do not have reimbursements. 17 billion would be coming to the state to allow tax dollars to be spent elsewhere. One thing to say, on the federal one thing to say, on the federal website now it is early information for people who will be eligible for the exchanges to help them but it. One thing icing we often forget is that someone whose income is 150 of the Poverty Level has a really tight budget. Paying anything for health care, even though it will be a very small amount, it requires planning and budgeting. My experience is and Home Visiting groups that going out to deliver information now, are finding people now are very interested in learning about what will this cost so they can start budgeting, and peoples interest in signing up for the exchange is very much tied to, how much will it cost me if i go to the exchange . Please get the word out that people can with no risk and no harm and no questions asked go to one of the web sites now and learn personally for themselves what the benefits are, and what the small but real costs are so they can get excited and ready, and then when we start real enrollment, we will have 100,000 prepared philadelphians who will all signed up. This concludes the panel and the event. I want to thank everyone for being here. We will be doing a lot of work. Feel free to reach out to us if you have any questions. Congreso. Net. You will hear from us. Thank you so much. [applause] how big of a challenge has that been for you personally and the implementation in general . Could you talk about how your own experience as a governor has and for negotiations on that . I would say that even in states where we may not have a governors full support, the mayors have been extraordinary. They are often on the frontlines of delivering Health Care Services and picking up the cost for and reimbursed care. As i have found that every place i have gone, texas, georgia, florida, and other states with a governor may not be allin, the mayors are all in and members of congress. Faithleaders and Health Care Providers are very enthusiastic. There is always a team on the ground that is very yser eager to move forward. This law will work better in states where Everyone Wants it to work. As it is more challenging when there is more misinformation to have to put out. Tell people that the law will apply to you. There are people that get up in texas every day that do not think the law will work in that state. Getting through that information. As a former governor, i was on the receiving , i ran thea lot of hhs programi ran the medicaid ,program. I dealt with dual eligible. I can tell you i would have loved to have had the medicaid deal when i was a governor. 100 of the cost of nearly injured people, we would have taken that up and a heartbeat. Also giving us flexibility. Also, people understand there is not one cookie cutter approach. We are eager to work with states. I am a former recovering insurance commissioner, so i know the marketplace very well. I think those experiences have been enormously helpful being in e position i am right now. This is coming up in 40 days in those 40 days, how will you raise awareness so people know the exchanges are aware are there for them . I think events like this. The secretary has done a tremendous job in bringing the message to the ground. People are really picking this up as an advocacy. We represent the community and working close with several partners to make sure the information is out. There are many mayors across the United States of america. I just finished a conference where we have a leadership meeting, and this was a huge topic of conversation for many of the mayors. Regardless of carter party. Most of the time mayors did not pay that much incentive to political parties. We have to make things happen. You want folks to get the health care and want them to be well and healthy. There is a growing group of mayors across the United States of america who are actively engaged in the process, and i will do my part here. It really is now time for us to activate the local advocacy community. The local outreach community, theased communities. Faith based communities. Wonderful organizations like congreso this cannot be done from within washington. It never has been the idea that it would be done. We need partners on the ground. That is why the navigator branch rolled out last week. Every Community Health center in the country has gone resources to hire education and enrollment people. A lot of hospitals are training their own staff. We of train that several thousands that will be part of the network. This is now translated into reaching out in communities where we know there are large numbers of uninsured. Being available on the fun in on the phone, on thethe web to answer questions and encouraging people to take advantage of the offer to did they have of the opportunity they have. For the first time to get Health Security for themselves and their family. [indiscernible] this was never appropriated. We certainly have gone back to congress a number of times for outreach and education funding. That budget has not been forthcoming. Were working with the resources we have, but knowing that makes partnerships they were always going to be hugely important, but they are all the more important because were basically launching a new national product, and in the states were the federal government is running the market places, we are responsible for the outreach and enrollment. Think about how insane that is. We have this law. Congress has an has active. Has acted. We are about to sign people up, and some in congress think we should not inform people about health care that is available and ready for them and can improve their lives. That is meanspirited. I do not understand if it wants to keep voting to repeal, that is their business. We have a lot and people are we have a law and people areabout to sign up. Why you would not market the hell out of this is beyond my understanding. The secretarys line run the country and going to the cities. We will get the word out one way or another and get people signed up so they can have health care. Each state is different with the demands you have been getting from around the country. I think clearly we cannot wait issues that are statutory. Wave issues that are statutory. We have to work with in the law. Having said that, the law, whether it is Medicaid Expansion or other features, gives us flexibility. We have some states were partnering with a round of markets. They are running parts of it and we are running parts of it at the federal level. We have the ability to try to incorporate features that are really important to the state. In the state of indiana, they have a healthy indiana program. They wanted that to be part of the new medicaid out reach and enrollment. We fashion that the program to look like that. In arkansas, they are using the assistance dollars and companies in the private Exchange Market to provide medicaid services. It is not that we have one strategy that every plan has to look exactly the same. We are eager to have states take a look at this. In pennsylvania there would be 17 billion of federal funding in the first five years coming into the state to help answer some of the lowest income working pennsylvanian spirit that seems to me to be a very good deal. The return on investment analysis is an additional 3 billion in Economic Development would be produced by the funding. More staff at hospital, more people able to pay their bills and go to work every day. It is a winwin situation, and we hope that conversation stays alive and well in pennsylvania. Thank you all. [captioning performed by national captioning institute] hello, buffalo [captions Copyright National cable satellite corp. 2013] several live events to tell you about today here on cspan. President obama will be at a temple meeting in binghamton, new york at 12 45 p. M. Eastern promoting his lands to make Higher Education more affordable. Later in the day in pennsylvania, the president will be joined by scranton native, Vice President joe biden, at Lackawanna College before 5 00 p. M. At 7 00 eastern, the road to the te house 26 Team Coverage 2016 coverage will feature ted cruz at a fundraising event hosted by the New Hampshire republican party. Tonight on the encore presentation of first ladies, when she came to the white house, she was interested to see how it worked and she found it was dilapidated and dirty and sort of ominous and she tried to spruce it up. She went through the cabinets and found old pieces of china and then asked service if they could tell her if anybody remembers how old pieces. She started the idea of trying to catalog and create a sense of what the chinas were. She had a plan of putting the splay cases in the state dining room but that never came to fruition. Theis credited with being initiator of the concept of a china presentation the white house. The encore presentation of first ladies is tonight at 8 00 on cspan. President obama was in buffalo new york today to unveil his plans for making college more affordable. He is proposing to use College Rankings based on affordability performance to allocate federal aid. A 40 minute event which is part of a twoday trip that includes a stop in pennsylvania. [applause]buffalo hello, bulls well, it is good to be back in well, it is good to be back in buffalo, good to be back in the north. I want to begin by making sure we all thank silvana for the wonderful introduction. Give her a big round of applause. [applause] her mom and dad are here somewhere. Where are they . I know theyre pretty proud. There they are right there. Give mom and dad a big round of applause. [applause] a number of other people i want to acknowledge here first of all, our secretary of education, arne duncan, whos doing a great job. [applause] one of the finest governors in the country, your governor, andrew cuomo, is here. [applause] your outstanding mayor, brian higgins, is here. Give him a big round of applause. [applause] congressman what . The mayor is Byron Brown Byron brown. Thats im sorry, byron. What i meant was your congressman, brian higgins, is here. [applause] your mayor, byron brown, is here. [applause] this is what happens when you get to be 52 years old. [laughter] when i was 51 everything was smooth. [laughter] but your congressman and your mayor are doing outstanding work. We just rode on the bus over from the airport, and they were telling me that buffalo is on the move. That was the story. [applause] a couple other people i want to acknowledge suny chancellor nancy zimpher, is here, doing a great job. [applause] University PresidentSatish Tripathi is here. [applause] and weve got all the students in the house. Thank all the students for being [applause] here. [applause] now, today is a checkin day at the dorms. So i want to thank all the students for taking a few minutes from setting up your futons and your minifridges just to come out here. [laughter] i hear that the last sitting president to speak here was millard fillmore. [laughter] [applause] and he was actually chancellor of the university at the same time which sounds fun, but ive got enough on my plate. [laughter] this is our first stop on a two day road trip through new york and pennsylvania. And after this i head to syracuse yay, syracuse to [applause] speak with some high schoolers. Tomorrow im going to visit Suny Binghamton and Lackawanna College in scranton. But i wanted to start here at university at buffalo. And i wanted to do it for a couple reasons. [applause] first, i know youre focused on the future. As i said, talking to the mayor, he was describing a new medical school and new opportunities for the hightech jobs of tomorrow. [applause] so theres great work being done at this institution. I also know that everybody here must be fearless because the Football Team kicks off against number 2, ohio state, next weekend. [applause] good luck, guys. Its going to be a great experience. Its going to be a great experience. It could be an upset. [laughter] [applause] and third, and most importantly, i know that the young people here are committed to earning your degree, to helping this university to make sure that every one of you finishes in four makes sure that youre prepared for whatever comes next. And thats what i want to talk about here today. Over the last month, ive been visiting towns across the country, talking about yes, feel free to sit down. Get comfortable. [laughter] we love you thank you. I love you, too. [applause] over the last month ive been out there talking about what we need to do as a country to make sure that weve got a Better Bargain for the middle class and everybody whos working hard to get into the middle class a National Strategy to make sure that everybody who works hard has a chance to succeed in this 21st century economy. Now, i think all of us here know that for the past four and a half years, weve been fighting back from a brutal recession that cost millions of americans their jobs and their homes and their savings. But what the recession also did was it showed that for too long weve seen an erosion of middle class security. So, together, we saved the auto industry. Together, we took on a broken health care system. We invested in new technologies. [applause] we started reversing our addiction to foreign oil. We changed a tax code that was tilted to far in favor of the wealthy at the expense of working families. [applause] and add it all up, today our businesses have created 7. 3 million new jobs over the last 41 months. We now generate more Renewable Energy than ever before. We sell more goods made in america to the rest of the world than ever. Health care costs are growing at the slowest rate in 50 years. Our deficits are falling at the fastest rate in 60 years. Here in buffalo, the governor and the mayor were describing over a billion dollars in investment, riverfront being changed, construction booming signs of progress. [applause] so thanks to the grit and the resilience of the american people, weve cleared away the rubble from the financial crisis. Weve started to lay the foundation for a stronger, more durable economic growth. But as any middleclass family will tell you, as folks here in buffalo will tell you, were not where we need to be yet. Because even before the crisis hit and it sounds like buffalo knows something about this we were living through a decade where a few at the top were doing better and better, most families were working harder and harder just to get by. Manufacturing was leaving, jobs moving overseas, losing our competitive edge. And its a struggle for a lot of folks. So reversing this trend should be, must be, washingtons highest priority. Its my highest priority. [applause] ive got to say its not always washingtons highest priority. Because rather than keeping focus on a growing economy that creates good middleclass jobs, weve seen a faction of republicans in congress suggest that maybe america shouldnt pay its bills that have already been run up, that we shut down government if they cant shut down obamacare. Boo that wont grow our economy. That wont create jobs. That w