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Your entertainment last night. I want to call to order the meeting of the health and Human Services committee. By saying we have a few administrative items to take care of. The governors should have received briefing books in advance including the agenda and nga updates. Sitting next to me is melinda becker, legislative director for health and Human Services for nga, and she will be available after the services if anyone needs further details about what we are talking about. A reminder that the proceedings for this committee are open to the press, and all meeting attendees, i would ask you to silence your cell phones and electronic devices. The discussion will focus on two issues every governor spent a lot of time picking about and working on, first given the democratic demographic changes, rising cost of health care, and other factors, how can we expect the u. S. Health syst ....