In utah we try to do that here it we have the lowest Cost Health Care in america, the fifth rated best Quality Health care in our state. It starts with individual responsibility, l the lifestyles, people taking ownership and try to provide opportunities for health care in the private sector to find those niches and ways to deliver services to people in a free market system. Trying to provide opportunities of their for health care in the are to find those niches and ways to deliver some bridges services. There are challenges out there, and theres not any Silver Bullet to find the solution to the problem. I have been critical, and still remain disappointed that when we created the Affordable Care act, that this body was never consulted. They do not come to the states could they do not come to the governors. And yet we are the ones on the front lines having to build programs. It is a challenge. What would have been better is if they had said to the states, we have the health care issue, you young population getting prenatal care, why dont every state develop their own system . As private programs out of the house up the federalism learn from each other . Utah exchange, you may like it, you may not like it, but learn from our successes, learn from ur failures, and develop a system in all 50 states. Would that not have been a better approach than the onesizefitsall that came out of washington . The problem that were having with the economy is because of uncertainty. The small and medium businesses are not investing capital in the market place because of uncertainty. Teve forbes estimates that nearly 2 trillion the of capital is not engaged because of uncertainty. Quick you make a lot of good points. The point on the states, and the ability to be included in this discussion. What do you say that to the critic since that the economic and more favorable for the top, if it is not trickling down to the middle class . Their wages have not moved. What do you say to the bush backs of that argument pushback on that argument . It is kind of like an accordion, it expands and contracts, it brings people up. You have seen evidence of that . Absolutely. In utah we have been rated, if youre in the low end of the spectrum and all of the other places, it your chances to align the latter is higher in utah. I go numbered remix and Governor Nixon three percent overhead cost, we are working to get those costs down as a country, but generally a program that was highly controversial when it came in, that was on excepted by the public in many ways, is now relied on by seniors and reliable. As the backbone of senior care, there are a lot of products you can buy, but that is number one. We have the unique opportunity in front of us and our time in history. Our responsibility now is for the working poor, to give them the same opportunity for health care that the Senior Citizens have had under medicare. That is our responsibility. We can talk about the politics of it, we can all do up raises on each side of whether rewrite the elephant or the donkey to work, but there is a unique opportunity with federal resources. We have an opportunity here as states, no requires us to use ur individual power to make it most applicable to our various states. That is why we need to have a tremendous amount of flexibility, and use those resources. We have been talking about technology, and Health Care Needs way more technology. If a lease officer in missouri. R someone, by the time someone by the time you get out of he car to talk to the speeder, he has their entire griddle record on the computer criminal record on the computer screen. If that person got hurt, and had to be taken to hospital, the hospital has no idea of their background. They do not know what medications they are allergic to, or what needs to be done. It is changing the game already, i could not agree more. I have to ask you, i prefer to ride a harley to work. Not a donkey or an elephant. I would say that it is a little more safe than a donkey or an elephant. Please wear a helmet. Talk to us about this realization he made with medicare medicaid, and your solution. We did not take the medicaid expansion, everyone is covered, because we had a unique transition. I want to go back to the original question. Bill had a good point about your supermarket analogy. I use the one about taking on our cell phones and say how many of us in america can tell us what our cell phone plan is . If i did not have unlimited exting, my two teenagers would put me in the poor house. They can tell you that it is 10 to get prescription drugs, they can tell you it is the dean dollars to go to the doctor, but they do not know what it is all about. You talked about it in New Hampshire with employees. One of the biggest areas of impact, just medicaid and state employee benefits. You think the concept of the cell phone plan, we have done that in a limited margin in the past marketplace. One of the few places, corrective eye surgery, most all people had it too expensive. Yet today, just about anybody could say about for corrective eye surgery for a couple hundred dollars. I still want quality, so you match it to out there. I need to make a logical decision based on the quality of the references that i get. Yet, it can be affordable for someone who is not superrich. Most decisions that we make when it comes to health care are elective. Im not would you shop around if i have a heart attack as to what hospital. Years ago, one of my friends have a flex account, and said the great thing for him and his family was that they decided on a fairly routine procedure they could save 1500 by going to a clinic. We make those sorts of decisions on our phones, but we do not when it comes to health care. We need to move to a patient centered plan, something the states can play an active role in. If we give our consumers more data and information to make those choices, that will be what controls cost. Quarks and they will be accountable for that. Quarks what we have done a mississippi is look at health care from an economic driver. We are creating a thousand knew the a thousand new positions by 2025. We created Health Care Zones where we incentivize the medical community, the same way we do with automobiles, aerospace, and other areas. We need to access the health care industry, rather than take the Healthcare Industry and centralize it on the federal government. Those other those that are forprofit, or notforprofit, you do not have to pay taxes, we as the manufacturers come in, and doctors, nurses. We are treating it as a business and asking it to grow so that we can have more access. I think there is a some play debated element that we have almost forgotten about in the competition but will lower the ost. You asked earlier some of the challenges, and i wanted to briefly mention a couple of challenges that sometimes wake the up early in the morning. The first challenge i think all of the governors are going to have, every mayor, chairman, county commissioner, is unfunded liabilities. Theyre not under the on the books, but being swept under the rug. Liabilities that are not funded for the next 10 or 20 years, regarding pensions, health care primarily. It is not being talked about enough in this nation, even among governors. It is going to catch up, and it is catching up in certain pockets of the United States at the time. Ny board of directors in the private sector has to list the nfunded liabilities on their finance reports, that has not always been the case in government. We need to do some realistic accounting on unfunded liabilities. The second issue that continues to be a problem for governors, and we had some consensus yesterday on several issues, the federals came passing new policies with no idea on how it will be executed. The governors, mayors, or others are the ones that have to execute a command there were not involved in that process. We have to find the talent executed, we have to find the systems to executed, we defined the have to find the forecasters for the execution. That does not happen overnight, and we are feeling about that it is the execution not being discussed which is the discussion. Republicans and democrats learned, theyre doing it to our guards. Not realizing the impact on the operation of our guard forces. The other is the execution of waivers. There is a consensus in this group, as of yesterday, where please give us a little more flexibility on waivers, and do not put us through bureaucratic time span and hunt to get waivers that may be working in other states. Approve them for the states where theyre working, without going through bureaucratic time sandwiches far too long to get approval. We should not have to ask for waivers, we are the states. We are executives, give us the exact but civility that flexibility. The last thing we are seeing is predictability in some of these rules and procedures. What is happening out of the federal government is that they are changing the rules by the day, and by the minute. Therefore, i do not know it is the case with other governors, we are trying to forecast our budget for the future. We do not know the medicaid impact that many more people are finding on medicaid. And food stamps . Woodworking. How many people are coming out of the woodwork. Major swags, on guessing what the impact of National Policy will be on the states. That will be the great unknown on state budgets over the next three or four months. The impact of medicaid rules. Are people signing up for new insurance, or they just signing up on Government Insurance that currently exists . That is the state responsibility. Those of the four major issues that we as governors, both republican and undercut have to and democrats have to find olutions to. You are having a meeting at the white house. Is that the crux of the conversation, tomorrow . The good news among this group is that we are trying to find we agreed to disagree on some things. Were agreeing on the issue of waivers, we are agreeing on the guard issue. I anticipate a very strong message to the president tonight and tomorrow would we have the up rigidity to meet with them to say this is where there is a united rot among all the governors. Give us some flexibility. Recognize the National Guard cost in protecting our National Security, it can end up saving you money, so do not deplete us. It is nice among us to find a consensus, and at least make progress toward those areas terry what confuses me is that we have been talking about some of these issues for a long time. The uncertainty of not knowing the rules, and not knowing where the federal money is going, if it is going eric going. Will business start dropping insurance . We would like to have businesses ay for insurance, subsidized the insurance of their mployees, but we do not know how they are going to go you know what, i will ask michael employee to go on the National Healthcare act, and we will subsidize them to a certain amount, but now it is there is possibility. No one really knows what the impact of that will be, but from a financial standpoint, im eager going to see a lot of businesses do that, and it will change the whole framework of health care in the United States. Recognizing people going to a 30 hour week . There are people growing up to only a certain amount of employees, and others reduce the hours. There was a story on the news in ogle the city about a man who was building a storm shelter. We had a terrible storm in may of last year, so hit a storm shelter company, and he had grown into 70 employees. Ith the new mandates under the Affordable Health care act, his Health Insurance costs were going to go up 250,000. He dropped his employees back to 50,000, and then all of a sudden it got delayed, and he had to let all of them go. That stopped his business from growing. It had the first affect, of what youre talking about a moment ago. We believe that governors should lead the way. Governors have to find solutions to the problems. A lot of issues not being solved, we have to solve the problems coupled with a balanced budgets, work on education, and growing the economy and creating jobs and health go policy and infrastructure and energy, and creating Business Climate so that we can be competitive with other Foreign Countries and the states in our nation. Look to the governors, we have Great Solutions for health care issues, for education, for the work first force. Address the issues that are important to americo when we feel like there is a lot of inaction in washington dc. Ayako whatever the chair says. One thing within all of this, we are making progress. Every day this country is getting a little bit better. Not as fast as we would like, and we can see all of the mistakes we are making, but every day the world gets a little bit better. I see a level of integration between the states, we have a lot of Different Companies that are widespread when they put things together. Sierra nevada spaces systems is working in 18 different states, if i remember correctly, different pieces. They build and deliver space systems, theyre taking over the space area, and theyre working with vendors all over the country. We need to Work Together to get that project done with my fellow governors. We sometimes forget how well we Work Together. Im going to guess theres not a state in the country that does not have a manufacturing presence. That ability of the country to Work Together, the ability of us to fix the infrastructure issues, whether it is education, transportation, we often have a lack of infrastructure, but the governors will sit down together and work it out. Matter what it is, no matter what the industry, we will try and change whatever the rules of regulations are, and celebrate the process. Instead of doing it sequentially, what would take seven years, will take one year. We should recognize that we are being offered a chance to work with the white house on a direct basis and these agencies, and be more effective. What are you expecting the Financial Impact of marriott legalizing their 10 will be on your state . More significant than most of us thought, but still early to see if the record if the Restaurant Business recognizes flow through. Were not sure with the repeat business is going to look like. Ne of the things that we are focused on is to not see this as a windfall, it is just something to look into. Will we have a lot of kids that live off the track and we will need resources to put them in the right direction . Looking at people with the attitude that marijuana consumption is harmless. Were trying to regulate it as vigorously as we do our call. Alcohol. We want to have the same sort of attention, not to take all of the windfall money and become dependent on it. We did a number of special reports about the business of marijuana. It was the leading, the highest Rating Program safety had ever een. Were all looking at this and saying what is going on in the country . Do you have an estimate in terms of the Financial Impact . For the first full 12 months we think that the tax revenue will be about 140 million, and the business itself only be about 1 billion. That is better than expected, but where to take it with a grain of salt. As we wrap up, i know you are eeting with a number of aboard people for the rest of the day, and youre going to the white house tomorrow. As you go around the horn, and come up with one important solution or change the mower impact that you would like to come from the white house and congress this year, or the next two years, what would that be . We like to hear from all of you, hopefully you have an answer to hat. I will begin with you, sir. We have to raise the minimum wage. There is a principle the bible, if you work hard, and youre raising children, you should not have to be in poverty. Pope francis talked about an economy of inclusion not exclusion. If we want consumer purchasing power, 77 of our economy, raise the minimum wage. It is a terrible mistake to follow the pentagons recommendation and cutting the ational guard. The guard has been really instrumental in fighting these wars in both iraq and afghanistan, and now that we are seeing dramatic cut backs in the military, the regular army has increased her medically. The size of the guard has stayed about the same. We need to keep the garden not cut guard the guard and not cut the guard. It is something that the governors are united on, and we do get is critically important, and we want the president to know that it would be a terrible mistake for him to cut the National Guard in his budget. Across the board would need the federal government to give us more flexibility to appreciate the way we want to run our programs in this country. There is a difference between nebraska and new york, between carolina and New Hampshire. More flexibility in every program. Im an old appropriations chair, i still think the biggest deadweight on our economy is the ederal budget deficit. I think the economy is Strong Enough now that the president needs to get deadly serious about solving that problem, getting into the entitlements discussion, and provide the leadership we need there. It is absolutely going to continue to kill us unless we face up to it. Overall, it is more about than just talking to the president. Part of the uncertainty is the dysfunction that occurs in washington dc right now. We are almost always going to default on our debt. Both out and the real world like hat happens in states, because somehow we have one aside budgets to get things done. We need to do more of that washington dc, not just yelling at one another. Can you point to one or two things that are the issues in terms of the barriers . Is it just too much red tape . Why can we not move forward with solutions, and unlimited this ncertainty eliminate this uncertainty . I had an undersecretary of the agriculture out last week seeing how could we actually moved some work off of federal lands. It is a