Distribution. Thats why we have put in the con ticontingency fund. We getof it is if something and at that point believe we need to support further distribution, thats would do asat we well. So distribute a successful vaccine. Allows for largescale manufacture and then distribution . Right now we have put in funds that will help us get to manufacturing. That is what we are focused on in the barta element. Okay. Thank you. You very much, senator hogan. Hearing,p up todays first of all id like to thank forwitnesses here today their cogent testimony. Lot. Nk weve learned a i think it gives us great insight into the president s why that significant amount of money is needed and why, even though it might not be headline, the urgency continues. Follow the like to model that was established under withdent bush and then president obama when we had an disease situation before. Before i wrap up, i also want to comment about dr. Frieden and dr. Fauci, who spent a lot of time, both dealing with the disease and also dealing with the fear that the public had around the disease. And you did a great job, while trying to do several other jobs. So secretary burwell, do you work would have been facilitated while these two fine doctors the question is, who americas doctor . Should we also move rapidly to confirm a Surgeon General . Which in no way minimizes the work that these men have operational responsibility and in many ways, acted as americas doctors, which they did a great job and were grateful. Helpful. Ld be one of the things i think, as i mentioned in my opening testimony, this is something scary to the American People. So having an additional voice that would be a voice that is a trusted doctor voice about how to think about this and how to understand it is certainly that would be helpful in ebola but it would be helpful also in things that the opioidsnt does, like and other things that are problems throughout our nation. That questionto is it would be very helpful to us. Dr. Frieden and dr. Fauci, who did take that responsibility on, because they are physicians. Did do that job. And they did do that job. But they had a lot of other trials to clinical whatever. Were going to wrap up. I just want to thank everyone in our Civil Service. All of our federal employees, from the administrative support all the way up to the top level, and also, of course, for our military personnel. But for our Civil Service, our federal employees, often trashed and bashed, i would like to say thank you. And i think we need to this, that in a democracy, we need to be able to ise a Civil Service that reliable and continues to do the job. A civil cant dial up service. You cant order it on amazon. Com. In every single one of the agencies, that they face sequester. Faced a shutdown. Just one year ago, they were told they were nonessential. We want them to risk their lives or to spend night and day trying to protect america. So i think we need to respect them, and i think the way we making surespect is that they have the resources to do the job that they were. Cautions us, when we make unnecessary travel federalions, our government doesnt were not talking here about taking a lavish trip to an exotic foreign do. Tal, like many of us this is really on the job. So i want to say thank you. Thank every single one of them. We need to do our job so they to do theirey need job. Thank you very much. [applause] this, thankon to you. Weve heard today that the 60mittee has also received written submissions from 116 organizations that will be made the hearing record. If there are no further questions, senators may submit for theal questions committees official record. We ask the agencies not to take usual 30 days. We ask the agencies to respond in two weeks. The reason why is this committee thising to be moving on request. And the senators have a right to have their questions answered. Could make sure any additional questions are i, workinglby and under theessman hal, guidance of our leadership, intend to be moving on the requests but also our responsibilities for fiscal 2015 for which we need to do our job that others can get on with theirs. Having said that, the committee stands recessed, subject to the call of the chair. And i thank everyone very much. Thank you. [captions Copyright National cable satellite corp. 2014] president obama is scheduled to return from his week long overseas trip tomorrow. He has made stops in china, burma, and australia, where World Leaders are currently meeting at the g 20 summit. Of theussed the role United States in the asiapacific region. Excerpt from his room arts. His remarks. We expanded our partnership with citizens as they wanted to bolster there democracies. We showed a whether it was a hurricane or a typhoon, we were there to show up. Andere there in good times bad, and you could count on the United States of america. Now there have been times when people have been skeptical about this rebalance. They are wondering whether america has the staying power to sustain it. There are events around the world that demands our attention. Worlds only superpower, the United States, has responsibilities of that we gladly embrace. Internationaln community to stop the terrorist group isis. We are dealing with the terrorist while dealing with ebola. And we are also facing aggression by russia after the the civilian plane mh 317. Share the determination of your nation for justice and accountability. So yes, we have a range of responsibilities. That is the deal. It is a burden that we gladly shoulder. Of thesein each international efforts, some of our partners are allies and friends in this region, including australia. Not of these challenges are engaging in from this region, it helps us to strengthen our involvement in this region. Asiapacific the region doing more with us throughout the world. We will have the president s ech tomorrow afternoon on cspan. Cam2015 cspan student Video Conference is underway. All it middle and High School Students are invited to create a fiveminute video theme on the federal government and eu. You can focus on how the legislative, executive, and judicial branches has helped to you and your community. For more information, go to studentcam. Org. Discussion on fiscal policy in the next congress. There are discussions on numerous topics posted by the Concord Coalition. We are going to get started now. Just so you guys know, the microphones are not going to are justify us, they for cspan2 record. We will try to speak up so you can all hear us. Everyone for coming today for an opportunity for fiscal reform in the next congress. I will be moderating this panel today. I just wanted to take a quick second to thank congressman creating staff for this event and i want to thank the House Budget Committee for allowing us to use this room this afternoon. Us on ato put sustainable debt path and reinvigorate our struggling economy. 2011 debt ceiling crisis through the recession of 2013, we have failed to see a grand bargain. The deficit has fallen since its peak in 2009 and washington is ared in gridlock, there is fiscal outlook that remains as challenging as ever. As soon as 2015, deficits are expected to rise, again approaching 1 trillion i the end of the decade. Will not be a challenge, but hopefully an opportunity to create more impactful spending policies. For those of you who want to take up the mantle, know that the Concord Coalition and others like us are here to assist you. We have a great panel here today, and we have some potential solutions and what they might look like. We have the senior policy director of the responsible budgetary organization. Spent three months on a supercommittee. Ist we have steve bell who the executive director of Economic Policy at the group, andpolicy then we have bob bixby, executive director of the Concord Coalition. He proposed a comprehensive bipartisan solution to address the nations fiscal challenges. With that i will pose of the first question and then we will open it up to the audience. The first question is what do you see are the major opportunities that lawmakers can take advantage for the economy . Thank you for the concorde coalition and for organizing this event. It has been mentioned that i experiencential failing to achieve a grand bargain. The concept of the grand bargain it was relatively straightforward and it was a concept that was pretty broadly agreed to. There was broad agreement as to what this agreement should look like. Both sides would have to agree to caps that would restrict growth on both defense and nondefense, and democrats would have to agree to perform at the entitlement programs. Republicans would have to accept reform that would raise changes, andx code they would use the money to reduce rates and simplify the code and promote growth. Both sides would agree to give the economy some space to grow. So the formulation was ready simple. Entitlement more form entitlement reform, tax reform, and giving the economy time to grow. Unfortunately, that is not where we ended up. And a Speaker Boehner president obama tried to negotiate one of these grand bargains in 2011, we ended up with theories of caps on defense and nondefense spending. They we ended up with some revenue, not from tax reform but raising rates at the top 1 . Gotas less revenue and it in different ways, and then we let the sequester hit. In said of going for the entitlements we win back to the defense and nondefense. This puts us in a situation where we did not get the grand bargain, but we did get substantial Debt Reduction. Andst entirely in the short medium term. We were able to meet stabilization for our debts in the last couple of years. Big chunk out of the grand bargain, and i dont want to declare it dead right here and right now, but over the next two years, we are going to go back to this grand argan table and try to try it again. We may be moving in the opposite direction. Right now before the end of the year, we will deal with the tax will renewnd then we them, and the way we deal with that will probably increase the deficit and move it in the wrong direction. By the end of march, we will have Sustainable Growth rate that will cut the interest rate, so if we want to avoid that, it will cut the deficit. These will actually take us backwards and in race some of the progress that we have already made. But there are also opportunities to move forward. These are called many bargains. I consider these many bargains on tax reform and health care. There is good news on that front. On the Health Reform side, there is actually an agreement from the tricommunity the tricommittee that we need to take the current Sustainable Growth rate and replace it with something that actually rewards physicians based on value of care. There is broad agreement and a plea a piece of legislation that chairman widen supports, and this would take the original plan and replace it. On the tax side there is also some good news. If you look at the talking points after the election and try to find what the president of the republican had in common, there was not much. There is agreement on both sides that we need to get rid of some of the tax breaks in the Corporate Tax code and use of that money to make our Corporate Tax code a little more competitive to read because we have so many loopholes and other breaks in the tax code, we are not raising very much revenue. Frankly, we are not internationally competitive. If you look at the framework that the resident that the there is put together, a lot of overlap. There is good compromise there. So the problem is the easy part. It is agreeing on the goodies. We wanted to give the positions a better formula and make our companies more competitive, but doing so we run the risk of increasing the deficit. We think it should be paid for but in a way that moves the ball forward on Health Reform and tax reform. You that picked up the packet when you came in, it was just released and we put it in a plan that is called the prep land. This plan would assume that we go with the permanent replacement of the sgr that has n discussed and expired expire thed it would tax extenders for two years and show how to pay for it. So we are actually rewarding quality of care and not quantity of care. This takes place by looking at new payment models and getting rid of payment disparities and in sending providers to provide more quality. The other third of the offsets, from beneficiaries. Right now there is a crazy quilt system within a medicare cost and they all by additional wraparound coverage, propose replacing that so that everyone would have the same deductible, about 600, give everybody an outofpocket limit, and Medicare Beneficiaries would be able to control their Health Care Costs and they would have more protection against catastrophic risks. Overall, we have done analysis and we have found the cost sharing would decline outofpocket costs, and it would also save medicare money. There are more details in the plan. Finally, the tax extenders. We cant keep dealing with these tactics can these tax extenders two years at a time. What we propose is a fasttrack hot process a fasttrack to get it moving, we know the pieces and we know what we need to do to lower the rates and reduce the deficit. We got to get moving and we do not want to be stuck in this game where nobody wants to go first. We also came up with a package that would come up with a twoyear extender as we work for corporate or vote individual tax reform. This package would not raise anybodys tax rates, and would but it any tax break, would increase compliance with the current tax code. First it would just collect the taxes that people already oh, and secondly close the most egregious loopholes in order to avoid people getting away with pain less taxes. That would buy enough time for us to offer the comprehensive tax form and decide how to reduce reform so that we could get a roof a reform to tax code. This is an excellent step forward, but it would not solve our deck our debt situation and it would not be a grand plan, but it would be a step forward. This is an opportunity that i do not think we should mess. Ill he have one minute left, and i do think there. The Highway Trust Fund, which expires in may. There is a disparity as to how much we are raising on the gas tax and how much we are spending on highways. For those of you who get this joke, we are running out of pensions to smooth. Doing thisep forever. We have to come up with a permanent solution. Their art hans of ideas out there that we would be happy to discuss. Finally, the Social SecurityDisability Trust fund will run out of money in 2016. When that happens, there will be a 20 acrosstheboard cut that would affect everybody. I dont think it would be politically easy, and i think there would be a missed opportunity. There is so much room to improve this program, so even though this next year is going to be the year of the grand bargain, we still have an opportunity to deal with the health care reform, tax reform, and dealing with more important issues like Highway Trust Fund and Social Security issues. Thank you, everyone. My name is steve, and i work for the bipartisan policy center. I will probably offend everyone here because we truly are bipartisan. We have talked to everyone from tom daschle to trent lott to olivia snow olympia snowe. About 1981 through 1986, i was on the staff budget committee. You have or you had the opportunity if you picked it up, a chance to look at this chart. This is not a joke. This is reality. You might remember when the late got on from pennsylvania the floor of the United States what thed outlined Hillary Clinton health plan would look like. And everyone said that was crazy and you cant do that. Them did notst of realize, we were already doing this. Budget the way that the and appropriations process works now. It is not with any particular probably i saved say 90 of the budget members and their staff do not know how the budget process works. About 80 of the house in the last four electorate cycles, and almost as many in the senate, and none of this is intuitive. We had two or three of us that in 86 and i, i left left it to my friend bill hoagland, and i blame most of this on him. [laughter] that veryabout a plan as people have had. , like 3. 0,e a plan because one and two were torpedoed. But the plan has to be something that deals with the complexity of how you get things done in the senate and the house. Therefore come out with recommendations to change the budget process itself. When the budget for started after the 1974 budget reform and impoundment control act, it was a Leadership Committee in the house. The leaders in the house picked just like they always do on urals committee, on your rules committee, individuals. Because double chairman he was the chairman of appropriation and chairman of the budget. That lasted one year. The jealousies, that you would imagine, happened. Committeethe budget becoming really a committee you get stuck on if you really unless you are the cpa, you really did not want to be on this committee. So we believe the composition of the budget committees should change. It should go back to becoming leadership appointed committees. This mess, very few people have a dog in the fight. In the the committees senate, for example, are not involved in the budget process. We start, we put a budget together in february and it will get reviewed in april, and there is about 25 people in the United States senate, half members, have staff that know what we are doing. We bring it to the floor, and we say, what good boys we are, we would like you to do this. And then they say, what is this . That is a legitimate question. Is to putound this senior members of some of the authorizing committees and at